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Senior Abuse and Neglect

Description: 

These data come from the the annual Adult Protective Services (APS) reports. Adult Protective Services defines a client as a vulnerable or incapacitated adult whose mistreatment has been reported to APS.

According to the executive summary of the Arizona Department of Economic Security Division of Aging and Adult Services’ Adult Protective Services Annual Activity Report 2010, "[T]here were 6,488 reports of vulnerable adult mistreatment investigated; family members make up 33 percent of the alleged perpetrators; females make up 62 percent of clients who are mistreated; a typical APS client is a Caucasian female, 85 years of age or older; neglect by self (28 percent) and neglect by family members (33 percent) continue to be the leading cause for protective services investigations; and the top two reporting sources are social services (28 percent) and medical services (14 percent)."  The years listed are for the state fiscal year which runs from July to June. For example, 2010 is July 1, 2009 - June 30, 2010. Graphs depict the total number of field investigations completed on reported abuse.  Percentage substantiated is the percentage of field-visited reports that were founded. According to APS, "[I]n 2008, there were 9,592 reports of vulnerable adult mistreatment investigated in 2008.  28% of all alleged abusers were family members. 62% of clients of mistreatment are female."

Data Source: 

Arizona DES; Division of Aging & Adult Services, Adult Protective Services (APS) Annual Activity Reports:
https://www.azdes.gov/InternetFiles/Reports/pdf/aps_annual_report_sfy_2010.pdf

Data Quality Comments: 

In July 2007 the new APS Appeals and APS Registry law was passed which requires a burden of proof which is Preponderance of the Evidence. This may account for substantiation rates decreasing during that period.

iconAdult Protectice Services Clients by Age

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Visualization Notes:

Although the 80+ population only makes up a small percentage of Arizona's total population, this graph indicates that the most common clients of Adult Protective Services (APS) are 80 years and older. Beginning with the 60-69 age category, the percentage of abuse cases increases with age.  This may be due to the fact that many APS clients live alone and that the most common reports are for self-perpetrated neglect. As age increases, so does the potential for functional and cognitive decline, which can lead to self neglect.

iconLiving Situations of Adult Protective Services Clients

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Visualization Notes:

This graph indicates that the majority of Adult Protective Services (APS) clients either live in a facility, with family, or live alone/receive little assistance. Until 2007, the largest  percentage of APS clients lived alone with little or no assistance. This trend changed in 2007 when those who lived with family became the largest percentage of clients, possibly due to the economic downturn. This also supports the 2000 Census statistic that less than 25% of Arizona older adults live alone. In 2008, those that had unknown living situations or were in developmental disability services placements were the largest percentage. This supports the idea that community supports in the home can reduce the risk of neglect.  

In 2008, the "Other" category was redefined to include unknown and Division of Developmental Disabilities placements, and therefore this percentage significantly increased.

iconTotal Cases and Substantiation Rate of Adult Abuse in Arizona

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Visualization Notes:

Adult Protective Services defines abuse as:  (1) intentional infliction of physical harm;  (2) injury caused by negligent acts of omission; (3) unreasonable confinement; and (4) sexual abuse or sexual assault.

* In July 2007 the new APS Appeals and APS Registry law was passed which requires a burden of proof which is Preponderance of the Evidence. This may account for substantiation rates decreasing during that period.

iconTotal Cases and Substantiation Rate of Adult Neglect in Arizona

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Visualization Notes:

According to the Arizona Department of Economic Security Division of Aging and Adult Services’ Adult Protective Services Annual Activity Report 2010, states that neglect continues to be the leading cause for protective services investigations.

*  In July 2007 the new APS Appeals and APS Registry law was passed which requires a burden of proof which is Preponderance of the Evidence. This may account for substantiation rates decreasing during that period.

iconTotal Cases and Substantiation Rate of Adult Exploitation in Arizona

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Visualization Notes:

Adult Protective Services defines exploitation as "[T]he illegal or improper use of an incapacitated or vulnerable adult or his/her resources for another's profit or advantage."

*  In July 2007 the new APS Appeals and APS Registry law was passed which requires a burden of proof which is Preponderance of the Evidence. This may account for substantiation rates decreasing during that period.