Development of a National Adult Protective Services Data System: Namrs Pilot Final Report (volume 1). Appendix B. Namrs Pilot Data Specifications

09/25/2015

B.1. NAMRS Pilot Agency Component Data Specifications

Element# Element Name Element Description Required Type Size
Agy1 State State on behalf of whom data are being submitted. Yes Alphanumeric 2
Agency Name
Agy2.1 Agency Name 1 Department or agency name. Yes Alphanumeric 100
Agy2.2 Agency Name 2 Branch or unit name. No Alphanumeric 100
Agency Physical Address
Agy3.1 Street 1 First line street address of agency physical address. Yes Alphanumeric 100
Agy3.2 Street 2 Second line street address of agency physical address. No Alphanumeric 100
Agy3.3 City City of agency physical address. Yes Alphanumeric 100
Agy3.4 State State of agency physical address. Yes Alphanumeric 2
Agy3.5 ZIP ZIP of agency physical address. Yes Alphanumeric 10
Agency Mailing Address
Agy4.1 Street 1 First line street address of agency mailing address. Yes Alphanumeric 100
Agy4.2 Street 2 Second line street address of agency mailing address. No Alphanumeric 100
Agy4.3 City City of agency mailing address. Yes Alphanumeric 100
Agy4.4 State State of agency mailing address. Yes Alphanumeric 2
Agy4.5 ZIP ZIP of agency mailing address. Yes Alphanumeric 10
Agency Contacts (multiple contacts can be entered)
Agy5.1 Name Contact name. Yes Alphanumeric 100
Agy5.2 Title (per contact name) Contact title. Yes Alphanumeric 100
Agy5.3 Email (per contact name) Contact email. Yes Alphanumeric 100
Agy5.4 Phone (per contact name) Contact telephone. Yes Alphanumeric 50
Agy5.5 Contact's role in agency (per contact name) Contact's role in agency. No Single drop down NA
Code Values 1 = Manager/ director/ supervisor
2 = Data coordinator/manager
3 = Training coordinator/ specialist
4 = IT/data specialist
5 = Policy specialist
6 = Intake manager/ supervisor
7 = Regional supervisor
8 = Field coordinator
9 = Investigator
10 = Social worker
11 = Case manager
Agency Profile Information
Agy6 Data Sources The sources of information used to submit data this year to NAMRS. No Drop down; select 1 NA
Code Values 1 = APS agency only
2 = APS and other agencies
Agy6.1 Comment Provide names of other agencies if data for this year's submission was also provided. No Text NA
Agy7 Budgeted Investigation FTEs Number of budgeted APS FTEs for investigation. No Numeric 6
Agy7.1 Budgeted Supervisory FTEs Number of budgeted APS FTEs for supervision. No Numeric 6
Agy7.2 Filled Investigation FTEs Number of filled APS FTEs for investigation. No Numeric 6
Agy7.3 Filled Supervisory FTEs Number of filled APS FTEs for supervision. No Numeric 6
Agy7.4 Comment Provide additional information on staffing if appropriate. No Text NA
Agy8 Accepting Reports Centralized or localized intake of APS reports. No Drop down; select 1 NA
Code Values 1 = Centralized at a statewide hotline or call in number
2 = Local at county or regional hotlines or call in numbers
3 = Combination of both statewide and local hotlines or call in numbers
4 = Other
Agy8.1 Comment Provide additional information on definition of intake. No Text NA
Agy9 Reports Not Accepted Number of reports received that were screened out and not accepted by APS for either I&R or investigation. No Numeric 6
Agy9.1 Reports Resolved through I&R Number of reports received that were accepted by APS and resolved through I&R. No Numeric 6
Agy9.2 Reports Accepted for Investigation Number of reports received that were accepted for investigation. No Numeric 6
Agy9.3 Comment Provide additional information on criteria for not accepting reports, resolving through I&R, or accepting for investigation. Provide reference or URL for policy. No Text NA
Agy10 Standard of Evidence Standard used for substantiating an allegation of maltreatment. No Drop down; select 1 NA
Code Values 1 = No state standard
2 = Different standards based on type of perpetrator
3 = Clear and convincing
4 = Preponderance
5 = Credible, reasonable, or probable cause
6 = Other
Agy10.1 Comment Provide citation or URL of state law, regulations, or program guidance. Include discussion of definitions of perpetrator if relevant. No Text NA
Agy11 Completion of an Investigation The average amount of days that it takes APS to complete an investigation. No Numeric 3
Agy11.1 Comment Provide additional information on the definition of start of investigation and completion of an investigation. Explain how this average was computed. No Text NA
Agy12 Types of Maltreatment Indicate which types of maltreatment are investigated by APS. No Drop down; select 1 or more NA
Code Values 1 = Abandonment
2 = Emotional abuse
3 = Financial exploitation
4 = Neglect
5 = Physical abuse
6 = Sexual abuse
7 = Suspicious death
8 = Self-neglect
9 = Other
A12.1 Comment Provide citation or URL in state law, regulations, or program guidance for maltreatment types investigated by APS. No Text NA
Agy13 Standardized Assessment Instrument or Tool Indicate whether APS personnel use standard tools throughout the state for assessing risk or safety of clients. No Drop down; select 1 NA
Code Values 1 = Yes, use common instrument or tool throughout the state
2 = No, assessment instruments are determined by each county or left to the worker's discretion
Agy13.1 Comment Provide the name and reference (i.e., URL) for each standardized tool that is used. No Text NA
Agy14 Service Gaps Indicate which services are not available or accessible in the state. No Drop down; select 1 or more NA
Code Values 1 = Care/case management services
2 = Caregiver support services
3 = Community day services
4 = Education, employment, and training services
5 = Emergency assistance and material aid services
6 = Financial planning services
7 = Housing and relocation services
8 = In-home assistance services
9 = Legal services
10 = Medical and dental services
11 = Medical rehabilitation services
12 = Mental health services
13 = Nutrition
14 = Public assistance benefits
15 =Substance use services
16 = Transportation
17 = Victim services
18 = Other services

B.2. NAMRS Pilot Case Component Data Specifications

# Element Name Element Description Required Quantifier Type Size Code Values
Investigation Entity
Inv1 Investigation ID The unique ID used by the state for each investigation. The ID is assigned to a specific investigation and is only used once. The Investigation ID is encrypted by the state for purposes of data submission. Yes Single A/N 32 Not applicable.
Inv2 Report Date The month, day, and year the agency was notified of the suspected adult maltreatment. No Single Date 8 Not applicable.
Inv3 Report Source The role or profession of the person who made the report of the suspected adult maltreatment. No Single N 2 1 = Guardian or conservator
2 = Community-based services
3 = Education
4 = Financial
5 = Law enforcement, judicial, or legal
6 = Medical or health
7 = Mental health
8 = Residential care community
9 = Social service and rehabilitative services
10 = Other professional
11 = Self
12 = Family member
13 = Non-family member
14 = Anonymous
Inv4 State/County FIPS Code of Investigative Agency The FIPS for state (2 digits) and county code (3 digits) of the APS agency. No Single N 5 Code is the unique identification number assigned to each state and county under the FIPS guidelines. See http://www.census.gov/geo/www/fips/fips.html.
Inv5 Investigation Start Date The date the investigation is assigned to an investigation worker. If the agency uses another date to indicate the start of an investigation, that date is used. No Single Date 8 Not applicable.
Inv6 Investigation Disposition Date The date that the agency completed dispositions on the allegations of maltreatment associated with the investigation. No Single Date 8 Not applicable.
Inv7 Case Closure Date The date that the agency completed all activities related to the investigation of the case. Yes Single Date 8 Not applicable.
Client Entity
Clt1 Client ID The unique ID used by the state for each client. The ID is assigned to a specific client and is used identify the same client across investigations and reporting periods. The Client ID is encrypted by state for purposes of data submission. Data on multiple clients can be submitted for the investigation. Yes Single A/N 32 Not applicable.
Clt2 Facility ID The unique ID used by the state for each facility. The ID is assigned to a specific facility where the client lives. The ID is used for the same facility across investigations and reporting periods. The Facility ID is encrypted by the state for purposes of data submission. No Single A/N 32 Not applicable.
Clt3 State/County FIPS Code of Client The FIPS for state (2 digits) and county code (3 digits) of the client's residence at the start of the investigation. No Single N 5 Code is the unique identification number assigned to each state and county under the FIPS guidelines. See http://www.census.gov/geo/www/fips/fips.html.
Clt4 Case Closure Reason The primary reason why the case was closed. No Single N 1 1 = Investigation complete
2 = Protective services completed
3 = Client refused services
4 = Unable to complete (closed without finding)
5 = Client died
6 = Other
Clt5 Age The age of the client in years (at investigation start date). No Single N 2 18,19...74 = Actual age
75 = 75-84
85 = 85 and older
Clt6 Gender Identity The actual or perceived gender-related characteristics of the client. No Single N 1 1 = Male
2 = Female
3 = Transgender
Clt7 Sexual Orientation The client's enduring pattern of or disposition to experience sexual or romantic desires for, and relationships with, people of one's same sex, the other sex, or both sexes. No Single N 1 1 = Straight
2 = Gay/lesbian
3 = Bisexual
4 = Questioning
5 = Other
Clt8 Race The population(s) or group(s) that the client identifies as being a member. Multiple races can be submitted for the client. No Multiple N 2 10 = American Indian or Alaska Native
20 = Asian (non-specific)
   21 = Asian Indian
   22 = Chinese
   23 = Filipino
   24 = Japanese
   25 = Korean
   26 = Vietnamese
   27 = Other Asian
30 = Black or African American
40 = Native Hawaiian or Other Pacific Islander (non-specific)
   41 = Native Hawaiian
   42 = Guamanian or Chamorro
   43 = Samoan
   44 = Other Pacific Islander
50 = White
Clt9 Ethnicity The affiliation of the client as Hispanic or Latino/a or non-Hispanic or Latino/a. Multiple ethnicities can be submitted for the client. No Multiple N 2 10 = Yes, Hispanic or Latino/a, or Spanish Origin (non-specific)
   11 = Mexican, Mexican American, Chicano/a
   12 = Puerto Rican
   13 = Cuban
   14 = Other Hispanic, Latino/a, or Spanish Origin
20 = No, not Hispanic or Latino/a, or Spanish Origin
Clt10 English Competency The client's ability to communicate using the English language. No Single N 1 1 = Very well
2 = Well
3 = Not well
4 = Not at all
Clt11 Primary Language The primary language or method that the client uses for written and verbal communication. No Single N 2 1 = Arabic
2 = Chinese
3 = English
4 = French
5 = German
6 = Korean
7 = Russian
8 = Spanish or Spanish Creole
9 = Tagalog
10 = Vietnamese
11 = Sign language
12 = Assistive technology
13 = Other
Clt12 Marital Status The client's status based on state residency laws. No Single N 1 1 = Never married
2 = Married
3 = Domestic partner, including civil union
4 = Divorced
5 = Separated
6 = Widowed
7 = Other
Clt13 Schooling Level The highest educational degree attained by the client. No Single N 1 1 = Less than high school
2 = High school diploma or equivalent
3 = Associate's degree or Bachelor's degree
4 = Advanced degree
Clt14 Employment Status The involvement of the client in the labor force. No Single N 1 1 = Employed
2 = Unemployed
3 = Not in labor force
4 = Other
Clt15 Income Level The level of annual income of the client including all sources of income. No Single N 1 1 = Less than $25,000
2 = $25,000-$49,999
3 = $50,000-$74,999
4 = $75,000-$99,999
5 = $100,000 or more
Clt16 Benefits The federal and state benefits received by the client during the investigation. Multiple benefits can be submitted for the client. No Multiple N 2 1 = Medicaid
2 = Medicare
3 = publicly-subsidized housing
4 = SSDI
5 = Social Security retirement benefits
6 = SSI
7 = TANF
8 = Veterans' disabled benefits
9 = Other
10 = None
Clt17 Veteran Status The client's status related to the U.S. Armed Forces. No Single N 1 1 = Veteran
2 = Non-Veteran
Clt18 Disabilities The client's physical, emotional, and mental health issues that result in limitation in activities and restrictions to fully participate at school, work, or in the community. Multiple disabilities can be submitted for the client. No Multiple N 1 1 = Ambulatory difficulty
2 = Cognitive difficulty
3 = Hearing difficulty
4 = Independent living difficulty
5 = Self-care difficulty
6 = Vision difficulty
7 = Other
8 = None
Clt19 ADL Score The client's score on the Katz Index of Independence in ADLs. No Single N 1 Permissible values are 0-6
Clt20 IADL Score The client's score on the Lawton IADLs. No Single N 1 Permissible values are 0-8
Clt21 Behavioral Health Screenings The results of screening assessments on the client, conducted by the APS agency. Multiple results can be submitted for the client. No Multiple N 2 1 = Alcohol use disorder
2 = Anxiety
3 = Bipolar disorder
4 = Dementia
5 = Depression
6 = Schizophrenia and other psychotic disorders
7 = Substance use disorder
8 = Traumatic brain injury
9 = Other
10 = None
Clt22 Behavioral Health Diagnoses The results of assessments on the client, conducted by medical or clinical professionals. Multiple results can be submitted for the client. No Multiple N 2 1 = Alcohol use disorder
2 = Anxiety
3 = Bipolar disorder
4 = Dementia
5 = Depression
6 = Schizophrenia and other psychotic disorders
7 = Substance use disorder
8 = Traumatic brain injury
9 = Other
10 = None
Clt23 Living Setting at Start The primary residential environment of the client at the start of investigation. No Single N 2 10 = Own residence or residence of relative or caregiver
20 = Residential care community setting (non-specific)
   21 = Licensed residential care community setting
   22 = Non-licensed residential care community setting
30 = Nursing home (non-specific)
   31 = Licensed nursing home
   32 = Non-licensed nursing home
40 = Other
Clt24 Living Setting at Close The primary residential environment of the person at the time of case closure. No Single N 2 10 = Own residence or residence of relative or caregiver
20 = Residential care community setting (non-specific)
   21 = Licensed residential care community setting
   22 = Non-licensed residential care community setting
30 = Nursing home (non-specific)31 = Licensed nursing home
   32 = Non-licensed nursing home
40 = Other
Clt25 Substitute Decision Makers at Start The authorizations that are in effect related to health, personal, or financial decision making for the client at the start of the investigation. Multiple substitute decision makers can be submitted for the client. No Multiple N 2 10 = Health care proxy in effect
20 = Financial proxy in effect
30 = Guardianship or conservatorship (non-specific)
   31 = Guardianship or conservatorship of person
   32 = Guardianship or conservatorship of property
40 = Representative payee
50 = None
Clt26 Substitute Decision Makers at Close The authorizations that are in effect related to health, personal, or financial decision making for the client at time of case closure. Multiple substitute decision makers can be submitted for the client. No Multiple N 2 10 = Health care proxy in effect
20 = Financial proxy in effect
30 = Guardianship or conservatorship (non-specific)
   31 = Guardianship or conservatorship of person
   32 = Guardianship or conservatorship of property
40 = Representative payee
50 = None
Clt27 Services at Start The services known to the agency that the client was already receiving at the start of the investigation. No Multiple N 2 1 = Care/case management services
2 = Caregiver support services
3 = Community day services
4 = Education, employment, and training services
5 = Emergency assistance and material aid services
6 = Financial planning services
7 = Housing and relocation services
8 = In-home assistance services
9 = Legal services
10 = Medical and dental services
11 = Medical rehabilitation services
12 = Mental health services
13 = Nutrition
14 = Public assistance benefits
15 = Substance use services
16 = Transportation
17 = Victim services
18 = Other services
19 = None
Clt28 Services APS The services which the agency provided on behalf of the client during the investigation or while the agency kept an open case. No Multiple N 2 1 = Care/case management services
2 = Caregiver support services
3 = Community day services
4 = Education, employment, and training services
5 = Emergency assistance and material aid services
6 = Financial planning services
7 = Housing and relocation services
8 = In-home assistance services
9 = Legal services
10 = Medical and dental services
11 = Medical rehabilitation services
12 = Mental health services
13 = Nutrition
14 = Public assistance benefits
15 = Substance use services
16 = Transportation
17 = Victim services
18 = Other services
19 = None
Clt29 Services Referred The services for which the agency referred the client. No Multiple N 2 1 = Care/case management services
2 = Caregiver support services
3 = Community day services
4 = Education, employment, and training services
5 = Emergency assistance and material aid services
6 = Financial planning services
7 = Housing and relocation services
8 = In-home assistance services
9 = Legal services
10 = Medical and dental services
11 = Medical rehabilitation services
12 = Mental health services
13 = Nutrition
14 = Public assistance benefits
15 = Substance use services
16 = Transportation
17 = Victim services
18 = Other services
19 = None
Clt30 Services at Close The services known to the agency that the client was receiving at the time of case closure. No Multiple N 2 1 = Care/case management services
2 = Caregiver support services
3 = Community day services
4 = Education, employment, and training services
5 = Emergency assistance and material aid services
6 = Financial planning services
7 = Housing and relocation services
8 = In-home assistance services
9 = Legal services
10 = Medical and dental services
11 = Medical rehabilitation services
12 = Mental health services
13 = Nutrition
14 = Public assistance benefits
15 = Substance use services
16 = Transportation
17 = Victim services
18 = Other services
19 = None
Clt31 Interagency Coordination The agencies to which the client was referred. No Multiple N 1 1 = Law enforcement or prosecutorial offices
2 = Protection and advocacy or CAP
3 = State licensing agency
4 = State MFCU
5 = Long-term care ombudsman program
6 = Other
7 = None
Clt32 Previous Report The indication that the agency has information that the client was the subject of a previous report. No Single N 1 1 = Yes
2 = No
Clt33 Maltreatment Setting The location where alleged maltreatment occurred. No Single N 2 10 = Own residence or private residence of relative or caregiver
20 = Residential care community setting (non-specific)
   21 = Licensed residential care community setting
   22 = Unlicensed residential care community setting
30 = Nursing home (non-specific)
   31 = Licensed nursing home
   32 = Unlicensed nursing home
40 = Adult day services center (non-specific)
   41 = Licensed adult day services center
   42 = Unlicensed adult day services center
50 = Place of business or other services
60 = Other
Maltreatment Entity
Mal1 Maltreatment Type The alleged maltreatments that are investigated. Yes Single (per entity) N 1 1 = Abandonment
2 = Emotional abuse
3 = Financial exploitation
4 = Neglect
5 = Physical abuse
6 = Sexual abuse
7 = Suspicious death
8 = Self-neglect
9 = Other
Mal2 Maltreatment Disposition The disposition of each alleged maltreatment. Yes Single N 1 1 = Substantiated
2 = Inconclusive
3 = Unsubstantiated
4 = Other
Perpetrator Entity
Per1 Perpetrator ID The unique ID used by the state for the person who is found to be responsible for substantiated maltreatment(s). The ID is assigned to a specific perpetrator and is used to identify the same perpetrator across investigations and reporting periods. The Perpetrator ID is encrypted by state for purposes of data submission. Yes Single N 32 Not applicable.
Per2 Age The age of the perpetrator in years (at investigation start date). No Single N 2 18,19...74 = Actual Age
75 = 75-84
85 = 85 and Older
Per3 Gender Identity The actual or perceived gender-related characteristics of the perpetrator. No Single N 1 1 = Male
2 = Female
3 = Transgender
Per4 Race The population(s) or group(s) that the perpetrator identifies as being a member. Multiple races can be submitted for the perpetrator.  No Multiple N 2 10 = American Indian or Alaska Native
20 = Asian (non-specific)
   21 = Asian Indian
   22 = Chinese
   23 = Filipino
   24 = Japanese
   25 = Korean
   26 = Vietnamese
   27 = Other Asian
30 = Black or African American
40 = Native Hawaiian or Other Pacific Islander (non-specific)
   41 = Native Hawaiian
   42 = Guamanian or Chamorro
   43 = Samoan
   44 = Other Pacific Islander
50 = White
Per5 Ethnicity The affiliation of the perpetrator as Hispanic or Latino/a or non-Hispanic or Latino/a. Multiple ethnicities can be submitted for the perpetrator. No Multiple N 2 10 = Yes, Hispanic or Latino/a, or Spanish Origin (non-specific)
   11 = Mexican, Mexican American, Chicano/a
   12 = Puerto Rican
   13 = Cuban
   14 = Other Hispanic, Latino/a, or Spanish Origin
20 = No, not Hispanic or Latino/a, or Spanish Origin
Per6 Disabilities The perpetrator's physical, emotional, and mental health issues that result in limitation in activities and restrictions to fully participate at school, work, or in the community. Multiple disabilities can be submitted for the perpetrator. No Multiple N 1 1 = Ambulatory difficulty
2 = Cognitive difficulty
3 = Hearing difficulty
4 = Independent living difficulty
5 = Self-care difficulty
6 = Vision difficulty
7 = Other
8 = None
Per7 Behavioral Health Screenings The results of screening assessments on the perpetrator, conducted by the APS agency. Multiple results can be submitted for the perpetrator. No Multiple N 2 1 = Alcohol use disorder
2 = Anxiety
3 = Bipolar disorder
4 = Dementia
5 = Depression
6 = Schizophrenia and other psychotic disorders
7 = Substance use disorder
8 = Traumatic brain injury
9 = Other
10 = None
Per8 Behavioral Health Diagnoses The results of assessments on the perpetrator, conducted by medical or clinical professionals. Multiple results can be submitted for the perpetrator. No Multiple N 2 1 = Alcohol use disorder
2 = Anxiety
3 = Bipolar disorder
4 = Dementia
5 = Depression
6 = Schizophrenia and other psychotic disorders
7 = Substance use disorder
8 = Traumatic brain injury
9 = Other
10 = None
Client-Perpetrator Relationship Entity
CPR1 Cohabitation at Start The indication if the perpetrator and victim are cohabitating at the start of the investigation. No Single N 1 1 = Yes
2 = No
CPR2 Cohabitation at Close The indication if the perpetrator and client are cohabitating at the time of case closure. No Single N 1 1 = Yes
2 = No
CPR3 Kinship Relationship The indication if the perpetrator is related to the client by affinity (blood, adoption, marriage, etc.) No Single N 2 10 = Yes (not specific)
11 = Spouse
12 = Domestic partner, including civil union
13 = Parent
14 = Child
15 = Sibling
16 = Grandparent
17 = Grandchild
18 = Other relative
20 = None
CPR4 Perpetrator Association at Start The indication if the perpetrator has a caregiving relationship to the client at the start of the investigation. No Single N 1 1 = Nursing home staff
2 = Residential care community staff
3 = Paid formal caregiver
4 = Paid informal or family caregiver
5 = Unpaid informal or family caregiver
6 = Other relationship
7 = None
CPR5 Perpetrator Association at Close The indication whether the perpetrator has a caregiving relationship to the client at time of case closure. No Single N 1 1 = Nursing home staff
2 = Residential care community staff
3 = Paid formal caregiver
4 = Paid informal or family caregiver
5 = Unpaid informal or family caregiver
6 = Other relationship
7 = None
CPR6 Perpetrator Substitute Decision Maker at Start Authorizations that the perpetrator has in relation to the victim, and that are in effect, related to health, personal or financial decision making at the start of the investigation. No Multiple N 2 10 = Health care proxy in effect
20 = Financial proxy in effect
30 = Guardianship or conservatorship (non-specific)
   31 = Guardianship or conservatorship of person
   32 = Guardianship or conservatorship of property
40 = Representative payee
50 = None
CPR7 Perpetrator Substitute Decision Maker at Close Authorizations that the perpetrator has in relation to the victim, and that are in effect, related to health, personal or financial decision making at the time of case closure. No Multiple N 2 10 = Health care proxy in effect
20 = Financial proxy in effect
30 = Guardianship or conservatorship (non-specific)
   31 = Guardianship or conservatorship of person
   32 = Guardianship or conservatorship of property
40 = Representative payee
50 = None
CPR8 Perpetrator Legal Remedy The legal remedies that were sought by the APS agency regarding the status of the perpetrator. No Multiple N 1 1 = Removal of guardianship rights
2 = Restraining order on perpetrator regarding the victim
3 = Eviction of perpetrator
4 = Restitution by perpetrator
5 = Other legal remedy
6 = None

B.3. NAMRS Pilot Key Indicators Component Data Specifications

Element # Element Name Element Description Other Instructions
K1 Clients who Received an Investigation Number of clients involved in an investigation that was completed during the reporting period. Count each client in each investigation. If a client was the subject of 2 investigations, count twice.
K1.1 Comment Provide additional information on how number of clients was determined.  
       
K2 Clients who Received Interagency Coordination Number of clients in which an interagency coordination was part of the investigation. See Appendix D for description of Interagency Coordination. Count each client once for each investigation in which he/she received 1 or more interagency coordination activities.
K2.1 Comment Provide additional information on how number of clients who received interagency coordination was determined.  
Clients by Case Closure Reason Number of clients whose case was closed for specific reason:  
K3.1 Investigation Completed See Appendix D for definitions of values. A client is counted for each case closure. There can only be 1 primary case closure reason per client per case.
K3.2 Protective Services Completed
K3.3 Refused Services
K3.4 Unable to Complete (closed without finding)
K3.5 Client Died
K3.6 Other
K3.7 Unknown
K3.8 Comment Provide additional information on how number of clients by case closure reason was determined.  
       
K4 Victims of 1 or More Maltreatments Number of victims in which at least 1 maltreatment disposition was substantiated per investigation. A victim is counted once for each investigation in which a maltreatment was substantiated, no matter how many maltreatments were substantiated.
K4.1 Comment Provide additional information on how number of victims was determined.  
Victims by Age Number of victims by age at time of report.  
K5.1 18-29 years The victim age is computed by subtracting the client's date of birth from the Investigation Start Date. An estimated age can be used. The victim's age is counted once per each investigation in which the client was found to be a victim. Age could differ between investigations.
K5.2 30-39 years
K5.3 40-49 years
K5.4 50-59 years
K5.5 60-69 years
K5.6 70-74 years
K5.7 75-84 years
K5.8 85 and older
K5.9 Unknown
K5.10 Comment Provide additional information on how age was computed.  
Victims by Race Number of victims by race. If a victim is of multiple races, count as multiracial. Count each victim once per investigation.
K6.1 American Indian or Alaska Native  
K6.2 Asian  
K6.3 Black or African American  
K6.4 Native Hawaiian or Other Pacific Islander  
K6.5 White  
K6.6 Multiracial  
K6.7 Unknown  
K6.8 Comment Provide additional information on how number of victims by race was determined.  
Victims by Ethnicity Number of victims by ethnicity. Count each victim once per investigation.
K7.1 Hispanic, Latino/a, or Spanish  
K7.2 Not Hispanic, Latino/a, or Spanish  
K7.3 Unknown  
K7.4 Comment Provide additional information on how number of victims by ethnicity was determined.  
Victims by Gender Identity Number of victims by gender. Count each victim once per investigation.
K8.1 Male  
K8.2 Female  
K8.3 Transgender  
K8.4 Unknown  
K8.5 Comment Provide additional information on how number of victims by gender was determined.  
       
K9 Victims Who Received 1 or More Public Benefits Number of victims who received 1 or more public benefits. See Appendix D for definition of values. A victim is counted once per investigation in which he/she received 1 or more public benefits.
K9.1 Comment Provide additional information on how number of victims by receipt of benefits was determined.  
       
K10 Victims with 1 or More Disabilities Number of victims with 1 or more disabilities. See Appendix D for definition of values. A victim is counted once per investigation in which he/she was identified as having 1 or more disabilities.
K10.1 Comment Provide additional information on how number of victims with 1 or more disabilities was determined.  
       
K11 Victims with 1 or More Screened Behavioral Conditions Number of victims with 1 or more screened behavioral conditions. See Appendix D for definition of values. A victim is counted once per investigation in which he/she was screened as having 1 or more behavioral conditions.
K11.1 Comment Provide additional information on how number of victims with a behavioral condition was determined.  
Victims by Maltreatment Type Number of victims by substantiated maltreatment type. See Appendix D for definition of values. A victim is counted each time he/she was substantiated as a victim of a specific maltreatment type. If a person was found to be a victim of neglect in 2 investigations, the count for neglect would be 2 for that victim.
K12.1 Abandonment  
K12.2 Emotional Abuse  
K12.3 Financial Exploitation  
K12.4 Neglect  
K12.5 Physical Abuse  
K12.6 Sexual Abuse  
K12.7 Suspicious Death  
K12.8 Self-neglect  
K12.9 Other  
K12.10 Unknown  
K12.11 Comment Provide additional information on how number of victims by maltreatment type was determined.  
       
K13 Victims with Guardian or Conservator at Start of Investigation Number of victims with guardian or conservator at start of investigation. See Appendix D for explanation of guardian or conservator. A victim is counted once per investigation in which he/she was screened as having 1 or more guardians or conservators.
K13.1 Comment Provide additional information on how number of victims by 1 or more guardians or conservators was determined.  
       
K14 Victims Who Received Services or Were Referred for Services by APS Number of victims who received services or were referred for services by APS. See Appendix D for explanation of services. A victim is counted once per investigation in which he/she received or was referred for 1 or more services. If a client received multiple services and also was referred for multiple services in 1 investigation, he/she is counted only once.
K14.1 Comment Provide additional information on how number of victims by services was determined.  
Perpetrators by Age Number of perpetrators by age. Count each perpetrator once per client per investigation. If a person was the perpetrator of 2 clients in 1 investigation, the person is counted twice.
K15.1 18-29 years The perpetrator age is computed by subtracting the person's date of birth from the Investigation Start Date. An estimated age can be used.
K15.2 30-39 years
K15.3 40-49 years
K15.4 50-59 years
K15.5 60-69 years
K15.6 70-74 years
K15.7 75-84 years
K15.8 85 and older
K15.9 Unknown
K15.10 Comment Provide additional information on how number of perpetrators by age was determined.  
Perpetrators by Gender Identity Number of perpetrators by gender. Count each perpetrator once per client per investigation. If a person was the perpetrator of 2 clients in 1 investigation, the person is counted twice.
K16.1 Male  
K16.2 Female  
K16.3 Transgender  
K16.4 Unknown  
K16.5 Comment Provide additional information on how number of perpetrators by gender was determined.  
       
K17 Perpetrators who had a Kinship Relationship to the Victim Number of perpetrators related to the victim by affinity (blood, adoption, marriage, etc.). Count each perpetrator once per client per investigation. If a person was the perpetrator of 2 clients in 1 investigation and is related to 1 victim and not the second, the perpetrator is counted only once.
K17.1 Comment Provide additional information on how number of perpetrators by kinship relationship was determined.  
       
K18 Perpetrators who had 1 or More Associations to Victim Number of perpetrators with 1 or more caregiving relationships to the victim. Count each perpetrator once per client per investigation. If a person was the perpetrator of 2 clients in 1 investigation and has 1 or more caregiving relationships to 1 victim and not the second, the perpetrator is counted only once.
K18.1 Comment Provide additional information on how number of perpetrators by association to the victim was determined.  
       
K19 Perpetrators for whom 1 or More Legal Remedies on Behalf of the Victim were Sought Number of perpetrators for whom at least 1 legal remedy was sought. Count each perpetrator once per client per investigation. If a person was the perpetrator of 2 clients in 1 investigation and had 1 or more legal remedies sought related to 1 victim and none with the second, the perpetrator is counted only once.
K19.1 Comment Provide additional information on how number of perpetrators by legal remedy was determined.  

B.4. NAMRS Pilot Code Values and Definitions

Element Code Value Value Definition
Report Source 1 Guardian or Conservator An individual or entity, also sometimes known as a surrogate decision maker, appointed through state law to make personal and/or property decisions for another person who lacks the capacity to make such decisions, as determined by a court.
  2 Community Based Services Professional or service provider supporting older adults and adults with disabilities to maintain independence.
  3 Education Employees of a public or private educational institution or program; includes teachers, teacher assistants, administrators, and others directly associated with the delivery of educational services.
  4 Financial Professionals managing finances or planning for future financial needs. Includes bank officials, financial planners, etc.
  5 Law Enforcement, Judicial, or Legal People employed by a local, state, tribal, or federal justice agency. This includes police, courts, district attorney's office, probation or other community corrections agency, and correctional facilities.
  6 Medical or Health People employed by a medical facility or practice. This includes physicians, physician assistants, nurses, emergency medical technicians, dentists, chiropractors, coroners, and dental assistants and technicians.
  7 Mental Health Persons who offer services for the purpose of improving an individual's mental health or to treat mental illness. Includes psychiatric nurses, clinical psychologists, etc.
  8 Residential Care Community Employee of a residential care community including those providing room and board of at least 2 meals per day and help with personal care and may exclusively serve persons with disabilities.
  9 Social Service and Rehabilitative Services Employees of a public or private social services or social welfare agency, or other social worker or counselor who provides similar services including rehabilitative services.
  10 Other Professional Persons who encountered the victim as part of their occupation. Includes landlords, housing authorities, clergy, etc.
  11 Self Person allegedly being maltreated.
  12 Family Member Persons related by blood, marriage, or adoption. Includes spouse, domestic partner, parent, foster parent, child, in-laws, etc.
  13 Non-Family Member Other individual who is not a professional or family member. Includes friends, neighbors, household member, etc.
  14 Anonymous An individual who notifies an APS agency of suspected maltreatment without identifying himself or herself.
Maltreatment Setting 10 Own residence or private residence of relative or caregiver Client's home or the client's relative or caregiver's home. Includes foster homes.
  20 Residential care community setting (non-specific) Including those providing room and board of at least 2 meals per day and help with personal care and may exclusively serve persons with disabilities.
  21 Licensed residential care community setting Official authority by the state to function and operate
  22 Unlicensed residential care community setting No official authority by the state to function and operate
  30 Nursing home (non-specific) Includes skilled nursing homes
  31 Licensed nursing home Official authority by the state to function and operate
  32 Unlicensed nursing home No official authority by the state to function and operate
  40 Adult day services center (non-specific) Includes adult day care, adult day health services centers
  41 Licensed adult day services center Official authority by the state to function and operate
  42 Unlicensed adult day services center No official authority by the state to function and operate
  50 Place of business or other services Includes place of employment, sheltered workshops, hospitals, schools, banks, other offices, etc.
  60 Other Includes shelters, public spaces
Maltreatment Type 1 Abandonment The desertion of a person by an individual who has assumed responsibility for providing care for that person, or by an individual with physical custody of another person.
  2 Emotional Abuse The infliction of anguish, pain, or distress through verbal or non-verbal acts. This includes but is not limited to verbal assaults, insults, threats, intimidation, humiliation, and harassment.
  3 Financial Exploitation The illegal or improper use of an individual's funds, property, or assets.
  4 Neglect The failure of a caregiver or fiduciary to provide the goods or services necessary to maintain the health or safety of a person. Includes acts of omission and of commission; includes willful deprivation, etc.
  5 Physical Abuse The use of force or violence resulting in bodily injury, physical pain, or impairment. Excludes sexual abuse.
  6 Sexual Abuse Non-consensual sexual contact of any kind, including sexual contact with any person incapable of giving consent.
  7 Suspicious Death An unexpected fatality or 1 in which circumstances or cause are medically or legally unexplained.
  8 Self-neglect A person's inability, due to physical or mental impairment or diminished capacity, to perform essential self-care tasks including obtaining essential food, clothing, shelter, and medical care; obtaining goods and services necessary to maintain physical health, mental health, or general safety; or managing one's own financial affairs. Includes hoarding.
  9 Other A type of maltreatment not included in the categorizations provided.
Maltreatment Disposition 1 Substantiated The finding that the allegation of maltreatment is supported under state law and policy.
  2 Inconclusive The finding that there is insufficient information to either support or not support the allegation of maltreatment, but there is a reason to suspect maltreatment.
  3 Unsubstantiated The finding that the allegation of maltreatment is not supported under state law and policy.
  4 Other Disposition not included in categorizations provided. Includes inappropriate allegations that were investigated.
Gender Identity 1 Male Male gender assigned at birth matches one's gender identity of male.
  2 Female Female gender assigned at birth matches one's gender identity of female.
  3 Transgender Gender identity, gender expression, and biological sex do not all align (e.g., man, masculine, and male).
Sexual Orientation 1 Straight Sexual or romantic attractions and behaviors focus exclusively or mainly on members of the other sex.
  2 Gay/Lesbian Sexual or romantic attractions and behaviors focus exclusively or mainly on members of the same sex.
  3 Bisexual Sexual or romantic attractions and behaviors are directed at members of both sexes to a significant degree.
  4 Questioning Exploring one's own sexual orientation, investigating influences that may come from family, religious upbringing, and internal motivations.
  5 Other A sexual orientation not included in the categorizations provided.
Race 10 American Indian or Alaska Native Having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.
  20 Asian (non-specific) Having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
  21 Asian Indian Having origins of Asian Indian.
  22 Chinese Having origins of Chinese.
  23 Filipino Having origins of Filipino.
  24 Japanese Having origins of Japanese.
  25 Korean Having origins of Korean.
  26 Vietnamese Having origins of Vietnamese.
  27 Other Asian Having Asian origins other than those listed.
  30 Black or African American Having origins in any of the Black racial groups of Africa.
  40 Native Hawaiian or Other Pacific Islander (non-specific) Having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
  41 Native Hawaiian Having origins of Native Hawaiian.
  42 Guamanian or Chamorro Having origins of Guamanian or Chamorro.
  43 Samoan Having origins of Samoan.
  44 Other Pacific Islander Having Pacific Islander origins other than those listed.
  50 White Having origins in any of the original peoples of Europe, the Middle East, or North Africa.
Ethnicity 10 Yes, Hispanic or Latino/a, or Spanish Origin (non-specific) Of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.
  11 Mexican, Mexican American, Chicano/a Having origins of Mexican, Mexican American, Chicano/a, regardless of race.
  12 Puerto Rican Having origins of Puerto Rican, regardless of race.
  13 Cuban Having origins of Cuban, regardless of race.
  14 Other Hispanic, Latino/a, or Spanish Origin Having Hispanic, Latino/a, or Spanish origins other than those listed, regardless of race.
  20 No, not Hispanic or Latino/a, or Spanish Origin Not of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.
English Competency 1 Very well Having high level of competency of the English language.
  2 Well Having good level of competency of the English language.
  3 Not well Having poor level of competency of the English language.
  4 Not at all Having no competency of the English language.
Primary Language 1 Arabic Primary language is Arabic.
  2 Chinese Primary language is Chinese.
  3 English Primary language is English.
  4 French Primary language is French.
  5 German Primary language is German.
  6 Korean Primary language is Korean.
  7 Russian Primary language is Russian.
  8 Spanish or Spanish Creole Primary language is Spanish or Spanish Creole.
  9 Tagalog Primary language is Tagalog.
  10 Vietnamese Primary language is Vietnamese.
  11 Sign Language Primary language is Sign Language.
  12 Assistive technology Assistive, adaptive, and rehabilitative devices for people with disabilities.
  13 Other A language not included in the categorizations provided.
Marital Status 1 Never married Refers to persons who report themselves as never married.
  2 Married Refers to persons who are currently legally married.
  3 Domestic partner, including civil union In a committed relationship with another adult, including both same sex and opposite-sex relationships
  4 Divorced Refers to those whose marriages were legally dissolved.
  5 Separated A termination of cohabitation of spouses either by mutual agreement or, in the case of judicial separation, under the decree of a court.
  6 Widowed Refers to those whose marriages were terminated through death of their spouse and have not remarried.
Level of Schooling 1 Less than high school Did not receive a high school diploma or equivalent, such as GED.
  2 High school diploma or equivalent Received high school diploma or equivalent, such as GED.
  3 Associate's degree or Bachelor's degree Associate's degree: granted after a 2-year course of study, especially by a community or junior college. Bachelor's degree: earned for an undergraduate course of study that nominally requires 3-5 years of study, depending on institution and field of study.
  4 Advanced degree A post-graduate degree, such as a Master's degree or a Doctorate.
Employment Status 1 Employed Persons who are working or temporarily not working due to illness or other reasons.
  2 Unemployed Persons who are not employed, and actively looking for work and available to start a job.
  3 Not in labor force Students, homemakers, retired workers, seasonal workers not looking for work, persons residing in institutions, persons doing only incidental unpaid family work.
  4 Other Includes sheltered workshop participants.
Benefits 1 Medicaid Free or low-cost health care coverage under the U.S. Medicaid program, serving families and individuals with low-income and limited resources.
  2 Medicare Free or low-cost health care coverage under the U.S. Medicare program, serving people age 65 and older, and younger persons with disabilities and those who have permanent kidney failure.
  3 Publicly-Subsidized Housing Government sponsored economic assistance aimed toward alleviating housing costs and expenses for people in need with low to moderate incomes. Includes direct housing subsidies, non-profit housing, rent supplements, and some forms of co-operative and private sector housing.
  4 Social Security Disability Insurance Benefits under SSDI, a federal program providing income supplements to people who are physically restricted in their ability to be employed because of a notable disability. It does not depend on the income of the disabled individual receiving it.
  5 Social Security Retirement Benefits Benefits received by retired workers who have paid into the Social Security system during their working years. Paid out on a monthly basis to retired workers and their surviving spouses.
  6 Supplemental Security Income Stipends through SSI program, provided to low-income people who are either 65 years or older, blind, or disabled.
  7 Temporary Assistance for Needy Families Temporary financial assistance through TANF program, which helps pregnant women and families with 1 or more dependent children pay for food, shelter, utilities, and expenses other than medical.
  8 Veterans' Disabled Benefits Benefits provided to Veterans with disabilities including Disability Compensation, Dependency and Indemnity Compensation, Special Monthly Compensation, Adapted Housing grants, Service-Disabled Veterans' Insurance, and Veterans' Mortgage Life Insurance.
  9 Other Public benefit other than those specified in the categorizations provided.
Veteran Status 1 Veteran Person who has served in the U.S. Armed Forces.
  2 Non-Veteran Person who has not served in the U.S. Armed Forces.
Disabilities 1 Ambulatory Difficulty Having serious difficulty walking or climbing stairs.
  2 Cognitive Difficulty Because of a physical, mental, or emotional problem, having difficulty remembering, concentrating, or making decisions.
  3 Hearing Difficulty Deaf or having serious difficulty hearing.
  4 Independent Living Difficulty Because of a physical, mental, or emotional problem, having difficulty doing errands alone such as visiting a doctor's office or shopping.
  5 Self-care Difficulty Having difficulty bathing or dressing.
  6 Vision Difficulty Blind or having serious difficulty seeing, even when wearing glasses.
  7 Other Disabilities other than those specified in the categorizations provided.
  8 None Assessed, but no disability determined.
ADL N Total score Indicates the client's total score on the Katz Index of Independence in ADLs. Permissible values are 0-6.
IADL N Total score Indicates the client's total score on the Lawton IADLs. Permissible values are 0-8.
Behavioral Health 1 Alcohol Use Disorder The consumption of alcohol that impacts the ability to conduct daily activities including quantity and frequency of alcohol consumption as well as feelings of not being able to stop drinking, of remorse about drinking, not being able to remember due to drinking, needing a drink early in the day, etc. Screening tools, such as AUDIT or others, may be used. Diagnosis depends upon clinical training.
  2 Anxiety An affective disorder that makes it difficult to conduct daily activities including feelings of nervousness, not being able to stop or control worrying, worrying too much about different things, being restless so it is hard to sit still, becoming easily annoyed or irritable and feeling afraid. Screening tools, such as the GAD-7 or others, may be used. Diagnosis depends upon clinical training.
  3 Bipolar Disorder A mood disorder characterized by alternating moods of mania and depression which can last for long periods of time and which may impact the ability to plan, schedule, and complete daily activities. Screening tools, such as the Mood Disorder Questionnaire or others, may be used. Diagnosis depends upon clinical training.
  4 Dementia The progressive decline of cognitive ability which impacts daily activities. Alzheimer's is 1 type of dementia. Dementia may be associated with memory loss, difficulty performing familiar tasks, problems with language, disorientation to time and place, poor or decreased judgment, problems with abstract thinking, loss of initiative and changes in personality, mood, or behavior. Screening tools, such as the Alzheimer's Association Ten Warning Signs or others, may be used. Diagnosis depends upon clinical training.
  5 Depression A loss of interest in daily activities including feelings of hopelessness, little energy, poor appetite or overeating, feeling bad about oneself, trouble concentrating and thoughts of suicide. Screening tools, such as the PHQ-9 or others, may be used. Diagnosis depends upon clinical training.
  6 Schizophrenia and Other Psychotic Disorders An affective disorder characterized by having delusions and hallucinations that may impact daily activities by causing difficulties in interacting with others. Screening tools, such as STEP1 or others, may be used. Diagnosis depends upon clinical training.
  7 Substance Use Disorder The use of drugs, including over the counter drugs, prescriptions drugs, cannabis (marijuana, hashish), solvents, tranquilizers, barbiturates, cocaine, stimulants, hallucinogens or narcotics that impact the ability to conduct daily activities including the quantity and frequency of use of such drugs, and feelings of being unable to stop when wanting to, of guilt or being neglectful, of withdrawal symptoms or having blackouts or flashbacks due to drug usage. Screening tools, such as DAST 10 or others, may be used. Diagnosis depends upon clinical training.
  8 Traumatic Brain Injury The result of a violent blow or injury to the head. Physical damage to the brain may result in long-term complications that impact daily activities due to difficulties in sleeping, dizziness, vision, memory concentration, and mood changes. Screening tool is usually the result of self-reporting of the injury or symptoms. Diagnosis depends upon clinical training.
  9 Other Behavioral conditions not included in the value list of behavioral health that are due to brain damage, disease or unknown causes which impact the ability to conduct daily activities. Examples include amnesia, delirium, behavioral syndromes such as eating disorders, sleep disorders, and other personality disorders. Screening may use a range of tools. Diagnosis depends upon clinical training.
  10 None No behavioral health conditions have been determined.
Living Setting 10 Own residence or residence of relative or caregiver Client's home or the client's relative or caregiver's home. Includes foster homes.
  20 Residential care community setting (non-specific) Including those providing room and board of at least 2 meals per day and help with personal care and may exclusively serve persons with special needs.
  21 Licensed residential care community setting Official authority by the state to function and operate.
  22 Non-licensed residential care community setting No official authority by the state to function and operate.
  30 Nursing home (non-specific) Includes skilled nursing homes.
  31 Licensed nursing home Official authority by the state to function and operate.
  32 Non-licensed nursing home No official authority by the state to function and operate.
  40 Other Includes shelters, no fixed residence.
Substitute Decision Makers 10 Health Care Proxy in Effect The appointment of a person to communicate the clients' wishes as to medical treatment in terminal illness or injury situations and to communicate for them in the event they cannot communicate for themselves. A document also known as a durable power of attorney for health care, medical power of attorney, or appointment of a health care agent, allows an individual to appoint another person (a proxy or agent) to express the individual's wishes and make health care decisions for the individual if he or she cannot speak for him or herself. Depending on the state, these documents are known as living wills, medical directives, health care proxies, or advance health care directives.
  20 Financial Proxy in Effect Authorization, by a written document, that 1 individual may act in another's place as agent or attorney-in-fact with respect to some or all legal and financial matters. The scope of authority granted is specified in the document and may be limited by state statute. A power of attorney terminates on the death of the person granting the power (unless "coupled with an interest") and may terminate on the subsequent disability of the person granting the power (unless the power is "durable" under the instrument or state law).
  30 Guardianship or Conservatorship (non-specific) A relationship created by state law in which a court determines that an adult individual lacks capacity to make decisions about self-care or property, and appoints another individual or entity as a conservator, or by a similar term, as a surrogate decision maker. It becomes the duty and power of that individual to make personal and/or property decisions for another.
  31 Guardianship or Conservatorship of Person If the individual has a critical need for someone to act on their behalf due to mental or physical disability.
  32 Guardianship or Conservatorship of Property (Or Estate): if the person is incapable of managing his or her own financial affairs.
  40 Representative Payee An individual or organization appointed by SSA to receive Social Security and/or SSI benefits for someone who cannot manage or direct someone else to manage his or her money. The main responsibilities of a payee are to use the benefits to pay for the current and foreseeable needs of the beneficiary and properly save any benefits not needed to meet current needs. A payee must also keep records of expenses. When SSA requests a report, a payee must provide an accounting to SSA of how benefits were used or saved.
  50 None No person in substitute decision making role as defined in the categorizations provided.
Services 1 Care/Case Management Services Development and implementation of a service plan to mobilize the formal and informal resources and services identified in the assessment to meet the needs of the client. Includes the development and oversight of a plan to ensure the safety and well-being of the client; developing a safety plan with a person's support network; referring and arranging support services, etc.
  2 Caregiver Support Services Assistance to family and other informal caregivers to improve or sustain capacity for caring for the older adult or adult with disabilities. Includes counseling, support groups, training, respite, etc.
  3 Community Day Services Services or activities provided to adults who require care and supervision in a protective setting for a portion of a 24-hour day. Includes out of home supervision, health care, recreation, and/or independent living skills training offered in centers most commonly known as Adult Day, Adult Day Health, Senior Centers, and Disability Day Programs.
  4 Education, Employment, and Training Services Services and activities to assist people in achieving or maintaining economic self-support. Includes training programs, job coaches, supported employment, senior employment programs, and public school individualized education plans.
  5 Emergency Assistance and Material Aid Services Providing, arranging for, or facilitating the provision of medical, social service, economic, emergency, or support services. Includes financial assistance or referral for food, clothing, energy/utility assistance, and home repairs/modifications; environmental clean-up of client's home including but not limited to removal of trash, extermination services and cleaning; relocation assistance; urgent medical expenses not typically covered by insurance (eye glasses, dentures); emergency housing/shelter; etc.
  6 Financial Planning Services Services or activities to assist in managing finances or planning for future financial needs. Includes meeting with bank officials, financial planning, estate planning, money management, and retirement income planning.
  7 Housing and Relocation Services Services or activities designed to assist in the obtaining of suitable or safe housing and living arrangements. Includes tenant counseling; helping to identify and correct substandard housing conditions; making moving arrangements and minor renovations to personal residence; and relocating to institutional care or facility care.
  8 In-home Assistance Services Services or activities provided to clients to achieve or maintain self-sufficiency. Includes homemakers and home health aides; visiting and telephone reassurance; chore maintenance; personal care services, etc.
  9 Legal Services Legal counsel and representation provided by an attorney to address civil matters such as housing issues and advance care planning, and criminal matters.
  10 Medical and Dental Services Services and activities designed to assist individuals and families to attain and maintain a favorable condition of health; includes evaluations.
  11 Medical Rehabilitation Services Services and activities for persons with developmental or physical disabilities, or persons with visual or auditory impairments, are services or activities to maximize the potential of persons with disabilities, help alleviate the effects of physical, mental or emotional disabilities, and to enable these persons to live in the least restrictive environment possible. Includes training in mobility, communication skills, the use of special aids and appliances, self-sufficiency skills for people with disabilities, occupational therapy, physical therapy, speech and language pathology, early intervention and other therapies that help people learn the skills they need to live, learn, work and play in their communities.
  12 Mental Health Services Services and activities, including commitment, assessment, and evaluations, for people with behavioral health conditions characterized by dysregulation of mood, thought, and/or behavior, as recognized by the DSM-5. Includes services and activities that apply therapeutic processes to personal, family, situational, or occupational problems in order to bring about a positive resolution of the problem or improved individual or family functioning or circumstances.
  13 Nutrition Services and activities, including appeals and applications, to provide food to a client lacking recommended daily nutritional requirements and/or ADLs limitations. Includes home delivered meals, nutritional counseling, congregate meals, senior farmers' market program, etc.
  14 Public Assistance Benefits Services and assistance to provide a safety net for disadvantaged individuals who lack the resources to provide basic necessities for themselves and their families. Includes such programs as financial aid (TANF), nutrition (SNAP), energy assistance (LIHEAP), health care (Medicaid), etc.
  15 Substance Use Services Services and activities primarily designed to deter, reduce, or eliminate substance abuse or chemical dependence. Includes a comprehensive range of personal and family counseling methods, methadone treatment for opiate abusers, or detoxification treatment for alcohol abusers. Services and activities may be provided in alternative living arrangements such as institutional settings and community-based halfway houses.
  16 Transportation Services or activities that provide or arrange for the travel, including travel costs, of individuals in order to access services, or obtain medical care or employment.
  17 Victim Services Services and activities provided to, or on behalf of, victims at any stage of the criminal justice process, including post sentencing services and support. Includes programs supporting victims of domestic violence, sexual assault, abuse of older women, violence against women, and general crimes which are being handled by the police or prosecutors' offices.
  18 Other Services Services and activities not included in the categorizations provided.
Interagency Coordination 1 Law Enforcement or Prosecutorial Offices Government units staffed by police, sheriffs, district attorneys, etc.
  2 Protection and Advocacy or Client Advocacy Program Agencies that have the authority to provide legal representation and other advocacy services, under all federal and state laws, to all people with disabilities, along with those agencies that provide information and assistance to individuals seeking or receiving vocational rehabilitation services under the Rehabilitation Act.
  3 State Licensing Agency Government units responsible for the licensing of facilities and agencies serving older adults and adults with disabilities.
  4 State Medicaid Fraud Control Unit State agencies that investigate and prosecute Medicaid fraud as well as patient abuse and neglect in health care facilities.
  5 Long-Term Care Ombudsman Program State program that addresses complaints and advocates for people in the long-term care system.
  6 Other Type of agency not included in the categorizations provided.
Case Closure Reason 1 Investigation complete All activities related to the case were completed.
  2 Protective services completed Protective services were conducted.
  3 Client refused services Client refused any investigative services.
  4 Unable to complete (closed without finding) A disposition that does not conclude with a specific finding because the APS response could not be completed.
  5 Client died Case closed because client died before investigation was complete.
  6 Other Case closed for a reason other than the reasons in the categorizations provided.
Kinship Relationship 10 Yes (not specific) Kinship relationship exists
  11 Spouse Partner in a marriage
  12 Domestic partner, including civil union Adults in a committed relationship with another adult, including both same sex and opposite-sex relationships
  13 Parent The birth mother or father, adoptive mother or father, or step-mother or step-father or the victim.
  14 Child Biological son or daughter, adoptive son or daughter, or step-son or step-daughter
  15 Sibling Children or offspring have 1 or both parents in common; a brother or sister (by blood, adoption, marriage)
  16 Grandparent Parent of one's father or mother; a grandmother or grandfather (by blood, adoption, marriage)
  17 Grandchild A child of one's son or daughter (by blood, adoption, marriage)
  18 Other relative Another family member, including in-laws and kinship foster parents
  20 None No kinship relationship, includes non-kinship foster parents
Perpetrator Association to Victim 1 Nursing Home Staff An employee of a nursing home, including a skilled nursing home. Nursing homes primarily provide skilled nursing, rehabilitation, and long-term care.
  2 Residential Care Community Staff An employee of a residential care community. Other terms used to refer to these places are assisted living, personal care, and adult care homes, facilities, and communities; adult family and board and care homes; adult foster care; homes for the aged; and housing with services establishments.
  3 Paid Formal Caregiver An employee of an agency or organization, or a trained professional, who provides care for a fee. Includes adult day staff, caregivers in the home, or private duty in a residential care setting.
  4 Paid Informal or Family Caregiver A family member or other individual who receives private or public funds for providing care. The caregiver usually has personal ties to the care recipient. Examples include family, friends, and neighbors.
  5 Unpaid Informal or Family Caregiver A family member or other individual who provides care without pay and who usually has personal ties to the care recipient. Examples include family, friends and neighbors. The caregiver can be a "primary" or "secondary" caregiver, can provide full-time or part-time help, and may live with the care recipient or separately.
  6 Other Relationship Another trusted person providing care, not included in the categorizations provided.
  7 None No association to victim as defined in the categorizations provided.
Legal Remedies 1 Removal of Guardianship Rights The termination of a relationship, created by state law and determined by a court, in which an individual or entity acts as a conservator, or by a similar term, as a surrogate decision maker for another person who lacks capacity to make decisions about self-care or property. The individual no longer has duty and power to make personal and/or property decisions for the other.
  2 Restraining Order on Perpetrator Regarding the Victim A court order issued to prohibit an individual from carrying out a particular action, especially approaching or contacting a specified person.
  3 Eviction of Perpetrator The act of expelling someone, usually a tenant, from a property.
  4 Restitution by Perpetrator Compensation paid to victim by perpetrator for the losses or injuries incurred as a result of a criminal offense.
  5 Other Legal Remedy Legal remedies not included in the categorizations provided.
  6 None No legal remedies were sought on behalf of the client.

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