# COMAR Title 07 — Department of Human Services

## Subtitle 02 — Social Services Administration

### Chapter 15 — Social Services to Adults

#### Regulation .07 Coordination With Other Services.

*COMAR 07.02.15.07*

A. Adult Protective Services.

  (1) While providing the service of this program, the SSTA case manager shall be alert for indicators of abuse, neglect, exploitation, or self-neglect and, therefore, requires Adult Protective Services.

  (2) If the SSTA case manager determines that indicators of abuse, neglect, or exploitation exist, the worker shall make a referral to Adult Protective Services immediately.

  (3) If the SSTA case manager determines that indicators of self-neglect exist, the worker shall make a referral to Adult Protective Services if:

    (a) The adult or the adult's representative does not agree to and cooperate with a SSTA service plan which would result in a substantial abatement of the risk due to self-neglect; or

    (b) Guardianship of the Person of the adult is necessary to mitigate the risk due to self-neglect.

  (4) When the SSTA case manager refers a SSTA client to Adult Protective Services, the case manager shall continue services to the client until Continuing Adult Protective Services has begun.

B. In-Home Aide Services.

  (1) When the service plan indicates that an adult needs service from the In-Home Aide Services program, the case manager shall complete a written referral to the In-Home Aide Services program. The referral shall include at least the following:

    (a) A clear list of the specific aide services requested;

    (b) An explanation of why aide service is needed and what other resources have been explored to meet the adult's need for aide service; and

    (c) A statement of the specific objectives to be achieved by the aide service.

  (2) When the SSTA case manager reassesses the client’s service plan which includes use of In-Home Aide Services, the worker shall:

    (a) Request from the In-Home Aide Services program staff a Progress Report outlining their evaluation of the effect and effectiveness of the aide service on the client's overall circumstances; and

    (b) Notify the In-Home Aide Services program of any changes to the contents of the referral.

  (3) When the case manager determines that the adult requires immediate service from the In-Home Aide Services program in order to prevent abuse, neglect, self-neglect, exploitation, or institutional placement, the worker shall make an immediate verbal request to the In-Home Aide Services supervisor. The SSTA worker shall forward a written referral to the In-Home Aide Services supervisor within 5 working days of the verbal request for services.

  (4) When the case manager is notified that service to an adult from the In-Home Aide Services program will be or has been terminated, the worker shall begin a reassessment of the adult's service needs immediately, unless the termination is the result of a service plan previously developed by the worker with the adult or the adult's representative.