Part II: Format & Templates - EHSD
Contra Costa County
Area Agency on Aging
2012-2016
Four-Year Area Plan
(July 1, 2012-June 30, 2016)
Submitted by
John Cottrell
Area Agency on Aging Director
PSA #07
TABLE OF CONTENTS
Page
|Area Plan Checklist |2 |
|Transmittal Letter |3 |
|Section 1. Mission Statement |4 |
|Section 2. Description of the Planning and Service Area (PSA) |4 |
|Section 3. Description of the Area Agency on Aging (AAA) |7 |
|Section 4. Planning Process / Establishing Priorities |9 |
|Section 5. Needs Assessment |10 |
|Section 6. Targeting |17 |
|Section 7. Public Hearings |18 |
|Section 8. Identification of Priorities |20 |
|Section 9. Area Plan Narrative Goals and Objectives |21 |
|Section 10. Service Unit Plan (SUP) Objectives |34 |
|Section 11. Focal Points |55 |
|Section 12. Disaster Preparedness |56 |
|Section 13. Priority Services |58 |
|Section 14. Notice of Intent to Provide Direct Services |59 |
|Section 15. Request for Approval to Provide Direct Services |61 |
|Section 16. Governing Board |63 |
|Section 17. Advisory Council |64 |
|Section 18. Legal Assistance |67 |
|Section 19. Multipurpose Senior Center Acquisition or Construction Compliance Review |NA |
|Section 20. Family Caregiver Support Program |71 |
|Section 21. Organization Chart |73 |
|Section 22. Assurances |74 |
|Appendix I: Baby Boomer Reference—see (AP Update 2011-2012) |80 |
|Appendix II: Key Informant Survey Instrument and raw data |81 |
|Appendix III: Core Survey Instrument and raw data |82 |
|Appendix III: Limited English Proficiency survey instruments and raw data |85 |
|Appendix V: Partners in Planning Flyer, Invitation and Agenda |97 |
|Appendix VI: Notice, Agenda, and Minutes from the Public Hearing March 21, 2012 |99. |
AREA PLAN REQUIRED COMPONENTS CHECKLIST
|Section |Four-Year Area Plan Components |4-Year |
| | |Plan |
| |Transmittal Letter – with original signatures or official signature stamps |× |
| |Note: Transmittal letter is forthcoming. | |
|1 |Mission Statement |x |
|2 |Description of the Planning and Service Area (PSA) |x |
|3 |Description of the Area Agency on Aging (AAA) |x |
|4 |Planning Process / Establishing Priorities |x |
|5 |Needs Assessment | x |
|6 |Targeting |x |
|7 |Public Hearings |x |
|8 |Identification of Priorities |x |
|9 |Area Plan Narrative Goals and Objectives: | |
| |Title III B Funded Program Development (PD) Objectives |x |
| |Title III B Funded Coordination (C) Objectives |x |
| |System-Building and Administrative Goals & Objectives |x |
| |Title III B/VII A Long-Term Care Ombudsman Objectives |x |
| |Title VII B Elder Abuse Prevention Objectives |x |
|10 |Service Unit Plan (SUP) Objectives |x |
|11 |Focal Points |x |
|12 |Disaster Preparedness |x |
|13 |Priority Services |x |
|14 |Notice of Intent to Provide Direct Services |x |
|15 |Request for Approval to Provide Direct Services |x |
|16 |Governing Board |x |
|17 |Advisory Council |x |
|18 |Legal Assistance |x |
|19 |Multipurpose Senior Center Acquisition or Construction Compliance Review | |
|20 |Title III E Family Caregiver Support Program |x |
|21 |Organization Chart |x |
|22 |Assurances |x |
TRANSMITTAL LETTER
Four-Year Area Plan
2012-2016
AAA Name: Contra Costa County Area Agency on Aging PSA 7
This Area Plan is hereby submitted to the California Department of Aging for approval. The Governing Board and the Advisory Council have each had the opportunity to participate in the planning process and to review and comment on the Area Plan. The Governing Board, Advisory Council, and Area Agency Director actively support the planning and development of community-based systems of care and will ensure compliance with the assurances set forth in this Area Plan. The undersigned recognize the responsibility within each community to establish systems in order to address the care needs of older individuals and their family caregivers in this planning and service area.
1. (Type Name) Mary N. Piepho
____________________________ _______________
Signature: Governing Board Chair [1] Date
2. (Type Name) Shirley Krohn
_____________________________ ________________
Signature: Advisory Council Chair Date
3. (Type Name) John Cottrell
_____________________________ ________________
Signature: Area Agency Director Date
SECTION 1. MISSION STATEMENT
“To provide leadership in addressing issues that relate to older Californians; to be a catalyst to develop community-based systems of care that provide services which support independence within California’s interdependent society, and which protect the quality of life of older persons and persons with functional impairments; and to promote citizen involvement in the planning and delivery of services.”
SECTION 2. DESCRIPTION OF THE PLANNING AND SERVICE AREA (PSA)
Physical Setting
PSA 7 is comprised of Contra Costa County (CCC) in its entirety. Contra Costa County is considered to be one of the nine San Francisco Bay Area counties and has 19 incorporated cities. It is spread over 750 square miles, bordered by San Francisco Bay to the West, San Pablo Bay and the Sacramento River Delta to the North, San Joaquin County to the East and Alameda County to the South. Hills effectively divide the county into three distinct regions, which mirror how social, health, and other services are predominantly structured: East, West, and Central County. Central County is sometimes further delineated by “South County” to cover the communities of Danville, San Ramon and Alamo. Central County is the most affluent region of the county.
The portions of the county bordering water are where the heaviest industries are located, including several oil refineries and chemical plants along the Bay and Delta areas. The most inland areas are where the most rural portions of the county remain, although these areas have been greatly reduced. Areas along major freeways, particularly in Central County, make up the areas where major business parks and commercial centers are located.
Eastern Contra Costa County has been the part of the county with the most growth in housing. Open farmland and orchards have been replaced with new housing tracts. Cities have grown tremendously over the last decade in East Contra Costa County. East County cities include: Pittsburg, Antioch, Oakley, Brentwood and the unincorporated areas of Bethel Island in the Delta, Knightsen, Byron, and Discovery Bay. Only Knightsen continues to be classified as a rural community. Oakley, a city with 33,000 residents, incorporated only 10 years ago on July 1, 1999. Eastern Contra Costa County cities of Antioch, Oakley, and Brentwood are expected to double, triple, and quadruple in their population in 25 years, respectively. (ABAG Projections series)
Central Contra Costa County is a predominantly suburban area with a mixture of housing and commercial and financial centers. Central County cities include: Lafayette, Orinda, Moraga, Walnut Creek, Concord, Clayton, Pleasant Hill, Martinez, Danville, San Ramon, Alamo and the unincorporated areas of Canyon, Clyde, and Rheem. Concord has a significant pocket of limited English-language speakers and a corridor of low-income residents. Central County rests in a valley between hills and service organizations sometimes refer to Central County as the Diablo Valley area. This is because Mt. Diablo is the major feature of the natural environment in Central County.
Concord is also notable because of a large tract of open land being converted from military use to civilian use and is the focus of smart growth planning efforts. The Concord Naval Weapons Station represents a most remarkable opportunity county-wide and perhaps Bay Area-wide to build a mixture of senior and family-friendly housing clustered around a transit hub, while preserving huge tracts of open space for habitat preservation. As of the writing of this Area Plan, a community process has narrowed down the development plans to a “clustered villages” scenario, which focus on intensifying building around the N. Concord BART station. Substantial senior housing is a component of the plan and AAA will watch the development closely during the 2012-2016 Area Plan period to ensure that the senior housing coupled with non-driving mobility options will be a model for all to emulate.
West County is the most urbanized section of the county with the City of Richmond as its largest city. It is not unusual for West County residents to seek services in the Northern Alameda County cities of Berkeley and Oakland. West County cities include: El Cerrito, Richmond, San Pablo, Pinole, Hercules and the unincorporated areas of El Sobrante, Rodeo, Crockett, Port Costa and Kensington.
Contra Costa County has extensive and varied transportation facilities, including ports accessible to ocean-going vessels, railroad, highways, commuter rail (Bay Area Rapid Transit -- BART), and bus lines. Because of the regional divisions within the county, different public transportation providers, with the exception of BART, provide bus service to each region of the county. Traffic congestion has been the mark of the county’s remarkable growth. Hundreds, if not thousands, of commute hours are lost daily on Highways 4 and 24, and Interstate 680.
Climate
One other notable aspect to Contra Costa County and PSA 7 is that each region of the county has differing temperatures and climates. West County, which fronts onto San Francisco and San Pablo Bays, generally has the most moderate temperatures in both winter and summer seasons. The further east one travels along Highway 4, the hotter and drier the climate becomes in the summer and the colder it can become in the winter. In past summers we have helped disseminate information on cooling shelters to assist vulnerable seniors to seek relief from the heat. In the June 2008 fires we also assisted in encouraging people with compromised health conditions to limit their activities while we had several weeks of terrible air quality because of the extensive fires, including a major fire to the north of us in Napa and Solano counties. Because Central County rests in a valley, the smoke was trapped there longer than elsewhere in the county. Lastly, fog can be typical during certain times of the year and limited visibility has repercussions for vehicle travel.
Demographics
In 25 years, over nine million people will live in the San Francisco Bay Area – two million more than today. Over 25% will be over age 65. This increase is due to the aging of the Baby Boomers and immigration. (ABAG Projections series). Census Data shows Contra Costa County has 1,049,025 residents in 2010. The County grew by 100,209 residents (since the 2000 Census) or 10.6% making Contra Costa the fastest growing County in the Bay Area. The Association of Bay Area Governments (ABAG) projects that most of Contra Costa County’s growth will continue in East County, where over 250,000 people are expected to live. ABAG estimates that Antioch’s population will grow by 17%, Brentwood’s by 43% and Oakley by 26% over the next 25 years. These three cities, along with Byron and Discovery Bay, also in East County will represent 32% of Contra Costa County’s projected growth.
PSA 7 has two large senior communities: Rossmoor in the central County city of Walnut Creek and Summerset in Brentwood. Rossmoor has almost 10,000 seniors, Summerset has over 2000 housing units, and Brentwood has over 6,000 senior residents in total. In 2008 Contra Costa County had a projected 188,299 residents aged 60+ or 18% of the total county population. This is an increase of almost 32% over the elderly population listed in the 2005-2009 Area Plan. Of the county residents in 2008, 53,864 or 29% are from minority groups. Almost 6,000 seniors age 65+ receive SSI/SSP and 15,000 people age 65+ are eligible for Medi-Cal. About 31% of the county’s population or 57,947 are age 75+. The County runs its own health plan, which reports that it has enrolled 3612 people age 60+ in its special needs program (dual coverage, Medicare and Medi-Cal).
By many standards Contra Costa County is an affluent county. However, significant pockets of immigrant, low-income, and minority communities exist in each region of the county. In West County, Richmond and the surrounding cities house the poorest people and communities of color, notably African American and Southeast Asian populations. In Central County, Concord has many Hispanics living along a major road, Monument Boulevard, and is referred to as the “Monument Corridor”.
In the American Community Survey for 2005-2007 (US Census Bureau) 24.4% of Contra Costa County households received Social Security income with a mean dollar amount of $15, 249; 3.7% received Supplemental Security Income or a mean of $8,870, and 18.9% of county households received some sort of retirement income for an mean of $26,048. Of the people age 65+, 5.2% met the federal poverty rate.
East County has many Spanish-speakers and immigrants, perhaps a holdover of its more agricultural origins. The East County City of Pittsburg has some interesting statistics which illustrate larger trends. For example, in its recent draft housing element it cites that the age group with the largest percentage increase are those aged 55-64 at 61.5% between the years of 2000 and 2008. The next largest percentage increase was in those aged 65+ at 20.5% for the same time period. The aging of the Baby Boomers is coming home quite literally in the County.
The City of Pittsburg also notes in their housing element that their senior households are the most at risk of homelessness because 70% of their senior households (defined as age 65+) that rent earn less than 50 percent of area median income and 58% in 2000 experienced a housing problem. To corroborate the City of Pittsburg’s observations, the US Census Bureau data set for 2005-7 estimates that in Contra Costa County there are 20,495 people age 65+ who live alone and are homeowners. The Census Bureau also lists 7814 renters age 65+ who live alone county-wide. These statistics point to the reality that many seniors throughout the county face isolation and increased economic insecurity because they are not sharing living expenses with others in their households. We expect that due to economic downturn and the rising number of foreclosures in Contra Costa County, that the number of renters as well as the number of homeless will continue to be on the rise.
Since the passage of AB 2920, Contra Costa County AAA recognizes the need to address the needs of lesbian, gay, bisexual, and transgender (LGBT) seniors. As of 2006, there were nearly 3 million gay men and lesbians over the age of 55 in the US. According to “Outing Age,” by 2030 there will be as many as 7 million LGBT older adults in the United States. 14% of LGBT households have at least one veteran, compared to 11 only in heterosexual households. Only 19% of the 92.6% of LGBT older adults 75 or older living in the community report any involvement with their local senior center. The Williams Institute published a census snapshot in October 2008 which highlights some trends of same-sex couples and LBGT individuals. Contra Costa County has 2,786 same sex couples or .78% of all households in the county and an estimated 12,869 LGBT individuals or 1.7% of the county’s adult population. About 8.7% of same sex couples have one partner age 65 or older. This is approximately 240 people. Also of note is that 25% of same sex couples and LGBT individuals are Latinos or Latinas statewide.
SECTION 3. DESCRIPTION OF THE AREA AGENCY ON AGING (AAA)
The Contra Costa County Board of Supervisors was designated as the County AAA governing body on May 20, 1975. The California Department on Aging first granted funding of PSA 7 Older Americans Act, Title III money for the period September 1, 1975 - June 30, 1976. During this first contract period, the Advisory Council was set up and other formative steps were taken to establish the Contra Costa Office on Aging, as the Area Agency on Aging was first called. The AAA was established on February 4, 1976 within the County Social Service Department, now known as the Employment and Human Services Department (EHSD). The AAA currently resides within EHSD’s Aging and Adult Services Bureau.
CCC Advisory Council on Aging
The Advisory Council on Aging has 40 member seats, 19 seats appointed by City Jurisdictions and 21 Member at Large seats, all approved and appointed by the County Board of Supervisors. It is advisory to the Board of Supervisors. It holds an annual public hearing to inform the community and affirm its activities. Its committees consist of the executive committee, planning committee, and membership committee. In addition it has the following workgroups: Housing, Health, Legislative, and Transportation. An Advisory Council member also sits on the Consolidated Planning and Advisory Council which provides advisory support to the Mental Health Department in planning and disseminating Prop 63 Mental Health Services Act funds. The Advisory Council committees are entirely comprised of Advisory Council members. The workgroups are open to community members at large as well as Advisory Council members. The composition of the Advisory Council is representative of the demographics and geography of the county as a whole with ethnic and racial diversity.
Through the planning committee the advisory council provides oversight to the AAA. The planning committee provides input into needs assessments, goals, objectives, and setting priorities for the Area Plan. This committee also reviews the services that the AAA contracts with.
Contra Costa County AAA Programs and Initiatives
The findings from the AAA surveys, in general, indicate that Contra Costa County’s senior population and the demand for long-term care and support services continues to grow as Baby Boomers age, but inversely senior services are decreasing due to budget cuts. This raises real concerns that seniors in social and economic need may not be receiving necessary assistance because of fewer available services. Adding to this concern is looming potential State budget cuts to adult day health care programs, Multipurpose Senior Services (MSSP), Medi-Cal, and In-Home Supportive Services.
Addressing the increasing demand for services is challenging during the current economic crisis. The AAA will continue to prioritize objectives and strategically collaborate with the aging service network to examine and plan ways to retain, expand, or enhance the county’s service delivery system.
In this next Area Plan Cycle, FY2012-FY2016, the AAA will continue to collaborate with staff from Contra Costa County In-Home Supportive Services and Volunteer and Emergency Services to plan and develop a Volunteer Care Coordination Program. We recognize that volunteers could be a significant resource during the current economic climate. To make use of this resource we plan to draw on trained volunteers to assist seniors and their families with the process of planning and coordinating long-term care and supportive services. The Care Coordination Program is currently in the early phase of planning. As well, the Area Agency on Aging as part of the overall Aging and Adult Services Bureau of the Employment and Human Service Department will likely be collaborating with various parts of the County Health Department as the County addresses how it will meet the ever increasing need for long term integrated care.
This past fall, the Area Agency hosted its annual Partner’s in Planning Event entitled, “From Isolation to Inclusion”. The event was a ‘Train the Trainers’ LGBT (Lesbian, Gay, Bisexual, and Transgender) Cultural Competency Workshop designed for service providers of aging services in the County. Of the invitees were Nurse Case Managers/Trainers, Residential Care Facilities Staff Development Coordinators and Managers, Executive Directors of the Area Agency Contractors and the Ombudsman of Contra Costa County. The training was conducted by Open House of San Francisco that provides housing, information, training, and resources for and about LGBT seniors. The Rainbow Community Center also participated as a training resource and helped plan the event.
The Area Agency on Aging also co-sponsored “Getting Around”, Senior Transportation Today and Tomorrow. The event was held at Rossmoor in Walnut Creek and had over 200 participants from all parts of the county. The Area Agency is currently working with CCTV to produce a show about the event as well as has plans to produce shorter version DVD’s for use in Senior Centers or other venues where information and resources about senior transportation issues and options is needed. In this next plan cycle, the Area Agency will again co-sponsor similar events as the issues of public safety and mobility with a growing elder population become even more pronounced.
In this past fiscal year, FY2011-2012, the AAA’s Advisory Council on Aging (ACOA) focused on elder financial abuse prevention. Volunteers were recruited from seniors, such as those at senior centers, fraternal organizations, philanthropic organizations, and church groups. The volunteers attend a train-the trainer program to learn about presenting resource information and elder abuse prevention methods to seniors. This initiative is an extension of Communities Against Senior Exploitation (CASE), a program that was established early in 2009 and will be continued through this next plan cycle. The Adult Protective Services Supervisor in this county is also involved in this effort.
Meanwhile, HICAP, identified by Baby Boomers in the AAA survey as one of the top services they would most likely use, is conducting two new counselor trainings in FY 11-12 to enhance its program capabilities. In March 2012 HICAP will register nine new volunteer counselors. Recruitment is underway for a new training to begin at the end of March 2012. In addition, in March 2011 a permanent program manager came into the program after a 2-year break since the original program manager retired from the program.
Also, HICAP is engaged with some special outreach efforts. The first one is part of a national effort utilizing volunteers to help identify and correct Medicare fraud, waste, and abuse. Medicare beneficiaries who receive questionable claims often come to Contra Costa HICAP with questions. We executed an agreement with the statewide HICAP association, called California Health Advocates, to have a HICAP volunteer serve as our Senior Medicare Patrol (SMP) liaison. The second effort is oriented to identifying certain low income beneficiaries who are eligible for Part B (outpatient services and doctor coverage) and Part D assistance (prescription drug coverage). The SMP agreement runs through September 30 2012. We do not know whether Congress will continue to appropriate funds for this effort at this time. We believe that Medicare beneficiaries are in the best position to bring questionable claims and billing practices to light through contacting HICAP. We will be ending the special outreach to identify individuals eligible for Part B and Part D assistance on June 30, 2012 right before the start of this 4-year plan. Lastly, Contra Costa County HICAP has successfully launched new HICAP One-Stop counseling events during the Part D open enrollment period. With a permanent manager and a new round of trained, registered counselors, HICAP is strong programmatically.
Another program that grew stronger this past year is the Fall Prevention Program (FPP). Senior Outreach Services (SOS), a community-based organization, operates FPP. Since it began operations in 2008 with funding from John Muir Health, FPP has managed to grow its services -bucking the current trend of service cuts. In 2010, 162 older adults received home safety assessments and modifications. 653 people received fall prevention education through presentations and outreach event. Also, the Fall Prevention Coalition, an adjunct of FPP, is stronger with a membership of approximately 70 agencies. The Coalition has six working committees: Medication Management; Exercise and Balance; Home Assessments and Modification; Training and Education; Walkability; and Fundraising.
FPP was founded by a partnership that initially consisted of the AAA, John Muir Senior Services, In-Home Supportive Services, and Contra Costa County Health Services. It serves as an excellent example of what can happen when agencies collaborate. In fiscal year 2011-2012 a member of the AAA staff continued to serve on FPP’s Steering Committee to help improve and expand the program’s service delivery.
Lastly, to make the services that are currently available more accessible, the AAA is currently planning to resurrect a comprehensive, Internet-based resource database for seniors, people with disabilities, caregivers, and service providers. The AAA’s Internet resource database was eliminated in 2008 because of budget cuts. The AAA is currently working on strengthening both internal capacity and improving the Aging and Adult Services Website for the County as well as preparing to make significant contractual improvements to it’s contract with the Crisis Center and the 211 service platform.
SECTION 4. PLANNING PROCESS / ESTABLISHING PRIORITIES
The AAA followed a time-line in the development of the Four-Year Plan. In late 2011-early 2012, the AAA conducted a Key Informant Survey and a Core Survey, primarily of seniors and consumers of senior services. The survey Key Informant Survey was given to the following constituents: The Advisory Council on Aging, All Contractors currently receiving Older American’s Act funding, HICAP counselors, Tax Aide volunteers, Nutrition Program and Café providers, Senior Center Directors, City Council members from the 19 jurisdictions within the County and participants at the Partner’s in Planning event in 2011. The core survey was completed by seniors who attend the CC Nutrition cafes, who receive home delivered meals, who are recipients of services contractor for by the Area Agency, HICAP participants, and Tax Aide clients. The Area Agency on Aging also conducted a survey of Limited English Speaking Older Adults in late 2011. Additionally, the Baby Boomer Survey noted above was conducted in late 2010. The Baby Boomer Survey was published in the 2011-2012 Area Plan update and is referenced in the Appendix of this report. The results of the Boomer survey are consistent with the results we are seeing from both the Key Informant and the Core Survey. The concerns of seniors and their providers that we surveyed are consistent: the concern about health, about access (transportation and available supportive services), the concern for personal finances. The surveys are shown in detail in the Appendices. The Area Agency reviews the analysis of all of it’s surveys with it’s Advisory Council. This year we are confident that our community’s service needs correspond with how the AAA and its’ advisory council allocates Older American’s Act funds. One thing is certain, the need in the community in all areas exceeds available services. We are keenly aware that the “silver tsunami” is upon us and inherent in our planning process is the understanding and need to strengthen community resources, develop stronger collaborations, and seek alternative and new funding sources.
As part of the planning process for this Area Plan, staff members revised goals and objectives of the prior years to move forward into this next period of time, created some new goals, eliminated others that either had been completed or were no longer appropriate.
The advisory council reaffirmed the adequate proportion percentages for access, in-home, and legal services at its Public Hearing on March 21st, 2012 and thus, committed Older Americans Act funding to continue as before.
SECTION 5 - NEEDS ASSESSMENT
The Older Americans Act (OAA) and the Older Californians Act (OCA) require that the Area Agency on Aging (AAA) conduct assessments in the community to determine the extent of need for seniors. Findings from the assessments aid the AAA in the development of a plan of service delivery for older adults.
Between December 13, 2010 and February 3, 2011 Contra Costa County AAA conducted two online assessment surveys. One was for people in the Baby Boom generation (born 1946-64) and the second of the aging services providers in Contra Costa County. Additionally, as mentioned above, a Core Survey was done in late 2011-early 2012; a Key Informant Survey and a survey given to Limited English Speakers in the County were also delivered during this same time period.
California will continue to rank first in the number of elderly for the next 25 years. In Contra Costa County, specifically, there is an estimated 210,396 county residents aged 60+, comprising 19% of the estimated county population in 2011. By 2030 this population is projected to double.
PSA 7 cited in it’s Area Plan Update FY 2011-2012 The Elder Economic Index, the demographic analysis of who is falling below the Elder Index by factors such as race and gender, and home and community long-term care costs for Contra Costa elders in the Financial Issues section of their 2011-2012 Area Plan Update (which starts on page 51). The study highlights the levels of economic insecurity among the county’s elders, what it takes for elders to truly make ends meet, and to provide quantifiable context for our survey in which 62.4% of the Baby Boomers respondents stated they did not think they had enough saved for retirement.
Now, in 2010, with significant price increases in gasoline, car repair services, food, and energy costs, costs of housing (plus the foreclosure crisis and the need for many to relocate or rent) the gap is widening for seniors between how much they have and how much they need. In all of our surveys over the past few years, financial difficulty outweighed other concerns by far. In addition, Adult Protective Services referrals listed Financial Crimes/Financial Abuse as the most reported forms of Adult Abuse and Neglect in Contra Costa County for the prior years 2008, 2009, 2010, and 2011. It is expected that this trend will continue as the country is still suffering from the effects of a deep recession in which many are still unemployed. We see that seniors have taken their grown children and in many cases their grown grandchildren back into their homes as job opportunities have vaporized for many working families.
The Baby Boomers who answered the AAA assessment survey (95) cited financial security and maintaining good health as their top two concerns. The rising cost of health care was the third top concern. What is perhaps most telling is that 62% of the respondents feel they haven’t saved enough for retirement and most believe their standard of living will be lower than that of their parents in retirement.
In terms of services respondents feel they would use, the top services were the Health Insurance Counseling and Advocacy Program (HICAP) for free Medicare counseling and homecare agencies. What is noteworthy is that volunteering to help others came in with the same number of respondents as the HICAP program. It seems Contra Costa County Boomers are still thinking of others even as they age.
Survey of Aging Services Providers (Key Informant Survey)
Key Informant Needs Assessment
The Area Agency sent the Key Informant Survey to all Agency providers (that we could identify) in Contra Costa County as well as to all 19 City Councils within the County. In addition, all of the City clerks were called to request our survey be distributed to all Council members. Sixty eight senior service providers and one local City Clerk responded to this Key Informant Needs Assessment that asked them to prioritize six needs into what they believe to be the four greatest needs for seniors in our county. The 6 categories offered were: Elder Abuse, Finance, Health Care, Housing, Isolation and Transportation.
The results of this assessment are that (lack of adequate) of finances is perceived as the greatest need or problem of seniors in Contra Costa County by service providers. In the Core Survey, seniors scored “finances” as one of the three greatest needs. The other two needs are “caregiver support” and “good health”, both of which are heavily influenced by financial resources.
According to service providers, Housing is the second greatest need of Contra Costa seniors. The “Housing” category included the following descriptors: “Being able to age in place”; “Homelessness”; and “Managing Household Needs”. Being able to age in place was the most frequent interpretation, by providers, of the meaning of their “Housing” selection. In the Core Survey, housing needs, as stated by seniors, themselves, were included in the category of inadequate finances as housing, per se, was only mentioned in terms of needing or having housing that costs more than the senior(s) can afford to acquire or maintain.
Service providers found “Health Care” to be the third greatest need of seniors. The descriptors that accompanied this category are: “Managing medications”, “quality health care services” and “quality in-home care”. Seniors, themselves, found this to be their second greatest need, stated more as a future goal, i.e., my independence depends upon my continued good health.
Providers of services found “Isolation” to be the fourth most important of the six choices offered them. Included in the definition of isolation are: “loneliness”, “not getting needs met”, “poor nutrition”, “self-neglect” and “falls”. This is significant in that in our Core Survey, we found that though only received 9% of the respondents admitted that they were lonely, 26% of seniors responded that they’d had a fall in the past 6 months.
While perception of needs by providers and statements of needs by consumers are not a perfect match and survey categories cannot be said to be absolutely discrete. The limits of comparison in this instance are that our senior respondents are already linked in to one or more senior services; whereas providers are describing a larger group of seniors who may not be receiving services due to a lack of available services or as the result of the very “isolation” previously mentioned: many seniors do not know about available services nor how to get their needs met. We did however, in both our Core Survey and in distributing and conducting our Key Informant Survey, provide a great deal of information to seniors about services available to them in Contra Costa County. In addition, we are confirmed that our Area Plan is in sync with the stated needs of our population at this time.
The aging services network has always been under-funded and now faces even greater challenges with increased needs and fewer programs. Examples of programs that no longer exist in Contra Costa County include: Linkages case management program, Linkages respite purchase of service, Alzheimer Disease Caregiver Resource Center, Brown Bag, Elder Abuse Prevention (nonprofit organization), West County Senior Services Network, AARP volunteer-based money management program in East County. Other programs have been radically cut, including Ombudsman Program, Adult Protective Services, Information and Assistance, and In-Home Supportive Services.
In the face of these realities what remains is for service providers to think strategically about their organizational missions, how to serve their clientele and how to meet needs that they can meet. Recommendations include: 1. Continue to provide vital services to seniors and family caregivers; 2. Advocate for client needs; 3. Build/collaborate/encourage public/private partnerships to maximize funding opportunities as well as streamline services. 4 Continue to recruit and develop volunteer and affordable programs and services that are sustainable, can be reproduced and applied in other regions in California as well as the nation to face the growing needs of our senior population.
Survey of Aging Services Consumers (Core Survey)
A core survey was conducted throughout Contra Costa County by this AAA with access gained to seniors, age 60+, by the following methods: Senior centers with a lunch program were surveyed in person, at lunch; recipients of Meals-on-Wheels services were surveyed through their meal delivery persons; and volunteers and the clients they serve were surveyed by the HICAP program, the Information & Assistance program and the AARP Tax Aid program. All total there were 872 recipients. Even though all technically receive senior services (even if they contribute financially towards the cost of a congregate meal), approximately half of all who answered the survey indicated that they did not receive ‘senior services’. Food, it seems, for most, especially when the senior pays for it (a donation is collected on a voluntary basis at the congregate meal sites and also MOW recipients often donate as well), is not considered a ‘service’ (in contrast to say, a visiting nurse, an in-home care provider or other tangible services).
When asked: “What is the most important thing you need to remain independent in your home?”, 269 seniors, 30%, said they needed assistance with “chores”. The category of “Chores” includes house-cleaning, repairs and maintenance both indoors and out, garden/yard work and food preparation (in the home). 213 or 24% said that “Good Health” was most important; 203 or 23% said that money/financial needs was most important; 169 or 19% said they most needed transportation services to remain independent; 89 or 10% require caregiver support services and 21, 2%, need assistive devices to age in place. These stated needs are consistent with the focus and programs that the Area Agency provides.
The respondents closely reflected the demographic make-up of Contra Costa County, as follows: 538 or 61%, are White; 105 or 12% are African American; 85 or 9%, are Hispanic; 58 or 6% are Asian/Pacific Islander; and 3 are Native American. Eleven percent of respondents did not answer this question.
There are 350 or 40% females, 328 or 37% males and 194 or 23% declined to state gender. 140 seniors or 16% are below the Federal Poverty Guideline of $10,980; 256 or 29% have income of $10,891-24,999; 165 or 18% have income of $25,000-49,000 and 168 or 18% have income of $50,000 or above. The greatest number of single family households occurs within the lowest two income categories. Consequently, utilizing the Elder Economic Security Index, it can be said that approximately 45% respondents live within a $2,000/year Margin of being at or below the standard set by the State of California for Contra Costa County, when combined with those who fall below the Federal Poverty Guideline. This is not surprising given the increased economic hardship in the Country and also because the respondents receive either home delivered meals or a congregate meal through a local senior center.
Additional demographic information of note includes:
There were 36 or 5% Lesbian, Gay, Bi-sexual and Transgender seniors, drawn from the Rainbow Community Center’s Senior Lunch Program. It was found that their needs were in line with the stated needs of all other groups of seniors. The concerns expressed were for good health, adequate financial resources and help with chores/both inside and outside.
In the past 6 months, 233 seniors or 26% disclosed that had a fall.
Renters comprise 224 or 25% of seniors; 306 or 35% of seniors say they have difficulty understanding Medi-Care; 248 or 28% are confused about how to take their medications; and 260 or 29% do not understand legal issues, such as Wills. 85 persons said they were “lonely or depressed” all or some of the time. 38 persons or 4% stated that they have been hurt by a family member or caregiver.
The results of our core survey were in large part expected as we had done a core survey only three years prior. We were glad to have access to so many respondents. With approximately 130,000 seniors now living in Contra Costa County, our survey of 872 represents approximately 7% of the population. Not only did we achieve a good number of responses, but we were glad to have feedback from so many seniors over 70 years of age. In fact, our largest ‘age group sector’ was 212 seniors 90 years of age or older. In addition, even though the Area Agency has been around for over two decades in Contra Costa County, many seniors are not aware of the services and supports the AAA offers. Our Senior staff assistant who presented and gave these surveys at 10 senior centers was able to give a presentation on the Area Agency and the services available as well as pitch for our direct service programs of Information and Assistance and HICAP. Overall, our survey results confirmed that we have been using our appropriations correctly and that we will be seeing an increase in the number of seniors that need help with affordable chores, errands, etc. and other supportive services to be able to stay in their homes. By far, all of the surveys (the Key Informant, the Core, and the LEP) the Area Agency did have one thing in common: the increasing financial stress and need for increasing financial and other supportive resources. While our PSA 7 and the County it serves and represents has suffered greatly from cuts to the AAA program itself as well as cuts to services (the dismantling of Linkages, MSSP, and soon cuts to In Home Supportive Services), we are confident that with the little we have, we still make a difference. However, it is all to obvious to this PSA and to our community that much more is needed in terms of a societal and governmental response to the huge increases in our aging population. The dollars that we have today to devote to services will not suffice for the basic needs and demands of tomorrow. While our PSA is developing and in the beginning implementation stages of an expanded volunteer network in partnership with other already established volunteer programs, we know that increased funded services will be needed. Most of our respondents participate in the meals program funded through by the Older American’s Act. A good look at what it will cost to feed our elders (especially in this time of economic decline, increasing health costs, etc) is needed at all levels of government.
(See Appendix I for the 2010 Elder Economic Index for Contra Costa County)
Area Agency on Aging
Limited English Proficient (LEP) Survey
2012
The 2012 Contra Costa County Limited English Proficient (LEP) survey is constructed as a questionnaire, written in the native languages of the older adults that were surveyed. The vast majority of the surveys were administered at the Richmond, Pittsburg, and Bay Point Senior Centers to groups of older adults participating in lunch and exercise programs. A small percentage of the surveys were filled individually, with one respondent at a time. In some cases, bilingual community service providers helped to provide general instructions and explained survey questions to the older adults in their native languages. There were a total of 71 survey respondents.
The purpose of the survey is two-fold: 1) to collect information on whether or not public and community agencies are meeting the language needs of older adults, and 2) to examine more closely what reasonable steps are necessary to ensure that limited English speaking older adults have meaningful access to services. The demographic profile of the older adults surveyed were:
• About 55% Chinese and 41% Hispanic; and 77% are age 65 and over;
• The majority of older adults (77%) spoke English either not very well, poorly, or not at all;
• Almost 68% have no more than a high school education; and of those that are single 35% have an annual income less than $10,889, while 37% of those married have an income less than $14,709.
Findings of the 2012 LEP survey show that:
• About 39% of respondents identified crime as a serious problem, making it the top issue that affect quality of life;
• Loneliness and transportation is a serious problem for about 27%; while for 25% of the respondents, it is employment that is a serious problem affecting their quality of life;
• Slightly more respondents contacted community-based agencies (45%) in the past two years to apply for services than government agencies (42%);
• Of those who contacted government agencies, 28% said they did not receive some interpretation services; while 28% said a relative helped with the interpretation;
• Older adults who contacted community-based agencies for services, 38% said they did not receive some interpretation service; 28% used a relative to help with interpretation.
Policy Recommendations:
• Government agencies in Contra Costa County utilize in-person and telephone interpreters to assist LEP persons. The availability of these services should be promoted to increase its usage. This can include more bilingual or multi-lingual pamphlets and signage to inform LEP persons that interpreters are available.
• Almost an equal share of LEP older adults in the survey seeks services from government and community-based agencies. The two entities could consider partnering to share interpretation resources. In particular, many community-based agencies do not have adequate resources to offer a variety of language interpretation services. Partnerships between agencies could be developed to create a network of interpreters that can be deployed to assist clients with a variety of language needs.
• Telephone interpretation services are a cost effective channel to provide language services to LEP persons. However, government and community-based agencies could consider augmenting the usage of this channel with more in-person interpretation by looking to recruit and train bilingual volunteer interpreters and workers.
(see Appendix III for raw data for LEP survey)
LGBT Outreach, Education, Inclusion
Summary of Need:
Even though Contra Costa County (PSA 7) is a scant thirty miles from San Francisco, one of the Gay Rights ‘capitals’ in the world, it has been challenged by individuals and groups that have been openly hostile and in some extreme cases, violent towards LGBT citizens. As the population of LGBT elders grows (as the Baby Boomers come of age), the need for services for this population also grows. It is well documented that LGBT elders face a magnification of same issues as in the general population and generally are more isolated. Additionally, LGBT elders also face increased risk of harm due to violence. Contra Costa County, like many locales across the nation, has seen violence perpetrated against its LGBT citizens by openly racist/militant individuals and groups that openly profess and perpetrate violence against LGBT citizens as well as violence against persons of color. One only need to ‘Google’ anti-gay violence in Contra Costa County and historical accounts emerge about violence against LGBT individuals. For LGBT seniors, especially long time residents of this county, these incidents are forever burned into memory. It is increasingly important to address issues of safety (physical as well as emotional) for LGBT seniors.
A few years ago, Contra Costa County voters approved Proposition 8, an anti-gay legislation that has now been deemed unconstitutional in the State of California and is making its way to the Supreme Court. During the pre-election campaign, this County, as well as many others across the State of California saw an increase in the number of LGBT hate crimes, harassment, and bullying. For more information on this, see this study by the American Psychological Association quoted in an article by “Marriage Equality” (link provided in the Index). The study highlights the harm caused to individuals, in families, in neighborhoods, and to children as the result of anti-gay politics. It also documents increased levels of violence and harassment. To anyone that is LGBT, and especially to an LGBT elder, living through situations like this is akin to living in a terrorist war zone. For many elders, especially LGBT elders of color, the social climate was (and is) horrifyingly reminiscent of pre-Civil Rights era hostility.
While violent incidents may not directly affect every LGBT individual, there are few ‘out’ LGBT individuals who have not been a target of verbal slurs, threats to their person or family, or exclusion. For seniors in particular, there often is a family history of rejection, exclusion, and/or abandonment. For seniors that are more vulnerable, in need of public services, public transportation, nursing/hospital care, or residential care, there is a fear that if their sexual orientation were known, they would either become targets or ignored and not receive adequate care. While this Area Agency is not in receipt of a great deal of statistical data in this area (and likely would not be because of failure to disclose), staff at PSA 7 did learn of inadequate care, slurs, and violations of personal rights from seniors and from some health providers.
Because of the challenges the community as whole faces on this issue, and more specifically that LGBT elders face, it was all too obvious that this Area Agency needed to address this issue. Staff unanimously decided to host in the fall of 2011, and in preparation for this Area Plan, its’ annual Partners’ in Planning Event with a focus on LGBT rights and issues in hospital and long term care. The event was entitled, “From Isolation to Inclusion” and Open House of San Francisco and The Rainbow Community Center of Contra Costa County were solicited as fellow planners and presenters for this event. Participants for the event were invited from local hospitals, skilled nursing facilities, long term care facilities as well as all of the service providers that the Area Agency has current contracts with. During the invitation phase, the Area Agency was told by one current service provider that, “Our Administration would never approve any of our staff to attend an event or training “like that” (meaning dealing with homophobia or the rights of LGBT residents). Immediately, that prompted an RFI to be issued by the Area Agency in search of another service provider that would be “welcoming and friendly” to the LGBT residents. Inclusive in every contract starting FY2012, the contractors will be required to certify that their services are “welcoming and friendly” to LGBT clients.
For the Partner’s in Planning event, the Area Agency was able to secure the full length feature film of “Gen Silent”. Please see the flyer attached in the Index that served as the invitation to this event. This event was invitation only as direct service providers were the intended audience. In addition, most attendees were either nurse case managers, training managers, or other managers with oversight for their programs and responsible for compliance. Open House of San Francisco covered the legislation that now requires cultural competency training for health professionals as well as licensing requirements for providers in addressing LGBT issues and ensuring basic rights of patients and clients. Each participant completed evaluations and overall the training received a “5” (excellent), most with comments that the participants would be bringing this information back to their agencies. Those evaluations are on file in hardcopy at the Area Agency. While this event was a one-time, one day events, it did inform providers of their responsibilities and give them a framework in which to train their staff and to guide their policy in regards to staff-patient/client interactions, health treatment, family visitation, personal care of residents/patients and legal issues (Living Wills, Powers of Attorney, etc.).
For ongoing discussion, forums, and training the Area Agency also has a designated Liaison for LGBT issues that works directly with the Rainbow Community Center that is the designated fiscal agent for the East, West, and Central County Senior Coalitions. The Area Agency has an ongoing commitment to work with partner agencies and individuals in the ‘fight’ against homophobia and in bringing education and resources to the community.
SECTION 6. TARGETING
With the baby boomer population aging and the continued influx of immigrants, our senior demographic profile of CCC is becoming more diverse and growing more rapidly than we have ever seen. Our demographic profile includes seniors who reside in rural, suburban, and urban areas with different income levels, ethnically and culturally diverse backgrounds, and various levels of mental and physical abilities. To assure that we assist the segment of our senior population with the greatest economic and social needs, AAA and programs funded through our agency will continue to target and serve seniors that are low-income, who have mental or physical disabilities, language barriers, and those who are isolated due to cultural, social, and geographical factors.
The AAA requires its contractors to target and serve individuals with the greatest social and economic needs as part of their contractual obligation and compliance in accordance with the Older Americans Act and Older Californians Act. In other words, service providers are expected to develop and utilize an outreach plan which is specifically intended to reach and serve individuals with the greatest economic need, the greatest social need, with minority status, and, in particular, minority persons of greatest economic need as represented in the demographic profile of the area of the County in which the service is provided. Our Requests for Proposals (RFP’s) and Request for Interest (RFI’s) will require bidders, when submitting proposals to provide services, to include a community outreach plan that is inclusive of ethnic minority groups and individuals who are economically disadvantaged or disabled, and as mentioned above, are also welcoming and friendly to LGBT individuals.
The AAA staff will continue to give presentations about resources and publishing and distributing resource materials in different languages, brochures, and literature regarding new and expanded services.
Our targeting efforts will continue to be integrated into our partnerships countywide with senior coalitions, community organizations, legislators, and agencies in our aging network to identify ways to reach the underserved while improving both the access to and quality of senior services. The AAA will continue to work with public and non-profit agencies to continue projects, such as, East County Coalition’s “Active Aging” workshops and working with West County Senior Coalition, legislators, and other agencies to develop town hall meetings that give the public the opportunity to discuss, learn about, and advocate for senior issues and create solutions to problems that impact older adults. In Central County, AAA will continue to collaborate with agencies such as the Monument Community Partnership’s Senior Action Team to promote access to services for low-income and underserved seniors, and work with Central County Coalition to plan an annual volunteer recognition award luncheon and a forum to address the issues of aging and its effects on older adults.
The Area Agency also works closely with its Advisory Council on all of the priority Areas. This last year, there has been significant work done in the Area of Access to services including transportation and health issues affecting seniors. In the fall of 2011 the AAA co-sponsored a large Older Driver Summit entitled, “Getting Around” at the Rossmoor Senior Community Center. The event focused on public safety (“when to know to give up the keys”) as well as options for transportation and current advocacy efforts underway to provide transportation for seniors that is safe and affordable. The Health workgroup of the Area Agency has been working with county ambulance service providers on concerns raised in this region of billing practices and getting accurate information out to seniors about the cost of ambulance rides and when it is covered by insurance, and when it is not. The legislative workgroup is a very active group with three of it’s’ members also representatives of the senior legislature. Focus areas are: strengthening the Ombudsman service, supporting legislation that is protective of consumer rights in regards to Reverse Mortgages with disclosure language understandable, and advocacy in the arena of health benefits and an ongoing focus on prevention of elder financial abuse.
SECTION 7. PUBLIC HEARINGS PSA 7
At least one public hearing must be held each year of the four-year planning cycle.
CCR Title 22, Article 3, Section 7302(a) (10) and Section 7308, OAA 2006 306(a)
|Fiscal Year |Date |Location |Number of Attendees|Presented in languages other|Was hearing held |
| | | | |than English? [2] |at a Long-Term |
| | | | |Yes or No |Care Facility? [3] |
| | | | | |Yes or No |
|2012-13 |March 21, 2011 |500 Ellinwood Way, Pleasant Hill, CA 94523 |44 |no |no |
|2013-14 | | | | | |
|2014-15 | | | | | |
|2015-16 | | | | | |
The following must be discussed at each Public Hearing conducted during the planning cycle:
1. Summarize the outreach efforts used in seeking input into the Area Plan from institutionalized, homebound, and/or disabled older individuals. Discussed the use of the Core Survey, the Key Informant Survey, the Limited English Speaking Survey, and the Boomer Survey in conducting the Area Agency’s needs assessment and formulation of the FY2012-2016 Area Plan. The surveys were administered to older adults at Senior Centers, recipients of AAA contracted services as well as the contract service providers, government officials (City Council members), the Advisory Council on Aging, participants at the 2011 Partners in Planning event that focused on legal and ethical issues affecting LGBTQ consumers of long term care facilities and skilled nursing facilities, at large community groups representing Spanish speaking, Chinese speaking individuals. The surveys were then reviewed in assessing the focus of this years’ 4 year Plan and ongoing analysis will continue as we move into the new fiscal year.
2. Were proposed expenditures for Program Development (PD) and Coordination (C) discussed?
X Yes. Go to question #3
Not applicable, PD and C funds are not used. Go to question #4
3. Summarize the comments received concerning proposed expenditures for PD and C:
Attendees expressed support for the Area Agency’s plan and said they felt very supported by our Area Agency. One contractor commented that several of her ‘sister agencies’ who are situated in other AAA’s are not well supported but that she and her organization have always had and still maintain a very good relationship with the AAA in Contra Costa County.
4. Attendees were provided the opportunity to testify regarding setting of minimum percentages of Title III B program funds to meet the adequate proportion funding for Priority Services
X Yes. Go to question #5
No, Explain:
5. Summarize the comments received concerning minimum percentages of Title III B funds to meet the adequate proportion funding for priority services. Only a few comments received in support of the allocation and apportionment of AAA funding. Some questions were asked for clarification by a new member and staff explained the relationship of minimum percentages to the budget and the amounts for program areas.
6. List any other issues discussed or raised at the public hearing. No other issues or concerns were raised. There were a few questions about leftover funds and the staff explained that unused funds are returned to the State and then reallocated in One Time Only Funds. There were a few technical questions about the nutrition program that were easily answered (for instance, if funds allocated to Nutrition are a line item budget. The answer was of course yes with an explanation of how Congress considers seniors’ most important needs.
7. Note any changes to the Area Plan which were a result of input by attendees. None. There was no opposition to any part of the Area Plan.
(Please see appendix for copy of the Notice and Minutes from the 2012 Public Hearing)
SECTION 8 - IDENTIFICATION OF PRIORITIES
The AAA continues to identify through census data, contractor feedback, and surveys priority services for seniors in greatest economic need, greatest social need, minorities, and minorities in greatest economic need. These mechanisms for input have identified affordable housing, transportation, in-home and household help, personal finances, health services including mental health services, and integrated services as among the highest priorities.
The Bay Area is a high cost-of-living area. With the economic downturn, several of our providers are seeing greater numbers of clients seeking assistance. Affordable housing has been a critical and vexing need for generations. Contra Costa Senior Legal Services had commented last year that they are seeing more clients coming in with mortgage and foreclosure issues and other related financial issues. The Contra Costa/ Solano Food Bank generally have seen increasing numbers of clients while food donations are down.
As a predominantly suburban county, the residents of Contra Costa County are heavily car-dependent. As more seniors shift to non-driver status, the need for assisted transportation increases because most seniors are unable to use public transit and even para-transit at that point.
The housing workgroup of the Advisory Council, recently resurrected as it had been dormant for the greater part of the past two years, is been concerned about both available and affordable senior housing. This workgroup will be following the progress on the conversion of the Concord Naval Weapons Station to a mixed-use development with clustered villages as provide advisement to local jurisdictions the needs of seniors in regards to design, location, access to transportation, and safety. In addition, the City of Martinez is in the process of developing a new senior housing community that is intended for low income seniors as well as those that suffer from a mental disability. There are a number of issues being hotly contested now on this project in both the City and County jurisdictions regarding the maximum income qualifications for future residents and whether the City of Martinez needs more Section-8 housing. The Housing Workgroup is at the table on this issue.
The Legislative workgroup (that has members of the Advisory Council that are also California Senior Legislators) has been working on issues of Reverse Mortgages (supporting legislation for fuller disclosure and more safeguards for seniors), a stronger State Ombudsman program, and advocacy on other bills as they affect seniors. Staff from the Area Agency help support the workgroups by taking minutes and in preparing agendas.
The Area Agency on Aging has also brought the issue of the Dual-eligible individual (for Medi-care and Medi-Cal) to the Advisory Council on Aging’s attention. There is a great deal of concern in this area for this population as well as the ramifications of the future plans for a managed care approach to serve these individual as well as those who are clients of the In-Home Supportive Services Program (IHSS), now run by the Employment and Human Service Department. A concern that the Area Agency and the Advisory Council on Aging have regarding this is how much more will it cost to run the IHSS program if and the potential for only the most critically needy to receive services; potentially creating a population of seniors that are at increased risk for needing residential, out of home care. With the cuts a
The AAA staff and Advisory Council will continue to work together to determine methods for expanding, developing, and coordinating these areas of concern. Changes in the Four-Year Area Plan may be forthcoming in subsequent years. The AAA will utilize the findings from all available sources to determine service priorities as funding changes.
SECTION 9
AREA PLAN NARRATIVE
GOALS AND OBJECTIVES
|GOAL # 1 |
|The AAA is committed to assisting older individuals (who may be in danger of losing their independence) so they can lead meaningful, dignified,|
|and independent lives in their own homes and communities as long as possible. AAA will accomplish this through an accessible range of options |
|including but not limited to, collaborative efforts, decision making among public, private, voluntary, fraternal organizations, and coalitions,|
|for continuing the development and enhancement of a comprehensive and coordinated community and home based system of care. |
|RATIONALE |
|The AAA conducted needs assessments and through analyses of the results of completed surveys found the AAA was asked to provide program |
|development, coordination, and technical assistance. |
|OBJECTIVES |Projected Start &|Title III B |Status |
| |End Dates |Funded PD or C | |
|Aging and Adult Services Staff Assistant, Sr. Staff Assistants, and Division Manager will |7/1/12- 6/30/16 |C | |
|actively participate in monthly Senior Coalition meetings to assist in the development and | | | |
|implementation of coalition activities by working with members of each coalition to develop | | | |
|and maintain community events, forums and other activities supportive of seniors in Contra | | | |
|Costa County. | | | |
|Aging and Adult Services Staff assistant, and Sr. Staff Assistants will actively participate|7/1/12- 6/30/16 |C | |
|in the Senior Coalitions to identify and prioritize senior needs by providing technical | | | |
|assistance by working with Coalition members on needs identified, including fraud, health and| | | |
|intergenerational issues. | | | |
|The AAA Division Manager, Aging and Adult Services Sr. Staff Assistants, and the Advisory |7/1/12- 6/30/16 |PD | |
|Council Planning Committee Members will work collaboratively with CBO’s to develop and plan | | | |
|special programs/events/services with the use of One-Time Only funds in order to help address| | | |
|the needs of older adults with particular attention to Family Caregiver needs. | | | |
|The AAA Division Manager, Aging and Adult Services Sr. Staff Assistants, and the Advisory |7/1/12- 6/30/16 |PD | |
|Council Planning Committee Members will work collaboratively with CBO’s to develop and plan | | | |
|special programs/events/services with the use of One-Time Only funds in order to help address| | | |
|the needs of older adults with particular attention to LGBT seniors. | | | |
|The AAA Division Manager, Aging and Adult Services Sr. Staff Assistants, and the Advisory |7/1/12- 6/30/16 |PD | |
|Council Planning Committee Members will work collaboratively with CBO’s to develop and plan | | | |
|special programs/events/services with the use of One-Time Only funds in order to help address| | | |
|the needs of older adults with particular attention to seniors with limited-English | | | |
|abilities. | | | |
|The AAA Division Manager, Aging and Adult Services Sr. Staff Assistants, and the Advisory |7/1/12- 6/30/16 |PD | |
|Council Planning Committee Members will work collaboratively with CBO’s to develop and plan | | | |
|special programs/events/services with the use of One-Time Only funds in order to help address| | | |
|the needs of older adults with particular attention to disease prevention and health | | | |
|promotion of seniors. | | | |
|The AAA Division Manager, Aging and Adult Services Sr. Staff Assistants, and the Advisory |7/1/12- 6/30/16 |PD | |
|Council Planning Committee Members will work collaboratively with CBO’s to develop and plan | | | |
|special programs/events/services with the use of One-Time Only funds in order to help address| | | |
|pressing or emergent needs identified by AAA contracted providers. | | | |
|The AAA Division Manager, Aging and Adult Services Sr. Staff Assistants, and the Advisory |7/1/12- 6/30/16 |C | |
|Council Planning Committee Members will coordinate with CBO’s who provide Title III | | | |
|supportive services to fund needed items with the use of One-Time Only funds which will | | | |
|improve the quality of service to their older clients. | | | |
|Aging and Adult Services Sr. Staff Assistants and AAA Division Manager will organize and hold|7/1/12- 6/30/16 |C | |
|an annual “Partners in Planning” gathering that brings together volunteers, community based | | | |
|organizations, and organizations in the county’s aging network to meet each other, exchange | | | |
|ideas, learn from each other’s successes and challenges, foster partnerships, and develop | | | |
|strategies to develop, expand, and enhance services for the elderly in CCC. | | | |
|Aging and Adult Services Staff Assistant, Sr. Staff Assistants and AAA Division Manager will|7/1/12- 6/30/16 |C | |
|bring service providers together for the purpose of non-duplication of effort, coordinating | | | |
|services, maximizing resources, and general sharing of information. | | | |
|GOAL # 2 |
|AAA will provide services to older individuals with the greatest economic and social needs, including low income diverse population groups |
|through continued service expansion, development, and collaboration with community groups, service providers, and elected officials, in order to|
|provide health, social, nutrition and legal services for older individuals who may be at risk of abuse or neglect. |
|RATIONALE |
|Mandated by the Older Americans Act and the AAA is committed to providing services to the population groups specified above. |
|OBJECTIVES |Projected Start &|Title III B |Status |
| |End Dates |Funded PD or C | |
|The AAA Director, AAA Division Manager, Aging and Adult Services Sr. Staff Assistants, and |7/1/12- 6/30/16 |PD | |
|Planning Committee to the Advisory Council will actively work through membership on the Mental| | | |
|Health Department’s Consolidated Planning Advisory Workgoup and CPAW’s Aging and Older Adult | | | |
|Committee, to plan outreach strategies to reach underserved seniors, particularly with respect| | | |
|to: isolation; low-income; mental illness; language barriers; and LGBT. | | | |
|Aging and Adult Services Sr. Staff Assistants, Division Manager, and the AAA Director will |7/1/12- 6/30/16 |C | |
|cultivate relationships with County Board of Supervisors, state legislators, and their staff | | | |
|members to inform each elected official’s office of service issues facing seniors, to advocate| | | |
|for more resources for senior programs and to match funding opportunities to service needs. | | | |
|AAA Division Manager, Senior Staff Assistants and the Advisory Council will work with various |7/1/12- 6/30/16 |C | |
|legal services providers and other interested stakeholders to coordinate elder abuse | | | |
|prevention activities for seniors vulnerable to or at risk of exploitation. AAA staff members| | | |
|will assist with hosting seminars, fairs, or other educational events related to elder abuse. | | | |
|AAA Senior Staff Assistant will partner with Jewish Family and Children Services, local |7/1/12- 6/30/16 |C | |
|hospitals, and community organizations to coordinate an annual “Senior Appreciation Day – | | | |
|Health and Resource Fair” in recognition of Older Americans Month in May. At the event seniors| | | |
|will receive free health screenings for diabetes, high blood pressure, osteoporosis, dental | | | |
|problems, and other health issues. The event will also feature exercise demonstrations, | | | |
|nutrition information, and information about community resources presented in both Spanish and| | | |
|English. | | | |
|AAA Senior Staff Assistant will work with the Food Bank of Contra Costa and Solano County to |7/1/12- 6/30/16 |C | |
|coordinate the distribution of free USDA Farmers Market Coupons to qualified low-income | | | |
|seniors. The coupons will be available to seniors at 16 food distribution sites throughout | | | |
|Contra Costa County. | | | |
|The AAA Senior Staff Assistant will continue to serve on the Fall Prevention Program Steering |7/1/12- 6/30/16 |C | |
|Committee and the Fall Prevention Coalition to help develop, coordinate, and sustain programs | | | |
|and activities that prevent falls such as fall risk assessments, fall prevention education, | | | |
|physical activity and exercise, home safety modifications, and medication management. | | | |
|7. The AAA Division Manager and Sr. Staff Assistants will partner with County Older Adult |7/1/12-6/30/16 |PD/C | |
|Mental Health, Mental Health Community Concerns, the Ombudsman, and other local CBO’s to plan | | | |
|and coordinate a new annual forum, “A Second Spring; Celebrating Aging” that will provide | | | |
|educational information/resource information to seniors and their families as well as promote | | | |
|visibility for older adult issues in the community, especially as concerns older adult mental | | | |
|health and health issues. | | | |
|8. Ombudsman Services will provide a Long Term Care Ombudsman Program for adults, utilizing |7/1/12-6/30/16 | | |
|Title IIIB and VII A funding of the Older Americans Act. Services will include the following: | | | |
|Conduct activities relating to receiving, analyzing, researching, observing, interviewing or | | | |
|verifying a complaints and activities related to intervention in complaints on behalf of a | | | |
|client | | | |
|Provide mediation and conciliation services in the resolution of inquiries and complaints from| | | |
|older long term care residents and patients | | | |
|Investigate reports of physical abuse of all dependent adult and elder residents of long term | | | |
|facilities in accordance with the mandates established | | | |
|Conduct activities related to the education of groups of older adults, their families, | | | |
|community organizations, and facility staff about senior’s rights, benefits, and entitlements | | | |
|Recruit, train, and certify Ombudsman volunteers. Assign volunteers and staff to the 32 | | | |
|nursing homes and staff caseworkers to intermediate care facilities for the developmentally | | | |
|disabled adults in Contra Costa County | | | |
|Establish family councils to include family members of older patients in skilled nursing | | | |
|facilities to advocate for and respond to the needs of the patients within the facilities. | | | |
|9. In order to expand and make information and referral services more accessible to the |7/1/12-6/30/16 |PD | |
|community, the AAA Senior Staff Assistant will work collaboratively with senior and community | | | |
|centers to establish Information & Assistance (I&A) Satellite Stations. Volunteers will be | | | |
|recruited and trained to assess the needs of seniors, and link them with vital community and | | | |
|public services that they may be eligible for. Types of services include but are not limited | | | |
|to transportation, housing, finances, employment, food, legal advocacy, Medicare counseling, | | | |
|and education. Follow-ups will be conducted to ensure that the needs of the seniors are met. | | | |
|10. In order to provide better customer service, the AAA Senior Staff Assistance will recruit |7/1/12-6/30/16 |PD | |
|and train volunteers to support the work of Social Workers at the I&A Call Center. I&A Call | | | |
|Center volunteers will help return calls from clients who have routine questions about | | | |
|community resources. This will help to free up time for the Social Workers to assist | | | |
|vulnerable seniors, adults with disabilities, and caregivers with complex needs. Volunteers | | | |
|will also make follow-up calls to see if clients’ needs are addressed or if further assistance| | | |
|is required. | | | |
|GOAL # 3 |
|AAA will provide public information to agencies and community persons 60+ and their families regarding resource availability, educational |
|opportunities, demographics, health care insurance counseling, and funding opportunities. |
|RATIONALE |
|Various survey responses, AAA Advisory Council, Board of Supervisors, Coalitions, stakeholders and other groups have identified the need for the|
|AAA to communicate with and provide information to the general public at all levels. |
|OBJECTIVES |Projected Start &|Title III B |Status |
| |End Dates |Funded PD or C | |
|In order to ensure continuity of services delivered by community based organizations, |7/1/12- 6/30/16 |PD/C | |
|Aging and Adult Services Sr. Staff Assistants will assist in the coordination of | | | |
|obtaining grants by working collaboratively to share information and provide technical | | | |
|assistance for writing grants in relationship to funding opportunities appropriate for | | | |
|any community based organization in CCC serving older adults. | | | |
|AAA Division Manager and Aging and Adult Services Sr. Staff Assistants will work with |7/1/12- 6/30/16 |PD/C | |
|senior coalitions, community based organizations, the County’s aging network, offices of| | | |
|County Supervisors, and other groups to identify and address senior needs by providing | | | |
|technical assistance including, assistance with needs assessments, focus groups, quality| | | |
|assurance surveys, program developing, and fundraising. | | | |
|The AAA staff will initiate and coordinate efforts to once again provide an |7/1/12- 6/30/16 |C | |
|easy-to-navigate, Internet-based resource database for seniors, caregivers, people with | | | |
|disabilities, and service providers to locate community resources. The AAA’s original | | | |
|resource database was eliminated in 2008 because of budget cutbacks. | | | |
|4. An Aging and Adult Sr. Staff Assistant will make the results of the Limited English|7/1/12-6/30/16 |PD/C | |
|Proficient (LEP) survey available to interested community organizations and members of | | | |
|the public. The purpose of the survey is two-fold: 1) to collect information on | | | |
|whether or not public and community agencies are meeting the language needs of LEP older| | | |
|adults, and 2) to examine more closely what reasonable steps are necessary to ensure | | | |
|that limited English speaking older adults have meaningful access to services. | | | |
|5. An Aging and Adult Sr. Staff Assistant will make the results of the Key Informant |7/1/12-6/30/16 |PD/C | |
|Survey available to interested community organizations and members of the public. The | | | |
|purpose of the survey is to ascertain what professionals and advocates perceive is the | | | |
|priority of needs/issues/concerns seniors face today and as a planning tool in the | | | |
|development of the PSA’s Area Plan as well as needed programs given budget limitations | | | |
|6. An Aging and Adult Sr. Staff Assistant will make the results of the Core Survey |7/1/12-6/30/16 |PD/C | |
|available to interested community organizations and members of the public. The purpose | | | |
|of the survey is to ascertain the needs of our senior population, directly, by surveying| | | |
|them, county wide and to use the results as a tool in the planning for the PSA’s Area | | | |
|Plan as well as possible program development given budget limitations. | | | |
|GOAL # 4 |
|AAA will actively promote the health and well-being of the older population of Contra Costa County through various community outreach |
|activities. |
|RATIONALE |
|As specified by the Older Americans Act, including Title III D. |
|OBJECTIVES |Projected Start &|Title III B |Status |
| |End Dates |Funded PD or C | |
|Aging and Adult Staff Assistant, Sr. Staff Assistants, Division Manager, and its direct |7/1/12- 6/30/16 |C | |
|program, HICAP, will work with senior coalitions, health organizations, medical | | | |
|providers, Medicare Senior Advantage programs and the like to directly contact seniors | | | |
|to provide information about managing chronic conditions, promoting healthy lifestyles | | | |
|and healthy aging and insurance coverage issues. HICAP participates in planning and | | | |
|attending health fairs and health screenings. | | | |
|Aging and Adult Sr. Staff Assistants, Staff Assistant, and Division Manager will support|7/1/12- 6/30/16 |C | |
|distribution efforts for medication safety packets, Medi-sets, and other programs and | | | |
|tools for vulnerable seniors for medication management in emergencies. The AAA staff | | | |
|will partner with the Fall Prevention Program and community organizations to continue to| | | |
|coordinate the distribution of the booklet ‘Tracking your Medicine’ to Contra Costa | | | |
|seniors. Seniors consume more medicines than any other age group, but using medicines | | | |
|may put them at risk, especially when several medicines are used at one time. This | | | |
|booklet serves as an easy-to-use tool to help seniors track their medicines and avoid | | | |
|dangerous drug interactions. | | | |
|To increase awareness about the benefits of physical activity for older adults, Aging |7/1/12- 6/30/16 |C | |
|and Adult Services Sr. Staff Assistants and Division Manager will work with community | | | |
|agencies to develop and coordinate exercise programs, which will provide demonstrations,| | | |
|workshops, and exhibits on exercise and fitness. | | | |
|The AAA Division Manager, Aging and Adult Services Sr. Staff Assistants, and the |7/1/12- 6/30/16 |PD | |
|Advisory Council Planning Committee Members will work collaboratively with CBO’s to | | | |
|develop and plan special programs/events/services in order to help address the needs of | | | |
|older adults with particular attention to promoting health and preventing disease, such | | | |
|as health screening, home safety, physical and mental health. | | | |
|The AAA Division Manager, Aging and Adult Services Sr. Staff Assistants, and the |7/1/12- 6/30/16 |PD/C | |
|Advisory Council Planning Committee Members will work collaboratively with CBO’s to | | | |
|develop and plan special programs/events/services in order to help address the needs of | | | |
|older adults with particular attention to promoting health and preventing disease, such | | | |
|as health screening, home safety, physical and mental health. | | | |
|The Aging and Adult Services Staff Assistant and Sr. Staff Assistant will coordinate | | | |
|with other senior organizations to help develop presentations on prescription drug |7/1/12- 6/30/16 |C | |
|safety to be given by the Food and Drug Administration. | | | |
|7. Aging and Adult Staff Assistant and Sr. Staff Assistant will utilize the HICAP |7/1/12-6/30/16 |C | |
|program to inform the public about enhanced Medicare benefits under the Affordable Care | | | |
|Act, which include preventive benefits. | | | |
|8. Aging and Adult Staff Assistant and Sr. Staff Assistant will inform the public |7/1/12-6/30/16 |PD/C | |
|about health insurance options outside of Medicare whenever appropriate. Examples | | | |
|include programs made possible through the Affordable Care Act. | | | |
|GOAL # 5 |
|The AAA is committed to planning for and implementing community services for the Baby Boomer population; recognizing and addressing their|
|unique needs related to housing, transportation, financial security, health and well being, employment and community involvement. While |
|there is no current funding for this effort, the AAA will seek to accomplish this through advocacy, and creative collaboration with |
|current and new community partners. |
|RATIONALE |
|To address the needs of the influx of Baby Boomers expected to retire in the near future. |
|OBJECTIVES |Projected Start &|Title III B |Status |
| |End Dates |Funded PD or C | |
|AAA Division Manager and Sr. Staff Assistants will provide technical assistance and |7/1/12- 6/30/16 |C | |
|training to community members on how to increase the number of older adults in policy | | | |
|making positions on local boards, city councils and planning commissions. | | | |
|AAA Division Manager and Sr. Staff Assistants will provide technical assistance and |7/1/12- 6/30/16 |C | |
|training to local boards, city councils, and planning commissions to encourage them to | | | |
|be more responsive to Baby Boomer needs and issues. | | | |
|4. Utilizing the Baby Boomer survey, completed early 2011, as well as the recent Core |7/1/12-6/30/16 |C | |
|Survey, Key Informant and LEP surveys as well as and other current resources, Division | | | |
|Manager and Senior Staff Assistants will educate the provider & stakeholder communities | | | |
|with respect to the results of the surveys regarding the needs of seniors in the AAA’s | | | |
|catchment area. | | | |
|5. AAA Division Manager and Senior Staff Assistant will work collaboratively with staff|7/1/12- 6/30/16 |PD | |
|from Contra Costa County In-Home Supportive Services and Volunteer and Emergency | | | |
|Services to plan and develop a Volunteer Care Coordination Program. The program will | | | |
|utilize trained volunteers to assist seniors and their families with the process of | | | |
|planning and coordinating long-term care services. In particular, the program will | | | |
|target low and moderate income seniors who do not qualify for government assistance and | | | |
|do not have the means to afford private services. | | | |
|GOAL # 6 |
|The AAA will work to prevent isolation, poverty, homelessness, and premature institutionalization of Lesbian, Gay, Bisexual, and |
|Transgender (LGBT) seniors due to recent studies showing them to be at a higher risk as a result of life-long experiences causing |
|marginalization. |
|RATIONALE |
|Mandated by the California Department of Aging. |
|OBJECTIVES |Projected Start &|Title III B |Status |
| |End Dates |Funded PD or C | |
|AAA Division Manager and Aging and Adult Services Sr. Staff Assistant will collaborate |7/1/12- 6/30/16 |C | |
|with local agencies which serve LGBT seniors in order to maintain the most current | | | |
|demographic information on LGBT Seniors, particularly regarding those of low-income and | | | |
|minority status in order to adequately plan for services. | | | |
|AAA Division Manager and Aging and Adult Services Sr. Staff Assistant will collaborate |7/1/12- 6/30/16 |C | |
|with local agencies which serve LGBT seniors in order to maintain the most current | | | |
|resource information on culturally competent services for LGBT Seniors in order for I & A| | | |
|to provide the appropriate referrals. | | | |
|The AAA Division Manager and Aging and Adult Services Sr. Staff Assistants will craft a |7/1/12- 6/30/16 |C | |
|survey to provide to local providers to assess the needs of older LGBT residents. | | | |
|4. In collaboration with Rainbow Community Center, the AAA Division Manager and Sr. |7/1/12- 6/30/16 |C | |
|Staff Assistants will continue to deliver curriculum/in-service sensitivity training and | | | |
|“Train the Trainers” for staff of contracted service providers on how to work with LGBT | | | |
|clients with sensitivity to their unique needs and to know how to make appropriate | | | |
|referrals when clients report having issues relating to discrimination, for examples: | | | |
|with their doctors when needing care, with having been turned away when attempting to | | | |
|obtain housing, and/or having their marital and domestic partnerships rights dismissed by| | | |
|long-term care facility staff. | | | |
|5. The AAA will be reviewing all its current contracts with it’s providers to ensure that|7/1/12-6/30/16 |C | |
|all contracts have language that include and assure that the contractor will be ‘LGBT | | | |
|welcoming and friendly’. | | | |
|GOAL # 7 |
|The AAA will work in partnership with the California Department of Aging and its transportation Freedom Mobility Management Grant, other |
|local agencies and grass root groups to combat isolation, to increase access and transportation options for older adults, and promote a |
|collaborative effort to advocate for more countywide transportation resources. |
|RATIONALE |
|Mandated by the California Department of Aging. |
|OBJECTIVES |Projected Start &|Title III B |Status |
| |End Dates |Funded PD or C | |
|AAA Division Manager and Aging and Adult Services Sr. Staff Assistant will collaborate |7/1/12- 6/30/16 |PD&C | |
|with local agencies which serve seniors as well as transit providers to plan and | | | |
|coordinate educational forums throughout the county on both public safety issues for | | | |
|older drivers as well as options for transportation. | | | |
|AAA Division Manager and Area Agency on Aging Sr. Staff Assistant will work throughout |7/1/12- 6/30/16 |C | |
|the county on both public safety issues for older drivers as well as options for | | | |
|transportation. AAA Sr. Staff Assistant will collaborate with local agencies in order to| | | |
|maintain the most current resource information on rides for seniors and transportation | | | |
|options within Contra Costa County and the Bay Area Region in order for I & A to provide | | | |
|the appropriate referrals. | | | |
|The AAA Division Manager and Aging and Adult Services Sr. Staff Assistants will work with|7/1/12- 6/30/16 |C | |
|the Advisory Council Transportation workgroup and the Housing workgroup to develop new | | | |
|strategies and recommendations for land use planning/transit village to meet the needs of| | | |
|seniors. | | | |
SECTION 10 - SERVICE UNIT PLAN (SUP) OBJECTIVES PSA 7
TITLE III/VII SERVICE UNIT PLAN OBJECTIVES
CCR Article 3, Section 7300(d)
The Service Unit Plan (SUP) uses the National Aging Program Information System (NAPIS) Categories and units of service. They are defined in the NAPIS State Program Report.
For services not defined in NAPIS, refer to the Service Categories and Data Dictionary.
Report the units of service to be provided with ALL funding sources. Related funding is reported in the annual Area Plan Budget (CDA 122) for Titles III B, III C-1, III C-2, III D, VII (a) and VII (b).
1. Visiting Friendly visitor Unit of Service = 1 hour
|Fiscal Year | |Goal Numbers |Objective Numbers (if applicable) |
| |Proposed | | |
| |Units of Service | | |
|2012-2013 |14,040 |1 | |
|2013-2014 | | | |
|2014-2015 | | | |
|2015-2016 | | | |
2. Homemaker Unit of Service = 1 hour
|Fiscal Year | |Goal Numbers |Objective Numbers(if applicable) |
| |Proposed | | |
| |Units of Service | | |
|2012-2013 | | | |
|2013-2014 | | | |
|2014-2015 | | | |
|2015-2016 | | | |
3. Chore In-home registry Unit of Service = 1 hour
|Fiscal Year | |Goal Numbers |Objective Numbers (if applicable) |
| |Proposed | | |
| |Units of Service | | |
|2012-2013 |2,400 |1 | |
|2013-2014 | | | |
|2014-2015 | | | |
|2015-2016 | | | |
4. Home-Delivered Meal Unit of Service = 1 meal
|Fiscal Year | |Goal Numbers |Objective Numbers (if applicable) |
| |Proposed | | |
| |Units of Service | | |
|2012-2013 |350,000 |2 | |
|2013-2014 | | | |
|2014-2015 | | | |
|2015-2016 | | | |
5. Adult Day Care/Adult Day Health Unit of Service = 1 hour
|Fiscal Year | |Goal Numbers |Objective Numbers (if applicable) |
| |Proposed | | |
| |Units of Service | | |
|2012-2013 |7,208 |4 | |
|2013-2014 | | | |
|2014-2015 | | | |
|2015-2016 | | | |
6. Case Management Unit of Service = 1 hour
|Fiscal Year | |Goal Numbers |Objective Numbers (if applicable) |
| |Proposed | | |
| |Units of Service | | |
|2012-2013 | | | |
|2013-2014 | | | |
|2014-2015 | | | |
|2015-2016 | | | |
7. Assisted Transportation Unit of Service = 1 one-way trip
|Fiscal Year | |Goal Numbers |Objective Numbers(if applicable) |
| |Proposed | | |
| |Units of Service | | |
|2012-2013 |1,100 |7 | |
|2013-2014 | | | |
|2014-2015 | | | |
|2015-2016 | | | |
8. Congregate Meals Unit of Service = 1 meal
|Fiscal Year | |Goal Numbers |Objective Numbers (if applicable) |
| |Proposed | | |
| |Units of Service | | |
|2012-2013 |175,000 |2 | |
|2013-2014 | | | |
|2014-2015 | | | |
|2015-2016 | | | |
9. Nutrition Counseling Unit of Service = 1 session per participant
|Fiscal Year | |Goal Numbers |Objective Numbers (if applicable) |
| |Proposed | | |
| |Units of Service | | |
|2012-2013 | | | |
|2013-2014 | | | |
|2014-2015 | | | |
|2015-2016 | | | |
10. Transportation Unit of Service = 1 one-way trip
|Fiscal Year | |Goal Numbers |Objective Numbers (if applicable) |
| |Proposed | | |
| |Units of Service | | |
|2012-2013 |51,000 |2,5 | |
|2013-2014 | | | |
|2014-2015 | | | |
|2015-2016 | | | |
11. Legal Assistance Unit of Service = 1 hour
|Fiscal Year | |Goal Numbers |Objective Numbers (if applicable) |
| |Proposed | | |
| |Units of Service | | |
|2012-2013 |5,671 |2 | |
|2013-2014 | | | |
|2014-2015 | | | |
|2015-2016 | | | |
12. Nutrition Education Unit of Service = 1 session per participant
|Fiscal Year | |Goal Numbers |Objective Numbers (if applicable) |
| |Proposed | | |
| |Units of Service | | |
|2012-2013 |4,000 |2 | |
|2013-2014 | | | |
|2014-2015 | | | |
|2015-2016 | | | |
13. Information and Assistance Unit of Service = 1 contact
|Fiscal Year | |Goal Numbers |Objective Numbers(if applicable) |
| |Proposed | | |
| |Units of Service | | |
|2012-2013 |12,000 |1,2,4 | |
|2013-2014 |12,000 |1,2,4 | |
|2014-2015 |12,000 |1,2,4 | |
|2015-2016 |12,000 |1,2,4 | |
14. Outreach Unit of Service = 1 contact
|Fiscal Year | |Goal Numbers |Objective Numbers(if applicable) |
| |Proposed | | |
| |Units of Service | | |
|2012-2013 |80 |4 | |
|2013-2014 |80 |4 | |
|2014-2015 |80 |4 | |
|2015-2016 |80 |4 | |
15. NAPIS Service Category – “Other” Title III Services
Service Category: Community Education Unit of Service = 1 contact
|Fiscal Year |Proposed |Goal Numbers |Objective Numbers (if applicable) |
| |Units of Service | | |
|2012-2013 | | | |
|2013-2014 | | | |
|2014-2015 | | | |
|2015-2016 | | | |
16. Title III D Health Promotion Unit of Service = 1 contact
Service Activities: _Provide health risk assessments, routine health screening, physical fitness group exercize activity.
• Title III D/Health Promotion:
|Fiscal Year | |Goal Numbers |Objective Numbers(if applicable) |
| |Proposed | | |
| |Units of Service | | |
|2012-2013 |500 |2 |4 |
|2013-2014 | | | |
|2014-2015 | | | |
|2015-2016 | | | |
Title III D Medication Management Units of Service = 1 Contact
Service Activities: Medication Screening and education to individuals
• Title III D/Medication Management:
|Fiscal Year |Proposed |Program |Objective Numbers (required) |
| |Units of Service |Goal Number | |
|2012-2013 |500 |2 |4 |
|2013-2014 | | | |
|2014-2015 | | | |
|2015-2016 | | | |
PSA
TITLE III B and Title VII A:
LONG-TERM CARE (LTC) OMBUDSMAN PROGRAM OUTCOMES
2012–2016 Four-Year Planning Cycle
Outcome 1. The problems and concerns of long-term care residents are solved through complaint resolution and other services of the Ombudsman Program. [OAA Section 712(a) (3), (5)]
Measures and Targets:
A. Complaint Resolution Rate (AoA Report, Part I-E, Actions on Complaints)
The average California complaint resolution rate for FY 2009-2010 was 73%.
| |
|1. FY 2010-2011 Baseline Resolution Rate: 78% |
|Number of complaints resolved 922+ Number of partially resolved complaints 420 divided by the Total Number of Complaints Received 1721 = |
|Baseline Resolution Rate 78% |
|2. FY 2012-2013 Target: Resolution Rate 80% |
|3. FY 2011-2012 AoA Resolution Rate 78% FY 2013-2014 Target: Resolution Rate 82% |
|4. FY 2012-2013 AoA Resolution Rate 80% FY 2014-2015 Target: Resolution Rate 84% |
|5. FY 2013-2014 AoA Resolution Rate 82% FY 2015-2016 Target: Resolution Rate 85% |
|Program Goals and Objective Numbers: Goal 2 |
B. Work with Resident Councils (AoA Report, Part III-D, #8)
|FY 2010-2011 Baseline: number of meetings attended22 |
|2. FY 2012-2013 Target: 25 |
|3. FY 2011-2012 AoA Data: 24 FY 2013-2014 Target: 26 |
|4. FY 2012-2013 AoA Data: 25 FY 2014-2015 Target: 27 |
|5. FY 2013-2014 AoA Data: 26 FY 2015-2016 Target: 28 |
|Program Goals and Objective Numbers: |
C. Work with Family Councils (AoA Report, Part III-D, #9)
|1. FY 2010-2011 Baseline: number of meetings attended 14 |
|2. FY 2012-2013 Target: number 18 |
|3. FY 2011-2012 AoA Data: 16 FY 2013-2014 Target: 19 |
|4. FY 2012-2013 AoA Data: 18 FY 2014-2015 Target: 20 |
|5. FY 2013-2014 AoA Data: 19 FY 2015-2016 Target: 21 |
|Program Goals and Objective Numbers: |
D. Consultation to Facilities (AoA Report, Part III-D, #4)
|1. FY 2010-2011 Baseline: number of consultations 376 |
|2. FY 2012-2013 Target: 420 |
|3. FY 2011-2012 AoA Data:400 FY 2013-2014 Target: 440 |
|4. FY 2012-2013 AoA Data: 420 FY 2014-2015 Target: 460 |
|5. FY 2013-2014 AoA Data: 440 FY 2015-2016 Target: 480 |
|Program Goals and Objective Numbers: |
E. Information and Consultation to Individuals (AoA Report, Part III-D, #5)
| |
|1. FY 2010-2011 Baseline: number of consultations 1,336 |
|2. FY 2012-2013 Target: 1,300 |
|3. FY 2011-2012 AoA Data: 1,275 FY 2013-2014 Target:1,325 |
|4. FY 2012-2013 AoA Data: 1,300 FY 2014-2015 Target1,350 |
|5. FY 2013-2014 AoA Data: 1,325 FY 2015-2016 Target:1,375 |
|Program Goals and Objective Numbers: |
F. Community Education (AoA Report, Part III-D, #10)
| |
|1. FY 2010-2011 Baseline: number of sessions: 9 |
|2. FY 2012-2013 Target: 12 |
|3. FY 2011-2012 AoA Data: 10 FY 2013-2014 Target:14 |
|4. FY 2012-2013 AoA Data: 12 FY 2014-2015 Target: 16 |
|5. FY 2013-2014 AoA Data: 14 FY 2015-2016 Target: 18 |
|Program Goals and Objective Numbers: |
G. Systems Advocacy
FY 2012-2013 Activity (enter information in the box below):
|Systemic Advocacy Effort(s): Work with Long Term Care Facilities to improve care for mental health residents through collaboration with Contra Costa |
|Mental Health/Older Adult Program, to increase facility staff’s ability to work with mental health residents as well as residents from diverse |
|populations. Ultimately the goal is to work towards safety in all facilities and included in that is decreasing resident to resident altercations. |
| |
Outcome 2. Residents have regular access to an Ombudsman. [(OAA Section 712(a) (3) (D), (5) (B) (ii)]
Measures and Targets:
A. Facility Coverage (other than in response to a complaint), (AoA Report, Part III-D, #6)
| |
|1. FY 2010-2011 Baseline: 84% |
| |
|Number of Nursing Facilities visited at least once a quarter not in response to a complaint 26 |
|divided by the number of Nursing Facilities: 31. |
|2. FY 2012-2013 Target: 90% |
|3. FY 2011-2012 AoA Data: 87% FY 2013-2014 Target: 93% |
|4. FY 2012-2013 AoA Data: 90% FY 2014-2015 Target: 95% |
|5. FY 2013-2014 AoA Data: 93 % FY 2015-2016 Target: 98% |
|Program Goals and Objective Numbers: |
B. Facility Coverage (other than in response to a complaint) (AoA Report, Part III-D, #6)
| |
|1. FY 2010-2011 Baseline: 9% |
| |
|Number of RCFEs visited at least once a quarter not in response to a complaint 41 |
|divided by the number of RCFEs 425 |
|2. FY 2012-2013 Target: 14% |
|3. FY 2011-2012 AoA Data: 12 % FY 2013-2014 Target: 16% |
|4. FY 2012-2013 AoA Data: 14 % FY 2014-2015 Target: 17 % |
|5. FY 2013-2014 AoA Data: 16 % FY 2015-2016 Target: 18% |
|Program Goals and Objective Numbers: |
C. Number of Full-Time Equivalent (FTE) Staff (AoA Report Part III. B.2. - Staff and Volunteers)
| |
|1. FY 2010-2011 Baseline: FTEs 3.32 |
|2. FY 2012-2013 Target: 3.675 FTEs |
|3. FY 2011-2012 AoA Data: 3.675 FTEs FY 2013-2014 Target:3.675 FTEs |
|4. FY 2012-2013 AoA Data:3.675 FTEs FY 2014-2015 Target: 3.675 FTEs |
|5. FY 2013-2014 AoA Data: 3.675 FTEs FY 2015-2016 Target: 3.675 FTEs |
|Program Goals and Objective Numbers: |
D. Number of Certified LTC Ombudsman Volunteers (AoA Report Part III. B.2. – Staff and Volunteers)
| |
|1. FY 2010-2011 Baseline: Number of certified LTC Ombudsman volunteers |
| |
|as of June 30, 2010 45 |
|2. FY 2012-2013 Projected Number of certified LTC Ombudsman volunteers |
| |
|as of June 30, 2013 48 |
|3, FY 2011-2012 AoA Data: 43 certified volunteers |
| |
|FY 2013-2014 Projected Number of certified LTC Ombudsman volunteers |
|as of June 30, 2014: 50 |
|4. FY 2012-2013 AoA Data: 48 certified volunteers |
| |
|FY 2014-2015 Projected Number of certified LTC Ombudsman volunteers |
|as of June 30, 2015: 52 |
|5. FY 2013-2014 AoA Data: 50 certified volunteers |
| |
|FY 2015-2016 Projected Number of certified LTC Ombudsman volunteers |
|as of June 30, 2016: 55 |
|Program Goals and Objective Numbers: |
Outcome 3. Ombudsman representatives accurately and consistently report data about their complaints and other program activities in a timely manner. [OAA Section 712(c)]
Measures and Targets:
A. At least once each fiscal year, the Office of the State Long-Term Care Ombudsman sponsors free training on each of four modules covering the reporting process for the National Ombudsman Reporting System (NORS). These trainings are provided by telephone conference and are available to all certified staff and volunteers. Local LTC Ombudsman Programs retain documentation of attendance in order to meet annual training requirements.
| |
|FY 2010-2011 Baseline number of Ombudsman Program staff and volunteers who attended NORS Training Parts I, II, III and IV: 3 |
| |
| |
|2. FY 2012-2013 Target: number of Ombudsman Program staff and volunteers attending NORS |
|Training Parts I, II, III and IV: 4 |
| |
|3. FY 2011-2012 number of Ombudsman Program staff and volunteers who attended NORS |
|Training Parts I, II, III, and IV: 3 |
| |
|FY 2013-2014 Target: 4 |
| |
|4. FY 2012-2013 number of Ombudsman Program staff and volunteers who attended NORS Training Parts I, II, III, and IV: 4 |
| |
|FY 2014-2015 Target: 4 |
| |
|5. FY 2013-2014 number of Ombudsman Program staff and volunteers who attended NORS Training Parts I, II, III, and IV: 4 |
| |
|FY 2015-2016 Target: 4 |
|Program Goals and Objective Numbers: |
PSA 7
TITLE VIIB ELDER ABUSE PREVENTION SERVICE UNIT PLAN OBJECTIVES
|Fiscal Year |Total # of Public Education Sessions | |Fiscal Year |Total # of Training Sessions for |
| | | | |Professionals |
|2012-13 |10 | |2012-13 |10 |
|2013-14 |10 | |2013-14 |10 |
|2014-15 |12 | |2014-15 |12 |
|2015-16 |12 | |2015-16 |12 |
|Fiscal Year |Total # of Training Sessions for | |Fiscal Year |Total # of Hours Spent Developing a |
| |Caregivers served by Title III E | | |Coordinated System |
|2012-13 |0 | |2012-13 |0 |
|2013-14 | | |2013-14 | |
|2014-15 | | |2014-15 | |
|2015-16 | | |2015-16 | |
| | | |
|Fiscal Year |Total # of Copies of |Description of Educational Materials |
| |Educational Materials to be | |
| |Distributed | |
|2012-2013 |0 | |
| | | |
| | | |
|2013-2014 | | |
| | | |
| | | |
|2014-2015 | | |
| | | |
| | | |
|2015-2016 | | |
| | | |
| | | |
|Fiscal Year |Total Number of Individuals Served |
|2012-2013 |0 |
|2013-2014 | |
|2014-2015 | |
|2015-2016 | |
PSA #7
TITLE III E SERVICE UNIT PLAN OBJECTIVES
CCR Article 3, Section 7300(d)
2012–2016 Four-Year Planning Period
Direct and/or Contracted III EServices
| | | | |
|CATEGORIES |1 |2 |3 |
| |Proposed |Required |Optional |
|Family Caregiver Services |Units of Service |Goal #(s) |Objective #(s) |
|Caring for Elderly | | | |
|Information Services |# of activities and | | |
| |Total est. audience for above | | |
|2012-2013 |# of activities: 18 |1 | |
| |Total est. audience for above: 500 | | |
|2013-2014 |# of activities: | | |
| |Total est. audience for above: | | |
|2014-2015 |# of activities: | | |
| |Total est. audience for above: | | |
|2015-2016 |# of activities: | | |
| |Total est. audience for above: | | |
|Access Assistance |Total contacts | | |
|2012-2013 |1557 |1 | |
|2013-2014 | | | |
|2014-2015 | | | |
|2015-2016 | | | |
|Support Services |Total hours | | |
|2012-2013 |2142 |1 | |
|2013-2014 | | | |
|2014-2015 | | | |
|2015-2016 | | | |
|Respite Care |Total hours | | |
|2012-2013 |2893 |1 | |
|2013-2014 | | | |
|2014-2015 | | | |
|2015-2016 | | | |
|Supplemental Services |Total occurrences | | |
|2012-2013 |230 |1 | |
|2013-2014 | | | |
|2014-2015 | | | |
|2015-2016 | | | |
Direct and/or Contracted III E Services
|Grandparent Services |Proposed |Required | Optional |
|Caring for Children |Units of Service |Goal #(s) |Objective #(s) |
|Information Services |# of activities and | | |
| |Total est. audience for above | | |
|2012-2013 |# of activities: 4 | | |
| |Total est. audience for above: 100 | | |
|2013-2014 |# of activities: | | |
| |Total est. audience for above: | | |
|2014-2015 |# of activities: | | |
| |Total est. audience for above: | | |
|2015-2016 |# of activities: | | |
| |Total est. audience for above: | | |
|Access Assistance |Total contacts | | |
|2012-2013 |100 |1 | |
|2013-2014 | | | |
|2014-2015 | | | |
|2015-2016 | | | |
|Support Services |Total hours | | |
|2012-2013 |249 |1 | |
|2013-2014 | | | |
|2014-2015 | | | |
|2015-2016 | | | |
|Respite Care |Total hours | | |
|2012-2013 |468 |1 | |
|2013-2014 | | | |
|2014-2015 | | | |
|2015-2016 | | | |
|Supplemental Services |Total occurrences | | |
|2012-2013 |58 |1 | |
|2013-2014 | | | |
|2014-2015 | | | |
|2015-2016 | | | |
PSA #7
The Workforce Development Board of Contra Costa County is the (SCSEP) sub grantee for Senior Service America, Inc. for Contra Costa County.
SENIOR COMMUNITY SERVICE EMPLOYMENT PROGRAM (SCSEP)
|Location/Name (AAA office, One Stop, Agency, etc): |
|Concord One Stop |
|Street Address: |
|407 Port Chicago Hwy, Concord, CA 94520 |
|Name and title of all SCSEP staff members (paid and participant): |
|Jack Kennedy, Project Director (manages both sites) |
|Pat Southwell- Resource Coordinator |
|Number of paid staff ____1__ Number of participant staff ___1___ |
|How many participants are served at this site? 40 |
|Location/Name (AAA office, One Stop, Agency, etc): |
|EBW Career Stop, San Pablo |
|Street Address: |
|2300 El Portal, San Pablo, CA 94806 |
|Name and title of all SCSEP staff members (paid and participant): |
|McKinley Williams, Job Developer, Shamar Shanker, Program Coordinator |
|Number of paid staff __see above____ Number of participant staff ___2___ |
|How many participants are served at this site? 32 |
PSA 7
HEALTH INSURANCE COUNSELING AND ADVOCACY PROGRAM (HICAP)
SERVICE UNIT PLAN
CCR Article 3, Section 7300(d)
Section 1. Primary HICAP Units of Service
|Fiscal Year |1.1 Estimated Number of Unduplicated Clients |Goal Numbers |
|(FY) |Counseled | |
|2012-2013 |1897 |1,2,3,4 |
|2013-2014 | | |
|2014-2015 | | |
|2015-2016 | | |
Note: Clients Counseled equals the number of Intakes closed and finalized by the Program Manager.
|Fiscal Year |1.2 Estimated Number of Public and Media Events |Goal Numbers |
|(FY) | | |
|2012-2013 |68 |3,1,4 |
|2013-2014 | | |
|2014-2015 | | |
|2015-2016 | | |
Note: Public and Media event are interactive education/outreach presentations, booths/exhibits at health/senior fairs, and enrollment events, excluding public service announcements and printed outreach.
Section 2: Federal Performance Benchmark Measures
|Fiscal Year |2.1 Estimated Number of Contacts for all Clients |Goal Numbers |
|(FY) |Counseled | |
|2012-2013 |8214 |1,3,4 |
|2013-2014 | | |
|2014-2015 | | |
|2015-2016 | | |
Note: This includes all counseling contacts via telephone, in-person at home, in-person at site, and electronic contacts (e-mail, fax, etc.) for duplicated client counts.
|Fiscal Year |2.2 Estimated Number of Persons Reached at Public|Goal Numbers |
|(FY) |and Media Events | |
|2012-2013 |5500 |3,4 |
|2013-2014 | | |
|2014-2015 | | |
|2015-2016 | | |
Note: This includes the estimated number of attendees (e.g., people actually attending the event, not just receiving a flyer) reached through presentations either in person or via webinars, TV shows or radio shows, and those reached through booths/exhibits at health/senior fairs, and those enrolled at enrollment events, excluding public service announcements (PSAs) and printed outreach materials.
|Fiscal Year |2.3 Estimated Number of contacts with Medicare |Goal Numbers |
|(FY) |Status Due to a Disability Contacts | |
|2012-2013 |1600 |2,3,4 |
|2013-2014 | | |
|2014-2015 | | |
|2015-2016 | | |
Note: This includes all counseling contacts via telephone, in-person at home, in-person at site, and electronic contacts (e-mail, fax, etc.), duplicated client counts with Medicare beneficiaries due to disability, and not yet age 65.
|Fiscal Year |2.4 Estimated Number of contacts with Low Income|Goal Numbers |
|(FY) |Beneficiaries | |
|2012-2013 |3400 |2,3,4 |
|2013-2014 | | |
|2014-2015 | | |
|2015-2016 | | |
Note: This is the number of unduplicated low-income Medicare beneficiary contacts and/or contacts that discussed low-income subsidy (LIS). Low income means 150 percent of the Federal Poverty Level (FPL).
|Fiscal Year |2.5 Estimated Number of Enrollment Assistance |Goal Numbers |
|(FY) |Contacts | |
|2012-2013 |5500 |1,2,3,4 |
|2013-2014 | | |
|2014-2015 | | |
|2015-2016 | | |
Note: This is the number of unduplicated enrollment contacts during which one or more qualifying enrollment topics were discussed. This includes all enrollment assistance, not just Part D.
|Fiscal Year |2.6 Estimated Part D and Enrollment Assistance |Goal Numbers |
|(FY) |Contacts | |
|2012-2013 |3600 |1,2,3,4 |
|2013-2014 | | |
|2014-2015 | | |
|2015-2016 | | |
Note: This is a subset of all enrollment assistance in 2.5. It includes the number of Part D enrollment contacts during which one or more qualifying Part D enrollment topics were discussed.
|Fiscal Year |2.7 Estimated Number of Counselor FTEs in PSA |Goal Numbers |
|(FY) | | |
|2012-2013 |20 |2,3 |
|2013-2014 | | |
|2014-2015 | | |
|2015-2016 | | |
Note: This is the total number of counseling hours divided by 2000 (considered annual fulltime hours), then multiplied by the total number of Medicare beneficiaries per 10K in PSA.
Section 3: HICAP Legal Services Units of Service (if applicable) [4]
|State Fiscal Year |3.1 Estimated Number of Clients Represented Per |Goal Numbers |
|(SFY) |SFY (Unit of Service) | |
|2012-2013 |20 |2,3 |
|2013-2014 | | |
|2014-2015 | | |
|2015-2016 | | |
|State Fiscal Year |3.2 Estimated Number of Legal Representation |Goal Numbers |
|(SFY) |Hours Per SFY | |
| |(Unit of Service) | |
|2012-2013 |100 |2,3 |
|2013-2014 | | |
|2014-2015 | | |
|2015-2016 | | |
|State Fiscal Year (SFY) |3.3 Estimated Number of Program Consultation |Goal Numbers |
| |Hours per SFY | |
| |(Unit of Service) | |
|2012-2013 |5 |2 |
|2013-2014 | | |
|2014-2015 | | |
|2015-2016 | | |
SECTION 11 - FOCAL POINTS PSA 7
COMMUNITY FOCAL POINTS LIST
CCR Title 22, Article 3, Section 7302(a) (14), 45 CFR Section 1321.53(c), OAA 2006 306(a)
|Designated Community Focal Point |Address |
EAST COUNTY
East County Senior Coalition
Meets at: Rivertown Resource Center
301 West 10th Street
Antioch, CA 94509
CENTRAL COUNTY
Central County Senior Coalition
Meets at: Tice Valley Gymnasium
2055 Tice Valley Blvd.
Walnut Creek, CA 94596
WEST COUNTY
West County Senior Coalition
Meets at: County Supervisor John Goia’s Office
11780 San Pablo Ave., Suite D
El Cerrito, CA 94530
SECTION 12 - DISASTER PREPAREDNESS PSA 7
Disaster Preparation Planning Conducted for the 2012-2016 Planning Cycle OAA Title III, Sec. 306(a)(17); 310, CCR Title 22, Sections 7529 (a)(4) and 7547, W&I Code Division 8.5, Sections 9625 and 9716, CDA Standard Agreement, Exhibit E, Article 1, 22-25, Program Memo 10-29(P)
1. Describe how the AAA coordinates its disaster preparedness plans and activities with local emergency response agencies, relief organizations, state and local governments, and other organizations responsible for emergency preparedness and response as required in OAA, Title III, Section 310: The AAA is located within the Adult and Aging Bureau of the Employment and Human Service Department. As such, the staff of the Area Agency are slated to be Care and Shelter Disaster workers in the event of a major disaster. A Senior Staff Assistant for the Area Agency also sits as an Advisor to the larger Department Disaster Preparedness Effort and also to the Countywide Office of Emergency Services that is headed up by the County Sherriff’s department. The Office of Emergency Services has sponsored numerous trainings and exercises involving all first responders (emergency fire, police, hospitals, shelters). Susan Roseberry is the Office of Emergency Services Emergency Planning Coordinator whose contact information is as follows: 50 Glacier Drive, Martinez, CA 94553, 925-313-9625. The Area Agency has been a participant at all of these trainings and exercises. In addition, the Area Agency has for several years provided emergency disaster kits that provide food and water for a minimum of three days and distributed those to seniors at senior centers, as well as having the local fire departments distribute these kits in underserved areas.
2. Identify each of the local Office of Emergency Services (OES) contact person(s) within the PSA that the AAA will coordinate with in the event of a disaster (add additional information as needed for each OES within the PSA):
Name Title Telephone email
|Susan Roseberry |Contra Costa County Office of |Office: (925) 313-9625 | |
| |Emergency Services: Emergency | | |
| |Planning Coordinator | | |
3. Identify the Disaster Response Coordinator within the AAA:
Name Title Telephone email
|Scott Danielson |Sr. Staff Assistant |Office: 925-602-3174 |SRose@county.us |
4. List critical services the AAA will continue to provide after a disaster and describe how these services will be delivered:
Critical Services How Delivered?
|a Staff shelters |a County staff will help staff emergency shelters |
|b Management at EOC |b Communication with EOC/Red Cross/First Responders |
|c | |
5. List any agencies with which the AAA has formal emergency preparation or response agreements. Described above. The AAA is part of the Employment and Human Service Department which is responsible for Care and Shelter in the event of a major Disaster. It has formal agreements with the American Red Cross, the Contra Costa County Office of Emergency Services, the Contra Costa County Health Department, the Contra Costa Sherriff’s Department.
6. Describe how the AAA will:
• Identify vulnerable populations. The AAA utilizes information obtained from the In Home Supportive Services program and the Aging network in Contra Costa County on vulnerable at risk individuals. The aging network consists of a collaboration of Ombudsman Services, AAA Contractors, non-profit organizations whose purpose is to serve and advocate for seniors.
• Follow-up with these vulnerable populations after a disaster event. Protocols are in place to identify at risk populations and arrange for shelter care for those with special needs. AAA works with the Ombudsman program to ensure skilled nursing facilities, assisted living facilities, and residential care homes provide for their clients, residents, and patients during and after a disaster.
SECTION 13 - PRIORITY SERVICES PSA
2012-2016 Four-Year Planning Cycle
Funding for Access, In-Home Services, and Legal Assistance
Category of Service and the Percentage of Title III B Funds expended in/or to be expended in FY 2012-13 through FY 2015-16
Access:
Transportation, Assisted Transportation, Case Management, Information and Assistance, Outreach, Comprehensive Assessment, Health, Mental Health, and Public Information
12-13 20% 13-14 20% 14-15 20% 15-16 20%
In-Home Services:
Personal Care, Homemaker, Chore, Adult Day / Health Care, Alzheimer’s, Residential Repairs/Modifications, Respite Care, Telephone Reassurance, and Visiting
12-13 8% 13-14 8% 14-15 8% 15-16 8%
Legal Assistance Required Activities:[5]
Legal Advice, Representation, Assistance to the Ombudsman Program and Involvement in the Private Bar
12-13 11% 13-14 11% 14-15 11% 15-16 11%
Explain how allocations are justified and how they are determined to be sufficient to meet the need for the service within the PSA. These percentages have been in place for the last two years. Prior to that, only the Access Category was larger. It was decreased in 2009 due to the fact that in the latter part of 2008, the AAA as well as many other county departments had budget and staffing cuts. These percentages have continued to be established by the Advisory Council on Aging and are approved each year at the public hearing and are in line with the AAA funding and budget.
SECTION 14 - NOTICE OF INTENT TO PROVIDE DIRECT SERVICES PSA 7
CCR Article 3, Section 7320 (a) (b) and 42 USC Section 3027(a) (8) (C)
If an AAA plans to directly provide any of the following services, it is required to provide a description of the methods that will be used to assure that target populations throughout the PSA will be served.
Check if not providing any of the below listed direct services.
Check applicable direct services Check each applicable Fiscal Year
Title III B 12-13 13-14 14-15 15-16
x Information and Assistance X
Case Management
X Outreach X
X Program Development X
X Coordination X
Long-Term Care Ombudsman
Title III D 12-13 13-14 14-15 15-16
X Health Promotion X
X Medication Management X
Title III E [6] 12-13 13-14 14-15 15-16
X Information Services X
Access Assistance
Support Services
Respite Services
Supplemental Services
Title VII A 12-13 13-14 14-15 15-16
Long-Term Care Ombudsman
Title VIIB 12-13 13-14 14-15 15-16
Prevention of Elder Abuse, Neglect
And Exploitation
The AAA strives to reach older adults in communities throughout the County who are isolated or have priority needs because their incomes are low or they have difficulty accessing services due to frailty, lack of transportation, limited English speaking abilities, or cultural barriers by:
* Developing Requests for Proposals (RFP) and Request for Interest (RFI) requiring proposals to include a plan to reach individuals having the greatest economic or social needs as described above.
* Requiring the selected organizations to sign contracts agreeing to serve a minimum percentage of low-income and minority clients.
* Providing translation services as needed to assist non-/or limited English speaking clients in all regions of the county.
* Actively participating in work groups, task forces, focus groups, and community organizations focusing on addressing multicultural issues.
* Collaborating with other agencies to assist in identifying and serving low-income, minority seniors who may be at risk of not accessing needed services.
* Making available a Tax Counseling Program to assist older adults with the preparation of tax returns.
* Partnering with other agencies to implement community-based physical activity programs to increase public awareness about the benefits of physical activities for older adults.
* Surveying older adults and key informants to gather information on met and unmet needs to assist in the planning, development, and maintenance of the AAA Area Plan. In surveys to be conducted, the AAA will examine more closely what reasonable steps are necessary to ensure that limited English speaking older adults have meaningful access to services.
* Community Service Areas & Focal Points: The California Department of Aging consistent with Older Americans Act regulations encourages area agencies on aging to identify, develop, and implement a community-based system of care for specific communities in its planning and service area. Area Agencies on Aging have the responsibility to establish criteria for and identification of community service areas including designation of community focal points within each community service area, as appropriate. Our AAA has established three community service areas - East, Central, and West County.
The East County Community Service Area includes the cities of Pittsburg, Antioch, Oakley, and Brentwood and the unincorporated communities of Bay Point, Bethel Island, Byron, Knightsen, Discovery Bay and adjacent areas.
The Central County Community Service Area includes the cities of Martinez, Concord, Pleasant Hill, Walnut Creek, Lafayette, Moraga, Orinda, Danville, San Ramon and Clayton and the unincorporated communities of Pacheco, Alamo, Blackhawk, and adjacent areas.
The West County Community Service Area includes the cities of El Cerrito, Richmond, San Pablo, Pinole, and Hercules and the unincorporated communities of Kensington, East Richmond Heights, North Richmond, El Sobrante, Rodeo, Crockett, Port Costa, and adjacent areas.
The AAA intends to support the continued development of coalitions in East, Central, and West County. Each coalition includes older persons, service provider agency representatives, business representatives, and professionals interested in serving older persons, local committee on aging representatives, and other appropriate persons. These coalitions serve as regional focal points for assisting the AAA in its planning, program development, and coordination responsibilities.
SECTION 15 - REQUEST FOR APPROVAL TO PROVIDE DIRECT SERVICES PSA 7
Older Americans Act, Section 307(a) (8)
CCR Article 3, Section 7320(c), W&I Code Section 9533(f)
Complete and submit for CDA approval a separate Section 15 for each direct service not specified in Section 14. The request for approval may include multiple funding sources for a specific service.
Check box if not requesting approval to provide any direct services.
Identify Service Category: HICAP
Check applicable funding source:[7]
III B
III C-1
III C-2
III E
VII A
X HICAP
Request for Approval Justification:
X Necessary to Assure an Adequate Supply of Service OR
X More cost effective if provided by the AAA than if purchased from a comparable service provider.
Check all fiscal year(s) the AAA intends to provide service during this Area Plan cycle.
X 2012-13 X 2013-14 X 2014-15 X 2015-16
Justification: Provide a cost-benefit analysis below that substantiates this request for direct delivery of the above stated service[8] :
Contra Costa County AAA has provided HICAP as a direct service since the inception of HICAP. This has resulted in a stable core of highly trained HICAP Volunteer Counselors. Eight of the current 19 Volunteer Counselors have provided HICAP services to the community for five years or longer. HICAP is in the same county division as the County’s Information and Assistance Program, Tax Volunteer Program, and Adult Protective Services. This connection has benefitted seniors and people with disabilities, as HICAP has been able to coordinate services and help meet the complex needs of its clients through referrals. The location of HICAP within county government has aided client outcomes greatly in regards to its relationships to the County’s Medi-Cal and IHSS staff, and can more effectively solve Medicare problems for people who also have Medi-Cal because of these relationships. There is an estimated 22,000 individuals in Contra Costa County who are eligible for both Medicare and Medi-Cal.
The HICAP budget for FY 11-12 is $389,192. For 2011, the last year HICAP provided in-depth counseling to 2641 people and brief telephone assistance to another 3639 people. HICAP offered 69 interactive presentations attended by 1707 people. Volunteer Counselors provided 2225 hours of service. HICAP had 19 active volunteer counselors and 3 paid counselors. HICAP had documented saving to Medicare beneficiaries of $921,189.68 from its efforts in calendar year 2011. Providing HICAP as a direct service of the AAA has benefitted Contra Costa County residents.
SECTION 16 - GOVERNING BOARD PSA 07
GOVERNING BOARD MEMBERSHIP
2012-2016 Four-Year Area Plan Cycle
CCR Article 3, Section 7302(a) (11)
Total Number of Board Members: 5
Name and Title of Officers: Office Term Expires:
|John M. Gioia, Supervisor – District I |2014 |
|Gayle B. Ulkema, Supervisor – District II |2012 |
|Mary Jejedly Piepho, Supervisor – District III (chair) |2012 |
|Karen Mitchoff, Supervisor – District IV |2014 |
|Federal D. Glover, Supervisor – District V |2012 |
| | |
| | |
| | |
| | |
| | |
Names and Titles of All Members: Board Term Expires:
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
ADVISORY COUNCIL MEMBERSHIP
2012-2016 Four-Year Planning Cycle
45 CFR, Section 1321.57
CCR Article 3, Section 7302(a) (12)
Total Council Membership (include vacancies) 40
Number of Council Members over age 60 25
% of PSA's % on
60+Population (= 25) Advisory Council (= 40)
Race/Ethnic Composition
White / White & 60+
23 / 19 76% 57.5%
Hispanic / Hispanic & 60+
3 / 1 4% 7.5%
Black / Black & 60+
3 / 3 12% 7.5%
Asian/Pacific Islander / API & 60+
3 / 2 8% 7.5%
Native American/Alaskan Native / NA/AN & 60+
0 / 0 0% 0%
Name and Title of Officers: Office Term Expires:
|1 |Shirley Krohn, President; Co-Chair Legislative Advocacy Work Group; Senior Assemblymember – California |2012 |
| |Senior Legislature | |
|2 |Robert Leasure, MD, retired physician and Advisory Council on Aging Vice President |2013 |
|3 |Gail Garrett, Second Vice President (Meals on Wheels of Contra Costa County Board Member |2012 |
|4 |Gerald Richards, Secretary; Senior Assemblymember – California Senior Legislature |2012 |
|5 |Richard Nahm, Treasurer |2012 |
Name and Title of other members: Office Term Expires:
|6 |Deborah Card (Former Health Services Employee, Registered Nurse) |2012 |
|7 |Kellie Collins |2012 |
|8 |Mary Dunne Rose |2012 |
|9 |Rudy Fernandez |2012 |
|10 |Laura Ferree, Chair – Housing Work Group |2012 |
|11 |Barbara Fineberg |2012 |
|12 |Linda Groobin, Caring Hands Program Manager (provider) |2013 |
|13 |Lori Hefner, attends Prop 63 Mental Health Planning Advisory Workgroup |2013 |
|14 |Gerhard Heinrich, MD (Physician with Veteran’s Administration and involved in Stroke Prevention and Fall |2012 |
| |Prevention | |
|15 |Ralph Hoffman |2012 |
|16 |Vernon Jones, Chair – Planning Committee |2013 |
|17 |Arnie Kasendorf, |2012 |
|18 |Joanna Kim-Selby, Co-Chair – Legislative Advocacy Workgroup; Senior Senator – California Senior |2012 |
| |Legislature | |
|19 |Sue Littlehale, Retired Nurse, Member at Large |2013 |
|20 |Kay McVay |2013 |
|21 |Earle Ormiston, Chair – Transportation Work Group; Chair – Marketing Committee; Chair – Nominating |2012 |
| |Committee | |
|22 |John Rinaudo, Co-Chair – Health Work Group |2012 |
|23 |Joyce Rios |2012 |
|24 |Richard SanVicente, Banker and on Meals on Wheels of Contra Costa County Board of Directors |2012 |
|25 |Edward Schroth, Executive Director of the Lion’s Club, East County and Co-Chair – Health Work Group |2013 |
|26 |Heather Stark |2012 |
|27 |Robin Summers-Mitchell, Member at Large |2013 |
|28 |Laurie Ulrick |2013 |
|29 |Beverly Wallace, Chair – Membership Committee |2012 |
|30 |Patricia Welty, |2012 |
|31 |Stefanie West |2013 |
Indicate which member(s) represent each of the “Other Representation” categories listed below.
Yes No
Low Income Representative
Disabled Representative
Supportive Services Provider Representative
Health Care Provider Representative
Family Caregiver Representative
Local Elected Officials
Individuals with Leadership Experience in
Private and Voluntary Sectors
Explain any "No" answer(s): __________________________
Briefly describe the local governing board’s process to appoint Advisory Council members:
Each new vacancy occurring on the Council is declared by Board Order. The Clerk of the Board’s Office is then instructed to advertise each vacancy for a period of 20 days prior to the filling of each seat to encourage and permit interested members of the public to apply. Member at Large applicants are interviewed by the Council’s Membership Committee; Local Committee Seats are selected by the cities (usually the City Councils). All new appointments to the Council are made by Board Order. New members are given an orientation and advised of their duty to file FORM 700 and to complete ethics training for public officials as required by the Fair Political Practices Commission.
SECTION 18 - LEGAL ASSISTANCE PSA 7
2012-2016 Four-Year Area Planning Cycle
This section must be completed and submitted with the Four-Year Area Plan.
Any changes to this Section must be documented on this form and remitted with Area Plan Updates.[9]
1. Specific to Legal Services, what is your AAA’s Mission Statement or Purpose Statement? Statement must include Title III B requirements:
Contra Costa Senior Legal Services (CCSLS) provides free legal advice, representation and education to elderly residents of Contra Costa County, with an emphasis on seniors who are in the greatest social and economic need. Its most urgent objective is to resolve legal problems that are adversely affecting basic needs of the elderly such as food, shelter, health care, and freedom from physical, psychological or economic abuse
2. Based on your local needs assessment, what percentage of Title III B funding is allocated to Legal Services?
11% of adequate proportion of unallocated Title III B funding is directed to Legal Services. CCSLS actually receives 13% of Title III B funding.
3. Specific to legal services, has there been a change in your local needs in the past four years? If so, please identify the change (include whether the change affected the level of funding and the difference in funding levels in the past four years)
In the last four years of economic downturn and also with the passage of legislation mandating that financial institutions report alleged financial abuse, there has been an increase in the number of APS reports of financial abuse. However, in regards to our contract providers, they are currently funded adequately. The shortage in terms of funding exists more in the realm of funds for District Attorney and prosecution services in the County. We will continue to closely monitor this situation and should the need arise to adjust the level of funding for legal services, the Area Agency will be proactive in it’s response.
4. Specific to Legal Services, what is the targeted senior population and mechanism for reaching targeted groups in your PSA? Discussion:
The targeted senior population is seniors with the greatest social and economic needs. The mechanisms for reaching those targeted groups are the outreach and educations to seniors at community senior centers, nutrition sites, senior housing complexes and clubs, organizations and gathering places for seniors of diverse ethnic heritages such as Hispanics/Latinos, Asians and African Americans. CCSLS distributes brochures about its program in Spanish and several Asian languages in addition to brochures in English. CCSLS also depends on other senior service providers who primarily work with seniors in the target groups to refer to CCSLS. Additionally, the Contra Costa Area Agency on Aging has had brought an increased focus this year to it’s providers and the community on the legal rights of LGBTQ seniors both living at home and in assisted living facilities.
5. How many legal assistance service providers are in your PSA? Complete table below.
|Fiscal Year |# of Legal Assistance |
| |Services Providers |
|2012-2013 |1 |
|2013-2014 | |
|2014-2015 | |
|2015-2016 | |
6. Does your PSA have a hotline for legal services? Our County Adult Protective Services Program and the Ombudsman program has a hotline and each of those programs do received ‘hot’ calls regarding legal issues. Each of these programs refers clients to either our contracted provider or to “the Legal Center” that handles specifically financial abuse cases. Additionally in Contra Costa in this past year, the larger Employment and Human Service Department in Partnership with local CBO’s, Domestic Violence Programs and local Law Enforcement agencies opened up a new Family Justice Center in the Western Part of the County. This center is a ‘one stop’ for individuals including older adults who are alleged victims of violence and exploitation and who have access to social workers as well as legal counsel for matters of restraining order, etc.
7. What methods of outreach are providers using? Discuss: CCSLS presents educational workshops on substantive areas of the law, makes presentations regarding its services and how to access those services, and participates at senior and health fairs throughout the county. It distributes brochures, fliers and other materials regarding the law in several different languages. They also have a website at that can be accessed by clients or their families.
8. What geographic regions are covered by each provider? Complete table below.
|Fiscal Year |Name of Provider |Geographic Region covered |
|2012-2013 |a. Contra Costa County Senior Legal Services |a. Countywide |
| |b. |b. |
| |c. |c. |
|2013-2014 |a. |a. |
| |b. |b. |
| |c. |c. |
|2014-2015 |a. |a. |
| |b. |b. |
| |c. |c. |
|2015-2016 |a. |a. |
| |b. |b. |
| |c. |c. |
9. Discuss how older adults access Legal Services in your PSA: Most frequently older adults access Legal Services by calling or by coming to CCSLS’ office in Richmond. They are given appointments that can be by phone or in person. Some clients will make an appointment at one of the several senior centers that participate in their Consult-an-Attorney program. On occasion some seniors or family members will contact them by e-mail or by mail.
10. Identify the major types of legal issues that are handled by the TIII-B legal provider(s) in your PSA. Discuss (please include new trends of legal problems in your area):
Because of the downturn in the economy CCSLS is seeing more clients whose homes have been foreclosed, are in foreclosure or the clients are interested in renegotiating their mortgages. Also because of the economy they are seeing an increase in financial abuse to seniors by family members and others. There is also an increase in the number of seniors who are unable to pay their debts.
11. In the past four years, has there been a change in the types of legal issues handled by the TIII-B legal provider(s) in your PSA? Discuss: Yes, that is reflected above in regards to the issues of debt overload and the need to address financial issues. In addition, financial abuse by unknown perpetrators by ‘scams’ is on the rise.
12. What are the barriers to accessing legal assistance in your PSA? Include proposed strategies for overcoming such barriers. Discuss:
Contra Costa County is made up of three regions, but CCSLS has office space only in West County, making it more difficult to serve clients in the other regions. CCSLS has developed strategies for overcoming this barrier including developing a Consult-an-Attorney program at senior centers throughout the county so that clients will not have to travel outside their region to have a face-to-face consultation with an attorney. They also use faxes to review client’s papers and documents so that they do not always have to come to Richmond for services. Another barrier is because of lack of resources CCSLS has a very small paid staff. The solution to this barrier is a panel of private and retired attorneys who provide services at the Consult-an-Attorney projects and at Wills Clinics throughout the County and in our office in Richmond. In addition, the newly formed “The Law Center” mentioned above specializes in senior exploitation/financial abuse and has pro bono services that they offer county wide. This organization is complementary to CCC Senior Legal Services.
13. What other organizations or groups does your legal service provider coordinate services with? Discuss:
CCSLS coordinates its services with The Law Center, Contra Costa County Ombudsman, Bay Area Legal Aid, Senior Outreach Services, the Superior Court, and many Senior Centers. In addition they work very closely with many of the county services such as APS, Information and Assistance, and HICAP. In the past they have co-sponsored educational events with some of the above-mentioned agencies and have co-counseled with other agencies on cases. They have also provided in-service education to the staff and volunteers of some of these providers.
SECTION 19 - MULTIPURPOSE SENIOR CENTER ACQUISTION OR CONSTRUCTION COMPLIANCE REVIEW [10]
PSA 7
CCR Title 22, Article 3, Section 7302(a) (15)
20-year tracking requirement
X No. Title III B funds not used for Acquisition or Construction.
Yes. Title III B funds used for Acquisition or Construction. Complete the chart below.
|Title III Grantee and/or |Type Acq/Const |III B Funds |% of Total |Recapture Period MM/DD/YY |Compliance Verification|
|Senior Center | |Awarded |Cost |Begin Ends |(State Use Only) |
|Name: | | | | |
|Address: | | | | |
|Family Caregiver | X yes No |Yes No |Yes No |Yes No |
|Information | | | | |
|Services |Direct X Contract |Direct Contract |Direct Contract |Direct Contract |
|Family Caregiver |X Yes No |Yes No |Yes No |Yes No |
|Access | | | | |
|Assistance |Direct X Contract |Direct Contract |Direct Contract |Direct Contract |
|Family Caregiver |X yes No |Yes No |Yes No | Yes No |
|Support Services | | | | |
| |Direct X Contract |Direct Contract |Direct Contract |Direct Contract |
|Family Caregiver |X yes No | Yes No |Yes No |Yes No |
|Respite Care | | | | |
| |Direct X Contract |Direct Contract |Direct Contract |Direct Contract |
|Family Caregiver |X Yes No |Yes No |Yes No |Yes No |
|Supplemental | | | | |
|Services |Direct X Contract |Direct Contract |Direct Contract |Direct Contract |
Grandparent Services
|Category |2012-2013 |2013-2014 |2014-2015 |2015-2016 |
|Grandparent | X yes No |Yes No |Yes No |Yes No |
|Information | | | | |
|Services |X Direct X Contract |Direct Contract |Direct Contract |Direct Contract |
|Grandparent |X Yes No |Yes No |Yes No |Yes No |
|Access | | | | |
|Assistance |Direct X Contract |Direct Contract |Direct Contract |Direct Contract |
|Grandparent |X yes No |Yes No |Yes No | Yes No |
|Support Services | | | | |
| |Direct X Contract |Direct Contract |Direct Contract |Direct Contract |
|Grandparent |X yes No | Yes No |Yes No |Yes No |
|Respite Care | | | | |
| |Direct X Contract |Direct Contract |Direct Contract |Direct Contract |
|Grandparent |X Yes No |Yes No |Yes No |Yes No |
|Supplemental | | | | |
|Services |Direct X Contract |Direct Contract |Direct Contract |Direct Contract |
*Refer to PM 11-11 for definitions for the above Title III E categories.
Justification: For each service category checked “no”, explain how it is being addressed within the PSA. The justification must include the following:
• Provider name and address of agency
• Description of the service
• Where the service be provided (entire PSA, certain counties, etc.)
• Information that influenced the decision not to provide the service (research, feedback from needs assessment, survey of senior population in PSA, etc.)
• How the AAA ensures the service continues to be provided in the PSA without the use of Title IIIE funds
SECTION 21 - ORGANIZATION CHART (Estimated Budget Percentages)
[pic]
SECTION 22 - ASSURANCES
Pursuant to the Older Americans Act Amendments of 2006 (OAA), the Area Agency on Aging assures that it will:
A. Assurances
1. OAA 306(a) (2)
Provide an adequate proportion, as required under OAA 2006 307(a) (2), of the amount allotted for part B to the planning and service area will be expended for the delivery of each of the following categories of services—
(A) services associated with access to services (transportation, [pic]health services (including mental health services)[pic] outreach, information and assistance, [pic](which may include information and assistance to consumers on availability of services under part B and how to receive benefits under and participate in publicly supported programs for which the consumer may be eligible)[pic] and case management services);
(B) In-home services, including supportive services for families of older individuals who are victims of Alzheimer’s disease and related disorders with neurological and organic brain dysfunction; and
(C) Legal assistance; and assurances that the area agency on aging will report annually to the State agency in detail the amount of funds expended for each such category during the fiscal year most recently concluded;
2. OAA 306(a) (4) (A) (i) (I-II)
(I) provide assurances that the area agency on aging will -
(aa) set specific objectives, consistent with State policy, for providing services to older individuals with greatest economic need, older individuals with greatest social need, and older individuals at risk for institutional placement;
(bb) include specific objectives for providing services to low-income minority older individuals, older individuals with limited English proficiency, and older individuals residing in rural areas; and;
(II) Include proposed methods to achieve the objectives described in (aa) and (bb) of subclause (I);
3. OAA 306(a) (4) (A) (ii)
Include in each agreement made with a provider of any service under this title, a requirement that such provider will—
(I) specify how the provider intends to satisfy the service needs of low-income minority individuals, [pic]older individuals with limited English proficiency,[pic] and older individuals residing in rural areas in the area served by the provider;
(II) to the maximum extent feasible, provide services to low-income minority individuals, [pic]older individuals with limited English proficiency,[pic] and older individuals residing in rural areas in accordance with their need for such services; and
(III) meet specific objectives established by the area agency on aging, for providing services to low-income minority individuals, [pic]older individuals with limited English proficiency,[pic] and older individuals residing in rural areas within the planning and service area;
4. OAA 306(a) (4) (A) (iii)
With respect to the fiscal year preceding the fiscal year for which such plan is prepared—
(I) identify the number of low-income minority older individuals in the planning and service area;
(II) Describe the methods used to satisfy the service needs of such minority older individuals; and
(III) Provide information on the extent to which the area agency on aging met the objectives described in assurance number 2.
5. OAA 306(a) (4) (B)
Use outreach efforts that —
(i) Identify individuals eligible for assistance under this Act, with special emphasis on—
(I) older individuals residing in rural areas;
(II) Older individuals with greatest economic need (with particular attention to low-income minority individuals and older individuals residing in rural areas);
(III) Older individuals with greatest social need (with particular attention to low-income minority individuals and older individuals residing in rural areas);
(IV) Older individuals with severe disabilities;
(V) Older individuals [pic]with limited English proficiency;[pic]
(VI) Older individuals with Alzheimer’s disease [pic]and related[pic] disorders with neurological and organic brain dysfunction (and the caretakers of such individuals); and
(VII) Older individuals at risk for institutional placement; and[pic]
(ii) Inform the older individuals referred to in sub-clauses (I) through (VII) of clause (i), and the caretakers of such individuals, of the availability of such assistance;
6. OAA 306(a) (4) (C)
Ensure that each activity undertaken by the agency, including planning, advocacy, and systems development, will include a focus on the needs of low-income minority older individuals and older individuals residing in rural areas;
7. OAA 306(a) (5)
Coordinate planning, identification, assessment of needs, and provision of services for older individuals with disabilities, with particular attention to individuals with severe disabilities, [pic]and individuals at risk for institutional placement[pic] with agencies that develop or provide services for individuals with disabilities;
8. OAA 306(a) (9)
Carry out the State Long-Term Care Ombudsman program under OAA 2006 307(a)(9), will expend not less than the total amount of funds appropriated under this Act and expended by the agency in fiscal year 2000 in carrying out such a program under this title;
9. OAA 306(a) (11)
Provide information and assurances concerning services to older individuals who are Native Americans (referred to in this paragraph as ‘‘older Native Americans’’), including—
(A) information concerning whether there is a significant population of older Native Americans in the planning and service area and if so, the area agency on aging will pursue activities, including outreach, to increase access of those older Native Americans to programs and benefits provided under this title;
(B) To the maximum extent practicable, coordinate the services the agency provides under this title with services provided under title VI; and
(C) Make services under the area plan available, to the same extent as such services are available to older individuals within the planning and service area, to older Native Americans.
10. OAA 306(a) (13) (A-E)
(A) Maintain the integrity and public purpose of services provided, and service providers, under this title in all contractual and commercial relationships;
(B) Disclose to the Assistant Secretary and the State agency—
(i) the identity of each nongovernmental entity with which such agency has a contract or commercial relationship relating to providing any service to older individuals; and
(ii) The nature of such contract or such relationship;
(C) demonstrate that a loss or diminution in the quantity or quality of the services provided, or to be provided, under this title by such agency has not resulted and will not result from such contract or such relationship;
(D) Demonstrate that the quantity or quality of the services to be provided under this title by such agency will be enhanced as a result of such contract or such relationship; and
(E) On the request of the Assistant Secretary or the State, for the purpose of monitoring compliance with this Act (including conducting an audit), disclose all sources and expenditures of funds such agency receives or expends to provide services to older individuals;
11. 306(a) (14)
Not give preference in receiving services to particular older individuals as a result of a contract or commercial relationship that is not carried out to implement this title;
12. 306(a) (15)
Funds received under this title will be used—
(A) To provide benefits and services to older individuals, giving priority to older individuals identified in OAA 2006 306(a) (4) (A) (i); and
(B) In compliance with the assurances specified in OAA 2006 306(a) (13) and the limitations specified in OAA 2006 212;
B. Additional Assurances:
Requirement: OAA 305(c) (5)
In the case of a State specified in subsection (b) (5), the State agency; and shall provide assurance, determined adequate by the State agency, that the area agency on aging will have the ability to develop an area plan and to carry out, directly or through contractual or other arrangements, a program in accordance with the plan within the planning and service area.
Requirement: OAA 307(a) (7) (B)
(i) No individual (appointed or otherwise) involved in the designation of the State agency or an area agency on aging, or in the designation of the head of any subdivision of the State agency or of an area agency on aging, is subject to a conflict of interest prohibited under this Act;
(ii) no officer, employee, or other representative of the State agency or an area agency on aging is subject to a conflict of interest prohibited under this Act; and
(iii) Mechanisms are in place to identify and remove conflicts of interest prohibited under this Act.
Requirement: OAA 307(a) (11) (A)
(I) enter into contracts with providers of legal assistance, which can demonstrate the experience or capacity to deliver legal assistance;
(ii) include in any such contract provisions to assure that any recipient of funds under division (i) will be subject to specific restrictions and regulations promulgated under the Legal Services Corporation Act (other than restrictions and regulations governing eligibility for legal assistance under such Act and governing membership of local governing boards) as determined appropriate by the Assistant Secretary; and
(iii) Attempt to involve the private bar in legal assistance activities authorized under this title, including groups within the private bar furnishing services to older individuals on a pro bono and reduced fee basis.
Requirement: OAA 307(a) (11) (B)
That no legal assistance will be furnished unless the grantee administers a program designed to provide legal assistance to older individuals with social or economic need and has agreed, if the grantee is not a Legal Services Corporation project grantee, to coordinate its services with existing Legal Services Corporation projects in the planning and service area in order to concentrate the use of funds provided under this title on individuals with the greatest such need; and the area agency on aging makes a finding, after assessment, pursuant to standards for service promulgated by the Assistant Secretary, that any grantee selected is the entity best able to provide the particular services.
Requirement: OAA 307(a) (11) (D)
To the extent practicable, that legal assistance furnished under the plan will be in addition to any legal assistance for older individuals being furnished with funds from sources other than this Act and that reasonable efforts will be made to maintain existing levels of legal assistance for older individuals; and
Requirement: OAA 307(a) (11) (E)
Give priority to legal assistance related to income, health care, long-term care, nutrition, housing, utilities, protective services, defense of guardianship, abuse, neglect, and age discrimination.
Requirement: OAA 307(a) (12) (A)
In carrying out such services conduct a program consistent with relevant State law and coordinated with existing State adult protective service activities for -
(i) Public education to identify and prevent abuse of older individuals;
(ii) Receipt of reports of abuse of older individuals;
(iii) active participation of older individuals participating in programs under this Act through outreach, conferences, and referral of such individuals to other social service agencies or sources of assistance where appropriate and consented to by the parties to be referred; and
(iv) Referral of complaints to law enforcement or public protective service agencies where appropriate.
Requirement: OAA 307(a) (15)
If a substantial number of the older individuals residing in any planning and service area in the State are of limited English-speaking ability, then the State will require the area agency on aging for each such planning and service area -
(A) To utilize in the delivery of outreach services under Section 306(a) (2) (A), the services of workers who are fluent in the language spoken by a predominant number of such older individuals who are of limited English-speaking ability.
(B) To designate an individual employed by the area agency on aging, or available to such area agency on aging on a full-time basis, whose responsibilities will include:
(i) taking such action as may be appropriate to assure that counseling assistance is made available to such older individuals who are of limited English-speaking ability in order to assist such older individuals in participating in programs and receiving assistance under this Act; and
(ii) Providing guidance to individuals engaged in the delivery of supportive services under the area plan involved to enable such individuals to be aware of cultural sensitivities and to take into account effective linguistic and cultural differences.
Requirement: OAA 307(a) (18)
Conduct efforts to facilitate the coordination of community-based, long-term care services, pursuant to Section 306(a)(7), for older individuals who -
(A) Reside at home and are at risk of institutionalization because of limitations on their ability to function independently;
(B) Are patients in hospitals and are at risk of prolonged institutionalization; or
(C) Are patients in long-term care facilities, but who can return to their homes if community-based services are provided to them?
Requirement: OAA 307(a) (26)
That funds received under this title will not be used to pay any part of a cost (including an administrative cost) incurred by the State agency, or an area agency on aging, to carry out a contract or commercial relationship that is not carried out to implement this title.
Requirement: OAA 307(a) (27)
Provide, to the extent feasible, for the furnishing of services under this Act, consistent with self-directed care.
C. Code of Federal Regulations (CFR), Title 45 Requirements:
CFR [1321.53(a)(b)]
(a) The Older Americans Act intends that the area agency on aging shall be the leader relative to all aging issues on behalf of all older persons in the planning and service area. This means that the area agency shall proactively carry out, under the leadership and direction of the State agency, a wide range of functions related to advocacy, planning, coordination, interagency linkages, information sharing, brokering, monitoring and evaluation, designed to lead to the development or enhancement of comprehensive and coordinated community based systems in, or serving, each community in the Planning and Service Area. These systems shall be designed to assist older persons in leading independent, meaningful and dignified lives in their own homes and communities as long as possible.
(b) A comprehensive and coordinated community-based system described in paragraph (a) of this section shall:
(1) Have a visible focal point of contact where anyone can go or call for help, information or referral on any aging issue;
(2) Provide a range of options:
(3) Assure that these options are readily accessible to all older persons: The independent, semi-dependent and totally dependent, no matter what their income;
(4) Include a commitment of public, private, voluntary and personal resources committed to supporting the system;
(5) Involve collaborative decision-making among public, private, voluntary, religious and fraternal organizations and older people in the community;
(6) Offer special help or targeted resources for the most vulnerable older persons, those in danger of losing their independence;
(7) Provide effective referral from agency to agency to assure that information or assistance is received, no matter how or where contact is made in the community;
(8) Evidence sufficient flexibility to respond with appropriate individualized assistance, especially for the vulnerable older person;
(9) have a unique character which is tailored to the specific nature of the community;
(10) Be directed by leaders in the community who have the respect, capacity and authority necessary to convene all interested individuals, assess needs, design solutions, track overall success, stimulate change and plan community responses for the present and for the future.
CFR [1321.53(c)]
The resources made available to the area agency on aging under the Older Americans Act are to be used to finance those activities necessary to achieve elements of a community based system set forth in paragraph (b) of this section.
CFR [1321.53(c)]
Work with elected community officials in the planning and service area to designate one or more focal points on aging in each community, as appropriate.
CFR [1321.53(c)]
Assure access from designated focal points to services financed under the Older Americans Act.
CFR [1321.53(c)]
Work with, or work to assure that community leadership works with, other applicable agencies and institutions in the community to achieve maximum collocation at, coordination with or access to other services and opportunities for the elderly from the designated community focal points.
CFR [1321.61(b) (4)]
Consult with and support the State's long-term care ombudsman program.
CFR [1321.61(d)]
No requirement in this section shall be deemed to supersede a prohibition contained in the Federal appropriation on the use of Federal funds to lobby the Congress; or the lobbying provision applicable to private nonprofit agencies and organizations contained in OMB Circular A-122.
CFR [1321.69(a)]
Persons age 60 and older who are frail, homebound by reason of illness or incapacitating disability, or otherwise isolated, shall be given priority in the delivery of services under this part.
Appendix I: Contra Costa County Elder Economic Survey Standard (Elder Index) for Comprehensive Report/Survey of Baby Boomers: See Area Plan Update for FY2011-2012 for PSA7:
[pic]
Appendix II: Key Informant Survey Instrument and Raw Data
For this Area Plan, the AAA wanted as much community input as possible. In addition to the over 800 core surveys, the Area Agency distributed this Key Informant Survey to all of it’s contracted services providers, elected officials in all 19 jurisdictions (surveys were sent to all City Council members as well as other elected officials). The Advisory Council on Aging also completed these surveys and they were also given at the Partners in Planning Forum in October of 2011.
Contra Costa County Area Agency on Aging
2011 Key Informant Survey
QUESTIONNAIRE FOR PROFESSIONALS AND ADVOCATES
WORKING WITH SENIORS WHO ARE BECOMING INCREASINGLY
PHYSICALLY OR MENTALLY CHALLENGED
Based on your experience working with older adults, what do you believe are the four greatest needs/issues/concerns seniors face today?
PLEASE LIST IN ORDER OF PRIORITY YOU BELIEVE THEM TO BE:
1.______Finances (16)____________________________________________
2.______Housing (17)_____________________________________________
3.______Health Care (16)__________________________________________
4.______Isolation (16)_____________________________________________
|BELOW ARE SOME COMMON ISSUES FOR YOU TO CHOOSE FROM HOWEVER FEEL FREE TO LIST ANY NOT INCLUDED BELOW: |
|HOUSING: |FINANCES: |
|Being able to age in place |Not enough money |
|Homelessness |Managing finances |
|Managing household needs |Unable to afford care |
|ELDER ABUSE: |TRANSPORTATION: |
|Professional scammers |Public transportation |
|Theft by family members |Assisted transportation |
|Theft by caregivers |Getting to Dr. appointments |
|Physical abuse |Grocery shopping |
|Verbal abuse |Finding services |
|HEALTH CARE: |ISOLATION: |
|Managing medications |Loneliness |
|Quality health care services |Not getting needs met |
|Quality in-home care |Poor nutrition |
|Need for adult day health care |Self-neglect |
|Need for social day care |Falls |
Appendix III: Core Survey Instrument with total responses
(Below: FY 2012-2016 Core Survey)
Contra Costa County Area Agency on Aging
400 Ellinwood Way Pleasant Hill, CA 94523
Office: (925) 602-4172 •Fax: (925) 602-4178
2011 SENIOR (AGE 60+) SURVEY
THIS SURVEY WILL HELP US TO PLAN FOR SERVICES AND TO ADVOCATE
FOR MORE SERVICES FOR SENIORS. ALL ANSWERS ARE CONFIDENTIAL.
__872 I am a senior. _____ I am filling the survey out for someone who is a senior.
PLEASE ANSWER ALL QUESTIONS
Is this a challenge for you?
Having enough money to meet my needs Yes No Sometimes
Paying my mortgage or rent 297 479 65
Buying food and other essentials 338 411 112
Paying for help in my home if I need it 333 440 79
Paying for health care not covered by Medicare 340 461 73
Paying for medications 327 470 80
Paying for dental care 384 443 59
Manager debt, including credit cards 286 470 74
Paying for car expenses (insurance, gas, repairs) 280 470 80
Living on my own Yes No Sometimes
Preparing meals 326 398 175
Doing Housework 363 338 135
Maintaining my home 361 352 218
Managing my home (yard work, home repairs) 328 379 125
Finding a reliable person to help me if I need it 326 381 118
Being able to drive a car 266 508 51
Getting transportation to medical appointments 281 465 77
Getting transportation for shopping/errands 268 473 85
Getting transportation for social events 321 484 93
Other issues Yes No Sometimes
Finding a doctor who will accept Medicare 216 564 44
Understanding Medicare/Medi-Cal coverage 306 392 127
Understanding how to take my medications 248 515 67
Feeling isolated or depressed 51 140 34
Understanding legal issues like wills 260 475 117
Are you having a problem or concerns with 57 762 32
someone who is managing your finances for you?
Yes No Have you ever felt scared of a family member/caregiver? 53 813
Have you ever been hurt by a family member/caregiver? 38 818
Have you had a fall within the past six months? 233 630
Do you rent your home? 224 657
Do you take care of someone else? 224 643
Do you have a family member or friend to help you? 477 332
If yes, what type of help do they give you? (Use line below)
__________________________________________________________________
How do you get information about senior programs? _______________________
Are you receiving help from any senior programs right now? 234 --Yes 149-- No
If yes, which services do you receive? 429 said yes, 401 said no
What is the most important thing you need to remain independent in your home?
203 indicated “money”, 169 indicated “transportation”, 269 indicated “chores”, 89 indicated “caregiver support”, 213 indicated maintain good health, and 21 indicated assistive devices
Are there any other issues or problems you would like to tell us about?
Less than 1% of respondents answered this thus this was discounted statistically.
Please complete this information for the person who is age 60+
Age (check one): (140) 60-64, (128) 65-69, (122) 70-74, (107) 75-80, (120) 80-85, (109) 85-90 , (212) 90+
Zip Code: see next page for zip code tally
Gender 350—Female, 328—Male, declined to state: approx 200 declined to state
Live alone? 263—Yes, 297-- No
Marital Status: 232—Married, 200—Single, 219—Widowed, 176—Divorced, 33--Domestic Partner
Yearly Income: 140--$10,890 or less, 256--$10,891-$24,999, 165--$25,000-$49,000, 168--$50,000+
Race/Ethnicity: 538—White, 85—Hispanic, 58--Asian/Pacific Islander, 105--African American
Currently, I am: Active: 332 (or 38%), Mobile, but with some limitations--247 (or 28%)
or Homebound (94 or 10%)
Thank You For Completing This Survey – Your Voice Counts!
If You Need Help or Answers About Senior Programs Call 1 (800) 510-2020
If Mailing, Return Survey To: AAA, 400 Ellinwood Way, Pleasant Hill, CA 94523
Core Survey Respondent Distribution by Zip Code
Contra Costa County
|Zip Code |Respondents |Zip Code |Respondents |Zip Code |Respondents |
|94505 |2 |94528 | 1 |94583 |6 |
|94506 | |94529 | |94595 |48 |
|94507 |5 |94530 | 7 |94596 |16 |
|94509 |53 |94531 |4 |94597 |20 |
|94511 | 2 |94547 | 7 |94598 |20 |
|94513 |13 |94548 | 1 |94707 | Berkeley |
|94514 | |94549 |22 |94708 | Berkeley |
|94516 | |94551 | |94801 | |
|94517 |49 |94553 |42 |94802 | |
|94518 |18 |94556 | 3 |94803 |15 |
|94519 |20 |94561 | 6 |94804 | 10 |
|94520 |36 |94563 | 9 |94805 |6 |
|94521 |52 |94564 |20 |94806 |20 |
|94522 | 1 |94565 |32 |94807 | |
|94523 |26 |94569 | 78 |94808 | |
|94524 | |94571 | 1 |94820 | |
|94525 | 16 |94572 | 4 |94850 | |
|94526 |12 |94575 | | | |
|94527 | |94582 | |OTHER |7 |
710 responses to Zip Code or 81%
Appendix IV: LEP Survey Results/Raw Data
Limited English Proficient (LEP) Survey Results – 2012
Question 1: Age
• 14 - Under the age of 65
• 27 - Age 65-74
• 20 - Age 75-84
• 8 - Age 85 and older
• 2 - Did not answered
Question 2: Annual Income (If Married)
• 26 - $0 - $14,709
• 3 - (4%) $14,710 - $25,248
• 7 - (10%) $25,249 - $46,860
• 2 - (3%) $46,861 - $60,000
• 4 - (6%) $60,000 +
• 29 - Did not answer
Question 3: Annual Income (If Single)
• 25 - $0 - $10,889
• 5 - $10,890- $16,908
• 2 - $16,909 - $38,520
• 0 - $38,521 - $50,000
• 0 - $50,000 +
• 39 - Did not answered
Question 4: How well do you speak English?
• 6 - Very well
• 10 - Well
• 20 - Not very well
• 15 - Poor
• 1 - Did not answered
Question 5: Hispanic Origin?
• 29 - Yes
• 38 - No
• 4 - Did not answered
Question 6: Race
• 2 - Indian American/Alaskan
• 8 - White
• 2 - Guamanian
• 1 - Other Pacific Islander
• 39 – Chinese
• 1 – Japanese
• 1 - Vietnamese
• 4 - Other
• 13 – Did not answered
Question 7: Education
• 19 – 0-8th Grade
• 29 – 9-12th Grade
• 9 – Some college
• 6 – College degree
• 1 – Graduate degree
• 7 – Did not answered
Question 8: Below is a list of issues/conditions/concerns, which could affect your quality of life. Please check the box which best describes how much each one is a problem for you.
The top issues identified as a serious problem affecting quality of life are crime (28), loneliness (19), transportation (19), employment (18), health care (14), and housing (14).
Question 9: Have you ever contacted a government agency in the last two years for services?
• 30 – Yes
• 33 – No
• 8 – Did not answered
If answered yes on question 9, did you receive any type of interpretation services?
• 18 – Yes
• 20 – No
• 33 – Did not answered
Who helped you interpret?
• 2 – By phone
• 9 – By a staff working there
• 2 – By information written on paper
• 20 – By a relative
• 38 – Did not answered
Question 10: Have you ever contacted a community agency in the last two years for services?
• 32 – Yes
• 27 – No
• 12 – Did not answered
If answered yes on question 10, did you receive any type of interpretation service?
• 19- Yes
• 18 – No
• 34 – Did not answered
Who helped you interpret?
• 0 – By phone
• 10 – By a staff working there
• 0 – By information written on paper
• 20 – By your relative
• 41 – Did not answered
Appendix IV.1 Survey Instruments (English, Chinese, Spanish)
Survey of Limited English Proficient (LEP) Adult and Aging Population
1. Age: (Please check applicable box)
( 64 and under
( 65-74 years
( 75-84 years
( 85 +
2. 2011 Annual Income (If Married):
( $0 - $14,709
( $14,710 - $25,248
( $25, 249 - $46, 860
( $46,861 - $60,000
( $60,000 +
3. 2011 Annual Income (If Single):
( $0 - $10,889
( $10,890- $16,908
( $16,909 - $38,520
( $38,521 - $50,000
( $50,000 +
4. How well do you speak English?
(Very well
(Good
(Not very well
(Poor
(Very poor
5. Hispanic Origin?
( Yes ( No
6. Race is:
(American Indian or Alaskan Native
(Asian Indian
(Laotian/Lao
(Black or African American
(Cambodian
(Chinese
(Filipino
(Guamanian or Chamorro
(Japanese
(Korean
(Native Hawaiian
(Samoan
(Vietnamese
(White
(Other Asian Taidam, Thai)
(Other Pacific Islander
(Other Race
(Multiple Races
(Declined to state
7. Education: (please check highest grade level completed)
( 0-8th Grade
( 9-12th Grade
( Some College
( College Graduate
( Post Graduate
8. Below is a list of issues/conditions/concerns, which could affect your quality of life. Please check the box which best describes how much each one is a problem for you.
|PROBLEM |NO |MINOR |SERIOUS |
| |PROBLEM |PROBLEM |PROBLEM |
|(a) Crime |(1 |(2 |(3 |
|(b) Employment |(1 |(2 |(3 |
|(c) Energy/utilities |(1 |(2 |(3 |
|(d) Obtaining information about services/benefits |(1 |(2 |(3 |
|(e) Receiving services/benefits |(1 |(2 |(3 |
|(f) Health care |(1 |(2 |(3 |
|(g) Housing |(1 |(2 |(3 |
|(h) Legal affairs |(1 |(2 |(3 |
|(i) Loneliness |(1 |(2 |(3 |
|(j) Money to live on |(1 |(2 |(3 |
|(k) Nutrition/food |(1 |(2 |(3 |
|(l) Taking care of another person | | | |
| (1) child under 18 years of age |(1 |(2 |(3 |
| (2) Adult |(1 |(2 |(3 |
|(m) Transportation |(1 |(2 |(3 |
|(n) Household chores |(1 |(2 |(3 |
|(o) Isolation |(1 |(2 |(3 |
|(p) Accidents in the home (e.g., falling) |(1 |(2 |(3 |
9. Have you ever contacted a government agency in the last two years for services?
( Yes
( No, go to #10
If yes, did you receive any type of interpretation service?
( Yes
( No
Who helped you interpret? Pick more than one if applicable:
( By phone
( By a staff working there
( By information written on paper
( By your relative
10. Have you ever contacted a community agency in the last two years for services?
( Yes
( No, your survey is complete
If yes, did you receive any type of interpretation service?
( Yes
( No
Who helped you interpret? Pick more than one if applicable:
( By phone
( By a staff working there
( By information written on paper
( By your relative
Thank You for Your Time!
成人及老人英語能力調查問卷
1. 年齡：(請勾選合適方塊)
( 64 歲及以下
( 65 - 74 歲
( 75 - 84 歲
( 85 歲以上
2. 2011 年度收入(已婚者)：
( $0 - $14,709
( $14,710 - $25,248
( $25, 249 - $46, 860
( $46,861 - $60,000
( $60,000 以上
3. 2011 年度收入 (單身者)：
( $0 - $10,889
( $10,890- $16,908
( $16,909 - $38,520
( $38,521 - $50,000
( $50,000 以上
4. 您的英文會話能力如何？
( 很好
( 良好
( 一般
( 不佳
( 很差
5. 是否是西班牙裔？
( 是
( 否
6. 種族為：
( 美洲印度安人或阿拉斯加原住民
( 亞裔印度人
( 寮國人
( 黑人或非裔美國人
( 緬甸人
( 華人
( 菲律賓人
( 關島人或查摩洛人
( 日本人
( 韓國人
( 夏威夷原住民
( 薩摩亞人
( 越南人
( 白人
( 其他亞裔
( 其他太平洋島民
( 其他種族
( 混合種族
( 拒絕申報
7. 教育程度：(請勾選最高學歷)
( 0 - 8 年級
( 9 - 12 年級
( 大學肄業
( 大學畢業
( 研究生
8.以下狀況可能會影響您的生活品質。請勾選請勾選您認為最能描述該問題嚴重性的選項。
|問題 |沒有問題 |次要問題 |嚴重問題 |
|(a) 犯罪 |(1 |(2 |(3 |
|(b) 就業 |(1 |(2 |(3 |
|(c) 能源/公用事業 |(1 |(2 |(3 |
|(d) 取得服務/福利的相關資訊 |(1 |(2 |(3 |
|(e) 接收服務/福利 |(1 |(2 |(3 |
|(f) 醫療保健 |(1 |(2 |(3 |
|(g) 房屋 |(1 |(2 |(3 |
|(h) 法律事務 |(1 |(2 |(3 |
|(i) 寂寞 |(1 |(2 |(3 |
|(j) 維持生計的收入 |(1 |(2 |(3 |
|(k) 營養/食品 |(1 |(2 |(3 |
|(l) 照顧另一個人 | | | |
| (1) 未滿 18 歲以下的孩童 |(1 |(2 |(3 |
| (2) 成人 |(1 |(2 |(3 |
|(m) 交通運輸 |(1 |(2 |(3 |
|(n) 家務瑣事 |(1 |(2 |(3 |
|(o) 社交 |(1 |(2 |(3 |
|(p) 家中意外 (例如，跌倒) |(1 |(2 |(3 |
9. 您是否曾經在過去兩年聯繫政府機關以尋求服務？
( 是
( 否，請跳至第 10 題
如答案為「是」，您是否接受過任何類型的翻譯服務？
( 是
( 否
是誰為您提供翻譯服務？可複選：
( 電話
( 工作人員
( 書面資訊
( 親戚
10. 您是否曾經在過去兩年聯絡過社區福利機關以尋求服務？
( 是
( 否，您的問卷已完成
如答案為「是」，您是否接受過任何類型的翻譯服務？
( 是
( 否
是誰為您提供翻譯服務？可複選：
( 電話
( 工作人員
( 書面資訊
( 親戚
感謝您的寶貴意見！
Encuesta sobre la Población Adulta y de Edad Avanzada
1. Edad:
64 y menos
65-74
75-84
85 +
2. Ingreso Anual del 2011 (Si es casado):
$0 – $14,709
$14,710 - $25,248
$25,249 - $46,860
$46,861 - $60,000
$60,000+
3. Ingreso Anual del 2011 (Si es soltero):
$0 - $10,889
$10,890 - $16,908
$16,909 - $38,520
$38,521- $50,000
$50,000+
4. ¿Qué tan bien habla el Inglés?
Muy bien
Bien
No muy bien
Poco
Nada
5. Origen hispano:
Si
No
6. Soy:
Indio(a) Americano(a) o nativo(a) de Alaska
Indio(a) asiático(a)
Laosiano(a)
Negro(a) o afroamericano(a)
Camboyano(a)
Chino(a)
Filipino(a)
Guameño(a) o chamorro(a)
Japonés(a)
Coreano(a)
Nativo(a) Hawaiano(a)
Samoano(a)
Vietnamés(a)
Blanco(a)
Otro(a) asiático(a)
Otro Isleño(a) del Pacífico
Otra Raza
Razas Múltiples
No deseo declarar
7. Educación: (Favor marcar el grado más alto completado):
0-8avo grado
9-12do grado
Algunos cursos Universitarios
Título Universitario
Título de Postgrado
8. A continuación hay una lista de asuntos/condiciones/inquietudes, que pudieran afectar su calidad de vida. Favor marcar la casilla que mejor describe cuán problemático cada uno es para usted.
|PROBLEMA |NO HAY PROBLEMA |PROBLEMA MENOR |PROBLEMA SERIO |
|(a) Crimen |(1 |(2 |(3 |
|(b) Empleo |(1 |(2 |(3 |
|(c) Energía/Servicios Públicos |(1 |(2 |(3 |
|(d) Obtención de información sobre |(1 |(2 |(3 |
|servicios/beneficios | | | |
|(e) Recepción de servicios/beneficios |(1 |(2 |(3 |
|(f) Atención a la salud |(1 |(2 |(3 |
|(g) Vivienda |(1 |(2 |(3 |
|(h) Temas legales |(1 |(2 |(3 |
|(i) Soledad |(1 |(2 |(3 |
|(j) Dinero para vivir |(1 |(2 |(3 |
|(k) Nutrición/comida |(1 |(2 |(3 |
|(l) Cuidado de otra persona | | | |
| (1) niño(a) hasta los 18 años |(1 |(1 |(3 |
| (2) Adulto |(1 |(2 |(3 |
|(m) Transporte |(1 |(2 |(3 |
|(n) Quehaceres de la casa |(1 |(2 |(3 |
|(o) Aislamiento |(1 |(2 |(3 |
|(p) Accidentes en el hogar, (tal como una caída) |(1 |(2 |(3 |
9. ¿Se ha comunicado con una agencia del gobierno en los últimos dos años para solicitar servicios de ayuda?
Sí
No
Si respondió que “Sí”, ¿recibió algún servicio de interpretación?
Sí
No
¿Quién le ayudo en la interpretación? Elija más de uno, si es el caso.
Por teléfono
Un empleado que trabaja allí
Por información escrita
Por un pariente
10 ¿Se ha comunicado con una agencia comunitaria en los últimos dos años para solicitar servicios de ayuda?
Sí
No
Si respondió que “Sí”, recibió algún servicio de interpretación?
Sí
No
¿Quién le ayudó en la interpretación? Elija más de uno, si es el caso
Por teléfono
Un empleado que trabaja allí
Por información escrita
Por un pariente
¡Muchas gracias por su tiempo!
Appendix V: LGBT Partners in Planning Event, flyer below
Link referenced earlier in Area Plan for “American Psychological Association”:
Event Description from Openhouse, contracted Trainer:
From Isolation to Inclusion: Openhouse Cultural Humility Training on LGBT Aging Issues
9:00am-3:00pm, October 18, 2011
Partners in Planning event
Description: Research shows that LGBT seniors do not access services that are available to all seniors. When they do, they do not reveal who they are for fear of judgment, rejection, or compromised care. The consequences of hiding are immediate and often severe: from isolation to loneliness, to rapid mental and physical decline. The training will lay the groundwork for providers to become allies and advocates for the LGBT seniors who vulnerable and isolated.
With the passage of AB 2920: Older Californians Equality and Protection Act, the California Department of Aging must ensure that services for elders account for the needs of California’s LGBT seniors.
Training participants will:
•Learn about the culture, needs, and concerns of LGBT older adults.
•Consider why LGBT older adults are least likely to access health and social services.
•Identify best practices for helping LGBT older adults feel more included in aging network organizations.
•Access tools and education to better serve the LGBT older adults who currently receive services or are in need of services.
Area Agency on Aging Partners in Planning Annual Event
From Isolation to Inclusion: working with LGBT Older Adults
A Train the Trainer Workshop for Health Care and Service Providers
Agenda for October 18th, 2011
|8:45 |Registration, Key Informant Survey |
|9:00 |Welcome by John Cottrell, Director Aging and Adult Services |
| |Introductions by the Lori Larks, Manager of the Area Agency on Aging |
|9:15 |Opening Session, Michelle Alcedo from Open House, SF |
|9:35 |Terms and Definitions; Group exercises and presentation |
|10:00 |Isolation and Inclusion and Messages: Pairs/Group Discussion |
|10:15 |Break |
|10:25 |Gen Silent Screening |
|11:40 |Comments/debrief |
| |Brief words from Aegis, our lunch sponsor |
|11:45 |Lunch |
|12:30 |Panel: Ellyn, Ben David Barr, Connie James |
|1:00 |LGBT History and Barriers to Health and Social Services |
|1:30 |“It’s the Law” group discussion and interactive, presentation |
|1:45 |Break |
|1:50 |Best Practices for Inclusion and Safety of LGBT Constituents |
|2:35 |Next Steps |
|2:50 |Evaluation |
| |Appendix VI: Public Hearing Notice, Agenda, and Minutes |
| | |
| |Notice for the 2012 Public Hearing: |
| |Contra Costa County |
| |Aging & Adult Services |
| |A Bureau of the Employment & Human Services Department |
| |400 Ellinwood Way, Pleasant Hill, CA 94523 |
| | |
| |ATTENTION: |
| | |
| | |
| |THE COUNTY AGING NETWORK |
| |AND |
| |INTERESTED PERSONS IN CONTRA COSTA COUNTY |
| |PLEASE ATTEND THE PUBLIC MEETING |
| | |
| |The Contra Costa County Area Agency on Aging (AAA) will be holding a public hearing on March 21, 2012 from 10:30 a.m. – noon regarding the Area |
| |Plan for services for FY 2012-16. This hearing will be held in the first floor conference room at 500 Ellinwood Way, Pleasant Hill, CA. Note: |
| |plan to arrive early to park. More spaces are available in front of building 300. |
| | |
| |The Public Hearing will offer the opportunity to inform the public about proposed activities and to provide a forum for comments to the Contra |
| |Costa County AAA and the Contra Costa County Advisory Council on Aging regarding: |
| | |
| |Contracted Services |
| |Area Agency on Aging Direct Services |
| |Program Development and Coordination (PD & C) |
| |Administration and Advocacy Activities |
| |Outreach/Targeting |
| |Area Plan Goals |
| |Community Service Areas and Focal Points |
| |Estimated Number of Seniors to be Served |
| |Estimated Units of Service |
| |Adequate Proportion for Priority Services |
| |Estimated Grant Allocation Plan |
| | |
| |Federal law and regulations require the Area Agencies on Aging to conduct their business so as not to discriminate on the basis of language |
| |spoken or disability. If the Public Hearing presentation being spoken in English presents a barrier, please contact Jaime Ray at (925) 602-4172 |
| |as soon as possible, so suitable arrangements can be made. The meeting place is accessible and individuals with disabilities are encouraged to |
| |attend. |
| |Copies of the Area Plan summary will be available at the hearing. If you wish to have a copy in advance, please contact the Area Agency on Aging |
| |at (925) 602-4172. |
| |AGENDA FOR THE PUBLIC HEARING: |
| |2012 PUBLIC HEARING |
| |Area Agency on Aging |
| |Area Plan for Fiscal Years 2012-2016 |
| | |
| |Wednesday - March 21, 2012 |
| |10:30 – 11:45 a.m. |
| |500 Ellinwood Way (1st Floor), Pleasant Hill |
| | |
| |10:30 |
| |Open the Public Hearing: John Cottrell, Aging and Adult |
| |Services Bureau Director |
| | |
| |10:35 |
| |Hearing Review by Facilitator: Shirley Krohn, Advisory Council President |
| |Purpose Statement |
| |Public Hearing Summary |
| |Mission Statement |
| |Ground Rules |
| | |
| |10:40 |
| |Introduction to the Area Agency on Aging (AAA): |
| |Lori Larks, AAA Division Manager |
| | |
| |10:45 |
| |Goals & Objectives: Doreen Gaedtke, Sr. Staff Assistant |
| | |
| |10:50 |
| |Target Populations/Community Services Areas and Focal Points |
| |Nhang Luong, Sr. Staff Assistant |
| | |
| |10:52 |
| |AAA Programs: |
| |Direct Services (HICAP, I&A, Health Promotion, Tax Aide) |
| |Ruth Atkin, Sr. Staff Assistant |
| |Contracted Services—Scott Danielson, Sr. Staff Assistant |
| |AAA as Catalyst and other AAA Activities—Nhang Luong |
| | |
| |11:09 |
| |Adequate Proportion for Priority Areas: Scott Danielson |
| | |
| |11:10 |
| |Annual Plan Budget Components: Scott Danielson |
| |Estimated Service Plan |
| |Estimated Grant Allocation Plan |
| | |
| |11:15 |
| |Questions for Clarification: This is for questions only; please save your comments for the time allocated for “Public Comment” shown next on the |
| |agenda. |
| | |
| |11:30 |
| |Public Comment: We respectfully request you limit your comments to 2 minutes. This so everyone has a chance to speak (time permitting; a second |
| |round will be permitted). |
| | |
| |11:45 |
| |Close the Public Hearing |
| | |
| | |
| |(Please see next page for Minutes from the Public Hearing) |
| | |
| | |
| | |
| |PSA 7 Public Hearing Minutes March 21, 2012 |
| | |
| |The Hearing was called to order promptly at 10:30 a.m. by Shirley Krohn, President of the Contra Costa County Advisory Council on Aging (ACOA). |
| |Ms. Krohn and Lori Larks, Division Manager of Contra Costa’s Adult Protective Services Unit and the Area Agency on Aging made introductions and |
| |welcomed all to participate in the Area Agency on Aging 2012-2016 Area Plan review. Shirley then introduced John Cottrell, Director, Aging and |
| |Adult Services Bureau. |
| | |
| |Purposes of the Public Hearing: |
| |Creates the opportunity to inform the public on the proposed 2012-2016 Contra Costa County (CCC) Area Agency on Aging (AAA) Four-Year Area Plan |
| |providing service opportunities to the older adult community. |
| |Allows members of the public to address comments to members of the Contra Costa County Area Agency on Aging and members of the Contra Costa |
| |County Advisory Council on Aging regarding this plan. |
| | |
| |See handout: Contra Costa County Area Agency on Aging 2012-2016 Area Plan Update Summary. |
| |Ms. Krohn read the Area Agency on Aging Mission Statement followed by a reading of ground rules established for the Public Hearing. |
| | |
| |Area Agency on Aging – Mission Statement |
| |Our Mission is to provide leadership in addressing issues that relate to older Californians, to develop community-based systems of care that |
| |provide services which support independence within California’s interdependent society, and which protects the qualify of life of older adults |
| |and persons with functional impairments, and to promote citizen involvement in the planning and delivery of service. |
| | |
| |Ms. Larks thanked all Advisory Council members present for their excellent service and volunteer commitments. She introduced members of the AAA |
| |staff who were present: Scott Danielson, Senior Staff Assistant of the AAA. Nhang Luong, Supervisor, Information and Assistance, Ruth Atkin, |
| |Manager, Health Insurance and Counseling Program (HICAP), Doreen Gaedtke, Senior Staff Assistant and Jaime Ray, Area Agency on Aging Secretary. |
| |Lori announced that the AAA is responsible for administering Older American’s Act (OAA) funds that are distributed to Contra Costa County. |
| | |
| |Program Goals: Doreen Gaedtke, Senior Staff Assistant led a review of all seven Area Plan goal statements contained in the 2012-2016 Area Plan |
| |Summary. To illustrate the objectives of individual goals, she provided highlights of planed activities the AAA will conduct for FY 2012-2013. |
| | |
| |Doreen serves on the Consolidated Planning Advisory Workgroup (CPAW) and its sub-committee to study the mental health needs of older adults and |
| |in an effort to support their continued independence. An event is being planed to provide seniors and their family members opportunities to |
| |speak out about their experiences with mental illness. |
| | |
| |The AAA works with vulnerable populations or programs that serve those who experience the greatest need. Examples are: LGBT seniors, low-income |
| |seniors plus the Contra Costa and Solano County Food Bank and Fall Prevention programs. Partners in Planning 2012 provided opportunities for |
| |community providers serving older adults to increase their knowledge of older adult, LGBT issues and concerns. Many participants attending the |
| |Partners in Planning conference represented skilled nursing facilities. |
| | |
| |Doreen emphasized the importance of community outreach to get vital information to seniors who need it most. The AAA also moves out into the |
| |community to survey the public’s need. In 2011 a Baby Boomer Survey was completed. Nearly 900 Contra Costa residents responded to a more recent|
| |core survey created to fulfill California Office on Aging requirements. Results of these studies provide opportunities for the AAA to advise and|
| |educate members of our aging community and those who serve it. |
| | |
| |Participants were invited to participate in or seek the support of the Senior Mobility Action Council (SMAC) a transportation workgroup of the |
| |ACOA. |
| | |
| |Targeting Populations / Community Service Areas: Nhang Luong, Senior Staff Assistant explained that although services provided by the Area Agency|
| |on Aging are not provided according to a program of means testing. Seniors who experience the greatest need are targeted however. The AAA’s |
| |target population is defined as being at or below the federal poverty guidelines, having a disability, having language communication barriers, |
| |living alone or persons that are age seventy five or older. County In-house translation services are provided to consumers who need them. Nhang|
| |is working on a survey to determine need experienced by limited English speakers. These and other surveys are used to make adjustments to the |
| |Agency’s Four Year Plan with its goals and objectives. |
| | |
| |Efforts are made to collect specific information from providers who apply for funds through the AAA. Applicants are asked to disclose attempts |
| |they have made or are making to reach out to the most vulnerable senior populations described above. |
| | |
| |The Agency provides support to seniors residing in the East, Central and Western geographic regions of Contra Costa through each of three |
| |corresponding Senior Coalitions. The senior coalitions serve as regional focal points for older residents, senior advocates, service providers |
| |and government agency representatives. The coalitions also assist the AAA with planning, program development and coordination responsibilities. |
| | |
| |Direct Services: Ruth Atkin, Senior Staff Assistant explained that the Older Americans Act (OAA) requires that the AAA have an information and |
| |referral service program in place to serve area residents. For more than thirty years Contra Costa County officials have decided to offer and |
| |keep the Information and Assistance (I&A) service as a county operated program. The present I&A Unit staffed by a team of three paid social |
| |workers and assisted by four volunteers in addition to Nhang Luong, Supervisor, is a call center that has served more than 9,000 unique clients |
| |over the previous 12 month period. Currently, the I&A Unit fields approximately 12,000 contacts each year. I&A also provides many client |
| |referrals to the HICAP program also provided by the County. |
| | |
| |HICAP provides an information service to consumers to help them select the best health insurance program to meet their individual needs and |
| |circumstances. The local program presently has 19 registered counselors. Estimated savings to Contra Costa residents who have sought HICAP |
| |services are approximately $900,000 across the previous twelve month period. Ruth reported that consumers save when they are more knowledgeable |
| |about claims or insurance billing issues. Open enrollment periods offered in the fall of each year offer program staff opportunities to assist |
| |consumers in the selection of plans that offer greater value to the consumer. |
| | |
| |Contracted Services: Scott Danielson, Senior Staff Assistant said the AAA receives approximately $3.5 million each year. Most of these funds are|
| |contracted out to service providers in the community who specialize in and are better equipped to provide services defined under the OAA. He |
| |reported that senior nutrition services receive the bulk of the OAA funding. Scott reviewed a list of current programs receiving funding as |
| |provided in the 2012-2016 Area Plan Summary. |
| | |
| |AAA as Catalyst: Nhang Luong provided an overview of the AAA’s provision of program development, coordination and administration. Staff works to|
| |establish new or expand existing services (i.e., Fall Prevention, Meals on Wheels by Senior Outreach Services). Internally, the AAA is developing|
| |a volunteer care coordination program to assist and enhance work produced by staff. The AAA works through the three senior coalitions and |
| |Partners in Planning to bring together groups and organizations in order to promote and establish an interconnected community-based system of |
| |care. The AAA administers the execution of the Area Plan. |
| | |
| |Adequate Proportion for Priority Services: Scott Danielson said that funding received by the AAA comes with guidelines provided by the OAA and |
| |the California Department of Aging (CDA) which administers the Act Grant that is given to the State. Funds are then distributed out to the |
| |States various Public Service Areas (Area Agencies on Aging). These allocations are intended to provide minimum levels of funding to provide |
| |required services under the OAA. Scott facilitated participants in a review of funding levels presented in the 2012-2016 Area Plan Update. He |
| |stated that funding is estimated to remain flat for FY 2012-2013. |
| | |
| |Public Question/Clarification Period |
| | |
| |Bill Cordis – What does the Agency do with leftover funds? |
| | |
| |Lori Larks – For dedicated services there will be no leftover funds; the AAA would work directly with CDA for a contingency involving a |
| |contractor that for whatever reason was not able to spend all funds assigned to it. The County’s own fiscal officer assigned to the AAA advises |
| |the AAA manager on reasons for funds not being spent. Unspent funds can not be carried over to the next fiscal year. Scott Danielson – Unspent |
| |money is sent back to the State and is used for ‘One Time Only’ funding. Therefore, amounts of One Time Only funding vary from year to year. OTO |
| |money is determined by the total amount of unspent funds returned back to the California Department on Aging by the State’s AAAs each year. |
| | |
| |Elaine Welch – Does the unduplicated client count equal the total amount paid for by the AAA? |
| | |
| |Scott Danielson – This is what the Agency paid for and it may include a match depending on what was reported. |
| | |
| |Ralph Hoffman – Volunteers can offset costs or needs experienced in the community. |
| | |
| |Susan Davis – How does the AAA determine the amount to allocate toward Ombudsman Services? The need is huge and more funding is needed for |
| |volunteers. |
| | |
| |Scott Danielson – That amount of money is determined by the OAA. When we get our allocation, Ombudsman Services has an amount that is earmarked |
| |for them, no more, no less. Community Development Block Grant (CDBG) funds previously provided by cities are no longer available. Lori Larks – |
| |Please view allocations listed in the 2012-2016 Area Plan Summary; these amounts do not adequately serve the need today or expected need in the |
| |future. |
| | |
| |Richard Nahm – (Referring to page 14 of the 2012-2016 Area Plan Summary – Ombudsman Services) Does the figure 10,500 represent the total number |
| |of complaints received, resolved, unresolved or some combination? |
| | |
| |Scott Danielson – The 10,500 figure relates to the number of hours of service provided. This figure includes both volunteer and staff time. Etta|
| |Maitland – 80-82% of complaints are resolved. |
| | |
| |Art Mijares – Do funds allocated to Nutrition Services come as a line item to the AAA or is it a percentage? How do they come up with these |
| |figures? |
| | |
| |Scott Danielson – The amount is a line item. Congress considers what would are a seniors’ most important needs. These programs (Senior |
| |Nutrition) serve both seniors who can make it in to a cafe and those who have a mobility issue and are unable to leave their home. Older food is |
| |replaced with fresh supplies. Ruth Atkin – Increasingly, more and more AAAs are using what is called the Elder Economic Security Index to |
| |determine eligibility. Federal Poverty Guidelines were based only on cost of food. However the Index takes into account the added costs of |
| |housing, transportation and health care to truly reflect a more accurate assessment of what a senior has left to spend. |
| | |
| |Ruth Gay – Do you anticipate any reallocation of funding as you move into the dual eligible component where we’re going to see more people living|
| |in the community? Is the County giving consideration to the increased needs for Adult Protective Services as demand for these services increases?|
| | |
| | |
| |Lori Larks – As the State moves more in the direction of managed care we expect costs will increase. APS funding is received through the State. |
| |An earlier promise to increase this funding was not realized. There is a need for advocacy to secure additional APS funding as well as funding |
| |for other programs. Ruth Atkin – HICAP is following what the State is trying to do with enrolling residents in managed care. Contra Costa is |
| |already doing this for people who are on Medi-Cal, Medicare or who are dually eligible. For patients who are dual eligible Medicare is the |
| |primary insurer, Medi-Cal being the secondary. Congress never fully intended Medicare to be comprehensive so the combination of the two remains |
| |a good health insurance package. People who do not qualify for Medi-Cal can either get into a Medicare Advantage Plan or purchase a Medigap |
| |policy. Funding received under the OAA is separate. |
| | |
| |Ben Barr – How do you plan on monitoring these (AAA) goals; is there a process where as community groups we will get information about how you |
| |are doing at meeting these goals? |
| | |
| |Lori Larks – Partners in Planning addressed a number of complaints regarding specific situations where people were being discriminated against, |
| |i.e., dissipation, use of bathrooms, self care, care to individuals who identify as gay, lesbian, bi-sexual or transgender. This is a focus area|
| |of the OAA because seniors who identify as LGBT are at much greater risk of isolation, illness and early death. Many are discriminated against on|
| |a daily basis. Through the workgroups, especially CPAW or through our community partners we learn the scope of these problems. It is important |
| |that all of you call our attention to the need, and that you report these acts of discrimination to a licensing body. The goal of addressing |
| |friendliness and inclusiveness toward LGBT seniors is also being addressed in the language of all future contracts issued by the AAA. Etta |
| |Maitland – Please report to the Ombudsman office as well. |
| | |
| |Rick SanVicente – I’d just wanted to go in a little more in-depth and then I can turn this over to Paul Kraintz I think what the Meals on Wheels |
| |Contra Costa does in terms of providing the tremendous amount of resources back to the County and the amount of food that the County is able to |
| |provide is a direct result of that and that the amount of people that have to wait for food right now is minimal because of that and I just |
| |wanted to pause and have an opportunity to say a little bit about that. |
| | |
| |Elaine Welch – What provider or providers is the recipient of the nutrition transportation funding? |
| | |
| |Scott Danielson – Health Services, Senior Nutrition program, Paul Kraintz. Paul Kraintz – We subsidize rides through existing providers. This is |
| |for the cafe program only and only for rides to and from the program. |
| | |
| |Ralph Hoffman – Is there a way for elders who have In-home support to get groceries using a grocery store gift card? |
| | |
| |Lori Larks – The Food Stamps Program uses an Electronic Benefits Transfer (EBT) card. Elders would have to apply and those who are qualified for |
| |the program would be issued an EBT card. We can refer you to the office closest to you. |
| | |
| |Public Comment Period |
| | |
| |Kay McVay – Nutrition for seniors has been so bad for years. One of the reasons why we have Social Security is because of how bad seniors were |
| |in the 20’s and 30’s because the working senior didn’t last very long. One of the other things that happened back in that time was all the cat |
| |food and dog food had to be federally inspected because the seniors were eating dog food and cat food. Isn’t it interesting that now everybody |
| |is trying to get rid of Medicare, Medi-Cal and Social Security? I always feel like they’re telling me to just drop dead. |
| | |
| |Maurice Delmer (Assemblymember Susan Bonilla’s Office) – Thank you for having me here on behalf of the Assemblymember. It’s great to be able to |
| |hear what’s going on with the Agency’s Plan. I’m also here to talk about AB 2010 that the Council on Aging voted on earlier. We would like to |
| |thank the Council for its support of AB 2010. Assemblywoman Bonilla is honored to sponsor this legislation in the Assembly. We believe that it |
| |is going to be an effective tool to ensure that seniors have the information they need regarding this complex financial product. Additional fact|
| |sheets are available on the table if you have any questions or would like more information on the bill. |
| | |
| |Paul Kraintz – The biggest single funder of Meals on Wheels in this County, this year will be the non-profit Meals on Wheels of Contra Costa |
| |which I co-founded with the former Area Agency on Aging Director twenty two years ago. That non-profit really is a coalition of all the agencies|
| |involved in Meals on Wheels. Elaine is hear from Meals on Wheels in Senior Outreach Services and of course she has to support her agency. Rick |
| |represents the ACOA; Gail represents the Senior Nutrition Program pf the ACOA, West County Meals on Wheels is on the Board and together our sole |
| |function with that non-profit is to raise the money for the meals which is the largest single expense for the program. The other thing the |
| |Agency funds is our equipment – does that sort of thing. We’ll actually donate something like a little over $1 million this year just for the |
| |meals. This is what Rick was referring to. |
| | |
| |Shirley Krohn – I wanted to draw your attention to page 11 in the Plan under the AAA as Catalyst. As some of you, many of you already know about |
| |the Communities Against Senior Exploitation (CASE) program. I wanted to remind you that we do have speakers trained to go out into the community|
| |and talk to them about how to protect themselves from financial exploitation. So far we haven’t had a whole lot of community groups. So I’ve |
| |been the only one going out. I’d like to get that improved. My next one is with Central County Coalition and I just did one for the Veterans in |
| |Lafayette. I encourage you, if you belong to any fraternal organizations, church groups, senior centers any large groups of seniors and their |
| |providers, I’m willing to go out and talk to them on how to protect them from financial scams. We’ve got a lot of pressure on our APS folks for |
| |the reporting and what not but a lot of it has to be prevention and education so that is what this is about. |
| | |
| |Elaine Welch – On behalf of the providers like ours who many of the ED’s like me are professional beggars, I think I have a masters degree in it |
| |now. I wanted to thank you, you do help us financially and every single one of our type of agencies not only needs financial support – financial|
| |resources but human resources. I’m looking at a table of people that I can call at any time and you will get back to me quickly. Lori has shown|
| |up to fight for our rights if you will at a Measure J Hearing; you’re there. Scott I just can’t say enough about all of you and you don’t |
| |charge us for those services and I know you’re not supposed to. I just want to make it very clear to the people in this room who don’t know, |
| |these people don’t just show up once a year and tell us what they’re doing, they do it every day. Those of us out in the community need their |
| |support and its like having a whole bunch of free consultants. Thank you very much. |
| | |
| |Patsy Welty – I want to echo Elaine. Thank you so much for today. I do have one comment. I have flyers, I’m plugging. The East County Senior |
| |Coalition is having our big event. I have brought flyers today and you can put there where ever you’d like. |
| | |
| |Lori Larks – I wanted to add mention of the AARP Tax Aide program. They are housed within the AAA. We had a special event that happened last |
| |year with LaVerne Gordon at 92 years of age is a volunteer coordinator for the program. The program saves Contra Costa County millions of dollars|
| |by generating tax returns to consumers that are then funneled back into the local community and economy. Last year LaVerne was recognized for a |
| |national award (Older Volunteers Enrich America (OVEA) awards program – by n4a through a partnership with MetLife) and flown back to Washington |
| |D.C. with Bob Sessler the former Aging and Adult Services Director, also co-founder of Meals on Wheels of Contra Costa County. LaVerne received |
| |a $2,500 award at that time and was recognized for her service in the Team Spirit Category of the awards program. LaVerne Gordon was then |
| |selected again in 2012 for the OVEA ten-year run off of all previous Gold Honorees over the previous nine years since the programs’ inception. |
| |Together with a group of other finalists, she will return to Washington to compete again in the Team Spirit Category. Jaime Ray who wrote up both|
| |nominations for LaVerne did a beautiful job. LaVerne and I have asked that Jaime attend the 2012 ceremonies as the Agency Representative. Jaime |
| |contributed by writing the narratives submitted for both the 2011 and 2012 nominations. She also provided photographic services to present |
| |LaVerne’s nomination in a favorable light. In addition to the OVEA awards, Jaime also wrote the nomination for our Contra Costa Board of |
| |Supervisors Resolution handed down to honor LaVerne in 2011. AARP Tax Aide provides free non-corporate filing assistance to all residents of |
| |Contra Costa County. |
| | |
| |Yamuna Poudyal (LAO Family Community Development, Inc.) Our ED was not able to make it so I’m here on behalf of her. LAO Family has been |
| |partnering with CC Health Department to provide prevention and intervention services to Southeast and South Asian families since 2009. This |
| |fiscal year we have served over 120 clients representing both senior and underserved population segments. (Portions of Ms. Poudyal’s comments |
| |were either not heard properly or understood). |
| |Lori Larks (Addressing Ms. Poudyal) – If you would, continue to give us information about your agency as well as the services that you provide |
| |and your needs. |
| |Etta Maitland – I’m very proud of Contra Costa County. The support we get from our AAA is outstanding and working with Scott. People are always |
| |saying how terrible things are in different counties, I won’t mention which ones. I feel very fortunate to be part of Contra Costa County and I’m|
| |proud of us, of you all. |
| | |
| |Adjournment: No further public comment: Shirley Krohn declared the Hearing closed at 11:45am. |
| | |
| | |
| | |
| | |
| | |
| | |
-----------------------
[1] Original signatures or official signature stamps are required.
2 A translator is not required unless the AAA determines a significant number of attendees require translation services.
3 AAAs are encouraged to include individuals in LTC facilities in the planning process, but hearings are not required to be held in LTC facilities.
[2] Requires a contract for using HICAP funds to pay for HICAP Legal Services.
11 Legal Assistance must include all of the following activities: Legal Advice, Representation, Assistance to the Ombudsman Program and Involvement in the Private Bar.
[3] Refer to PM 11-11 for definitions of Title III E categories.
13 Section 15 does not apply to Title V (SCSEP).
14 For a HICAP direct services waiver, the managing AAA of HICAP services must document that all affected AAAs are in agreement.
[4] For Information related to Legal Services, contact Chisorom Okwuosa at 916 419-7500 or COkwuosa@aging.
16 Acquisition is defined as obtaining ownership of an existing facility (in fee simple or by lease for 10 years or more) for use as a Multipurpose Senior Center.
-----------------------
[pic]
John Cottrell
Director
Indirect
Advisory Council on Aging
Lori Larks
Division Manager
40% Admin, 10% IIIB Direct
50% other EHSD Programs
HICAP-Ruth Atkin
Sr. Staff Assistant
100 % HICAP
Scott Danielson
Sr. Staff Assistant
45% Admin, 40%IIIB Direct
15% IIID Direct
Doreen Gaedtke
Sr. Staff Assistant
65% Admin, 20% IIIB, 15%IIID
Information and Assistance
Nhang Luong
Sr. Staff Assistant
21% Admin, 69% IIIB, 10% IIID
Alice Levy
Social Worker
89% IIIB Direct, 11% IIIE
Michael Forman
Social Worker
89% IIIB Direct, 11% IIIE
Lynette Aylsworth
Social Worker
89% IIIB Direct, 11% IIIE
HRA/Tax-Aide and Secretary
LaVerne Gordon-Volunteer
Jaime Ray, Secretary
100% Admin
Leah McIntosh
Staff Assistant
80% HICAP
Pam Brown
Consultant
Diane Whaley
Consultant
This organizational chart is to be used ONLY for the purposes of the 2012-2016 AREA PLAN and NOT to be used as representative of Contra Costa County Employment and Human Services Aging and Adult Services Area Agency on Aging.
Revised 12/1/2011
Stella Wu Chu
Nutritional Consultant
Leona Hartmann
Fiscal Officer
Admin Assistant III
Indirect
In
Advisory Council Planning Committee
Contra Costa County Area Agency on Aging Annual Partners in Planning Event
A unique training designed for health professionals and organizations that provide services to older adults that will cover legal and ethical issues relating to LGBT (Lesbian, Gay, Bisexual, Transgender) seniors, their families, and the broader community. Using the ‘Train the Trainer’ format participants receive sensitivity training and practical information for implementing best practices in their work places. You will see the newly released Stu Maddux film, ‘GenSilent,’ a documentary that tracks several LGBT elders throughout their health care experience.
From Isolation to Inclusion
From Documentary: GenSilent
“Those who fought so hard to come out are going back in….
For Survival.”
Rainbow Community Center of Contra Costa County
Contra Costa County Area Agency on Aging
Sponsored by:
This is an Invitation Only Event
There is no cost for attendance and CEUs are available for RNs, LCSWs, MFTs for $10
Please Pre-Register— see attached
Date: October 18, 2011
Time: 8:45am to 3pm
Place: 500 Ellinwood Way, Pleasant Hill, CA First Floor Board Rooms
There are countless documented cases of LGBT elders being denied basic rights, such as hospital visitation, the right to reside in the same nursing home as one’s partner. LGBT families still receive unequal treatment by Social Security and Medicaid with respect to survivor benefits, spousal benefits & pension income of a deceased partner.
Experts estimate that, today, up to 3.5 million Americans aged 60 and over are lesbian, gay, bisexual and transgender. Research shows that LGBT elders do not access services that are available to all seniors for several reasons: fear of judgment, rejection or compromised care if they reveal their sexual orientation or gender identity.
CEU’s provided by
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