Handbook Revision, July 15, 2021

This revision of the Statewide Intake Policy and Procedures Handbook was published on July 15, 2021. Summaries of new or revised items are provided below.

Review and Revision of APS Chapter of SWI Handbook (PATS 13457)

The entire APS chapter of the SWI handbook (Chapter 5000) has been reviewed and revised for clarity, continuity, and completeness. The new organizational structure matches that of other SWI handbook chapters that have already been revised.

See the table below documenting the new policy locations.

Old Section Number

New Section Number or Location

SWI Handbook: 5000 Adult Protective Services In-Home (APS)

SWI Handbook:  Adult Protective Services (APS)

5000 Adult Protective Services In-Home (APS)

5000 Adult Protective Services (APS)

5100 APS In-Home Eligibility Criteria 

5000 Adult Protective Services (APS)

5110 Definitions

5000 Adult Protective Services (APS)

5120 Determination of Eligibility

5000 Adult Protective Services (APS)

5221 Alleged Victim (VC)

5121 Substantial Impairment

5100 Substantial Impairment

5110 Inability to Live Independently or Provide Self-Care

5122 People Who Are Automatically Eligible

5100 Substantial Impairment

5123 Disability Payments

5120 Substantial Impairment and Disability Payments

5124 Chronic Substance Abuse and APS In-Home Eligibility

5130 Substantial Impairment and Chronic Substance Abuse

5200 APS In-Home Perpetrators

5222 Alleged Victim Perpetrator (VP)

5223 Alleged Perpetrator (AP)

5223.1 Unknown Perpetrators

5223.2 Caretaker

5223.4 Paid Caretaker as Perpetrators

5223.4 Family Member

5223.5 Ongoing Relationships

5223.6 Children as Perpetrators

5223.7 Alleged Perpetrator No Longer Has Access to the Alleged Victim

5223.8 HHSC Guardianship Employee is the Alleged Perpetrator

5210 Determining In-Home or Provider Jurisdiction Based on Payment Source

5720 Determining Jurisdiction Based on Payment Source

5220 HHSC Guardianship Employee is the Alleged Perpetrator

5223.8 HHSC Guardianship Employee is the Alleged Perpetrator

5230 Children as Perpetrators in an APS In-Home Intake

5223.6 Children as Perpetrators

5240 Alleged Perpetrator Access to Client

5223.7 Alleged Perpetrator No Longer Has Access to the Alleged Victim

5300 Allegations That APS In-Home Investigates

5300 APS Allegations

5310 Abuse Allegations

5320 Neglect Allegations

5330 Financial Exploitation (EXPL)

5310 Physical Abuse (PHAB)

5311 Physical Abuse (PHAB)

5311 Determining Physical Abuse in APS In-Home Reports

5310 Abuse Allegations

5311 Physical Abuse (PHAB)

5320 Neglect (PHNG, MDNG, MHNG)

5320 Neglect Allegations

5321 Types of Neglect

5320 Neglect Allegations

5321 Physical Neglect (PHNG)

5322 Medical Neglect (MDNG)

5330 Sexual Abuse (SXAB)

5313 Sexual Abuse (SXAB)

5331 Determining Sexual Abuse in APS In-Home Reports

5310 Abuse Allegations

5313 Sexual Abuse (SXAB)

5340 Emotional Abuse (EMAB)

5312 Emotional or Verbal Abuse (EMAB)

5341 Determining Emotional or Verbal Abuse in APS In-Home Reports

5310 Abuse Allegations

5312 Emotional or Verbal Abuse (EMAB)

5350 Financial Exploitation (EXPL)

5330 Financial Exploitation (EXPL)

5351 Determining Financial Exploitation in APS Reports

5330 Financial Exploitation (EXPL)

5620 Reports from the Fraud Units of Financial Institutions

5360 Death Caused by Abuse or Neglect

5630 Death Caused by Abuse or Neglect

5400 APS In-Home Priorities

5400 APS Priorities

5410 Priority 1 (P1)

5420 Priority 2 (P2)

5430 Priority 3 (P3)

5440 Priority 4 (P4)

5500 Victims Located in Facilities Licensed or Regulated by Other DFPS Programs or Other State Agencies

5736 Incidents Occurring in Facilities under the Jurisdiction of LTCR or HCFR

5510 Facility Licensed by Residential Child Care Licensing (RCCL)

5735 Facility Licensed by Residential Child Care Regulation (RCCR)

5520 Hospitals, Assisted Living Facilities, Nursing Homes, and Hospice Facilities

5736 Incidents Occurring in Facilities under the Jurisdiction of LTCR or HCFR

5521 Discharge Issues

5736.1 Discharge Issues

5522 Self-Neglect

5736.2 Self-Neglect in Assisted Living Facilities

5523 Abuse, Neglect, or Exploitation by an Employee

5736.4 Abuse, Neglect, or Financial Exploitation by an Employee of the Facility

5524 Abuse, Neglect, or Exploitation by Someone Other than an Employee

5736.5 Abuse, Neglect, or Financial Exploitation by Someone Other Than an Employee

5600 APS In-Home Involvement in Other Situations

5730 APS Involvement in Other Situations

5610 Request for APS In-Home to Provide Consent for Medical Treatment

5731 Consent to Medical Procedures, Orders of Do Not Resuscitate (DNR), or Removal of Life Support

5620 Do Not Resuscitate (DNR) or Removal of Life Support

5731 Consent to Medical Procedures, Orders of Do Not Resuscitate (DNR), or Removal of Life Support

5630 Guardianship

5732 Guardianship

5640 Unlicensed Facilities

5733 Unlicensed Facilities

5650 Private and Public Schools

5734 Private and Public Schools

5600 Indian Reservations and Military Bases

Removed

5670 Reports from the Elder Fraud Abuse Units of Financial Institutions

5620 Reports from the Fraud Units of Financial Institutions

5700 Allegations Made by an APS In-Home Client That Are Frivolous or Patently Without a Factual Basis (Chronic Callers)

5650 Chronic Callers

5800 Case-Related Special Requests (CRSR)

5800 APS Case-Related Special Requests (CRSR)

5810 Types of CRSR Reports for APS In-Home Cases

5820 Types of CRSR Reports for APS Cases

5821 CRSR – Out-of-State (C-OS)

5822 CRSR – APS Court (C-REG)

5823 CRSR – Law Enforcement (C-REG)

5900 Documentation and Processing of APS In-Home CRSRs

5810 Requirements for CRSRs

5910 IMPACT Procedures Specific to APS In-Home

5500 Processing APS Intakes

5911 APS In-Home Case Name

5510 Case Name

5912 APS In-Home Report Person Detail

2270 Demographics

5913 APS In-Home Person List

5200 APS Person List

5914 APS In-Home Change of County for Case Assignment

5520 County

5920 APS In-Home Call Out and Assignment

5530 APS Call Out and Assignment

None (new section)

5640 Limited Locating

None (new section)

5700 Special Programs or Agency Jurisdictional Topics

None (new section)

5710 Multiple Jurisdictions

None (new section)

5711 When More Thank One Report Should be Completed

None (new section)

5712 When Only One Report Should be Completed