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APS
Adult protective Services In-Home Overview

The mission of Adult Protective Services is to protect the elderly and adults with disabilities from abuse, neglect, and exploitation by investigating and providing or arranging for services necessary to alleviate or prevent further maltreatment. APS serves persons who are reported to be abused, neglected, or exploited and age 65 or older or age 18-64 with a disabling condition.

Paid Expenditures and Total Average Filled
Full Time Equivalent (FTE) Staff

Total Staff 887.4
Direct Delivery Total 811.6
Direct Delivery Workers 588.3
Direct Delivery Supervisors 85.3
Direct Delivery Other 138.0
Staff Costs $48,972,424.82

Worker demographic

Demographic Subcategory Number or Percent
Turnover Rate n/a 17.7%
Tenure Less than 1 Year 16.2%
1-3 Years 46.3%
Greater than 3 Years 37.4%
Entry Salary n/a $30,481.44
Average Age n/a 40.8
Race/Ethnicity African-American 30.9%
Anglo 41.5%
Hispanic 26.2%
Other 1.4%

Supervisor Demographics

Demographic Subcategory Number or Percent
Turnover Rate n/a 4.7%
Tenure Less than 1 Year 3.4%
1-3 Years 8.0%
Greater than 3 Years 88.5%
Entry Salary n/a $39,117.96
Average Age n/a 48.9
Race/Ethnicity African-American 26.4%
Anglo 44.8%
Hispanic 28.7%
Other 0.0%

Description of the Report Investigation Process

Step 1: Report Assigned for Investigation
Step 2: Investigation/Assessment Activities
  • 24 hour initiation
  • Immediate intervention
  • Initial face-to-face visit
  • Client risk assessment
  • Collateral contacts
  • Evidence collection
  • Referral to law enforcement
Step 3: Investigation Findings
  • Validity of allegations
  • Need for protective services
  • Referral for guardianship or
  • legal services under Chapter48, Human Resources Code
Step 4: Case Closed or
Step 5: Service Delivery
  • Determine DFPS Program
  • Determine Priority
  • Notify Law Enforcement (CPS, CCL)
  • Notify Field Office

Note: The process is for reference only and does not necessarily
represent the flow of a case.

Statistics FY 2009

  • Completed In-Home Investigations: 72,265
  • Validated In-Home Investigations: 50,936

Most Common...

  • Person reporting abuse/neglect/exploitation: Family Member (18.2%)
  • Allegation validated: Physical Neglect (61.8%)
  • Validated perpetrator:
    • Relationship: Adult Children (37.9%),
    • Gender: Female (49.5%)
    • Age: Age Over 45 (52.1%)
  • Characteristic of client:
    • Gender: Female (60.4%)
    • Age: Over 65 (50.8%)

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Legal Responsibility for Statewide Intake

Statutory References

Federal: Title XX, Social Security Act
State: Human Resources Code, Chapters 40 and 48
Texas Family Code, Title V
Health and Safety Code, Chapter 532 and Chapters 591-595

Major Provisions

  • Mandatory reporting of abuse, neglect, and exploitation
    of adults who are elderly (defined as age 65 and older) or
    adults with disabilities.
  • Receipt and investigation of all reports (unless patently
    false); initiation of investigations within 24 hours of
    receipt of report.
  • Responsibility for investigations of abuse, neglect, and
    exploitation of persons receiving services in state operated
    mental health and mental retardation facilities (State
    Hospitals, State Schools, and State Centers) and/or state
    contracted settings (Community MH and MR Centers,
    Home and Community-based Services programs, and
    Texas Home Living Waiver Program) that serve adults and
    children with mental illness or mental retardation.
  • Responsibility for referring reports to other state agencies
    when DFPS is not the appropriate investigating agency.
  • Provision or arrangement of services needed to prevent or
    alleviate abuse, neglect and/or exploitation.
  • Enhancing and developing community resources in
    an effort to increase awareness of abuse, neglect and
    exploitation and to address increasing needs of APS
    consumers.
  • Responsibility for referring adult victims of abuse, neglect
    and/or exploitation to the Department of Aging and
    Disability Services (DADS) for guardianship services when
    these persons appear to lack the capacity to consent to
    services. Guardianship is the least restrictive alternative
    that will ensure the person’s safety and well-being when no
    other guardian is available.
  • Assessment of factors that may indicate an adult’s possible
    lack of capacity to consent to services and pursuit of a
    medical evaluation if indicated.
  • Using the least restrictive alternative in the provision of
    protective services.
  • Authority to seek court orders when necessary to gain
    access to the individual, to prevent interference with the
    provision of voluntary protective services, to provide
    emergency protective services, to access records or
    documents, and to initiate emergency protective services
    (e.g., a removal) after hours and on holidays without a
    court order.
  • Requirement to notify law enforcement if APS suspects
    that an elderly person or adult with a disability has been
    abused, neglected, or exploited in a manner that constitutes
    a criminal offense.
  • Confidentiality of case records.

Other Programmatic Information:

Factors Contributing to Abuse, Neglect, and
Exploitation:
  • Aging population
  • Growing number of younger persons with disabilities
  • Alcohol and drug dependency
  • Poverty
  • Lack of affordable housing and high costs of utility bills
  • De-institutionalization of persons who are mentally ill and/or mentally retarded when community support is not adequate
  • Inadequate access to health care and costly medications
  • Pathological family relationships/violence as a coping
    mechanism in society
  • Physical and mental stress of caregiving in traditionally
    non-violent, caring households
  • Denial of benefits, such as SSI and Medicaid, to some
    elderly and disabled immigrants
Challenges:
  • Affordable and safe housing for elders and adults with
    disabilities
  • Waiting lists and other limitations in the availability of inhome
    care and home health care
  • Shortage of resources to serve persons denied long-term
    care and other benefits under welfare reform
  • Gaps in surrogate decision-making processes for
    incapacitated persons in hospitals, nursing homes and
    community-based setting
  • Inadequate community services for persons discharged
    from state hospitals and schools
  • Lack of statewide access to preventative or early
    intervention services such as long-term case management
    for elderly persons and adults with disabilities who
    are at risk, but not yet experiencing abuse, neglect, or
    exploitation
  • Hiring and maintaining a skilled workforce while the
    availability of caseworkers and specialized geriatric social
    work training is not keeping pace with the ever-increasing
    number of older Americans

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Fiscal Year 2004 and 2009 Pre- and Post-Reform Statistics by Region (APS In-Home)

Region 1 - Lubbock

Region 1 - Lubbock 2004 2009
Caseworkers 21.4 36.0
Turnover 7.3% 14.4%
Average Base Salary $34,600 $36,951
Completed Investigations 3,579 4,183

Region 2 - Abilene

Region 2 - Abilene 2004 2009
Caseworkers 24.8 38.2
Turnover 13.1% 20.2%
Average Base Salary $33,022 $36,084
Completed Investigations 4,590 4,859

Region 3 - Arlington

Region 3 - Arlington 2004 2009
Caseworkers 45.8 90.9
Turnover 16.2% 16.7%
Average Base Salary $33,708 $34,122
Completed Investigations 9,208 12,006

Region 4 - Tyler

Region 4 - Tyler 2004 2009
Caseworkers 27.0 45.7
Turnover 7.7% 22.1%
Average Base Salary $33,472 $34,757
Completed Investigations 4,497 5,169

Region 5 - Beaumont

Region 5 - Beaumont 2004 2009
Caseworkers 25.5 37.7
Turnover 13.0% 17.4%
Average Base Salary $33,927 $34,391
Completed Investigations 4,387 4,057

Region 6 - Houston

Region 6 - Houston 2004 2009
Caseworkers 46.2 101.4
Turnover 10.7% 17.8%
Average Base Salary $34,937 $36,085
Completed Investigations 10,332 12,794

Region 7 - Austin

Region 7 - Austin 2004 2009
Caseworkers 34.1 56.4
Turnover 15.5% 17.6%
Average Base Salary $34,500 $36,635
Completed Investigations 5,981 7,334

Region 8 - San Antonio

Region 8 - San Antonio 2004 2009
Caseworkers 32.8 74.9
Turnover 20.8% 21.4%
Average Base Salary $32,904 $33,551
Completed Investigations 6,673 9,368

Region 9 - Midland

Region 9 - Midland 2004 2009
Caseworkers 20.4 26.4
Turnover 9.8% 16.1%
Average Base Salary $34,153 $37,834
Completed Investigations 3,140 2,912

Region 10 - El Paso

Region 10 - El Paso 2004 2009
Caseworkers  12.1 22.9
Turnover 48.3% 24.0%
Average Base Salary $31,694 $34,811
Completed Investigations 2,600 2,767

Region 11 - Edinburg

Region 11 - Edinburg 2004 2009
Caseworkers 28.1 57.8
Turnover 13.6% 10.4%
Average Base Salary $34,759 $35,817
Completed Investigations 5,990 6,774

Statewide Totals

Statewide Totals 2004 2009
Caseworkers 318.3 588.3
Turnover 14.4% 17.7%
Average Base Salary $33,971 $35,356
Completed Investigations 60,998 72,265

Note: The State Total for Completed Investigations includes those where the Region was Unknown and/or Out of State.

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Texas Adult Population Ages 65 and Over for Fiscal Year 2009

State Total: 2,457,917

Region Population Over 65
1 Lubbock 105,856
2 Abilene 87,586
3 Arlington 563,890
4 Tyler 177,025
5 Beaumont 116,404
6 Houston 483,182
7 Austin 270,139
8 San Antonio 291,080
9 Midland 73,948
10 El Paso 78,630
11 Edinburg 210,177
Grand Total 2,457,917

Note: Not all reports are assigned for investigation.

Texas Adult Population Ages 65 and Over by County

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Page 9

Texas Disabled Adult population ages 18 to 64 years
Fiscal Year 2009

State Total: 2,003,693

Region Population Ages 18-64 Years
1 Lubbock 64,518
2 Abilene 42,770
3 Arlington 558,481
4 Tyler 87,127
5 Beaumont 61,487
6 Houston 493,620
7 Austin 226,957
8 San Antonio 201,655
9 Midland 43,439
10 El Paso 62,705
11 Edinburg 160,934
Grand Total 2,003,693

Population Data Source: Texas State Data Center, University of Texas (San Antonio)

Texas Disabled Adult population ages 18 to 64 years by County

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Incidence of Maltreatment per 1,000 Adults in Texas Adult Population by Region - Fiscal Year 2009

Region Incidence per 1,000 Adults
1 Lubbock 20.3
2 Abilene 29.8
3 Arlington 6.6
4 Tyler 14.9
5 Beaumont 17.8
6 Houston 9.3
7 Austin 9.6
8 San Antonio 12.6
9 Midland 20.4
10 El Paso 13.4
11 Edinburg 12.8
Grand Total 11.4

Note: Calculations are based on the percent of validated APS in-home investigations.

APS In-home Intake Reports by Region - Fiscal Year 2009

Region Intakes
1 Lubbock 4,706
2 Abilene 5,668
3 Arlington 15,817
4 Tyler 6,214
5 Beaumont 4,946
6 Houston 15,943
7 Austin 9,230
8 San Antonio 11,387
9 Midland 3,532
10 El Paso 3,598
11 Edinburg 8,377
Unknown 71
State Total 89,489

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APS Intake* Reports by Priority, Fiscal Year 2009

Priority Intake Percent
Priority 1 11,504 12.9%
Priority 2 49,704 55.5%
Priority 3 23,104 25.8%
Priority 4 5,177 5.8%
Grand Total 89,489 100%

* Intakes included by the date intake closed.

APS In-Home Intake* Reports by Source, Fiscal Year 2009

Sources Number Percent
Family Member 16,629 18.2%
Self 11,531 12.6%
Healthcare Provider 11,043 12.1%
Other 9,309 10.2%
Social Services Staff 8,233 9.0%
Paid Caregiver 6,748 7.4%
Friend-Neighbor 5,640 6.2%
Public Employee 5,517 6.0%
Nurses 4,733 5.2%
Law Enforcement 4,346 4.8%
Anonymous 2,194 2.4%
Mental Health Worker 1,999 2.2%
Unknown 1,799 2.0%
Physicians 588 0.6%
DFPS Staff 573 0.6%
Institutional Staff 215 0.2%
Psychologist 100 0.1%

Note: A report of abuse/neglect may come from multiple sources.
* Intakes included by date intake closed

APS In-Home Intakes, Completed Investigations and Validated Cases, Fiscal Year 2009

Priority Intakes* Completed Investigations Validated Cases
2007 77,238 64,459 45,934
2008 83,605 68,683 48,380
2009 89,489 72,265 50,936

* Intakes included by date intake closed

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Adult protective Services Validated In-Home Investigations, Fiscal Year 2009

State Total: 50,936

Region Validated In-Home Investigations
Region 1 3,459
Region 2 3,891
Region 3 7,353
Region 4 3,936
Region 5 3,170
Region 6 9,125
Region 7 4,765
Region 8 6,195
Region 9 2,391
Region 10 1,890
Region 11 4,734
Blank/Unknown 27
Total 50,936

Validated In-Home Investigations, Fiscal Year 2009 by County

Population Data Source: Texas State Data Center, University of Texas (San Antonio)

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Completed APS In-Home Investigations BY Region
Fiscal Year 2009

Region Validated Invalid Unable to Determine Other*
1 Lubbock 3,459 473 176 75
2 Abilene 3,891 787 114 67
3 Arlington 7,353 3,129 1,061 463
4 Tyler 3,936 861 217 155
5 Beaumont 3,170 568 207 112
6 Houston 9,125 2,564 641 464
7 Austin 4,765 1,895 396 278
8 San Antonio 6,195 2,260 669 244
9 Midland 2,391 405 87 29
10 El Paso 1,890 568 210 99
11 Edinburg 4,734 1,397 323 320
Unknown 27 4 4 7
Total 50,936 14,911 4,105 2,313

* Intakes included by date intake closed

APS Daily Caseload, Fiscal Year 2009

Region Caseload
1 Lubbock 28.4
2 Abilene 17.5
3 Arlington 30.1
4 Tyler 24.9
5 Beaumont 28.5
6 Houston 32.1
7 Austin 31.6
8 San Antonio 39.9
9 Midland 20.1
10 El Paso 33.9
11 Edinburg 30.9
State Average 30.1

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Completed APS In-Home Investigations by Region and Disposition, Fiscal Year 2009

Region Average Length (Days) Invalid Valid Progressed* Valid Not Progressed Unable to Determine Other** Region Subtotal
1 Lubbock 37.8 473 3,270 189 176 75 4,183
2 Abilene 23.3 787 3,140 751 114 67 4,859
3 Arlington 55.6 3,129 4,218 3,135 1,061 463 12,006
4 Tyler 43.2 861 3,545 391 217 155 5,169
5 Beaumont 48.8 568 2,706 464 207 112 4,057
6 Houston 53.2 2,564 7,021 2,104 641 464 12,794
7 Austin 56.9 1,895 3,490 1,275 396 278 7,334
8 San Antonio 60.7 2,260 5,232 963 669 244 9,368
9 Midland 32.0 405 2,066 325 87 29 2,912
10 El Paso 60.9 568 1,261 629 210 99 2,767
11 Edinburg 50.6 1,397 4,262 472 323 320 6,774
Unknown 51.6 4 8 19 4 7 42
State Average 50.3 14,911 40,219 10,717 4,105 2,313 72,265

* Valid investigations in which the client requires services are "progressed" into the service delivery stage.

** "Other" category refers to those investigations that workers could not complete for some reason, e.g. clients died or cases were misclassified.

Recidivism* of APS In-Home Cases,
Fiscal Years 2005-2009

Fiscal Year Percent
2005 14.3%
2006 13.8%
2007 13.2%
2008 13.8%
2009 14.2%

Recidivism* of APS In-Home Cases,
Fiscal Years 2009

Region Percent Recidivism
1 Lubbock 18.9%
2 Abilene 23.1%
3 Arlington 11.5%
4 Tyler 13.8%
5 Beaumont 14.4%
6 Houston 12.4%
7 Austin 13.7%
8 San Antonio 13.6%
9 Midland 18.6%
10 El Paso 11.5%
11 Edinburg 14.0%
State Average 14.2%

*Recidivism is a measure of the percentage of APS clients referred to the APS system more than once during the fiscal year, including clients who refused services and were re-returned.

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Characteristics of Validated APS Victims in Completed In-Home Investigations, Fiscal Year 2009

Validated APS Victims Female Percent of Total Male Percent of Total Unknown Percent of Total Race/
Ethnicity
Percent of Total
Anglo 15,822 31.1% 10,123 19.9% 42 0.1% 25,987 51.0%
African American 7,179 14.1% 4,108 8.1% 24 0.0% 11,311 22.2%
Hispanic 6,789 13.3% 5,207 10.2% 19 0.0% 12,015 23.6%
Native American 78 0.2% 37 0.1% 0 0.0% 115 0.2%
Asian 161 0.3% 83 0.2% 0 0.0% 244 0.5%
Other 750 1.5% 503 1.0% 11 0.0% 1,264 2.5%
Total 30,779 60.4% 20,061 39.4% 96 0.2% 50,936 100.0%

In-Home Validated Victims in Completed Investigations,
Fiscal Year 2009

Characteristic Total Percentage
Disabled 25,055 49.2%
Aged 25,881 50.8%
Total 50,936 100.0%
Characteristic Total Percentage
Female 30,779 60.4%
Male 20,061 39.4%
Unknown 96 0.2%
Total 50,936 100.0%

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Perpetrator Characteristics In Validated APS In-Home Investigations (Characteristic as % of Total Validated Perpetrators*), Fiscal Year 2009

Perpetrator Characteristic: Age

Age Female Percent of Total Male Percent of Total Unknown Percent of Total Race/
Ethnicity
Percent of Total
Under 18 211 2.5% 263 3.1% 2 0.0% 476 5.7%
18-25 353 4.2% 322 3.8% 2 0.0% 677 8.1%
26-35 600 7.2% 522 6.2% 8 0.1% 1,130 13.5%
36-45 875 10.4% 824 9.8% 7 0.1% 1,706 20.3%
Over 45 2,104 25.1% 2,246 26.8% 15 0.2% 4,365 52.1%
Invalid 8 0.1% 12 0.1% 11 0.1% 31 0.4%

Perpetrator Characteristic: Race/Ethnicity

Race/Ethnicity Female Percent of Total Male Percent of Total Unknown Percent of Total Race/
Ethnicity
Percent of Total
Anglo 1,851 22.1% 2,099 25.0% 8 0.1% 3,958 47.2%
African American 934 11.1% 758 9.0% 6 0.1% 1,698 20.3%
Hispanic 1,086 13.0% 1,087 13.0% 8 0.1% 2,181 26.0%
Native American 11 0.1% 10 0.1% 0 0.0% 21 0.3%
Asian 32 0.4% 21 0.3% 0 0.0% 53 0.6%
Other 237 2.8% 214 2.6% 23 0.3% 474 5.7%

Perpetrator Characteristic: Marital Status

Marital Status Female Percent of Total Male Percent of Total Unknown Percent of Total Race/
Ethnicity
Percent of Total
Child, Not Applicable 197 2.3% 239 2.9% 0 0.0% 436 5.2%
Divorced 288 3.4% 256 3.1% 1 0.0% 545 6.5%
Married 1,098 13.1% 1,237 14.8% 5 0.1% 2,340 27.9%
Separated 104 1.2% 84 1.0% 0 0.0% 188 2.2%
Single, Never Married 437 5.2% 562 6.7% 1 0.0% 1,000 11.9%
Widowed 125 1.5% 48 0.6% 0 0.0% 173 2.1%
Unknown 1,902 22.7% 1,763 21.0% 38 0.5% 3,703 44.2%
Total Perpetrators 4,151 49.5% 4,189 50.0% 45 0.5% 8,385 100.0%

*Does not include self as perpetrator investigations (i.e. a finding of self-neglect).

Note: Each victim may have more than one perpetrator at the end of an investigation.

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Perpetrators* in Validated In-Home Investigations,
Fiscal Year 2009

Sources Number Percent
Adult Children 3,181 37.9%
Spouse 1,536 18.3%
Grandchildren 767 9.1%
Unknown 622 7.4%
Sibling 443 5.3%
Parent 438 5.2%
Other Relatives 439 5.2%
Facility-Institutional Staff 416 5.0%
Friend-Neighbor 297 3.5%
Other 183 2.2%
No Relationship 50 0.6%
Service Provider 13 0.2%
State Total 8,385 100.0%

*Does not include self as perpetrator investigations (i.e. a finding of self-neglect).
Note: Each victim may have more than one perpetrator at the end of an investigation.

Number of Referrals Made to Law Enforcement in Completed APS In-Home Cases by Region, Fiscal Year 2009

Region Referrals
1 Lubbock 261
2 Abilene 294
3 Arlington 820
4 Tyler 427
5 Beaumont 139
6 Houston 1,782
7 Austin 1,285
8 San Antonio 250
9 Midland 237
10 El Paso 232
11 Edinburg 280
Unknown 8
State Total 6,015

* Referral may have been made in previous fiscal year

APS Victims of Family Violence in Validated Investigations by Region, Fiscal Year 2009

Region Victims
1 Lubbock 342
2 Abilene 306
3 Arlington 965
4 Tyler 415
5 Beaumont 358
6 Houston 1,337
7 Austin 720
8 San Antonio 911
9 Midland 202
10 El Paso 350
11 Edinburg 524
State Total 6,439

*Total includes 9 from Out of State

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Validated Allegations in APS In-Home Investigations by Type of Abuse/Neglect, Fiscal Year 2009

Table Includes Abuse/Neglect Types:
Emotional/Verbal Abuse, Exploitation, Medical Neglect, Mental Health Neglect, Physical Abuse, and Physical Neglect.

Region Emotional/
Verbal Abuse
Exploitation Medical Neglect Mental Health Neglect Physical Abuse Physical Neglect
1 Lubbock 181 103 1,064 539 84 3,148
2 Abilene 146 112 933 387 93 3,454
3 Arlington 479 258 1,713 996 312 5,954
4 Tyler 180 110 773 328 108 3,451
5 Beaumont 176 118 756 341 94 2,713
6 Houston 604 332 2,340 1,303 365 7,773
7 Austin 330 217 1,355 790 212 3,864
8 San Antonio 443 250 1,392 780 253 5,022
9 Midland 100 54 791 392 51 2,168
10 El Paso 189 54 572 297 78 1,486
11 Edinburg 251 90 1,027 640 146 4,116
Unknown 4 2 6 6 1 22
State Total 3,083 1,700 12,722 6,799 1,797 43,171

Table Includes Abuse/Neglect Types:
Suicidal Threat, Sexual Abuse, Total of Types, Percent of Types by Region, Unduplicated Confirmed Victims*, and Percent of Unduplicated types by Region.

Region Suicidal Threat Sexual Abuse Total Percent of Types by Region Unduplicated Confirmed Victims* Percent Unduplicated by Region
1 Lubbock 32 1 5,152 7.4% 3,459 6.8%
2 Abilene 27 3 5,155 7.4% 3,892 7.6%
3 Arlington 83 10 9,805 14.0% 7,353 14.4%
4 Tyler 37 3 4,990 7.1% 3,936 7.7%
5 Beaumont 22 2 4,222 6.0% 3,169 6.2%
6 Houston 87 7 12,811 18.3% 9,125 17.9%
7 Austin 66 6 6,840 9.8% 4,765 9.4%
8 San Antonio 72 8 8,220 11.8% 6,195 12.2%
9 Midland 17 4 3,577 5.1% 2,391 4.7%
10 El Paso 29 2 2,707 3.9% 1,890 3.7%
11 Edinburg 51 0 6,321 9.1% 4,734 9.3%
Unknown 0 0 41 0.1% 27 0.1%
State Total 523 46 69,841 100.0% 50,936 100.0%

*Victims have been unduplicated by investigation stage.

Duration of Service Delivery Stages for APS In-Home Cases,
During Fiscal Year 2009

Days Cases %
Under 30 17,424 45.8%
31-60 9,639 25.3%
61-90 4,813 12.6%
91-120 2,553 6.7%
121-180 2,320 6.1%
181-365 1,222 3.2%
Over 1 Year 87 0.2%
Total 38,058 100.0%

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Non-Purchased Client Services Delivered for APS In-Home Cases by Region, Fiscal Year 2009

Region Social Casework Other Government Agency Legal Total
1 Lubbock 3,914 295 8 4,217
2 Abilene 2,923 180 10 3,113
3 Arlington 4,935 161 53 5,149
4 Tyler 4,191 200 14 4,405
5 Beaumont 2,968 212 8 3,188
6 Houston 9,020 292 20 9,332
7 Austin 4,230 249 17 4,496
8 San Antonio 6,182 330 20 6,532
9 Midland 2,014 76 12 2,102
10 El Paso 1,603 127 16 1,746
11 Edinburg 5,135 160 18 5,313
Unknown 16 0 0 8
State Total 47,131 2,282 196 49,609

Note: Clients in validated cases may receive more than one service.

Social Casework - Actions taken by the caseworker to provide assistance to a victim of abuse, neglect or exploitation, in such areas as counseling/education, assistance with benefits, and mediation. These actions may include referrals to community organizations that provide direct services to the client.

Other Government Agency - This term is used to describe services that were provided by another government agency. For example, the client was referred to the Social Security Administration, or the Texas Department of Aging and Disability Services in order to resolve abuse, neglect or exploitation.

Legal - Legal actions that are taken as a result of Adult Protective Services involvement. An example would be Emergency Order for Protective Services.

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Page 20

Non-Purchased Client Services Delivered for APS In-Home Cases by Region, Fiscal Year 2009

Table Includes Purchased Client Services Types:
Assistance, Environment, Medical

Region Assistance Environment Medical
1 Lubbock  $ 253,523.67  $ 187,603.45  $ 76,295.81
2 Abilene  $ 238,706.34  $ 151,857.79  $ 170,359.64
3 Arlington  $ 401,000.46  $ 272,755.48  $ 189,313.72
4 Tyler  $ 209,923.28  $ 89,736.40  $ 103,414.91
5 Beaumont  $ 144,400.58  $ 149,250.54  $ 96,201.10
6 Houston  $ 701,461.34  $ 268,127.13  $  222,772.76
7 Austin  $ 117,843.32  $ 45,575.90  $  61,677.14
8 San Antonio  $ 311,988.35  $ 93,689.45  $ 164,951.16
9 Midland  $ 126,512.38  $ 183,099.73  $  64,407.53
10 El Paso  $ 28,264.08  $ 17,282.95  $  53,597.87
11 Edinburg  $ 229,106.26  $ 148,177.88  $ 122,192.41
State Total  $ 2,762,730.06  $ 1,607,156.70  $  1,325,184.05

Table Includes Purchased Client Services Types:
Other, Residential, Services, and Total Amount

Region Other Residential Services Total
1 Lubbock  $ 8,294.94  $ 34,845.44 n/a  $ 560,563.31
2 Abilene  $ 14,201.15  $ 9,031.90  $ 349.99  $ 584,506.81
3 Arlington  $ 14,781.95  $ 109,473.59  $ 332.53  $ 987,657.73
4 Tyler  $  9,430.85  $ 8,956.19 n/a  $ 421,461.63
5 Beaumont  $  6,490.00  $ 17,419.17 n/a  $ 413,761.39
6 Houston  $ 16,283.90  $ 78,424.86 n/a  $1,287,069.99
7 Austin  $ 6,513.35  $ 75,742.37  $ 200.00  $307,552.08
8 San Antonio  $ 3,982.00  $ 158,238.41  $ 162.50  $ 733,011.87
9 Midland  $ 8,890.85  $ 25,912.08 n/a  $ 408,822.57
10 El Paso  $ 4,530.35  $ 171,086.03 n/a  $ 274,761.28
11 Edinburg  $ 1,160.00  $ 152,327.36  $183.60  $ 653,147.51
State Total  $ 94,559.34  $ 841,457.40  $ 1,228.62  $ 6,632,316.17

Note: Clients in validated cases may receive more than one service.

Examples of the above described services may include:

  • Assistance - utilities, rent, personal care services and transportation, etc.
  • Environment - animal control, extermination, appliances, and home repair, etc.
  • Medical - medical supplies, medication, and adaptive equipment, etc.
  • Residential - temporary room and board, emergency shelter and adult foster care, etc.
  • Services - home delivered meals and emergency response services, etc.

Data does not include expenditures for clients who were validated in a prior fiscal year but continued to receive services.

Note: data as of 11/7/09

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