Division of Elderly Affairs After Hours Program Jennifer M. Etue, LICSW Clinical Administrator Trauma, Loss and Children’s Services Family Service of Rhode Island Inc.

The Elder ES Program started on 5/14/07. 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.

Other calls are anonymous tips from those within the community. 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.

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

All Calls During FY12 Call Type Received Placed Total Advocacy 2 9 11 Emergency Response on Scene 38 47 Emergency Response Phone Response Only 60 152 212 Information/Referral 3 46 49 Outreach 10 Post-incident Follow-up with Caregiver 4 Report Taken 168 217 385 Post-incident Follow-up with Client 8 Post-incident Follow-up with Collateral Service Providers 55 Post-incident Follow-up with DEA 63 71 Post-incident Follow-up with Law Enforcement 6 34 40 Other 39 137 176 230 508 738

In person responses Frequency Percent Valid Percent Cumulative Percent No 121 43.1 Valid Yes 160 56.9 100.0 Total 281

Demographics Served by City Frequency Percent Valid Percent Cumulative Percent 1 .4 Barrington 4 1.4 1.8 Blackstone 2.1 Bristol 3 1.1 3.2 Central Falls 10 3.6 6.8 Coventry 8 2.8 9.6 Cranston 11 3.9 13.5 Cumberland 16.4 East Greenwich 18.1 East Providence 19.6 Exeter 19.9 Greenville 20.3 Harrisville 21.4 Hope Valley 21.7 Jamestown 22.8 Johnston 9 26 Lincoln 27 Little Compton 27.4 Manville 27.8

Case Examples Cranston: Female elder age 60 Chemically induced dementia. 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. Admit to ER for medical and mental health interventions.

Case Example Continued Johnston: Elder male abuse by son living in home 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. Elder received medical attention- son arrested later that week.

Cases Continued Providence: Elder female self neglect and mental health concerns. 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. Client certed for mental health assessment after Clinician coordinated with ER regarding client risk and behavioral health issues.