Jennifer M. Etue, LICSWJennifer M. Etue, LICSWClinical Administrator Trauma, Loss and Clinical Administrator Trauma, Loss and

Children’s ServicesChildren’s ServicesFamily Service of Rhode Island Inc.Family Service of Rhode Island Inc.

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

Four licensed clinicians staff the Elder Four licensed clinicians staff the Elder Emergency Services Program and rotate Emergency Services Program and rotate

being on-call. being on-call.

The Elder ES Program operates from 4pm-The Elder ES Program operates from 4pm-8:30am on weekdays and 24/7 on weekends 8:30am on weekdays and 24/7 on weekends

and holidays. and holidays.

Port of Entry Port of Entry Calls are received from elders, family members, Calls are received from elders, family members,

neighbors, hospitals, and first responders. neighbors, hospitals, and first responders.

A great number of calls involve concerned A great number of calls involve concerned neighbors or family members reporting neighbors or family members reporting

possible abuse or neglect. possible abuse or neglect.

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

ResponsesResponsesAbuse or neglectAbuse or neglectSelf neglectSelf neglectFinancial or other exploitationFinancial or other exploitationMental/ Behavioral health concernsMental/ Behavioral health concernsRespite ServicesRespite ServicesDomestic ViolenceDomestic ViolenceAbandonment of elder by family/ family Abandonment of elder by family/ family

membermember

All Calls During FY12All Calls During FY12

Call Type Call Type

ReceivedReceived Placed Placed Total Total

Advocacy Advocacy 22 99 1111

Emergency Response on Scene Emergency Response on Scene 99 3838 4747

Emergency Response Phone Response Only Emergency Response Phone Response Only 6060 152152 212212

Information/Referral Information/Referral 33 4646 4949

Outreach Outreach 00 1010 1010

Post-incident Follow-up with CaregiverPost-incident Follow-up with Caregiver 00 44 44

Report Taken Report Taken 168168 217217 385385

Post-incident Follow-up with Client Post-incident Follow-up with Client 00 88 88

Post-incident Follow-up with Collateral Service Providers Post-incident Follow-up with Collateral Service Providers 99 4646 5555

Post-incident Follow-up with DEA Post-incident Follow-up with DEA 88 6363 7171

Post-incident Follow-up with Law Enforcement Post-incident Follow-up with Law Enforcement 66 3434 4040

Other Other 3939 137137 176176

Total Total 230 230 508 508 738738

In person responsesIn person responses

Frequency Frequency Percent Percent Valid Valid Percent Percent

CumulativCumulative Percent e Percent

No No 121121 43.143.1 43.143.1 43.143.1

Valid Valid Yes Yes

160160 56.956.9 56.956.9 100.0100.0

Total Total

281281 100.0100.0 100.0100.0

Demographics Served by CityDemographics Served by City

FrequencyFrequency Percent Percent Valid Percent Valid Percent Cumulative Cumulative Percent Percent

11 .4.4 .4.4 .4.4

Barrington Barrington 44 1.41.4 1.41.4 1.81.8

BlackstoneBlackstone 11 .4.4 .4.4 2.12.1

Bristol Bristol 33 1.11.1 1.11.1 3.23.2

Central Falls Central Falls 1010 3.63.6 3.63.6 6.86.8

CoventryCoventry 88 2.82.8 2.82.8 9.69.6

Cranston Cranston 1111 3.93.9 3.93.9 13.513.5

Cumberland Cumberland 88 2.82.8 2.82.8 16.416.4

East Greenwich East Greenwich 33 1.11.1 1.11.1 18.118.1

East Providence East Providence 44 1.41.4 1.41.4 19.619.6

Exeter Exeter 11 .4.4 .4.4 19.919.9

Greenville Greenville 11 .4.4 .4.4 20.320.3

Harrisville Harrisville 33 1.11.1 1.11.1 21.421.4

Hope ValleyHope Valley 11 .4.4 .4.4 21.721.7

Jamestown Jamestown 33 1.11.1 1.11.1 22.822.8

Johnston Johnston 99 3.23.2 3.23.2 2626

LincolnLincoln 33 1.11.1 1.11.1 2727

Little ComptonLittle Compton 11 .4.4 .4.4 27.427.4

Manville Manville 11 .4.4 .4.4 27.827.8

Case ExamplesCase ExamplesCranston: Cranston:

Female elder age 60Female elder age 60 Chemically induced dementia.Chemically induced dementia. Call from Daughter concerned about mother’s Call from Daughter concerned about mother’s

presentation, wandering at night, verbally presentation, wandering at night, verbally aggressive, self neglect and disruptive behavior.aggressive, self neglect and disruptive behavior.

In person response and coordination with In person response and coordination with Cranston PD, Fire and rescue.Cranston PD, Fire and rescue.

Admit to ER for medical and mental health Admit to ER for medical and mental health interventions.interventions.

Case Example ContinuedCase Example ContinuedJohnston:Johnston:

Elder male abuse by son living in homeElder male abuse by son living in home Taken to ER for broken arm after report of Taken to ER for broken arm after report of

being dragged down the stairs by sonbeing dragged down the stairs by son Staff ensured police report made despite elder Staff ensured police report made despite elder

refusing to do so.refusing to do so. Elder received medical attention- son arrested Elder received medical attention- son arrested

later that week.later that week.

Cases ContinuedCases ContinuedProvidence:Providence:

Elder female self neglect and mental health Elder female self neglect and mental health concerns.concerns.

Coordination with 2 Providence Police Housing Coordination with 2 Providence Police Housing Authority Officers.Authority Officers.

Worked with PD and client to accept mental health Worked with PD and client to accept mental health treatment at local ER after 3 hour intervention.treatment at local ER after 3 hour intervention.

Client certed for mental health assessment after Client certed for mental health assessment after Clinician coordinated with ER regarding client risk Clinician coordinated with ER regarding client risk and behavioral health issues.and behavioral health issues.

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