Thursday, March 15, 2012

Preventing abuse with background checks

A small item in today's AnnArbor.com caught my attention as an easy topic for a short blogpost: Michigan's Governor Rick Snyder signed into law two state Senate bills, SB 787 and SB 788, that "amend existing statute to require that criminal background checks are done through the FBI for owners, operators, and certain other workers in adult foster care homes and homes for the elderly." A person who has been found guilty of a felony or who has been found guilty of a misdemeanor in the last ten years for the crime of abuse of a vulnerable adult can be denied a license.  

“We have a responsibility to ensure the best and safest care for Michigan’s elderly,” Snyder said in a statement. “A thorough background check of caregivers ensures only the most dedicated and scrupulous Michiganders work with our vulnerable citizens.”

Here is a brief summary of the bills. The law requires state background checks through the state police, as well as the FBI.

This one little article brings up a lot of questions that I am embarrassed to say I don't have answers for: Does the state require background checks for all direct care workers who work in these homes? What about the proliferation of unlicensed settings where people with developmental disabilities receive care and other services? Are agencies or individuals who provide care in these settings subject to background checks? Are there requirements that local Community Mental Health agencies do background checks on caregivers and others who interact with the DD population? The purpose of background checks is to prevent abuse, but do the laws extend far enough to have a significant effect?
 
I can see I have my work cut out for me. Abuse of severely developmentally disabled adults like my sons is a real and justified fear. At least I know this: it is a crime to abuse a vulnerable adult, "an individual age 18 or over who, because of age, developmental disability, mental illness, or physical disability requires supervision or personal care or lacks the personal and social skills required to live independently." This applies to any caregiver no matter the setting. Anyone found to have abused a vulnerable adult can face criminal penalties including prison and stiff fines. Here is the statute:


THE MICHIGAN PENAL CODE (EXCERPT)
Act 328 of 1931
 

750.145n Vulnerable adult abuse; first degree; second degree; third degree; fourth degree; authority to prevent vulnerable adult from being harmed or harming others not prohibited; applicability of section to act carried out by patient advocate.
Sec. 145n.
(1) A caregiver is guilty of vulnerable adult abuse in the first degree if the caregiver intentionally causes serious physical harm or serious mental harm to a vulnerable adult. Vulnerable adult abuse in the first degree is a felony punishable by imprisonment for not more than 15 years or a fine of not more than $10,000.00, or both.
(2) A caregiver or other person with authority over the vulnerable adult is guilty of vulnerable adult abuse in the second degree if the reckless act or reckless failure to act of the caregiver or other person with authority over the vulnerable adult causes serious physical harm or serious mental harm to a vulnerable adult. Vulnerable adult abuse in the second degree is a felony punishable by imprisonment for not more than 4 years or a fine of not more than $5,000.00, or both.
(3) A caregiver is guilty of vulnerable adult abuse in the third degree if the caregiver intentionally causes physical harm to a vulnerable adult. Vulnerable adult abuse in the third degree is a misdemeanor punishable by imprisonment for not more than 2 years or a fine of not more than $2,500.00, or both.
(4) A caregiver or other person with authority over the vulnerable adult is guilty of vulnerable adult abuse in the fourth degree if the reckless act or reckless failure to act of the caregiver or other person with authority over a vulnerable adult causes physical harm to a vulnerable adult. Vulnerable adult abuse in the fourth degree is a misdemeanor punishable by imprisonment for not more than 1 year or a fine of not more than $1,000.00, or both.
(5) This section does not prohibit a caregiver or other person with authority over a vulnerable adult from taking reasonable action to prevent a vulnerable adult from being harmed or from harming others.
(6) This section does not apply to an act or failure to act that is carried out as directed by a patient advocate under a patient advocate designation executed in accordance with sections 5506 to 5515 of the estates and protected individuals code, 1998 PA 386, MCL 700.5506 to 700.5515.

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