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Program Description

  Assessment & Continuing Care Management Services

This program provides multi-disciplinary assessments, care planning, and case management services to frail seniors and adults with disabilities to remedy and prevent abuse, neglect, self-neglect, financial exploitation, or inappropriate institutionalization. Services include Adult Protective Services, Social Services to Adults, and the Public Guardianship Program.

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Program Contacts

Contact Patrice McGhee, DPA of the HHS - Aging and Disability Services at 240-773-1089 or Grace Pedersen of the Office of Management and Budget at 240-773-1088 for more information regarding this department's operating budget.

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Program Performance Measures

Program Performance MeasuresActual FY23Actual FY24Estimated FY25Target FY26Target FY27
New Adult Protective Services Investigations 19661,0641,1171,1721,230
Percent of APS Clients with another investigation within six months (recidivism) 26%5%5%5%5%
Percent of seniors and adults with disabilities that avoid institutional placement while receiving case management services 393%95%95%95%95%
Number of clients receiving case management services 4905907934962990
1  The 10% increase in APS investigations in FY24 is likely due to the growth of the aging and at-risk population in Montgomery County, increased community outreach/education, referrals from community/preferred partners and the senior community, along with the official ending of the public health emergency. Future projections are anticipated to be in line with the growth seen this fiscal year.
2  Adult Protective Services investigations are voluntary for clients with capacity. Therefore, due to self-determination, some clients choose not to follow the program's recommendations, and, as such, rates of recidivism may fluctuate. Six percent is the State's goal, and the program anticipates that the rate will remain at this level.
3  The percentage remained stable, with a slight increase in FY24. No change is anticipated in upcoming years as case management has been effective in assisting clients to remain in the community with supports such as personal care and medical coordination.
4  Case management services has maintained approximately the same number of active clients in FY24. The program anticipates an increase in clients due to increased Adult Protective Services investigations and increased referrals to the Senior Care Program where the waitlist has been successfully eliminated. (All Senior Care recipients are assigned a case manager.)
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Program Budget Changes

FY26 Recommended ChangesExpendituresFTEs
FY25 Approved1357616161.75
Increase Cost: Three Percent Increase to the Adult Medical Day Care Provider Supplement666840.00
Multi-program adjustments, including negotiated compensation changes, employee benefit changes, changes due to staff turnover, reorganizations, and other budget changes affecting multiple programs.20595680.00
FY26 Recommended1570241361.75