BILL ANALYSIS                                                                                                                                                                                                    



                                                                       



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          |SENATE RULES COMMITTEE            |                  AB 2435|
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                                 THIRD READING


          Bill No:  AB 2435
          Author:   Bonnie Lowenthal (D)
          Amended:  6/16/10 in Senate
          Vote:     21

           
           SENATE BUSINESS, PROF. & ECON. DEVELOP. COMM  :  5-2, 6/14/10
          AYES:  Negrete McLeod, Calderon, Correa, Florez, Yee
          NOES:  Aanestad, Walters
          NO VOTE RECORDED:  Wyland, Oropeza

           SENATE APPROPRIATIONS COMMITTEE  :  Senate Rule 28.8 

           ASSEMBLY FLOOR  :  70-2, 5/3/10 - See last page for vote


           SUBJECT  :    Elder and dependent adult abuse

           SOURCE  :     California Commission on Aging
                      County Welfare Directors Association 


           DIGEST  :    This bill requires psychologists, marriage and  
          family therapists, clinical social workers, and  
          professional clinical counselors to have instruction and  
          training in the recognition and reporting of suspected  
          elder and dependent adult abuse as requirements for  
          licensure.

           ANALYSIS  :    Existing law:

          1.Licenses and regulates the practice of marriage and  
            family therapists (MFTs), licensed educational  
                                                           CONTINUED





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            psychologists, and licensed clinical social workers  
            (LCSWs) by the Board of Behavioral Sciences (BBS) within  
            the Department of Consumer Affairs.  Beginning January 1,  
            2012, the Board will additionally license professional  
            clinical counselors.

          2.Licenses and regulates the practice of psychologists by  
            the Board of Psychology (BOP) within DCA.

          3.Establishes specified coursework requirements, including  
            child abuse assessment and reporting for psychologists,  
            MFTs LCSWs and licensed professional clinical counselors,  
            and authorizes the BOP and the BBS to exempt an applicant  
            who applies for an exemption and who shows to the  
            satisfaction of the board that there would be no need for  
            the training in his or her practice because of the nature  
            of that practice.

          This bill:

          1.Encourages the BOP and the 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 required for licensure and to  
            the continuing education requirements for license renewal  
            for a psychologist, MFT, LCSW, or LPCC beginning 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.

          5.Makes technical and conforming changes.








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           Prior Legislation  

          SB 953 (Vasconcellos), Chapter 541, Statutes of 2002,  
          required psychologists, marriage and family therapists, and  
          social workers, to have training in aging and long-term  
          care issues as part of their initial education, or  
          continuing education.

          SB 33 (Correa), Chapter 26, Statutes of 2009, updated  
          education and training requirements for MFTs and included  
          required training on child abuse.  SB 33 specified that  
          MFTs should have training and education regarding older  
          adults, but did not specifically require training on the  
          assessment or reporting of elder and dependent adult abuse.

          SB 788 (Wyland), Chapter 619, Statutes of 2009, provides  
          for the licensing and regulation of professional clinical  
          counselors, by the Board of Behavioral Sciences beginning  
          January 1, 2012.  Although that bill required instruction  
          in elder and dependent adult abuse for specified  
          applicants, it did not do so uniformly for all applicants.

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes    
          Local:  No

           SUPPORT  :   (Verified  6/29/10)

          California Commission on Aging (source)
          County Welfare Directors Association (source)
          Alzheimer's Association
          Board of Behavioral Services
          California State Association of Counties
          City and County of San Francisco
          Congress of California Seniors
          Contra Costa Advisory Council on Aging
          Los Angeles County District Attorney


           ARGUMENTS IN SUPPORT  :    The author states that "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  







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          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."

          In describing the need for the bill, the author further  
          states: 

               "The aging of California residents 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, psychologists, MFTs, LCSWs, and licensed  
               professional counselors 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.

               "Existing law for these licensees already includes  
               requirements for education regarding the recognition  
               and reporting of child abuse.  However, in most cases,  
               the codes do not specify education or training  
               requirements relative to the recognition and reporting  
               of elder and dependent adult abuse."



           ASSEMBLY FLOOR  :  
          AYES:  Adams, Ammiano, Arambula, Bass, Beall, Blakeslee,  
            Block, Blumenfield, Bradford, Brownley, Buchanan,  
            Caballero, Charles Calderon, Carter, Chesbro, Conway,  
            Coto, Davis, De La Torre, De Leon, Emmerson, Eng, Evans,  
            Feuer, Fletcher, Fong, Fuentes, Fuller, Furutani, Gaines,  
            Galgiani, Gilmore, Hagman, Harkey, Hayashi, Hernandez,  
            Hill, Huber, Huffman, Jeffries, Jones, Knight, Lieu,  
            Logue, Bonnie Lowenthal, Ma, Mendoza, Miller, Monning,  
            Nava, Nestande, Niello, Nielsen, V. Manuel Perez,  
            Portantino, Ruskin, Salas, Saldana, Silva, Skinner,  







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            Smyth, Solorio, Audra Strickland, Swanson, Torlakson,  
            Torres, Torrico, Tran, Villines, Yamada
          NOES:  Anderson, Norby
          NO VOTE RECORDED:  Bill Berryhill, Tom Berryhill, Cook,  
            DeVore, Garrick, Hall, John A. Perez


          JA:nl  6/29/10   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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