Form 2 NAMRS Key Indicators Component

OMB Control Number 0970-XXXX

Expiration Date: XX/XX/XXXX

ATTACHMENT B

KEY INDICATORS COMPONENT DATA

Updated June 9, 2016

THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13)

Public reporting burden for this collection of information is estimated to average 40 hours per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information.

An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.

The Key Indicators Component data will be entered directly onto an online form on the NAMRS website on an annual basis. The reporting period is the federal fiscal year (October–September). This component includes aggregated counts of key statistics and is submitted only by those states that cannot submit the Case Component.   

Table 1–Investigations

Element Category/No.	Element Name	Element Description/ Categories	Required	Field Entry Format	Instructions
Investigations Closed	empty	empty	empty	empty	empty
K1	Investigations Closed	Number of investigations closed during the reporting period.	Yes	Numeric - 10 integers	Investigation could have been received in previous reporting period, but must have been closed during current reporting period. Closed investigations include those completed and resulted in a finding (e.g., substantiated, unsubstantiated). Closed investigations also include those where the investigation was not completed due to reasons such as client refused services. Do not include investigation closed due to administrative reasons such as opened in error.
K1.1	Comment	Provide additional information on the number of investigations closed during the reporting period.	No	Text - 5,000 characters	empty

Table 2–Clients

Element Category/No.	Element Name	Element Description/ Categories	Required	Field Entry Format	Instructions
Clients who received investigations	Empty	Empty	Empty	empty	Count each client in each investigation. If a client was the subject of two investigations, count twice.
K2	Clients who received an investigation	Number of clients involved in an investigation that was closed or completed during the reporting period.	Yes	Numeric - 10 integers	Empty
K2.1	Comment	Provide additional information on how number of clients was determined.	No	Text - 5,000 characters	Empty
Clients who received interagency coordination	Empty	Empty	Empty	empty	Count each client once for each investigation in which he/she received one or more interagency coordination activities.
K3	Clients who received interagency coordination	Number of clients referred to an agency in which an interagency coordination was part of the investigation.	No	Numeric - 10 integers	Examples of agencies include law enforcement or prosecutorial offices, protection and advocacy or Client Advocacy Program (CAP), state licensing agency, State Medicaid Fraud Control Unit (MFCU), and Long Term Care Ombudsman Program.
K3.1	Comment	Provide additional information on how number of clients who received interagency coordination was determined.	No	Text - 5,000 characters	Empty
Clients by case closure reason	Empty	Empty	Empty	empty	This includes the number of clients by case closure reason whose case was closed for a specific reason. A client is counted for each case closure. There can only be one primary case closure reason per client per case.
K4.1	Empty	Investigation completed	No	Numeric - 10 integers	Empty
K4.2	Empty	Investigation completed and protective services case completed	No	Numeric - 10 integers	Empty
K4.3	Empty	Investigation unable to be completed (non-specific)	No	Numeric - 10 integers	Empty
K4.3.1	Empty	Investigation unable to be completed due to death of client during investigation	No	Numeric - 10 integers	Empty
K4.3.2	Empty	Investigation unable to be completed due to refusal of client	No	Numeric - 10 integers	Empty
K4.4	Empty	Protective services case opened but not completed (non-specific)	No	Numeric - 10 integers	Empty
K4.4.1	Empty	Protective services case closed due to death of client	No	Numeric - 10 integers	Empty
K4.4.2	Empty	Protective services case closed due to client decision to not continue	No	Numeric - 10 integers	Empty
K4.5	Empty	Other	No	Numeric - 10 integers	Empty
K4.6	Empty	Unknown	No	Numeric - 10 integers	Empty
K4.7	Comment	Provide additional information on how number of clients by case closure reason was determined.	No	Text - 5,000 characters	Empty

Table 3–Victims

Element Category/No.	Element Name	Element Description/ Categories	Required	Field Entry Format	Instructions
Clients found to be victims	Empty	Empty	Empty	empty	A victim is counted once for each investigation in which a maltreatment was substantiated, no matter how many maltreatments were substantiated.
K5	Clients found to be victims	Number of victims in which at least one maltreatment disposition was substantiated per investigation.	Yes	Numeric - 10 integers	Empty
K5.1	Comment	Provide additional information on how number of victims was determined.	No	Text - 5,000 characters	Empty
Victims by Age	Empty	Empty	Empty	empty	The victim’s 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.
K6.1	Empty	18-29 years	No	Numeric - 10 integers	Empty
K6.2	Empty	30-39 years	No	Numeric - 10 integers	Empty
K6.3	Empty	40-49 years	No	Numeric - 10 integers	Empty
K6.4	Empty	50-59 years	No	Numeric - 10 integers	Empty
K6.5	Empty	60-69 years	No	Numeric - 10 integers	Empty
K6.6	Empty	70-74 years	No	Numeric - 10 integers	Empty
K6.7	Empty	75-84 years	No	Numeric - 10 integers	Empty
K6.8	Empty	85 and older	No	Numeric - 10 integers	Empty
K6.9	Empty	Unknown	No	Numeric - 10 integers	Empty
K6.10	Comment	Provide additional information on how age was computed.	No	Text - 5,000 characters	Empty
Victims by race	Empty	Empty	Empty	Empty	A multiracial victim is counted for each race identified. For example, if the victim is Asian and White, the victim should be counted in both race categories. If specific races cannot be identified for the multiracial victim, the victim is counted in “other” category.
K7.1	Empty	American Indian or Alaska Native	No	Numeric - 10 integers	Empty
K7.2	Empty	Asian	No	Numeric - 10 integers	Empty
K7.3	Empty	Black or African American	No	Numeric - 10 integers	Empty
K7.4	Empty	Native Hawaiian or Other Pacific Islander	No	Numeric - 10 integers	Empty
K7.5	Empty	White	No	Numeric - 10 integers	Empty
K7.6	Empty	Other	No	Numeric - 10 integers	Empty
K7.7	Empty	Unknown	No	Numeric - 10 integers	Empty
K7.8	Comment	Provide additional information on how number of victims by race was determined.	No	Text - 5,000 characters	Empty
Victims by ethnicity	Empty	Empty	Empty	empty	Count each victim once per investigation.
K8.1	Empty	Hispanic, Latino/a, or Spanish	No	Numeric -10 integers	Empty
K8.2	Empty	Not Hispanic, Latino/a, or Spanish	No	Numeric - 10 integers	Empty
K8.3	Empty	Unknown	No	Numeric - 10 integers	Empty
K8.4	Comment	Provide additional information on how number of victims by ethnicity was determined.	No	Text - 5,000 characters	Empty
Victims by gender identity	Empty	Empty	Empty	empty	Count each victim once per investigation.
K9.1	Empty	Male	No	Numeric - 10 integers	Empty
K9.2	Empty	Female	No	Numeric - 10 integers	Empty
K9.3	Empty	Transgender	No	Numeric - 10 integers	Empty
K9.4	Empty	Unknown	No	Numeric - 10 integers	Empty
K9.5	Comment	Provide additional information on how number of victims by gender was determined.	No	Text - 5,000 characters	Empty
Victims receiving benefits	Empty	Empty	empty	Empty	A victim is counted once per investigation in which he/she received one or more benefits.
K10	Victims who received one or more benefits	Number of victims who received one or more federal and/or state benefits.	No	Numeric - 10 integers	The types of benefits include but are not limited to: Medicaid, Medicare, public subsidized housing, Social Security Disability Insurance, Social Security retirement benefits, Supplemental Security Income, Temporary Assistance for Needy Families, and veterans' disabled benefits.
K10.1	Comment	Provide additional information on how number of victims by receipt of benefits was determined.	No	Text - 5,000 characters	Empty
Victims with disabilities	Empty	Empty	Empty	empty	A victim is counted once per investigation in which he/she was identified as having one or more disabilities.
K11	Victims with one or more disabilities	Number of victims with one or more disabilities.	No	Numeric - 10 integers	Empty
K11.1	Comment	Provide additional information on how number of victims with one or more disabilities was determined.	No	Text - 5,000 characters	Empty
Victims with behavioral conditions	Empty	Empty	Empty	Empty	A victim is counted once per investigation in which he/she was screened as having one or more behavioral conditions.
K12	Victims with one or more screened or diagnosed behavioral conditions	Number of victims with one or more screened or diagnosed behavioral conditions.	No	Numeric - 10 integers	The types of diagnoses include, but are not limited to: alcohol use disorder, anxiety, bipolar disorder, dementia, depression, schizophrenia and other psychotic disorders, substance use disorder, and traumatic brain injury.
K12.1	Comment	Provide additional information on how number of victims with a behavioral condition was determined.	No	Text - 5,000 characters	Empty
Victims by maltreatment type	Empty	Empty	Empty	Empty	A victim is counted each time he/she was substantiated as a victim of a specific maltreatment type. For example, if a person was found to be a victim of neglect in two investigations, the count for neglect would be two for that victim.
K13.1	Empty	Abandonment	No	Numeric - 10 integers	Empty
K13.2	Empty	Emotional abuse	No	Numeric - 10 integers	Empty
K13.3	Empty	Exploitation (non-specific)	No	Numeric - 10 integers	Empty
K13.3.1	Empty	Financial exploitation	No	Numeric - 10 integers	Empty
K13.3.2	Empty	Other exploitation	No	Numeric - 10 integers	Empty
K13.4	Empty	Neglect	No	Numeric - 10 integers	Empty
K13.5	Empty	Physical abuse	No	Numeric - 10 integers	Empty
K13.6	Empty	Sexual abuse	No	Numeric - 10 integers	Empty
K13.7	Empty	Suspicious death	No	Numeric - 10 integers	Empty
K13.8	Empty	Self-neglect	No	Numeric - 10 integers	Empty
K13.9	Empty	Other	No	Numeric - 10 integers	Empty
K13.10	Empty	Unknown	No	Numeric - 10 integers	Empty
K13.11	Comment	Provide additional information on how number of victims by maltreatment type was determined.	No	Text - 5,000 characters	Empty
Victims with guardian or conservator	Empty	Empty	Empty	Empty	A victim is counted once per investigation in which he/she was screened as having one or more guardians or conservators.
K14	Victims with guardian or conservator at start of investigation	Number of victims with guardian or conservator at start of investigation.	No	Numeric - 10 integers	Empty
K14.1	Comment	Provide additional information on how number of victims by one or more guardians or conservators was determined.	No	Text - 5,000 characters	Empty
Victims who received or were referred for services	Empty	Empty	Empty	Empty	A victim is counted once per investigation in which he/she received or was referred for one or more services. If a client received multiple services and also was referred for multiple services in one investigation, he/she is counted only once.
K15	Victims who received services or were referred for services by APS	Number of victims who received services or were referred for services by APS.	No	Numeric - 10 integers	Empty
K15.1	Comment	Provide additional information on how number of victims by services was determined.	No	Text - 5,000 characters	Empty

Table 4–Perpetrators

Element Category/No.	Element Name	Element Description/ Categories	Required	Field Entry Format	Instructions
Perpetrators by age	Empty	Empty	Empty	Empty	The perpetrator age is computed by subtracting the person's date of birth from the investigation start date. An estimated age can be used. Count each perpetrator once per client per investigation. If a person was the perpetrator of two clients in one investigation, the person is counted twice.
K16.1	Empty	17 and younger	No	Numeric - 10 integers	Empty
K16.2	Empty	18-29 years	No	Numeric - 10 integers	Empty
K16.3	Empty	30-39 years	No	Numeric - 10 integers	Empty
K16.4	Empty	40-49 years	No	Numeric - 10 integers	Empty
K16.5	Empty	50-59 years	No	Numeric - 10 integers	Empty
K16.6	Empty	60-69 years	No	Numeric - 10 integers	Empty
K16.7	Empty	70-74 years	No	Numeric - 10 integers	Empty
K16.8	Empty	75-84 years	No	Numeric - 10 integers	Empty
K16.9	Empty	85 and older	No	Numeric - 10 integers	Empty
K16.10	Empty	Unknown	No	Numeric - 10 integers	Empty
K16.11	Comment	Provide additional information on how number of perpetrators by age was determined.	No	Text - 5,000 characters	Empty
Perpetrators by gender identity	Empty	Empty	Empty	empty	Empty
K17.1	Empty	Male	No	Numeric - 10 integers	Empty
K17.2	Empty	Female	No	Numeric - 10 integers	Empty
K17.3	Empty	Transgender	No	Numeric - 10 integers	Empty
K17.4	Empty	Unknown	No	Numeric - 10 integers	Empty
K17.5	Comment	Provide additional information on how number of perpetrators by gender was determined.	No	Text - 5,000 characters	Empty
Perpetrators with kinship relationship	Empty	Empty	Empty	Empty	Count each perpetrator once per client per investigation. If a person was the perpetrator of two clients in one investigation and is related to one victim and not the second, the perpetrator is counted only once.
K18	Perpetrators who had a kinship relationship to the victim	Number of perpetrators related to the victim by affinity (blood, adoption, marriage, etc.)	No	Numeric - 10 integers	Empty
K18.1	Comment	Provide additional information on how number of perpetrators by kinship relationship was determined.	No	Text - 5,000 characters	Empty
Perpetrators with association to victim	Empty	Empty	Empty	Empty	Count each perpetrator once per client per investigation. If a person was the perpetrator of two clients in one investigation and has one or more caregiving relationships to one victim and not the second, the perpetrator is counted only once.
K19	Perpetrators who had one or more associations to victim	Number of perpetrators with one or more caregiving relationships to the victim.	No	Numeric - 10 integers	Empty
K19.1	Comment	Provide additional information on how number of perpetrators by association to the victim was determined.	No	Text - 5,000 characters	Empty
Perpetrators with legal remedy recommendations	Empty	Empty	Empty	Empty	Count each perpetrator once per client per investigation. If a person was the perpetrator of two clients in one investigation and had one or more legal remedies recommended or sought related to one victim and none with the second, the perpetrator is counted only once.
K20	Perpetrators for whom one or more legal remedies on behalf of the victim were recommended or sought	Number of perpetrators for whom at least one legal remedy was recommended or sought.	No	Numeric - 10 integers	Empty
K20.1	Comment	Provide additional information on how number of perpetrators by legal remedy was determined.	No	Text - 5,000 characters	Empty