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HomeMy WebLinkAboutMINUTES - 09102002 - C173 { Conga TO:: BOARD OF SUPERVISORS Costa FROM: John Cullen, Director Employment & Human Services Dep t r --- ' County 009 DATE: August 14, 2002 SUBJECT: APPROVE and AUTHORIZE the Employment and Human Services Director, or designee, to SUBMIT the Contra Costa County Area Agency on Aging Area Plan Year-End Report for FY 2001/2002 to the California Department on Aging and AUTHORIZE the Chair, Board of Supervisors, to sign the Letter of Transmittal. SPECIFIC REQUEST(S)OR RECOMMENDATION(S)S BACKGROUND AND JUSTIFICATION RFC OMMFNDFD Al"TinN_ APPROVE and AUTHORIZE the Employment and Human Services Director, or designee, to SUBMIT the Contra Costa County Area Agency on Aging Area Plan Year-End Report for FY 2001/2002 to the California Department on Aging and AUTHORIZE the Chair, Board of Supervisors, to sign the Letter of Transmittal. FINANCIAL IMPACT: No fiscal impact. BA t R[OND The Area Agency on Aging (AAA) provides services for older residents of the County under the Older American's Act (OAA) and Older Californian's Act (OCA). The 2001/2002 Area Plan Update proposed to continue to provide through contract, Congregate Meals, Home-Delivered Meals, Legal Assistance, In-Home Services Registry, Friendly Visitor, Adult Day Care, Errand and Escort Services and Transportation under OAA. OCA funding has allowed AAA to provide through contract, Alzheimer's Day Care Resource Center Services, Respite Registry, Brown Bag and Senior Companion Programs. In addition, AAA directly provides Information and Assistance, Disease Prevention and Health Promotion Services, Linkages, and Health Insurance Counseling Advocacy Programs. The AAA has developed services for the Family Caregiver Support Program providing Financial, Legal and Medical Education, Respite, Multicultural Connection Program, Assistive Technology, and Grandparent Caregiver Support Program. The AAA continues to provide program development, coordination, administration, and planning. CONTINUED ON ATTACHMENT:_X__YES SIGNATURE: LiLLL, t -"'1`tECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE --A-PPROVE OTHER SIGNATURES : ACTION OF BOC DjON (� APPROVED AS RECOMMENDED OTHER � ,i L VOTE OF SUPERVISORS ,��,,y�/j�� 1 HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS(ABSENT `""G> ) AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVIS S ON THE DATE SHOWN. _ N, ,44 TRANSMITTAL LETTER This 2001-2002 End of the Year Report for PSA 7 is hereby submitted to the California Department of Aging for approval. The Contra Costa County Board of Supervisors supports the development of community based systems of care and recognizes the responsibility within each community to establish systems in order to address the care needs of older individuals and individuals with functional impairments, their families and caregivers. J : S 1. (Signed) r Ck a p rson, Governing Board Date 2. (Signed) ) - r � 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 )) -�— C airperson, Area Age cy on Aging Date Advisory Council 01-02 Year End Report iE FY 2001-2002 AREA PL" Ju .1k, t YEAR ENDREPORT � I �7`I�i�r+� •rte`*```'►�� *11 ♦ ` 1 ♦ Ij,, cover' i CONTRA. COSTA COUNTY AGENCY ON .AGING A�►.:�,A AG N i i PSA 7 i s SUBMITTED i BY.- SHAD ONJOHNSON DAVE: August 30, 2002 i H:\Area Flan\END OF THE YEAR REPORT draft 2 01-02.doc 01-02 YEAR END REPORT VAQW Transmittal Letter 1. Needs Assessment activities 2. status of Objectives 3. Title 111-E Addendum Status 4. Title Ill- -status of Objectives 5. Program Development and Coordination , 5. Targeting i Attac 1ment-A PLEASE NOTE STATUS REPORTING INDICATED AS r -BOLD & ITALIsIZED z H:\Area Ptan\END OF THE YEAR REPORT draft 2 01-02.doe 01-02 YEAR END REPORT 1. Needs Assessment Activities The AAA organized, coordinated, and implemented a day of data gathering by inviting the Coalitions, commissions and local committees on aging to participate in the planning process. The objective for bringing the local committees and commissions together was to discuss the obstacles and successes each local commission and committee has had in the last fiscal year. Bringing the local committees and commissions together was an empowering tool, because it promotes networking and assists the AAA in determining service needs in each city throughout the county. (Please see Attachment A.) AAA is continuing to support and participate in the planning collaborative to implement joint regional planning and program activities. AAA has allocated $10,000, to each Senior Coalition for East, West, and Central County. Each coalition went through a planning and prioritizing process to determine what their focus would be. West County has conducted town hall meetings around the issues of health access, and transportation to identify needs in those two areas. East County's priority was focusing on the prevention of fraud. They conducted a Fraud Fighters Conference. Central County established a directory of service providers and established a personal contact with underrepresented providers and senior centers. 3 H:\Area Plan\END OF THE YEAR REPORT draft 2 01-02.doe 01-02 YEAR ENC? REPORT In addition, the Central County Coalition established a strategic plan years 2002-2005 to address the needs in their community. AAA is in the process of conducting a needs assessment regarding the current Adult Day Health Plan for Contra Costa County to determine if the plan needs to be modified based on current need. AAA is just beginning to develop a more comprehensive Key Informant Survey that will be two fold. We will survey via focus groups, written surveys, and interviews consumers and key informants. We plan on expanding not only the scope but also the number of people to be surveyed. Our goal is to survey a minimum of approximately 300 of the age 60 and over population of Contra Costa County. We will take into consideration Contra Costa's demographics, including income and population diversity. 4 H:\Area PIWEND OF THE YEAR REPORT draft 2 01-02.doe 01-02 YEAR END REPORT 2. Status of 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 a needs assessment, through the analyses of the needs assessments, the AAA was requested to provide program development, coordination and technical assistance. OBJECTIVES 1. AAA staff will participate in the East County Coalition to provide a Senior Information Day for East County seniors by June 30, 2005. C Completed& On-going 2. AAA staff will coordinate with West County organizations to provide a Senior Information day by providing 1 & A resource material, HICAP information and AAA staff time by June 30, 2002. C Successfully completed in May 2002. Staff served on the planning committee and assisted by bringing flyer, brochures, etc. Also, talked to seniors about services available to them. 3. AAA staff will assist East, West, and Central County Coalitions with grant writing by providing demographic data to bring additional senior resource to Contra Costa County through June 30, 2002. C On-going. Provided on an "as need"basis to any of the coalitions. This FY demography information was provided to the West County Coalition, included an estimate of seniors in West CCC and a division of those seniors according to ethnicity. Completed. By using these numbers technical assistance was provided, which resulted in PG&E and another county department(Community Services Department), reaching out to and enrolling low income seniors in a multitude of services provided by PG&E. Community Services Department is now receiving$12.00 from PG& E for any senior they sign up for the program including seniors in East, Central, and West County. 5 H:\Area Pian\END OF THE YEAR REPORT draft 2 01-01doc 01-02 YEAR END REPORT 4. AAA staff along with the Long Term Care (LTC) consultant will establish an 11 member Long Term Care Implementation Planning Team with representation from Health Services and Employment and Human Services departments, providers of Social medical services and consumers by July 2001. P.D. 5. AAA staff and the AAA LTC consultant will provide opportunities for input for the County Long Term Care Plan from Task Force and Design Team members, LTC consumers, and providers, and representatives of the medical community by conducting focus groups, implementing surveys, and holding public forums by June 2005. P.D. On-going 6. AAA staff and LTC consultant will seek input from stakeholders re: issues of concern identified during planning process by publishing and distributing a LTC newsletter to provide LTC planning information and to solicit input by June 2005. P.D. On-going 7. AAA staff in consultation with Long Term Care Implementation Team (LTCIT) will research LTC Governance Options including, 1) Public Authority, 2) County Departments—existing, new or joint effort, 3) Non-profit, and 4) Public/Private Joint Venture. This research will answer specific questions raised by the Governance ad-Hoc Committee to assist in determining the most appropriate option for Contra-Costa County's Long Term Care Implementation Planning Project by June 2003. P.D. 8. AAA staff and the LTCIT will complete case management standards and protocols by identifying where in the system Case Management will be administered and service authorization approved by June 2003. C 9. AAA staff and Long Term Care implementation Planning Team will develop systems of communications to eliminate duplication of services (with programs outside of the system) and to promote continuity of care with primary, acute and all LTC services by ➢ establishing how consumers enroll in the system and how consumers have choice ➢ establishing how linkages are made with care management and medical providers ➢ Developing coordination procedures between network and non-network providers to provide the most seamless continuum of services possible by June 2003. C 10. AAA staff and the LTCIT will develop measurable meaningful consumer outcomes and indicators by developing a MIS data collection and data reporting components by June 2003. C 11. AAA staff and LTCIT will develop a detailed implementation plan, including, but not limited to: 6 H:\Area Plan\END OF THE YEAR REPORT draft 2 01-02.doe 01-02 YEAR END REPORT ➢ Timeline ➢ Startup budget > Operating budget > Work with State Office of LTC with HCFA for appropriate waivers by June 2003. P.D. 12. AAA Planner will continue to be part of the Board of Directors for Columbia Park Manor Senior Housing Project targeted for low income, ethnically diverse seniors by participating in Board of Directors meetings, fundraisers, and grant writing by June 2005. P.D. On-going 13. AAA staff will apply for waivers (i.e., AB 1040) from the State to allow maximum funding flexibility in providing LTC services to citizens in Contra- Costa County by July 1, 2003. C 7 H:\Area Plan\END OF THE YEAR REPORT draft 2 01-02.dac 01-02 YEAR END REPORT 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, and 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 This is mandated by the Older Americans Act and AAA is Committed to providing Services to the population groups specified above. OBJECTIONS 1. AAA staff will develop & implement a timeline including appropriate presentations to the senior community, aging network, private and public agencies. The timeline will include activities such as developing and distributing AAA newsletter, ethnically and culturally appropriate program FACT sheets, brochures, and literature regarding new and expanded services by June 2005. C On-going Presentations are made on a regular basis to the senior community, aging network, private and public agencies. The tirnellne is steadily being added onto as new requests come in for speaking engagements. Written materials are made available at every presentation (speaking engagement). During FY 01-02 34,546 copies of the newsletter was distributed. Currently, another time line is being devised that will cover outreach planning through 2005. 2. Information & Assistance (I & A) staff will be outstationed on a rotating basis in the county wide Older Adult Clinics to serve low-income and ethnically diverse parts of the County to disseminate information on senior services by June 30, 2002. We have had difficulty with the Health Department which is unable to give us the room in their clinics and present and looming MA staff shortages prevents further progress at this time. 3. AAA 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, ethnically diverse, limited English-speaking individuals, and persons identified as being of greatest economic or social need aged 60 year s or older are being served through June 30,2005. On-going 4. AAA will require that their contracts specify the percentage or number of clients that must be targeted as specified in the Calder Americans act through June 30, 2005. On-going 8 H:1Area Plan\END OF THE YEAR REPORT draft 2 01-02.dae 01-02 YEAR END REPORT 5. AAA staff will continue to meet with the Laotian population of West and East County to provide culturally appropriate meals and activities through the Senior Centers by June 2005. P.D. On-going 6. AAA staff will continue to provide translation services for CCC's diverse population and provide information on services for residents in demographically correct languages through the County's translation services through June 2005. Ongoing 7. AAA Planner will continue to meet and confer with the Multicultural Task Force to enhance AAA's staff sensitivity to other cultures and participate in the implementing of culturally diverse services through June 30, 2001. C On-going 8. The Housing Committee of the Advisory Council and AAA staff will follow the new planned growth movement by contacting a related countywide Planned Growth Group and participate, through 2005 C Ongoing 9. The Housing Committee of the Advisory Council and AAA staff will advocate for the development of appropriate affordable low-income housing for County older adults by supporting legislation, writing letters of support, and attending pertinent public meetings by Sept. 2002. C On-going 10. The Housing Committee of the Advisory Council and AAA staff will coordinate regarding the new I & A database, to assist in developing accurate housing data by Sept. 2001. C Completed Sept. 2001 11. The Housing Committee of the Advisory Council and AAA staff will do site visits to innovative senior housing facilities, in order to provide information to I & A and advocate for increased, well-planned and affordable units for CCC older residents though June 2005. C Ongoing 12. The Housing Committee will invite knowledgeable guest speakers to address the Committee, keeping it abreast of current issues and developments in the housing field through June 2005. C Ongoing 13. The Housing Committee of the Advisory Council and AAA staff will develop a position paper, advocating for stronger language and enforcement of the Measure C/ Housing Element and will apply to any current amending of the measure and to future Measure C language by June 2005. On-going 14. The Transportation Committee of the Advisory Council and AAA staff will educate itself on transportation issues by developing and updating charts of transportation committees, providers and services and ascertaining gaps in service through June 2005. On-going 15. The Transportation Committee will advocate for a countywide seamless system of transportation by linking its efforts, where possible, with those of other transportation advocates, providers and systems through June 2005. C On-going 9 H:\Area Plan\END OF THE YEAR REPORT draft 2 01-02.doc 01-02 YEAR END REPORT 16. The Transportation Committee will advocate to local politicians and transportation officials for increased fixed-route and paratransit funds and services and less emphasis on automobiles and highways through June 2005. C On-going 17. The Transportation Committee will follow the Planned Growth Group's smart growth movements, advocate for in-fill housing and transit villages through June 2005. C On-going 16. The Health Committee will improve communications and relationships with other health care providers serving County seniors by asking them to participate on the committee by June 2002. C Completed Jane 2002 19. The Health Committee will increase focus on mental health issues for older adults promoting increased access and services, acting as a liaison with the Mental Health Commission's Calder Adult Committee, and increasing education of neuro-cognitive therapies by June 2005. C On-going 20. The Health Committee will continue to work closely with the Ombudsman to keep apprised of quality of care issues in facilities serving older adults and to advocate for changes, when necessary through June 30, 2005. C On-going 21. Senior Outreach Services— In-Home Registry/Respite Registry staff will develop and implement an evaluation tool for use by families receiving home chore services to assess program effectiveness and identify gaps in services by June 2005. On-going 22. Senior Outreach Services — Friendly Visitor staff will work toward developing a more advanced screening of volunteers and improving structure of programs and teaching materials that can be evaluated while reaching a broader base of individuals by June 2005. On-going 23. Ombudsman Services staff will increase the volunteer base from 35 to 55-60 during the next four years through developing a publicity and marketing campaign directed to specific population groups. On-going 24. Senior Legal Services will develop a multi-media efforts, including internet access, brochures, and presentations while developing community relationships regarding senior issues and services available to countywide residents by June 2005. On-doing 25. Health Services — Nutrition Services will secure a site and funds to build a County owned by applying for grants and working with CoA to secure funds as appropriate. This will allow diversity in the menu preparation. An implementation plan will be in place by June 2005. On-going 26. Senior Companion Program - Senior Outreach Services staff will improve the lives frail, disabled, and homebound individuals by recruiting, screening, and training low-income senior volunteers from all areas of the County, targeting minorities and limited English speaking to providing 20 hours per week of 10 H:\Area Plan\END OF THE YEAR REPORT draft 2 df-02.doe 01-02 YEAR END REPORT companionship and assistance to help clients remain viable, functional, and independent in their homes, thereby, preventing premature institutionalization through June 2005. Orr-going 27. Alzheimer's Day Care Resource Center - Rehabilitation Services of Northern California's will provide services to benefit persons with moderate to severe Alzheimer's disease or related dementia by providing success-oriented activities and health programs designed to promote health, self-esteem, dignity, cognitive stimulation, and enjoyment for those with impaired cognitive, perceptual, behavioral, physical and emotional abilities. Outcomes will be measured by attendance, length of enrollment, health status maintenance, caregiver satisfaction and the ability for participants to remain living in their homes. Caregivers will be given respite, counseling, education, case management, and resource and referral services in order to assist them in continuing to provide care to their loved ones for as long as possible, preventing premature or inappropriate institutionalization through June 2005, On-going 28. Adult Day Care Services - Rehabilitation Services of Northern California will provide social activities to low-income, homebound, and isolated frail seniors with functional impairments who benefit from a structured activities program in a safe secure setting by allowing participants to continue to remain in their homes through June 2005. On-going 29. Adult Day Care Services - Guardian Adult Day Health Center will improve the quality of the life of older adults by preventing premature institutionalization of individuals in need supervised social and respite care by providing "Scholarships" to older adults who could not otherwise afford services in West Contra Costa County through June 2005. On-going 30. Brown Sag Program - The Food Sank of Contra Costa and Solano Counties will improve the availability of nutritious food resources to low-income seniors by augmenting by providing supplemental bags of groceries twice a month at 18 distribution sites throughout Contra Costa County with outcomes shown by the pounds of food delivered, bags of groceries provided, and volunteers hours donated to the program through June 2005. On-going 31. Assisted Transportation / Errand & Escort - The Caring Hands Volunteer Program will enhance the quality of Seniors lives by expanding errand and escort services to frail, isolated older adults in East Contra Costa County by providing outreach to obtain, screen, train and match volunteers to provide transportation to medical and social service appointments and for shopping and other errands while also providing companionship through June 2005. On-going 32. Linkages Program - To better serve Contra Costa County's seniors and disabled adults with mental health issues and needs, Linkages and Mental Health Case Management Supervisors will develop a plan for ongoing collaboration with the Regional Outpatient Mental Health Clinics, which will serve the client's overall needs by providing increased access to comprehensive services, while also providing Linkages outreach to the community through June 2005. Completed and continues to expand 33. Health Services — Congregate and Home delivered Meals will continue to enhance outreach activities through public media, i.1. PSA's, Brochures and 11 H:\Area Plan\END OF THE YEAR REPORT draft 2 01-02.dac 01-02 YEAR END REPORT Public Presentations to raise the number of meals served through June 2005. P.D. On-going 34. Transportation — Health Services will continue to provide transportation to and from meal sites by recruiting more volunteers and drivers through June 2005. P.D. On-going 12 H:\Area Plan'�END OF THE YEAR REPORT draft 2 01-02.doc 01-02 YEAR END REPORT 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 The Key Informant Survey and Long Term Care Focus Croups identified the need to communicate with and provide information to the general public at all levels. 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, 2002 Completion date changed to January 2003 due to the Census Bureau"s delay in dispersing local detailed data. 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, 2002. C Completed and on-going on an annual basis. I&A provides staff and multiple Informational materials at this event, with an attendance of over 100 professional providers. 3. AAA Planner will, on a continuing basis, communicate availability of funding resources to appropriate agencies by June 30, 2005. Ongoing 4. The Advisory Council committees will inform the general community of special educational presentations through special invitations, newspaper articles, and information in newsletters through June 30, 2005. Ongoing 5. 1 &A staff will make educational presentations on services available to seniors by speaking engagements, written materials, and participation in conferences through June 30, 2005. Completed and on-going. The I&A staff provides outreach presentations on a monthly basis to a variety of groups and events. They average 4 sessions a year. 6. AAA staff will provide information resources and staff to assist with West County to provide Senior Information Day for seniors in West County by June 30, 2002. C Completed successfully on May 2002. Staff assisted with planning and implementation activities. 7. AAA staff will utilize CCTV's (local able) Community Bulletin Board to advertise meeting dates, times, and places of the Central County Coalition (Central County focal point) Elder Care Committee (East County focal point), and West County coalition through June 2005. C 4nging 13 K\Area P1an\END OF THE YEAR REPORT draft 2 01-02.doc 01-02 YEAR END REPORT 8. AAA staff will continue through 2005 to reach out to non-English speaking seniors through the use of interpreters and publishing the newsletter in foreign languages, which will include but are not limited to Spanish, Laotian, and Vietnamese. Three editions of the newsletter will be printed in foreign languages each year. C Ongoing 9. AAA staff will continue through 2005 to work with the East County Coalition to identify and prioritize senior needs by providing technical assistance including assistance with needs assessments, focus groups and quality assurance surveys. C Ongoing 10. AAA staff will continue through 2005 to work with the West County Coalition to identify and prioritize senior's needs by providing technical assistance. Staff will continue to work with Coalition members on needs identified including but not limited to transportation and services ethnically and culturally appropriate. C Can-going. Technical assistance has been provided in the areas of planning and the implementation of one successful forum or Town Hall Meeting in West Co. This was an all day event on Health Fare Issues (6-27-02). Also, technical assistance was provided to a San Francisco based organization that put on a one-day event in West Co. on the Homeless of Contra Costa County(5-1-02). 11. AAA staff will continue through 2005 to work with the Central County Coalition to identify and prioritize senior needs by providing technical assistance. Staff will continue to work with Coalition members on needs identified including senior fraud and intergenerational issues. C On-going 12. AAA Information & Assistance will continue to coordinate and facilitate bi-monthly informational meetings for Central and East County known as the Social and Health Agency Resource Exchange (SHARE), a network of professionals and service providers form governmental, profit and nonprofit community-based organizations serving the elderly, and those with disabilities, by providing a venue where educational presentations relating to the aging process can occur and community resources may become known to community professionals working with the aging population by June 30, 2002. Completed and on-going. For the past three years l& A Unit Manager has acted chair of the SHARE planning committee to coordinate presentations and special SHARE events. 13. AAA Information & Assistance will provide access to CORD (Contra Costa Online Resource Database), an Internet informational web site, to professionals, clients, and the general public, by merging databases with those of Contra Costa Crisis Center, a community-based nonprofit organization, and with support from Health Services and Community Services departments by June 30, 2002. Completed Cord has been in full operation for two years. 14. AAA programs and services will be included on the web site (CORD) maintained by Contra Costa County's Employment and Human Services Department as a link to Aging and Adult Services and will be made available to the public by June 30, 2002. Completed/n 2002 14 H:\Area Plad'END OF THE YEAR REPORT draft 2 01-02.doe 01-02 YEAR END REPORT 15. AAA staff will provide Health Insurance Counseling and Advocacy resource information through brochures, presentations, P.S.A.S. by June 2005. On-going 15 1-1:\Area Pian\END OF THE YEAR REPORT draft 2 01-02.doc 01-02 YEAR END REPORT GOAL # 4 The AAA will work toward an efficient, cost effective, user friendly integrated approach to deliver Aging & Adult services, including but not limited to, Multipurpose Seniors Service Project, Adult Protective Services, LPS conservatorship, In Home Support Services, Older California Act programs (Linkages, Brown Sag and Alaheimers Day Care and Older Americans Act Services. The AAA will continue to provide direct HICAP services. The adult service delivery system will be monitored to ensure quality responsiveness to the community based system of care for the elderly. RATIONALE The Employment and Human Services department and AAA staff are working toward an integrated approach to services in order to reduce duplication of information collected about the client to be more responsive to clients' needs, and to work together more cohesively. OBJECTIVES 1. Aging and Adult Services staff will develop and fully implement MSSP by providing case management services to 200 frail SNF certifiable clients by July 2, 2002. P. D. Completed 2. 1 &A staff will be coordinating with Health Services Department, Community Services Department and the Employment and Human Services Department to provide I &A online. Anticipated date: June 30, 2002. C Completed 3. 1 & A staff will provide comprehensive screening, and appropriate referrals to IHSS, APS, Linkages and MSSP by June 30, 2002. Completed 4. Linkages staff will work collaboratively in the community on a Countywide basis at round tables, multi-disciplinary teams, Senior Health Advocacy Resource Exchange (SHARE), Elder Abuse Prevention, and the Consultation Panel to ensure awareness of the Linkages Program allowing solicitation of referrals of difficult and under served clients. P.D. On-going 5. AAA staff will continue its efforts to assist in the planning and development of a comprehensive Long Term Care System by participating and being an active member of the working team to: ➢ Ensure on-going inclusion of local, private, public and consumer participation and input in the LTG planning process. > Identify Governance Structure and Long-term Gare agency along with specific roles, responsibilities and staffing. 16 H:\Area Plan\END OF THE YEAR REPORT draft 2 01-02.doe 01-02 YEAR END REPORT ➢ Determine services to be provided by, and funding strums to be integrated into, the LTC. Develop structure and protocols for how case management will function within the LTC. Y Develop procedures for consumer entry and access to the system. Develop system evaluation components by June 2005. f. AAA staff and the Advisory Council will conduct Public forums, needs assessments, and gather community input regarding the appropriate use of the new Title Ill E - National Family Caregiver Support Program by June 2001. Completed August 31, 2001 7. AAA staff will assist in preparation of any Request For Proposals, or Requests for Information in order to solicit appropriate providers of services in compliance with Title II I E of the OAA by Sept. 2001. Completed October 5, 2001" H:\Area P1an\END OF THE YEAR REPORT draft 2 01-02.doc 17 01-02 YEAR END REPORT GOA .. # 5 The AAA will continue to be an advocate for all eider adults 60+ by analyzing public policy, legislation, programs, hearing, levies, and by participating in public forums, community activities, and advocating for older adults rights, as appropriate. RATIONALE This Goal is necessary to be in compliance with the Older Americans Act and CDA requirements, OBJECTIVES 1. The Legislative Advocacy Committee will continue its watchdog activity as Social Security is being appraised for changes through June 2005. C On-going 2. The Legislative Advocacy Committee will continue Medicare + Choice education and facilitation through HICAP regarding the following issues. prescription drugs, preventive medicine, dental care, mental health and health- coverage cancellation through June 2002. C Completed June 2002 and On-going 3. The Legislative Advocacy Committee will continue work on Adult Protective Service / Elder Abuse issues including fiduciary abuse, specifically looking at training of police officers and fire personnel and strengthening laws for protection and enforcement through June 2002. C (Change date to June 2005 due to political climate/difficulty in passing legislation—On-going) 4. The Legislative Advocacy Committee will work closely with the California Senior Legislators from our district, continuing to promote probate reform legislation in the State Assembly and Senate through June 2005. C On-going 5. The Legislative Advocacy Committee will continue to actively campaign for accessible senior housing and transportation through June 2005. C Ongoing 18 HAArea Plan\END OF THE YEAR REPORT draft 2 01-02.doe 01-02 YEAR END REPORT +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 O'BJ'ECTIVES 1. AAA staff and Employment and Human Services Fiscal staff will streamline the contractor payment demand process by computerizing the payment process by June 2002. Not completed. Will continue efforts in this direction. 2. 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, ethnically diverse, 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, 2002. On-going 3. 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, 2002. tin-going 4. AAA will require that their contracts specify the percentage or number of clients that must be targeted as specified in the Older Americans act through June 30, 2002. tan-going 19 HAArea Pfan\END OF THE YEAR REPORT draft 2 01-02.doc 41-02 YEAR ENC? REPORT GOAL # 7 AAA will maintain a preventive health care program that will provide both health care insurance counseling and advocacy and health promotion and disease prevention information to the older population of Contra Costa County by means of a variety of community outreach activities. RATIONALE Mandated by the Calder Americans Act OBJECTIVES 1. AAA staff will provide the public with preventive health care and disease control information on a continuing basis by telephone, community presentations, and the local TV cable Senior Information Journal program by June 30, 2005. On-going Preventive health care and disease control information has been distributed on a continuing basis through the telephone and community presentations. From 71-01 to 7-30-02 sixty-five(65)speaking engagements have been made about this topic alone. Over 6,000 brochures and flyers have been distributed. 2. AAA staff will work with CCTV through an Administrative Letter of agreement and a consultant, who specializes in geriatric/senior issues, to tape a minimum of four (4) Senior Information Journals per year and special events of interest to seniors (i.e., Age) through June 30, 2005. PID & C On-going 3. HICAP staff will provide training on Medicare supplemental health insurance, HMOs, and long term care insurance for HICAP volunteer counselors to increase their knowledge of health insurance laws and regulations by June 30, 2002 and to continue to June 30, 2005. On-going 4. HICAP staff will provide outreach to diverse and underserved population groups, including Asian-Pacific Islanders, Hispanics, and Afro-Americans, in coordination with Supervisor John Cioia's office, the Medicare Part B Carrier, the Center for New Americans, and local churches, to improve knowledge of health insurance choices and rights, and to increase awareness of HICAP services by June 30, 2002 and to continue to June 30, 2005. On-going 5. HICAP will offer special forums using HICAP staff and volunteer counselors as presenters to the AAA advisory Council and its relevant committees, and to County Aging and Adult Services staff to inform them of new consumer protections in health insurance including Medicare and HMOs and to promote awareness of HICAP services by June 30, 2002 and to continue to June 30, 2005. On-going 6. HICAP staff will provide updated consumer literature regarding health care benefits and rights concerning Medicare, HMOs, supplemental insurance, and 20 HAArea Plan%END OF THE YEAR REPORT draft 2 01-02.doe 01-02 YEAR END REPORT long term care insurance in coordination with California Health Advocates to the public and relevant professionals to increase awareness of insurance options and consumers protects by June 30, 2002 and to continue to June 30, 2005. On-going 7. HICAP staff will evaluate current HICAP counseling locations throughout Contra Costa County for effectiveness and accessibility and institute recommended changes or additions to Improve accessibility for County residents by June 30, 2002. Completed May 2002 and on-going 8. HICAP will enter into a contract with Legal Services Foundation to provide legal expertise as needed by June 30, 2005. On-going 21. H.\.4rea Pian1ENI7 OF THE YEAR.REPORT draft 2 01-02.doc 01-o2 YEAR END REPORT 3. TITLE 111-E Addendum tatu Family Caregiver Sum) rt Pro ra�rn i. COVER LETTER WITH REQUIRED SIGNATURES Forthcoming - AAA is in the process of obtaining the appropriate signatures and getting the approval of the Board of Supervisors. Completed and sent to CDA on July 29, 2002 Ii. REVIEW OF FCSP NEEDS INVENTORY OF EXISTING CAREGIVER SUPPORT SERVICES AND DOCUMENTATION THAT PLAN CONSIDERS ALL OTHER EXISTING AND POTENTIAL SUPPORT SERVICES OPERATING LOCALLY. An extensive inventory of existing caregiver support services was completed by a comprehensive review of the Area Agency on Aging (AAA) Information & Assistance database of services and programs serving caregivers and care receivers in Contra Costa County. AAA's recent pour-Year Area Plan needs assessment was thoroughly reviewed. AAA also convened key providers in the caregiver support system, forming a Planning Group whose charge was the review and prioritization of existing and potential support services and the development of a process for outreach to caregivers to ascertain their needs. Members of the Planning Group include Ruth Goodin, Long Term Care Consultant; Loren Cole, Senior Outreach Services; Peter Behr, Guardian Adult Day Health; Linda Hughes, Mt Diablo Adult Day Health; Kathleen Kelly, Family Caregivers Alliance;Joanne Best, Independent Living Resource; Fran Smith, Public Authority;and AAA staff ♦ LOCAL NEEDS ASSESSMENT To determine the extent of need for Family Caregiver Support Program (FCSP) services, the Area Agency on Aging took a two-pronged approach. First, it reviewed and analyzed available data gathered during its recent Needs Assessment process, relative to its Four-Year Area Plan 2001-2005 The review and analysis of recently gathered data was multifaceted, including the following: Key Informant Survey • Research Study in Health Conditions, Function Abilities, Resources and Risks of Older Adults in Contra Costa County • Focus Groups CA Dept. of Aging Survey 22 H:\Area Plan\END OF THE YEAR REPORT draft 2 01-02.doe 01-02 YEAR END REPORT • West County Coalition Public Forums • Long Term Care Design Teams • Public Forums • Public Hearing • Partners in Planning Forum Secondly, AAA conducted intense research on family caregiver issues, programs, best practices and other pertinent information including but not limited to those below: • Family Caregivers: Partners in Long Term Care - Survey of 15 States Caregiver Support Programs-(Family Caregiver Alliance, October 1999) • AOA and NIH websites (questions & answers, extensive discussions and position papers on caregiver issues and programs) • FCSP program guidelines developed by other counties AAA also focused specifically on gathering input from the caregivers themselves. Planning for gathering this input involved an active planning group consisting of AAA staff, community-based organizations and the Public Authority. Outreach included a Public Forum held on August 15, 2001, hosted by the Advisory Council on Aging & and a call-in program held over the course of several days, where caregivers could talk with AAA staff about their specific needs and concerns. Outreach targeted caregivers throughout the County. Every effort was made to provide access to all caregivers, including the homebound; the public forum was wired for call-ins and both the forum and the call-in program provided the opportunity for translation, if needed. The call-in program was TDD accessible. Completed. Public Forum held and input tabulated and summarrized. Notice for both the forum and the call-in program was made widely available to caregivers, the aging network and the media. Resources included databases of caregivers; commissions on aging; East, West and Central County coalitions; senior advocacy groups; community-based organizations; senior centers, Aging and Adult Services program staff, other County staff and the media throughout the County. Materials included informational flyers, Public Service Announcements and press releases. Completed per notice requirements. The Public Forum format consisted of a short review of family caregiver statistics/demographics and the purpose, criteria, service categories and funding of the Family Caregiver Support Program. Most of the forum consisted of an interactive approach where everyone in attendance actively participated in documenting his/her perceptions of issues and program needs, followed by group analysis, summarizing and public comment. Evaluations of the Public Forum by attendees were all very favorable. Completed 23 H:\Area Plan\END OF THE YEAR REPORT draft 2 01-02.doc 01-02 YEAR END REPORT III. PROGRAM DESCRIPTION RESULTING FROM THE REVIEW OF NEEDS ♦ OVERARCHING STATEMENT OF AAA's VISION FOR THE FAMILY CAREGIVER SUPPORT PROGRAM Contra Costa County AAA's initial vision for the Family Caregiver Support Program is to empower and sustain caregivers by assuring that a comprehensive system of support services is both visible and accessible to them. This vision includes the creation and expansion of services that offer Information and Education about Existing Services, Assistance in Accessing Services, Respite, Ongoing Support, and Equipment and Home Modifications. These service components will be provided within a support system committed to the following considerations: • Creative ways to reach family caregivers, especially those most isolated and nonEnglish speakers. • A focus on providing services in the family caregiver's home, where passible. Family caregivers' often are unable to access services outside the home because they lack access to respite care and/or they don't have the financial resources to pay for it. • Availability of services to all population groups in Contra Costa County. • Attention to the needs of the very large number of family caregivers that are middle-aged and also working. • Enhancement of the ability for the family caregiver to keep the care receiver at home; institutionalization is far more costly and often traumatic for both caregiver and care receiver • Integration of intake for family caregivers along with intake for his/her care receiver, whenever feasible and appropriate. Integration of the process and programs for serving the caregiver with the process and programs serving the care receiver. • Communication, cooperation, collaboration and integration of all service system partners: County, community--based organizations (CBO's) and other service providers, funders, advocates and caregivers, resulting in the best system management and the best case management of each family caregiver. ♦ IDENTIFIED SOURCES OF FUNDING AND PLAN FOR DELIVERY OF FAMILY CAREGIVER SERVICES BASED ON NEEDS. Currently identified sources of funding are the Federal and State allocations and the County. Contra Costa County is prepared to allocate general Fund revenue and/or in-kind contributions to meet the required match as specified in Title III E. Contra Costa County has provided a match per state contract requirements. 24 H:1Area Plan\END OF THE YEAR REPORT draft 2 01-02.doc 01-02 YEAR ENS} REPORT a IDENTIFIED SPECIFIC PLAN FOR SUPPORT OF CAREGIVERS, INCLUDING FAMILY CAREGIVERS AND OTHER CAREGIVERS Based on all aspects of the Needs Assessment, the AAA's plan for support of family caregivers will address the overarching theme of providing access to services and support. Caregivers need services to sustain them and a support system that prevents crisis. The FCSP will focus primarily on the fallowing needs identified by caregivers themselves: 1. Respite - in-home, regular, emergency, on-call, longer days and longer term. 2. Ongoing Support - Addressing such needs as dealing with the depression which arises from the isolation and stress of caregiving the need for someone to talk to (peer, one-on-one, group, by phone); help in using services; dealing with family conflict; communicating with doctors, taking care of oneself; training in caregiving techniques; understanding, assessment and planning for the stages of care receiver's illness, e.g. placement 3. Information & Education about Existing Services- how to find what services are out there. 4. Assistance in Accessing Services - Increased coordination of existing services and assistance in overcoming barriers such as prohibitive costs of some services, isolation of the caregivers, transportation, complex phone systems, health problems of the caregiver, and the lack of ability to manage the numerous and overwhelming needs of the caregivers 5. Equipment and Home Modifications - access to equipment and modifications such as ramps, grab bars, wheelchairs, etc. IDENTIFIED EXISTING AND NEEDED RESOURCES - ENSURE THAT FCSP FUNDS ARE USED TO MEET UNMET NEEDS AND LINK EXISTING PROGRAMS TOGETHER INTO A MORE SEAMLESS SYSTEM OF SUPPORTS AND SERVICES FOR CAREGIVERS A seamless support and service system requires the communication, cooperation, collaboration and integration of all components: AAA, CBO's and ether service providers, funders, advocates and caregivers. This results in the best system management, the most effective use of resources, and the greatest benefit to each caregiver. AAA models its system development on this concept. Based on needs identified in the Four-Year Area Plan and its FCSP Needs Assessment of caregivers, AAA will integrate expanded and additional resources into its existing service system. Existing Resources: Information & Assistance, Alzheimer's Day Care Resource Center, Brown Bag, Health Insurance Counseling & Advocacy, 25 H:\Area Plan\END OF THE YEAR REPORT draft 2 01-02.doc 01-02 YEAR END REPORT Linkages, Respite Purchase of Services, Senior Companion, Ombudsman, Adult Day Care, Congregate Nutrition, Home-Delivered Nutrition, Nutrition Education, Home Visiting, In-Home Services Registry, Respite Registry, Nutrition Transportation, Legal Services, disease Prevention/Health Promotion, the Long Term Care Integration Planning Project, IHSS, MSSP and APS. Broader resources include all of the nonprofit provider community, Health Services Departments, the Public Authority, Employment and Human Services and the advocacy and advisory commissions and councils. The Area Agency on Aging Information &Assistance (I & A) is the entry paint to the Aging and Adult Services System. I & A provides comprehensive assessments to callers or family members where there are multiple needs and determines the necessary supportive services to meet those needs. If the client is referred to another agency, the intake information is passed on to that agency. Sharing of assessments diminishes duplicate information and saves time and frustration for the client. AAA's referral system and the easy transfer of clients is due to the amount of time the I &A coordinator and staff spend in the field doing outreach and building on existing working relationships. The Employment and Human Services Department and the Health Department are in the process of developing and implementing a program where a gerontological nurse will become part of the I & A staff. The nurse will have the flexibility to make home visits and to respond to the needs of both caregivers and receivers. The Long Term Care Project and the Health Department are currently developing a system whereby all components of the support system are fully integrated in terms of access, referral and coordination of the client's case management. Needed resources: As part of the Family Caregiver Support Program, AAA will continue to facilitate coordination and integration among all of the above resources. It will link intake assessments of caregivers with intakes being done on care receivers, wherever feasible and appropriate, again increasing coordination and eliminating duplication of efforts and fragmentation of services. Ongoing The FCSP Needs Assessment brought forth the overarching theme of lack of access to various services, due to cost, constraints upon service providers, and the inability of many caregivers to leave the home. Related program resource needs are as follows: expanded respite capability; creative outreach, focusing especially on reaching caregivers who are homebound, isolated and the multi-cultural, non-English speaking community, ongoing support and training to deal with the emotional, physical, practical and logistical issues of the caregiver; increased assistance in overcoming the multiple barriers to accessing services; access to affordable equipment and home modifications which ease the burden on the caregiver. Contra Costa County's proposed use of Title 11111 E funds will link existing programs into a more seamless system of supports and 26 H:\Area Plan\END OF THE YEAR REPORT draft 2 01-02.doc 01-02 YEAR END REPORT services by filling the service gaps identified by the FCSP Needs Assessment. We are currently in the process of letting a Request for Proposal (RFP) to address those needs by providing services under the FCSP eligible service categories. RFP completed, contracts were negotiated and approved by the County guard of Supervisors with contract effective dates of March 1, 2002 to June 30, 2002. Upon completion of the RFP process, the Planning Committee and the Advisory Council on Aging will review the proposals. Recommendations will be made for the expenditure of Title III E funds. Final approval rests with the Board of Supervisors. ♦ DOCUMENTATION OF NOW THE USE OF FCSP FUNDS WILL BE COORDINATED WITH EXISTING STATE-FUNDED PROGRAMS AND WILL USE EXISTING INFRASTRUCTURE WHERE POSSIBLE AAA will incorporate Title III E funds into the current aging network as identified in the Four-Year Area Plan (pages 5 & 6) and listed here: HAArea Plan1ENTD OF THE YEAR REPORT draft 2 01-42.doc 27 01-02 Year End Report ■ Hospitals ■ Transportation and Paratransit ■ Board & Cares ■ Discharge Planners ■ Skilled Nursing Facilities ■ Delta 2000 ■ Ombudsman ■ Nutrition Services ■ Legal Services for Seniors ■ Homeless Shelters ■ Health Clinics ■ CARE ■ Friendly Visitor Food Bank ■ East &West County Day Care ■ District Attorney's Office ■ Educational Institutions United Way ■ Health insurance Counseling ■ Public Authority ■ Advocacy Program Banks ■ Pharmacies PG&E ■ Visiting Nurses Association Postal Service ■ Adult Day Care Rehabilitation ■ Law Enforcement ■ East, Central and West County ■ Errand & Escort Services ■ Coalitions ■ Elder Abuse Prevention ■ SHARE ■ Home Health Agencies ♦ IDENTIFIED ALLOWABLE FEDERAL ACTIVITIES WHICH ARE OF HIGHEST NEED IN THE LOCAL AREA RESPITE ■ Addressing various needs for length, lead time, emergencies, in-home or facility-based SERVICE INFORMATION ■ Outreach and Education about existing services ACCESS ■ Case Management for caregiver - provided in-home ■ Transportation and Assisted Transportation CAREGIVER SUPPORT ■ Counseling and emotional support ■ Training in Caregiving SUPPLEMENTAL SERVICES ■ Equipment/Home Modifications (Since Respite was the most overwhelming need, it is listed first. The others are not listed in order of priority and seem equally important to caregivers, overall.) H:\Area Plan1END OF THE YEAR REPORT draft 2 01-02.doc 01-02 YEAR END REPORT 4. TITLE 111-L Status of 0 t ves ADDENDUM GOAL #1 The Contra Costa County Area Agency on Aging is committed to empowering and sustaining family caregivers, recognizing that they are the backbone of our long term care system and that they function under tremendous burdens. AAA will empower and sustain family caregivers through the development and enhancement of a comprehensive system of family caregiver support services and by making this support system both visible and accessible to them. RATIONALE Based on the family Caregiver Needs Assessment and its analysis, conducted by AAA and the FCSP Planning Group, AAA was requested to provide an expanded system of support that addresses caregivers needs for increased access to services. OBJECTIVES 1. AAA staff and the Family Caregiver Support Program Planning Group will seek input of family caregivers and other stakeholders regarding service needs by conducting a comprehensive needs assessment by August 31, 2001. Completed August 31, 2001. 2. AAA staff will assure ongoing participation in the Family Caregiver Support Program planning process of service providers, funders, advocates, family caregivers and other stakeholders through June 30, 2002. RFP was let, a bidder's conference was held in !November 2001, RFPs were reviewed by the Planning Committeel and Advisory Council and recommendations submitted to the Board of Supervisors for ratification and approval. Contracts were negotiated and awared with effective dates of March 01, 2002 to June 30, 2002. 3. AAA Staff and the Advisory Council on Aging will develop a timeline and budget for FCSP implementation by September 1, 2001. Completed. See response to #2 above. 4. AAA Staff, in conjunction with the Advisory Council on Aging, will develop FCSP evaluation components by October 15, 2001. Completed. See response to #2 above. 5. AAA will work with Employment and Human Services and contract staff to issue an RFP for service needs as identified in the FCSP Needs Assessment 29 HAArea Plan\END OF THE YEAR REPORT draft 2 01-02.doc 0$127/02 01-02 YEAR END REPORT and in compliance with the service categories outlined in the FCSP Service Matrix by October 30, 2001. Completed. See response to #2 above. s. AAA, through its Request for Proposals process will require bidders to include a plan for community outreach to assure that low income individuals, ethnically diverse, limited English speaking individuals and persons identified as being of greatest economic or social need are being served through June 30, 2002. This component was completed and satisfied by the contract negotiated with Jewish Family Services of the Greater East Bay, for a multicultural caregiver program encompassing translation services for Spanish, Bosnian, Russian, Afgan, Iranian, Laotian and Chinese languages. 7. AAA will assure that programs and services provided with FCSP funds meet the targeting mandates of the Older Americans Act through June 30, 2002. Completed per contractural requirements by June 30, 2002. 8. AAA Staff and the Advisory Council on Aging will review and recommend the awarding of bids for FCSP services by December 1, 2001. Completed, contracts awarded and negotiated with effective dates of Larch 1, 2002 to June 30, 2002. 9. AAA Staff will negotiate contracts for successful provision of FCSP services by December 31, 2001. Contracts with FCSP agencies were effective March t, 2002 to June 30, 2002. lo. AAA Staff will provide technical assistance to successful bidders through June 30, 2002. Staff provided continual assistance to all contrators during the start-up and implementation and closeout phase of the contract A networking meeting was held March 15, 200.2' where all five contractors receiving funds from the Family Caregiver Provider Program were invited to attend and most with other contractors to share information about their respective services and solicit referrals for specific services. Two similar meetings are scheduled for October 2002 and March 2003. V. SERVICE UNIT PLAN - To be made available upon completion of the RFP process. Refer to Area Plan Addendum for Title It/ E. VI. WAIVERS (if applicable) Nene 30 HAArea Plan1END OF THE YEAR.REPORT draft 2 01-02.doc 08/27/02 01-02 YEAR END REPORT 5. Program Development and Coordination (P D, & V) Included in Section Il. Status of Objectives, indicated by a PD or C next to the correlating objectives. The AAA is able to do millions of dollars worth of services, activities, and events because, the PD & C dollars are utilized to leverage other revenue sources. By forming collaboratives, the AAA public and private partners are able to use in-kind resources to further expand, develop, and implement new services. Our collaboration have resulted in: new Senior Housing Projects, new services such as Errand and Escort, Southeast Asian Project, Fraud Fighter Forums, Alzheimer's Conferences and many special events, and less duplication of services through our ability to use funds for PD & C. 31 HAArea Plan\END OF THE YEAR REPORT draft 2 01-02.doc 08/27/02 01-02 YEAR END REPORT . lameting rri The Area Agency on Aging (AAA) and programs funded through the AAA continue to target and serve minorities in Contra Costa County (CCC). Our County's ethnic demographic profile includes: Afro-American, Hispanic, Laotian, Vietnamese, Filipino, Russian, and Ukrainian, with a small percentage of Native American and Muddle-Eastern elders. AAA requires its contractors to target and serve minorities and 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. We continue to provide intensive outreach and targeting in our community. Our Community Liaison Staff (outreach workers) seek out diverse and hard to reach seniors by forming collaborative working relationships with other organizations and groups, by making verbal presentations to a variety of audiences, and broadly distributing brochures, pamphlets, and other printed information about the available services. Translation services continue to be provided for both written and spoken information for the community at large and its contractors. The AAA Senior Information Newsletter Age Page was sprinted over the past year in four languages other than English: Russian, Spanish, Laotian and Vietnamese. We have greatly increased our circulation of the Newsletter this year throughout the County from approximately 5,000 to 15,000, by increasing 32 H:1Area PlanlEND OF THE YEAR REPORT draft 2 02-02.doc 08/27/02 01-02 YEAR ENC} REPORT our mailing list, the number of presentations made to various organizations and groups, and distribution while attending social events for outreach and rapport building. During this past year, we held meetings with leaders from the Laotian, Vietnamese, Russian and Ukrainian populations in Contra Costa County to betterunderstand their culture and needs. AAA Staff attended Conferences, which focused on planning for the needs of refugees in our County. We had meetings and discussions with the Director of the Resettlement and Immigration Services who represented the Jewish Family & Children's Services (JFCS). The purpose of this concerted effort was to increase understanding the functions of each agency (AAA and JFCS) and to determine how we can best work together to serve refugees living in the Bay Area. We continue to meet the needs of the Asian population in CCC through the Nutrition Program by continuing to provide meals targeted to the Laotian, Vietnamese and Filipino seniors. AAA staff and Nutrition staff meet with CDA and State staff to identify funding sources for new activities to be incorporated into Nutrition Cafes (sites) and Senior Centers. AAA staff also participates in Cultural Awareness Day in East County annually. AAA continues to work with the United Laotian Community Development Inc., City of San Pablo, City of Richmond, West Contra Costa County Senior Coalition and Lao Senior Association to assess the needs of Laotian elders and develop strategies and programs to address the identified needs. The Collaboration's approach has been to engage service system administrators, community leaders and elders in a meaningful dialog. A grant proposal was submitted to and granted by the California Endowment 33 H:\Area Plan\END OF THE YEAR REPORT draft 2 0I-02.doe 08/27/02 01-02 YEAR END REPORT to address the Multicultural Health objective by creating community driven, multicultural, multilingual responses to the problem of health care access for the .Southeast Asian Elder communities in all of CCC. This past year we have successfully implemented the program hired linguistically, and culturally appropriate staff. The Employment and Human Services Training Department has provided training for the Laotian staff that concentrated on how to access the Aging and Adult Service Systems, case management best practices, outreach, and needs assessment. This past year and this new program year our anticipated outcomes are the following: 500 Laotian elders living in West Contra Costa County will be aware of health and human services they are entitled to and how to access these services. ■ Isolation experienced by 60-120 elders will be reduced by their participation in the Social Clubs where they will engage in cultural and educational activities. ■ 120 Laotian elders will be provided case coordination by bilingual, bicultural professionals who will address their needs in a comprehensive manner. Outreach, needs assessment, referral, advocacy, transportation, and form assistance will be provided to each elder. ■ 5-10 bicultural, bilingual staff and board members serving the Laotian community will be trained in leadership development and will in turn train 10-20 Laotian elders to provide leadership to their own communities and to be involved cross culturally in mainstream civic opportunities. ■ The senior service system in West Contra Costa County including the County, cities, community based organizations and senor advocacy 34 H:\Area P'lan\END OF THE YEAR REPORT draft 2 01-02.doc 08/27/02 0#-02 YEAR END REPORT groups will have an increased capacity to recognize and respond appropriately to the needs of monolingual immigrant eiders. The Southeast Asian Senior Access Collaborative will ensure that 120 Laotian seniors receive comprehensive services. The InfoVan enables counties throughout California to provide needed information and assistance to individuals in their community. Recently, Contra Costa County's Area Agency on Aging purchased an InfoVan. The van will assist us greatly in targeting isolated, homebound seniors, and diverse population groups. Contra Costa County's lnfoVan will help the elderly, disabled adults, and caregivers gain access to information. The InfoVan will travel throughout the county to provide information about services, how to access them, and contact information for health and social service providers. The van is rigged with shelves that allow the transportation of brochures, pamphlets, and other materials. In consideration of this county's diverse population, informational materials will also be available in other languages, including Laotian, Russian, Spanish, and Vietnamese. Community users will also be pleased to discover that the van is equipped with a VCR, television, and ®VID player, enabling users to view educational videos on the spot. A laptop computer with printer provides on-site access to a database of agencies (local, private, public, county, state and federal) that serve seniors and adults with disabilities. 35 H:\Area Plan\END OF THE YEAR REPORT draft 2 01-02.doe 08/27/02 01-02 YEAR ENCS REPORT The Info Van will be staffed by knowledgeable social workers providing information on health, successful independent living strategies, caregiver support, and answers to individual concerns. Services and resources are provided at no cost to inquiring individuals. 36 HAArea Plan1END OF THE YEAR REPORT draft 2 01-02.doc 08/27102 01-02 YEAR END REPORT Outre Cly Activities This FY AAA staff completed outreach to a multitude of places including the following: • Churches • Banks • Senior Center • Support Groups • Social Clubs • Fairs (estimate 12) • Sears • In-house: Medi-Cal Workers & Workforce Services • Hospitals • Coalitions (3) • SHARE (2) • Senior Housing • Senior Nutrition sites/cafes • Ombudsman • Contra Costa Food Sank • Community Based Organizations (i.e. MOW, Nutrition Program) • Dialysis patients and Medicare recipients • Local TV station and radio station 37 H:\Area Plan\END OF THE YEAR REPORT draft 2 01-02.doc 08/27/02 01-02 YEAR END REPORT Staff continues to moot with CDA and other state staff (i.e. Health Services Department --HSD) to identify potential funding sources for now activities to be incorporated into senior programs within Contra Costa County. On Juno 5, 2002 a grant was received from HSD (Sacramento office) for $16,000 to be used over a two-year period. Prior to receiving this grant the Outreach Coordinator worked extensively with the California Active Aging Project, Physical Activity and Health Initiative branch of HSD. Also she serves on the state wide Active Aging Community Task Force (AACTF). AAA staff was successful in receiving a 25,000 onetime only funding from one of the members of the CCC Board of Supervisors. This was used to purchase and information Van (called InfoVan) that will allow outreach to provide outreach materials to all seniors within CCC, specifically, low income and diverse minority individuals. The InfoVan is equipped with a TV, DVD, computer, printer and over 75 handouts that are given to seniors. Staff continues to participate in cultural awareness events in CCC including Vietnamese, Laotian, and Filipino communities. AAA continues to develop and implement time lines that allow outreach staff to go demographically where low income and minorities live and/or congregate. Partners In Planning Conference For details, please see Attachment - A, which includes the following: Invitation Letter ■ 'R.S.V.P. Flyer Agenda a Registration List ■ Meeting Minutes ■ Sample Letter to Attendees 38 H:Vrea Plan1END OF THE YEAR REPORT draft 2 01-02.dae 08/27/02 01-02 YEAR END REPORT SERVICE UNIT PLAN -- End of the Year Report 2001 - 2002 Note this Service Unit Plan utilizes the NAPIS (National Aging Program Information System) Categories Indicate the number of units of service to be provided with ALL, funding sources, including federal, State, USDA, program income, and local funds (i.e., list all units of service reportable through the MIS). Other units of service cannot be added since only the units of service listed under each program are allowable. . programs identified should be funded in the budget. The right-hand column titled Goals/ Funds) provides the Area Agency with an opportunity to relate each Title Ill and Title VII funded service/program to goal statements and funding levels. Use of this column is optional. Area Agencies are encouraged to relate the listed source of funds to goals identified either by name or number. TITLE Ill goals/Funds # Proc�rarn (Optional) Projected Actual 1. Personal Care (In-Home)* Goal # Units of Service 2. Homemaker (In-Home)* Goal # Units of Service 3. Chore (In-Home)* Goal # Units of Service 4. Home Delivered Meals Goal #1, 2, & 4 Units of Service 130,000 232,644 $1.290,710 * Total funding is split between a) Nutrition Ed. b) Home Delivered Meals c) Congregate Meals 39 H:\Area Plan1END OF THE YEAR REPORT draft 2 01-02.doc 08/27102 01-02 YEAR END REPORT Projected Actual 5. Adult Day Care/Health Goal # 1 & 2 Units of Service 23 39 $87.331 6. Case Management (Access)* Goal # Units of Services 7. Congregate Meals Goal # 1, 2, 3, 4 Units of Service 173.395 194,411 _ $ . *C 8. Nutrition Counseling Goal # Units of Service 9. Assisted Transportation (Access)* Goal # 1 &2 Units of Service 360 408 $10.000 10. Transportation (Access)* Gaal # Units of Service 65,000 59,990 $ 26,000 11. Legal Assistance* Goal # Units of Service 3.500 7.399 $105,116 12. Nutrition Education Goal # Units of Service 150 176 $ *A 13. Information and Assistance (Access)* Goal # 1.2,3,4 Units of Service 17,667 23.843 $388.324 ??? 14. Outreach (Access)* Goal # Units of Service * Indicates Title 111-13 priority services 40 H:\Area Plan\END OF THE YEAR REPORT draft 2 01-02.doc 08/27/02 ZO/LZ/80 aop,Zo-Io Z iipip I'dodaU laVa k dHl JO(INa\ulgid'CaJV\:H it 996'0 L 02FO L siq sai/senul/idwoo C801, 09G S saauaS MON 990,09 Ll saoEAJOS ULIWSpngwo IIA a'IIII LSA SO 9L£ ooq 3 93inaa, io sziun Ieoo baa X89 98t, 9z oo E L eolmes #o s#iun ## IaoJ (SIT bullls!A soolme, aayL4 'SL lenjoV peloO(O.Id iHOd3H GN3 HV3A Zo-W ZOlLZISO oop'ZO-IO Z;jpxp J'docia�i 2 Va,,,9HI 30 QirI3\� Id�a 1- i Zt (eolAJes 10•sow 9) (sjnoH) 000,9 02: a3vueS 10 shun 9 WOO seolnueS uoilelueseided 08-1 cJV01H '8 (pelesunoo) ££0 Zf L 96L L O00 LL eolAjos io silun wejf5OJd deoonpd L #1900 pue 6ullesunoo eoueinsul 411'eeH 'L NASA) 306r9--61 z 9z eovues io silun Z WOO wea6oid uoluudwoo aolueS g eowes io siiun MU00 weJ6OJd luejudpueaE) jelsoj '9 (pe/Ugs sluello) 989 Lut t�L L 9£1_ eolnjes io silun (seyoleW InIsseoonS) 000'8$ £€ 09 eolmas io shun # IeoJ wea OJd el! sell •£ (s6-ea) LLZ £ 8£t 0o0 t, eollues jo sliun z # POE) wLIJ6OJd 6eS umOJI9 7 (sluedloped) 000 08 L5 09' o3wes }o shun Z # IebJ aelueo eoinoseH eaeo ea s,iow!egzlb 'L lonjoV peloa(OJd Isuo-11 p spund/looE) 01111 wl3J 5Jd S11VVUE)OYdd S331AH3s a 3SVS-Al[Nf1Wwo3 Attachment A Contra Costa County .Aging Adult Services A Bureau of the Employment Human Services Department April 29, 2002 Lear Coalition or Commission on Aging member: We assist Come join us for a day of sharing and learning. This will be our second yearly adults and people with Cpacttnets its CPIatttntn� disabilities to C?IaAAIAQ►doda#fit CTotrsot tow maximize self-sufficiency, of tddau qune 74, 2002 safety and 9.-00 OCCII. Vu 2:cat?CF. /f. independence. You continue to play an important role in your community. We invite you to share with members of other coalitions and committees on aging what is exciting and innovative related to services and programs in your community. Robert sessler Once again,we have invited Margaret Shultz to be the facilitator., She promises to Director be as vivacious and dynamic as she was last year and will cover such topics as successes and challenges—a year in review, Area Agency on Aging update (i.e. I &A changes, Long-Term Care update,newsletter changes and services to diverse populations), and how-to access information(as requested last year). Don't miss this special event! Join us for a light breakfast and a delicious lunch. We look forward to your presence as we work to plan today and tomorrow. Sincerely, Barbara Morrow, Aging&Adult Services, Policy& Planning Community Liaison 2530 Arnold Drive •Suite 300 •Martinez, CA 94553 + (925) 335-8700 + Fax(925) 335-8717 k'`"" MARK YOUR CALENDAR Contra Costa County Area Agency On Aging Cordially invites you as an active member of a Commission on Aging, or Coalition To J&mnit c .1 a gam"wW JyIda*, June 14, 2VV2 9:cc Cpm tilt 2:31 YM Summit Center 2530 Arnold Drive, Bay Room.(First door) Martinez, CA • A follow-up on lasts years request, "Access to Information"will be presented. + Create networks with others who share your interest and concerns. • Share the challenges and successes occurring in the lives of older adults in your community. • Near an update on the status of services for older adults in Contra Costa County. Be our guest for a light breakfast and lunch RSVP by 5-31-02 by calling: 335-8700 Or mail in the tear out below to: Barbara Morrow, 2530 Arnold Dr.,#300, Martinez,CA 94553 Please RSVP as soon as possible as space is limited and it's on a first came basis. Mame: Phone: ( ) Organization: Address: Yes I can attend the event on June 14, 2002 No I cannot attend the event on June 14, 2002 Confab 6-14-02 23a Partners In Planning Planning 'Today For 'Tomorrow June 14, 2002 AGENDA Morning: 9:00 9:30 Networking 9:30--9:35 Welcome&Introduction Sharon Johnson &Barbara Morrow 9:35— 10:00 Review of the day Margaret Schultz 10:00--10:30 Exercise 10:30— 11:00 Successes &Challenges: Year in Review 11:00--- 12:00 Presentations Afternoon: 12:00- 12:45 Lunch 12:45 — 1:00 AAA Highlights 1:00 2:00 Future Steps 2:000 2:15 Teambuilding/Resources 2:15- 2:30 Closing BJM 512/02 Agenda 6-14-02 23a r r SIGN-IN SHEET PARTNERS IN PLANNING June 14,2012, 9:00 AM to 2;30 PM Summit Center,2530 Arnold Drive, Bay Bourn(First Floor) Date Person's Name Organizatlon P90ne# 76 29J-Oz �tcan tc �C ' 7 71 -2?,�-off. Nim &wes 714 - 2,(S 9 ��ritGyS�` E,4 10 -�� G2 '�,o � J��use �3-1WZ2 . 11 12 132 -o 2- pCW11J1A 34 if/ 15 r 16 �- V4 -3 175 1 „.gr" 0 � 'AS-J 19 1A40demann _OL 4 12�1/0 2, 1 poaSO�14_eOMX4;M;4n g27-2 �4f �.. Actual Sign-in Sheet is unavailable at this time. Staff have been unable to locate at this time. USHS Z2:e0 eooz-Te-onu -' - Mw , s r X r i � -- - *� . . .f � __ _ � � ! _ s!_.� �� ` p /f �}. "./ /I ♦ s ,.e a�� �. � 4 �` !►.L j 'f � .o ,p a - �j � , - , � - _7 __ � _ f. !�� r f _ _ _ _ � 1 � 4 -/ � ��tL 1' ` � � .. ! t. : VIII . �1! ,� "�:,r � � � f . , � � +► � �� �, � . 90'd. lui0i 4344- r� �fz5) 2.-6 e 9 'ral�eU 45 ' �►9�}��..� Ptd og +. q5 x, 7 3`1 Wait List. A bl 51 IfIn POLCLSCK 0 ofic) L4 iic� B C F w1M 00/02 Sign n Sheri men 6-14M 13A 90'd GBLz 9V9 SES (ISHS T2,80 z00zy z-�J11E1 PARTNERS IN PLANNING ,Tune 14, 2002 MORNING SESSION: Sharon Johnson stated that the goal of today's meeting is to have fun, decide what the challenges and successes have been, and do networking and learn from each other. She introduced Area.Agency on Aging (AAA) staff that was present: Barbara McNair is responsible for the Older Californian Act programs, Scott Danielson is responsible for the Calder American. Act programs and Barbara Morrow is responsible for the outreach programs. She turned the meeting over to .Margaret Shultz. Margaret briefly talked about the agenda and stated that at a later time this morning she would ask those present to break into their own coalitions and talk about what is working, or about successes and challenges. She asked those present to go through what is in their packet. She called the group's attention to the packet of cards, which will let them see what each ether have in common. Lunch will be from 12-12:45. Beginning at 12:45 the highlights of the past year and new programs will be discussed. Margaret asked those present to contribute ideas about current problems for seniors. Individual's present stated transportation is always a big challenge. The Fraud Fighter Forum was discussed. Another person talked about places to have dialysis. She stated that it would be good to be able to read, watch TV, etc. while having dialysis. Independent Living Resource (ILR) is putting together an Assistive Library. They have a tape player and cassette recorder. One individual stated that she no longer drives. "Buses don't always go where you want to go. Transportation is a big problem". Other ongoing issues were identified and include: Dousing Land use Health Care (long-term care, Supreme Court mental health, home care). (Olmstead) Outreach Funding Legislation (public policy) Transportation Jabs for Services Margaret and those present condensed these issues into four categories, as cited below. (Note: There are flipcharts created at the meeting that captured all issues within each of these categories. See attachments at the end of this document). Funding Land Use Health Care Outreach Margaret discussed the next item on the agenda and explained that she wanted those present to divided into three groups based upon which part of the county they come from (East, Central or West County). She asked them to come up with more ideas, while working on a presentation about their successes in the last year. Brainstorming was done in individual groups. In skit form the first group (East County Senior Coalition)talked about issues in East County and the prioritizing they had done to determine the two "biggies" (issues)they are working on. These were transportation and nutrition. Other areas of concern were health care, isolation and lack of services,just to mention a few. The second group (Central County Senior Coalition) sang"Wheels on the Bus". Some successes that were mentioned are Fraud Fighter Coalition, two (2) new District Attorneys being hired, getting state and federal legislators involved, and transportation needs. Also they included the fact that Walnut Creek.has a senior van, and that they put on a Caregivers Conference and Alzheimer Forum. Another Alzheimer Forum is planned for September. A challenge is to decide hove to best spend this year's $10,000 provided by AAA. The third group (West County Senior Coalition) had Arnie Kasendorf as its speaker and members of this group participated by injecting signs/comments about what he was stating. He mentioned that housing and transportation are big issues. Also, they are meeting with legislators and working with the Board of Supervisors. 2 AFTERNOON SESSION: AAA Highlights: (1) East County Senior Coalition: Sharon Johnson stated that Bast County Coalition is really coming on board. She asked Barbara Morrow to discuss specifics. Barbara stated that the East County Coalition is made up of non- profits and for profit organizations. There are representatives from Tri Delta Transit, Brown Bag, Federal Glover's office, seniors and professionals working with seniors in East County. The group meets once a month at the Lions Center for the Visually Impaired in Pittsburg. Big issues are transportation and information for seniors. Magnets were made, which will be at senior centers. Also, tear off posters, which say "Do You Need Help`" will be at senior centers. (2) Info Van: Sharon Johnson stated that last year when this group met a priority was access to information. Two people on the staff are now doing outreach full time: Barbara Morrow and Nhang Luong. An InfoVan has been obtained and is now up and running. The van will reach many communities in Central, East and West County, including Discovery Bay and Richmond. Barbara Morrow and Nhang Luong did brainstorming with the Information and Assistance (I&A) Social Workers to talk about what should go into the van. Information about MSSP, Linkages, APS, Public Authority, HICAP, Food Stamps, housing, Alzheimer resources, Program Providing Assistance to Caregiver(PACT), and Medi-Cal will be in the van along with other data. .Barbara Morrow is in charge of scheduling the van. It will provide to all Contra Costa County communities needed resources and access to services. It will be used at fairs, festivals, clinics and anyplace that seniors congregate. Plans are to reach seniors who may be isolated. The Info Van can be parked at supermarkets and malls where seniors shop. It can be taken to assisted living homes, senior centers and church based organizations. The van is a 2002 Chevrolet Express and has a TV, DVD player and VCR. It has removable shelves. Barbara Morrow and Nhang Luong are working to get Internet access so I&A data can be accessed. The van is equipped with magnetic signs in various languages, as well as, literature in those languages. Trevor Evans-Young asked a question as to who will drive the van. Sharon stated only I&A staff would be trained to drive the van. This will be provided by a private trainer and meet the Department of Motor Vehicles' 3 requirements for people to drive larger vehicles. She further stated a retired person would be hired who wants to work on the weekends. Hopefully, the person will have an I&A background. (3) Senior Information Newsletter: Sharon Johnson stated that the Senior Information Newsletter is now being distributed to over 15,000 people per issue(printed six (6) times per year). Anyone can send suggestions for articles to Nhang Luong, who is now responsible for the newsletter. Anyone present or anyone who bows a senior that is not on the mailing list may contact Nhang at(925) 335-8783 and she will see his or her name is put on the lmailing list. Future Steps. (1)FanilSupport Caregiver Program: This program is funded under Title III E, which is an amendment to the Older American's Act. Can March 1, 2002, one-half million dollars went to the Family Support Caregivers Program. Sharon Johnson stated this program is to support caregivers. There is a broad range of services-----respite, home services, and legal services. Jewish Family Services of East Bay provide information in several languages. Alzheimer's Association provides caregiver support to families coping with Alzheimer's. Independent Living Resources (ILR) provides access to supportive devices. There are currently many organizations that are instrumental in the process She spoke about how AAA and members of the Long-Terra Care Project are working on issues to help get people out of skilled nursing facilities (SNF's). Sharon discussed a case of an older woman who was abused. She stated none of us in this room wants to see a senior abused; however we know it happens. She further stated when a senior is abused it would be best for that senior to have someone, who could be there to help prevent the abuse and support him/her. Arnie Kasendorf stated that this is a universal problem and many areas in Contra Costa County have similar challenges. A discussion followed. Getting back to the case example. Sharon stated, Mrs. X was discharged from the hospital and placed in a skilled nursing facility. She is 83 years old. She has heart failure, diabetes, stroke and is on oxygen. Her husband passed away 11 years ago. She has a 52-year-old daughter, who is .Paranoid 4 __ _... .._. _._...... ...._. ... _...... ......... ..... .._. ........... ......... ......... ........ ...... ................. _. Schizophrenic, and takes care of her. Ms. X carne to the Program Providing Assistance for Caregivers in Transition (PACT). This programs main function is to provide assistance to caregivers, whose loved ones are moving from a skilled nursing facility to a private home, usually a relative. The program has moved four people back into the community. Ms. X is one of those individuals. AAA and the Long Term Care Committee want to focus on long-term care in the home and eliminate duplications of services. Professionals work with the senior and the family on discharge plans and assessing needs in the home. This included a case manager, skilled nursing home facility discharge planner, ILP., Meals on Wheels, Ombudsman, Adult Protective Services (APS), .Mental Health, and a nurse from the PACT program. Ms. X is now back home. Her 52-year-old daughter, who is the caregiver, now has a case manager for mental health issues. Also, Meals on Wheels is involved. After a week everything was in place. Workers called ILII about a hospital bed. Joanne Best from ILIA.made contacts to get the hospital bed and it was paid for through Title III-E funds. The cost was $135. (2) Laotian Project: The California Endowment received $400,000 for two years. Sharron Johnson and Barbara Morrow wrote the grant. Funds received by AAA will allow staff to work with the Laotian Community. Three multi- lingual social workers were hired and they will provide access to culturally sensitive seniors, do community outreach, needs assessment, case management, I&A and advocacy. Nhang Luong monitors the program. One of the employee's at Employment and Human Services, Staff Development, trained people from community-based organizations and the three (3) social workers on "Good Social Workers Skills". (3) Trilogy;A website is being fashioned with a depository of information. Scott Danielson stated that the county is contracting with Trilogy to establish a website. The website is very user friendly. The access has government links including a legislative link. The website is in Spanish, English and Cantonese. Scott stated that the website provides links to organizations, who can update the information. Feedback will be obtained about the website prier to the publicity campaign. 5 Maggie Dowling asked if the website is accessible to the blind? She stated that it should be approved; so all disabled individuals can use it. Scott will check on this. General Announcements: (1) On June 27"there will be a Town Hall .meeting sponsored jointly by Supervisor John Gioia's office and the West County senior Coalition on health care issues. The time will be 8.45 AM to 1:30 Pm. There will be specialists speakers about Medi-Cal and Medi-Care and a free box lunch will be available to those who pre-register. You can register and arrange for transportation by calling (510) 233-3427. Barbara Morrow announced that the grand prize is a 10-day trip to Hawaii. (2) On June 16`x', there will be a program eon radio station 90.3 FM from 12:30 to 1 PM, which will address senior fraud issues and the California state budget. Senator Figueroa will be there to speak and address those issues. (3)Videotape on senior fraud will be made available soon. (4)An NPO Library at the Ttivertown Resource Center will be opening soon. Their location is West 10`h and D Streets in Antioch Summation: Margaret summarized the day and stated the morning was spent talking about successes/challenges and the afternoon on providing up-dated information about AAA funded programs. She asked, "bias everyone had fun today?" Response: Yes. Would you like to do it, again, next year? Response: Yes. Someone yelled out"lets have it twice a year" and those present all turned around, as if one, and asked, "What about it Barbara?" She laughed along with the group and stated, "we'll look into it and see what we can do". 6 ADDENDUM Charts: Chart# 1. Successes & Challenges Use any format for skit presentation. 0 Sang • Poem + Dance Chart Rap Opera Five (5) Minute Limit InfoVan + l$` Step—County 2d Step—CBO's • Fairs on weekends Chart# 2: Needs Programs for"Friends" for chair-bound dialysis patients • Legal advocates for seniors • Patient advocates • Domestic violence advocates • Talking books coordinator(books at library) • Independent Living Center Resource Centers Dialysis centers can set it up Reach isolated &monolingual Corn unication between Coalitions & Commissions, Committees • Partners in Planning: more than one time each year; ideal two times per year • Shared meeting scheduled through newsletter(.AAA) • Transportation to get to the meetings for Coalitions Carpooling Ongoing communication systems Community information • Newsletter 1 • Website • CCTV--community calendar Chart # 3: Outreach • Websites-- links • Newsletters • Publications/newspapers • Fairs/events (local-regional) • Collaboration/Coalitions • Visit/speak to service organizations • Senior gathering places (i.e.: hairdressers, banks) • Places of education/housing • Telephone calls/phone trees • Bus signs • Town Hall meetings �► Town Hall Specific topics • Posters in store windows • TV/radio • I&A • InfoVan • Networking • Faith Based.Health organization (Le: ECCISLO) + Outreach to Public Services (i.e.: fire, police) Strengthening existing programs Chart #4: East County Senior Coalition Agencies/Organizations/Individuals: • Caring Hands • Area Agency on Aging(HICAP, I&A, MSSP, etc) • Stoneman Village i AIM • California Senior Legislature + SOS • 'Tri Delta • DCSI • Elder Abuse Prevention 2 • Federal Glover • Bedford Center • Private Practices • Sutter Delta • Senior Night Out • Senior Centers • Brown Bag • Lion Center • ECHO • Elderly Wish Foundation Cities: • Pitts burg • Antioch • Oakley • Byron • Discovery Bay • Brentwood • Bay Paint Bethel island • K.nightsen Chart# 5: Central County Senior Coalition Partners in Planning • Growth • Outreach • Agenda Fun Individuals (Active) • Service Providers • City Senior Centers • Senior Van Curt# 6: West County Senior Coalition • Tech Education • I&R. • NS • Diversity 3 • MPSC • Economy • Growth • HC Outreach • COA +► AARP • Legislation Chart#9: Land Use • Education on how to become providers of HUD housing Universal design • Subsidies for seniors currently in standard housing (to help control rent increases). Building housing near BART Mixed housing(all incomes and all generations) Encouraging developers to set aside number of units for the disabled (i.e.: deaf, blind, people in wheel chairs, etc.). 213 bedrooms for seniors Vouchers for seniors/homeless Transportation Housing Funding Underserved outreach/homecare Underserved healthcare (ie. mental health, long-term care, etc.). Legislation/public policy Supreme court decisions Jobs for seniors Habitat for Humanity--triplexes In-fill of land Affordable senior housing Strategic location for housing Assisted living Work/jobs available with housing (i.e.: same area and develop unoccupied areas) All (health & personal) services accessible to housing Planned communities Multi-use buildings with housing & services together Bus handovers —efficient & timely 4 Rail/BART tracks affordable for building Urban redevelopment Transitional housing, as your health deteriorates stay in one place Live/work/training Chart #8: Funding •� Grant Writing • Fundraisers • Donations +� Lobbying to County, State and Federal • Investing +� Dull Tabs • Bingo • Dog& pony shows for funding • Endowments • Coalitions for grants Tobacco monies Ask our clients Federal waivers Planned giving foundation funding Fee for service Annual fund campaign Redistribution of tax.monies Service clubs .Events Ballot measure parcel tax for seniors Chart 9: Health Care Community Services/IHSS & other IHO (in-home operations) • Drugs costs • Proper discharge HMO's/Medical Groups • Community used Care • Educated discharge planners • Long term care integration & funding • Lack of professional health care providers 5 • Geriatrician - need more! • Improve image of hospital and nursing care • Injury prevention • Incentive health care professions • Empowerment of individuals in decision making • Power of Attorney—health care • End of life issues • Mandated medication reviews • Education--community health outreach • Community Health Fairs • Physician"House Calls" • Mental .Health Parity • Affordable Health Care & Available Universal Health Care Palliative care/Pain management • Weekend drop-in centers • Olmstead • MICASSA • Biochemical attacks • rotating PharmaciesLegislation incentives for doctors, nursing, teachers in school. Loan forgiveness for community services in areas of school. PARTNERS IN PLANNING -- CONTRACT LIST OF ATTENDEES —JUNE 14, 2002 1. 2. 6 __ Contra Costa County AgL*n L Adult Services A Bureau of the Employment Human Services Department August 22,2002 We assist adults and Mrs. Patty Sparks people with Columbia Park Manor 1780 Chester Drive disabilities to Pittsburg, CA 94565 maximize Dear Mrs. Sparks: self-sufficiency, safety and Enclosed you will find the summary of the Partners in Planning all-day session that was held on.Tune 14, 2002. I hope you find this accurate, enjoyable and that it independence. brings back good memories of that day. As you may remember,Karen Gregory, who normally takes notes on the information discussed, was not available that day, and we had to piece it together using.one machine and two note takers. We plan to meet next year; however, due to budget restraints, I cannot say whether Robert Sessler we can do this kind of presentation twice a year, as was requested. Director Please call me at(925) 313-1841 or e-mail me at bmorrow@ehsd.co.contra- costa.ca.us if you have any questions. Sincerely, "a� `-' Barbara Morrow, MSW Policy&Planning Community Liaison Enc. 2530 Arnold Drive •Suite 300 •Martinez, CA 94553 • (925) 335-8700 • Fax (925) 335-8717 01-02 Year End Report .1-7-172001-.2002AREA PLAN YEAR END REPORT CO r s r � w � CONTRA C O STA. COUNTY UNT .AREA. AGEN(,"`"V' ON AGING PSA '7 SUBMITTED BY.- SHARONJOHNSON DATE: August 30, 2002 H.\Area Plana\EN©OF THE YEAR REPORT draft 2 01-02.doc 01-02 YEAR END REPORT t Y R Transmiirtal Letter 1. Needs Assessment Activities r ,status ofof a t%ves I Title 111-E Addendum status 4. Title 111®E-Statu of Cab ject ves 5. Proaram Development and ftoCoordination 6. Targeting Attachment-A PEASE NOTE STATUS REPORTING INDICATED AS -BOLD & ITALISIZED K\Area PIWEND OF THE YEAR REPORT draft 2 01-02.doc 01-02 YEAR END REPORT 1. Needs Assessment Activities The AAA organized, coordinated, and implemented a day of data gathering by inviting the Coalitions, commissions and local committees on aging to participate in the planning process. The objective for bringing the local committees and commissions together was to discuss the obstacles and successes each local commission and committee has had in the last fiscal year. Bringing the local committees and commissions together was an empowering tool, because it promotes networking and assists the AAA in determining service needs in each city throughout the county. {Please see Attachment A.} AAA is continuing to support and participate in the planning collaborative to implement joint regional planning and program activities. AAA has allocated $10,000, to each Senior Coalition for East, West, and Central County. Each coalition went through a planning and prioritizing process to determine what their focus would be. West County has conducted town hall meetings around the issues of health access, and transportation to identify needs in those two areas. East County's priority was focusing on the prevention of fraud. They conducted a Fraud Fighters Conference, Central County established a directory of service providers and established a personal contact with underrepresented providers and senior centers. 3 H:\Area Pian1ENB OF THE YEAR REPORT draft 2 01-02Aoe 01-02 YEAR END REPORT In addition, the Central County Coalition established a strategic plan years 2002-2005 to address the needs in their community. AAA is in the process of conducting a needs assessment regarding the current Adult Day health Plan for Contra Costa County to determine if the plan needs to be modified based on current need. AAA is lust beginning to develop a more comprehensive Key Informant Survey that will be two fold. We will survey via focus groups, written surveys, and interviews consumers and key informants. We plan on expanding not only the scope but also the number of people to be surveyed. (Jur goal is to survey a minimum of approximately 300 of the age 60 and over population of Contra Costa County. We will take into consideration Contra Costa's demographics, including income and population diversity. 4 H:1Area P2aMEND OF THE YEAR REPORT draft 2 01-02.dac 01-02 YEAR ENCS REPORT 2. Status of Ob tives 1®Ii.iliFtliYIIMWiiIYI - Y IliiWiilY1�Y.�ii� COAD. # 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 a needs assessment, through the analyses of the needs assessments, the AAA was requested to provide program development, coordination and technical assistance. OBJECTIVE 1. AAA staff will participate in the East County Coalition to provide a Senior Information Day for East County seniors by June 30, 2005. C Completed& On-going 2. AAA staff will coordinate with West County organizations to provide a Senior Information day by providing I & A resource material, HICAP information and AAA staff time by June 30, 2002. C Successfully completed in May 2002. Staff served on the planning committee and assisted by bringing flyer, brochures, etc. Also, talked to seniors about services available to them. 3. AAA staff will assist East, West, and Central County Coalitions with grant writing by providing demographic data to bring additional senior resource to Contra Costa County through June 30, 2002. C On-going. Provided on an "as need"basis to any of the coalitions. This Py demography information was provided to the West County Coalition, included an estimate of seniors in West CCC and a division of those seniors according to ethnicity. Completed: By using these numbers technical assistance was provided, which resulted in PG&E and another county department(Community Services Department), reaching out to and enrolling low income seniors in a multitude of services provided by PG&E. Community Services Department is now receiving$12.00 from PG& B for any senior they sign up for the program including seniors in Bast, Central, and West County. 5 H:\Area Plan\EIND OF THE YEAR REPORT draft 2 01-02.doe 01-02 YEAR END REPORT 4. AAA staff along with the Long Term Care (LTC) consultant will establish an 11 member Long Term Care Implementation Planning Team with representation from Health Services and Employment and Human Services departments, providers of Social medical services and consumers by July 2001. P.D. 5. AAA staff and the AAA LTC consultant will provide opportunities for input for the County Lang Term Care Plan from Task Force and Design Team members, LTC consumers, and providers, and representatives of the medical community by conducting focus groups, implementing surveys, and holding public forums by June 2005. P.D. On-going 8. AAA staff and LTC consultant will seek input from stakeholders re: issues of concern identified during planning process by publishing and distributing a LTC newsletter to provide LTC planning information and to solicit input by June 2005. P.D. On-going 7. AAA staff in consultation with Lang Term Care Implementation Team (LTCIT) will research LTC Governance Options including, 1) Public Authority, 2) County Departments--existing, new or joint effort, 3) Non-profit, and 4) Public/Private Joint Venture. This research will answer specific questions raised by the Governance ad-Hoc Committee to assist in determining the most appropriate option for Contra-Costa County's Lang Term Care Implementation Planning Project by June 2003. P.D. 8. AAA staff and the LTCIT will complete case management standards and protocols by identifying where in the system Case Management will be administered and service authorization approved by.lune 2003. C 9. AAA staff and Long Term Care Implementation Planning Team will develop systems of communications to eliminate duplication of services (with programs outside of the system) and to promote continuity of care with primary, acute and all LTC services by ➢ establishing how consumers enroll in the system and how consumers have choice �i- establishing how linkages are made with care management and medical providers ➢ Developing coordination procedures between network and non-network providers to provide the most seamless continuum of services possible by June 2003. C 10. AAA staff and the LTCIT will develop measurable meaningful consumer outcomes and indicators by developing a MIS data collection and data reporting components by June 2003. C 11. AAA staff and LTCIT will develop a detailed implementation plan, including, but not limited to: 6 H:\Area Pian\END OF THE YEAR REPORT daft 2 Ol-02.doe nt-02 YEAR END REPORT > Timeline ➢ Start-up budget Operating budget ➢ Work with State Office of LTC with HCFA for appropriate waivers by June 2003. P.D. 12. AAA Planner will continue to be part of the Board of Directors for Columbia Park Manor Senior Housing Project targeted for low income, ethnically diverse seniors by participating in Board of Directors meetings, fundraisers, and grant writing by June 2005, P.D. On-going 13. AAA staff will apply for waivers (i.e., AB 1040) from the State to allow maximum funding flexibility in providing LTC services to citizens in Contra- Costa County by July 1, 2003. C 7 H:`,Area P1an1EN)OF THE YEAR REPORT draft 2 02-01doe rr 01-02 YEAR ENE REPORT GOAL # G AAA will provide services to older individuals with the greatest economic and social needs including low Income diverse population groups through continued service expansion, and development, and collaboration with community groups, service providers, and elected officials, in order to provide health, social', nutrition and legal services for carder individuals who may be at risk of abuse or neglect. RATIONALE This is mandated by the Coder Americans Act and AAA is Committed to providing Services to the population groups specified above. OBJECTIONS i. AAA staff will develop & implement a timeline including appropriate presentations to the senior community, aging network, private and public agencies. The timeline will include activities such as developing and distributing AAA newsletter, ethnically and culturally appropriate program FACT sheets, brochures, and literature regarding new and expanded services by June 2005. C On-going Presentations are made can a regular basis to the senior community, aging network, private and public agencies. The timeline is steadily being added onto as new requests come in for speaking engagements. Written materials are made available at every presentation (speaking engorgement). During FY 41-02 34,546 copies of the newsletter was distributed. Currently, another time line is being devised that will cover outreach planning through 2005. 2. Information & Assistance (I &A) staff will be outstationed on a rotating basis in the county wide Older Adult Clinics to serve low-income and ethnically diverse parts of the County to disseminate information can senior services by June 30, 2002. We have had difficulty with the Health Department which is unable to give us the room in their clinics and present and looming MA staff shortages prevents further progress at this time. & AAA 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, ethnically diverse, limited English-speaking individuals, and persons identified as being of greatest economic or social need aged 60 year s or older are being served through June 34,2005. On-going 4. AAA will require that their contracts specify the percentage or number of clients that must be targeted as specified in the Older Americans act through June 30, 2005. Can-going 8 HAArea Pian\END OF THE YEAR REPORT draft 2 01-02.doe 01-02 YEAR END REPORT 5. AAA staff will continue to meet with the Laotian population of West and East County to provide culturally appropriate meals and activities through the Senior Centers by June 2005. P.D. Can-going 6. AAA staff will continue to provide translation services for CCC's diverse population and provide information on services for residents in demographically correct languages through the County's translation services through June 2005. On-going 7. AAA planner will continue to meet and confer with the Multicultural Task Farce to enhance AAA's staff sensitivity to other cultures and participate in the implementing of culturally diverse services through June 30, 2001. C On-going 8. The Housing Committee of the Advisory Council and AAA staff will follow the new planned growth movement by contacting a related countywide Planned Growth Croup and participate, through 2005 C On-going 0, The Housing Committee of the Advisory Council and AAA staff will advocate for the development of appropriate affordable low-income housing for County older adults by supporting legislation, writing letters of support, and attending pertinent public meetings by Sept. 2602. C On-going 10. The Housing Committee of the Advisory Council and AAA staff will coordinate regarding the new 1 &A database, to assist in developing accurate housing data by Sept. 2001. C Completed Sept 2001 11. The Housing Committee of the Advisory Council and AAA staff will do site visits to innovative senior housing facilities, in order to provide information to 1 & A and advocate for increased, well-planned and affordable units for CCC older residents though June 2005. C On-going 12. The Housing Committee will invite knowledgeable guest speakers to address the Committee, keeping it,abreast of current issues and developments in the housing field through June 2005. C On-going 13. The Dousing Committee of the Advisory Council and AAA staff will develop a position paper, advocating for stronger language and enforcement of the Measure C 1 Housing Element and will apply to any current amending of the measure and to future Measure C language by June 2005. On-going 14. The Transportation Committee of the Advisory Council and AAA staff will educate itself on transportation issues by developing and updating charts of transportation committees, providers and services and ascertaining gaps in service through June 2005, On-going 15. The Transportation Committee will advocate for a countywide seamless system of transportation by linking its efforts, where possible, with those of other transportation advocates, providers and systems through ,lune 2005. C On-going g F-BArea P#a&,END OF THE YEAR REPORT draft 2 01-02.doe 01-02 YEAR END REPORT 16. The Transportation Committee will advocate to local politicians and transportation officials for increased fixed-route and paratransit funds and services and less emphasis on automobiles and highways through June 2005. C On-going 17. The Transportation Committee will fallow the Planned Growth Group's smart growth movements, advocate for in-fill housing and transit villages through June 2005. C Ongoing 18. The Health Committee will improve communications and relationships with other health care providers serving County seniors by asking them to participate on the committee by dune 2002. C Completed June 2002 19. The Health Committee will increase focus on mental health issues for older adults promoting increased access and services, acting as a liaison with the Mental Health Commission's Calder Adult Committee, and increasing education of neuro-cognitive therapies by June 2005. C On-going 20. The Health Committee will continue to work closely with the Ombudsman to keep apprised of quality of care issues in facilities serving older adults and to advocate for changes, when necessary through June 30, 2005. C On-going 21. Senior Outreach Services-- In-Home Registry/Respite Registry staff will develop and implement an evaluation toot for use by families receiving home chore services to assess program effectiveness and identify gaps in services by June 2005. On-going 22. Senior Outreach Services— Friendly 'Visitor staff will work toward developing a more advanced screening of volunteers and improving structure of programs and teaching materials that can be evaluated while reaching a broader base of individuals by June 2005. On-going 23, Ombudsman Services staff will increase the volunteer base from 35 to 55-60 during the next four years through developing a publicity and marketing campaign directed to specific population groups. tin-going 24. Senior Legal Services will develop a multi-media efforts, including internet access, brochures, and presentations while developing community relationships regarding senior issues and services available to countywide residents by June 2005. Cin-going 25. Health Services— Nutrition Services will secure a site and funds to build a County owned by applying for grants and working with CDA to secure funds as appropriate. This will allow diversity in the menu preparation. An implementation plan will be in place by June 2005. On-going 26. Senior Companion Program - Senior Outreach Services staff will improve the lives frail, disabled, and homebound individuals by recruiting, screening, and training low-income senior volunteers from all areas of the County, targeting minorities and limited English speaking to providing 20 hours per week of 10 H:1Area Plan\FND OF THE YEAR REPORT draft 2 01-02.doc 01-02 YEAR END REPORT companionship and assistance to help clients remain viable, functional, and independent in their homes, thereby, preventing premature institutionalization through June 2005. Ongoing 27. Alzheimer's Day Care Resource Center - Rehabilitation Services of Northern California's will provide services to benefit persons with moderate to severe Alzheimer's disease or related dementia by providing success-oriented activities and health programs designed to promote health, self-esteem, dignity, cognitive stimulation, and enjoyment for those with impaired cognitive, perceptual, behavioral, physical and emotional abilities. Outcomes will be measured by attendance, length of enrollment, health status maintenance, caregiver satisfaction and the ability for participants to remain living in their homes. Caregivers will be given respite, counseling, education, case management, and resource and referral services in order to assist them in continuing to provide care to their loved ones for as long as possible, preventing premature or inappropriate institutionalization through June 2005. On-going 28. Adult Day Care Services - Rehabilitation Services of Northern California will provide social activities to low-income, homebound, and isolated frail seniors with functional impairments who benefit from a structured activities program in a safe secure setting by allowing participants to continue to remain in their homes through June 2005. Ongoing 29. Adult Clay Care Services - Guardian Adult Day Health Center will improve the quality of the life of older adults by preventing premature institutionalization of individuals in need supervised social and respite care by providing "Scholarships" to older adults who could not otherwise afford services in West Contra Costa County through June 2005. On-going 30. Brown Bag Program - The Food Bank of Contra Costa and Solano Counties will improve the availability of nutritious food resources to low-income seniors by augmenting by providing supplemental bags of groceries twice a month at 18 distribution sites throughout Contra Costa County with outcomes shown by the pounds of food delivered, bags of groceries provided, and volunteers hours donated to the program through June 2005. On-going 31. Assisted Transportation 1 Errand & Escort - The Caring Hands Volunteer Program will enhance the quality of Seniors lives by expanding errand and escort services to frail, isolated older adults in East Contra Costa County by providing outreach to obtain, screen, train and match volunteers to provide transportation to medical and social service appointments and for shopping and other errands while also providing companionship through June 2005. On-going 32. Linkages Program - To better serve Contra Costa County's seniors and disabled adults with mental health issues and needs, Linkages and Mental Health Case Management Supervisors will develop a plan for ongoing collaboration with the Regional Outpatient Mental Health Clinics, which will serve the client's overall needs by providing increased access to comprehensive services, while also providing Linkages outreach to the community through June 2005. Completed and continues to expend 33. Health Services —Congregate and Home delivered Meals will continue to enhance outreach activities through public media, i.1. PSA's, Brochures and 11 H:\Area Plan1END OF THE YEAR.REPORT draft 2 01-02.doc 01-02 YEAR ENCS REPORT Public Presentations to raise the number of meds served through June 2005. P.D. On-going 34. Transportation— Health Services will continue to provide transportation to and from meal sites by recruiting more volunteers and drivers through June 2005. P.D. Ort-going 12 HAlArea Plan1END OF THE YEAR REPORT draft 2 01-02.doc 01-02 YEAR END REPORT 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 The Key Informant Survey and Long Term Care Focus groups identified the need to communicate with and provide information to the general public at all levels. 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, 2002 Completion date changed to January 2003 due to the Census Bureau's delay in dispersing local detailed date. 2. I&A Coordinator will assist Central and East County senior service providers in preparation of an All County Clay, where providers will be given the opportunity to share what their agency does with other agencies by June 30, 2002. C Completed and ori-going on an annual basis. 1&A provides staff and multiple informational materials at this event, with an attendance of over 100 professional providers. 3. AAA Planner will, on a continuing basis, communicate availability of funding resources to appropriate agencies by June 30, 2005. Ongoing 4. The Advisory Council committees will inform the general community of special educational presentations through special invitations, newspaper articles, and information in newsletters through June 30, 2005. Ongoing 5. 1 & A staff will make educational presentations on services available to seniors by speaking engagements, written materials, and participation in conferences through June 30, 2005. Completed and ongoing. The MA staff provides outreach presentations on a monthly basis to a variety of groups and events. They average 4 sessions a year. 6. AAA staff will provide information resources and staff to assist with West County to provide Senior Information Clay for seniors in West County by June 30, 2002. C Completed successfully on May 2002. Staff assisted with planning and implementation activities. 7. AAA staff will utilize CCTV's (local able) Community Bulletin Board to advertise meeting dates, times, and places of the Central County Coalition (Central County focal point) Elder Care Committee (East County focal point), and Vilest County coalition through June 2005. C Onging 13 tBArea Plan\HND OF THE YEAR REPORT draft 2 01-02.doc 01-02 YEAR END REPORT 8. AAA staff will continue through 2005 to reach out to non-English speaking seniors through the use of interpreters and publishing the newsletter in foreign languages, which will include but are not limited to Spanish, Laotian, and Vietnamese. Three editions of the newsletter will be printed in foreign languages each year. C Ongoing 9. AAA staff will continue through 2005 to work with the East County Coalition to identify and prioritize senior needs by providing technical assistance including assistance with needs assessments, focus groups and quality assurance surveys. C Ongoing 10. AAA staff will continue through 2005 to work with the West County Coalition to identify and prioritize senior's needs by providing technical assistance. Staff will continue to work with Coalition members on needs identified including but not limited to transportation and services ethnically and culturally appropriate. C On-going. Technical assistance has been provided in the areas of pl 01-02 YEAR END REPORT 15. AAA staff will provide Health Insurance Counseling and Advocacy resource information through brochures, presentations, P.S.A.S. by June 2005. On-going 15 M\Area PlaalEND OF THE YEAR REPORT draft 2 01-02.doe 01-02 YEAR END REPORT GOAL # 4 The AAA will work toward an efficient, cost effective, user friendly integrated approach to deliver Aging & Adult services, including but not limited to, Multipurpose Seniors Service project, Adult Protective Services, LP conservatorship, In Home Support Services, Older California Act programs (Linkages, Brown Bag and Alzhelmers Day Care and Older Americans Act Services. The AAA will continue to provide direct HICAP services. The adult service delivery system will be monitored to ensure quality responsiveness to the community based system of care for the elderly. RATIONALE The Employment and Human Services Department and AAA staff are working toward an integrated approach to services in order to reduce duplication of information collected about the client to be more responsive to clients' needs, and to work together more cohesively. OBJECTIVES 1. Aging and Adult Services staff will develop and fully implement MSSP by providing case management services to 200 frail SNF certifiable clients by July 2, 2002. P. D. Completed 2. 1 & A staff will be coordinating with Health Services Department, Community Services Department and the Employment and Human Services Department to provide 1 & A online. Anticipated date: June 30, 2002, D Completed 3. 1 & A staff will provide comprehensive screening, and appropriate referrals to IHSS, APS, Linkages and MSSP by June 30, 2002. Completed 4. Linkages staff will work collaboratively in the community on a Countywide basis at round tables, multi-disciplinary teams, Senior Health Advocacy Resource Exchange (SHARE), Elder Abuse Prevention, and the Consultation Panel to ensure awareness of the Linkages Program allowing solicitation of referrals of difficult and under served clients. P.D. On-,going 5. AAA staff will continue its efforts to assist in the planning and development of a comprehensive Long Term Care System by participating and being an active member of the working team to: )o, Ensure on-going inclusion of local, private, public and consumer participation and input in the LTC planning process. Identify Governance Structure and Long-term Care agency along with specific roles, responsibilities and staffing. 16 H:1Area PlanlEND OF THE YEAR REPORT draft 2 01-01doc 01-02 YEAR END REPORT ➢ Determine services to be provided by, and funding streams to be integrated into, the LTC. Develop structure and protocols for how case management will function within the LTC. > Develop procedures for consumer entry and access to the system. ➢ Develop system evaluation components by June 2005. 6. AAA staff and the Advisory Council will conduct Public forums, needs assessments, and gather community input regarding the appropriate use of the new Title 111 E - National Family Caregiver Support Program by June 2001. Completed August 31, 2001 7. AAA staff will assist in preparation of any bequest For Proposals, or Requests for Information in order to solicit appropriate providers of services in compliance with Title III E of the OAA by Sept. 2001. Completed October 5, 201111 17 H:\Area Plan\END OF THE YEAR REPORT draft 2 01-01dac 01-02 YEAR END REPORT GOAL # 5 The AAA will continue to be an advocate for all older adults 60+ by analyzing public policy, legislation, programs, hearing, levies, and by participating in public forums, community activities, and advocating for older adults rights, as appropriate. RATIONALE This Goal is necessary to be in compliance with the Older Americans Act and CIA requirements. OBJECTIVES 1. The Legislative Advocacy Committee will continue its watchdog activity as Social Security is being appraised for changes through June 2005. C Ongoing 2. The Legislative Advocacy Committee will continue Medicare + Choice education and facilitation through HICAP regarding the following issues: prescription drugs, preventive medicine, dental care, mental health and health- coverage cancellation through June 2002. C Completed Mune 2002 and On-going 3. The Legislative Advocacy Committee will continue work on Adult Protective Service/ Elder Abuse issues including fiduciary abuse, specifically looking at training of police officers and fire personnel and strengthening laws for protection and enforcement through June 2002. C (Change date to dune 2011115 due to political climate/difficulty in passing legislation —Ongoing) 4. The Legislative Advocacy Committee will work closely with the California Senior Legislators from our district, continuing to promote probate reform legislation in the State Assembly and Senate through June 2005. C On-going 5. The Legislative Advocacy Committee will continue to actively campaign for accessible senior housing and transportation through .lune 2005. C On-going 18 H:1Area Pian1END OF THE YEAR REPORT draft 2 01-02.doc 01-02 YEAR ENS} REPORT OAL # 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 alder population. RATIONALE OBJECTIVE 1, AAA staff and Employment and Human Services Fiscal staff will streamline the contractor payment demand process by computerizing the payment process by June 2002. Not completed. Will continue efforts in this direction. 2. 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, ethnically diverse, limited English-speaking individuals and persons identified as being of greatest economic or social need aged 60 years or alder are being served through June 30, 2002. On-going 3. 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, 2002. On-going 4. AAA will require that their contracts specify the percentage or number of clients that must be targeted as specified in the Older Americans act through June 30, 2002. On-going 19 H.1Area Plan1END OF THE YEAR REPORT draft 2 01-01doc 01-02 YEAR END REPORT GOAL # 7 AAA will maintain a preventive health care program that will provide both health care insurance counseling and advocacy and health promotion and disease prevention information to the older population of Contra Costa County by means of a variety of community outreach activities. RATIONALE Mandated by the Older Americans Act OBJECTIVES 1. AAA staff will provide the public with preventive health care and disease control information on a continuing basis by telephone, community presentations, and the local TV cable Senior information Journal program by June 30, 2005. On-going Preventive health care and disease control information has been distributed on a continuing basis through the telephone and community presentations. From 7-1-01 to 7-30-02 sixty flve(65)speaking engagements have been trade about this topic alone. Over 5,040 brochures and flyers have been distributed. 2. AAA staff will work with CCTV through an Administrative Letter of agreement and a consultant, who specializes in geriatric/senior issues, to tape a minimum of four (4) Senior information Journals per year and special events of interest to seniors (i.e., Age) through June 30, 2005. PD & C On-going 3. HICAP staff will provide training on Medicare supplemental health insurance, HMOs, and long term care insurance for HICAP volunteer counselors to increase their knowledge of health insurance laws and regulations by June 30, 2002 and to continue to June 30, 2005. On-going 4. HICAP staff will provide outreach to diverse and underserved population groups, including Asian-Pacific islanders, Hispanics, and Afro-Americans, in coordination with Supervisor John Oioia's office, the Medicare Part S Carrier, the Center for New Americans, and local churches, to improve knowledge of health insurance choices and rights, and to increase awareness of HICAP services by June 30, 2002 and to continue to June 30, 2005. tan-going 5. HICAP will offer special forums using HICAP staff and volunteer counselors as presenters to the AAA advisory Council and its relevant committees, and to County Aging and Adult Services staff to inform them of new consumer protections in health insurance including Medicare and HMOs and to promote awareness of HICAP services by June 30, 20302 and to continue to June 30, 2005. On-going 6. HICAP staff will provide updated consumer literature regarding health care benefits and rights concerning Medicare, HMOs, supplemental insurance, and 20 HAArea PlaME,ND OF THE YEAR REPORT draft 2 01-02.doc 01-02 YEAR END REPORT long term care insurance in coordination with California Health Advocates to the public and relevant professionals to increase awareness of insurance options and consumers protects by June 30, 2002 and to continue to June 30, 2005, Cin-going 7. HICAP staff will evaluate current HICAP counseling locations throughout Contra Costa County for effectiveness and accessibility and institute recommended changes or additions to improve accessibility for County residents by June 30, 2002. Compieted May 2002 and on-going 8. HICAP will enter into a contract with Legal Services Foundation to provide legal expertise as needed by June 30, 2005. On-going HA1Area P1aMEND OF THE YEAR REPORT draft 2 01-02,doc 01-02 YEAR END REPORT 3. TITLE 111-E Addendum Stators Familv Caregiver Support Pro-gram I. COVER LETTER WITH REQUIRED SIGNATURES Forthcoming - AAA is in the process of obtaining the appropriate signatures and getting the approval of the Board of Supervisors. Completed and sent to CDA on July 29, 2002 II. REVIEW OF FCSP NEEDS INVENTORY OF EXISTING CAREGIVER SUPPORT SERVICES AND DOCUMENTATION THAT PLAN CONSIDERS ALL OTHER EXISTING; AND POTENTIAL SUPPORT SERVICES OPERATING LOCALLY. An extensive inventory of existing caregiver support services was completed by a comprehensive review of the Area Agency on Aging (AAA)Information & Assistance database of services and programs serving caregivers and care receivers in Contra Costa County. AAA's recent pour-Year Area Plan needs assessment was thoroughly reviewed:- AAA also convened key providers in the caregiver support system, forming a Planning Group whose charge was the review and prioritization of existing and potential support services and the development of a process for outreach to caregivers to ascertain their needs. Members of the Planning Group include Ruth Goodin, Long Term Care Consultant; Loren Cole, Senior Outreach Services; Peter Behr, Guardian Adult Clay Health; Linda Hughes, Mt. Diablo Adult Clay Health; Kathleen Kelly, Family Caregivers Alliance;Joanne Best, Independent Living Resource; Fran Smith, Public Authority; and AAA staff t LOCAL NEEDS ASSESSMENT" To determine the extent of need for Family Caregiver Support Program (FCSP) services, the Area Agency on Aging took a two-pronged approach. First, it reviewed and analyzed available data gathered during its recent Needs Assessment process, relative to its Four-Year Area Plan 2001-2005 The review and analysis of recently gathered data was multifaceted, including the following: • Key Informant Survey * Research Study in Health Conditions, Function Abilities, Resources and Risks of Older Adults in Contra Costa County * Focus Groups * CA Dept. of Aging Survey 22 H:\Area Plan\END OF THE YEAR REPORT draft 2 01-02.doe 01-02 YEAR END REPORT • West County Coalition Public Forums + Long Term Cara Design Teams • Public Forums + Public Nearing • Partners in Planning Forum Secondly, AAA conducted Intense research on family caregiver issues, programs, best practices and ether pertinent information Including but not limited to these below: • Family Caregivers: Partners in Long Term Care W Survey of 15 States Caregiver Support Programs (Family Caregiver Alliance, October 1999) • AOA and MIN websites (questions & answers, extensive discussions and position papers on caregiver issues and programs) • FCSP program guidelines developed by other counties AAA also focused specifically on gathering input from the caregivers themselves. Planning for gathering this input involved an active planning group consisting of AAA staff, community-based organizations and the Public Authority. Outreach included a Public Forum held on August 15, 2001, hosted by the Advisory Council on Aging & and a call-in program held over the course of several days, where caregivers could talk with AAA staff about their specific needs and concerns. Outreach targeted caregivers throughout the County. Every effort was made to provide access to all caregivers, including the homebound; the public forum was wired for call-ins and both the forum and the call-in program provided the opportunity for translation, if needed. The call-in program was TDD accessible. Completed. Public Forum held and input tabulated and summarized. Notice for bath the forum and the call-in program was made widely available to caregivers, the aging network and the media. Resources included databases of caregivers; commissions on aging; East,West and Central County coalitions; senior advocacy groups; community-based organizations; senior centers, Aging and Adult Services program staff, other County staff and the media throughout the County. Materials included informational flyers, Public Service Announcements and press releases. Completed per notice requirements. The Public Forum format consisted of a short review of family caregiver statistics/demographics and the purpose, criteria, service categories and funding of the Family Caregiver Support Program. Most of the forum consisted of an interactive approach where everyone in attendance actively participated in documenting his/her perceptions of issues and program needs, followed by group analysis, summarizing and public comment. Evaluations of the Public Forum by attendees were all very favorable. Completed 2 H:\Area Plan\END OF THE YEAR REPORT draft 2 01-02.doe 01-02 YEAR END REPORT III. PROGRAM DESCRIPTION RESULTING FROM THE REVIEW OF DEEDS t OVERARCHING STATEMENT OF AAA's VISION FOR THE FAMILY CAREGIVER SUPPORT PROGRAM Centra Costa County AAA's initial vision for the Family Caregiver Support Program is to empower and sustain caregivers by assuring that a comprehensive system of support services is both visible and accessible to them. This vision includes the creation and expansion of services that offer Information and Education about Existing Services, Assistance in Accessing Services, Respite, Ongoing Support, and Equipment and Home Modifications. These service components will be provided within a support system committed to the following considerations: • Creative ways to reach family caregivers, especially those most isolated and nonEnglish speakers. • A focus on providing services in the family caregiver's home, where passible. Family caregivers' often are unable to access services outside the home because they lack access to respite care and/or they don't have the financial resources to pay for it. • Availability of services to all papulation groups in Contra Costa County. • Attention to the needs of the very large number of family caregivers that are middle-aged and also working. • Enhancement of the ability for the family caregiver to keep the care receiver at home; institutionalization is far more costly and often traumatic for both caregiver and care receiver • Integration of intake for family caregivers along with intake for his/her care receiver, whenever feasible and appropriate. Integration of the process and programs for serving the caregiver with the process and programs serving the care receiver. Communication, cooperation, collaboration and integration of all service system partners: County, community-based organizations (CBO's) and ether service providers, funders, advocates and caregivers, resulting in the best system management and the best case management of each family caregiver. IDENTIFIED SOURCES OF FUNDING AND PLAN FOR DELIVERY OF FAMILY CAREGIVER SERVICES BASED ON NEEDS. Currently Identified sources of funding are the Federal and State allocations and the County. Centra Costa County is prepared to allocate General Fund revenue and/or in-kind contributions to meet the required match as specified in Title III E. Contra Costa County has provided a match per state contract requirements. 24 H:\Area Ptacn\END OF THE YEAR REPORT draft 2 01-02.doc 01-02 YEAR ENCS DEPORT ♦ IDENTIFIED SPECIFIC PLAN FOR SUPPORT OF CAREGIVERS, INCLUDING FAMILY CAREGIVERS AND OTHER CAREGIVERS Based on all aspects of the Needs Assessment, the AAA's plan for support of family caregivers will address the overarching theme of providing access to services and support. Caregivers need services to sustain them and a support system that prevents crisis. The FCSP will focus primarily on the following needs identified by caregivers themselves: 1. Respite - in-Dome, regular, emergency, on-call, longer days and longer term. 2. Ongoing Support - Addressing such needs as dealing with the depression which arises from the isolation and stress of caregving the need for someone to talk to (peer, one-on-one, group, by phone); help in using services; dealing with family conflict, communicating with doctors,taking care of oneself; training in caregiving techniques; understanding, assessment and planning for the stages of care receiver's illness, e.g. placement 3. Information & Education about Existing Services- how to find what services are out there. 4. Assistance in Accessing Services - Increased coordination of existing services and assistance in overcoming barriers such as prohibitive costs of some services, isolation of the caregivers, transportation, complex phone systems, health problems of the caregiver, and the lack of ability to manage the numerous and overwhelming needs of the caregivers 5. Equipment and Home Modifications - access to equipment and modifications such as ramps, grab bars, wheelchairs, etc. IDENTIFIED EXISTING AND NEEDED RESOURCES - ENSURE THAT FCSP FUNDS ARE USED TO MEET UNMET NEEDS AND MNK EXISTING PROGRAMS TOGETHER INTO A MORE SEAMLESS SYSTEM OF SUPPORTS AND SERVICES FOR CAREGIVERS A seamless support and service system requires the communication, cooperation, collaboration and integration of all components: AAA, CBO's and other service providers, funders, advocates and caregivers. This results in the best system management, the most effective use of resources, and the greatest benefit to each caregiver. AAA models its system development on this concept. Based on needs identified in the Four-Year Area Plan and its FCSP Needs Assessment of caregivers, AAA will Integrate expanded and additional resources into its existing service system. Existing Resources: Information & Assistance, Alzheimer's Day Care Resource Center, Brown Bag, Health Insurance Counseling & Advocacy, 25 H:\Area PlaMEND OF THE YEAR REPORT draft 2 01-02.doc 01-02 YEAR END REPORT Linkages, Respite Purchase of Services, Senior Companion, Ombudsman, Adult Day Care, Congregate Nutrition, Home-Delivered Nutrition, Nutrition Education, Horne Visiting, In-Home Services Registry, Respite Registry, Nutrition Transportation, Legal Services, Disease Prevention/Health Promotion, the Long Term Care Integration Planning Project, IHSS, MSP and APS. Broader resources include all of the nonprofit provider community, Health Services Departments, the Public Authority, Employment and Human Services and the advocacy and advisory commissions and councils. The Area Agency on Aging Information & Assistance (I & A) is the entry paint to the Aging and Adult Services System. l & A provides comprehensive assessments to callers or family members where there are multiple needs and determines the necessary supportive services to meet those needs. It the client is referred to another agency, the intake information is passed on to that agency. Sharing of assessments diminishes duplicate information and saves time and frustration for the client. AAA's referral system and the easy transfer of clients is clue to the amount of time the I &A coordinator and staff spend in the field doing outreach and building on existing working relationships. The Employment and Human Services Department and the Health Department are in the process of developing and implementing a program where a gerontological nurse will become part of the I & A staff. The nurse will have the flexibility to make home visits and to respond to the needs of bath caregivers and receivers. The Lona Term Care Project and the Health Department are currently developing a system whereby all components of the support system are fully integrated in terms of access, referral and coordination of the client's case management. Deeded resources: As part of the Family Caregiver Support Program, AAA will continue to facilitate coordination and integration among all of the above resources. It will link intake assessments of caregivers with intakes being done on care receivers, wherever feasible and appropriate, again increasing coordination and eliminating duplication of efforts and fragmentation of services. Ongoing The FCSP Needs Assessment brought forth the overarching theme of lack of access to various services, due to cost, constraints upon service providers, and the inability of many caregivers to leave the home. Related program resource needs are as follows: expanded respite capability; creative outreach, focusing especially on reaching caregivers who are homebound, isolated and the multi-cultural, non-English speaking community; ongoing support and training to deal with the emotional, physical, practical and logistical issues of the caregiver; increased assistance in overcoming the multiple barriers to accessing services; access to affordable equipment and home modifications which ease the burden on the caregiver. Contra Costa County's proposed use of Title III E funds will link existing programs into a more seamless system of supports and 26 HAArea Plan�END OF THE YEAR REPORT draft 2 01-02.doc 01-02 YEAR END REPORT services by filling the service gaps identified by the FCSP Needs Assessment. We are currently In the process of letting a Request for Proposal (RFP) to address those needs by providing services under the FCSP eligible service categories. RFP completed, contracts were negotiated and approved by the County Board of Supervisors with contract effective dates of March 1, 2002 to June 30, 2002. Upon completion of the RFP process, the Planning Committee and the Advisory Council on Aging will review the proposals. Recommendations will be made for the expenditure of Title Ill E funds. Final approval rests with the Board of Supervisors. ♦ DOCUMENTATION OF HOW THE USE OF FCSP FUNDS WILL BE COORDINATED WITH EXISTING STATE-FUNDED PROGRAMS ANIS WILL USE EXISTING INFRASTRUCTURE WHERE POSSIBLE AAA will incorporate Title Ill E funds into the current aging network as identified in the Four-Fear Area Plan (pages 5 & 6) and listed Dere: 2'7 HAArea Ptan\END OF THE NTAR REPORT draft 2 01-02.doc o1-02 Year End Report * Hospitals * Transportation and Paratransit ■ Board & Cares * Discharge Planners * Skilled Nursing Facilities ■ Delta 2000 Ombudsman ■ Nutrition Services * Legal Services for Seniors • Homeless Shelters * Health Clinics * CARE * Friendly Visitor • Food Bank * East &West County Day Gare = District Attorney's Office * Educational Institutions ■ United Way * Health Insurance Counseling Public Authority * Advocacy Program Banks ■ Pharmacies ■ PG&E * Visiting Nurses Association Postal Service * Adult Day Care Rehabilitation * Law Enforcement ■ East, Central and West County • Errand & Escort Services * Coalitions • Elder Abuse Prevention * SHARE IN Home Health Agencies s IDENTIFIED ALLOWABLE FEDERAL ACTIVITIES WHICH ARE OF HIGHEST NEED IN THE LOCAL AREA RESPITE ■ Addressing various needs for length, lead time, emergencies, in-home or facility-based SERVICE INFORMATION • Outreach and Education about existing services ACCESS • Case Management for caregiver - provided in-home • Transportation and Assisted Transportation CAREGIVER SUPPORT ■ Counseling and emotional support • Training in Caregiving SUPPLEMENTAL SERVICES • Equipment/Home Modifications (Since Respite was the most overwhelming need, it is listed first. The others are not listed in order of priority and seem equally important to caregivers, overall.) H.\Area Plan\END OF THE YEAR REPORT draft 2 01-02.doc 01-02 YEAR END REPORT TITLE 111-E Status f 0 tives ADDENDUM GOAL #1 The Contra Costa: County Area Agency on Aging is committed to empowering and sustaining family caregivers, recognizing that they are the backbone of our long term care system and that they function under tremendous burdens. AAA will empower and sustain family caregivers through the development and enhancement of a comprehensive system of family caregiver support services and by making this support system both visible and accessible to them. RATIONALE Rased on the family Caregiver Needs Assessment and its analysis, conducted by AAA and the FCSP Planning Group, AAA was requested to provide an expanded system of support that addresses caregivers needs for increased access to services. OBJECTIVES 1, AAA staff and the Family Caregiver Support Program Planning Group will seek input of family caregivers and ether stakeholders regarding service needs by conducting a comprehensive needs assessment by August 31, 2001. Completed August 31, 2001. 2. AAA staff will assure ongoing participation in the Family Caregiver Support Program planning process of service providers, funders, advocates, family caregivers and other stakeholders through June 30, 2002. RFP was let, a bidder's conference was held in November 2001, RFPs were reviewed by the Planning Committeel and Advisory Council and recommendations submitted to the Board of Supervisors for ratification and approval. Contracts were negotiated and awared with effective Mates of March 01, 2002 to dune 30, 2002. 3. AAA Staff and the Advisory Council on Aging will develop a timeline and budget for FCSP implementation by September 1, 2001. Completed See response to #2 above. 4. AAA Staff, in conjunction with the Advisory Council on Aging, will develop FCSP evaluation components by October 15, 2001. Completed See response to#2 above. 5. AAA will work with Employment and Human Services and contract staff to issue an RFP for service needs as identified in the FCSP bleeds Assessment 29 HAArea Plan1ET' D OF THE YEAR REPORT draft 2 01-02.doc 08127102 01-02 YEAR END REPORT and in compliance with the service categories outlined in the FCSP Service Matrix by October 30, 2001. Completed. See response to #2 above. s. AAA, through its Request for Proposals process will require bidders to include a plan for community outreach to assure that low income individuals, ethnically diverse, limited English speaking individuals and persons identified as being of greatest economic or social need are being served through June 30, 2002. This component was completed and satisfied by the contract negotiated with Jewish family Services of the Greater Fast Bay, for a multicultural caregiver program encompassing translation services for Spanish, Bosnian, Russian, Afgan, Iranian, Laotian and Chinese languages. 7. AAA will assure that programs and services provided with FCSP funds meet the targeting mandates of the Older Americans Act through June 30, 2002. Completed per contractural requirements by June 30, 2002. 8. AAA Staff and the Advisory Council on Aging will review and recommend the awarding of bids for FCSP services by December 1, 2001. Completed, contracts awarded and negotiated with effective dates of March 1, 2002 to June 30, 2002. s. AAA Staff will negotiate contracts for successful provision of FCSP services by December 31, 2001. Contracts with FCSP agencies were effective !'arch 1, 2002 to June 30, 2002. 10. AAA Staff will provide technical assistance to successful bidders through June 30, 2002. Staff provided continual assistance to all contrators during the start-up and implementation and closeout phase of the contract A networking meeting was Feld March 15, 2002 where al 01-02 YEAR END REPORT 5. Proc iram Dewe c ent and Coordination (P D. Included in Section 11. Status of Obiectives, indicated by a PD or C next to the correlating objectives. The AAA is able to do millions of dollars worth of services, activities, and events because, the PD & C dollars are utilized to leverage other revenue sources. By forming collaboratives, the AAA public and private partners are able to use in-kind resources to further expand, develop, and implement new services. Our collaboration have resulted in: new Senior Housing Projects, new services such as Errand and Escort, Southeast Asian Project, Fraud Fighter Forums, Alzheimer's Conferences and many special events, and less duplication of services through our ability to use funds for PD & C. 31 HAArea Plan1END OF TUE YEAR REPORT draft 2 01-02.doc 48/27102 01-02 YEAR ENC} REPORT . ,� Metin The Area Agency on Aging (AAA) and programs funded through the AAA continue to target and serve minorities in Contra Costa County (CCC). Our County's ethnic demographic profile includes: Afro-American, Hispanic, Laotian, Vietnamese, Filipino, Russian, and Ukrainian, with a small percentage of Native American and Middle-pastern elders. AAA requires its contractors to target and serve minorities and 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. We continue to provide intensive outreach and targeting in our community. Our Community Liaison Staff (outreach workers) seek out diverse and hard to reach seniors by forming collaborative working relationships with other organizations and groups, by making verbal presentations to a variety of audiences, and broadly distributing brochures, pamphlets, and ether printed information about the available services. Translation services continue to be provided for both written and spoken information for the community at large and its contractors. The AAA Senior Information Newsletter Age Fuge was sprinted over the past year in four languages other than English: Russian, Spanish, Laotian and Vietnamese. We have greatly increasedour circulation of the Newsletter this year throughout the County from approximately 5,000 to 15,000, by increasing 32 HAArea Plan\END OF THE YEAR REPORT draft 2 01-02.doc O8/27/02 01-02 YEAR END REPORT" our /nailing list, the number of presentations made to various organizations and groups, and distribution while attending social events for outreach and rapport building. During this past year, we held meetings with leaders from the Laotian, Vietnamese, Russian and Ukrainian populations in Contra Costa County to better understand their culture and needs. AAA Staff attended Conferences, which focused on planning for the needs of refugees in our County. We had meetings and discussions with the Director of the Resettlement and Immigration Services who represented the Jewish Family & Children's Services (JFCS). The purpose of this concerted effort was to increase understanding the functions of each agency (AAA and JFCS) and to determine how we can best work together to serve refugees living in the Bay Area. We continue to meet the needs of the Asian population in CCC through the Nutrition Program by continuing to provide meals targeted to the Laotian, Vietnamese and Filipino seniors. AAA staff and Nutrition staff meet with CDA and State staff to identify funding sources for new activities to be incorporated into Nutrition Cafes (sites) and Senior Centers. AAA staff also participates in Cultural Awareness Day in East County annually. AAA continues to work with the United Laotian Community Development Inc., City of San Pablo, City of richmond, West Contra Costa County Senior Coalition and Lao Senior Association to assess the needs of Laotian elders and develop strategies and programs to address the identified needs. The Collaboration's approach has been to engage service system administrators, community leaders and elders in a meaningful dialog. A grant proposal was submitted to and granted by the California Endowment 33 H;1Arca Plan\END OF THE YEAR REPORT draft 2 01-02.doc 08/27/02 01-02 YEAR END REPORT to address the Multicultural Health objective by creating community driven, multicultural, multilingual responses to the problem of health care access for the Southeast Asian Elder communities in all of CCC. This past year we have successfully implemented the program hired linguistically, and culturally appropriate staff. The Employment and Human Services Training Department has provided training for the Laotian staff that concentrated on how to access the Aging and Adult Service Systems, case management best practices, outreach, and needs assessment. This past year and this new program year our anticipated outcomes are the following: 500 Laotian elders living in West Contra Costa County will be aware of health and human services they are entitled to and how to access these services. ■ Isolation experienced by 60-120 elders will be reduced by their participation in the Social Clubs where they will engage in cultural and educational activities. 120 Laotian elders will be provided case coordination by bilingual, bicultural professionals who will address their needs in a comprehensive manner. Outreach, needs assessment, referral, advocacy, transportation, and form assistance will be provided to each elder. 5-10 bicultural, bilingual staff and board members serving the Laotian community will be trained in leadership development and will in turn train 10-20 Laotian elders to provide leadership to their own communities and to be involved cross culturally in mainstream civic opportunities. ■ The senior service system in West Contra Costa County including the County, cities, community based organizations and senor advocacy 34 HAArea Plan\END OF THE YEAR REPORT draft 2 01-02.doc 08/27/02 01.02 YEAR ENC} REPORT groups will have an increased capacity to recognize and respond appropriately to the needs of monolingual immigrant elders. ■ The Southeast Asian Senior Access Collaborative will ensure that 120 Laotian seniors receive comprehensive services. The InfoVan enables counties throughout California to provide needed information and assistance to individuals in their community. Recently, Centra Costa County's Area Agency on Aging purchased an InfoVan. The van will assist us greatly in targeting isolated, homebound seniors, and diverse population groups. Centra. Costa County's InfoVan will help the elderly, disabled adults, and caregivers gain access to information. The InfoVan will travel throughout the county to provide information about services, how to access them, and contact information for health and social service providers. The van is rigged with shelves that allow the transportation of brochures, pamphlets, and other materials. In consideration of this county's diverse population, informational materials will also be available in other languages, including Laotian, Russian, Spanish, and Vietnamese. Community users will also be pleased to discover that the van is equipped with a VCR, television, and DVD player, enabling users to view educational videos on the spot. A laptop computer with printer provides on-site access to a database of agencies (local, private, public, county, state and federal) that serve seniors and adults with disabilities. 35 H:\Area Ptan\END OF THE,YEAR REPORT draft 2 01-01dne 081271{72 01-02 YEAR END REPORT The Info Van will be staffed by knowledgeable social workers providing information on health, successful independent living strategies, caregiver support, and answers to individual concerns. Services and resources are provided at no cost to inquiring individuals. 35 H:Vsxea Plan1END OF THE YEAR REPORT draft 2 01-02.doc 08/27102 01-02 YEAR END REPORT Outreach Activities This FY AAA staff completed outreach to a multitude of places including the following: • Churches • Banks • Senior Center • Support Groups • Social Clubs • Fairs (estimate 12) • Sears • In-house: Medi-Cal Workers & Workforce Services • Hospitals • Coalitions (3) • SHARE (2) • .Senior Housing • Senior Nutrition sites/cafes • Ombudsman • Contra Costa Food Bank • Community Based Organizations (i.e. MOW, Nutrition Program) • Dialysis patients and Medicare recipients • Local TV station and radia station 37 H:1Area PJan\END OF THE YEAR REPORT draft 2 01-02.doc 08/2,7/02 01-42 YEAR END REPORT Staffcontinues to meet with CDA and other state staff (i.e. Health Services Department --HSD) to identify potential funding sources for new activities to be incorporated into senior programs within Contra Costa County. On June 5, 2002 a grant was received from HSD (Sacramento office) for $16,000 to be used over a two-year period. Prior to receiving this grant the Outreach Coordinator worked extensively with the California Active Aging Project, Physical Activity and Health Initiative branch of HSD. Also she serves on the state wide Active Aging Community Task Force (AACTF). AAA staff was successful in receiving a 25,000 one-time only funding from one of the members of the GCC Board of Supervisors. This was used to purchase and information Van (called InfoVan) that will allow outreach to provide outreach materials to all seniors within CCC, specifically, low income and diverse minority individuals. The Inf©Van is equipped with a TV, DVD, computer, printer and over 75 handouts that are given to seniors. Staff continues to participate in cultural awareness events in CCC including Vietnamese, Laotian, and Filipino communities. AAA continues to develop and implement time lines that allow outreach staff to go demographically where low income and minorities live and/or congregate. Partners In Planning Conference For details, please see Attachment - A, which includes the following. • Invitation Letter ■ R.S.V.P. Flyer ■ Agenda ■ Registration List • Meeting Minutes a Sample Letter to Attendees 38 HAArea PlanNEIND CSP THE YEAR REPORT draft 2 01-02.doc 08127/02 01-02 YEAR END REPORT SERVICE UNIT PLAN - End of the Year Report 2001 - 2002 Note this Service Unit Plan utilizes the NAPIS (National Aging Program Information System) Categories Indicate the number of units of service to be provided with ALL funding sources, including federal, State, USDA, program income, and local funds (i.e., list all units of service reportable through the MIS). Cather units of service cannot be added since only the units of service listed under each program are allowable. . Programs identified should be funded in the budget. The right-hand column titled Goals / Funds) provides the Area Agency with an opportunity to relate each Title ill and Title i/lI funded service/program to goal statements and funding levels. Use of this column is optional. Area Agencies are encouraged to relate the listed source of funds to goals identified either by name or number. TITLE III Goal's/Funds # Program (Optional) Projected Actual 1. Personal Care (In-Home)* Goal # Units of Service 2. Homemaker (In-Home)* Goal # Units of Service 3. Chore (!n-Home)* Goal # Units of Service 4. Home Delivered Meals Goal #1, 2, & 4 Units of Service 180,000 232,644 $1,290,710 * Total funding is split between a) Nutrition Ed. b) Home Delivered Meals c) Congregate Meals H:1Area Plan\END OF THE YEAR REPORT draft 2 01-02-doe 39 08/27/02 01-02 YEAR END REPORT Projected Actual 5. Adult Day Care/Health Goal # 1 &2 Unita of Service 23 39 $87,331 6. Case Management (Access)* Goal # Units of Service 7. Congregate Meals Gaal # 1, 2, 3, 4 Units of Service 173,395 194,411 , -- *C 8. Nutrition Counseling Coal # Units of Service 9. Assisted Transportation (Access)* Goal # 1 & 2 Unita of Service 360 408 $10,000 10. Transportation (Access)* Gaal # Units of Service 65,000 59,990 $ 26.000 11. Legal Assistance* Goal # Units of Service 3,500 7.399 $105,,116 12. Nutrition Education Coal # Units of Service 1150 176 $ *A 13. Information and Assistance (Access)* Goal # 1,2,3.4 Units of Service 17.667 23.843 $388,324_,???- 14. 338,324 ??714. Outreach (Access)* Goal # _— Units of Service * Indicates Title III_g priority services 40 H:\-Area Plan\END CSE THE YEAR REPORT draft 2 01-02.doc 08127/02 ZOILZf$O OOP'ZO`10 Z IIUzP.I'dOdHX UVIK allI,40(INMUEld VaaV\:H 896'0 L 0917'0 L SJ4 se.MAulAdwoo 690,17 09L c saOluaS Maly 990,69"FsaaluaS uuuwspngwp IIA 81111 f9f 0 L f9 009'Z 931AJeS its shun _# 1PaJalslrl X89 Z 8917 9Z 000 s L aalmes ja svun Z # IeaJ saq MRPIA saalmas JegJO 5 G Iuntob pal*afoad IUOJ: tl QN3 HV3,k ZO-LO Zo/cZI80 OOP70-10 Z IJIBJP.L7IOM UVRA aRl AO CIN71\uvld IRaxV\:H zv (aoInaas 10•sow 9) (sjnOH) 090 29Qz Ge eo,Ajes 10 st!un 9 #IeoJ saoInaas uowteluesaidad P69-1 dVOIH '8 (palesunoo) £86Lf L 9 LL f oos L eolmes io stiun wej oJ-d oeoonptf L #leoJ pue 6uilasunoo eouemsul 141IeeH 'L (s,ASA) Z 66 f3 $ sz qZ eolmos io situ{ z #1eoJ weaDojd uo!uedwoo jowas •9 - aone 10 shun #IedJ weJBOJd Luajedpuea!D Jalsod •c (panaes stueIJO) 9s9L tb L L 9 aolruas jo sz!un #IeoJ se6eNui °t, (sayoleW Inlss000ns) ppp 8 95 eouues }o sixun Z # Ieoo wee old R sad T (s6eg) LLQ £ 88�-� 0 eol/ue s jo stiun # POO weJ6oad Des umoi8 •z (sjuedioWed) 000,08 L9 og ao,naas 10 stiun z # POO aejueo aoinose8 ejeoXP-C] s,aew!eyzlV °L lsnloV p810910.1d OU-01 C3 spun:IA965 01111 we 'd SWVEI'DOUd 5331AU35 a3SVS-•A11N1'1Wwoo Attachment A 2 Centra Costa County gLn & Adult Services • A Bureau of the Employment Human Services Department April 29,2002 Dear Coalition or Commission on Aging member: We assist Come join us for a day of sharing and learning. This will be Our second yearly adults and people with �"sx�atne� �,�z„rtltxc� disabilities to lg �� CTockw M C76inottow maximize self-sufficiency, , "mac aw, une 74, 2002 safety and 9.-000q</Y. t&2,34 ' . independence. You continue to play an important role in your community. We invite you to share with members of other coalitions and committees on aging what is exciting and innovative related to services and programs in your community. Robert Sessler Once again,we have invited Margaret Shultz to be the facilitator.-She promises to Director be as vivacious and dynamic as she was last year and will cover such topics as successes and challenges—a year in review, Area Agency on Aging update (i.e. I & A changes, Long-Tenn Care update, newsletter changes and services to diverse populations),and how.to access information(as requested last year). Don't miss this special event! Join us for a light breakfast and a delicious lunch. We look forward to your presence as we work to plan today and tomorrow. Sincerely, c�0_� Barbara Morrow, Aging &Adult Services, Policy&Planning Community Liaison 2530 Arnold Drive +Suite 300 •Martinez, CA 94553 • (925) 335-8700 • Fax(925) 335-8717 �`'" MARK YOUR CALENDAR Contra Costa County Area Agency On Aging Cordially invites you as an active member of a Commission on Aging,or Coalition To ,qvuda*, )`tm 14, 2OV2 Summit Center 2530 Arnold Drive,Bay Doom(First Floor) Martinez,CA +► A follow-up on lasts years request, "Access to Information"will be presented. • Create networks with others who share your interest and concerns. • Share the challenges'and successes occurring in the lives of older adults in your community. • Hear an update on the status of services for older adults in Contra Costa County. Be our guest for a light breakfast and lunch RSVP by 5-31-02 by calling: 335-8700 'Or mail in the tear out below to: Barbara Morrow, 2530 Arnold Dr.,#300, Martinez, CA 94553 Please RSVP as soon as possible as space is limited and it's on a first come basis. Name: Phone: ( ) Organization: Address: Yes I can attend the event on June 14, 2002 No I cannot attend:the event on.Tune 14, 2002 Confab 6-14-02 23a Partners In Planning Planning Today For Tomorrow June 14, 2002 AGENDA Morning: 9:00-9:30 Networking 9:30-9:35 Welcome &Introduction Sharon Johnson&Barbara Morrow 9:35-- 10:00 Review of the day Margaret Schultz 10:00—10:30 Exercise 10:30— 11:00 Successes &Challenges: Year in Review 11:00— 12:00 Presentations Afternoon: 12:00- 12:45 Lunch 12:45— 1:00 AAA Highlights 1:00—2:00 Future Steps 2:00 0 2:15 Teambuilding/Resources 2:15- 2:30 Closing a:NI 512/02 Agenda 6-14-02 23a r SIGN-IN SHEET PARTNERS IN PLANNING June 14, 2002, 9:00 AM to 2:30 PM Swzmit Center,2530 Arnold Dive,Bay Room(First Floor) Bate Person's Name Organmiation Phone S-_ ` �-/ 7 . . , 3 2 10 . G c drse to) 12 73 14 qwm —317 1s ,5--/?A314 1- 17�_/Oi ,.. S� 18 Ar"Ad 1 ,�4.OWX415!5. 27-2-d cin Actual Sign-in Sheet is unavailable at this time. Staff have been unable to locate at this time. 1-,f� � Gqs� r�t,r� roc rrcu� TCw•rata ��tGt?-T.�-r'Et`IN - � ' ♦�: �. �i� *ear. � � A r { P f / / ♦ • i s s �r rr 90'd '!Filch 43 t4/40 44 lsoNv-6�fa0(4ZA - [�611 e� 5 Stitt List: A * t� -Z4 , aa . �' L� c E 4a(WO2 in w- finers - a PARTNERS IN PLANNING June 14,24112 MORNING SESSION: Sharon Johnson stated that the goal of today's meeting is to have fun, decide what the challenges and successes have been, and do networking and learn from each other. She introduced Area Agency on Aging (AAA) staff that was present: Barbara McNair is responsible for the Older Californian Act programs, Scott Danielson is responsible for the Older American Act programs and Barbara Morrow is responsible for the outreach programs. She turned the meeting over to Margaret Shultz. Margaret briefly talked about the agenda and stated that at a later time this morning she would ask those present to break into their own coalitions and talk about what is warping, or about successes and challenges. She asked those present to go through what is in their packet. She called the group's attention to the packet of cards, which will let them see what each ether have in common. Lunch will be from 12-12:45. Beginning at 12.4:5 the highlights of the past year and new programs will be discussed. Margaret asked those present to contribute idem about current problems for seniors. Individual's present stated transportation is always a big challenge. The Fraud Fighter Forum was discussed. Another person talked about places to have dialysis. She stated that it would be good to be able to read, watch TV, etc. while having dialysis. Independent Living Resource (ILR.) is putting together an.Assistive Library. They have a tape player and cassette recorder. One individual stated that she no longer drives. "Buses don't always go where you want to go. 'Transportation is a big problem". Other ongoing issues were identified and include: Housing Land use Health Care (long-term care, Supreme Court mental health, home care). (Olmstead) Outreach Funding Legislation (public policy) 'Transportation Jobs for Services Margaret and those present condensed these issues into four categories, as cited below. (Note: There are flipcharts crested at the meeting that captured all issues within each of these categories. See attachments at the end of this document). Funding Land Use Health Care Outreach Margaret discussed the next item on the agenda and explained that she wanted those present to divided into three groups based upon which part of the county they come from(East, Central or West County). She asked them to come up with.more ideas,while working on a presentation about their successes in the last year. Brainstorming was done in individual groups. In shit formm the first group Gast County Senior Coalition) talked about issues in East County and the prioritizing they had done to determine the two "biggies" (issues)they are working on. ``hese were transportation and nutrition. Cather areas of concern were health care, isolation and lack of services,just to mention a few. The second group (Central County Senior Coalition) sang"Wheels on the Bus". Some successes that were mentioned are Fraud Fighter Coalition, two (2) new District Attorneys being hired, getting state and federal legislators involved, and transportation needs. Also they included the fact that Walnut Creek has a senior van, and that they put on a Caregivers Conference and Alzheimer Forum. Another Alzheimer Forum is planned for September. A challenge is to decide how to best spend this year's $10,000 provided by AAA. The third group (West County Senior Coalition)had Arnie Kasendorf as its speaker and members of this ,group participated by injecting signs/comments about what he was stating. He mentioned that housing and transportation are big issues. Also, they are meeting with legislators and working with the Board of Supervisors. 2 AFTERNOON SESSION: AAA Highlights: (1)East County Senior Coalition: Sharon Johnson stated that East County Coalition is really coming on board. She asked Barbara:Morrow to discuss specifics. Barbara stated that the East County Coalition is made up of non- profits and for profit organizations. There are representatives from Tri Delta Transit, Brown Bag, Federal Glover's office, seniors and professionals working with seniors in East County. The group meets once a month at the Liens Center for the Visually Impaired in Pittsburg. Big issues are transportation and information for seniors. Magnets were made, which will be at senior centers. Also, tear off posters, which say"Do You Need Help?" will be at senior centers. (2)Info Van: Sharon Johnson stated that last year when this ,group met a priority was access to information. Two people on the staff are now doing outreach full time: Barbara Morrow and Nhang Luong. An InfoVan has been obtained .and is now up and running, The van will reach many communities in Central, :hast and West County, including Discovery Bay and Richmond. Barbara Morrow and:Chang Luang did brainstorming with the Information and Assistance (I&A) Social Workers to talk about what should go into the van. Information about MSSP, Linkages, APS, Public Authority, IUCAP, Food Stamps., housing, Alzheimer resources, Program Providing Assistance to Caregiver (PACT), and Medi-Cal will be in the van along with other data. Barbara Morrow is in charge of scheduling the van. it will provide to all Contra.Costa County communities needed resources and access to services. It will be used at fairs, festivals, clinics and anyplace that seniors congregate. Plans are to reach seniors who may be isolated. The Info Van can be parked at supermarkets and malls where seniors shop. It can be taken to assisted living homes, senior centers and church based organizations. The van is a 2002 Chevrolet Express and has a TV, DVD player and VCR. It has removable shelves. Barbara Morrow and Nhang Luong are working to get Internet access so I&A data can be accessed. The van is equipped with magnetic signs in various languages, as well as, literature in those languages. Trevor Evans-Young asked a question as to who will drive the van. Sharon stated. only I&A staff would be trained to drive the van. This will be provided by a private trainer and meet the Department of Motor Vehicles' 3 requirements for people to drive larger vehicles. She further stated a retired person would be hired who wants to work on the weekends. Hopefully, the person will have an I&A background. (3) Senior Information Newsletter: Sharon Johnson stated that the Senior Information Newsletter is now being distributed to over 15,000 people per issue (printed six(6) times per year). Anyone can send suggestions for articles to Nhang Luang, who is now responsible for the newsletter. Anyone present or anyone who knows a senior that is not on the mailing list may contact Nhang at (925) 335-8783 and she will see his or her name is pint on the mailing list. Future Steps. (1)Family Support Giver Program: This program is funded under Title HI E, which is an amendment to the Older American's Act. On March 1, 2002, one-hall`million dollars went to the Family Support Caregivers Program. Sharon Johnson stated this program is to support caregivers. There is a bread range of services---respite, home services, and legal services. Jewish Family Services of East Bay provide information in several languages. Alzheimer's Association provides caregiver support to families coping with Alzheimer's. Independent Living Resources (ILR) provides access to supportive devices. There are currently many organizations that are instrumental in the process She spoke about how AAA and members of the Long-Term Care Project are working on issues to help get people out of skilled nursing facilities (SNF's). Sharon discussed a case of an older woman who was abused. She stated none of us in this room wants to see a senior abused; however we know it happens. She further stated when a senior is abused it would be best for that senior to have someone, who could be there to help prevent the abuse and support him/her. Arnie Kasendorf stated that this is a universal problem and many areas in Contra Costa County have similar challenges. A discussion followed. Getting back to the case example. Sharon stated, Mrs. X was discharged from the hospital and placed in a skilled nursing facility. She is 83 years old. She has heart failure, diabetes, stroke and is on oxygen. Her husband passed away 11 years ago. She has a 52-year-old daughter, who is Paranoid 4 Schizophrenic, and takes care of her. Ms. X came to the Program. Providing Assistance for Caregivers in Transition (PACT). This programs main function is to provide assistance to caregivers, whose laved ones are moving'from a skilled nursing facility to a private home, usually a relative. The program has moved four people back into the community. Ms. X is one of these individuals. AAA and the Long Term Care Committee want to focus on long-term care in the home and eliminate duplications of services. Professionals work with the senior and the family on discharge plans and assessing needs in the home. This included a case manager, skilled nursing home facility discharge planner, ILR, Meals on Wheels, Ombudsman, Adult Protective Services (APS), dental Health, and a nurse from the PACT program. Ms. X is now back home. Her 52-year-old daughter, who is the caregiver, now has a case manager for mental health issues. Also, Meals on Wheels is involved. After a week everything was in place. Workers called ILR about a hospital bed. Joanne Best from ILR made contacts to get the hospital bed and it was paid for through Title III_E funds. The cast was $13 5. (2)Laotian Project: The California Endowment received $400,000 for two years. Sharon Johnson and Barbara Morrow wrote the grant. Funds received t by AAA will allow staff`to work with the Laotian Community. Three multi- lingual social workers were hired and they will provide access to culturally sensitive seniors, do community outreach, needs assessment, case management, I&A and advocacy. Nhang Luong monitors the program. One of the employee's at Employment and Duman Services, Staff'Development, trained people from community-based organizations and the three (3) social workers on"Good Social Workers Skills". (3) Trilogy: A website is being fashioned with a depository of information. Scott Danielson stated that the county is contracting with Trilogy to establish a website. The website is very user friendly. The access has government links including a legislative link. The website is in Spanish, English and Cantonese. Scott stated that the website provides links to organizations, who can update the information. Feedback will be obtained about the website prior to the publicity campaign. 5 Maggie Dowling asked if the website is accessible to the blind? She stated that it should be approved; so all disabled individuals can use it. Scott will check on this. General Announcements: (1) Can June 27h there will be a Town Hall meeting sponsored jointly by Supervisor John ioia's office and the West County senior Coalition on health care issues. The time will be 8:45 AM to 1:30 Pm. There will be specialists speakers about Medi-Cal and Medi--Case and a free box lunch will be available to those who pre-register. You can register and arrange for transportation by calling(510)233-3427: Barbara.Morrow announced that the ,grand prize is a 1 O-day trip to Hawaii. (2) On June 16"', there will be a program eon radio station 90.3 RM from 1.2.30 to 1 PM, which will address senior fraud:issues and the California state budget. Senator Figueroa will be there to speak and address those issues. (3)'Videotape on senior fraud will be made available soon. (4)'An NPO Library at the Rivertown Resource Center will be opening soon. Their location is West 10th and D Streets in Antioch Summation: Margaret summarized the day and stated the morning was spent talking aboutsuccesses/challenges and the afternoon on providing up-dated infornnntion about AAA funded programs. She asked, "Has everyone had fun today?" Response: Yes. Would you like to do it, again, next year? Response: Yes. Someone yelled out"lets have it twice a year" and those present all turned around, as if one, and asked, "What about it Barbara?" She laughed along with the group and stated, "we'll look into it and see what we can do". 6 ..................... ADDENDUM Charts: j Chart # 1: Successes Challenges Use any format for skit presentation. Song Poem s Dance * Chart Rap Opera Five (5)Minute Limit InfoVan + 1" Step—County • 2'd Step---CBO's +� Fairs on weekends Chart #2: Needs Programs for"Friends" for chair-bound dialysis patients Legal advocates for seniors • Patient advocates • Domestic violence advocates • Talking boobs coordinator books at library) * Independent Living Center Resource Centers Dialysis centers can set it up Reach isolated& monolingual Communication between Coalitions & Commissions, Committees • Partners in Planning: more than one time each year; ideal two times per year • Shared meeting scheduled through newsletter(AAA) +► Transportation to get to the meetings for Coalitions Carpooling Ongoing communication systems Community information *' Newsletter 1 • Website • CCTV—community calendar Chart # 3: Outreach • 'Websites L- links • Newsletters • Publications/newspapers • Fairs/events (local-regional) • Collaboration/Coalitions • Visit/speak to service organizations • Senior gathering places (i.e.. hairdressers, banks) • Places of education/housing • Telephone calls/phone trees • Bus signs • Town Hall meetings • Town Hall Specific topics • Pasters in store windows • TV/radio • I&A • InfoVan • Networking • Faith Based Health organization(i.e: ECCISLO) • Outreach to Public Services (i.e.: fire,police) • Strengthening existing programs Chart # 4. East County Senior Coalition Agencies/Organizations/Individuals • Caring Hands • Area Agency on Aging (HICAP, I&A, MSSP, etc) • Stoneman Village • AIM • California Senior Legislature • SOS • Tri Delta • DCSI • Elder Abuse Prevention 2 • Federal Glover • Bedford Center • Private Practices • Sutter Delta • Senior Might Out • Senior Centers • Brown Bag • Lien Center • ECHO • .Elderly 'Nish Foundation Cities. • Pitts burg j Antioch ` • Oakley • Byron • Discovery Bay • Brentwood • Bay Point • Bethel Island • Knightsen Chart# 5: Central County Senior Coalition • Partners in Planning • Growth • Outreach • Agenda Fun • Individuals (Active) • Service Providers • City Senior Centers • Senior Van Chart## be West County Senior Coalition • Tech Education • I&R • NS • Diversity 3 __ • MPSC • Economy Growth HC Outreach • COA • AARP • Legislation Chart # 9: Land Use • Education on how to become providers of HUI) housing Universal design • Subsidies for seniors currently in standard housing (to help control rent increases). Building housing near BART Mixed housing (all incomes and all generations) Encouraging developers to set aside number of units for the disabled(i.e.: deaf, blind, people in wheel chairs, etc.). 2/3 bedrooms for seniors Vouchers for seniors/homeless 'transportation Housing .Funding Underserved outreach/homecare Underserved healthcare (ie: mental health, long-term care, etc.). Legislation/public policy Supreme court decisions Jobs for seniors Habitat for Humanity—triplexes In-fill of land Affordable senior housing Strategic location for housing Assisted living Work/jobs available with housing (i.e.. same area and develop unoccupied areas) All (health & personal) services accessible to housing Planned communities Multi-use buildings with housing & services together Bus handovers —efficient & timely 4 Rail/BART tracks affordable for building Urban redevelopment Transitional housing, as your health deteriorates stay in one place Live/work/training Chart#8: Funding • Grant Writing • Fundraisers • Donations • Lobbying to County, State and Federal • Investing • Pull Tabs • Bingo • Dog &pony shows for funding • Endowments • Coalitions for grts Tobacco monies Ask our clients Federal waivers Planned giving foundation funding Fee for service Annual fund campaign Redistribution of tax monies Service clubs Events Ballot.measure parcel tax for seniors Chart 9: Health Care • Community Services/IHSS & other IH4 (in-home operations) • Drugs costs • Proper discharge • I-IG's/Medical Groups • Community Eased Care • Educated discharge planners • Lang term care integration& funding • Lank of professional health care providers 5 + Geriatrician - need more! + Improve image of hospital and nursing care + Injury prevention • Incentive health care professions • Empowerment of individuals in decision making + Power of Attorney--health care • End of life issues • Mandated medication reviews + Education--community health outreach + Community.Health Fairs + Physician "House Calls" • Mental Health Parity + Affordable Health Care & Available Universal Health Care Palliative care/Pain management • Weekend drop-in centers • Olmstead • MICASSA • Biochemical attacks • Rotating Pharmacies Legislation incentives for doctors, nursing, teachers in school Loan forgiveness for community services in areas of school. PARTNERS IN PLANNING— CONTRACT LIST OF ATTENDEES — JUNE 14, 2002 Y. 2. 6 Contra Costa County A. 1 Adult Services A Bureau of the Employment Human Services Department August 22,2002 We assist adults and Mrs. Patty Sparks people with Columbia Park Manor 1780 Chester Drive disabilities to . Pittsburg, CA 94565 maximize Dear Mrs. Sparks: self-sufficiency, safety and Enclosed you will find the summary of the Partners in Planning all-day session that was held on June 14, 2002. I hope you find this accurate, enjoyable and that it independence. brings back good memories of that day. As you may remember,Karen Gregory, who normally takes notes on the information discussed, was not available that day, and we had to piece it together using.one machine and two note takers. We plan to meet next year; however, due to budget restraints, l cannot say whether Robert Sessler we can do this kind of presentation twice a year,as was requested. Director Please call me at(925) 313-1841 or e-mail me at_b_morroA@ehsd.co.contra- costa.ca.us if you have any questions. - - Sincerely, Barbara Morrow, MSW ' Policy& Planning Community Liaison Enc. 2530 Arnold Drive •Suite 300 •Martinez, CA 94553 + (925) 335-8700 • Fax (925)335-8717