118 CMR 7.03
Protective Services Assessment
(1) The initial determination of the need for and requirements of protective services shall be
part of the investigative process conducted pursuant to M.G.L. c. 19C, §§ 4 and 5, shall be
consistent with the protocols adopted by the Commission and shall be made part of the Initial
Response submitted pursuant to M.G.L. c. 19C, § 5 and 118 CMR 5.00: Investigations. Said
determination shall, at minimum, include the following:
(a) A finding regarding whether the person with a disability is at risk of further harm; and
(b) A finding and recommendation identifying an appropriate protective service provider
to respond to the abuse which occurred and to prevent further risk of harm to the person with
a disability.
Upon receipt of the Initial Response completed by the referral agency or by the
Commission, the Commission shall refer the matter to the designated state agency within the
Executive Office of Health and Human Services for purposes of providing timely protective
services.
(3) The designated protective services provider shall complete and file with the Commission
a protective services plan within 30 days of acceptance of the Investigation Report by the
Commission. The plan shall contain, at minimum, the following information:
(a) a narrative description of the protective service activity(ies) or task(s) to be provided;
(b) identification of the individual(s) responsible for supervising the provision of and for
performing the identified protective service activity(ies) or task(s);
(c)
identification of the proposed or actual start date for the provision of the identified
protective service(s); and
(d)
such other information the Commission may determine to be necessary to fulfill its
responsibility to monitor the provision of protective services.
(4) After receipt of the protective services plan, the Commission shall review and approve the
plan in accordance with its monitoring responsibilities.
(1) Protective services shall:
(a) be provided by agencies of the Commonwealth and vendors who contract or license with
such agencies pursuant to the approved protective services plan filed with the Commission;
(b) be provided in the least restrictive manner possible; and
(c)
be provided to protect a person with a disability from abuse, to remedy the effects of
abuse and to respond to the underlying abusive situation, to the extent possible.
(2) Protective services may include, but are not limited to:
(a) Social services casework and case management including, but not limited to, evaluations
of functional capacity and resources, development of a service plan, appropriate referral
services, and emergency response;
(b) Counseling;
(c) Homemaker/chore services;
(d) Temporary shelter;
(e) Dietary services;
(f) Emergency services;
(g) Respite services;
(h) Alternative housing;
(i) Housing assistance;
(j) Special attendants;
(k) Adaptive equipment;
(l) Transportation;
(m) Psychology services;
(n) Health-related services;
(o) Referral to legal services;
(p)
Recommendations for staff focused actions including, but not limited to,
recommendations for staff training and corrective action; and
(q) Recommendations for implementation of corrective agency policies and procedures.
(3) Unless the person with a disability has been found incapacitated and/or protective services
are being implemented pursuant to a court order, the person with a disability may refuse any or
all protective services.
(1) The Commission shall monitor the provision of protective services for each person with a
disability who is determined to require protective services.
(2) The monitoring of each case shall continue until the Commission closes the case.
(3) The monitoring by the Commission for each case may include, but shall not be limited to:
(a) a review of emergency protective services provided by the designated protective services
provider;
(b) a visit to the person with a disability;
(c) a determination of the status of the alleged abuser, if identified;
(d) a review of case records of the Commission, of the referral agency which conducted the
abuse investigation, and of the agency providing the protective services, if different from the
referral agency including, but not limited to, the protective service plan submitted to the
Commission; and
(e) a review of any plan for transition to any needed long-term services.