Dependent Adult Abuse Report

Dependent Adult Abuse Report

Iowa Department

Of Human Services

Kevin W. Concannon, Director

Dependent Adult Abuse Report

January 2004 to June 2004

Reported Dependent Adult Abuse by County

Service Area 1: Sioux City
County / Number Reported / Number Determined / Percent Determined / County / Number Reported / Number Determined / Percent Determined
Buena Vista / 0 / 0 / - / Lyon / 1 / 0 / 0.0%
Cherokee / 5 / 0 / 0.0% / O'Brien / 2 / 0 / 0.0%
Clay / 2 / 1 / 50.0% / Osceola / 1 / 0 / 0.0%
Dickinson / 2 / 2 / 100.0% / Palo Alto / 0 / 0 / -
Emmet / 0 / 0 / - / Plymouth / 3 / 0 / 0.0%
Ida / 0 / 0 / - / Sioux / 1 / 0 / 0.0%
Kossuth / 0 / 0 / - / Woodbury / 28 / 3 / 10.7%
TOTAL / 45 / 6 / 13.3%
Service Area 2: Waterloo
County / Number Reported / Number Determined / Percent Determined / County / Number Reported / Number Determined / Percent Determined
Black Hawk / 54 / 5 / 9.3% / Franklin / 9 / 0 / 0.0%
Bremer / 5 / 0 / 0.0% / Grundy / 4 / 0 / 0.0%
Butler / 2 / 0 / 0.0% / Hancock / 0 / 0 / -
Cerro Gordo / 18 / 4 / 22.2% / Mitchell / 0 / 0 / -
Chickasaw / 0 / 0 / - / Winnebago / 4 / 2 / 50.0%
Floyd / 2 / 0 / 0.0% / Worth / 2 / 1 / 50.0%
TOTAL / 100 / 12 / 12.0%
Service Area 3: Dubuque
County / Number Reported / Number Determined / Percent Determined / County / Number Reported / Number Determined / Percent Determined
Allamakee / 0 / 0 / - / Dubuque / 3 / 0 / 0.0%
Buchanan / 4 / 0 / 0.0% / Fayette / 3 / 0 / 0.0%
Clayton / 0 / 0 / - / Howard / 0 / 0 / -
Clinton / 17 / 6 / 35.3% / Jackson / 8 / 2 / 25.0%
Delaware / 4 / 2 / 50.0% / Winneshiek / 2 / 1 / 50.0%
TOTAL / 41 / 11 / 26.8%
Prepared by Department of Human Services Page 1

Dependent Adult Abuse Report

January 2004 to June 2004

Reported Dependent Adult Abuse by County (cont)

Service Area 4: Ames
County / Number Reported / Number Determined / Percent Determined / County / Number Reported / Number Determined / Percent Determined
Calhoun / 0 / 0 / - / Pocahontas / 1 / 0 / 0.0%
Hamilton / 5 / 1 / 20.0% / Poweshiek / 4 / 2 / 50.0%
Hardin / 10 / 1 / 10.0% / Story / 20 / 7 / 35.0%
Humboldt / 2 / 0 / 0.0% / Tama / 4 / 0 / 0.0%
Jasper / 9 / 0 / 0.0% / Webster / 25 / 5 / 20.0%
Marshall / 8 / 0 / 0.0% / Wright / 2 / 0 / 0.0%
TOTAL / 90 / 16 / 17.8%
Service Area 5: Council Bluffs
County / Number Reported / Number Determined / Percent Determined / County / Number Reported / Number Determined / Percent Determined
Audubon / 0 / 0 / - / Mills / 0 / 0 / -
Carroll / 1 / 0 / 0.0% / Monona / 1 / 1 / 100.0%
Cass / 1 / 1 / 100.0% / Montgomery / 2 / 0 / 0.0%
Crawford / 2 / 0 / 0.0% / Page / 2 / 0 / 0.0%
Fremont / 2 / 0 / 0.0% / Pottawattamie / 22 / 8 / 36.4%
Greene / 1 / 1 / 100.0% / Sac / 1 / 0 / 0.0%
Guthrie / 1 / 0 / 0.0% / Shelby / 0 / 0 / -
Harrison / 3 / 0 / 0.0% / Taylor / 1 / 0
TOTAL / 40 / 11 / 27.5%
Service Area 6: Des Moines
County / Number Reported / Number Determined / Percent Determined / County / Number Reported / Number Determined / Percent Determined
Adair / 0 / 0 / - / Madison / 5 / 5 / 100.0%
Adams / 0 / 0 / - / Marion / 2 / 0 / 0.0%
Boone / 8 / 0 / 0.0% / Polk / 191 / 46 / 24.1%
Clarke / 0 / 0 / - / Ringgold / 0 / 0 / -
Dallas / 9 / 2 / 22.2% / Union / 1 / 1 / 100.0%
Decatur / 2 / 1 / 50.0% / Warren / 10 / 2 / 20.0%
Lucas / 3 / 0 / 0.0% / Wayne / 0 / 0 / -
TOTAL / 231 / 57 / 24.7%
Report Series D – 3 Page 2

Dependent Adult Abuse Report

January 2004 to June 2004

Reported Dependent Adult Abuse by County (cont)

Service Area 7: Cedar Rapids
County / Number Reported / Number Determined / Percent Determined / County / Number Reported / Number Determined / Percent Determined
Appanoose / 2 / 0 / 0.0% / Keokuk / 2 / 0 / 0.0%
Benton / 3 / 1 / 33.3% / Linn / 45 / 14 / 31.1%
Davis / 2 / 1 / 50.0% / Mahaska / 2 / 0 / 0.0%
Iowa / 0 / 0 / - / Monroe / 1 / 0 / 0.0%
Jefferson / 7 / 1 / 14.3% / Van Buren / 0 / 0 / -
Johnson / 28 / 5 / 17.9% / Wapello / 10 / 1 / 10.0%
Jones / 3 / 0 / 0.0% / Washington / 3 / 1 / 33.3%
TOTAL / 108 / 24 / 22.2%
Service Area 8: Davenport
County / Number Reported / Number Determined / Percent Determined / County / Number Reported / Number Determined / Percent Determined
Cedar / 4 / 1 / 25.0% / Louisa / 1 / 1 / 100.0%
Des Moines / 15 / 5 / 33.3% / Muscatine / 3 / 0 / 0.0%
Henry / 2 / 0 / 0.0% / Scott / 131 / 21 / 16.0%
Lee / 10 / 1 / 10.0% / -
TOTAL / 166 / 29 / 17.5%
State Totals
Number Reported / Number Determined / Percent Determined
All SA's / 821 / 166 / 20.2%
Not Reported / 1 / 0 / 0.00%
Total / 822 / 166 / 20.2%

Report Series D – 3 Page 3

Dependent Adult Abuse Report

January 2004 to June 2004

Characteristics of the Cases

Characteristics of the Reporter
Type of Reporter / Number Reported / Number Determined / Percent Determined / Type of Reporter / Number Reported / Number Determined / Percent Determined
Victim, self-referral / 6 / 0 / 0.0% / Friend, Neighbor / 57 / 6 / 10.5%
Caretaker, self-referral / 0 / 0 / - / Anonymous / 46 / 2 / 4.3%
Caretaker, not perpetrator / 49 / 11 / 22.4% / Other / 528 / 131 / 24.8%
Sibling / 8 / 1 / 12.5%
Other Relative / 62 / 10 / 16.1% / Not Reported / 66 / 5 / 7.6%
Total / 822 / 166 / 20.2%
Characteristics of the Dependent Adult
Age at Time of Abuse / Number Reported / Number Determined / Percent Determined / Number of Abuse Related Fatalities / Ethnicity / Number Reported / Number Determined / Percent Determined / Number of Abuse Related Fatalities
Under 21 / 38 / 8 / 21.1% / 0 / White, Not Hispanic / 656 / 146 / 22.3% / 0
21 - 30 / 43 / 9 / 20.9% / 0 / Black, Not Hispanic / 46 / 6 / 13.0% / 0
31 - 40 / 27 / 6 / 22.2% / 0 / American Indian or Alaskan Native / 1 / 0 / 0.0% / 0
41 - 50 / 61 / 17 / 27.9% / 0 / Asian or Pacific Islander / 3 / 0 / 0.0% / 0
51 - 60 / 83 / 23 / 27.7% / 0 / Hispanic / 3 / 1 / 33.3% / 0
61 - 64 / 23 / 5 / 21.7% / 0 / Indo-Chinese / 1 / 0 / 0.0% / 0
65 and Over / 485 / 96 / 19.8% / 1 / Other / 1 / 0 / 0.0% / 0
Not Reported / 62 / 2 / 3.2% / 0 / Unknown / 111 / 13 / 11.7% / 1
Total / 822 / 166 / 20.2% / Total / 822 / 166 / 20.2%
Sex / Number Reported / Number Determined / Percent Determined / Number of Abuse Related Fatalities / Number of Previous Founded Reports
Male / 289 / 56 / 19.4% / 0 / Number Reported / Number Determined / Percent Determined
Female / 486 / 109 / 22.4% / 1 / None / 765 / 147 / 19.2%
Not Reported / 47 / 1 / 2.1% / 0 / One or Two / 44 / 11 / 25.0%
Total / 822 / 166 / 20.2% / 1 / Three or More / 7 / 4 / 57.1%
Report Series D – 3 Page 4

Dependent Adult Abuse Report

January 2004 to June 2004

Characteristics of the Cases (cont)

Characteristics of the Primary Caretaker
Relationship to Dependent Adult / Number Reported / Number Determined / Percent Determined / Relationship to Dependent Adult / Number Reported / Number Determined / Percent Determined
Parent / 69 / 12 / 17.4% / State Facility Staff (Non-health care facility) / 0 / 0 / -
Brother/Sister / 27 / 1 / 3.7% / Private Facility Staff (Non-health care facility) / 13 / 4 / 30.8%
Son/Daughter / 172 / 39 / 22.7% / Health Care Facility / 2 / 1 / 50.0%
Niece/Nephew / 11 / 1 / 9.1% / Other / 77 / 25 / 32.5%
Other Relative / 78 / 8 / 10.3% / Unknown / 5 / 2 / 40.0%
Friend / 32 / 3 / 9.4% / Not Reported / 103 / 11 / 10.7%
Guardian/Conservator / 7 / 2 / 28.6% / No Caretaker / 226 / 57 / 25.2%
Sub-Total / 396 / 66 / 16.7% / Sub-Total / 426 / 100 / 23.5%
Total / 822 / 166 / 20.2%
Characteristics of the Non-Facility Caretaker
Age of Caretaker / Number Reported / Number Determined / Percent Determined / Ethnicity of Caretaker / Number Reported / Number Determined / Percent Determined
Under 21 / 8 / 1 / 12.5% / White, Not Hispanic / 337 / 58 / 17.2%
21 - 30 / 23 / 5 / 21.7% / Black, Not Hispanic / 29 / 3 / 10.3%
31 - 40 / 48 / 11 / 22.9% / American Indian or Alaskan Native / 0 / 0 / -
41 - 50 / 90 / 18 / 20.0% / Asian or Pacific Islander / 1 / 0 / 0.0%
51 - 60 / 69 / 19 / 27.5% / Hispanic / 2 / 0 / 0.0%
61 - 64 / 10 / 0 / 0.0% / Indo-Chinese / 0 / 0 / -
65 and Over / 59 / 3 / 5.1% / Other / 1 / 0 / 0.0%
Not Reported / 89 / 9 / 10.1% / Unknown / 26 / 12 / 46.2%
Total / 396 / 66 / 16.7% / Total / 396 / 73 / 18.4%
Sex of Caretaker / Number Reported / Number Determined / Percent Determined / Employment Status / Number Reported / Number Determined / Percent Determined
Male / 177 / 27 / 15.3% / Employed Full-time / 123 / 22 / 17.9%
Female / 212 / 37 / 17.5% / Employed Part-time / 46 / 3 / 6.5%
Not Reported / 7 / 2 / 28.6% / Unemployed, Available / 38 / 15 / 39.5%
Not in Labor Force / 133 / 16 / 12.0%
Unknown / 44 / 10 / 22.7%
Not Reported / 12 / 0 / 0.0%
Total / 396 / 66 / 16.7% / Total / 396 / 66 / 16.7%
Report Series D – 3 Page 5

Dependent Adult Abuse Report

January 2004 to June 2004

Service Information

Service Status
Case Status / Abuse Determined / Abuse Not Determined / Total Determined / Case Status / Abuse Determined / Abuse Not Determined / Total Determined
Case Closed: / Case Open:
No need for service / 68 / 396 / 464 / Further assessment pending / 6 / 22 / 28
Service not accepted by dependent adult / 9 / 35 / 44 / Service accepted voluntarily by the dependent adult / 62 / 120 / 182
Service not available / 2 / 3 / 5 / Service ordered by the court / 9 / 1 / 10
Status Not Reported / 10 / 79 / 89
Total / 166 / 656 / 822
Resulting Services Planned / Abuse Determined / Abuse Not Determined / Total Determined
No Services / 17 / 84 / 101
At least one service / 75 / 164 / 239
Not Reported or an Invalid Code Used / 74 / 408 / 482
Total / 166 / 656 / 822
Type of Services Planned / Abuse Determined / Abuse Not Determined / Total Determined / Type of Services Planned / Abuse Determined / Abuse Not Determined / Total Determined
Alternative Living for Adults / Client Assessment/Case Management / 2 / 0 / 2
Residential Treatment / 8 / 8 / 16 / Chore / 0 / 2 / 2
Residential Care / 7 / 6 / 13 / Employment/Education / 0 / 0 / 0
Family Life Homes / 0 / 0 / 0 / Homemaker / 6 / 18 / 24
Day Care Activities for Adults / Housing / 0 / 1 / 1
Adult Day Care / 0 / 6 / 6 / Legal Services / 3 / 1 / 4
Work Activity / 1 / 5 / 6 / Material Aid / 0 / 0 / 0
Shelter Work / 2 / 2 / 4 / Mobile/Congregate Meals / 3 / 4 / 7
Family Planning / 0 / 0 / 0 / Substance Abuse / 2 / 0 / 2
Health Related Services / 0 / 0 / 0 / Court Ordered Client Oversight / 0 / 0 / 0
Home Management Services / 0 / 0 / 0 / In-Home Health Care / 9 / 18 / 27
Mental Health Service / 7 / 30 / 37 / Allied - Not Listed Above / 18 / 20 / 38
Adult Protective Service / 21 / 55 / 76 / Childrens Services / 0 / 5 / 5
Transportation Service / 3 / 1 / 4
Total / 92 / 182 / 274
Report Series D – 3 Page 6

Dependent Adult Abuse Report

January 2004 to June 2004

Service Information (cont)

Evaluation Results / Investigative Results
Type of Abuse Reported / Number of Cases / Percent of Total / Type of Abuse / Number of Cases / Percent of Total
Physical Injury / 83 / 10.1% / Physical Injury / 11 / 1.3%
Unreasonable Confinement / 1 / 0.1% / Unreasonable Confinement / 0 / 0.0%
Cruel Punishment / 2 / 0.2% / Cruel Punishment / 0 / 0.0%
Sexual / 20 / 2.4% / Sexual / 6 / 0.7%
Exploitation / 162 / 19.7% / Exploitation / 42 / 5.1%
Denial of Critical Care / 288 / 35.0% / Denial of Critical Care / 50 / 6.1%
Self-Denial of Critical Care / 237 / 28.8% / Self-Denial of Critical Care / 57 / 6.9%
Unknown/Not Reported / 29 / 3.5% / Type of Abuse Sub-Total / 166 / 20.2%
Total / 822 / 100% / None / 578 / 70.3%
No Abuse - Service Need Identified / 11 / 1.3%
None/No Abuse Sub-Total / 589 / 71.7%
Not Reported / 67 / 8.2%
Grand Total / 822 / 100%
Report Series D – 3 Page 7