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House tightens reporting rules for emotional abuse in assisted-living and nursing homes

Utah House of Representatives · January 25, 2012
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Summary

House Bill 47 narrows the definition of reportable emotional abuse so staff need not file reports for nonthreatening conduct by residents who lack capacity; the House passed the bill 72–0 after sponsors said it reduces unnecessary stigma while preserving investigation of serious abuse.

The Utah House on Jan. 24 unanimously approved House Bill 47, a measure that narrows the statutory definition of emotional or psychological abuse in assisted-living and nursing-home settings so operators would not be required to report certain nonthreatening conduct by residents who lack the capacity to intend harm.

Sponsor Representative Moss said the current definition forced staff to file reports in situations such as one resident yelling at or ridiculing another — conduct often triggered by dementia or Alzheimer's disease — resulting in unnecessary reporting that wastes Adult Protective Services resources and stigmatizes vulnerable residents. "When it is done by someone who lacks the capacity to intentionally or knowingly engage in the conduct, they should not have to add additional stigma of a report," Moss said.

Representative Gibson, who said the idea arose from a constituent working in a facility, supported the bill and described burdensome reporting in practice. Supporters noted that the bill does not lessen protections for serious abuse; rather, it focuses reporting on conduct that indicates a serious or intentional problem. The sponsor also said the Alzheimer's Association and related advocacy groups support the change and will offer staff training.

The House voted 72–0 in favor of the bill. The measure will be transmitted to the Senate.

Next steps: If enacted, training and implementation guidance will be provided to facility staff; the transcript references coordinated training programs to help staff respond without unnecessary reports.