NAPSA Board of Directors and Staff


Rebekah McGowan, President
VACANT – President-Elect & Regional Representatives Chair
Mary Counihan, Past President
Marta Fontaine, Secretary
Alice Hayes, Treasurer

Committee Chairs

Joe Snyder, Public Policy
Paul Needham, Education
VACANT –  Communications
Carol Dayton, Research
Betty Malks, Fundraising
Marta Fontaine, Membership

Regional Representatives

Nancy Alterio, Northeast I
Alan Lawitz, Northeast II
Roxanne Perales, Northeast II
Barbara Pastirik, Southeast
Robert Anderson, Southeast
Carmen Castaneda, Central
Jessica Naberhaus, Mountain
Karl Urban, Southwest
Bethany Berube, West I
Lori Delagrammatikas, West I
Lisa Marie O’Neill, West II


Kathleen Quinn, Executive Director
Andrew Capehart, Assistant Director
Bill Benson, National Policy Advisor
Holly Ramsey-Klawsnik, Director of Research
Carol Carlton, Membership & Special Projects Manager
Kendra Kuehn, Policy Analyst

NAPSA Board of Directors, Regional Representatives and Staff

NAPSA Officers

Rebekah McGowan, President
Rebekah McGowan is the Field Administrator for Adult Protective Services with the Oklahoma Department of Human Services. She has held this role since November of 2012, when APS was restructured within the department. She is responsible for the APS staff.

Prior to becoming the APS Field Administrator, Mrs. McGowan served as the Community APS program manager from 2002 until 2012. She was responsible for the development and delivery of training for field staff, establishing policies and procedures, quality assurance, technical assistance, data collection.

Prior to becoming the Program Manager, Mrs. McGowan was an APS State Office Program Field Representative for 12 years where she was responsible for training, quality assurance. and data collection. Prior to coming to the State Office, she supervised APS at the county level for 10 years. She has been an OKDHS employee since 1973 and received a Master’s Degree in Social Work from the University of Oklahoma in 1981.

Mary Counihan, Past President & Regional Representatives Chair
Mary Counihan, MSW, was Director of Adult Protective Services (APS) for San Francisco from 1992 until retirement in May 2009.   Under her direction, the APS program grew from a small, minimally staffed program of 4 social workers to a comprehensive program that was a model for the provision of quality services through effective collaborations and partnerships with a staff of nearly 60 social workers and nurses.  At the state level she led the multi-county collaborative that wrote successful legislation creating a comprehensive APS program and increasing its funding by 50%.  Ms. Counihan has extensive experience building coalitions among and between public and private agencies (e.g., police, attorneys, medical and mental health providers, banks, CBOs); developing partnerships; creating innovative service-delivery approaches; facilitating groups; and developing protocols, policies, and training manuals to provide the highest quality services to elderly and disabled-adult victims of abuse/neglect.  She is currently consulting on projects in the field of elder and vulnerable adult abuse prevention and is a member of the California Elder Justice Coalition.

Marta Fontaine, Secretary
Marta Fontaine retired in 2013 from MO Department of Health & Senior Services, Division of Senior & Disability Services where she had worked since 1992.  She focused on development and supervision of Elder Abuse prevention programs and Adult Protective Service policy, served as the designated Legal Service Developer for Missouri under the Older Americans Act, and was the department’s contact person for the MOSAFE project to address exploitation.

Alice Hayes, Treasurer
Alice Hayes has served as an elder abuse program coordinator with the Illinois Department on Aging’s Elder Abuse and Neglect Program since the program became statewide in 1991.  In her role as program coordinator, she provides technical assistance to provider agencies in both programmatic and fiscal areas.  Her years of experience with the program assists in meeting the needs of Illinois’ vulnerable older adults.  She serves as the Central Region Chair representing the states of Illinois, Indiana, Iowa, Ohio, Michigan, Minnesota, Missouri and Wisconsin.

NAPSA Committee Chairs       

Joe Snyder, Public Policy Committee
Joe Snyder has been the Director of Older Adult Protective Service at Philadelphia Corporation for Aging (PCA) since 1993.  Joe has testified as an expert witness on Elder Abuse and Protective Services before the Senate Special Committee on Aging on numerous occasions. Joe spoke at the first annual Elder Abuse Awareness Day at the United Nations representing Adult Protective Services staff across the U.S.  Joe has co-created a successful banking project and model with Wachovia that has evolved into a national fraud prevention toolkit. Joe has served on the Board of Directors for the National Adult Protective Services Association (NAPSA) since 1999 holding a variety of positions.  Joe is a Past-President of NAPSA and currently serves as the Public Policy Chair.

Paul Needham, Education Committee
Paul Needham is a Program Field Rep for the Training Unit for the Family Support Services Division of the Oklahoma Department of Human Services. He has been the Lead Trainer and Training Developer for the APS Academies since February 2003. He has 32 years of experience with the Department, 31 in Adult Protective Services, making his first Adult Protective Services investigation in Lincoln County in 1980.  Mr. Needham is a 1975 graduate from Oklahoma Baptist University with a degree in Business administration and obtained his MBA from Oklahoma’s Central State University in 1990. He has been the chairperson for the elder abuse tract for the Oklahoma Conference on Aging since 2005. Mr. Needham is currently on the Board of Directors for the NSDTA.  In the past 3 years, Mr. Needham has been a part of several national training development projects with NAPSA and is the current Chairperson for the NAPSA Education Committee.  Mr. Needham recently took part in the Domestic Violence Instructor Training Program with FLETC (Federal Law Enforcement Training Center) and is now a certified FLETC trainer.  Mr. Needham was a co-trainer at the ELDER ABUSE Training for the New Law Enforcement Grantee Orientation Meeting in Washington D.C in January 2012 for NCALL/FLETC.   Over the years, Mr. Needham has trained thousands of professionals, para-professionals and lay people on Adult Abuse issues.

Carol Dayton, Research Committee
Carol Dayton is a consultant and educator in the field of aging.   She has focused her career on aging and elder abuse as a caseworker, researcher, and administrator of a three-city senior service network, administrator of an urban adult protective service department and currently as a consultant, writer and educator.  Her commitment to improving services for vulnerable adults is demonstrated by participation and leadership in local, state and national organizations.  She currently serves as Co-Chair of the NAPSA/NCPEA Research Committee. Ms. Dayton received her Bachelor of Arts in Sociology from the University of Illinois and her Master in Social Work from the State University of New York at Buffalo.

Betty Malks, Fundraising Committee
Betty F. Malks has over 30 years experience in the field of Aging.  Since 1997, as department director, she has spearheaded the creation of the Santa Clara County Social Services Agency’s Department of Aging and Adult Services (DAAS), bringing together all adult programs under one umbrella, including Adult Protective Services, Public Administrator/Guardian/Conservator, In-Home Supportive Services, and Senior Nutrition.  Most recently, Ms. Malks has been appointed as the North American Regional Representative for the International Network for the Prevention of Elder Abuse (INPEA), has been a member of the World Elder Abuse Awareness Day (WEAAD) Steering Committee 2006-present and is a member of the Education Committee of the National Committee for the Prevention of Elder Abuse (NCPEA).  Ms. Malks is a member of the National Advisory Panel of the Hartford Partnership Program for Aging Education of the New York Academy of Medicine’s Social Work Leadership Institute, 2005 – present.  She is the lead of the California Social Work Education Center’s Northern Collaborative, consisting of 10 California counties and 4 Universities, 2005 – present.  This project is funded by the Archstone Foundation.

Ms. Malks is the Project Director of the “Enhancing the Capacity of a Diverse Faith Community to Address Elder Abuse”, funded by the Archstone Foundation and County Mental Health Department 2006 – present.  She was elected into the Who’s Who in America in 2006, 2007, 2008, 2009, and 2010 and Who’s Who in the World in 2007, 2008, 2009, and 2010.  Ms. Malks has also published several articles, one appearing in Journal of Gerontological Social Work entitled Elder Abuse Prevention: A Case Study of the Santa Clara County Financial Abuse Specialist Team (FAST) Program, 2002 and another in the Journal of Elder Abuse and Neglect entitled Combating Elder Financial Abuse – A Multi-Disciplinary Approach to a Growing Problem 2005.In addition, 2 articles will be published in the Journal of Elder Abuse and Neglect, both on Systems Change and Building Systems that Work funded by the Archstone Foundation in Fall 0f 2010.

Marta Fontaine, Membership Committee
Marta Fontaine has worked for the MO Department of Health & Senior Services, Division of Senior & Disability Services since 1992.  She focuses on development and supervision of Elder Abuse prevention programs and Adult Protective Service policy, serves as the designated Legal Service Developer for Missouri under the Older Americans Act, and is the department’s contact person for the MOSAFE project to address exploitation.  Marta is also a member of the Elder Justice Coalition and a Regional Council Member of the National Association of Legal Services Developers.

NAPSA Regional Representatives

Nancy Alterio, Northeast Region I
Nancy A. Alterio was hired in May of 1999 as the Executive Director of the Massachusetts Disabled Persons Protection Commission (DPPC). She served as one of the three Commissioners to DPPC for a year prior to her appointment of Executive Director. Before her employment at DPPC, Ms. Alterio spent over fifteen years in the private, not for profit sector assisting persons with disabilities in meeting their vocational, medical, financial, social and housing needs. Ms. Alterio’s academic background includes a Bachelor’s of Science degree in the legal aspects of human services. Ms. Alterio is a founding member of the Building Partnerships for the Protection of Persons with Disabilities Initiative (BPI) and is co-chair of the steering committee. In conjunction with the Massachusetts Continuing Legal Education (MCLE), Ms. Alterio and other members of BPI wrote Crimes Against Persons with Disabilities; A practical guide to the Reporting, Investigation and Prosecution. In 2003 Ms. Alterio received the Innovations award from the Massachusetts Office for Victim Assistance (MOVA) for her leadership in BPI. In 2005, along with other members of BPI, Ms. Alterio received the Tadini Bacigalupi Program of Distinction Award from the National Organization for Victim Assistance (NOVA). Ms. Alterio served on the Governor’s Commission on Sexual and Domestic Violence as a Commission member. In addition, Ms. Alterio is a board member of the Massachusetts Sexual Assault Nurse Examiner (SANE) program. Nationally, Ms. Alterio is the President of the National Adult Protective Services Association (NAPSA). Ms. Alterio has presented locally, statewide and nationally on matters relating to adult protective services (APS). Ms. Alterio has assisted in the development of national and state training videos and numerous training curricula. To enhance protection of persons with disabilities who are victims of abuse, neglects and/or crimes, Ms. Alterio has assisted with the drafting, filing and passage of state and federal legislation.

Alan Lawitz, Northeast Region II
Alan has since November, 2007 served as the Director of the Bureau of Adult Services of the New York State Office of Children and Family Services (OCFS). The Bureau oversees the Protective Services for Adults and the Family Type Home for Adults programs. Alan previously was an Associate Attorney for the New York State Department of Health, heading up the Long-Term Care Group of the Bureau of House Counsel, and dealing with legal issues relating to Assisted Living, Adult Care Facilities, Nursing Homes, and Home Care, among other areas.  He also  previously served as a Senior Attorney for the former  New York State Department of Social Services, representing the agency in the areas of Protective Services for Adults, Adult Care Facilities/Assisted Living and Homeless Housing, serving as counsel to the Homeless Housing and Assistance Corporation. He is a 1977 graduate of Columbia College, Columbia University (B.A.) and a 1980 graduate of the Syracuse University College of Law (J.D.)

Roxanne Perales, Northeast Region II
Roxanne was employed for five years as a Child Protective Services Caseworker in Rochester, New York.  She then relocated to Erie, Pennsylvania and has worked in Adult Protective Services for thirty years beginning as a caseworker and then to her current position as Supervisor for APS and the Domiciliary Care Program.  She is a member of the Pennsylvania’s PS/Guardianship Committee, Pennsylvania Behavioral Health and Aging Coalition, Erie County Elder Abuse Task Force and serves on numerous boards.  Roxanne is a graduate of Rochester Institute of Technology, Rochester, New York, and is active with the local American Cancer Society’s Relay for Life Event.

Barbara Pastirik, Southeast Region
Barbara earned her Bachelor’s degree from Roanoke College (Virginia);Master of Science degree from Valdosta State University (Georgia); and a post-graduate certification in Gerontology from Georgia State University. Early work experience includes direct skills training with adults with disabilities, followed by a long and rewarding career in APS. Barbara has previously served in the role of APS Investigations, as well as Supervisor, Trainer, Consultant and Policy Writer. Currently, she in her fifth year as the Program Administrator for Georgia Adult Protective Services.

In 1998, Barbara was honored for recognition in having established one of the very first Georgia Multi-Disciplinary collaborations in the State,
joining forces with the Long Term Care Ombudsmen, Law Enforcement and Forensics. Georgia now leads the nation with a very effective Forensic Unit in the Division of Aging Services.

On a personal note, Barbara lives in the Atlanta area with her husband
and daughter. She enjoys applied and performing arts, music, and is
accomplished on the keyboard.

Robert Anderson, Southeast Region
Since late 2007, Mr. Robert K. Anderson oversees Florida’s Department of Children and Families (DCF) – Adult Protective Services (APS) Program, which is responsible for the statewide implementation of Florida’s Protective Services system, designed to prevent further abuse, neglect and exploitation of the state’s vulnerable adult population. In addition, through program planning, development, standard setting, monitoring and evaluation, Mr. Anderson, the APS State Program Director, oversees the statewide administration of services provided to APS clients with disabilities ranging in age from 18 to 59.

Prior to this he worked with the Office of Family Safety Community-Based Care team from November 2001. He has worked with the Department for more than 28 years, beginning at Florida State Hospital as a Music Therapist, and then a Rehabilitation Therapy Supervisor. Mr. Anderson worked at the Abuse Hotline, State Alcohol, Drug Abuse and Mental Health Program Office, Children’s Mental Health Unit, served as the Florida Child and Adolescent Services System (CASSP) Director, and worked on the implementation of the Title XXI program for Children’s Mental Health. Robert also worked at the Substance Abuse Program Office in the development of systems of care for children with substance abuse problems.

Mr. Anderson, who speaks fluent Spanish and English, earned a Master of Arts from Florida State University after completing a Bachelor of Arts at the Conservatory of Music of Puerto Rico in San Juan.

Carmen Castaneda, Central Region
Carmen Castaneda, MSW, LICSW, has been the Program Manager of Hennepin County Adult Protection Services in Minneapolis, Minnesota for the past 25 years.  She has managed several adult behavioral health programs, including Forensic Case Management Services and a mobile crisis response team.  For 15 years, she served on the Board of Directors of the National Adult Protective Services Association, and currently is the NAPSA Regional Representative for the Central States.  Ms. Castaneda is a member of the Minnesota Security Hospital Liaison Committee, the Hennepin County Sexual Assault Multi-Disciplinary Response Team, the Vulnerable Adult Justice Project, and is Chair of the Adult Protection/Law Enforcement Team. She is a frequent speaker on the Vulnerable Adult Law, guardianship/conservatorship, civil commitment  proceedings, and forensic case management services.  She is the recipient of several awards relating to her work in investigating and preventing elder abuse.

Jessica Naberhaus, Mountain Region
Jessica Naberhaus is currently employed with the Denver Department of Human Services in the Adult Protective Services (APS) Program as a Senior Social Caseworker.  Jessica has worked with the aging population for over six years primarily in protective services and eligibility determination in both case manager and supervisory capacities.  She investigates allegations of elder abuse, serves as guardian, representative payee and advocate for many vulnerable adults.  Jessica has trained hundreds of professionals in the Metro Denver area about various topics in the aging arena including adult protective services, elder abuse, domestic violence in later life and abuse in facilities.  Jessica is a national trainer with the National Clearinghouse on Abuse in Later Life (NCALL).  She is a member of Denver’s coordinated community response, Justice Project for Older Adults (JPOA) and the Denver Forensic Collaborative.  Jessica has participated in grant reviews with the Administration on Aging.  Jessica has a Master of Public Administration degree from University of Colorado and Bachelor of Science degree in psychology and sociology from Eastern Michigan University.  Jessica is also a co-founder of Animal Haus, a nonprofit in Denver that works to prevent pet homelessness by temporarily providing basic necessities to pets and their owners to support the human/animal bond.

Karl Urban, Southwest Region
Karl Urban is the Director of Performance and Policy Development for Adult Protective Services at the Texas Department of Family and Protective Services. Previously, he was the Assistant Commissioner for APS. Mr. Urban’s state government experience includes years of work on aging and disability issues, including serving as Manager of Policy Analysis and Support at the Texas Department of Aging and Disability Services and Deputy Director at the Texas Department on Aging. Mr. Urban has served on the Texas Council on Developmental Disabilities, Statewide Health Coordinating Council, and Governor’s Advisory Council on Physical Fitness. In addition, Mr. Urban’s experience has included planning, policy analysis and consulting positions at the Texas Health and Human Services Commission and the Office of the Governor and in the private and non-profit sectors. He has a BA degree in Government from Abilene Christian University and a MA in Public Affairs from the LBJ School at The University of Texas at Austin.

Bethany Berube, West Region I
Bethany R. Berube, J.D. serves as the Western Regional Representative for NAPSA, the National Adult Protective Services Association. Currently, Bethany is also serving a one (1) year term as chair for PSOC, the Protective Services Operations Committee is a subcommittee of the CWDA Adults Committee. For the past four years, Bethany has served as the Tulare County Public Guardian. As the Public Guardian, Bethany oversees the Adult Protective Services division and has drafted numerous policies and procedures related to both programs. Before coming to Tulare County Bethany served as an adjunct faculty member at California State University, Fresno, where she has taught for the Criminology Department.

Lori Delagrammatikas, West Region I
Lori Delagrammatikas has been the program manager for M.A.S.T.E. R. for the last 5 years.  In this position, she has coordinated the development of national core competency trainings for APS workers and their allied partner agencies.   Ms. Delagrammatikas also has 8 years experience as the APS program specialist for one of the largest counties in California and she was the chair of California’s statewide APS committee for 2 years. She frequently presents to national audiences on the need for standardized training for APS workers.

Lisa Marie O’Neill, West Region II
Lisa M. O’Neill, MPH, is an Associate Faculty of the University of Arizona, College of Medicine, Division of Geriatrics, General Medicine and Palliative Care.  She is the Director of Elder Abuse Resources at the UA Center on Aging.  Ms. O’Neill is a founding member of the Southern Arizona Hoarding Taskforce – responsible for educating working professionals on hoarding issues and increasing knowledge of local resources.  A long-time member of the Arizona Attorney General’s SAFEE (Stop Abuse and Financial Exploitation of Elders) Committee, she publishes in various Pima County newsletters on Elder Abuse and Financial Exploitation.  She coordinates two national educational grants for the state of Arizona: the Arizona Reynolds Program of Applied Geriatrics, a state-wide physician training program funded by the Donald W. Reynolds Foundation to improve the care of frail, older adults; and the Arizona Geriatric Education Center, a HRSA-funded geriatric program to train health professionals across the state, to promote excellence in the care of vulnerable seniors.

NAPSA Staff      

Kathleen Quinn, Executive Director
Kathleen Quinn has been the Executive Director of the National Adult Protective Services Association since 2006.  Previously she served as Policy Advisor on Senior Issues to the Illinois Attorney General, and as the Chief of the Bureau of Elder Rights for the Illinois Department on Aging, where she was responsible for administering the statewide Elder Abuse and Neglect (APS) Program, the Long Term Care Ombudsman Program, and for overseeing the state’s Legal Services Developer.  Ms Quinn earlier worked with the Illinois Coalition Against Domestic Violence, where she was responsible for the first ever statewide training of law enforcement and prosecutors on domestic violence and the then newly enacted Illinois Domestic Violence Act (IDVA).  Ms. Quinn is a past president of NAPSA, a former board member of the National Committee for the Prevention of Elder Abuse, the Illinois Family Violence Coordinating Council, the Illinois Center for Violence Prevention and numerous local community charitable boards, and the recipient of several awards for victim advocacy work.

Andrew Capehart, Assistant Director
Andrew Capehart has over twelve years of experience in the elder abuse field at the local, state and national levels.  He has held investigatory, supervisory and administrative positions in Columbus, Ohio and Washington, DC and has had numerous appointments to aging related boards and commissions. Andrew has chaired both state and national elder abuse conferences. He is currently Assistant Director at the National Adult Protective Services Association which recently received a three year grant for the newly created National Adult Protective Services Resource Center through the US Administration on Aging.

Bill Benson, National Policy Advisor
Bill Benson is Managing Principal in Health Benefits ABCs, an organization offering health and aging policy, educational and strategic planning consulting services.   Benson has worked on health and aging issues for 38 years including in various leadership positions in the U.S. Congress. He served in senior appointee positions at the U.S. Administration on Aging including as Acting Assistant Secretary for Aging prior to starting a consulting practice in 1998.  Earlier in his career he spent 10 years with the California Department of Aging including serving as California’s State Long-Term Care Ombudsman.  For the past 10 years he has been a consultant to CDC’s Healthy Aging Program. He is also works closely on preventive services with SPARC and its Vote & Vax Initiative.  HBABCs writes Critical Issue Briefs for CDC on a variety of public health and aging matters and produces podcasts on the same topics. HBABCs consults with AoA’s National Technical Resource Center for the nation’s Senior Medicare Patrol programs. HBABCs provides strategic planning, facilitation services, and technical writing and conducts evaluations for national, state and local organizations. For the past 12 years Benson has hosted First Person, a weekly series of conversations with Holocaust survivors before live audiences at the United States Holocaust Memorial Museum.

Holly Ramsey-Klawsnik, Director of Research
Dr. Holly Ramsey-Klawsnik is a sociologist researcher, Licensed Marriage & Family Therapist, and Licensed Certified Social Worker. She has provided secondary prevention services to older adults and adults with disabilities and conducted forensic evaluations and investigations for APS and court systems. She has presented continuing education programs for Adult Protective Services systems, regulatory and law enforcement agencies, health care providers, the judiciary, and domestic violence and sexual assault coalitions. Her research and practice have focused on investigating alleged abuse, interviewing skills, casework intervention and supervision, mental health and mental capacity, self-neglect, domestic violence and sexual assault in later life, and victimization in facilities. Employing quantitative and qualitative methods, she has researched APS case handling procedures and outcomes. She has authored journal articles, book chapters, training curricula, technical assistance materials, and professional reports and has also developed caseworker and supervisory training manuals for multiple APS systems. Holly has served as a contracted trainer and consultant for APS and regulatory systems nationwide. Her work on federal projects includes those funded by the U.S. AoA, CDC, NIA, NIJ, OVC, and OVW.

Carol Carlton, Membership and Special Projects Manager
Carol brings four years of association experience to our team in the areas of member recruitment and retention, dues billing, mass communications, creation of operations manuals, editing, on-site event registration and meeting coordination. She has worked from her home office since 2007 providing editing, marketing and administrative services. Carol has two adult children who live in her hometown of Austin, Texas. She currently lives in Dahlgren, Virginia with her boyfriend, Dan, and their cat, Webber G. Oliver, III.

Kendra Kuehn, Policy Analyst
Kendra Kuehn is a recent graduate of Catholic University of America’s Master of Social Work program with a focus in policy. She brings experience from internships at the Homeless Children’s Playtime Project and the Administration for Community Living’s Office of Elder Rights. Kendra is excited to be involved in NAPSA’s efforts at the national level. She lives in Arlington, Virginia and enjoys being close to family.