ARPA Adult Protective Services Grants Quarterly Reporting Survey, F-02868 (06/2023)

Please fill out the survey below to report grant activities and spending related to the Adult Protective Services (APS) American Rescue Plan Act (ARPA) grant. The funding source for this grant is the Administration for Community Living (ACL). The intent of this funding is to enhance and improve adult protective services provided by Wisconsin’s county-based APS system. The grant period for ARPA is October 1, 2021 to September 30, 2024. Reports are due to the Department of Health Services (DHS) on a quarterly basis.

Please do not include any personally identifiable information (PII) for consumers within the survey.

1. County for which this report is being submitted

2. Agency Name

3. First Name

4. Last name

5. Phone number

6. Email address This question requires a valid email address.

8. List amount of grant funds spent in each category during this reporting period.

Category 1: Communication and Technology Devices
Category 2: Elder Abuse Direct Service Supplement
Category 3: Emergency and Alternative Housing Options
Category 4: Other Uses as Approved by DHS APS Program Managers

9. Number of Persons Served

60 years and older
18 – 59 years

10. What activities or services did you provide during reporting period? Please note any significant project partners and their role in project activities.

11. What, if any, challenges did you face during this reporting period and what actions did you take to address these challenges?

12. How have the activities conducted during this project period helped you to achieve beneficial outcomes for victims of abuse and the overall community?

13. What was produced during the reporting period and how have these products been disseminated? Products may include articles, issue briefs, fact sheets, newsletters, survey instruments, sponsored conferences and workshops, websites, audiovisuals, and other informational resources.