On the good days, clients of the program Carmen Castaneda oversees may just be victims of their own age and deteriorating mental conditions, unaware that they are endangering their own lives.
On the bad days, the clients are murderous psychopaths who want out of a security hospital and will say anything to achieve it.
As program manager for Adult Protection Services for Hennepin County, Castaneda oversees a staff that handles reports of physical, psychological and financial exploitation of vulnerable adults. She also manages the cases of 219 mentally ill and dangerous clients who may be held or recently released from places such as the Minnesota Security Hospital in St. Peter.
A lot of her stories, which she shared over coffee one recent morning, end with "it was the saddest thing ever" or "it was horrible." In her job, she has been bonked on the head and had a table overturned on her.
Yet Castaneda, who has been in social work for 36 years, has the gallows humor of a homicide detective. She is quick with a joke and has a hearty, infectious laugh. That's because she relishes the challenge and excitement, and because almost every day her department is able to help a vulnerable adult in some way.
"You have to want action; you can't be afraid of it," she said. "To me, it's not a job, it's a calling. It's a passion."
Castaneda's is probably one of the most important public roles you've never heard of. With the "tsunami of baby boomers" entering their senior years, the importance of her agency will only increase. The number of cases of neglect and exploitation have soared, so much so that the county has budgeted for adding three more field workers to investigate abuse. Last year, Castaneda's department fielded 13,000 reports and 12 staffers handled 800 to 900 investigations, or about a quarter of the state's cases.
The No. 1 problem for vulnerable adults is self-neglect — people who are ill or cognitively unable to recognize they can't take care of themselves.