Idaho RD Express

Idaho Senior Legal

Risk Detector

Detect issues of housing, debt, financial exploitation, health care, and abuse for elders in your care quickly, accurately, and discreetly. A collaboration of PBN, ILAS Why should I use this Risk Detector? Please have any relevant photo or video files available for upload before beginning this risk assessment.

Disclaimer

A referral to Idaho Legal Aid Services, Inc. does not create an attorney-client relationship, nor the promise of any legal services. Upon receipt of this information, Idaho Legal Aid Services will review the information and reach out to you regarding your legal needs.

Pathway Selection

Are you completing this risk assessment for yourself or for a client?

I am completing this for myself

I am completing this for a client

Additional Information

The Idaho Senior Legal Risk Detector interview was developed to detect legal issues related to housing, debt, health care, and elder abuse or exploitation. At the end of the interview, you have the option of referring your interview results to Idaho Legal Aid Services, Inc. This is not required but it is recommended if your report identifies any legal risks.

Instructions

The following six questions will help us determine whether or not you might have legal risk.

1 of 6: Housing (client rents home)

Are any of these statements true? (Check all that apply)

I'm getting eviction threats or notices from my landlord.

I've received court papers (Summons, Petition, Writ, etc) related to my housing.

I don't have a written lease with my landlord

I'm behind on my rent payments

I may have signed papers regarding my home but I do not know what I signed.

I need more heat or hot water.

I'm not getting essential services I need.

I'm having problems with my neighbor(s) or housemate(s).

I'm behind or having trouble paying my water, sewer, or light bill.

My rent is being raised.

My house needs repair and my landlord will not make repairs I asked my landlord to make.

I am losing a housing voucher or subsidy.

I own a manufactured home and need to move it off a rented space.

I want to move out of my home.

I cannot fully care for myself.

I have a disability and need an accommodation in my housing or an assistance animal.

I have a disability and need a modification like a ramp or grab bars in my home.

I have received a lease violation notice.

I have another housing-related problem (not indicated above).

None of the above are true.

Please indicate how many payments behind on your rent

1 or 2 payments

2 or more payments

Provide any details to help us understand the housing problem(s) selected above, including any action taken to respond to the problem(s):

Based on the client's statements and your observations, select one:

I'm not sure if I need help with the housing problem(s) noted above.

I think I need help to resolve the housing problem(s) noted above.

I think I urgently need help to resolve the housing problem(s) noted above.

2 of 6: Consumer Debt

Regarding your credit cards and bills, are any of these true?

There's a judgment by a court against me regarding money I owe

My Social Security income has stopped or decreased

I'm being sued for money they say I owe

My income is being garnished (reduced by a court to pay debts I owe)

My bank account has been garnished or frozen

I'm 30 days behind on paying credit cards, medical bills, or other debts

I'm 60 days behind on paying credit cards, medical bills, or other debts

I'm getting calls from people saying I owe money for credit cards, medical bills, or other debts

I've gotten letters about money I owe on credit cards, medical bills, or other debts

I feel I have too much debt from credit cards, medical bills, or other bills

I'm having trouble paying my bills

I'm concerned about my credit report

I may want to declare bankruptcy

I have another problem or concern related to debt

None of the above are true.

Provide any details to help us understand the consumer problem(s) selected above, including any action taken to respond to the problem(s):

Based on the client's statements and your observations, select one:

I'm not sure if the I need help with the consumer debt problem(s) noted above.

I think I need help to resolve the consumer debt problem(s) noted above.

I think I urgently need help to resolve the consumer debt problem(s) noted above.

3 of 6: Financial Exploitation

Regarding other financial concerns, are any of these true?

There are negative things on my credit report I don't understand

Someone has asked me to sign something

I signed papers recently but I don't know what I signed

Someone has been asking me about financial matters

I don't have full access to my money

I have another problem or concern related to money

I do not see my bank statements

I am concerned about my joint bank account

Someone has been reviewing my financial papers for me

I have questions regarding a Power of Attorney

I do not like the decisions my Power of Attorney is making

I've been getting calls or mail or emails about money, or investments, or prizes or other offers

I think I may need some help to be sure I'm protecting myself financially

I have given cash or property away

None of the above are true.

Regarding the Power of Attorney:

Someone has asked to be my Power of Attorney

I recently changed my Power of Attorney

I want to change my Power of Attorney

I think my Power of Attorney is not acting in my best interest

Provide any details to help us understand any debt problem(s) selected above. Also describe any action taken to respond to any debt problem(s):

Based on the client's statements and your observations, select one:

I'm not sure if I have a problem with financial exploitation.

I think I need help addressing possible financial exploitation.

I think I urgently need help addressing possible financial exploitation.

4 of 6: Health Care Concerns

Regarding health care, are any of these true?

I do not have health insurance.

I cannot pay my medical bills.

I am having trouble paying for my medications.

I need help with Medicare.

I need help with Medicaid.

I or my spouse need long-term care, but we can't afford it.

I need help from Medicaid, but I was told I don't qualify.

I have a billing problem with a health insurance company.

Health insurance denied coverage for something I need.

I have been approved for services that I am not getting.

I have been deemed disabled.

I want to apply for in home services or my in home services hours have been reduced or ended.

I am in a long term care facility and have concerns about the care I am receiving.

I need help transitioning from a nursing home or rehab center back to my home.

I have another problem or concern related to health care.

None of the above are true.

Provide any details to help us understand the health care service problem(s) selected above, including any action taken to respond to the problem(s):

Based on the client's statements and your observations, select one:

I am not sure if I need help with the health care problem(s) noted above.

I think I need help to resolve the health care problem(s) noted above.

I think I urgently need help to resolve the health care problem(s) noted above.

5 of 6: Abuse and Neglect Concerns

Regarding your safety and rights, are any of these true?

I do not feel safe at home.

Someone is in my home and refuses to leave.

I am living with someone and I want to leave.

I am living with someone and I want them to leave.

I am afraid of someone.

Someone scolds or threatens me.

Someone hurts me.

Someone touches me without my consent.

Someone makes me do things I do not want to do.

Someone is taking things from me without asking.

Someone is supposed to prepare my food, but is not doing it like they should.

Someone is supposed to help me get dressed, but is not doing it like they should.

Someone is supposed to clean my living space, but is not doing it like they should.

Someone is supposed to help with my medication, but is not doing it like they should.

Someone is supposed to help me with other things, but is not doing it like they should.

I feel that I am being abused or neglected.

Someone hurts or threatens my pet(s).

I have another fear or concern about my safety.

None of the above are true.

Provide any details to help us understand the abuse and neglect problem(s) selected above, including any action taken to respond to the problem(s):

Based on the client's statements and your observations, select one:

I am not sure if I need help with the abuse and neglect problem(s) noted above.

I think I need help to resolve the abuse and neglect problem(s) noted above.

I think I urgently need help to resolve the abuse and neglect problem(s) noted above.

6 of 6: Other Concerns

In addition to any problems you have indicated above, do you have any other concerns about your situation now?

Yes

Please provide any additional information to support your answer above about other concerns:

Based on your statements, select one:

I'm not sure if I need help with the other problem(s) noted above.

I think I need help to resolve the other problem(s) noted above.

I think I urgently need help to resolve the other problem(s) noted above.

Consent

If you want, your report, which contains your answers and information, can be transmitted to Idaho Legal Aid Services. Idaho Legal Aid Services will review the report and contact you directly to see whether you are eligible for their free legal services. Until you are determined to be eligible and your case is accepted, there is no attorney-client relationship.

Do you want your report, which contains your information and answers, submitted to Idaho Legal Services?

Yes

Please note that if you do not submit the results of your interview to Idaho Legal Aid Services (ILAS), they will not follow up with you regarding your identified legal risks. If you decide not to refer the results of your interview, you may still apply for legal services at any time through the ILAS website: https://www.idaholegalaid.org/node/2413/apply-legal-assistance or by calling: (208) 746-7541. For more information related to your legal risks, please view ILAS's Self-Help Resources here: https://www.idaholegalaid.org/topics.

Please provide your contact information:

First Name:

Last Name:

Age:

Gender:

female

male

non-binary/third gender

prefer to self describe

prefer not to say

Phone:

Ok to leave voice mail on phone?

Yes

Email:

I don't have an email address.

It is OK to send me emails at this email address.

Address Line 1:

Address Line 2 (optional):

City:

County:

State:

Zip:

Household income (annual):

Rents or Owns Home?

Rent (with or without public subsidy)

Owns

Neither

housing_risk_count

debt_risk_count

financial_risk_count

health_risk_count

abuse_risk_count

other_risk_count

total_risk_count