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