Adult Protective Services

Adult Protective Services (APS) receives, identifies and investigates reports of abuse, neglect or exploitation of adults age 18 years or older who are incapacitated or anyone 60 and older. APS workers also provide case management or related services and establish and strengthen family and social support systems to protect adults at risk of abuse, neglect or exploitation.

Philosophy of Adult Protective Services

The following principles are basic to the planning and delivery of APS:

  • Proper protection of adults may require an APS worker to advocate for the right of the capable adult to make his or her own choices even when the community or family may oppose these choices.
  • The least restrictive and least intrusive intervention necessary to protect the adult and stabilize the situation is the most appropriate.
  • The adult has the right to make decisions on his or her own behalf until he or she delegates that responsibility voluntarily or the court grants that responsibility to another individual.
  • Adult abuse, neglect, and exploitation are primarily social problems and their resolution, for the most part, should be sought through the provision of social services and medical services rather than through the legal system. (Note: This does not include incidences of domestic violence, which should be addressed by the legal system, nor does it include felony abuse and neglect as defined in § 18.2-369 of the Code of Virginia).
  • Services that support and strengthen the adult’s informal support system are vital to the protection of adults who are at risk of abuse, neglect, or exploitation.
  • Legal action is considered only after all other alternatives have been explored. When legal intervention is required, the least restrictive means of intervention shall be used.

Legal Mandate

The mandate for providing protective services to adults is placed with local departments of social services (LDSS) by the Code of Virginia (§§ 63.2-1603 through 63.2-1610) and by the State Board of Social Services. §63.2-1605 of the Code of Virginia mandates that each local board, to the extent that federal or state matching funds are made available to each locality, shall provide, subject to supervision of the Commissioner and in accordance with regulations adopted by the Board, adult protective services for adults who are found to be abused, neglected or exploited and who meet one of the following criteria: (i) the adult is 60 years of age or older or, (ii) the adult is 18 years or age and incapacitated. The requirement to provide such services shall not limit the right of any individual to refuse to accept any of the services so offered, except as provided in §63.2-1608.

Definitions of Abuse

Adult Abuse

(i) Knowing and willful conduct that causes physical injury or pain or (ii) knowing and willful use of physical restraint, including confinement, as punishment, for convenience or as a substitute for treatment, except where such conduct or physical restraint, including confinement, is a part of care or treatment and is in furtherance of the health and safety of the incapacitated person (§18.2-369 of the Code of Virginia). The willful infliction of physical pain, injury, mental anguish, or unreasonable confinement of an adult (§ 63.2-100 of the Code of Virginia). Note: this definition appears in the criminal section of the Code of Virginia.


Adult Neglect

A condition in which an adult is living under such circumstances that he is not able to provide for himself or is not being provided services necessary to maintain his physical and mental health and that the failure to receive such necessary services impairs or threatens to impair his well-being. However, no adult shall be considered neglected solely on the basis that such adult is receiving religious nonmedical treatment or religious nonmedical nursing care in lieu of medical care, provided that such treatment or care is performed in good faith and in accordance with the religious practices of the adult and there is a written or oral expression of consent by that adult (§63.2-100 of the Code of Virginia).


Adult Exploitation

The illegal use of an incapacitated adult or his resources for another’s profit or advantage (§63.2-100 of the Code of Virginia). 

Making a Report

Anyone can make an APS report. Additionally, any financial institution that suspects an adult customer has been exploited financially may report its concerns to APS.  To report suspected adult abuse, neglect or exploitation:

What if you have a “feeling” about a situation but cannot verify details? APS workers are professional social workers trained to handle complex situations. Based on your report, the social worker will assess the situation and determine how best to respond.

By law the  identity of the reporter, as well as the information gathered, is confidential and is not made available to the public. The individual who makes the report is  immune from civil and criminal liability if the report is made in good faith

Mandated Reporters

Anyone can make an APS report, however mandated reporters are required by law to immediately report suspected abuse, neglect or exploitation of older adults or persons with disabilities. Mandated reporters include:

  • Law enforcement officers
  • Mental health professionals
  • Social workers
  • Persons providing full-time or part-time care to adults for pay on a regular basis
  • Persons who are employed by a public or private agency or facility and work with adults
  • Physicians, including hospital residents and interns
  • Any person licensed, certified, or registered by health regulatory boards listed in §54.1-2503 of the Virginia Code, except persons licensed by the Board of Veterinary Medicine
  • Any guardian or conservator of an adult
  • Any emergency medical services personnel certified by the Board of Health pursuant to §32.1-111.5 of the Virginia Code

Some situations must be immediately reported to both APS and local law enforcement. These situations are sexual abuse, death, serious bodily injury or disease believed to be caused by abuse or neglect, and any criminal activity involving abuse or neglect that places the adult in imminent danger of death or serious bodily harm. Visit the Virginia Department of Social Services website for a web-based training course: Mandated Reporters for Adult Abuse, Neglect and Exploitation.

Failure of a mandated reporter to make a report is punishable by a civil monetary penalty. Adult Protective Services also refers matters as necessary to the appropriate licensing, regulatory or legal authority for administrative action or criminal investigation.