HomeMy WebLinkAboutMINUTES - 08081995 - C112 r
0& 9
TO: BOARD OF SUPERVISORS Contra
L
Robert Hofmann, Acting Director
.F
FROM: Social Service Department Costa
o:� ;S
County
9•
DATE: July 27, 1995
SUBJECT: Authorize the Chair of the Board of Supervisors and the Director of the Office on Aging
to Sign the Letter of Transmittal
to Accomnanv the FY 1994-95 Year End Report
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION
AUTHORIZE the chair of the Board of Supervisors and the Director of the Office on
Aging to SIGN the Letter of Transmittal that will accompany the FY 1994-95 Area
Agency on aging end of the year report.
II. FINANCIAL
None.
III. REASONS FOR RECOMMENDATIONBACKGROUND
The California Department of Aging (CDA) requires an end of the year report. The end
of the year report is a synopsis of the accomplishments and changes that have occurred
over the fiscal year. CDA also requires submission of a Transmittal Letter which is
signed by the Director of Office on Aging, the Board of Supervisors or its designee,
and the president of the Advisory Council.
CONTINUED ON ATTACHMENT: YES SIGNATURE: /L
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S):
ACTION OF BOARD ON Auc(ust 8, 1995 APPROVED AS RECOMMENDED X OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
X UNANIMOUS(ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN
AYES: 5 NOES: 0 AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN; OF SUPERVISORS ON THE DATE SHOWN.
CC: California Department of Agin ATTESTED August 8, 1995
Board of Suvervisors PHIL BATCHELOR,CLERK OF THE BOARD OF
Office on Aging SUPERVISORS AND COUNTY ADMINISTRATOR
BY DEPUTY
M382 (10/88)
TRANSMITTAL LETTER
This update of the 1993-1997 Area Plan for PSA 7 is hereby submitted to
the California Department of Aging for approval. The (Governing Bodyl supports the
development of community based systems of services and recognizes the
responsibility within each community to establish systems in order to address the care
needs of older persons and persons with functional impairments, their families, and
caregivers.
1. (Signed) August 8 , 1995
Chairp rson, Governing Board Date
2. (Signed)
Director, Area Agency on Aging Date
The Area Agency Advisory Council has had the opportunity to participate in the
planning process, and to review and comment on the Area Plan.
3. (Signed)
Chairperson, Area Agency on Aging Date
Advisory Council
TRANSMITTAL LETTER
This update of the 1993-1997 Area Plan for PSA is hereby submitted to
the California Department of Aging for approval. The (Governing Body) supports the
development of community based systems of services and recognizes the
responsibility within each community to establish systems in order to address the care
needs of older persons and persons with functional impairments, their families, and
caregivers.
1. (Signed)
Chairperson, Governing Board Date
2. (Signed)
Director, Area Agency on Aging Date
The Area Agency Advisory Council has had the opportunity to participate in the
planning process, and to review and comment on the Area Plan.
3. (Signed)
Chairperson, Area Agency on Aging Date
Advisory Council
Please Note: The language used in this Transmittal Letter may also be used in local
resolutions required for transmittal of the Area Plan.
• _ •tib
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PSA - 7 CONTRA COSTA COUNTY
1994 - 1995 YEAR END REPORT
July 12, 1995
1994-95 Year End Report
Needs Assessment Activities
As stated in the year end report for FY 1993-94, I am enclosing the analysis and reports
that were completed by the Advisory Council, AAA staff, community participants, Central County
Coalition, the Elder Care Committee, and Advisory Council members from Richmond. Please see
attachment A. Different methodologies were utilized to gain access to senior needs. In East
Contra Costa County five focus groups were conducted, in Bay Point at the nutrition site, Elder
Winds Senior Apartment complex, Brentwood Oldies But Goodies program, Bethel Island
nutrition site, and a Senior Care Providers Focus group in Antioch. In all of the focus groups
Health Care Security, Crime, and Long Term Care including In Home Support Services came up
as top concerns. Central and West County chose to gather information by asking seniors to fill
out a survey and return it (see attachment B & Q. 1,504 surveys were returned, 14% from East
County, 44% from West, and 39% from Central. The results in terms of Seniors' concern with
no. 1 being the highest concern and declining as numerical value increases is specified in
attachment C, Seniors' Concerns.
In addition, the Central County Coallition is gathering information from Central County
Seniors on Housing, Health Care, Transportation, and In-Home Support Services. (See
Attachment D.) The methodology used is a combination of interview, question and answer and
focus groups if appropriate. This endeavor will also include an outreach component--discussing
access to services available in the community. The target sites are low and affordable senior
housing apartments, Senior mobile home parks, and other housing sites that have a high density
senior population.
ap9495 yearend.wp
Attachment A
Bay Point Focus Group
A Focus Group was held in Bay Point Twenty-one people participated,
fifteen females and six males.
Demographics
Age Personal Health Activity Level Education
Under 65 3 Fair 14 Fair 14 Elem 7
65-69 3 Moderate 1 Moderate 2 H Sch 6
70-74 5 Good 5 Good 4 ' Coll 6
75-79 3
80-84 6
85-90 0
90+ 0
Annual Household Income Ethnicity
Didn't Indicate 0 Didn't Indicate 6
Under $10,000 12 Black 1
10,001-15,000 4 Hispanic 2
15,001-20,000 2 Asian 2
20,001-25,000 2 Native American 0
25,001-30,000 1 White 10
The focus group was provided with the following list to rate items on a scale
of 1 being of minimal importance to 5 being most important. The list is as
follows: Health Care Security, Crime/Violence/Safety, Mental Health/Illness,
Housing, Homelessness, Advocacy and Legislation, Intergenerational Needs,
Long Term Care, Nutrition, Income Security, In Home Services, Loneliness,
Transportation, Recreation, and the Frail, Sensorially Impaired and/or
Disabled Elderly. Each participant was allowed to vote three times on items
that were of greatest concern to them; however, some voted more than three
times. The results of the voting identified the following key priority areas.
I
To) Areas of Concern
1) Health Care Security 2) Crime 3) Long Term Care
The following questions were asked of the focus group and responses were
recorded as follows:
1) Why are these areas of concern to you?
Health Care: Need more care as we get older and costs are too high
Crime: Too much crime; break-ins, robberies and murders frighten us;we
can't walk or drive the streets
Long Term Care: Nursing homes cost too much, but without them we would
die
2) Are there any solutions you would like to see in these areas?
Health Care: We need a national health care program
Crime: More jails and work programs; three strikes laws; capitol punishment
Long Term Care: National health plan should cover it; it should be more
affordable
3) What do you see that is preventing these solutions from being offered?
Lack of money; Not enough police; Lack of enforcing the law; Young people
not taught to plan ahead for a strong financial future; staff are not paid
enough to work in long term care field so care is poor; Bob Dole and Bill
Clinton
4) Other Comments: Bring down the cost of prescription drugs and dental
care; don't stop Social Security; we want to be represented in Washington
Antioch/Pittsburg Focus Group
A Focus Group was held in Antioch for Antioch and Pittsburg residents.
Twenty-three people participated, all females.
Demographics
Age Personal Health Activity Level Education
Under 65 2 Fair 0 Fair 0 Elem 0
65-69 4 Moderate 0 Moderate 0 H Sch 0
70-74 5 Good 0 Good 0 Coll 0
75-79 7
80-84 1
85-90 3
90+ 1
Annual Household Income Ethnicity
Didn't Indicate 1 Didn't Indicate 0
Under $10,000 18 Black 1
10,001-15,000 4 Hispanic 2
15,001-20,000 0 Asian 2
20,001-25,000 0 Native American 0
25,001-30,000 0 White 18
The focus group was provided with.the following list to rate items on a scale
of 1 being of minimal importance to 5 being most important. The list is as
follows: Health Care Security, Crime/Violence/Safety, Mental Health/Illness,
Housing, Homelessness, Advocacy and Legislation, Intergenerational Needs,
Long Term Care, Nutrition, Income Security, In Home Services, Loneliness,
Transportation, Recreation, and the Frail, Sensorially Impaired and/or
Disabled Elderly. Each participant was allowed to vote three times on items
that were of greatest concern to them; however, some voted more than three
times. The results of the voting identified the following key priority areas.
Top Areas of Concern
1) Health Care Security 2) Long Term Care 3) Income Security 4) Crime
5) Transportation
The following questions were asked of the focus group and responses were
recorded as follows:
1) Why are these areas of concern to you?
` Health Care: Costs are too high; fear of not getting care; fear of not being able
to use own doctor; medication cost is too high
A
Long Term. Care: Must be in health plan
Income security: If income is not secure, we become dependent on welfare
Crime: We are victims; our homes are not safe; punishment too lenient
Transportation: East county is very bad, too hard to get around
2) Are there any solutions you would like to see in these areas?
Health Care: We want a single payer plan; more services for the disabled;
access for the disabled in housing
Long Term Care: Put it in the Clinton plan; distinguish between the
handicapped and the disabled
Income Security: If State cuts SSI, federal government should supplement it.
Entitlement programs should match the cost of living
Crime: More police in senior living areas; hire security guards to protect
senior housing; courts should not.release offenders; boot camp for youth
offenders
Transportation: Senior buses need to run on weekends; programs are
needed to teach seniors how to ride the bus; taxi script or escort services
should be available for seniors
3) What do you see that is preventing these solutions from being offered?
Republicans; medicines are too expensive; lack of flexibility in health care
system; cuts in entitlements
4) Other Comments: Democrats and Republicans must work together; What
the state takes away, the Peds should replace
Brentwood Focus Group
A Focus Group was held in Brentwood. Eighteen people participated,
fourteen females and four males.
De mogra2hics
Age Personal Health Activity Level Education
Under 65 6 Fair 0 Fair 0 Elem 0
65-69 1 Moderate 0 Moderate 0 H Sch 0
70-74 3 Good 0 Good 0 Coll 0
75-79 3
80-84 2
85-90 2
90+ 1
Annual Household Income Ethnicity
Didn't Indicate 4 Didn't Indicate 0
Under $10,000 10 Black 0
10,001-15,000 0 Hispanic 5
15,001-20,000 2 , Asian 1
20,001-25,000 1 Native American 0
25,001-30,000 0 White 12
The focus group was provided with the following list to rate items on a scale
of 1 being of minimal importance to 5 being most important. The list is as
follows: Health Care Security, Crime/Violence/Safety, Mental Health/Illness,
Housing, Homelessness, Advocacy and Legislation, Intergenerational Needs,
Long Term Care, Nutrition, Income Security, In Home Services, Loneliness,
Transportation, Recreation, and the Frail, Sensorially Impaired and/or
Disabled Elderly. Each participant was allowed to vote three times on items
that were of greatest concern to them; however, some voted more than three
times. The results of the voting identified the following key priority areas.
Top Areas of Concern
1) Health Care Security 2) Crime 3) Intergenerational programs
The following questions were asked of the focus group and responses were
recorded as follows:
1) Why are these areas of concern to you?
Health Care: Costs are too high, In home care needs to be included in any
plan; Uncertainty about new health plan and long term care; can't Ret care
because of transportation; need government subsidies; fear of not getting
care; fear of not being able to use own doctor; medication cost is too high
Crime: We must stop crime; We want to feel safe and live in peace with one
another; punishment is too lenient; keep youth active; more substance abuse
prevention programs
Intergenerational: Not enough programs, access to transportation is limited,
no money for programs, do not stereotype us as seniors we need others to
alleviate loneliness
2) Are there any solutions you would like to see in these areas?
Health Care: Affordable medicine, Home visits by doctors, make costs for
visits affordable, have local care because there are no geriatric facilities in
Brentwood, Need more hospitals and clinics, put long term care in Clinton
plan, Put Clinton plan into effect, health care for all people
Crime: Community involvement, programs for youth, parent education, only
permit people to have two childr&n if on welfare, more neighborhood watch
groups, curfews for youth, stop drugs, hold parents accountable, start work
programs
Intergenerational: Work with children, do not teach sex in schools, educate
children about sex in schools, more money for programs, outdoor programs
for seniors and others, this should be a government priority
3) What do you see that is preventing these solutions from being offered?
Health: Business which means government should control medication prices,
transportation, lack of local doctors and other services
Crime: Not enough police or prevention programs, community apathy, weak
laws, not enough jobs, not enough financial resources, weak enforcement of
laws
Intergenerational: Segregation of groups, community is not concerned,
government is not concerned, we do not take care of each other
Bethel Island Focus Group
A Focus Group was held in Bethel Island.. Fifteen people participated, eleven
females and four males.
Demographics
Age Personal Health Activity Level Education
Under 65 4 Fair 5 Fair 3 Elem 1
65-69 4 Moderate 1 Moderate 2 H Sch 7
70-74 3 Good 9 Good 10 Coll 7
75-79 1
80-84 2
85-90 1
90+ 0
Annual Household Income Ethnicity
Didn't Indicate 2 Didn't Indicate 4
Under $10,000 4 Black 0
10,001-15,000 3 Hispanic 0
15,001-20,000 1 Asian 0
20,001-25,000 0 Native American 1
25,001-30,000 2 White 10
The focus group was provided with the following list to rate items on a scale
of 1 being of minimal importance to 5 being most important. The list is as
follows: Health Care Security, Crime/Violence/Safety, Mental Health/Illness,
Housing, Homelessness, Advocacy and Legislation, Intergenerational Needs,
Long Term Care, Nutrition, Income Security, In Home Services, Loneliness,
Transportation, Recreation, and the Frail, Sensorially Impaired and/or
Disabled Elderly. Each participant was allowed to vote three times on items
that were of greatest concern to them; however, some voted more than three
times. The results of the voting identified the following key priority areas.
Tom Areas of Concern
1) Crime 2) Health Care Security 3) Nutrition 4) Housing 5) Income
Security 6) Advocacy/Legislation
The following questions were asked of the focus group and responses were
t recorded as follows:
0 Why are these areas of concern to you?
Crime: Safetv. Personn1 4nfPty
Health Care: Political system does not work,without health you don't have a
quality of life, refugees impact system in a bad way, alcohol and drug abuse
makes care expensive
Nutrition: Keeps you alive, need more awareness about nutrition
Housing: Get bad ones off the street
Income Security: Need money to be able to live, government system not
responsive
Advocacy: Politicians don't pay attention, AARP vote is strong, need to
organize as a group, too many free loaders on public rolls
2) Are there any solutions you would like to see in these areas?
Crime: Have organized youth activities, train parents on how to raise
children, prayer and family values
Health Care: Health Net or HMOs;,,.better transportation/paratransit, own
vans to organize trips to medical facilities
Nutrition: Less fat in diet
Housing: More senior complexes, keep seniors separate from drug addicts
3) What do you see that is preventing these solutions from being offered?
Congress, Politicians, Bureaucrats, Lack of Accountability
4) If these solutions were implemented, what benefits might occur to you
and your community?
Honesty, Health, Cheaper gasoline
Greed; Unwillingness to pay taxes for health care; Complexity of the issue;
Too many vested interests trying to get a piece of the health care pie; Lack of
geriatric training for providers because it is so low profit; Doctors should be
salaried instead of fee for service; No lobbying system for the frail elderly;
No ombudsman for health care.
4) Other Comments: System needs to cover medication; Raise SSI level; IHSS
hours raised above 288; Affordable; subsidized housing is needed; Set a
living wage; Train welfare recipients in In Home Care; Reasses how poverty
level is established; National Elder Abuse programs are needed; Develop
baseline services for the community and fund this baseline
Senior Care Providers Focus Group
A Focus Group was held for senior care providers. Eighteen people
participated.
The focus group was provided with the following list to rate items on a scale
of 1 being of minimal importance to 5 being most important. The list is as
follows: Health Care Security, Crime/Violence/Safety, Mental Health/Illness,
Housing, Homelessness, Advocacy and Legislation, Intergenerational Needs,
Long Term Cara Nutrition, Income Security, In Home Services, Loneliness,
Transportation, Recreation, and the Frail, Sensorially Impaired and/or
Disabled Elderly. Each participant was allowed to vote three times on items
that were of greatest concern to them; however, some voted more than three
times. The results of the voting identified the followingkey priority areas.
Top Areas of Concern
1) Health Care Security 2) Long Term Care 3) In Home Services
The following questions were asked of the focus group and responses were
recorded as follows:
1) Why are these areas of concern to you?
Health Care: Concerned about the impact of HMO's; Profit should not run
system; concern about drug companies buying HMO's
Long Term Care: Concerned about how HMO's will deal with this issue
In Home Services: Need to subsidize workers above minimum wage; non-
existent caregivers (family members caring without any monitoring); Costs
can impoverish families; 283 hours is not enough care; should have a
QUIMBY for services; Increase a persons ability to keep assets; System is
designed to take people from their homes
2) Are there any solutions you would like to see in these areas?
Health Care: Comprehensive system financed by single payer plan; a
delivery system not based on profit; affordable prescription drugs;
redirection of resources; educate community on rights to health care
Long Term Care: Increase salaries above minimum wage
3) What do you see that is preventing these solutions from being offered?
Attachment B
WHITE HOUSE CONFERENCE ON AGING TASK FORCE
CONTRA COSTA COUNTY ADVISORY COUNCIL ON AGING
GRASSROOTS SENIOR SURVEY
We have a golden opportunity to address our concerns and to
suggest solutions at the White House Conference on Aging (WHCOA)
to be held in Washington, D.C. in May, 1995. The Task Force is
seeking input on issues of importance to you through this-survey..
Results will be taken to a county wide forum of seniors where we
will consider solutions that could have an impact on policy
decisions coming out of Washington, D.C. Please return this
survey to the address on the back.
-----------------------------
Demographic information: (please put an x in appropriate space) .
Region of the county: East , West , Central
Site where survey completed: Senior Center , Nutrition Site ,
At home , Other (Specify)
Gender: Male Female
Age: Under 65_, 65-69_, 70-74 , 7,5-79 , 80-84 ,
85-90 , over 90 (specify)
Personal Health: Fair , Moderated, Good_
Activity Level: Fair , Moderate 2,�'Good
Education: Grade School or less , High school_, College
Ethnicity:
Annual Household Income: Under $10,000 , $10,000-15,000 ,
$15,001-20,000 , $20,001-25,000 , $25,001-30,000 ,
$30,001-40,000 , over $40,000 (specify)
Circle the most appropriate response for each of the follow-
ing items as they relate to seniors using the scale below.
Minimal Somewhat Moderately Very Most
Importance Important Important Important Important
1 2 3 4 5
Health care security 1 2 3 4 5
Crime/violence/safety 1 2 3 4 5
Mental health/illness 1 2 3 4 5
Housing 1 2 3 4 5
Homelessness 1 2 3 4 5
Advocacy and legislation 1 2 3 4 5
Intergenerational needs and programs 1 2 3 4 5
Long term care 1 2 3 4 5
Nutrition 1 2 3 4 5
Income security 1 2 3 4 5
In-home services 1 2 3 4 5
Loneliness (isolation) 1 2 3 4 5
Transportation 1 2 3 4 5
Recreation 1 2 3 4 5
The frail, sensorially impaired, 1 2 3 4 5
and/or disabled elderly
Other (specify) 1 2 3 4 5
Thank you for your time and input
i
Attachment C
SENIORS ' CONCERNS
1 . Health Care
2. Crime
3. Long-term care
4. Income security
5. Mental health/illness
6. Nutrition
7. Housing
B. In-home care/services
9. Transportation
10. Frailty
11 . Isolation/loneliness
12. Legislation/advocacy
13. Homelessness
14. Recreation
15. Intergenerational needs/services
SENIORS
The results of your senior survey are shown above:Item #1 being your greatest
concern and the others following in an order of preference,with intergenerational
being the least concern.
i
COALITION OUTREACH PROJECT Attachment D
f. V * PROCEDURE OUTLINE
'1-
Method of Contact:
Use the mailing and contact list provided. Firs,,;�, send
the introduction letter outlining our group anctdbur
project's purpose. Follow up the mailing with a phone
call to confirm a presentation time. Mail the flyer
advertizing the presentation.
Presentations Guidelines
1. Introduction of presenters
2. Explanation of Coalition (refer to introduction
letter, tell about meetings, your involvement etc. )
3. Focus on four areas of concern for discussion,
feedback. (use flip charts when possible to
track and record discussion) :
a. Housing
b. Transportation
c. Healthcare
d. In-Home Support Services
4. Refer, when appropriate, services which are already
available, ie. someone not being aware of County
Connection Link.
5. Each Facility will be given a purple Senior
" Services Directory.
Follow—up:
Unresolved issues of concern will be brought back to
the Coalition for discussion and possible target
projects. All facilities visited will be added to our
mailing list.
. Presentation Sample:
1. Personal introduction and your connection with the Coalition
Hello my name is and I am a member of the Contra
Costa County Senior Coalition. My association with the coalition
is through my interest/work with
This is my colleague and friend
2. Explanation of Coalition
Today we want to tell you about the work the Coalition does for
older adults in our community and hear from you how this group
might address concerns you feel are important.
The Coalition began -� years ago. It grew out of the Walnut
Creek Commission on Aging when that group decided it wanted to
reach out and work with others in the larger central county
community. A diverse group of individuals were invited to join
and today the group consists of over ninety individuals.
The Coalition includes concerned seniors, elected officials,
public and private community representatives from local business,
social services, local commissions and service organizations,
educators, congregate living care directors, law enforcement
officials and church leaders.
Our mission statement is 11 Establish a coalition of resources
which encourages and assists public, private and community
service agencies to effectively deliver services to the aging
citizens in our community. "
We meet once a month, to share information, network, hear
speakers and work on selected community projects. Over the last
year the group has assisted in distributing the central county
senior services directory, compiled a county needs assessment
survey and scheduled speakers on those subjects. Formed sub-
committees on housing, grants, advocacy, and health. Sent
delegates to local White House Conference on Aging meetings.
Currently we are working on two major projects: 1) outreach
presentations to over 30 communities such as yours 2) planning an
inter-generational event to promote better understanding and
'communication and problem sharing between our older and younger
citizens.
3. Needs Discussion
Today we are here to not only let you know about the Coalition
and invite any of you to attend our meetings. We also want to
hear from you what some of your concerns, needs or ideas are on
four subject areas we believe are prime concern to our older
adult community.
Post or write four subject areas: health care, housing,
transportation, in-home support services
Begin discussion subject by subject, writing down any feedback.
Closure:
Thank you so much for coming today. We appreciate your time and
sharing. We will be taking the information you have shared with
us back to the Coalition and compiling it with other resident
groups findings and begin working on ways to address these
issues.
We will add your community to our mailing list so we can keep you
updated on all the Coalition is doing. We invite you to come to
any of the meetings you can.
We would also like to leave you one of the Central County Senior
Directories in hopes that it will help your community members in
accessing the many excellent services our area has to offer.
CENTRAL CONTRA COSTA COUNTY
SEN-10RCOALITION
Reaching out to help one another . . .
Dear Colleague,
You and the residents of your facility are invited to learn about
a vital group of people who come together seeking out and meeting
the diverse needs of the older adults in our area.
The _Centi�al. Contra. Costa County Senior Coalition unites, under
one umbrella, networks of resources which encourage and assist
public, private and community service agencies to deliver
services more effectively to older citizens.
"4_:..
Our membership consists of concerned seniors, elected officials,
community representatives from-local businesses and social
services, local commissions and service organizations,
educators,congregate living care directors, law enforcement
officials and church leaders.
The Coalition makes a difference by tackling problems together.
We are interested in hearing what your residents' concerns,
needs, or ideas are surrounding- older adult issues. We would
like to visit your establishment to share 'information on the many
community resources available and to hear from your residents how
the Coalition can help with their needs.
One of our members will be contacting you regarding setting up a
time to meet with a representative group of your community,
perhaps during a regularly scheduled residents' meeting. We look
forward to speaking with you. Thank you for your kind attention.
Sincerely,
11
SA rj4jz
Mary Shockley ly
Chair of Central Contra Costa County Seniors Coalition
t
To residents: Here's a chance to
AIM
AMErqqW
ORMENEEL-
4011ulir
The Central Contra Costa County
Senior Coalition wants to find out about
your concerns, needs and ideas on these topics:
1. Housing 2. Transportation
3. Health care 4. In-home support services
Two Coalition members will be visiting here on
at in
The results of this session,and others like it, adults in the central county area.Your
will guide members of the Coalition as they participation will be appreciated. Feel
evaluate programs that will benefit older free to attend and just listen, too.
Questions? Contact or call 932-4898
GOAL #1
The AAA is committed to enhancing Contra Costa County's community based system of
care and will provide staff assistance for program development, coordination and technical
assistance to coalitions and nonprofit agencies serving the senior population for expansion
of existing resources and development of new programs, based on identified service need.
RATIONALE
As part of the needs assessment, the Key Informant Survey, and focus groups requested
AAA to maintain a high level of visibility and leadership.
STATUS OF OBJECTIVES
1. AAA planner will assust the Antioch Committee on Aging Multipurpose Task Force
to find a land site by June 30, 1994 to build a multipurpose health care facility. P.D.
Committee has dissolved, land and funding sources unattainable at this time.
2. AAA staff will assist the Elder Care Committee to expand day care for Seniors by
applying for funding for East County by June 30, 1994. P.D.
Delta Day Care in Bay Point is due to open in September 1995.
3. AAA planner will remain on the Executive Board of Delta 2000 to coordinate,
develop, and expand services for seniors through June 30, 1994 by continuing to
advocate for seniors. C
Achieved. AAA planner is the chair of the Elder Care Committee and a member of the
Executive Board. "Planning for Tommorrow" was a conference,planned and
implemented April 28, 1995 by the Elder Care committee focusing on health care options.
6. AAA staff will coordinate with CASH (Citizens for Affordable Senior Housing) in
Oakley to locate a land site for affordable Senior Housing by June 30, 1994. C
Achieved. Senior Apartment complex is being built.
10. AAA staff will train bank tellers and PG&E workers on how to be a gatekeeper by
June 30, 1994.
Achieved. Paratransit drivers have been trained.
12. AAA staff will coordinate with West County Senior Services Network to apply for a
demonstration project to do training and recruiting of In Home Support Service
providers by June 30, 1994.
Grant was not received.
14. AAA planner will be an official Board Member of Columbia Park Manor to ensure
acceptance of 5.9 million dollars in HUD 202 funding by June 1996. P.D.
Achieved. Groundbreaking is scheduled for October 1, 1995.
July 12, 1995
AP9495 YEAREND.CHP 1
15. AAA staff will coordinate with CAL State Hayward, Community Services, Health
Services, Housing Authority, and Office of Emergency Services to write a grant to
HUD for 1.2 milion dollars to establish a Community Outreach Center by June 1995.
P.D. & C.
Grant was not received.
17. AAA staff will coordinate with a specialist in incontinence to provide specialized
training in incontinence by June 1996. C.
Achieved. Training took place in East and West County.
18. AAA staff will enhance resource base and resource dissemination through
incorporation of relevant data by June 1997. C.
Continues.
19. AAA I&A staff will participate in the Senior Information Day on a quarterly basis for
Seniors in South County by June 1995.
Achieved. Amended to read AAA I&A staff will participate on a yearly basis.
July 12, 1995
AP9495 YEAREND.CHP 2
P
GOAL #2
AAA will maintain an active leadership role by collaborating with the community groups
elected officials, service providers,and coalitions in order to continue to provide health,
social and nutrition needs and protect older persons who are in danger of abuse or neglect.
RATIONALE
Needs assessment data indicate the need for expanding and providing new services and
more coordinated services with AAA staff input including protection of to those seniors at
risk of being abused or neglected.
OBJECTIVES
8. The Transportation Committee and AAA staff will work with the Transit Authority to
ensure ADA doesn't reduce paratransit transportation for the elderly by attending
transportation meetings and advocating for seniors through June 30, 1997. C7.
AAA staff and Advisory Council members of the transportation committee continue to
advocate for paratransit services for Seniors.
9. The Adult Day Health Committee is supporting groups who want to expand adult day
health care by putting them in contact with appropriate parties, referring them to
other adult day health care facilities throughout the Bay Area, putting them in touch
with resources and supporting their applications through June 30, 1997.
Continues.
July 12, 1995
AP9495 YEAREND.CHP 3
GOAL #3
AAA will provide public information and community education regarding the aging process,
demographics and needs of the elderly,funding availability,and training opportunities to
seniors and their families, the general community, and service provider agencies.
RATIONALE
This came up as an issue in the Key Informant Survey as part of the needs assessment.
OBJECTIVES
1. AAA Planner will provide each city with demographics by age, sex, race, and income
cohorts by formatting the demographics in chart form by June 30, 1994.
Continues.
2. I&A coordinator will assist Central and East County senior service providers in
preparation of an all County Day,where providers will be given the opportunity to
share what their agency does with other agencies by June 30, 1995.
Achieved.
3. AAA Planner will on a continuing basis communicate availability of funding
resources to appropriate agencies by June 30, 1997.
Continues.
July 12, 1995
AP9495 YEAREND.CHP 4
GOAL #4
AAA will target low-income minority seniors in its delivery of services and identify, develop
and expand service availability to this targeted population.
Rationale
Mandate under the Older Americans Act and was an issue in the Key Informant Survey.
OBJECTIVES
1. AAA Planner will continue to meet and confer with the multicultural task force to
identify service needs by June 30, 1995. C
Continues.
2. AAA Planner will participate on the multicultural task force to enhance AAA
sensitivity to other cultures and how services should be delivered in a culturally
sensitive nature through June 30, 1997. C
Continues.
3. AAA staff through project CARE will identify high risk seniors with In-Home
Supportive Service needs in Richmond and San Pablo by June 30, 1994.
Delete. AAA no longer receives funding for those activities.
4. Area Agency on Aging through its Request For Proposals (R.F.P.$) will continue to
require bidders to include a plan for community outreach to assure that low income
individuals, minorities, limited English-speaking individuals and persons identified as
being of greatest economic or social need aged 60 years or older are being served
through June 30, 1997.
Continues. The AAA went to bid for the Friendly Visitor Program.
5. AAA will continue to be in compliance with the County's Affirmative Action policy
regarding Minority and Women Business Enterprise which is incorporated as part of
the Request for Proposal through June 30, 1997.
Continues.
6. AAA will require that their contracts specify the percentage or number of clients that
must be targeted through June 30, 1997.
Continues.
7. Information& Referral (I&R)will continue to outstation Senior Aides in low income
minority parts of the county to disseminate information on Senior Services available
throughout Contra Costa County by June 30, 1997.
Continues.
8. I&R staff will develop referral agreements with companies to assist targeted
populations facing financial and service difficulties through June 30, 1997.
Continues.
July 12, 1995
AP9495 YEAREND.CHP 5
GOAL #5
AAA will serve as the advocate for all persons age 60+ in Contra Costa County by
monitoring, evaluating, and commenting upon policies, programs, hearings, levies, and
community actions which affect the elderly population of the county.
RATIONALE:
This Goal is necessary to be in compliance with CDA's requirements and the Older
Americans Act.
OBJECTIVES:
1. The Advisory Council's Housing Committee will continue to advocate for the
expansion of low income housing for Seniors throughout Contra Costa County by
writing letters of support, speaking before city councils and the Board of Supervisors
through June 30, 1997.
2. The Advisory Council's transportation committee will continue to support expansion
of paratransit services throughout Contra Costa County by advocating for additional
transportation funds directed toward paratransit through June 30, 1997.
3. The Advisory Council's Adult Day Health Care Committee will advocate for
expansion of Day Care by writing letters of support, apply for funding, and develop
community action through June 30, 1997.
4. The Contra Costa County Advisory Council on Aging will advocate for seniors by
serving as a communications line that brings information to the AAA and by
providing information on local programs and services through June 30, 1997.
5. The Advisory Council's Legislative Review Committee will continue to support
legislation that will benefit seniors by directing advocacy activities to the Board of
Supervisors, state legislative representatives, and congressional representatives and
senators through June 30, 1997.
All objectives are four(4)year objectives and the Advisory Council Committee will continue their
advocacy tasks.
July 12, 1995
AP9495 YEAREND.CHP 6
GOAL #6
The AAA will enhance the administrative efficiency of its contracting and service delivery
operations for the purpose of improving the responsiveness of the community based system
of care for the elderly in Contra Costa County to the changing needs of the older population.
RATIONALE:
This is an internal goal based on self evaluation.
OBJECTIVES:
1. AAA Contracts monitor will improve the contract monitoring system by including
examination of case records at random to ensure each contract agency is in
compliance with their contract by June 30, 1997.
AAA Planner and a student intern with input from the planning committee developed a
questionnaire to address quality assurance of the Friendly Visitor and Registry Programss.
The questionnaire was implemented through phone interviews and an evaluation
questionnaire was mailed to clients. (See attachments 1 &2.)
July 12, 1995
AP9495 YEAREND.CHP 7
Attachment #1
Friendly Visitor Program Evaluation Questionnaire
city
Date
1. What kind of things do you do with your friend?
a. Visiting . . . . . .
b_ Letter writing . . .
c. Reading. _ . . . _ .
d. Shopping Assistance. El
e. Library services
f. Transportation . . .
g. Other (specify) : _ .
2. What do you like best about the Friendly Visitor program?
3. Is there anything you don't like about the Friendly Visitor
program?
4. Specify any other help you may need from your friend?
S. How often are you visited?
Daily Weekly 11 Monthly 0 Other C1
6. A) How satisfied are you with Friendly Visitor program?
Very satisfied 11 Satisfied 0 Not satisfied D
B) Please give a reason/comment on your response to 6a_
Verbal informed consent El
At*-achment #2
JOBS FOR SENIORS/CARE CONNECTION EVALUATION QUESTIONNAIRE
City
Date
1. What services do you receive through the Registry?
a. Handyman/Chores . . . . .
b. Housekeeping/Homemaking . . .
c. Personal care . . . . . . . . 0
d. Transportation. . . . . . . . 0
e. Shopping Assistance . . . . . 0
f. Other (specify) . . . . . . . 0
2. Which has been the most helpful service?
3. Which of the above services have been least helpful?
4 . Specify any other help you may need from the Registry?
5. A) How satisfied are you with Registry services?
Very satisfied Satisfied 0 Not satisfied 0
B) Please give a reason/comment on your response to 5a.
INFORMED CONSENT
I agree to provide information for the evaluation of the Jobs for
Seniors/Care Connection program. I understand that all . information I
give will be anonymous and will be treated with the utmost
confidentiality.
SIGNATURE
M12 EVALQUES.wp
Targeting
The AAA allocated $10,000 in One-Time-Only funds to purchase an ethnic based meal program.
An ethnically diverse food service provider was selected and provided Latino meals in Brentwood
for Seniors 60+
One-Time-Only funds were also allocated for a Neighborhood Watch program in East County for
those areas with a density of low income ethnically diverse seniors.
One-Time-Only funds were allocated to a consultant who provided specialized training on conflict
resolution/anger management for the staff of Skilled Nursing Facilities, Board and Cares, and
Ombudsman. The training was very well received and according to the evaluations very useful in
day to day management of SNF's and Board and Cares.
ap9495 yearend.wp
SERVICE UNITS Projected and Actual for FY 1993-94
TITLE III SUPPORTIVE SERVICES (Required units of service are marked by an "R")
MIS# MIS Program Projected Actual
Units Units
1 Information& 2,040 3,019 Follow-Up (R)
Assistance 13,487 15,967 Information(R)
2,460 4,505 Outreach
23,160 27,948 Referral (R)
372 1,014 Comprehensive Assessment
2 Ombudsman 9,518 9,771 Complaint/Abuse Investigation and
Facility Monitoring (R)
132 140 Community Education/Advocacy
3 Case Management Outreach
894 857 Comprehensive Assessment (R)
701 672 Care Planning (R)
759 849 Service Authorization or
Arrangement (R)
Money Management
Conservatorship Assessment
884 948 Case Monitoring
4 Housing Follow-up (R)
Outreach
Placement (R)
Referral (R) *
Repairs/Renovation(R)
Community Education/Advocacy
5 Adult Day Care Transportation(R)*
Equipment(R) *
Days of Attendance (R)
Repairs/Renovation(R)
Staff Costs (R)
* At least one of these required units must be funded.
TITLE IIIB SUPPORTIVE SERVICES
MIS# MIS Program Projected Actual
Units Units
6 Alzheimer's Day Care Community Education/
Advocacy(R)
Information (R)
Transportation
Equipment
Family Support (R)
Days of Attendance (R)
Repairs/Renovation
7 Security/Crime Community Education/
Advocacy(R)
Escort (R) *
Follow-up (R)
Outreach
Referral (R)
Home Security (R)
8 In-Home Services Chore (R) *
Housekeeping/Homemaking(R)*
Outreach
Personal Care (R)
Telephoning (R)
14,205 13,690 Visiting (R) *
3,122 5,097 In-Home Services Registry(R)
Shopping Assistance
9 Health Community Education/
Advocacy(R) *
Health Screening (R)
Outreach
Physical Fitness
Therapy
Comprehensive Assessment(R)*
Hospice (R) *
10 Mental Health Community Education/
Advocacy(R)
Follow-up (R)
Outreach
Referral (R)
Therapy
Comprehensive Assessment (R)
* At least one of these required units must be funded.
TITLE MB SUPPORTIVE SERVICES
MIS# MIS Program Projected Actual
Units Units
11 Adult Day Support Transportation (R)
Center Equipment (R) *
Day of Attendance (R)
Repairs/Renovation(R)
Staffing Costs (R)
12 Transportation Escort (R)
Income Support/Material Aid(R)*
Outreach
67,540 73,423 Transportation(R)
Shopping Assistance
13 Community Services Income Support/Material Aide(R)*
and Senior Center Outreach (R) *
Support Activity Scheduling (R)
Volunteer Opportunities (R)
Senior Center Staffing (R)
Translation
Volunteer Recruitment
Visiting
14 Legal Assistance Community Education/Advocacy
5,004 4115 Legal Assistance (R)
15 Employment Counseling
/Second Career Community Education/Advocacy
Outreach
Placement (R)
16 Consumer Services Discount (R) *
Community Education/
Advocacy(R)*
Forms Completion/
Letter Writing(R)
Outreach
17 Adult Day Health Care Staffing Costs
Day of Attendance (R)
Transportation(R) *
Repairs/Renovation
Equipment (R)
* At least one of these required units must be funded.
TITLE IIIB SUPPORTIVE SERVICES
MIS# MIS Program Projected Actual
Units Units
18 Respite Care Respite Registry(R)
Counseling
Community Education/
Advocacy(R)*
Follow-up (R) *
Information(R)
Caregiver Support Group
Outreach
Referral (R)
Volunteer Recruitment
TITLE MC NUTRITION SERVICES
MIS# MIS Program Projected Actual
Units Units
20 Congregate Nutrition Outreach
Transportation
203,009 170,226 Meals (R)
88 128 Nutrition Education(R)
21 Home Delivered Meals Outreach
123,000 126,468 Meals (R)
Nutrition Counseling
12 70 Nutrition Education(R)
TITLE IIID IN-HOME SERVICES FOR FRAIL OLDER INDIVIDUALS
MIS# MIS Program Projected Actual
Units Units
19 Title IIID 9 13 Minor Home Modifications (R)
Home Health Aides (R)
Chore (R) *
388 663 Housekeeping/Homemaking(R)
Telephoning (R)
Visiting (R) *
11 Money Management
2 Respite (including Adult Day
Care) (R)
* At least one of these required units must be funded.
TITLE IIIF DISEASE PREVENTION AND HEALTH PROMOTION
SERVICES
MIS# MIS Program Projected Actual
Units Units
22 Title IIIF Counseling
Community Education/
Advocacy(R) * -hours
Health Screening
Information(R) * -people
Outreach (R) * -people
Physical Fitness
Therapy
Comprehensive Assessment
Home Security
Equipment
Family Support
Nutrition Education
Nutrition Counseling
Nutrition Screening
TITLE VII VULNERABLE ELDER RIGHTS PROTECTION ACTIVITIES
MIS# MIS Program Projected Actual
Units Units
22 Title VII Complaint/Abuse Investigation and
Elder Abuse Facility Monitoring
Community Education/
Advocacy(R)
Follow-up
Outreach
Referral
* At last one of these required units must be funded.