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					    Vulnerable Adult Assessment Tool

             Presented by: Karla Zimmerman,
                     Friendship, Inc.

             Co-Presenter: Martha Tollefson,
              N.D. Protection & Advocacy



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    Vulnerable Adult Assessment Tool
     GAIL’S STORY


     COLLABORATION
       DD Service Providers               The ARC
       Corporate Guardianship             Regional DD
       Fargo Police Department            P&A

     RESULTS
       Vulnerable Adult Assessment Tool
       Risk Mitigation Assessment Tool
       Missing Person Legislation



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    Vulnerable Adult Assessment Tool


           Proper and Thorough Assessment
                         +
          Proactive Programming/Supports

                         =
               Decreased Vulnerability
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        Vulnerable Adult Assessment Tool

      AREA TO ASSESS                      PROGRAMMING
    Taken advantage of by                    Assertiveness training
                                             Stranger awareness training
    others
                                             Social skills training
     Financial, sexual, property, etc.      Naturally occurring
     Is the individual easy to              Counseling
      manipulate;                            Group activity
     How do they respond to threats;        Legal
     What will they do to get/keep a           DPOA, Rep Payee,
      friend; etc.                              Guardianship,
                                                 Conservatorship
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     Vulnerable Adult Assessment Tool

     AREA TO ASSESS                   PROGRAMMING
    Communication                      Speech evaluation/therapy
    Skills                             Updates on speech
     How do they communicate;          board/books
     Can they be understood by the    Assistive technology
      general public (verbal, sign,    Informed consent
      board, etc.)
     How would you describe their
      comprehension skills; etc.


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    Vulnerable Adult Assessment Tool

    AREA TO ASSESS                  PROGRAMMING
    Concept of time,                 Calendars/pictures
                                     Relating to something
    person, place,
                                      known (ie television show,
    distance, money                   Twins games, pop)
     Do they understand these       Money skills
      concepts;
     What does each one of these
      concepts mean to them; etc.


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    Vulnerable Adult Assessment Tool

    AREA TO ASSESS                     PROGRAMMING
    Safety skills                       Pedestrian training
     Can they safely cross a street    Bike riding assessments
      with/without staff;               First-aide training
     How do they respond to            On-going drills
      emergencies (first-aid, fire,
                                        Naturally occurring
      etc);
                                        Assistive technology




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    Vulnerable Adult Assessment Tool

    AREA TO ASSESS                     PROGRAMMING
    Identification Card                 Obtain card
     Do they carry their ID card;      ID Card training
     Do they often lose their card;    Assistive technology
     Do they use the card for            Bracelet/necklace
      cashing checks; etc.                Recordable
                                           watches/reminder




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    Vulnerable Adult Assessment Tool

    AREA TO ASSESS                PROGRAMMING
    Relays personal                Assistive technology
    information (Name,             Social skills training

    address, telephone             Speech
                                   Day/date/time orientation
    #)
                                    practice/skills
     Can they provide accurate
      and current information;
     Can they be understood by
      others when excited or
      frightened;
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       Vulnerable Adult Assessment Tool

      AREA TO ASSESS                  PROGRAMMING
     Relays                            Review daily
                                       Objective training
     provider/family                       To show ID card
     name                              I Need Help Card
      Can they provide a family or       If I need help please call
       staff person’s name;               Facility/Family
      Can they give family or            Day number
       providers telephone #;             After hours #
      Do they know where the “main
       office’’ is; etc.
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       Vulnerable Adult Assessment Tool

       AREA TO ASSESS                    PROGRAMMING
     Amount of time                       Assess yearly and as needed
                                          Identify amount
     individual can be on
                                          Back up plan for person
     their own
                                          Emergency training/on-
      Assess at their home , work and
                                           going
       community;
                                          Stranger awareness training
      How long can they be
       alone/gone before you would
       get worried; etc.

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       Vulnerable Adult Assessment Tool

       AREA TO ASSESS                   PROGRAMMING
     Risk taking behavior                Social skills training
                                         Sexuality training
     that is consensual
                                         Relationship
      Do they drink alcoholic
       beverages;                         training/groups
      Do they date;                     Need for substitute
      Are they sexually active; etc.
                                          decision-maker
                                         Informed consent



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         Vulnerable Adult Assessment Tool

         AREA TO ASSESS                   PROGRAMMING
     Risk taking behavior                  Rights training
     that is non-consensual                Social skills training
      Do they understand the rights of    Need for substitute
       others;                              decision-maker
      Do they understand personal
                                           Perpetrator or victim
       boundaries;
      Any sexual/physical aggression;     Positive behavior supports
      Do they respect others and their
       property; etc.

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     Vulnerable Adult Assessment Tool

     AREA TO ASSESS                  PROGRAMMING
     Aggression towards               Positive behavioral
                                       supports
     others or their
                                      Rights training
     property                         Functional analysis of
      Is there a behavior plan in     behavior
       place;
                                      Patterns of place, person,
      What are the                    environment
       antecedents/triggers; etc.


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     Vulnerable Adult Assessment Tool

     AREA TO ASSESS                     PROGRAMMING
     Self abuse                          Rule out medical
      What are the typical              Functional assessment of
       reactions when afraid, scared,     behavior
       threatened;                       Proper diagnosis
      What is the degree of self        Positive behavioral
       abuse;                             supports
      Does it require/warrant
                                           Assistive devices
       medical attention; etc.
                                           Therapies (sensory)

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       Vulnerable Adult Assessment Tool

      AREA TO ASSESS                     PROGRAMMING
     Emergency medical                    Awareness of potential side
     care/drug                               effects of medication
     intervention                           Alzheimer's/Dementia
      What conditions, i.e. epilepsy,          Medical registration
       diabetes, heart, pica, etc;
      What might others see
                                            Assistive technology
       (symptoms);                          Medical alert jewelry
      What are the symptoms or side
       effect of medications they use;      Emergency medical
      What interactions may there be        supplies/procedures
       with alcohol; etc.
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      Vulnerable Adult Assessment Tool

      AREA TO ASSESS                   PROGRAMMING
     Community mobility                 Safety skills training
      What is their preferred mode;    Ability to discriminate
      What other possibilities do         known cars
       they have;                         Self protection
      Do they independently “choose      Assess skills/problematic
       a bus” or do they go by the         behaviors
       number they need; etc.
                                          Street safety training
                                          Use of cell phones

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     Vulnerable Adult Assessment Tool

     AREA TO ASSESS                   PROGRAMMING
     Prior involvement                 Individual Justice Planning
                                       Training specific to
     with police
                                        concern area (i.e. theft –
      Look at instances when they
                                        rights - sexual assault –
       were identified as a
                                        sexuality training)
       victim/witness;
                                       Counseling
      Look at times when
       identified as a perpetrator;
      What was the disposition;
       etc.
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         Vulnerable Adult Assessment Tool

        AREA TO ASSESS                    PROGRAMMING
     Prior missing episodes                Learn from the past
      What were the circumstances;        Knowing person’s
      What was the objective of the        patterns/desires
       individual (i.e. why did they       Daily schedules of activities
       leave; what did they want; where    LISTEN to the person
       did they go; etc.);
                                           Develop a missing person
      What was the outcome of the
                                            protocol
       event; etc.


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     Vulnerable Adult Assessment Tool

     AREA TO ASSESS                    PROGRAMMING
     Unique areas to the                Appropriate
                                         transitioning/time
     individual
                                        Family dynamics
      Did they recently move from
       one home to another;             Awareness training

      Any restraining orders;          Past history
      Any religious , spiritual,
       cultural considerations; etc.


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     Vulnerable Adult Assessment Tool


          Proper and Thorough Assessment
                         +
          Proactive Programming/Supports
                         =
               Decreased Vulnerability
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     Vulnerable Adult Assessment Tool


       Contact Friendship for:
         Missing Person(s) Protocol
         Assessment of Spiritual Strengths
         IPP Residential Assessment Summary
         IPP Vocational Assessment Summary
         Initial Rights Assessment
         Financial Assessment
         Bicycle Riding Assessment


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