Residential Director Core Training Recognizing, Reporting and Preventing Abuse and Neglect Module 4 MODULE 4 RECOGNIZING, REPORTING AND PREVENTING ABUSE AND NEGLECT R-09-01-10 Page 1 Residential Director Core Training Recognizing, Reporting and Preventing Abuse and Neglect Module 4 TABLE OF CONTENTS RECOGNIZING, REPORTING AND ...........................................................................................................................................1 PREVENTING ABUSE AND NEGLECT .....................................................................................................................................1 TABLE OF CONTENTS .................................................................................................................................................................2 WHAT YOU WILL LEARN FROM THIS TRAINING MODULE ...........................................................................................4 ABUSE AND NEGLECT OVERVIEW .........................................................................................................................................5 RECOGNITION SECTION ............................................................................................................................................................7 EARLY RECOGNITION IS A FORM OF PREVENTION ..........................................................................................................................7 TYPES OF ABUSE .......................................................................................................................................................................7 PHYSICAL ABUSE IS DEFINED AS.....................................................................................................................................................7 SEXUAL ABUSE IS DEFINED AS:.......................................................................................................................................................9 MENTAL ABUSE IS DEFINED AS:....................................................................................................................................................11 FINANCIAL EXPLOITATION IS DEFINED AS: ...................................................................................................................................12 NEGLECT IS DEFINED AS: ...........................................................................................................................................................13 EGREGIOUS NEGLECT IS DEFINED AS: ...........................................................................................................................................13 EXAMPLE OF NEGLECT .................................................................................................................................................................13 MALTREATMENT ....................................................................................................................................................................14 POSSIBLE BEHAVIORAL INDICATORS OF MALTREATMENT ...........................................................................................................16 POSSIBLE CIRCUMSTANTIAL INDICATORS OF MALTREATMENT ....................................................................................................17 HARM CAUSED BY ACCIDENTAL MEANS:........................................................................................................................17 RULE 50 (ILLINOIS ADMINISTRATIVE CODE 50) ...........................................................................................................................19 RULE 50 MANDATES:..............................................................................................................................................................20 RULE 51 (FOR DOMESTIC SETTING CASES) ..................................................................................................................................21 ICF/DD RULE 350........................................................................................................................................................................21 ALLEGATION:...........................................................................................................................................................................22 INAPPROPRIATE INTERACTIONS ....................................................................................................................................................23 CHARACTERISTICS OFTEN FOUND IN ABUSERS.............................................................................................................24 SEXUAL PREDATORS.....................................................................................................................................................................24 WARNING SIGNS TO LOOK FOR WHEN HIRING STAFF:..................................................................................................................25 REPORTING SECTION ...............................................................................................................................................................26 REQUIRED REPORTER:...........................................................................................................................................................26 PROHIBITION OF RETALIATORY ACTION AGAINST AN EMPLOYEE FOR REPORTING:.....................................................................27 REPORTING REQUIREMENTS ...............................................................................................................................................28 WHAT ARE THE REQUIREMENTS FOR REPORTING DEATHS?...........................................................................................................28 FALSE REPORTS OF ABUSE OR NEGLECT ......................................................................................................................................28 REPORTING EXERCISE: .................................................................................................................................................................30 VOLUNTEERS ................................................................................................................................................................................31 SERIOUS INCIDENTS AND ACCIDENTS:..........................................................................................................................................31 REPORTING TO LAW ENFORCEMENT.............................................................................................................................................31 REPORTING TO DEPARTMENT OF PUBLIC HEALTH........................................................................................................................32 AGENCY RESPONSE TO REPORTS OF ABUSE: ................................................................................................................................33 WHAT TO SAY WHEN SOMEONE TELLS YOU THEY HAVE BEEN SEXUALLY ABUSED.........................................34 COMFORTING THE VICTIM ............................................................................................................................................................35 OIG – INVESTIGATIVE FINDINGS..................................................................................................................................................37 SUBSTANTIATED FINDINGS AND THE HEALTH CARE WORKER'S REGISTRY(FORMERLY KNOWN AS NURSE AIDE REGISTRY).................................................................................................................................................................................37 COMMON EXCUSES FOR NOT REPORTING.....................................................................................................................................38 REPORTING AS A FORM OF PREVENTION.......................................................................................................................................38 PREVENTION SECTION.............................................................................................................................................................39 EDUCATING INDIVIDUALS ...................................................................................................................................................39 DIGNITY OF RISK.....................................................................................................................................................................40 STAFF HIRING...........................................................................................................................................................................41 N-09-01-10 Page 2 Residential Director Core Training Recognizing, Reporting and Preventing Abuse and Neglect Module 4 STAFF TRAINING .....................................................................................................................................................................41 STAFF ATTITUDE.....................................................................................................................................................................42 GROUP DISCUSSION ......................................................................................................................................................................43