How to Implement the Team-Based

Approach: A Case Presentation

Monthly Geriatric Interprofessional Case Conference

June 7, 2016

Facilitated by Janet Velez, MPH

Social Service Planner

Presenters of Case:

Manuel Gonzalez, BSW –APS Social Worker

Saji Paul, MSW -Social Services Supervisor

Vicky Virgilio, Projects Coordinator

C.A.R.E. Program – Elder Abuse Forensic Center

Riverside County DPSS Adult Services Division

Objectives:

1. To understand the importance of collaboration across

disciplines to address Adult Protective Services’ (APS)

cases.

2. To understand the functions of Riverside County’s

C.A.R.E. Program.

3. To understand the functions of Riverside County’s Elder

Abuse Forensic Center.

Mr. B. – A Geriatric Case

75 year old Male

Cognitive Impairment

Dementia

Gravely Disabled

Danger to Self/Others

APS Background Information

History of Multiple APS Reports

Lives Alone

Home is Unsafe and Unsanitary

Multiple Reporting Parties

Law Enforcement Involvement

Code Enforcement Involvement

Reported APS Concerns

Roams around in his soiled underwear

Bangs on neighbors’ doors

Goes over to neighbors’ yard to curse them out

Concern that he has guns in the home

Drives around without a drivers license and

without recollection of where he went

The Home Environment

Discussion of Case

The Challenges

Capacity Declaration

LPS Conservatorship

Placement Options

Proper Level of Care

Interdisciplinary Collaborative

Riverside

County APS

Riverside

County Medi-

Cal Unit

Medical

Evaluation by

Geriatric Team

Emergency

Treatment

Services

Mental Health • SMART Team

Public

Guardian

Law

Enforcement

Riverside

University

Health

Systems

The C.A.R.E.

Program

The Elder Abuse

Forensic Center

Team Based Approach

Work interdependently

Interact formally/informally

Communicate assessment/treatment information

Problem solve systematically with team

Collaborate and share team functions

Any Questions