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National Adult Maltreatment Reporting System
NAMRS Code Values and Definitions
Code Values and Definitions
The NAMRS Code Values and Definitions serve as a reference to the Agency Component Data
Specifications, Case Component Data Specifications, and Key Indicators Data Specifications. It
provides definitions of code values found in each data component.
Table 1–Definitions of Code Values
Element
Code
Value
Value Definition
1
Substitute decision maker
2
In-home caregiver
3
Nursing home staff
4
Residential care community staff
5
Education professional
6
Financial professional
7
Law enforcement, judicial, or legal
professional
8
Medical or health professional
9
Mental and behavioral health
professional
10
Social services professional
11
Other professional
12
Relative
13
14
15
Neighbor, friend, other nonrelative,
other nonprofessional
Self
No role identified
Includes health care proxy, financial proxy, guardian or conservator of
person or property, representative payee.
Individuals who have the responsibility for the care of the client, providing inhome monitoring, management, supervision, etc.
Employees of a nursing home or skilled nursing home, which provide
services for residents who require medical or nursing care, or rehabilitative
services.
Employees of a residential care community including those providing room
and board of at least 2 meals per day and help with personal care. These
places include residential communities identified as assisted living
residences, board and care homes, congregate care, enriched housing
programs, personal care homes, homes serving primarily persons with
disabilities, and homes serving primarily older adults.
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.
Professionals managing finances or planning for future financial needs.
Includes bank officials, financial planners, etc.
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.
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.
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.
Employees of public or private social services or social welfare agency, or
other social worker or counselor who provides similar services including
rehabilitative services.
Persons who encountered the client as part of their occupation. Includes
landlords, housing authorities, clergy, etc.
Persons related by blood, marriage, or adoption. Includes spouse, domestic
partner, parent, foster parent, child, in-laws, etc.
Other individual who is not a professional or person related to client by
blood, marriage, or adoption. Includes friends, neighbors, etc.
Person allegedly being maltreated.
An individual who notifies an APS agency of suspected maltreatment
without identifying his or her role.
16
Anonymous
Report source
An individual who prefers not to reveal his or her role.
1
Element
Code
Value
10
Own residence or private residence of Client's home or the client's relative or caregiver's home. Includes a
relative or caregiver
house, apartment, mobile home or trailer, group of rooms, etc.
20
Residential care community (nonspecific)
Maltreatment setting
Value Definition
Provides room and board of at least two meals per day and help with
personal care. Includes residential communities identified as assisted living
facilities, board and care homes, congregate care, enriched housing
programs, personal care homes, homes serving primarily persons
with disabilities, and homes serving primarily older adults.
Licensed, registered, listed, certified, or otherwise regulated by the
state.
21
Licensed residential care community
22
Unlicensed residential care
community
Not licensed, registered, listed, certified, or otherwise regulated by the
state.
Nursing home (non-specific)
Nursing home or skilled nursing home that provides services for
residents who require medical or nursing care, or rehabilitative
services.
31
Licensed nursing home
Licensed, registered, listed, certified, or otherwise regulated by the
state.
32
Unlicensed nursing home
Not licensed, registered, listed, certified, or otherwise regulated by the
state.
Adult day services center (nonspecific)
Includes adult day care, adult day health services centers. Day care
services for adults are those services or activities provided to adults who
require care and supervision in a protective setting for a portion of a
24-hour day.
41
Licensed adult day services center
Licensed, registered, listed, certified, or otherwise regulated by the
state.
42
Unlicensed adult day services center
Not licensed, registered, listed, certified, or otherwise regulated by the
state.
50
Place of business or other services
Includes place of employment, sheltered workshops, hospitals,
schools, banks, other offices, shelters, places of worship, etc.
60
Other
A setting not included in categorizations provided, including recreational
areas and other public spaces.
10
Investigation completed
20
Investigation completed and
protective services case completed
30
Investigation unable to be completed
(non-specific)
The case was closed after a finding was made on the allegation of
maltreatment, the investigation was closed, and no ongoing protective
services
opened.
The casecase
was was
closed
after the investigation was completed, additional
protective services were provided, and the protective services case was
closed.
A finding was not able to be made on the allegations of maltreatment for
an unspecified reason and the case was closed.
30
40
Case closure reason
31
32
40
Investigation unable to be
completed due to death of client
during investigation
Investigation unable to be completed
due to refusal of client
The client died during the investigation, the investigation was terminated
without a finding, and the case was closed.
Protective services case opened but
not completed (non-specific)
The protective services case was terminated prematurely; reason not
specified.
The client refused to cooperate with the investigation worker, the
investigation was terminated without a finding, and the case was closed.
2
Element
Code
41
42
50
Value
Value Definition
Protective services case closed due to The client died during the case and the case was closed.
death of client
Protective services case closed due to The client decided not to continue work with the protective services
agency, and the case was closed.
client decision to not continue
Other
Gender identity - (Mark all that apply)
Case was closed for a reason not included in the categorizations
provided.
1
Man
Individual identifies as a man
2
Woman
Individual identifies as a woman
3
Transgender
4
Two-Spirit
Individual identifies as transgender; a person whose gender identity is
different from the sex they were assigned at birth
Individual is AIAN and identifies as Two-Spirit
5
Prefer not to answer
Individual did not want to identify their gender
6
Other
Individual identifies as a gender identity not included in the
categorizations provided
1
Straight
2
Gay/lesbian
3
Bisexual
4
Two-Spirit
Sexual or romantic attractions and behaviors focus exclusively or mainly
on members of the other sex, that is, not gay or lesbian.
Sexual or romantic attractions and behaviors focus exclusively or mainly
on members of the same sex.
Sexual or romantic attractions and behaviors are directed at members of
both sexes to a significant degree.
If the individual is AIAN and identities sexual orientation of Two-Spirit
5
Prefer not to answer
Individual did not want to identify their sexual orientation
5
Other
A sexual orientation not included in the categorizations provided.
10
American Indian or Alaska Native
20
Asian (non-specific)
Sexual orientation
Race
21
Asian Indian
22
Chinese
Having origins in any of the original peoples of North and South America
(including Central America), and who maintains tribal affiliation or
community
attachment.
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,
Pakistan, the Philippine Islands, Thailand, and
Having
origins Malaysia,
of Asian Indian.
Vietnam.
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)
Native Hawaiian
Having origins in any of the original peoples of Hawaii, Guam, Samoa, or
other Pacific Islands.
Having origins of Native Hawaiian.
41
3
Element
Code
42
Value
Guamanian or Chamorro
Value Definition
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
60
Other
Having origins in any of the original peoples of Europe, the Middle East, or
North Africa.
Having origins not included in the categorizations provided.
10
12
Yes, Hispanic or Latino/a, or
Spanish origin (non-specific)
Mexican, Mexican American,
Chicano/a
Puerto Rican
Of Cuban, Mexican, Puerto Rican, South or Central American, or other
Spanish culture or origin, regardless of race.
Having origins of Mexican, Mexican American, Chicano/a, regardless of
race.
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
No, not Hispanic or Latino/a, or
Spanish origin
Having Hispanic, Latino/a, or Spanish origins other than those listed,
regardless of race.
Not of Cuban, Mexican, Puerto Rican, South or Central American, or other
Spanish culture or origin, regardless of race.
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.
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
Ethnicity
11
20
Primary language
Marital status
4
Element
Code
4
Value
Divorced
Value Definition
Refers to those whose marriages were legally dissolved.
5
Separated
6
Widowed
7
Other
A termination of cohabitation of spouses either by mutual agreement or,
in the case of judicial separation, under the decree of a court.
Refers to those whose marriages were terminated through death of their
spouse and have not remarried.
A marital status not included in the categorizations provided.
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
Advanced degree
Associate's degree: granted after a two-year course of study, especially by a
community or junior college.
Bachelor's
degree:
earned
foras
anaundergraduate
course
of study that
A postgraduate
degree,
such
master's degree
or a doctorate.
nominally requires three to five years of study, depending on institution and
field of study.
Persons who are working or temporarily not working due to illness or
other reasons.
Persons who are not employed and actively looking for work and
available to start a job.
Students, homemakers, retired workers, seasonal workers not looking for
work, persons residing in institutions, persons doing only incidental
unpaid
familystatus
work. not included in the categorizations provided.
Employment
Includes sheltered workshop participants.
Schooling level
4
Employment status
1
Employed
2
Unemployed
3
Not in labor force
4
Other
Benefits
1
Medicaid
The United States Medicaid program provides health coverage to
persons including eligible low-income adults, children, pregnant
women, elderly adults, and people with disabilities.
2
Medicare
3
Publicly-subsidized housing
4
Social Security Disability Insurance
(SSDI)
The United States Medicare program is a health insurance program for
people age 65 and older, people under age 65 with certain disabilities,
and
people of all ages with End-Stage Renal Disease (permanent kidney
failure requiring dialysis or a kidney transplant).
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.
SSDI provides benefits to disabled or blind persons who are “insured”
by workers’ contributions to the Social Security trust fund.
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
(SSI)
SSI makes cash assistance payments to aged, blind, and disabled persons
(including children) who have limited income and resources.
5
Element
Code
7
Value
Temporary Assistance for Needy
Families (TANF)
Value Definition
Temporary financial assistance through TANF program, which helps
pregnant women and families with one or more dependent children
pay for food, shelter, utilities, and expenses other than medical.
8
Veterans’ disabled benefits
Disability compensation paid to Veterans because of injuries or diseases
that were incurred in or aggravated during active duty, active duty
training, or inactive duty training.
9
Supplemental Nutrition Assistance
Program
Federal nutrition assistance program for eligible low-income
individuals and families administered by USDA.
9
Other
Public benefit other than those specified in the categorizations provided.
1
Veteran
2
Non-veteran
Person who has served in the United States Armed Forces or is
otherwise classified as a veteran by the United States Department of
Veteranwho
Affairs.
Person
has not served in the United States Armed Forces or is
otherwise not classified as a veteran by the United States Department of
Veteran Affairs.
1
Ambulatory difficulty
Having serious difficulty walking or climbing stairs.
2
Cognitive difficulty
3
Communication difficulty
4
Hearing difficulty
Because of a physical, mental, or emotional problem, having difficulty
remembering, concentrating, or making decisions.
Because of a physical, mental, or emotional problem, having difficulty
with speech or language.
Deaf or having serious difficulty hearing.
5
Independent living difficulty
6
Self-care difficulty
Because of a physical, mental, or emotional problem, having difficulty
doing errands alone such as visiting a doctor’s office or shopping.
Having difficulty bathing or dressing.
7
Vision difficulty
Blind or having serious difficulty seeing, even when wearing glasses.
8
Other
Disabilities other than those specified in the categorizations provided.
9
None
Assessed, but no disability determined.
N
Total score
Indicates the client's total score on the Katz Index of Independence in
Activities of Daily Living (ADL). Permissible values are 0-6.
N
Total score
Indicates the client's total score on the Lawton Instrumental Activities of
Daily Living (IADL). Permissible values are 0-8.
Veteran status
Disabilities
ADL score
IADL score
Behavioral health screenings or diagnoses
1
Alcohol use disorder
2
Anxiety
3
Bipolar disorder
4
Dementia
5
Depression
6
Schizophrenia and other psychotic
disorders
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 disorder
able to stop
remorse
about drinking,
not being able to
An
affective
thatdrinking,
makes itofdifficult
to conduct
daily activities
rememberfeelings
including
due to drinking,
of nervousness,
needingnot
a drink
beingearly
ableintothe
stop
day,
or control
etc.
worrying,
worrying
tooas
much
different
things,
restless
so it is
Screening
tools, such
the about
Alcohol
Use Disorders
Identification
A mood disorder
characterized
by alternating
moodsbeing
of mania
andTest
hard
to sitorstill,
becoming
annoyed
irritable
and
feeling
afraid.
(AUDIT)
others,
maylast
beeasily
used.
Diagnosis
upon
clinical
depression
which
can
for
long
periodsorofdepends
time and
which
may
impact
Screening
asofthecognitive
Generalized
Disorderdaily
7 Item
Scale
training.
the
totools,
plan,such
schedule,
and
complete
daily
Screening
Theability
progressive
decline
abilityAnxiety
whichactivities.
impacts
activities.
(GAD-7)
or as
others,
may of
be
used. Diagnosis
depends
clinical
tools, such
Disorder
Questionnaire
or others,
may
be used.
Alzheimer’s
is the
oneMood
type
dementia.
Dementia
may
beupon
associated
with
training.
Diagnosis
depends
clinical
training.
memory
difficulty
performing
familiar
tasks,
problems
with language,
A
loss ofloss,
interest
in upon
daily
activities
including
feelings
of hopelessness,
little
disorientation
to time and
place, poorfeeling
or decreased
judgment,
energy,
poor appetite
or overeating,
bad about
oneself,problems
trouble with
abstract
thinking,
of initiative
and
in tools,
personality,
mood,
concentrating
andloss
thoughts
of suicide.
Screening
such
as
the or
An
affective
disorder
characterized
by changes
having
delusions
and hallucinations
behavior.
Screening
such
ascausing
the or
Alzheimer’s
Association
Tenwith
Patient
Questionnaire
(PHQ-9)
others,
may
used. Diagnosis
that
mayHealth
impact
dailytools,
activities
by
difficulties
inbeinteracting
WarningScreening
Signs
or others,
mayas
bethe
used.
Diagnosis depends
depends
upon clinical
others.
tools,training.
such
Schizophrenia
Test andupon
Earlyclinical
training.
Psychosis Indicator (STEP1) or others, may be used. Diagnosis 6
depends upon clinical training.
Element
Code
7
Value
Substance use disorder
8
Traumatic brain injury
9
10
Client lacks decision-making ability
(i.e., “capacity”)
Other
11
None
10
Own residence or residence of
relative or caregiver
Residential care community (nonspecific)
Licensed residential care community
Living setting
20
21
22
30
Non-licensed residential care
community
Nursing home (non-specific)
31
Licensed nursing home
32
Non-licensed nursing home
40
Other
Substitute decision makers
10
Health care proxy in effect
20
Financial proxy in effect
30
Guardianship or conservatorship
(non-specific)
Guardianship or conservatorship of
person
Guardianship or conservatorship of
property
Representative payee
31
32
40
50
Supported decision-making
agreement
60
None
1
Care/case management services
2
Caregiver support services
3
Community day services
4
Education, employment, and training
services
Emergency assistance and material
aid services
Value Definition
The use of drugs, including over the counter drugs, prescriptions drugs,
cannabis (marijuana, hashish), solvents, tranquilizers, barbiturates, cocaine,
stimulants,
impactPhysical
the ability
to conduct
The
result ofhallucinogens
a violent bloworornarcotics
injury tothat
the head.
damage
to thedaily
activities
and frequency
use of daily
such activities
drugs, and
brain mayincluding
result in the
longquantity
term complications
thatofimpact
due to
feelings
of inbeing
unable
toAPS
stopprogram
when
wanting
of guilt or
being
difficulties
sleeping,
dizziness,
vision,
memory
concentration,
andability
moodto
The
determination
by the
that
anto,
individual
lacks
the
neglectful,
of withdrawal
symptoms
or having
blackouts
or flashbacks
changes.
Screening
toolonis
usually
the
result
self-reporting
of the injury
make decisions
based
state
definitions
of of
capacity.
due
to
drug
usage.
Screening
tools,
such
as
the
Drug
Abuse
Screening
or
symptoms.
Diagnosis
depends
upon
clinical
training.
Behavioral conditions not included in the value list of behavioral
health that
Test
(DAST
10) or
others,disease
may be or
used.
Diagnosis
depends
are due
to brain
damage,
unknown
causes
which upon
impact the
clinical training.
ability
to conduct
dailyconditions
activities.have
Examples
amnesia, delirium,
No
behavioral
health
been include
determined.
behavioral syndromes such as eating disorders, sleep disorders, and
other personality disorders. Screening may use a range of tools.
Diagnosis
depends
clinical
training.
Client's home
or theupon
client's
relative
or caregiver's home. Includes a
house, apartment, mobile home or trailer, group of rooms, etc.
Provides room and board of at least two meals per day and help with
personal care. Includes residential communities identified as assisted living
residences,registered,
board andlisted,
care homes,
care,
enriched
Licensed,
certified,congregate
or otherwise
regulated
by housing
the state.
programs, personal care homes, homes serving primarily persons with
disabilities,
and
homes serving
adults. regulated by the
Not licensed,
registered,
listed, primarily
certified, older
or otherwise
state.
Nursing home or skilled nursing home that provides services for
residents who require medical or nursing care, or rehabilitative services.
Licensed, registered, listed, certified, or otherwise regulated by the state.
Not licensed, registered, listed, certified, or otherwise regulated by the
state.
A setting not included in categorizations provided, including shelters,
correctional facilities, or no fixed residence.
The appointment of a person to communicate the clients’ wishes as to
medical treatment in terminal illness or injury situations and to
communicate for
in the
event they
communicate
for in
Authorization,
by athem
written
document,
thatcannot
one individual
may act
themselves.
A document
also
known as a durable
powertoofsome
attorney
another’s place
as agent or
attorney-in-fact
with respect
or allforlegal
health
care,
medical
power
of
attorney,
or
appointment
of
a
healthcare
and
financial matters.
scope
is specified
in an
theadult
A
relationship
created The
by state
lawofinauthority
which agranted
court determines
that
agent,
allows
individual
to appoint
another
person
(a of
proxy
or agent)
document
andanmay
be limited
by state
statute.
A power
attorney
individual
lacks
capacity
to make
decisions
about
self-care
or property, and
to
express the
individual’s
and granting
make health
care decisions
for the
terminates
on the
death of wishes
the
person
the
power
(unless
another
individual
orneed
entity
assomeone
a conservator,
or by
a similar
Ifappoints
the individual
forfor
to act
on
their
behalf
individual
if hean
orhas
shea critical
cannot
speak
him or on
herself.
Depending
on due
the
“coupled
with
interest”)
and
may
terminate
the
subsequent
term,
as aorsurrogate
maker. It becomes
duty and power of
to
mental
physical decision
disability.
state,
these
documents
are
known
as
living
wills,
medical
directives,
disability
of the
granting
the
power
(unless
the
“durable”
that
individual
toperson
make
personal
and/or
property
decisions
foris
another.
(Or
Estate):
if the
person
is incapable
managing
his power
or her
own
health
careinstrument
proxies,
ororadvance
healthofcare
directives.
under
the
state
law).
financial affairs.
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
herdisabilities
money. The
main choices
responsibilities
of aown
payee are
Allows
individuals
with
to make
about their
support to
from
team
peopleand
theyforeseeable
choose. Individuals
tolives
use with
the benefits
paya for
theofcurrent
needs of with
the
disabilitiesand
choose
people
they
and trust
to be part
of a support
beneficiary
properly
save
anyknow
benefits
not needed
to meet
current
network
to helpmust
with also
decision-making.
needs.
A payee
keep records of expenses. When SSA requests a
report,
a
payee
must
provide
an accounting
of how benefits were
Perpetrator has no authorizations
in relation to
to SSA
the client.
used or saved.
Services
5
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 theand
client.
development
and oversight
of
Assistance
to family
otherIncludes
informalthe
caregivers
to improve
or sustain
acapacity
plan to for
ensure
theforsafety
and adult
well-being
of the
developing
a
caring
the older
or adult
withclient;
disabilities.
Includes
safety
plan
a person’s
support
network;
referring
andand
arranging
counseling,
support
groups,
training,
respite,
etc. care
Services
or with
activities
provided
to adults
who require
support
services,
etc.
supervision in a protective setting for a portion of a 24-hour day. Includes
out
of home
care, recreation,
and/or
independent
Services
andsupervision,
activities to health
assist people
in achieving
or maintaining
economic
living
skills
training
offered
in
centers
most
commonly
known
as Adult
self-support. Includes training programs, job coaches, supported
Day,
Adult arranging
Day
Health,
Centers,
and
Disability
Programs.
employment,
senior
employment
programs,
and
public
school
Providing,
for,Senior
or facilitating
the
provision
of Day
medical,
social
individualized
education
plans.
service, economic, emergency, or support services. Includes financial
assistance or referral for food, clothing, energy/utility assistance, and home
7
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.
Element
Code
6
Value
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
Value Definition
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,
retirement
income
planning.
Services
or activities
designed
to assistand
in the
obtaining
of suitable
or safe
housing and living arrangements. Includes tenant counseling; helping to
identify
correct substandard
moving
Servicesand
or activities
provided to housing
clients toconditions;
achieve ormaking
maintain
selfarrangements
and minor
renovations
personal
residence;
and and
sufficiency.
Includes
homemakers
andtohome
health
aides; visiting
relocating
to
institutional
care or
facility
care.bypersonal
telephone
reassurance;
chore
maintenance;
caretoservices,
Legal counsel
and representation
provided
an attorney
addressetc.
civil matters such as housing issues and advance care planning, and
criminal matters.
Services
and activities designed to assist individuals and families to
attain and maintain a favorable condition of health; includes evaluations.
Services and activities for persons with developmental or physical
disabilities, or persons with visual or auditory impairments, are services or
activities and
to maximize
potentialcommitment,
of persons with
disabilities,
help alleviate
Services
activities,the
including
assessment,
and
the effects offor
physical,
or emotional
disabilities,
to enable these
evaluations,
people mental
with behavioral
health
conditionsand
characterized
by
persons toand
liveactivities,
the least
restrictive
environment
possible.
Includes
dysregulation
ofinmood,
thought,
and/or
behavior,
as
recognized
by thetraining
Services
including
appeals
and applications,
to
provide
food
in mobility,
communication
skills,
the use
of special
aids and appliances,
DSM-5.
Includes
services
and
activities
that
applyrequirements
therapeutic
processes
to
a client
lacking
recommended
daily
nutritional
and/or
self-sufficiency
to
personal,
family,
skills
situational,
for people
orwith
occupational
occupational
indelivered
order
therapy,
to meals,
bring
Activities
of Daily
Living
(ADL)
limitations.
Includes
home
Services
and
assistance
to provide
adisabilities,
safety
netproblems
for
disadvantaged
physical
about
a
positive
therapy,
resolution
speech
and
of
the
language
problem
pathology,
or
improved
early
individual
intervention
or
nutritional counseling,
individuals
who lack thecongregate
resourcesmeals,
to provide
senior
basic
farmers’
necessities
marketfor and
other
family
therapies
functioning
that
or
help
circumstances.
people
learn
the
skills
they
need
learn,
program,
themselves
etc.
and
their
families.
Includes
such
programs
as
financial
aid
Services and activities primarily designed to deter, reduce,to
orlive,
eliminate
work
and
play
in
their
communities.
(TANF),
nutrition
(SNAP),
energy
assistance
(LIHEAP),
health
care
substance abuse or chemical dependence. Includes a comprehensive range
(Medicaid),
of personal
and
familythat
counseling
methods,
treatment
fortravel
opiate
Services
or etc.
activities
provide or
arrangemethadone
for the travel,
including
costs,
of individuals
in order
to access
or obtainServices
medicaland
care
abusers,
or detoxification
treatment
for services,
alcohol abusers.
or
employment.
activities
may
be provided
in alternative
arrangements
as of
Services
and activities
provided
to, or onliving
behalf
of, victims atsuch
any stage
institutional
and community-based
halfway houses.
the
criminal settings
justice process,
including post sentencing
services and
support.
Includes
programs
victims
of domestic
violence,
Client
receives
services
andsupporting
activities not
included
in the categorizations
sexual assault, abuse of older women, violence against women, and
provided.
general
crimes or
which
beingtohandled
by the police or prosecutors’
Client receives
wasare
referred
no services.
offices.
Interagency coordination
1
Law enforcement or prosecutorial
offices
Protection and Advocacy or Client
Advocacy Program (CAP)
State licensing agency
2
3
4
State Medicaid Fraud Control Unit
(MFCU)
Long-Term Care Ombudsman
Program
Social Security Administration
5
6
7
8
Department of Veteran’s
Administration
Multidisciplinary teams
9
Other
10
None
Agencies responsible for enforcing laws and maintaining public order
and safety, including government units staffed by police, sheriffs, district
attorneys,
etc. the Protection and Advocacy for Persons with Mental Illness
Agencies under
Act that have the authority to provide legal representation and other
advocacy
services,
under all federal
state laws,
to all people
with
Government
units responsible
for theand
licensing
of facilities
and agencies
disabilities,
with
those
agencies
that provide information and
serving
olderalong
adults
and
adults
with disabilities.
assistance
to individuals
seeking
or prosecute
receiving vocational
rehabilitation
State agencies
that investigate
and
Medicaid fraud
as well as
servicesabuse
underand
theneglect
Rehabilitation
Act.
patient
in health
care facilities.
State program that addresses complaints and advocates for people in
the long-term care system.
Federal government agency that administers Social Security, a social
insurance program consisting of retirement, disability, and survivor
benefits government agency that provides life-long healthcare services
Federal
to eligible military veterans at VA medical centers and outpatient clinics.
An MDT is a group of people, from three or more disciplines, who work
collaboratively, bound by a common purpose, and characterized by
sharedwas
decision-making,
partnership,
balanced power,
Client
referred to a type
of agencyinterdependency,
not included in the
and
process. MDTs
work to ensure victims receive the services they
categorizations
provided.
need
to recover
from
maltreatment
and improve
The client
was not
referred
to any other
agencies.the system of services.
Maltreatment type
10
Abandonment
20
Emotional abuse
30
Exploitation (non-specific)
31
Financial exploitation
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.
The infliction
of anguish,
pain,
or distress through verbal or nonverbal acts.
This includes but is not limited to verbal assaults, insults, threats,
intimidation,
andofharassment.
The illegal orhumiliation,
improper use
an individual or of an individual’s funds,
property, or assets for another’s profit or advantage.
The illegal or improper use of an individual’s funds, property, or assets
for another person’s profit or advantage.
8
Element
Code
32
Value
Other exploitation
40
Neglect
50
Physical abuse
60
Sexual abuse
70
Suspicious death
80
Self-neglect
90
Other
Maltreatment disposition
1
Substantiated
2
Inconclusive
3
Unsubstantiated
4
Other
Kinship relationship
Value Definition
The illegal or improper use of an individual for another person’s profit or
advantage, including exploitation of person, servitude, etc.
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
of commission;
includesinwillful
etc. pain, or
The use ofand
force
or violence resulting
bodilydeprivation,
injury, physical
impairment. Excludes sexual abuse.
Non-consensual sexual contact of any kind, including sexual contact with
any person incapable of giving consent.
An unexpected fatality or one in which circumstances or cause are
medically or legally unexplained.
A person’s inability, due to physical or mental impairment or diminished
capacity, to perform essential self-care tasks including obtaining
essential
food, clothing,not
shelter,
andinmedical
care; obtaining
goods and
A
type of maltreatment
included
the categorizations
provided.
services necessary to maintain physical health, mental health, or general
safety; or managing one’s own financial affairs. Includes hoarding.
The finding that the allegation of maltreatment is supported under state
law and policy.
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.
The finding that the allegation of maltreatment is not supported under
state law and policy.
Disposition not included in categorizations provided. Includes
inappropriate allegations that were investigated.
10
Yes (non-specific)
Kinship relationship exists
11
Spouse
Partner in a marriage
12
17
Domestic partner, including civil union Adults in a committed relationship with another adult, including both
same-sex and opposite-sex relationships
Parent
The birth mother or father, adoptive mother or father, or stepmother or
stepfather of the client.
Child
Biological son or daughter, adoptive son or daughter, or step-son or
daughter
Sibling
Children or offspring have one or both parents in common; a brother or
sister (by blood, adoption, marriage)
Grandparent
Parent of one's father or mother; a grandmother or grandfather (by
blood, adoption, marriage)
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
10
Nursing home staff
20
Residential care community staff
30
Relative caregiver (non-specific)
An employee of a nursing home, including a skilled nursing home.
Nursing homes primarily provide skilled nursing, rehabilitation, and long
termemployee
care. of a residential care community including those providing room
An
and board of at least 2 meals per day and help with personal care. These
places
includerelated
residential
identified
as assisted
living
An
individual
to thecommunities
client by blood,
adoption,
marriage,
etc. who
residences,
has
the responsibility
board andfor
care
thehomes,
care of congregate
the client, providing
care, enriched
in-home
housing
programs,
monitoring,
personal
management,
homes,
supervision,
homes
etc.
serving
primarily
persons
An
individual
relatedcare
to the
client by
blood,
adoption,
marriage,
etc.with
who
disabilities,
and homesforserving
primarily
older adults.
has the responsibility
the care
of the client,
and receives payment for
providing
in-home
monitoring,
management,
supervision,
etc. etc. who
An individual
related
to the client
by blood, adoption,
marriage,
has the responsibility for the care of the client, and does not receive
payment
for providing
in-home
monitoring,
supervision,
An individual
related to
the client
by blood,management,
adoption, marriage,
etc. who has
etc.
the responsibility for the care of the client and receives payment for
providing services under the Medicaid Home and Community-based
9
Services waiver program.
13
14
15
16
Perpetrator association
31
Paid relative caregiver
32
Unpaid relative caregiver
33
Home and Community Based
Services waiver paid relative
caregiver
Element
Code
40
Value
Nonrelative caregiver (non-specific)
41
Paid nonrelative caregiver
42
Unpaid nonrelative caregiver
43
Home and Community Based
Services waiver paid nonrelative
caregiver
50
Other relationship
60
None
Value Definition
An individual not related to the client by blood, adoption, marriage, etc. who
has the responsibility for the care of the client, providing in-home
monitoring,
management,
supervision,
etc.blood, adoption, marriage,
An individual
not related to
the client by
etc. who has the responsibility for the care of the client, and receives
payment for providing in-home monitoring, management, supervision,
etc.
An individual not related to the client by blood, adoption, marriage,
etc. who has the responsibility for the care of the client, and does not
receive payment for providing in-home monitoring, management,
supervision, etc.
An individual not related to the client by blood, adoption, marriage, etc.
who has the responsibility for the care of the client and receives
payment for providing services under the Medicaid Home and
Community-based Services waiver program.
Another trusted person providing care, not included in the
categorizations provided.
The perpetrator has no caregiving association to the client.
Substitute decision makers
10
Health care proxy in effect
20
Financial proxy in effect
30
40
Guardianship or conservatorship
(non-specific)
Guardianship or conservatorship of
person
Guardianship or conservatorship of
property
Representative payee
50
None
31
32
Legal Remedy Recommendations
1
Removal of guardianship rights
2
3
Restraining order on perpetrator
regarding the client
Eviction of perpetrator
4
Restitution by perpetrator
5
Restorative justice
6
Perpetrator registry
7
Other legal remedy
8
None
The appointment of a person to communicate the clients’ wishes as to
medical treatment in terminal illness or injury situations and to
communicate for
in the
event they
communicate
for in
Authorization,
by athem
written
document,
thatcannot
one individual
may act
themselves.
A document
also
known as a durable
powertoofsome
attorney
another’s place
as agent or
attorney-in-fact
with respect
or allforlegal
health
care,
medical
power
of
attorney,
or
appointment
of
a
healthcare
and
financial matters.
scope
is specified
in an
theadult
A
relationship
created The
by state
lawofinauthority
which agranted
court determines
that
agent,
allows
individual
appoint
another
person
(a of
proxy
or agent)
document
andanmay
be limited
by state
statute.
A power
attorney
individual
lacks
capacity
to to
make
decisions
about
self-care
or property,
to
express theanother
individual’s
wishes
make
care decisions
for the
individual
or and
entity
as ahealth
conservator,
or by
a“coupled
similar
terminates
on the
death
of theneed
person
granting
the
power
(unless
Ifand
theappoints
individual
has
a critical
forforsomeone
to act
on
their
behalf
due
individual
if
he
or
she
cannot
speak
him
or
herself.
Depending
on
the
term,
asinterest”)
aorsurrogate
decision
maker.on
It becomes
the dutydisability
and power
of
with
to
mental
an
physical
and
disability.
may
terminate
the
subsequent
of
the
state,
these
documents
are
known
as
living
wills,
medical
directives,
that
individual
to
make
personal
and/or
property
decisions
for
another.
person
granting
the
power
(unless
the
power
is
“durable”
under
the
(Or Estate):
if the person
is incapable
managing
his or her own
health
care proxies,
or advance
healthofcare
directives.
instrument
or state law).
financial
affairs.
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
money. Theinmain
responsibilities
The perpetrator
hasornoher
authorization
relation
to the client.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
SSA
The termination
of a relationship,
createdofbyexpenses.
state law When
and determined
by
report,ana individual
payee must
an as
accounting
to SSAorofbyhow
arequests
court, inawhich
or provide
entity acts
a conservator,
a
benefits
were used
or saved.decision maker for another person who lacks
similar
a surrogate
A courtterm,
orderas
issued
to prohibit an individual from carrying out a
capacity toaction,
make especially
decisions about
self-care
property.aThe
individual no
particular
approaching
or or
contacting
specified
longer
has
duty
and
power
to
make
personal
and/or
property
decisions
person.
The act of expelling someone, usually a tenant, from a property.
for the other.
Compensation paid to client by perpetrator for the losses or injuries
incurred as a result of a criminal offense.
A set of principles and practices that examines the harmful impact of
a crime and then determines what can be done to repair that harm
while holding the person who caused it accountable for their actions
and includes victims/survivors in the justice process. Outcomes seek
redress for victims, recompense by offenders and reintegration of
both within the community while reducing the likelihood of re-offense.
A perpetrator registry is a system for maintaining the identity of
individuals who are found to have maltreated adults in the community or
facilities
and meet
the requirements
referral.
Thiscategorizations
information is
Legal remedy
recommendations
not for
included
in the
made available to individuals, agencies, or employers authorized to
provided.
receive
information
use it to exclude
the perpetrator
No legalthe
remedies
werewho
recommended
or sought
on behalf offrom
the client.
employment.
10
Case closure reason
10
Investigation completed
20
Investigation completed and
protective services case completed
30
50
Investigation unable to be
completed (non-specific)
Investigation unable to be
completed due to death of client
during investigation
Investigation unable to be
completed due to refusal of client
Protective services case opened but
not completed (non-specific)
Protective services case closed due
to death of client
Protective services case closed due
to client decision to not continue
Other
1
2
3
Male
Female
Transgender
31
32
40
41
42
The case was closed after a finding was made on the allegation of
maltreatment, the investigation was closed, and no ongoing protective
services case was opened.
The case was closed after the investigation was completed, additional
protective services were provided, and the protective services case was
closed.
A finding was not able to be made on the allegations of maltreatment for an
unspecified reason and the case was closed.
The client died during the investigation, the investigation was terminated
without a finding, and the case was closed.
The client refused to cooperate with the investigation worker, the
investigation was terminated without a finding, and the case was closed.
The protective services case was terminated prematurely; reason not
specified.
The client died during the case and the case was closed.
The client decided not to continue work with the protective services agency,
and the case was closed.
Case was closed for a reason not included in the categorizations provided.
Gender identity
Male gender assigned at birth matches one's gender identity of male.
Female gender assigned at birth matches one's gender identity of female.
Gender identity, gender expression, and biological sex do not all align (e.g.
man, masculine, and male).
11
Sexual orientation
1
Straight
2
Gay/lesbian
3
Bisexual
4
Questioning
5
Other
10
American Indian or Alaska Native
20
Asian (non-specific)
21
22
23
24
25
26
27
30
40
41
42
43
44
50
Asian Indian
Chinese
Filipino
Japanese
Korean
Vietnamese
Other Asian
Black or African American
Native Hawaiian or Other Pacific
Islander (non-specific)
Native Hawaiian
Guamanian or Chamorro
Samoan
other Pacific Islander
White
60
Other
Having origins in any of the original peoples of North and South America
(including Central America), and who maintains tribal affiliation or
community attachment.
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.
Having origins of Asian Indian.
Having origins of Chinese.
Having origins of Filipino.
Having origins of Japanese.
Having origins of Korean.
Having origins of Vietnamese.
Having Asian origins other than those listed.
Having origins in any of the black racial groups of Africa.
Having origins in any of the original peoples of Hawaii, Guam, Samoa, or
other Pacific Islands.
Having origins of Native Hawaiian.
Having origins of Guamanian or Chamorro.
Having origins of Samoan.
Having Pacific Islander origins other than those listed.
Having origins in any of the original peoples of Europe, the Middle East, or
North Africa.
Having origins not included in the categorizations provided.
10
Yes, Hispanic or Latino/a, or
Spanish origin (non-specific)
Mexican, Mexican American,
Chicano/a
Puerto Rican
Cuban
Other Hispanic, Latino/a, or Spanish
origin
No, not Hispanic or Latino/a, or
Spanish origin
Of Cuban, Mexican, Puerto Rican, South or Central American, or other
Spanish culture or origin, regardless of race.
Having origins of Mexican, Mexican American, Chicano/a, regardless of
race.
Having origins of Puerto Rican, regardless of race.
Having origins of Cuban, regardless of race.
Having Hispanic, Latino/a, or Spanish origins other than those listed,
regardless of race.
Not of Cuban, Mexican, Puerto Rican, South or Central American, or other
Spanish culture or origin, regardless of race.
Arabic
Chinese
English
French
German
Primary language is Arabic.
Primary language is Chinese.
Primary language is English.
Primary language is French.
Primary language is German.
Sexual or romantic attractions and behaviors focus exclusively or mainly on
members of the other sex.
Sexual or romantic attractions and behaviors focus exclusively or mainly on
members of the same sex.
Sexual or romantic attractions and behaviors are directed at members of
both sexes to a significant degree.
Exploring one's own sexual orientation, investigating influences that may
come from family, religious upbringing, and internal motivations.
A sexual orientation not included in the categorizations provided.
Race
Ethnicity
11
12
13
14
20
Primary language
1
2
3
4
5
12
6
7
8
9
10
11
12
13
Korean
Russian
Spanish or Spanish Creole
Tagalog
Vietnamese
Sign language
Assistive technology
Other
Primary language is Korean.
Primary language is Russian.
Primary language is Spanish or Spanish Creole.
Primary language is Tagalog.
Primary language is Vietnamese.
Primary language is sign language.
Assistive, adaptive, and rehabilitative devices for people with disabilities.
A language not included in the categorizations provided.
1
2
3
4
5
Never married
Married
Domestic partner, including civil
union
Divorced
Separated
6
Widowed
7
Other
Refers to persons who report themselves as never married.
Refers to persons who are currently legally married.
In a committed relationship with another adult, including both same sex and
opposite-sex relationships
Refers to those whose marriages were legally dissolved.
A termination of cohabitation of spouses either by mutual agreement or, in
the case of judicial separation, under the decree of a court.
Refers to those whose marriages were terminated through death of their
spouse and have not remarried.
A marital status not included in the categorizations provided.
1
2
3
Less than high school
High school diploma or equivalent
Associate’s degree or bachelor’s
degree
4
Advanced degree
Marital status
Schooling level
Did not receive a high school diploma or equivalent, such as GED.
Received high school diploma or equivalent, such as GED.
Associate's degree: granted after a two-year course of study, especially by a
community or junior college.
Bachelor's degree: earned for an undergraduate course of study that
nominally requires three to five years of study, depending on institution and
field of study.
A postgraduate degree, such as a master's degree or a doctorate.
Employment status
1
Employed
2
Unemployed
3
Not in labor force
4
Other
1
Medicaid
2
Medicare
3
Publicly-subsidized housing
4
Social Security Disability Insurance
(SSDI)
Persons who are working or temporarily not working due to illness or other
reasons.
Persons who are not employed and actively looking for work and available
to start a job.
Students, homemakers, retired workers, seasonal workers not looking for
work, persons residing in institutions, persons doing only incidental unpaid
family work.
Employment status not included in the categorizations provided. Includes
sheltered workshop participants.
Benefits
The United States Medicaid program provides health coverage to persons
including eligible low-income adults, children, pregnant women, elderly
adults, and people with disabilities.
The United States Medicare program is a health insurance program for
people age 65 and older, people under age 65 with certain disabilities, and
people of all ages with End-Stage Renal Disease (permanent kidney failure
requiring dialysis or a kidney transplant).
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.
SSDI provides benefits to disabled or blind persons who are “insured” by
workers’ contributions to the Social Security trust fund.
13
5
Social Security retirement benefits
6
Supplemental Security Income (SSI)
7
Temporary Assistance for Needy
Families (TANF)
8
Veterans’ disabled benefits
9
Other
1
Veteran
2
Non-veteran
1
2
Ambulatory difficulty
Cognitive difficulty
3
Communication difficulty
4
5
Hearing difficulty
Independent living difficulty
6
7
8
9
Self-care difficulty
Vision difficulty
Other
None
N
Total score
Indicates the client's total score on the Katz Index of Independence in
Activities of Daily Living (ADL). Permissible values are 0-6.
N
Total score
Indicates the client's total score on the Lawton Instrumental Activities of
Daily Living (IADL). Permissible values are 0-8.
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.
SSI makes cash assistance payments to aged, blind, and disabled persons
(including children) who have limited income and resources.
Temporary financial assistance through TANF program, which helps
pregnant women and families with one or more dependent children pay for
food, shelter, utilities, and expenses other than medical.
Disability compensation paid to Veterans because of injuries or diseases
that were incurred in or aggravated during active duty, active duty training,
or inactive duty training.
Public benefit other than those specified in the categorizations provided.
Veteran status
Disabilities
Person who has served in the United States Armed Forces or is otherwise
classified as a veteran by the United States Department of Veteran Affairs.
Person who has not served in the United States Armed Forces or is
otherwise not classified as a veteran by the United States Department of
Veteran Affairs.
Having serious difficulty walking or climbing stairs.
Because of a physical, mental, or emotional problem, having difficulty
remembering, concentrating, or making decisions.
Because of a physical, mental, or emotional problem, having difficulty with
speech or language.
Deaf or having serious difficulty hearing.
Because of a physical, mental, or emotional problem, having difficulty doing
errands alone such as visiting a doctor’s office or shopping.
Having difficulty bathing or dressing.
Blind or having serious difficulty seeing, even when wearing glasses.
Disabilities other than those specified in the categorizations provided.
Assessed, but no disability determined.
ADL score
IADL score
Behavioral health screenings or diagnoses
1
Alcohol use disorder
2
Anxiety
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 the Alcohol Use Disorders Identification Test
(AUDIT) or others, may be used. Diagnosis depends upon clinical training.
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 Generalized Anxiety Disorder 7 Item Scale (GAD-7) or others,
may be used. Diagnosis depends upon clinical training.
14
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
10
Own residence or residence of
relative or caregiver
Residential care community (nonspecific)
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.
The progressive decline of cognitive ability which impacts daily activities.
Alzheimer’s is one 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.
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 Patient
Health Questionnaire (PHQ-9) or others, may be used. Diagnosis depends
upon clinical training.
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 the Schizophrenia Test and Early
Psychosis Indicator (STEP1) or others, may be used. Diagnosis depends
upon clinical training.
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 the Drug Abuse Screening Test (DAST 10)
or others, may be used. Diagnosis depends upon clinical training.
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.
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.
No behavioral health conditions have been determined.
Living setting
20
21
22
Licensed residential care community
Non-licensed residential care
community
Client's home or the client's relative or caregiver's home. Includes a house,
apartment, mobile home or trailer, group of rooms, etc.
Provides room and board of at least two meals per day and help with
personal care. Includes residential communities identified as assisted living
residences, board and care homes, congregate care, enriched housing
programs, personal care homes, homes serving primarily persons with
disabilities, and homes serving primarily older adults.
Licensed, registered, listed, certified, or otherwise regulated by the state.
Not licensed, registered, listed, certified, or otherwise regulated by the state.
15
16
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
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.
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.
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.
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.
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.
Services or activities provided to clients to achieve or maintain selfsufficiency. Includes homemakers and home health aides; visiting and
telephone reassurance; chore maintenance; personal care services, etc.
Legal counsel and representation provided by an attorney to address civil
matters such as housing issues and advance care planning, and criminal
matters.
Services and activities designed to assist individuals and families to attain
and maintain a favorable condition of health; includes evaluations.
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.
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.
Services and activities, including appeals and applications, to provide food
to a client lacking recommended daily nutritional requirements and/or
Activities of Daily Living (ADL) limitations. Includes home delivered meals,
nutritional counseling, congregate meals, senior farmers’ market program,
etc.
17
14
Public assistance benefits
15
Substance use services
16
Transportation
17
Victim services
18
Other services
19
None
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.
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.
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.
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.
Client receives services and activities not included in the categorizations
provided.
Client receives or was referred to no services.
Interagency coordination
1
Law enforcement or prosecutorial
offices
2
Protection and Advocacy or Client
Advocacy Program (CAP)
3
State licensing agency
4
6
State Medicaid Fraud Control Unit
(MFCU)
Long-Term Care Ombudsman
Program
Other
7
None
5
Agencies responsible for enforcing laws and maintaining public order and
safety, including government units staffed by police, sheriffs, district
attorneys, etc.
Agencies under the Protection and Advocacy for Persons with Mental Illness
Act 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.
Government units responsible for the licensing of facilities and agencies
serving older adults and adults with disabilities.
State agencies that investigate and prosecute Medicaid fraud as well as
patient abuse and neglect in health care facilities.
State program that addresses complaints and advocates for people in the
long-term care system.
Client was referred to a type of agency not included in the categorizations
provided.
The client was not referred to any other agencies.
Maltreatment type
10
Abandonment
20
Emotional abuse
30
Exploitation (non-specific)
31
Financial exploitation
32
Other exploitation
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.
The infliction of anguish, pain, or distress through verbal or nonverbal acts.
This includes but is not limited to verbal assaults, insults, threats,
intimidation, humiliation, and harassment.
The illegal or improper use of an individual or of an individual’s funds,
property, or assets for another’s profit or advantage.
The illegal or improper use of an individual’s funds, property, or assets for
another person’s profit or advantage.
The illegal or improper use of an individual for another person’s profit or
advantage, including exploitation of person, servitude, etc.
18
40
Neglect
50
Physical abuse
60
Sexual abuse
70
Suspicious death
80
Self-neglect
90
Other
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.
The use of force or violence resulting in bodily injury, physical pain, or
impairment. Excludes sexual abuse.
Non-consensual sexual contact of any kind, including sexual contact with
any person incapable of giving consent.
An unexpected fatality or one in which circumstances or cause are medically
or legally unexplained.
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.
A type of maltreatment not included in the categorizations provided.
Maltreatment disposition
1
Substantiated
2
Inconclusive
3
Unsubstantiated
4
Other
The finding that the allegation of maltreatment is supported under state law
and policy.
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.
The finding that the allegation of maltreatment is not supported under state
law and policy.
Disposition not included in categorizations provided. Includes inappropriate
allegations that were investigated.
Kinship relationship
10
11
12
13
Yes (non-specific)
Spouse
Domestic partner, including civil
union
Parent
14
Child
15
Sibling
16
Grandparent
17
18
20
Grandchild
Other relative
None
Kinship relationship exists
Partner in a marriage
Adults in a committed relationship with another adult, including both same
sex and opposite-sex relationships
The birth mother or father, adoptive mother or father, or stepmother or
stepfather of the client.
Biological son or daughter, adoptive son or daughter, or step-son or
daughter
Children or offspring have one or both parents in common; a brother or
sister (by blood, adoption, marriage)
Parent of one's father or mother; a grandmother or grandfather (by blood,
adoption, marriage)
A child of one's son or daughter (by blood, adoption, marriage)
Another family member, including in-laws and kinship foster parents
No kinship relationship, includes non-kinship foster parents
Perpetrator association
10
Nursing home staff
20
Residential care community staff
30
Relative caregiver (non-specific)
An employee of a nursing home, including a skilled nursing home. Nursing
homes primarily provide skilled nursing, rehabilitation, and long term care.
An employee of a residential care community including those providing room
and board of at least 2 meals per day and help with personal care. These
places include residential communities identified as assisted living
residences, board and care homes, congregate care, enriched housing
programs, personal care homes, homes serving primarily persons with
disabilities, and homes serving primarily older adults.
An individual related to the client by blood, adoption, marriage, etc. who has
the responsibility for the care of the client, providing in-home monitoring,
management, supervision, etc.
19
31
Paid relative caregiver
32
Unpaid relative caregiver
40
Nonrelative caregiver (non-specific)
41
Paid nonrelative caregiver
42
Unpaid nonrelative caregiver
50
Other relationship
60
None
An individual related to the client by blood, adoption, marriage, etc. who has
the responsibility for the care of the client, and receives payment for
providing in-home monitoring, management, supervision, etc.
An individual related to the client by blood, adoption, marriage, etc. who has
the responsibility for the care of the client, and does not receive payment for
providing in-home monitoring, management, supervision, etc.
An individual not related to the client by blood, adoption, marriage, etc. who
has the responsibility for the care of the client, providing in-home monitoring,
management, supervision, etc.
An individual not related to the client by blood, adoption, marriage, etc. who
has the responsibility for the care of the client, and receives payment for
providing in-home monitoring, management, supervision, etc.
An individual not related to the client by blood, adoption, marriage, etc. who
has the responsibility for the care of the client, and does not receive
payment for providing in-home monitoring, management, supervision, etc.
Another trusted person providing care, not included in the categorizations
provided.
The perpetrator has no caregiving association to the client.
Substitute decision makers
10
Health care proxy in effect
20
Financial proxy in effect
30
Guardianship or conservatorship
(non-specific)
31
Guardianship or conservatorship of
person
Guardianship or conservatorship of
property
Representative payee
32
40
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 healthcare 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.
Authorization, by a written document, that one 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).
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.
If the individual has a critical need for someone to act on their behalf due to
mental or physical disability.
(Or Estate): if the person is incapable of managing his or her own financial
affairs.
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.
20
50
None
The perpetrator has no authorization in relation to the client.
Legal Remedy Recommendations
1
Removal of guardianship rights
2
3
4
Restraining order on perpetrator
regarding the client
Eviction of perpetrator
Restitution by perpetrator
5
Other legal remedy
6
Communication Assistance
10
None
Language interpretation
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.
A court order issued to prohibit an individual from carrying out a particular
action, especially approaching or contacting a specified person.
The act of expelling someone, usually a tenant, from a property.
Compensation paid to client by perpetrator for the losses or injuries incurred
as a result of a criminal offense.
Legal remedy recommendations not included in the categorizations
provided.
No legal remedies were recommended or sought on behalf of the client.
20
30
Document translation
Assistive technology
To render a message spoken on one language into one or more other
languages. Interpretation can take place in-person, through a telephonic
interpreter, or via internet or video.
The replacement of written text from one language to another.
Any item, piece of equipment, or product system, whether acquired
commercially off the shelf, modified, or customized, that is used to increase,
maintain, or improve functional capabilities of individuals with disabilities
40
Other
Assistance with communication not included in the categorizations provided.
21
| File Type | application/pdf |
| File Modified | 2023-02-08 |
| File Created | 2023-02-08 |