New York City's Department for the Aging did not effectively oversee the providers who were responsible for responding to elder abuse referrals, according to a state audit released by State Comptroller Thomas P. DiNapoli.
The review found that two main providers frequently missed deadlines for contacting clients, conducting assessments, and completing follow-ups, and that many services workers had not completed required training in elder abuse detection and services. Out of 41 high-risk referrals, 17 involved concerns of physical violence or lack of access to food. Most cases were not properly documented as high risk, and none received services within the required response time, according to the audit.
There were shortcomings in DFTA's oversight of its Bill Payer Program, which was established to help older adults manage bill payments and detect potential fraud. Auditors found the department had not formally evaluated the program's effectiveness or adequately monitored its performance.
The lack of oversight resulted in delays which may have lead to patients' further physical, emotional and financial harm, the audit said.
Over 210,000 elderly New Yorkers rely on the DFTA for direct services, according to NYC.gov.
“Victims of elder abuse should not have to wait for help,” said DiNapoli. "I urge the department to act on our recommendations and follow its own protocols to better protect the elderly.”
The audit examined DFTA's Elder Justice Program, and calls for stronger oversight, improved staff training and better monitoring of services intended to protect older New Yorkers. Delays in responding to reports of abuse can leave victims vulnerable to escalating violence, financial exploitation and neglect, while limited community outreach may reduce awareness of available resources and how to report suspected abuse, the audit said.
The comptroller issued 17 recommendations to strengthen oversight and better enforce provider requirements. DFTA said it fully accepted six recommendations and partially accepted 10.
The department's response is included in the report.
