Dependent Adult Abuse Report

Iowa Department Report Series D-3 Of Human Services Kevin W. Concannon, Director Administrative Use Only

Dependent Adult Abuse Report July 2002 – December 2002

Reported Dependent Adult Abuse by County REGION I: Sioux City County Number Number Percent County Number Number Percent Reported Determined Determined Reported Determined Determined Buena Vista 1 0 0.0% Lyon 0 0 - Calhoun 0 0 - O'Brien 4 0 0.0% Cherokee 4 0 0.0% Osceola 0 0 - Clay 0 0 - Palo Alto 0 0 - Crawford 2 0 0.0% Plymouth 3 1 33.3% Dickinson 0 0 - Pocahontas 0 0 - Emmet 0 0 - Sac 0 0 - Hamilton 2 0 0.0% Sioux 6 3 50.0% Humboldt 0 0 - Webster 24 2 8.3% Ida 0 0 - Woodbury 36 7 19.4% Kossuth 2 2 100.0% Wright 1 0 0.0% TOTAL 85 15 17.6%

REGION II: Waterloo County Number Number Percent County Number Number Percent Reported Determined Determined Reported Determined Determined Allamakee 6 0 0.0% Fayette 0 0 - Black Hawk 67 8 11.9% Floyd 10 1 10.0% Bremer 9 1 11.1% Franklin 1 0 0.0% Buchanan 5 0 0.0% Grundy 1 0 0.0% Butler 1 1 100.0% Hancock 4 4 100.0% Cerro Gordo 10 6 60.0% Howard 1 0 0.0% Chickasaw 0 0 - Mitchell 0 0 - Clayton 0 0 - Winnebago 0 0 - Delaware 0 0 - Winneshiek 7 0 0.0% Dubuque 6 1 16.7% Worth 0 0 - TOTAL 128 22 17.2%

REGION III: Des Moines County Number Number Percent County Number Number Percent Reported Determined Determined Reported Determined Determined Boone 9 3 33.3% Marion 6 2 33.3% Dallas 17 4 23.5% Marshall 25 3 12.0% Hardin 8 1 12.5% Polk 288 74 25.7% Jasper 18 6 33.3% Story 15 2 13.3% Madison 3 2 66.7% Warren 4 0 0.0% TOTAL 393 97 24.7%

Prepared by Department of Human Services Page 1 Dependent Adult Abuse Report July 2002 – December 2002

Reported Dependent Adult Abuse by County (cont) REGION IV: Council Bluffs

County Number Number Percent County Number Number Percent Reported Determined Determined Reported Determined Determined Adair 2 1 50.0% Mills 0 0 - Adams 0 0 - Monona 3 0 0.0% Audubon 0 0 - Montgomery 10 1 10.0% Carroll 8 0 0.0% Page 3 0 0.0% Cass 0 0 - Pottawattamie 21 7 33.3% Clarke 1 0 0.0% Ringgold 1 1 100.0% Decatur 3 2 66.7% Shelby 2 0 0.0% Fremont 1 0 0.0% Taylor 3 1 33.3% Greene 0 0 - Union 0 0 - Guthrie 6 2 33.3% Wayne 0 0 - Harrison 5 0 0.0% TOTAL 69 15 21.7%

REGION V: Cedar Rapids

County Number Number Percent County Number Number Percent Reported Determined Determined Reported Determined Determined Appanoose 4 0 0.0% Lee 11 2 18.2% Benton 3 0 0.0% Linn 51 7 13.7% Cedar 2 0 0.0% Louisa 1 0 0.0% Clinton 35 15 42.9% Lucas 2 2 100.0% Davis 2 0 0.0% Mahaska 0 0 - Des Moines 9 1 11.1% Monroe 6 2 33.3% Henry 3 0 0.0% Muscatine 13 1 7.7% Iowa 3 0 0.0% Poweshiek 3 0 0.0% Jackson 1 1 100.0% Scott 161 39 24.2% Jefferson 3 2 66.7% Tama 9 2 22.2% Johnson 32 14 43.8% Van Buren 0 0 - Jones 6 0 0.0% Wapello 17 0 0.0% Keokuk 4 0 0.0% Washington 1 0 0.0% TOTAL 382 88 23.0%

STATE Totals

Number Number Percent Reported Determined Determined All Regions 1057 237 22.4% Not Reported 3 1 33.33% Total 1060 238 22.5%

Report Series D – 3 Page 2 Dependent Adult Abuse Report July 2002 – December 2002 Characteristics of the Cases Characteristics of the Reporter Type of Reporter Number Number Percent Type of Reporter Number Number Percent Reported Determined Determined Reported Determined Determined Victim, self-referral 6 0 0.0% Friend, Neighbor 29 7 24.1% Caretaker, self-referral 0 0 - Anonymous 34 5 14.7% Caretaker, not perpetrator 50 18 36.0% Other 601 148 24.6% Sibling 10 2 20.0% Other Relative 88 10 11.4% Not Reported 242 48 19.8% Total 1060 238 22.5% Characteristics of the Dependent Adult Age at Time of Number Number Percent Number of Ethnicity Number Number Percent Number of Abuse Reported Determined Determined Abuse Related Reported Determined Determined Abuse Related Fatalities Fatalities Under 21 50 15 30.0% 0 White, Not 739 175 23.7% 1 Hispanic 21 - 30 57 22 38.6% 0 Black, Not 36 10 27.8% 0 Hispanic 31 - 40 55 12 21.8% 0 American Indian 1 0 0.0% 0 or Alaskan Native 41 - 50 63 29 46.0% 0 Asian or Pacific 1 0 0.0% 0 Islander 51 - 60 88 27 30.7% 0 Hispanic 6 0 0.0% 0 61 - 64 48 7 14.6% 0 Indo-Chinese 0 0 - 0 65 and Over 500 108 21.6% 1 Other 2 2 100.0% 0 Not Reported 199 18 9.0% 0 Unknown 275 51 18.5% 0 Total 1060 238 22.5% Total 1060 238 22.5% Sex Number Number Percent Number of Abuse Related Reported Determined Determined Fatalities Male 374 96 25.7% 1 Female 638 132 20.7% 0 Not Reported 48 10 20.8% 0 Total 1060 238 22.5% 1 Number of Previous Founded Reports Number Number Percent Reported Determined Determined None 1013 223 22.0% One or Two 38 10 26.3% Three or More 8 5 62.5% Unknown 1 0 0.0% Total 1060 238 22.5% Report Series D – 3 Page 3 Dependent Adult Abuse Report July 2002 – December 2002 Characteristics of the Cases (cont) Characteristics of the Primary Caretaker Relationship to Number Reported Number Determined Percent Determined Relationship to Dependent Number Number Determined Percent Determined Dependent Adult Adult Reported Parent 75 17 22.7% State Facility Staff 0 0 - (Non-health care facility) Brother/Sister 21 9 42.9% Private Facility Staff 42 25 59.5% (Non-health care facility) Son/Daughter 180 34 18.9% Health Care Facility 2 0 0.0% Niece/Nephew 12 4 33.3% Other 0 0 - Other Relative 98 19 19.4% Unknown 0 0 - Friend 25 6 24.0% Not Reported 0 0 - Guardian/Conservato 4 0 0.0% No Caretaker 220 55 25.0% r Sub-Total 415 89 21.4% Sub-Total 264 80 30.3% Total 679 169 24.9% Characteristics of the Non-Facility Caretaker Age of Caretaker Number Reported Number Determined Percent Determined Ethnicity of Number Reported Number Determined Percent Determined Caretaker Under 21 5 0 0.0% White, Not Hispanic 359 68 18.9% 21 - 30 19 3 15.8% Black, Not Hispanic 19 2 10.5% 31 - 40 76 26 34.2% American Indian or 1 0 0.0% Alaskan Native 41 - 50 85 21 24.7% Asian or Pacific 1 0 0.0% Islander 51 - 60 47 11 23.4% Hispanic 3 0 0.0% 61 - 64 13 0 0.0% Indo-Chinese 0 0 - 65 and Over 54 5 9.3% Other 2 0 0.0% Not Reported 116 25 21.6% Unknown 30 21 70.0% Total 415 91 21.9% Total 415 91 21.9% Sex of Caretaker Number Reported Number Determined Percent Determined Employment Status Number Reported Number Determined Percent Determined

Male 180 38 21.1% Employed Full-time 118 21 17.8% Female 231 51 22.1% Employed Part-time 38 8 21.1% Not Reported 4 2 50.0% Unemployed, 37 7 18.9% Available Not in Labor Force 145 24 16.6% Unknown 47 8 17.0% Not Reported 30 23 76.7% Total 415 91 21.9% Total 415 91 21.9%

Report Series D – 3 Page 4 Dependent Adult Abuse Report July 2002 – December 2002

Service Information Service Status Case Status Abuse Abuse Not Total Case Status Abuse Abuse Not Total Determined Determined Determined Determined Determined Determined Case Closed: Case Open: No need for service 84 418 502 Further assessment pending 37 31 68 Service not accepted by dependent adult 3 49 52 Service accepted voluntarily by the dependent 56 104 160 adult Service not available 4 0 4 Service ordered by the court 2 3 5 Status Not Reported 52 217 269 Total 238 822 1060 Resulting Services Planned Abuse Abuse Not Total Determined Determined Determined No Services 25 93 118 At least one service 63 128 191 Not Reported or an Invalid Code Used 150 601 751 Total 238 822 1060 Type of Services Planned Abuse Abuse Not Total Type of Services Planned Abuse Abuse Not Total Determined Determined Determined Determined Determined Determined Alternative Living for Adults Client Assessment/Case Management 1 7 8 Residential Treatment 4 17 21 Chore 0 0 0 Residential Care 6 2 8 Employment/Education 0 0 0 Family Life Homes 0 0 0 Homemaker 0 10 10 Day Care Activities for Adults Housing 0 0 0 Adult Day Care 0 7 7 Legal Services 4 0 4 Work Activity 0 0 0 Material Aid 0 0 0 Shelter Work 1 7 8 Mobile/Congregate Meals 0 2 2 Family Planning 0 0 0 Substance Abuse 1 0 1 Health Related Services 0 0 0 Court Ordered Client Oversight 0 0 0 Home Management Services 0 0 0 In-Home Health Care 5 14 19 Mental Health Service 10 24 34 Allied - Not Listed Above 11 18 29 Adult Protective Service 41 39 80 Childrens Services 0 0 0 Transportation Service 0 0 0 Total 84 147 231 Report Series D – 3 Page 5 Dependent Adult Abuse Report July 2002 – December 2002 Evaluation Results Investigative Results Type of Abuse Reported Number of Percent of Type of Abuse Number of Percent of Cases Total Cases Total Physical Injury 127 12.0% Physical Injury 17 1.6% Unreasonable Confinement 4 0.4% Unreasonable Confinement 0 0.0% Cruel Punishment 1 0.1% Cruel Punishment 0 0.0% Sexual 23 2.2% Sexual 8 0.8% Exploitation 196 18.5% Exploitation 86 8.1% Denial of Critical Care 420 39.6% Denial of Critical Care 72 6.8% Self-Denial of Critical Care 243 22.9% Self-Denial of Critical Care 55 5.2% Unknown/Not Reported 46 4.3% Type of Abuse Sub-Total 238 22.5% Total 1060 100% None 694 65.5% No Abuse - Service Need Identified 7 0.7% None/No Abuse Sub-Total 701 66.1% Not Reported 121 11.4% Grand Total 1060 100%

Service Information (cont)

Report Series D – 3 Page 6