1. Jennifer M. Etue, LICSW Clinical Administrator Trauma, Loss and Children’s Services Family Service of Rhode Island Inc.

2. Program Overview The Elder ES Program started on 5/14/07. Four licensed clinicians staff the Elder Emergency Services Program and rotate being on-call. The Elder ES Program operates from 4pm- 8:30am on weekdays and 24/7 on weekends and holidays.

3. Port of Entry Calls are received from elders, family members, neighbors, hospitals, and first responders. A great number of calls involve concerned neighbors or family members reporting possible abuse or neglect. Other calls are anonymous tips from those within the community.

4. Responses  Abuse or neglect  Self neglect  Financial or other exploitation  Mental/ Behavioral health concerns  Respite Services  Domestic Violence  Abandonment of elder by family/ family member

5. All Calls During FY12 Call Type ReceivedPlacedTotal Advocacy2911 Emergency Response on Scene 93847 Emergency Response Phone Response Only 60152212 Information/Referral34649 Outreach01010 Post-incident Follow-up with Caregiver 044 Report Taken 168217385 Post-incident Follow-up with Client 088 Post-incident Follow-up with Collateral Service Providers 94655 Post-incident Follow-up with DEA 86371 Post-incident Follow-up with Law Enforcement 63440 Other39137176 Total230508738

6. In person responses FrequencyPercent Valid Percent Cumulativ e Percent No No12143.143.143.1 Valid Yes 16056.956.9100.0 Total Total281100.0100.0

7. Demographics Served by City FrequencyPercent Valid Percent Cumulative Percent 1.4.4.4 Barrington41.41.41.8 Blackstone1.4.42.1 Bristol31.11.13.2 Central Falls 103.63.66.8 Coventry82.82.89.6 Cranston113.93.913.5 Cumberland82.82.816.4 East Greenwich 31.11.118.1 East Providence 41.41.419.6 Exeter1.4.419.9 Greenville1.4.420.3 Harrisville31.11.121.4 Hope Valley 1.4.421.7 Jamestown31.11.122.8 Johnston93.23.226 Lincoln31.11.127 Little Compton 1.4.427.4 Manville1.4.427.8

8. Case Examples  Cranston: Female elder age 60 Female elder age 60 Chemically induced dementia. Chemically induced dementia. Call from Daughter concerned about mother’s presentation, wandering at night, verbally aggressive, self neglect and disruptive behavior. Call from Daughter concerned about mother’s presentation, wandering at night, verbally aggressive, self neglect and disruptive behavior. In person response and coordination with Cranston PD, Fire and rescue. In person response and coordination with Cranston PD, Fire and rescue. Admit to ER for medical and mental health interventions. Admit to ER for medical and mental health interventions.

9. Case Example Continued  Johnston: Elder male abuse by son living in home Elder male abuse by son living in home Taken to ER for broken arm after report of being dragged down the stairs by son Taken to ER for broken arm after report of being dragged down the stairs by son Staff ensured police report made despite elder refusing to do so. Staff ensured police report made despite elder refusing to do so. Elder received medical attention- son arrested later that week. Elder received medical attention- son arrested later that week.

10. Cases Continued  Providence: Elder female self neglect and mental health concerns. Elder female self neglect and mental health concerns. Coordination with 2 Providence Police Housing Authority Officers. Coordination with 2 Providence Police Housing Authority Officers. Worked with PD and client to accept mental health treatment at local ER after 3 hour intervention. Worked with PD and client to accept mental health treatment at local ER after 3 hour intervention. Client certed for mental health assessment after Clinician coordinated with ER regarding client risk and behavioral health issues. Client certed for mental health assessment after Clinician coordinated with ER regarding client risk and behavioral health issues.

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