Structured Decision Making ® System for Adult Protective Services

1. Structured Decision Making®System for Adult Protective Services

2. Agenda • System development and goals • Intake assessments • Safety assessment • Strengths and needs assessment

3. The SDM® System for Adult Protective Services

4. Development • Six counties • Dakota, Hennepin, Olmsted, Ramsey, Steele, Washington • Collaborative development

5. Model Goals Promote the safety of vulnerable adults. Improve needs identification for vulnerable adults. Decrease the incidence (recurrence) of self-neglect and mistreatment by others.

6. Benefits • Improves transparency in decision making • Improves consistency of decision making • Verifies and directs decision making

7. What is the system?

8. Client-Centered Practice • Engagement • Research • Clinical Judgment • Structure

9. SDM® Intake Assessment

10. Intake: Step 1 • Identifies report types and categories of allegations. • Definitions for report types create greater consistency and equity in determining which reports require a protective response. • Provides specific criteria for consistent routing of reports.

11. Intake: Step 2 • Decision trees correspond with report types. • Definitions create greater consistency and equity in response time determination. • Overrides allow workers to increase or decrease priority based on individual circumstances.

12. Intake Policy

13. Intake Assessment Walk-Through

14. Inter-Rater Reliability N = 34

15. Questions?

16. SDM® Safety Assessment

17. SDM® Safety Assessment Are factors present that result in current danger of harm to the vulnerable adult (VA)? • If so, can immediate interventions be recommended* to mitigate the danger? • If not, are emergency interventions required to ensure safety?

18. SDM® Safety Assessment • Current Danger Factors • + • Immediate Safety Interventions • = • Safety Decision

19. SDM® Safety Assessment • If any current danger factors are marked “yes” for either the vulnerable adultor the caregiver, consider interventions. • If all current danger factors are marked “no” for both the vulnerable adult and the caregiver, consider the vulnerable adult safe.

20. Policy

21. Safety Assessment Walk-Through

22. Inter-Rater Reliability

23. Safety Plan Documentation is required for all cases in which the safety assessment results in a decision of conditionally safe or unsafe. Safety planning for the vulnerable adult should be based on the results of the safety assessment.

24. Questions?

25. SDM® Strengths and Needs Assessment/ Reassessment

26. Strengths and Needs • Helps all workers consistently consider each strength and need of the client (and the caregiver, if applicable) in an objective format. • A service-planning reference for workers and supervisors.

27. Strengths and Needs • Mechanism for monitoring service referrals made to address identified problems. • Assesses changes in client functioning when followed by periodic reassessments.

28. Policy

29. Strengths and Needs Assessment Walk-Through

30. Inter-Rater Reliability N = 35

31. Questions?

32. Review of Key Points

33. Questions?