BILL ANALYSIS AB 2435 Page 1 Date of Hearing: April 6, 2010 ASSEMBLY COMMITTEE ON BUSINESS AND PROFESSIONS Mary Hayashi, Chair AB 2435 (Lowenthal) - As Amended: March 24, 2010 SUBJECT : Elder and dependent adult abuse. SUMMARY : Requires marriage and family therapists (MFTs), licensed clinical social workers (LCSWs), psychologists, and licensed professional counselors (PCCs) to have training on the recognition and reporting of suspected elder and dependent adult abuse as requirements for licensure. Specifically, this bill : 1)Encourages the Board of Psychology (BOP) and the Board of Behavioral Sciences (BBS) to include coursework regarding the assessment and reporting of elder and dependent adult abuse in the required training on aging and long-term care issues prior to licensure or license renewal. 2)Adds instruction on the assessment, reporting, and treatment related to elder and dependent adult abuse and neglect, to the coursework and continuing education requirements prior to licensure or licensure renewal as a psychologist, MFT, LCSW, or PCC commencing January 1, 2012. 3)States that it is anticipated and encouraged that hours of experience gained prior to being licensed as an MFT will include working with elders and dependent adults who have physical or mental limitations that restrict their ability to carry out normal activities or protect their rights. 4)States legislative intent and findings. EXISTING LAW provides for the licensure and regulation of psychologists, PCCs, LCSWs and MFTs and establishes specified coursework requirements, including child abuse assessment and reporting. FISCAL EFFECT : Unknown COMMENTS : Purpose of this bill . According to the author's office, "225,000 Californians are victims of elder and dependent adult AB 2435 Page 2 abuse each year, with family members constituting more than two-thirds of the alleged abusers. However, the statistics for reports of elder abuse do not mirror the increasing occurrences of elder abuse in California; experts estimate that only one in 14 cases is reported. For financial abuse, the statistics are even more startling with only an estimated one in 100 incidents ever reported. "The aging of California will increase the demand for professionals with expertise in the aging process and abuse recognition and reporting. Health and mental health care providers are key to stopping elder and dependent adult abuse and helping families in crisis. Just like physicians, nurses, and health aides, MFTs, LCSWs, psychologists, and PCCs are mandated reporters for suspected elder and dependent adult abuse. In order to not only comply with abuse reporting laws, but also to adequately serve an aging population and their families and caregivers, providers need education and training on the aspects of aging, including the recognition and reporting of elder and dependent adult abuse. "Degree programs and licensing requirements for MFTs, LCSWs, and psychologists already include training on elder and dependent adult abuse recognition and reporting. However, while state law requires degree programs to include training in the biological, sociological, and psychological aspects of aging, state law is silent on the inclusion of elder and dependent adult abuse. "The goal of this bill is not to place additional requirements on licensees, but instead to codify in state law the existing education and training on elder and dependent adult abuse recognition and reporting." Background . California has more older adults than any other state and the number is expected to double in the next ten years with the aging of the baby boomers. According to the Attorney General's office, over 225,000 Californians are victims of elder and dependent adult abuse each year, with family members constituting more than two-thirds of the alleged abusers. However, the statistics for reports of elder abuse do not mirror the increasing occurrences of elder abuse in California; experts estimate that only one in 14 cases is reported. For financial abuse, the statistics are even more startling with only an estimated one in 100 incidents ever AB 2435 Page 3 reported. Support . The Alzheimer's Association writes in support, "Given the dismal reporting of elder abuse, only one in 14 cases, it is critical that policy makers take steps to address this serious and very sad situation. Your bill AB 2435 is an appropriate and reasonable step. By educating those likely to encounter elder adult populations in their work, AB 2435 will hopefully help curb the abuses that unfortunately go unreported in the majority of cases." REGISTERED SUPPORT / OPPOSITION : Support California Commission on Aging (Co-Sponsor) Congress of California Seniors (Co-Sponsor) County Welfare Directors Association of California (Co-Sponsor) Alzheimer's Association City and County of San Francisco Opposition None on file. Analysis Prepared by : Rebecca May / B. & P. / (916) 319-3301