Key Indicator Component

National Adult Maltreatment Reporting System

0054 Key Indicator Component Data Collection instrument with PRA statement 508 .._

NAMRS Key Indicator Component Instrument

OMB: 0985-0054

Document [pdf]
Download: pdf | pdf
OMB Control Number 0985-0054
Expiration Date: 02/29/2020

KEY INDICATORS COMPONENT DATA
PRA Public Burden Statement:
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of
information unless such collection displays a valid OMB control number (OMB 0985-0054). Public
reporting burden for this collection of information is estimated to average per response as follows for each
component of the collection: Agency Component – 7 hours; Key Indicator Component – 32 hours; Case
Component – 125 hours. These estimates include the time for gathering and maintaining the data needed and
completing and reviewing the collection of information. The obligation to respond to this collection is
voluntary. Send comments regarding the burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden, to the Administration for Community Living,
U.S. Department of Health and Human Services, 330 C Street, SW, Washington, DC 20201-0008, Attention:
Stephanie Whittier Eliason, at 202.795.7467 and Stephanie.WhittierEliason@acl.hhs.gov

The Key Indicators Component data will be entered directly onto an online form on the NAMRS website on an
annual basis. The reporting period is the federal fiscal year (October–September). This component includes
aggregated counts of key statistics and is submitted only by those states that cannot submit the Case
Component.
Table 1–Investigations
Element Name

Element Description/
Categories

Required

Field Entry
Format

Instructions

K1

Investigations
Closed

Number of investigations closed
during the reporting period.

Yes

Numeric - 10
integers

Investigation could have been
received in previous reporting
period, but must have been
closed during current
reporting period. Closed
investigations include those
completed and resulted in a
finding (e.g., substantiated,
unsubstantiated). Closed
investigations also include
those where the investigation
was not completed due to
reasons such as client
refused services. Do not
include investigation closed
due to administrative reasons
such as opened in error.

K1.1

Comment

Provide additional information on
the number of investigations
closed during the reporting
period.

No

Text - 5,000
characters

Element
Category/No.
Clients who
received
investigations

Element Name

Element Description/
Categories

Required

Field Entry
Format

K2

Clients who
received an
investigation

K2.1

Comment

Element
Category/No.
Investigations
Closed

Table 2–Clients

Clients who
received
interagency
coordination

Instructions
Count each client in each
investigation. If a client was
the subject of two
investigations, count twice.

Number of clients involved in an
investigation that was closed or
completed during the reporting
period.
Provide additional information on
how number of clients was
determined.

Yes

Numeric - 10
integers

No

Text - 5,000
characters
Count each client once for
each investigation in which
he/she received one or more
interagency coordination
activities.

B-1

Element
Category/No.

Element Name

Element Description/
Categories

Required

Field Entry
Format

Instructions

K3

Clients who
received
interagency
coordination

Number of clients referred to an
agency in which an interagency
coordination was part of the
investigation.

No

Numeric - 10
integers

Examples of agencies include
law enforcement or
prosecutorial offices,
protection and advocacy or
Client Advocacy Program
(CAP), state licensing agency,
State Medicaid Fraud Control
Unit (MFCU), and Long Term
Care Ombudsman Program.

K3.1

Comment

Provide additional information on
how number of clients who
received interagency
coordination was determined.

No

Text - 5,000
characters

This includes the number of
clients by case closure reason
whose case was closed for a
specific reason.

Clients by case
closure reason

A client is counted for each
case closure. There can only
be one primary case closure
reason per client per case.
K4.1

Investigation completed

No

K4.2

No

K4.5

Investigation completed and
protective services case
completed
Investigation unable to be
completed (non-specific)
Investigation unable to be
completed due to death of client
during investigation
Investigation unable to be
completed due to refusal of
client
Protective services case opened
but not completed (non-specific)
Protective services case closed
due to death of client
Protective services case closed
due to client decision to not
continue
Other

K4.6

Unknown

No

Provide additional information on
how number of clients by case
closure reason was determined.

No

K4.3
K4.3.1

K4.3.2

K4.4
K4.4.1
K4.4.2

K4.7

Comment

No
No

Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers

No

Numeric - 10
integers

No

Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers

No
No

No

Numeric - 10
integers
Numeric - 10
integers
Text - 5,000
characters

B-2

Table 3–Victims
Element
Category/No.
Clients found
to be victims

Element Name

K5

Clients found to be
victims

K5.1

Comment

Element Description/
Categories

Required

Field Entry
Format

Instructions
A victim is counted once for
each investigation in which a
maltreatment was
substantiated, no matter how
many maltreatments were
substantiated.

Number of victims in which at
least one maltreatment
disposition was substantiated
per investigation.
Provide additional information on
how number of victims was
determined.

Yes

Numeric - 10
integers

No

Text - 5,000
characters
The victim’s age is computed
by subtracting the client's date
of birth from the investigation
start date. An estimated age
can be used.

Victims by Age

The victim’s age is counted
once per each investigation in
which the client was found to
be a victim.
Age could differ between
investigations.
K6.1

18-29 years

No

K6.2

30-39 years

No

K6.3

40-49 years

No

K6.4

50-59 years

No

K6.5

60-69 years

No

K6.6

70-74 years

No

K6.7

75-84 years

No

K6.8

85 and older

No

K6.9

Unknown

No

Provide additional information on
how age was computed.

No

K6.10

Comment

Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Text - 5,000
characters

B-3

Element
Category/No.
Victims by
race

Element Name

Element Description/
Categories

Required

No

K7.2

American Indian or Alaska
Native
Asian

K7.3

Black or African American

No

K7.4

No

K7.5

Native Hawaiian or Other Pacific
Islander
White

K7.6

Other

No

K7.7

Unknown

No

Provide additional information on
how number of victims by race
was determined.

No

Comment

No

No

Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Text - 5,000
characters
Count each victim once per
investigation.

Victims by
ethnicity
K8.1

Hispanic, Latino/a, or Spanish

No

K8.2

Not Hispanic, Latino/a, or
Spanish
Unknown

No

Provide additional information on
how number of victims by
ethnicity was determined.

No

K8.3
K8.4

Comment

No

Numeric -10
integers
Numeric - 10
integers
Numeric - 10
integers
Text - 5,000
characters
Count each victim once per
investigation.

Victims by
gender identity
K9.1

Male

No

K9.2

Female

No

K9.3

Transgender

No

K9.4

Unknown

No

Provide additional information on
how number of victims by
gender was determined.

No

K9.5

Instructions
A multiracial victim is counted
for each race identified. For
example, if the victim is Asian
and White, the victim should
be counted in both race
categories. If specific races
cannot be identified for the
multiracial victim, the victim is
counted in “other” category.

K7.1

K7.8

Field Entry
Format

Comment

Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Text - 5,000
characters

B-4

Element
Category/No.
Victims
receiving
benefits

Element Name

Element Description/
Categories

Required

K10

Victims who
received one or
more benefits

Number of victims who received
one or more federal and/or state
benefits.

K10.1

Comment

Provide additional information on No
how number of victims by receipt
of benefits was determined.

No

Field Entry
Format

Numeric - 10
integers

K11.1

A victim is counted once per
investigation in which he/she
was identified as having one
or more disabilities.
Victims with one or
more disabilities
Comment

Number of victims with one or
more disabilities.
Provide additional information on
how number of victims with one
or more disabilities was
determined.

No
No

Numeric - 10
integers
Text - 5,000
characters

Victims with
behavioral
conditions
K12

Victims with one or
more screened or
diagnosed
behavioral
conditions

Number of victims with one or
more screened or diagnosed
behavioral conditions.

No

Numeric - 10
integers

K12.1

Comment

Provide additional information on
how number of victims with a
behavioral condition was
determined.

No

Text - 5,000
characters

Victims by
maltreatment
type

A victim is counted once per
investigation in which he/she
received one or more
benefits.
The types of benefits include
but are not limited to:
Medicaid, Medicare, public
subsidized housing, Social
Security Disability Insurance,
Social Security retirement
benefits, Supplemental
Security Income, Temporary
Assistance for Needy
Families, and veterans'
disabled benefits.

Text - 5,000
characters

Victims with
disabilities
K11

Instructions

A victim is counted once per
investigation in which he/she
was screened as having one
or more behavioral conditions.
The types of diagnoses
include, but are not limited to:
alcohol use disorder, anxiety,
bipolar disorder, dementia,
depression, schizophrenia
and other psychotic disorders,
substance use disorder, and
traumatic brain injury.

A victim is counted each time
he/she was substantiated as a
victim of a specific
maltreatment type.
For example, if a person was
found to be a victim of neglect
in two investigations, the
count for neglect would be
two for that victim.
B-5

Element
Category/No.

Element Description/
Categories

Required

Field Entry
Format

K13.1

Abandonment

No

K13.2

Emotional abuse

No

K13.3

Exploitation (non-specific)

No

K13.3.1

Financial exploitation

No

K13.3.2

Other exploitation

No

K13.4

Neglect

No

K13.5

Physical abuse

No

K13.6

Sexual abuse

No

K13.7

Suspicious death

No

K13.8

Self-neglect

No

K13.9

Other

No

K13.10

Unknown

No

Provide additional information on
how number of victims by
maltreatment type was
determined.

No

Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Text - 5,000
characters

K13.11

Element Name

Comment

A victim is counted once per
investigation in which he/she
was screened as having one
or more guardians or
conservators.

Victims with
guardian or
conservator
K14

K14.1

Victims who
received or
were referred
for services

Instructions

Victims with
guardian or
conservator at start
of investigation
Comment

Number of victims with guardian
or conservator at start of
investigation.

No

Provide additional information on No
how number of victims by one or
more guardians or conservators
was determined.

Numeric - 10
integers

Text - 5,000
characters

A victim is counted once per
investigation in which he/she
received or was referred for
one or more services.
If a client received multiple
services and also was
referred for multiple services
in one investigation, he/she is
counted only once.

B-6

Element
Category/No.

Element Name

Element Description/
Categories

Required

Field Entry
Format

K15

Victims who
received services or
were referred for
services by APS
Comment

Number of victims who received
services or were referred for
services by APS.

No

Numeric - 10
integers

Provide additional information on
how number of victims by
services was determined.

No

Text - 5,000
characters

Element Description/
Categories

Required

Field Entry
Format

K15.1

Instructions

Table 4–Perpetrators
Element
Category/No.
Perpetrators by
age

Element
Name

Instructions
The perpetrator age is
computed by subtracting the
person's date of birth from the
investigation start date. An
estimated age can be used.
Count each perpetrator once
per client per investigation.
If a person was the
perpetrator of two clients in
one investigation, the person
is counted twice.

K16.1

17 and younger

No

K16.2

18-29 years

No

K16.3

30-39 years

No

K16.4

40-49 years

No

K16.5

50-59 years

No

K16.6

60-69 years

No

K16.7

70-74 years

No

K16.8

75-84 years

No

K16.9

85 and older

No

K16.10

Unknown

No

Provide additional information on
how number of perpetrators by
age was determined.

No

Male

No

K16.11

Comment

Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Text - 5,000
characters

Perpetrators by
gender identity
K17.1

Numeric - 10
integers
B-7

Element
Category/No.

Element Description/
Categories

Required

Field Entry
Format

K17.2

Female

No

K17.3

Transgender

No

K17.4

Unknown

No

Provide additional information on
how number of perpetrators by
gender was determined.

No

Numeric - 10
integers
Numeric - 10
integers
Numeric - 10
integers
Text - 5,000
characters

K17.5

Element
Name

Comment

Count each perpetrator once
per client per investigation.

Perpetrators with
kinship
relationship

K18

K18.1

If a person was the
perpetrator of two clients in
one investigation and is
related to one victim and not
the second, the perpetrator is
counted only once.
Perpetrators
who had a
kinship
relationship to
the victim
Comment

Number of perpetrators related
to the victim by affinity (blood,
adoption, marriage, etc.)

No

Numeric - 10
integers

Provide additional information on
how number of perpetrators by
kinship relationship was
determined.

No

Text - 5,000
characters

Count each perpetrator once
per client per investigation.
If a person was the perpetrator
of two clients in one
investigation and has one or
more caregiving relationships
to one victim and not the
second, the
perpetrator is counted only
once.

Perpetrators with
association to
victim

K19

K19.1

Instructions

Perpetrators
who had one or
more
associations to
victim
Comment

Number of perpetrators with one
or more caregiving relationships
to the victim.

No

Numeric - 10
integers

Provide additional information on
how number of perpetrators by
association to the victim was
determined.

No

Text - 5,000
characters

B-8

Element
Category/No.
Perpetrators with
legal remedy
recommendations

Element
Name

K20

Perpetrators for
whom one or
more legal
remedies on
behalf of the
victim were
recommended
or sought
Comment

K20.1

Element Description/
Categories

Required

Field Entry
Format

Instructions
Count each perpetrator once
per client per investigation.
If a person was the perpetrator
of two clients in one
investigation and had one or
more legal remedies
recommended or sought
related to one victim and none
with the second, the
perpetrator is counted only
once.

Number of perpetrators for
whom at least one legal remedy
was recommended or sought.

No

Numeric - 10
integers

Provide additional information on
how number of perpetrators by
legal remedy was determined.

No

Text - 5,000
characters

B-9


File Typeapplication/pdf
File Modified0000-00-00
File Created0000-00-00

© 2024 OMB.report | Privacy Policy