BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 2379
                                                                  Page  1

          Date of Hearing:  May 6, 2014

                           ASSEMBLY COMMITTEE ON JUDICIARY
                                Bob Wieckowski, Chair
                    AB 2379 (Weber) - As Amended:  April 22, 2014

                                  PROPOSED CONSENT

           SUBJECT  :  ABUSE OF DEPENDENT ADULTS: MULTIDISCIPLINARY TEAMS

           KEY ISSUE  :  SHOULD CHILD WELFARE SERVICES PERSONNEL BE INCLUDED  
          AMONG THOSE PROFESSIONALS AUTHORIZED TO PARTICIPATE ON A  
          MULTIDISCIPLINARY TEAM PROVIDING SERVICES TO ELDERLY OR  
          DEPENDENT ADULTS VULNERABLE TO ABUSE?

                                      SYNOPSIS
          
          This non-controversial bill, sponsored by the County of San  
          Diego, seeks to include child welfare services (CWS) personnel  
          among those persons who may serve on an adult protective  
          services (APS) multidisciplinary team, which currently may  
          consist of various professionals trained in the prevention,  
          identification, management, or treatment of abuse of elderly or  
          dependent adults.  According to the author, existing law does  
          not explicitly allow for shared participation and information  
          exchange between CWS and APS personnel in cases where that would  
          be appropriate and may help protect a dependent adult from  
          further abuse by a parent or caregiver.  Proponents, including  
          counties, welfare directors, and social workers, contend that  
          the bill will help facilitate sharing of information necessary  
          for the identification of appropriate and responsive services  
          for many vulnerable dependent adults, particularly those who may  
          have had past interaction with the state's foster care system.   
          The bill was previously approved by the Assembly Human Services  
          Committee by a 7-0 vote and has no known opposition.

          SUMMARY  :  Authorizes child welfare services personnel to be  
          included among those persons who may serve on an adult  
          protective services (APS) multidisciplinary team.  

           EXISTING LAW  :  

          1)Establishes the Elder Abuse and Dependent Adult Civil  
            Protection Act (EADACPA), which declares that infirm elderly  
            persons and dependent adults are a disadvantaged class, and  








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            provides that adult protective services (APS), long-term care  
            ombudsman programs, and law enforcement agencies receive  
            referrals and complaints from mandated reporters and the  
            public regarding allegations of elder or dependent abuse or  
            neglect and shall take necessary actions, as specified.   
            (Welfare and Institutions Code Section 15600.  All further  
            references are to this code unless otherwise stated.)

          2)Defines "multidisciplinary personnel team" as a team of two or  
            more persons who are trained in the prevention,  
            identification, management, or treatment of abuse of elderly  
            or dependent adults and who are qualified to provide a broad  
            range of services related to abuse of elderly or dependent  
            adults.  (Section 15610.55(a).)

          3)Provides that a multidisciplinary team may include, but is not  
            limited to, psychiatrists, psychologists, or other trained  
            counseling personnel; police or other law enforcement agents;  
            medical personnel; social workers with experience or training  
            in prevention of elder or dependent adult abuse; public  
            guardians; and the long-term care ombudsman (LTCO).  (Section  
            15610.55(b).)

           FISCAL EFFECT  :  As currently in print this bill is keyed  
          non-fiscal.

           COMMENTS  :  This non-controversial bill, sponsored by the County  
          of San Diego, seeks to include child welfare services (CWS)  
          personnel among those persons who may serve on an adult  
          protective services (APS) multidisciplinary team, which  
          currently may consist of a variety of professionals trained in  
          the prevention, identification, management, or treatment of  
          abuse of elderly or dependent adults.  

          According to the author, this simple statutory authorization for  
          CWS and APS personnel to share expertise and information may  
          help protect vulnerable dependent adults in appropriate cases  
          where, for example, there is a history of past child abuse by  
          those responsible for the dependent adult's care.  In support of  
          the bill, the author explains:

               In 2010, the County of San Diego dealt with the case of  
               Jeremy Marlow, a 28-year old man who was severely  
               developmentally disabled and had cerebral palsy.  His  
               caregivers were his mother and brother.  Jeremy was  








                                                                  AB 2379
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               admitted to the hospital with breathing problems.  He was  
               covered in cat hair and weighed less than 100 pounds.  
               Sheriff's investigators found in his bedroom a soiled  
               mattress, garbage and feces, and his wheelchair covered  
               in cat hair.  Jeremy died after a few days in the  
               hospital. 

               There are two more recent cases in San Diego of young  
               dependent adults who are suspected of being abused.  Both  
               cases (involved) victims with intellectual disabilities  
               who were reportedly being abused by a parent.  Adult  
               Protective Services workers in these two cases are  
               precluded by law from asking for case information from  
               Child Welfare Services workers.  In all three of these  
               cases, the ability for APS workers to know the child  
               abuse history of these cases is crucial to protecting  
               these vulnerable adults from the very people who are  
               supposed to care for them.

               AB 2379 would allow the exchange of information between  
               two or more CWS and APS workers in order to assist with  
               the prevention and amelioration of abuse for individuals  
               who were in the CWS system and are now adults.

           This bill allows for the inclusion of CWS personnel in  
          appropriate cases, particularly in cases where a dependent adult  
          may have recently been in the child welfare system.   This bill  
          permits the inclusion of CWS personnel on a multidisciplinary  
          personnel team for an elderly or dependent adult, which is not  
          explicitly allowed under existing law.  The bill does not  
          require inclusion of CWS personnel in every case, but simply  
          authorizes inclusion where appropriate for providing services to  
          and safeguarding against abuse of a vulnerable dependent adult.   
          Allowing participation by a CWS worker on an APS  
          multidisciplinary team could improve access to information  
          necessary to the identification of appropriate and responsive  
          services particularly for any dependent adult who may have had  
          past interaction with the state's foster care system.  

          In such cases, the bill facilitates the CWS worker to provide  
          additional information to the other members of the APS  
          multidisciplinary team regarding, for example, whether the  
          dependent adult was in foster care; whether as a minor in foster  
          care, the adult suffered chronic abuse committed by his or her  
          parent or caregiver; and if additional information related to  








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          the adult's time in foster care should be pursued to justify the  
          adult's receipt of additional services or placement into  
          temporary emergency protective custody stemming from past  
          instances of abuse dating back to the adult's time in foster  
          care.
           
          ARGUMENTS IN SUPPORT  :  The bill is supported by counties,  
          welfare directors, and social workers, among others, who contend  
          it will help prevent abuse of dependent adults.  For example,  
          the Urban Counties Caucus writes in support:

               Current law does not allow information sharing between  
               Child Welfare Services and Adult Protective Services  
               regarding a minor in proceedings, and limits access to  
               case files.  AB 2379 would allow the sharing of  
               information between the two systems which will help  
               prevent abuse of dependent adults before it occurs, and  
               ensure that parents or caregivers who have abused  
               victims as children, cannot continue to abuse them as  
               adults.

           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          County of San Diego (sponsor)
          AFSCME
          California Association of Public Authorities for IHSS (CAPA)
          California Probation, Parole and Correctional Association  
          (CPPCA)
          California State Association of Counties (CSAC)
          County Welfare Directors Association of CA (CWDA)
          National Association of Social Workers, CA Chapter (NASW-CA)
          Urban Counties Caucus

           Opposition 
           
          None on file
           
          Analysis Prepared by  :   Anthony Lew / JUD. / (916) 319-2334