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MINUTES - 09212004 - C.74
TO: BOARD OF SUPERVISORS Contra Costa FROM: Jahn Cullen,Director e f County Employment &Human Services Dep 4w�, A - C7qDATE: September 2, 2004 + SUBJECT: APPROVE and AUTHORIZE the Employment and Human Services Director, or designee, to SUBMIT the FY 2003-04 Contra Costa County Area Agency on Aging Area Plan Year End Report to the California Department on Aging and AUTHORIZE the Chair, Board of Supervisors, to sign the Letter of Transmittal. (#29-127) SPECIFIC REQUEST($)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDED AC IIO APPROVE and AUTHORIZE the Employment and Human Services Director, or designee, to SUBMIT the FY 2003-04 Contra Costa County Area Agency on Aging Area Pian Year End Report to the California Department on Aging and AUTHORIZE the Chair, Board of Supervisors,to sign the Letter of Transmittal. (#29-127) FINANCIAL IMPACTo_ No fiscal impact. RACKGROITND The Area Agency on Aging(AAA)provides services for older residents of the County under the Older American's Act(OAA) and Other State Funded Programs (OSFP's: previously known as"Older Californians Act Community-Based Programs"). The FY 2003-2004 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. OSFP's allow AAA to provide through contract, Alzheimer's Day Care Resource Center Services and Brown Bag services. In addition,AAA directly provides Information and Assistance,Health Insurance Counseling and Advocacy, Disease Prevention and Health Promotion, Linkages, and respite services. 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, administrate , d planning. CONTINUED ON ATTACHMENT:_X,YES SIGNATURE: L "` 1% --"'RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE «:.-OPROVE OTHER z. SIGNATURES : � 3 � ACTION OF BOA ON � �"''� � 9 ' �� �� '' � APPROVED AS RECOMMENDED t7TktER t. O VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS(ABSENT r`' --- } AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTED c f:€ Y s JO N SWEETEN,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact: ROBERT SESSLER 3-1605 cc: JOHN CULLEN-EHSD f EHSD(CONTRACTS UNIT)-EB BY ,DEPUTY COUNTY ADMINISTRATOR LINDA ANDERSON,SUMMIT BARBARA McNAIR,SUMMIT NHANG LUONG,SUMMIT A TRANSMITTAL UTTER This FY 2003-04 End of the Year Report for Planning and Service Area#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 18 and older with disabilities, their families, and caregivers. 1. (Type Name) Federal Glover r.. ff (Signed) T � �G3 ._ . -L) _ Ch r, Govehiing Board 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. 2. (Type Name) Gerald Sharrock (Signed) Chair, Area Agency on Aging Date Advisory Council 3. 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Transmittal Letter (to be submitted following Board approval) 'l . Needs Assessment Activities J 2. Status of Objectives Program Development and Coordination 4. Targeting 5. Service Units f . Attachments (Sample Flyers - AAA Activities) PLEASE NOTE STATUS REPORTING INDICATED AS -BOLD & ITALISIZED - 8/2412004 2 1 . Needs Assessment Activities Contra Costa County moved another step closer to a program of integrated long-terra medical, home, and community-based services with a 2003-2004 Development grant from the California Department Health Services, Office of Long-Term Care. The program for long-term care integration - Contra Costa Continuous Care - remains an essential partnership between the County's Area Agency on Aging (AAA), Aging and Adult Services, Health Services Department, and Contra Costa Health Plan. Community advocates, agencies, and consumers provide membership to the new Long-Term Care Advisory Committee. The Consumer Continuity Workgroup of the Committee will ensure that guidance and participation from the community is on going through the development process. The completion of the Draft Administrative Action Plan will provide the blue print for implementing Contra Costa County's long-term care integration program. To maximize resources and eliminate fragmentation, Contra Costa County continued to utilize a blend of services to address the acute and long-term medical and psychosocial needs of the frail elderly in our community. These services included interdisciplinary case conferencing, which link the client to traditional services such as in home diagnostics, medical geriatric protocols, disease education, medication management, home delivered meals, transportation to and from medical appointments, shopping, respite care, caregiver support, and 24 hour medical consultation. Case management services is provided by Aging and Adult Services through its Multipurpose Senior Services Program (MSSP), Linkages, and Adult Protective Services (APS) for adults residing in Contra Costa County. Once again, the AAA identified our community's needs through needs assessment and demographic studies. Based on the outcomes, new funds were used to further leverage additional resources and current funding was used to augment or provide new services. Title III funds were redirected to provide Adult Day Gare (ADC) and Assisted 8124/2004 3 Transportation (errand and escort) services. Title III E, Older Americans Act funds, gave us the opportunity to better serve caregivers by contracting with the following organizations: Agency Programs/Services Family Caregiver Alliance Multi-faceted Respite & Education Programs Jewish Fancily & Children's Multicultural Resource Services of the East Bay Library & Website Alzheimer's Disease & Disorders Dementia Gare, Wellness, Association Financial, Legal & Medical Education & Assistance Families First, Inc. Grandparent Caregiver Program Services Independent Living Assistive Living Devices West Coast Children's Clinic Grandparent/grandchild counseling Jewish Family & Children's Cultural Diversity Services of the East Bay Caregiver Training In FY 03-04, the AAA utilized Title III E OTO funding to add a new contractor and service to the Family Caregiver Provider Program. A grandparent/grandchild counseling and activity program was funded for six months that provided needed counseling and group support to grandparents raising grandchildren. Jewish Family and Children Services of the Greater East Bay completed their Cultural Diversity Caregiver Training program, which was funded with OTO monies. The training targeted Lao, Mein, Afgan, and Russian caregivers. AAA continued to support and participate in the planning collaborative to implement joint regional planning and program activities. AAA allocated $10,000, to each Senior Coalition for East, West, and Central County. Each coalition went through a planning and prioritizing process to determine their focus for FY 03-04. The West County Senior Coalition conducted a Town Hall Meeting, which focused on health care and transportation services for seniors. 8124/2004 4 Speakers at the event included legislators, community activists, and seniors. The Coalition also continued to organize the annually held Senior Dight Out, Senior Information Day, and Senior Rally in Sacramento. East County Senior Coalition continued its extensive Information Outreach Project that contacted seniors at senior centers, community events, and health fairs. The Coalition sponsored three Senior Information Mini-Fairs that offered health screening and resource information for seniors. In FY 03-04, the Mini-Fairs were held in the cities of Pittsburg, Oakley, and Discovery Bay. The Coalition also planned and implemented a successful and well attended Alzheimer's and Other Dementia Awareness Forum. Central County Senior Coalition established a strategic plan years 2002- 2005 to address the needs in Central Contra Costa County. It established the following working committees: Outreach, Publicity, Events and Advocacy in order to increase involvement and membership. Media contacts were developed in order to publicize the committee meetings and activities. In addition, the Coalition honored seniors from eight participating central county senior centers with the "Mary Shockley Memorial Award for Outstanding Service." The award was held in May 2004 to coincide with alder Americans' and Older Californians' Month. On September 26, 2003 a highly successful "Partners in Planning" conference was held and approximately 50 members of the local Commissions on Aging, the Advisory Council and coalitions came together for the third annual conference. The agenda consisted of "Where are we now?" a year in review (successes and challenges), how to build active membership, and an up-date on Measure C (transportation). Also, presented was a review of AAA Highlights and plans for the future. Once again, this event sponsored by AAA has proven to be an empowering tool to promote networking and assist AAA in determining services in each city/town throughout the county. During FY 03-04 AAA staff has worked to plan, organize, and coordinate the next conference that is scheduled for September 10, 2004. 8/24/2004 5 AAA continues to help address the needs of Southeast Asian elders, one of the most isolated and vulnerable groups in our community. We worked with members of the Southeast Asian Senior Access Collaborative (SEASAC) to help coordinate comprehensive and bilingual services that includes, outreach, case management, social club, and health education for Southeast Asian elders in West Contra Costa County. Along with AAA,, members of SEASAC include United Laotian Community development Inc., Lao Senior Association, City of Richmond, City of San Pablo, and West County Senior Coalition. AAA completed its 2003 Key Informant Survey. The survey was administered via focus groups, written surveys, and interviews with consumers and key informants. Health care, transportation and housing were named as the most serious problems facing older adults in the County. Results from the .survey are used to aid the AAA in developing and updating its Area Plan. The AAA also shared survey results with all participating key informants and made it available to organizations and individuals who are part of the aging network concerned about the quality of life of older adults within the County. 8/24/2004 6 . Status of Objectives GOAL #1 The AAA is committed to assisting alder 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 ranee 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 ongoing. The Coalition Inas completed three senior health and information fairs throughout East County this year. 2. AAA staff will coordinate with West County organizations to provide a Senior Information day by providing I & A resource material, NICAP information and AAA staff time from July 1, 2003 through June 30, 2005. C ongoing 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 {CCC} through June 30, 2005. C ongoing 4. AAA staff along with the Long Term Gare (LTC) consultant will establish an 11 member Long Term Care Implementation Planning 8124/2004 7 Team with representation from Health Services and Employment and Human Services departments, providers of Social medical services and consumers by July 2001 . PD completed 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. PD completed 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. PD ongoing 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 2005. PD ongoing 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 completed 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 8/2412004 8 ➢ Developing coordination procedures between network and non- network providers to provide the most seamless continuum of services possible by June 2005. C ongoing 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 2005. C ongoing 11 . AAA staff and LTCIT will develop a detailed implementation pian, including, but not limited to: ➢ Timeline ➢ Start-up budget ➢ Operating budget Work with State Office of LTC with HCFA for appropriate waivers by June 2005. PD ongoing 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. PD ongoing 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 , 2005. C ongoing 14. East County Senior Coalition will develop an information outreach project to provide information to seniors about services and how to access them and develop and sponsor specific programs designed to address issues affecting seniors from July 1 , 2002 continuing through June 30, 2005 ongoing. The Coalition will put on a Fraud Fighter Conference by July 2004. PD & C completed 15. Central County Senior Coalition will continue to work on developing an updated directory of service providers in Central County and develop a media publicity list to announce upcoming events specific to senior issues. completed The publicity list shall be developed from July 1, 2003 through June 30, 2-984 2005 and ready for distribution by 8/24/2004 9 June 30, 2004 2005. ongoing Coalition will plan and sponsor an Ageless Lifestyle Forum addressing the issues of aging and its effects on seniors from July 2003 through June 2004 2005. C ongoing Coalition will organize and host a recognition awards luncheon to honor and recognize senior volunteers at the eight central county senior centers. C completed 16. West County Senior Coalition will distribute outreach and resource materials, organize and schedule a recognition award for West County Senior, schedule and hold a Town Hall Meeting for seniors in West County, organize and sponsor a "Senior bight Out" dinner and dance, and a networking and outreach activity called, "Senior Information Day': This will be.done in collaboration with SHARE. The activities above will take place from July 1, 2003 through June 30, 2004 2005. C ongoing 17. East County Senior Coalition will develop, plan, and put on an Alzheimer's Awareness Forum to raise the knowledge and awareness of the issues and resources related to this disease from July 2003 through June 2004 measured by the number of attendees at the forum. PD & C completed 18. AAA staff will participate in the East County AIDS Task Force, which was convened in response to the disproportionate impact of HIV and AIDS on East County. The Task Force will develop outreach materials, resource fairs, and a CCTV program to educate the public about HIV/AIDS and services available in the community by June 30, 2005. PD & C ongoing 19. AAA staff will coordinate with Jewish Family and Children Services, La Clinica, Bay Point Family Health Center, and other community agencies to provide a Senior Appreciation Day & Resource Fair to limited English speaking and low-income seniors in gay Point by ,lune 30, 2004. PD&C completed 8/24/2004 10 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. OBJECTIVES 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 ongoing 2. , 200 . Deleted until funding is available to provide this service. 3. AAA through its Request For Proposals (RFPs) 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 50 year s or older are being served through June 30,2005. ongoing 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. ongoing 812412004 1 1 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 2905. PD ongoing. Due to a lack of funding, this service is only provided through the Senior Centers in West County where most of the County's Laotian population resides. 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 90, 2005. C ongoing 8. The Housing Committee of the Advisory Council and AAA staff will fallow the neve planned growth movement by contacting a related countywide Planned Growth Croup 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. 2095. C ongoing 10. The Housing Committee of the Advisory Council and AAA staff will coordinate regarding the new l & A database completed, to assist in developing accurate housing data by Sept. 2905. C ongoing 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 l & 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 8/24/2004 12 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 dement and will apply to any current amending of the measure and to future Measure C language by June 2005. completed 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. ongoing 15. The Transportation Committee and the AAA Mobility Manager will advocate for a countywide seamless system of transportation by linking efforts, where possible, with those of other transportation advocates, providers and systems through June 2005. C ongoing. In 03-04 the AAA Mobility Manager participated in the oversight of the Countywide Paratransit Improvement Study, which was to recommend service improvements in transportation for seniors and persons with disabilities. The AAA Mobility Manager is actively involved in planning to implement the recommendations of this study. In addition, the AAA Mobility Manager in 03-04 implemented the "'Senior Transportation Forum'; which brings together the non-transit providers of senior transportation services in the county with the goals of improving and possibly coordinating services. 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 ongoing 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 ongoing 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 2005. C ongoing 19. The Health Committee will increase focus on mental health issues for older adults promoting increased access and services, acting as a 8/24120174 13 liaison with the Mental Health Commission's Older Adult Committee, and increasing education of neuro-cognitive therapies by June 2005. C ongoing. Staff and Housing Committee members now sit on a special Older Adults Mental Health Task Force to develop priorities for funding Older Adults mental health services through the Mental Health Department 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 ongoing 21. Senior Outreach Services -- In-Home 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. ongoing 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. ongoing 23. Ombudsman Services staff will increase the volunteer base from 35 to 55-60 during the next four years through 2005 by developing a publicity and marketing campaign directed to specific population groups. ongoing 24. Senior Legal Services will develop a multi-media outreach plan, including internet access, brochures, and presentations, while developing community relationships regarding senior issues and services available to countywide residents by June 2005. ongoing 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. ongoing 25. rdisabled, s s Of thE) s 8/24/2004 14 niar r r r Deleted: program funding eliminated effective 7/1/03. 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. ongoing 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 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. ongoing 30. Brown Bag Program - The Food Sank of Centra 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 will end june 30, 2003. The program was 8/24/2004 is reinstated January 1, 2004 and will continue through June 30, 2005. ongoing 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. ongoing 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. ongoing 33. Health Services — Congregate and Horne Delivered Meals will continue to enhance outreach activities through public media, i.e. PSA's, Brochures and Public Presentations to raise the number of meals served through June 2005. P.D. ongoing 34. Transportation — Health Services will continue to provide transportation to and from meal sites by recruiting more volunteers and drivers through June 2005. ongoing 35. AAA staff will coordinate with members of Southeast Asian Senior Access Collaborative (SEASAC) to provide isolated Laotian seniors living in West Contra Costa County access to linguistically and culturally competent services. These services will include needs assessment, case management, advocacy, information and referral to health care services. In addition, assess to health education, public benefit programs, transportation, meals, in-home care, ESL classes, and leadership development will be provided. These services will help Laotian seniors overcome barriers and access quality health care and human services in West Contra Costa County by June 2004 2005. C ongoing 812412004 16 36. AAA staff will develop systems and procedures for utilizing the InfoVan to conduct outreach and distribute Aging and Adult Services Bureau's outreach materials. Staff will collaborate with senior centers, diverse population groups, Board of Supervisors staff, Employment and Human Services [department's Public Relations Officer, and appropriate community groups to utilize the InfoVan for outreach services by June 30, 24 2005. C ongoing 37. The Housing Committee will focus on the problem of senior homelessness by gathering information and data, collaborating with other agencies and organizations, and advocating for a senior- specific homeless program. By June 2005. C ongoing The Housing Committee is working with the County Public Information Department to create a Senior Homelessness Awareness publicity campaign. 33. SCSEP will dedicate four (4) One-Stop Case Managers to increase outreach efforts including Case Manager presentations, flyers, publications, and community cable television ads, to develop five (3) new host sites from July 1 , 2003 through June 30, 2004. PD & C completed. Program eliminated as of July 1, 2004 due to the lack of administrative funding, services to new enrollees are no longer being offered and current enrollees will be transitioned out of the program per the transition plan as approved by CDA. 39. SCSEP will transition 25 percent of the 13 authorized enrollee slots to unsubsidized employment through a combination of job search activities offered by the Case Managers and One-Stop Career Center staff, such as Job Club and resume assistance from July 1 , 2003 through June 30, 2004. C Completed. Program eliminated effective July 9, 2004 with all 13 enrollees transitioned out of the Title-V Program. 40. AAA staff will reach out to non-English speaking seniors through the use of interpreters, printing publications in different languages, and publishing portions of the Senior Information Newsletter, in foreign languages, such as the Age Page. The languages will include, but not necessarily be limited to Russian, Spanish, Laotian, and Vietnamese from Julyl, 2003 through June 30, 2005. C ongoing (moved from Goal #3, objective #8) 8/2412004 17 41. The Contra Costa County Health Services department will employ a Registered Nutritionist to provide nutrition and safe food handling education by giving presentations and distributing printed information at congregate nutrition sites and on home delivered meal routes which, tells seniors how a nutritious diet and safe handling of food can play an important role in maintaining health and disease prevention which can lead to a persons increased enjoyment of life. The outcome will be measured by how many seniors receive this information from July 1 , 2003 through ,lune 30, 2005. PD & C ongoing 42. The Transportation Committee will assist the new AAA Mobility Manager to assess and address the transportation needs of seniors by working with him on focus groups, needs assessments, surveys, and provide him with information and resources on and ongoing basis from July 1, 2003 through June 30, 2005. PD & C ongoing 43. The Health Committee will develop a "Strokes Awareness Campaign", in order to increase public awareness and provide resources and information on stroke related issues and stroke prevention. The planning and development phase of the Campaign will start July 1, 2003 and be completed by December 30, 2003. PD & C ongoing. The Health Committee has begun its Strokes Awareness Campaign, in conjunction with health care providers, to raise awareness of symptoms of strokes and that "Strokes are a 44. The Linkages Respite Purchase of Services Program will provide 350 hours of respite care to 35 families with the need for respite time away from those they care for. Transportation will be provided for individuals up to 50 one-way trips as needed by care providers through 2005 measured by the number of families utilizing transportation or hours of respite. ongoing. In 03-04 Linkages RPOS served 56 families by providing 582 respite hours. 8/24/2004 18 GOAL # 3 AAA will provide public information to agencies and community persons 50+ 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. completed 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 to provide services to seniors, in order to educate service professionals on other resources available to seniors from ,July 1, 2003 through June 30, 2005. C ongoing 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. l & A staff will make educational presentations on services available to seniors by speaking engagements, written materials., and participation in conferences from July 1, 2003 through June 30, 2005. ongoing 6. AAA will provide information resources and staff to assist the West County Senior Coalition with the development, planning, and facilitation of Senior Information Day for seniors and service providers in West County from ,July 1, 2003 through June 30, 214 2005. C ongoing 8124/2004 19 7. AAA staff will utilize CCTV's (local cable) 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 ongoing 8. faFeign f , (moved to Goal 2, objective #40) 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 ongoing 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 ongoing 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 from July 1 , 2003 through June 30, 2004. C ongoing 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 8/24/2004 20 organization, and with support from Health Services and Community Services departments by June 30, 2004. PD & C ongoing 14. AAA programs and services will be included on the web site (CURD) 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 15. AAA staff will provide Health Insurance Counseling and Advocacy resource information through brochures, presentations, P.S.A.S. by June 2005. ongoing 16. AAA will contract with Trilogy Integrated Resources for the expansion and maintenance of the Network of Care Website by updating resource data monthly, maintaining County links, and updating the legislative module nightly to increase consumer knowledge and access to services measured by the number of visits to the website from July 1, 2003 through dune 30, 2004 2005. C ongoing 17. Jewish Family & Children's Services will provide an Ethnic and Cultural Diversity Caregiver Training Program to address the needs unique to Middle Eastern, Asian and Russian communities measured by the number of training participants from July 1, 2003 through June 30, 2005. PD & C completed 18. AAA I & A will collaborate in efforts to create, implement, maintain the forthcoming National Information and Deferral System line, called "2-1-1", in order to make access to I & A easier and respond to the anticipated increase in calls from elderly and dependent adults and professionals from July 1 , 2003 through June 30, 2005. The outcome will be measured by the successful installation and use of the new system by June 30, 2005. PD & C ongoing 8/24/2004 21 GOAL # 4 The AAA will work toward an efficient, cast 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 Horne Support Services, Calder California Act programs (Linkages, Brawn Bag and Alzheimer's 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 communi 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 I . 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, MSP, and PACT from July 1, 2003 through June 30, 2005. ongoing 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 from July 1, 2003 through June 30, 2005. PD ongoing 8/24/2004 22 5. AAA staff will continua 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 LTC planning process. Identify Governance Structure and Lang-term Care agency along with specific rales, responsibilities and staffing. 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. ongoing 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 III E - National Family Caregiver Support Program by June 2001 . completed 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 III E of the OAA by Sept. 2001 . completed 8. AAA staff will assist in the planning, development, and coordination of Requests for Information in order to solicit and allow opportunities to appropriate providers in compliance with Title IIIS of the CAA for Adult Day Care and Assisted Transportation (errand & escort) services. The planning and preparation for these RFI activities will start in JaRwary June 2004 and end Jug September 30, 2004 in order for new contracts to begin on J October 1, 2004. PD & C The Rpl process was postponed due to pending funding cats. The current contracts will now be extended from July 1, 2004 through August 31, 2004 in order to complete the RF1's (funding permitting). 8/24/2004 23 G JAL 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 {elder 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 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 2005. C ongoing 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 2005. C 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 ongoing The California Senior Legislature, through which the Committee was working on probate reform legislation, has repeatedly refused to carry a bill forward on this topic, due to its complexity. Therefore, the Legislative Advocacy Committee is no longer working on this effort. 5. The Legislative Advocacy Committee will continue to actively campaign for accessible senior housing and transportation through June 2005. C ongoing 8124/2004 6. The West County Coalition members will be attending and participating in the Senior Rally in Sacramento, to advocate for affordable senior housing, affordable medication, and transportation issues through June 2005. ongoing 7. 1 & A Staff will provide advocacy to seniors and dependent adults by assisting callers to locate appropriate resources, as well as, provide advocacy for those unable to follow up by themselves. This will result in those calling being able to access and receive the highest level of services available to meet their needs and will be measured by the number of contacts from July 1, 2003 through June 30, 2005. ongoing 8(24!2004 25 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 Enhance the efficiency of its contracting and service delivery operations OBJECTIVES 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. completed 2. Area Agency on Aging through its Request For Proposals {RFD's} 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, 2004. PD & C ongoing 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, 2005. ongoing 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. ongoing 5. In response to CDA's most recent onsite assessment, AAA Program and AAA Fiscal Staff will continue to meet at least four (4) times a year to assure adequate communication and coordination of functions of AAA fiscal activities and provide updates AAA Fiscal Procedures as needed in order to maintain smooth operation. This will be measured by accuracy and timeliness of fiscal documents to AAA & CDA through June 30, 2005. ongoing $!24/2004 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 alder 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. ongoing 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 by June 30, 2005. Pd & C ongoing 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. ongoing Ten training sessions were held for HICAP Counselors in FY 03-04. 4. HICAP staff will provide outreach and outreach materials in appropriate languages to diverse and underserved population groups, including Asian-Pacific Islanders, Hispanics, and Afro-Americans, in coordination with Supervisor John Gioia'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. ongoing 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 thein 8/2412004 27 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. ongoing. Several presentations were provided to the AAA Advisory Council and two half-day seminars were offered to Aging & Adult Service Providers in FY 03- 04. 6. HICAP staff will provide updated consumer literature regarding health care benefits and rights concerning Medicare, HMOs, supplemental insurance, and 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. ongoing. Consumer fact sheets were updated, and new ones were prepared based on the new Medicare law in FY 03-04. 7. HICAP staff will evaluate current HICAP counseling locations throughout Centra Costa County for effectiveness and accessibility and institute recommended changes or additions to improve accessibility for County residents by June 30, 2004. completed 8. HICAP will enter into a contract with a legal service provider to provide legal expertise relating to health insurance problems for seniors as needed from Julyl, 2001 through June 30, 2005. ongoing 9. HICAP Counselors will provide individual health insurance counseling at locations throughout the county, by telephone, and will make home visits to the Medicare homebound population for similar assistance as needed by June 30, 2005. PD ongoing 10. AAA staff will work with senior community members to organize and present an Ageless Lifestyle Community Forum. This forum will discuss topics related to preventing illness, managing chronic disease and promoting healthy lifestyle habits. Contra Costa TV will videotape the forum for broadcast to the community on CCTV's cable channel starting July 1 , 2003 and completed by'M # June 30, 2003 4 PD & C completed 11 . a 8124/2004 28 FnediGatiGRs by juRe 39, . Deleted-after research and reconsideration, the Task Force found this plan would not have allowed those needing the care to have a enough choices for selecting their own providers 12. AAA staff will work with Jahn Muir-Mt. Diablo Medical Center to develop an Active Aging Community Task Force (AACTF) to increase public awareness about the benefits of physical activity for alder adults and implement community-based physical activity programs, which include strength-training exercises, aimed at maintaining fitness and reducing the risk of failing in older adults measured by the number of seniors participating in the programs offered. This objective will be carried out from July 1, 2003 through June 30, 2005. PD & C ongoing. Due to lack of funding the AACTF will not longer meet monthly and work on developing further exercise programs for seniors. The task force is dormant and will reactive in the spring of 2005 to coordinate, plan and held a second daylong eventiconference on exercising. AAA staff person will continue to participate in a monthly conference with Health Services Department in Sacramento and will "paper monitor" the 94 exercise programs that the task farce provided equipment to during FY 02-03. This is a requirement of the former funding source. When new funding becomes available the task force is prepared to activate immediately. 8/24/2004 GOAL # 8 The Centra Casts 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 Mandated by the Older Americans Act OBJECTIVES 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. 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 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, 2QQ2 2005. ongoing 3. AAA Staff and the Advisory Council on Acting will develop a timeline and budget for FCSP implementation by September 1, 2001. completed 4. AAA Staff, in conjunction with the Advisory Council on Aging, will develop FCSP evaluation components by October 15, 2001 . completed 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 &2412004 30 Assessment and in compliance with the service categories outlined in the FCSP Service Matrix by October 30, 2001 . completed 0. AAA, through its bequest 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, 22 2005. ongoing 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 2005. ongoing 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 9. AAA Staff will negotiate contracts for successful provision of FCSP services by December 31 , 2041 . 10. AAA Staff will provide technical assistance to successful bidders through June 30, 2 2005. ongoing 11 . Family Caregiver Alliance will provide a Community Education Campaign targeted for medical groups, hospitals (discharge planners and casemanagers), allied health services, social services, libraries, faith based organizations with the goal of providing a multi-faceted approach to reaching both the probable referral sources and caregivers themselves by June 2003 2005. PD ongoing 12. Family Caregiver Alliance will conduct broad community outreach through activities such as media, newsletter articles, flyers, and web site byJune 2QG3 2005. PD ongoing 13. Family Caregiver Alliance will make information and assistance accessible to caregivers by live-voice telephone. Each contact will be sent a package of materials and resource information tailored to the identified caregiver need and be offered a quarterly newsletter, notice of workshops, support groups and related events by June 2903 2005. PD ongoing 14. Family Caregiver Alliance will provide comprehensive assessment of caregiver functioning and assessment of the care recipient's functional 8/24/2004 31 status, resulting in a plan of care for the caregiver with follow-up services provided by June 2003 2005. PD ongoing 15. Family Caregiver Alliance will provide caregivers individual and/or family counseling and Caregiver Training Workshops by June 2003. PD ongoing 16. Family Caregiver Alliance will offer an array of respite services to family caregivers, which include on-going monthly respite, short-term respite, in-home services, and day care slots by June 2903. 2005 PD ongoing 17. Family Caregiver Alliance will provide caregivers with access to legal assistance, including but not limited to, legal advice, counseling, and representation by an attorney or other acting under the supervision of an attorney by June 2003 2005. PD ongoing 18. Jewish Family Services of the East Bay will conduct bilingual/bicultural outreach to family caregivers through 1) informal community networks such as schools, community centers, clinics, churches and synagogues, etc., 2) dissemination of information through newsletters and brochures by June 2003 2005. PD ongoing 19. Jewish Family Services of the East Bay will provide comprehensive assessments to caregivers with multiple needs and determine the appropriate supportive services. The assessment includes physical and mental health, formal and informal support systems, activities of daily living, mobility, nutrition, cognitive functioning physical environment and financial resources by June 2003 2005. PD ongoing 20. Jewish Family Services of the East Bay will provide direct case management assistance to caregivers experiencing diminished functioning capabilities, personal conditions or other characteristics. Case managers will provide service referral, service coordination, linkage, monitoring and advocacy by June 2003 2005. ongoing 21 . Jewish Family Services of the East Bay program staff and volunteers will help clients access transportation by June 2003 2005. PD ongoing 22. Jewish Family Services of the East Bay will provide caregiver counseling at local sites and in-home to work with caregivers on issues, such as, feelings of anger and guilt, changes in familial roles, and crisis situations by June 2003 2005. PD ongoing 8/24/2004 32 23. Jewish Family Services of the East Bay will conduct caregiver training with a focus on developing skills necessary to perform caregiving activities, such as decision- making, problem solving, long term planning, use and misuse of drugs for older adults, legal issues in eldercare, and family dynamics in caregiving byJune 2003 2005. PD ongoing 24. Jewish Family Services of the East Bay will conduct caregiver support groups for socialization, education and peer support by June 2003 2005. PD ongoing 25. Jewish Family Services of the East Bay will provide home visiting to family caregivers. For refugees and immigrants, volunteers may be trained to tutor English-as-a-second language (ESL) or general life skills, so that the caregiver is better able to function independently by June 2003 2005. PD ongoing 26. Jewish Family Services of the East Bay will create a Multilingual Resource Library and website to include an estimated 50-70 books, informational brochures, pamphlets and 20-40 videotapes on caregiver topics in multiple languages of English, Spanish, Russian, Farsi, Bosnian, Vietnamese, Cambodian and Lao. Information from the resource library will be widely distributed throughout the target communities by June 2002. (This is an OTO funding objective so the completion date is June 2002.) PD complete! 27. The Alzheimer's Association of the East Bay will provide outreach services by individual contact, newsletters and meetings to promote, organize, and establish Alzheimer's Disease resource network for identifying caregivers by June 2003 2005. PD ongoing 28. The Alzheimer's Association of the East Bay will provide community education to family caregivers, to assist in the development of effective caregiving skills and enhance caregiver well-being including but not limited to Alzheimer's Beginning to Cope, legal and financial planning, dealing with challenging behaviors, communication strategies, and caregiver wellness by June 2003 2005. PD ongoing 29. The Alzheimer's Association of the East Bay will provide comprehensive assessment to recruit, train and supervise volunteer "family consultants„ who will provide intensive emotional support and an expanded follow-up 8/24/2004 33 2QW 2005. PD ongoing 30, The Alzheimer's Association of the East Bay will provide counseling to determine the most appropriate type of caregiver support necessary for individual families by June 2003 2005. PD ongoing 31 . The Alzheimer's Association of the East Bay will provide caregiver support to assist individuals to better cope with their situation by June 2 2005 PD ongoing 32. The Alzheimer's Association of the East Bay will provide dementia education forums and caregiver training, which offers support group attendees in-depth training and education by skilled professionals by ,June 2*3 2005. PD ongoing 33. FamiliesFirst, Inc. & The Family Enhancement Collaborative will match grandparents and ether relative caregivers with a peer Kinship Mentor for short term, one-on-one support and case management services by June 2OW 2005. PD ongoing 34. FamiliesFirst, Inc. & The Family Enhancement Collaborative will work with the family to identify needs and develop a plan to address those needs by ,June 2003 2005. PD ongoing, 35. FamiliesFirst, Inc. & The Family Enhancement Collaborative will provide an intensive home-visitation component with meetings and/or phone calls twice a week by the kinship mentors by June 2003 2005. PD ongoing 36. FamiliesFirst, Inc. & The Family Enhancement Collaborative will provide information and assistance linking families to available community resources and will address short-term needs with direct emergency assistance for housing, transportation, financial and other needs by June 2003 2005 PD ongoing 37. FamiliesFirst, Inc. & The Family Enhancement Collaborative will accompany grandparents and relative caregivers to doctor's appointments, meeting with social service agencies, and parent teacher conferences to provide support during stressful periods and facilitate communication and interaction with the health care and school systems by June 2043 2005. PD ongoing 8/24/2004 34 38. FamiliesFirst, Inc. & The Family Enhancement Collaborative will assist grandparents and relative caregivers with information regarding legal options and provide support coping with the loss of a child and caring for the children's children by June 2083 2005. PD ongoing 39. FamiliesFirst, Inc. & The Family Enhancement Collaborative will provide for recreational activities, respite days, and support groups for caregivers by June 2893 2005. PD ongoing 40. Independent Living Resource will provide information and assistance to connect individuals in caregiving roles with current technology and services in the community by June 2002. (This is an OTO funding objective so the completion date is June 2002.) PD completed 41 . Independent Living Resource will assess individual needs through one- to-one meetings with caregivers, will conduct at-home site evaluations and link caregivers with appropriate sources for assistance by June 2002. (This is an OTO funding objective so the completion date is June 2002.) PD completed 42. Independent Living Resource will provide training to family members and others providing care for older persons on such topics as effective use of technology and/or services, problem-solving techniques, aid and personal care activities such as bathing, exercising, transferring and preparation of meals for special diets by June 2002. (This is an OTO funding objective so the completion date is June 2002.) PD completed 43. Independent Living Resource will research and purchase assistive living devices and equipment for demonstration and for the lending library by June 2002. (This is an OTO funding objective so the completion date is June 2002.) PD completed 44. Independent Living Resource will provide a benefits specialist to assess, provide information and advocate for caregivers to access programs that can provide the needed technology and service by June 2802 2005. PD completed 45. The AAA will design a training program specifically addressing the needs of an ethnically diverse caregiver papulation in Contra Costa County. This program is funded under the Title III E Family Caregiver Support Program. AAA will contract with Jewish Family and Children's Services (JFCS), acting as the lead agency, to provide the development 812412004 35 and design of a program addressing the training and educational needs of caregivers who exhibit cultural barriers to accepting assistance in the care of a family member. Caregivers from different ethnic cultures bring with them cultural stigmas about care giving responsibilities. They also lack specialized training and counseling on how to deal with the daily stresses of caring for a relative as well as lack information about the resources available to them by ,June 30, 2004 completed 46. A coalition of agencies, coordinated by JFCS, will coordinate outreach in the following communities: Laotian, Vietnamese, Latino, African American, Russian, Afghan and Philippine. Focus groups will be assembled to discuss the specific cultural needs for caregivers from these cultures. Based upon information gathered from these focus groups, a curriculum will be designed to address the needs assessed. This phase will be completed by June 30, 2003. completed 47. The Implementation phase (identification of caregivers and training provided) will be completed by June 30, 2004. completed 48. The AAA will participate in a project sponsored by the National Association of Area Agencies on Aging (n4a) entitled: Making the Link. This program is designed to work with area physicians to identify caregivers and link them with available services provided by the Human Service organizations of Contra Costa County. All phases of this project will be completed by June 30, 2004 2005. ongoing 49. The AAA will utililze Title III E FCGP OTO FY 03•-04 funding to expand services to grandparents by funding the West Coast Children's Clinic to provide counseling, support and respite to grandparents raising grandchildren through 2004. Completed 8/24/2004 36 3. Program Development and Coordination (P D, & C) Section 3. Status of objectives contains the AAA activities relating to program development and coordination for FY 03-04. "PD" or "C" is shown next to the correlating objectives. AAA. is able to provide millions of dollars worth of services, activities, and events to seniors in CCC due to the funding available for PD & C activities and the AAA staff utilizing 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. The collaboration efforts have resulted in assisting with the development and coordination of new Senior Housing Projects, new services such as Errand and Escort, Southeast Asian Project, Fraud Fighter Forums, Adult Day Care, Alzheimer's Conferences, additional exercise programs, and many special events. As a result of this coming together, AAA's ability to utilize PD & C funds has resulted in a decrease of duplication of services throughout Contra Costa County. 8/24/2004 37 4. Targeting By continuing to use funding available to the Area Agency on Aging (AAA), the agency is able to target and serve minorities in Contra Costa County (CCC). The County's ethnic demographic profile continues to include: African- American, Hispanic, Laotian, Vietnamese, Filipino, Russian, and Ukrainian, with a small percentage of Native American and Middle-Eastern elders. In compliance with the Older Americans Act and Older Californians Act, AAA continues to require its contractors to target and serve minorities and individuals with the greatest social and economic needs. This is part of their contractual obligation. AAA continues to provide intensive outreach and targeting in the community. Community liaison Staff (outreach workers) seek out diverse and hard to reach seniors by forming collaborative working relationship 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. Once again, AAA is committed to providing translation services (both written and spoken information) for the community at large and its contractors. The AAA Senior Information Newsletter Health Page is printed in English as well as Russian, Spanish, Laotian and Vietnamese. Our circulation of the Newsletter throughout the County is approximately 17,000. By increasing the number of presentations made this year to various community organizations and groups, the circulation of the Newsletter was increased. Also, we increased the distribution while attending social events for outreach and rapport building. Meetings were held with leaders from the Laotian, Vietnamese, Russian, and Latino populations in Contra Costa County to better understand their culture and needs. Jewish Family and Children's Services (JFCS) was contracted to assess the needs of caregivers from multi-ethnic populations including Laotians, Russians, Afghans, African-Americans, and Vietnamese. Following the assessments, JFCS completed the Cultural Diversity Caregiver Training a/2412004 38 Program this year. The Caregiver Training Program addressed the unique needs of caregivers from diverse populations. AAA staff and nutrition staff continued to meet with CDA and Mate staff to identify funding sources for new activities to be incorporated into Nutrition Cafes (sites) and Senior Centers, Also, AAA staff continued to help organize and participate in a series of Senior Information Mini-Fairs in East Contra Costa County. The Mini-Fairs, which offered health screenings and information about resources for seniors were well attended and attracted a large number of elders from the Latino community. This year, the Mini-Fairs were held in City of Pittsburg, Bay point, and Discovery Bay. AAA continues to work with United Laotian Community Development Inc., City of San Pablo, City of Richmond, Vilest Contra Costa County Senior Coalition and Lao Senior Association in the Southeast Asian Senior Access Collaborative (SEASAC), to provide services that address the needs of Southeast Asian elders. Due to language and cultural barriers, many Southeast Asian elders are isolated and unable to access health and human services. They stay inside their apartments and houses most of the time. They are afraid to go out by themselves because they do not speak enough English to communicate with the public. A grant awarded by The California Endowment enable the Southeast Asian Senior Access Collaborative (SEASAC) to provide culturally appropriate services that help improve the lives of Southeast Asian seniors. SEASAC provided case management, community outreach, information and referral, advocacy, and transportation services to help Southeast Asian elders overcome barriers to access health and social services. In addition, SEASAC continued to offer Social Clubs where elders can participate in cultural and educational activities including but not limited to, arts and craft, field trips, English as a Second Language (ESL) classes, and health education workshops. Once again, the InfoVan enabled counties throughout California to provide needed information and assistance to individuals in their community. In Contra Costa County, the InfoVan targets isolated, homebound seniors, and diverse population groups. The InfoVan traveled throughout the county to provide information about services, how to access them, and contact information for health and social service providers. 8/2412004 39 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 are available in other languages, including Laotian, Russian, Spanish, Vietnamese, Chinese, and Korean. This year AAA staff took the infoVan to senior centers, senior housing units, health and information fairs, and other locations in Contra Costa County where seniors congregate to disseminate information. The Active Aging Community Task Force, which was established during FY 2002-2003, has continued to meet monthly in order to further enhance and provide written material to seniors in CCC. The task force continued to implement effective interventions to reduce falls and fractures through strength training programs aimed at reducing the risks of failing in older adults. In April 2004, the task force in collaboration with AAA, John Muir/Mt. Diablo Medical Center, and Mt. Diablo Adult Education, held a highly successful day- long exercise event or conference called "Going Strong; Fitness Options After 50". The event consisted of a keynote speaker, who is a published author and authority on senior fitness. Also, numerous sessions were held featuring approximately 8-9 speakers that spoke on and provided demonstrations on Chair Exercises, Low-impact Aerobics, Water Aerobics, healthy Eating, Yoga/Meditation, Strength Training, Tai Chi, Walking/Stretching and Injury Prevention. Approximately, 150 seniors attended and requested that it be held on an annual basis. This year AAA staff has continued to participate in monthly telephone conference calls with the CDhS and other California counties with similar programs; attended two conferences in Sacramento, plus one Trainers Workshops; and worked with the UCSF, to take the lead in fiscal matters pertaining to the grant. Once again, a member of our AAA staff was honored in Sacramento by CHS and UCSF for her "dedication to the health and fitness of older adults and the Active Aging Community Task Force Project". To our knowledge, this is the first time the same person has been honored twice in a row. 812412004 40 Outreach Activities This FY AAA staff completed outreach to a multitude of places including the following: • Barber shops • Beauty Salons • Churches • Banks • Senior Center • Support Groups • Social Clubs • Fairs • Malls • Hospitals • Coalitions (3) • SHARE (2) • Senior Housing • Senior Nutrition sites/cafes • Ombudsman • Contra Costa Food Bank • Community Based Organizations (i.e. MOW, Nutrition Program) • Local TV station and radio station W24/2004 41 _. Service Units k6^r 4� '�^ ,�ui" � � ; Projected Actual 1 Personal Care (In-Home)* Coal Units of Service Objective #s 2. Homemaker (in-Home)* Coal Units of Service Objective #s 3. Chore (In-Home)* Goal Units of Service Objective #s 4. Home Delivered Goal 2 Meals Objective # 25 Units of Service 237,500 234,707 Objective # 33 5. Adult Day Goal 2 Care/Health Objective # 28 Units of Service 13,200 12,797 Objective # 29 6. Case Management (Access)* Goal Objective #s Units of Service Objective #s 8/24/2004 42 7. Congregate Meals Goal 2 Objective # 25 Units of Service 199,100 189,591 Objective # 33 `Indicates Title III-B Priority Services Projected Actual 8. Nutrition Goal Counseling Objective #s Units of Service Objective #s Objective #s 9. Assisted Transportation (Access)* Goal 2 Objective # 31 Units of Service 360 1298 10. Transportation (Access)* Goal 2 Objective # 34 Units of Service 55,090 6103339 11 . legal Assistance Goal 2 Objective # 24 Units of Service 3,500 71264 12. Nutrition Education Goal 2 Objective # 41 Units of Service 88 337 Information and Assistance Goal 1 13. (Access)* Objective # 1 Objective # 2 Goal 3 8124/2004 43 Objective # 12 Goal 4 Objective # 2 Units of Service 17,667 25,508 Objective # 3 *Indicates Title 111-13 Priority Services Pr9jected Actual 14. Outreach (Access)* Goal 1 Objective # 1 Objective # 2 Objective # 3 Objective # 14 Objective # 16 Gaal 2 Objective # 1 Objective # 33 Objective # 34 Goal 3 Units of Service Objective # 114 85 13 15. "Other"Title III Services Friendly Visitor Goal 2 14,040 19,627 Objective # 22 In Home Registry Goal 2 3,034 2,400 Objective # 21 Medication Management Goal 7 Objective # 11 (Service units not established or tracked for FY 03-04, bort is and will be for FY 04-05 8124/2004 44 Disease Prevention Goal 7 (Service Units not established or Objective # 1 trached for FY 03-04, but is and will be Objective # 2 for FY 04-05) Objective # 10 *Indicates Title III-B Priority Services 8!24/2004 4 Ombudsman Services (Title III/VII A) Goal 2 Objective # 23 Projected Actual Total number of cases to be closed N/A 1181 Training for Ombudsman staff and volunteers Number of sessions NIA 2 comprehensive + 10 In-Service Sessions Number of hours 16 hrslmo 16 Total number of trainees 30 16 Resident visitation (other than in response to complaints) Number of SNFs to visit 33 33 Number of RCFEs to visit 56 56 Elder Abuse Prevention (Title V11 S) Goal 2 Objective #s 24 Units of Service 45 46 F �+- aram Projected Actual 1 . SCSEP Goal # 2 Objective #s 36 # of slots 13 22 - 8/24/2044 46 Community-Based Services Programs Pro Title, C" osis.��nd t�b�ectives , Prcecfed 'Actu ►I Alzheimer's Day Goal #: 2 Care Resource Objective #s: 27 Center (ADCRC) 1. Caregiver Support Sessions: 12 12 2. In-service Training Sessions: 6 6 3. On-site Training Sessions: 4 10 Brawn Bag Program Goal #: 2 Objective #s: 30 1. Unduplicated Persons Served: 2000 1724 (Households -- some households include more than (1) one member) 2. Founds of Food distributed:_ 250.500 292.538 3. Volunteers: 140 139 4. Volunteer Hours: _ 5,000 _ 4,579 - 5. Distribution Sites: 17 17 Respite program Respite Registry 1. Unduplicated Clients: 2. Successful Matches: 8/24/2004 47 _. 3 P'r+btrarn Tine Goa[s ah Ob! Projected Atul Nan-Linkages Respite Purchase of Service 1. Families Served (Unduplicated): 2. Respite Hours Provided: Linkages Respite Purchase of Service Goal # 2 Objective # 32 1 . Families Served (Unduplicated): 35 56 2. Respite Hours Provided: 350 582 Linkages Goal #: 2 Objective #: 32 1. Annual Number of Unduplicated Clients Served: 136 140 2. Active Monthly Caseload: 100 90 Goal #: Foster Grandparent Program Objective #s: 1. Volunteer Service Years (VSY): 2. Volunteer Hours: 3. Senior Volunteers: 4. Children Served: Senior Companion Program Goal #: Objective #s: 1. Volunteer Service Years (VSY): 2. Volunteer Hours: 3. Senior Volunteers: 4. Seniors Served: $!2412064 48 p MOM r tw Health insurance Gaal #: 7 Counseling and Objective #s: 3 - 9 Advocacy Program (HICAP) 1. Community Presentations: 50 66 2. Attendees at Presentations: 2550 _ 2218 3. Persons Counseled: 1300 1118 4. Registered Counselors for the Year: 24 29 5. Registered Long-Term Counselors: 12 19 6. Number of Community Educators: 6 6 7. Active Monthly Registered Counselors: 22 24 HICAP Legal (if Goal #: 7 providing) Objective #: 8 Representation Services 8, Clients Served: 12 14 9. Hours: 85 133,25 9/2/2{104 49 �� � ��{{ z� a ,� I dif. - Projected Actual Outreach Goal 8 Objective # 12 Units of Service 6225 16,253 Objective # 18 Objective # 27 Community Goal 8 Education Objective # 11 Units of Service 205 628 Objective # 28 Information and Goal 8 Assistance Objective # 13, 36 Units of Service 531 51421 Objective #s 38, 40 Objective # 44 Comprehensive Goal 8 Assessment Objective #s 14, 19 Units of Service 417 335 Objective #s 29, 34 Objective #s 41, 44 Case Management Goal 8 Objective #s 20 Units of 1000 Objective #s 33 Service 5,770 8/24/2004 50 Projected Actual Transportation Goal 8 Objective # 36 Units of Service 675 0 Assisted Transportation Goal Objective #s Units of Service Objective #s Objective #s Counseling Goal 8 Objective # 15 Units of Service 268 338 Objective # 22 Objective # 30 Caregiver Support Group Goal 8 Objective #s 15 Units of Service 1205 389 Objective #s 22 -- Objective #s 30 Caregiver Training Goal 8 Objective #s 15, 23 Units of Service 439 612 Objective #s 32, 4 i 2 Respite Care Services Goal 8 Objective # 16 Units of Service 6840 11,315 Objective # 39 Minor Home Goal 8 Modifications Objective #s 40, 41 Units of Service 28 24 Objective # 43 8/24/2004 51 Pr9jected Actual Placement Goal Objective #s — Units of Service objective #s Homemaker Goal Objective #s - Units of Service Objective #s Chore Goal Objective #s Units of Service Objective #s Home Security and Safety Goal Objective #s Units of Service Objective #s Assistive Devices 'Coal 8 Objective #s 43 Units of Service 286 65 Visiting Coal 8 objective # 43 Units of Service 60 166 Horne Delivered Meals Goal Objective #s Units of Service Objective #s Legal Assistance Goal 8 Objective # 17 Units of Service 176 716 8/24/2004 52 Projected Actual Peer Counseling Goal Objective #s Units of Service Translation/interpretation Goal 8 Objective # 18 Objective # 25 Units of Service 60 30 Objective # 26 Income Support/Material Aid Gaal Objective #s Units of Service Objective #s "Other Specify" (Requires prior CDA Approval) Other. Goal Objective #s Units of Service Objective #s Other: Goal Objective #s Units of Service Objective #s 8/24/2004 53 � S c,ycy • r� -' X .�`,`�'r,{�.�t'"`•.'�3 vT�..��;. 4n.s, r�2 � .� � a r."'.�.N a - jry.t y� sat' y ,, r x .,..Pk'�-�3' b� �• �,�`:: t. 3 "`#' ?zit •s�fir' •sit gr I e �3 ''Ar a"� a -+.a� � t•.z `�`�<.. �.:: � r ` � ., *"' N,' x �'�. >�,xc �:k� �� �£ '�'sry�,5.N �• w wF e t� s., � }s•� +';' 'c ,r�}> a +a��,.0 '� ''�.:y� -�' t x,'�>a� „ k m•� ,:�Pr yy }�.1' :. .cx y ss v; w .f >�•^ae,+..Z,*: F v, .;5 t 'r ]yt s { 4'• � t ssr'i r. „'��,.+�y�r�ba s —.���� �.��F i"i � 'x�,� ,. �� � � r 4$ w:'.. �„`.T2...�:.r.�.•""`>t;x[:rYt.:o�r'� �r y�".``�-eft t }¢S..e:,.. �a''r� h. � x ) F$ �$ ening Lam) Y S i t g mead lots ► ` * xfi } r b r r That's what is in store if you accept this special invitation f to attend the Fourth Annual ^,y t +/&Mit ttg 9tea. f” 9mwvxw .9t(�y%d///c/// )}, SyVA�y�.//te (/fit/{ •�)i �)+'//V,/2gVV 4 f X V aA UU 2:3e V At Summit Center 2530 Arnold drive, Bay Room (First Floor) Martinez, CA ° The vivacious, dynamic and innovative Margaret Schultz will be j: The facilitator. Come and Create networks with others who share your interest } + Participate in "Visions of the Future„ Hear an update on Measure C and services for older adults. Be our guest for a light breakfast and lunch RSVP by September 2, 2004 by calling: Barbara Morrow at (925) 313-1841 Please RSVP as soon as possible as space is limited! y. :KV Aid' "Y ••+ t't K �1 � �J � `.,,mss ° •� � •o � -� � .� � � � � � � � � � ':: d `�-� � `wu �.�'4 �` i"'r � r,3 ,� SSS ``� •h� Ft ¢� �' ; .��a ."�4 � iY ` 65 Y wq+ zt cn CL 4 5,� `Mif }'l5. Ary A o-,.'Av� 5 •-_.. .c. l, IW LLJ V ► „" xx _... ......_.. _ .... . .. . ................. ....... ........ ...... ........ . The East County Senior Coalition t Presents a Senior Health & Information Mini-Fair at The New Pittsburg Senior Center Have lunch* at the CC Cafd and participate in the fair Health Screenings & .Education: • Blood Glucose (5 hr. fasting for accuracy) • Cholesterol (5 hr. fasting for accuracy) + Blood Pressure • Bone Density Social Services Information: + Transportation • Healthcare Coverage(Services and Medication) ? • Medicare Counseling • Social Security/SSI + Housing/Utility help dco x7u zasu + Food/Nutrition + Case management ` • Caregiving • Alzheimer's Disease & Memory Disorders Refreshments and much mare... ......... Tuesday, May 4, 2004 10:30a.m. -- 1 :30p.m. Pittsburg Senior Center 300 Presidio Lane For more information call (925) 439-4001 or (925) 978-2754 *Lunch reservations are required. Call 439-2136 to make a reservation. Tri Delta Flus Ws 380, 387 & 388 step at E. Leland & Harbor i Health Screenings provided by John Muir/Mt. Diablo Senior Services La Coalicio'n de Personas Mayores de la Tercera Edad del .Este del Condado de Contra Costa Presenta Feria de Salud e Inforrnacion de Servicios en el Nuevo Centro para Personas Mayores de Pittsburg Participe en la Feria y reserve* su comida/almuerzo con el CC Cafe Educacio'n y Examen de su Salud: Glucosa en la Sangre (5 hr.de ayuno para un mejor diagn6stico) j • Colesterol (5 hr.de ayuno para un mejor diagn,6stico) a • Presi6n en la Sangre Evaluaci6n en la densidad de los Huesos Ynformado'n de Servicios Sociales: • Transportaci6n • Cobertura de los Servicios de Salud y i Servicios de Medicinas + Consejos sabre el Medicare • Seguro Social/SSI + Vivienda y ayuda con la Luz, Gas y ,�1tyzO3tl A.gua + Nutrici6nlComida i Manejo de Casos Individuales A Cuidadores de Personas Problemas de memoria y la enfermedad de Alzheime's Refrescos y macho ma's............ Martes, 4 de Mayo del 20+04 10:30a.m. — 1:30p.m. I Pittsburg Senior Center 300 Presidio Lane i Para mds informaci6n flame al (925) 978-2754 6 Carlos E. Torres al (925) 518-4259 *Se require que reserve la comidalalmuerzu. Liame al 439-2136 para pacer su reservaci6n. � El Tri Delta Bus #'s 380, 387 & 388 para entre las calles E. Leland & Harbor Health Screenings provided by John Muir/Mt. Diablo Senior Services I ' The East County Senior Coalition Presents: AlAetheris tker Dementia V. Awareness Forum This forum will benefit caregivers, family members, or anyone facing the challenges that are part of caring for someone with forgetfulness, Alzheimer's Disease, or other related disorders. Come prepared with your questions and take advantage of the valuable information provided by our panel of experts! How to work with your primary care physician Forum Highlights: ❖ What does the diagnostic process look like? • 8:30a.m.Registration • 9:00a.m.Welcome and •:* What types of medications and treatments are Program Introduction. available? Emcee:Brenda Perry, Antioch Senior Center; Facilitator:Ruth Gay, ❖ Feel positive about your caregiving role Alzheimer's Association ❖ Planning for the future: how do you budget for care? 9:30a.m.Panel#1 Diagnosis& Tips on how to evaluate care, know your rights and Medications keep your loved one Safe Carole Bibeau,U.C.Davvis Alzheimer's Disease Center; •:• What is a Power of Attorney for Health? Do I need one? Rabin Bon-Fredericks, Kaiser Permanente. ................................_..................................................................... ......_...................'......................................_....................................... 12:30 p.m. Panel 2 • When: SaturdayAril 3 2004 Planning:Legal, Financial and Care Time: 8:30 a.m. to 4:00p.m. Options Where: Antioch Senior Center .Linda Fod.rini-johnson, 415 2nd Street in downtown Antioch Eldercare Services; Etta Maitland, Cost: $5.00 per person (Includes lunch!) Ombudsman Services; Registration: Please call (925) 978"2754 by Carol Sheridan, Information&Assistance; .March 31st and leave your contact Trudi Riley, information and number of people Elder Lav Attorney; attending. Brenda Helrnka, Translation Caregiver Services: Available in Spanish. Please indicate I • Facilitated Question need When mgjaterin�' hoTle. and Answer Sessions _..........._........................................_.._.._............................................,...................................-...._..._......_.............................................,................... Community Resource Room ETheCEU"s are availablefar professionals in thefollowing categories:RN, CNA,MFCC and LCSW(4 units). ost is x`20 and payment should be made to the Alzheimer's Association the day of event. '+� ,h a ��f � �d .� ?v��'..•. ,w rte, .: gy i,��. is '� ``'3 z s.: .� x -. +gip 4 • a`ai� ����;���` a�..�.. 6 � e x 3,���1d. 'k., ori t,x,* ?k ,s _:� �..y',. �"+r �{. 7��$ � ,y t� ` �. •n 1 I b z sr 1 ? You are cordially invited to join us for the Fifth Annual s . ' Caring Hands Volunteer Caregivers Program's s Appreciation Dinner P n„ 's y Thursday, February 26, 2004 - Z . from 6:00 to 9:00 p.m. t� y3A a Ball Auditorium t John Muir Medical Center x } 1601 Ygnacio Valley Road 'x Walnut Creek, California `.. RSVP by February 12, 2004 ` (925) 952-2999 � { "{ '�� ak `' t �' `*y,�{-�• yam i S � { yp #Fh - say q L1?0e6O7W Mod-ieald 6,01"acar Doctors 't,,-;w ,9,'aaC moo. . . Medical Center San Pablo/Pinole Tena California 4ZZ�A so,&O.r zz Senior Information and Health faire is for anyone who needs information and assistance with many.senior related topics. Senior Nutrition Program lunch provided $2.00 suggested donation age 60 and older. For more info call Peter Defabio at the Richmond Senior Center at 307-8085 or $ Arnie Kasendorf at 215.1113. • Going Stron9 Fitness Os After 50! 4�1. Workshops & Demonstrations ■ Low-impact Aerobics ■ Yoga / Meditation . Tai Chi • Water Aerobics ■ Strength Training ■ Dynaband Exercises ■ Healthy Eating ■ Chair Exercises ■ Injury Prevention Keynote Speaker on Exercise & Fitness Exercise & Fitness Exhibits Drawings for Free Classes, & More! DATE: Saturday, April 24, 2004 FREE lunch TIME: 9:30 a.m. - 2.30 p.m. for the Ist PLACE: Pleasant Hill Education Center 200 people 3100 Oak Park Blvd., Pleasant Hill to register! NO COST: Compliments of Active Aging Community Task Farce & Mt. Diablo Adult Education Free shuttle from Pleasant Hill BAIT, courtesy of Aegis. Coordinated by: Active Aging Community Task Force, Mt. Diablo Adult education, John Muir/Mt. Diablo health System, Area Agency on Aging &Adult Services For questions or exhibitor information contact Arlene Phillips at 674-2620 or Judith Sosnowski at 937-1530. Registration form & directions on reverse. La Coalicion de Personas Mayores de la Tercera Edad del Este del Condado de Contra Costa ' Presenta Feria de Salud e Informacion de Servicios en el Nuevo Centro para Personas Ma ores de Pittsburg Participe en la Feria y reserve's su comida/almuerzo con el CC Cafe Educacian y Examen de su Salud: + Glucosa en la Sangre(5 hr.de ayuno para un mejor diagn6stico) +� Colesterol (5 hr.de ayuno para un mejor diagndstico) + Presi6n en la Sangre + Evaluacion en la densidad de los Huesos I Informaci©n de Servicios Sociales: + Transportaci6n + Cobertura de los Servicios de Salud y Servicios de Medicinas + Consejos sobre el Medicare I + Seguro Social/SSl + Vivienda y ayuda con la Luz, Gas y ' Agua + Nutricibn/Comida f r + + Manejo de Casos Individuales i • Cuidadores de Personas + Problemas de memoria y la enfermedad de Alzheime's Refrescos y mucho mos............ Martes, 4 de Mayo del 2004 10:30a.m. -- 1:30p.m. Pittsburg Senior Center E 300 Presidio Lane Para mos informaci6n flame al (925) 978-2754 6 Carlos E. Torres al (925) 518-4259 *Se require que reserve la comida/almuerzo. Llame al 439-2136 para pacer su reservacidn. El Tri Delta Bus #'s 380, 387 & 388 para entre las calles E. Leland & Harbor Health Screenings provided by John Muir/Mt. Diablo Senior Services �jfi� .i , 1. : r ,rr I 00 Ito I I I I 11 11 . ? 11 "Id'' , - I , .11 - ,,,+y ��.,we, I . I -I'l 11 I I, --".".- .,- 2�' annual Senior' Night {hut ,1I1 with Polynesian %ntertainment by I. ` tle Island UVe r,. Thursday, May 20, x0 "I I,I 11I I I 1I I1I.1I.I I I I I11�I 1I.I 1-,I-II.-II.,,,I�.1--.1'1'--�.I 1I'1I1.I:�I1Il�..I1.�I'I.-11-rIlI,111l�.'1.-.,111-,:�":lI,III 1.1..-''�.1:I.1.11,I�,1-.',.-11I111.,-1�II.-.I11 I1�I,11.4�:I.:1-.I-1..:II1--,1-.,1.�I.-11I-I1I,-I-I1'--.1I1�III'1I1I-"I-II�.II.1-,.,.II II.-.,,I1--I11 1.-III--11 600 II p.mI-I. 1I1-1I-I1 Ri�hrnald 'C©nrrention CentI1,:,1:I II er 1,I11::,11:,-1.1"-.1I�.%11..I1-11,..:-1.1-.II1,.2.�.1I,.1..1.--,1'�-,..''.I1'-tI.��I-.-.-.-I,�'-,.'-I".�I-I'--I l1.I:I 1..I-1 .,,:,...;1--_-'"-:.,...,.;.,�-: - .-.,I.1'-II1,.1.1.-..',�,,11.,.1,.-,-.1.,"I..1I-,.'I..1 1l11.l 1.I1'lI 11II-,,I��.�l,.�:I,:"��:1II1,-�.�.I.:-,,,�,-�-,....._�.1.,-,---',:1..-7�-,,,-.:�.1:.'"�-1.-,:--, :1.,.1�",..-..1".�. + ' and Nevin Avenin .1I��.:.:.,1-`1I.-I1�-.1,II.�.,I-..-,,�I::I:1,���,,-I,--.�1-:.I.--�I,-��,:.,1�-.-::,�-.1�:�,,l.I-,7-,,.-;.1�,-�:,,:"--:1-�,,:.-.x:-c:,::.---�71.,.-,-.,-...1.1':-..1..�--'..:.::-..1�....1.1,,..-1.,-.-.1,....--..�1�.1,..I1..,-.�,-;I I%-:,-..:::,1..,,..:,.:.,-",.1.I..,I.'I-II..,-,I..'"...-:1�I-I11..I1�-.,-1-I--:,I.1.'1-.,:,.1 I I I...11-.,�111I ..',�I�": ",�,11.11���:�::I.,.:�e,I.-'.:.-i-...�-i:.I::,�,,:;.'":,�,:. .,.-�' - ' I .- Sponsored 1.b :]:,,I1..-��'�.-::"�::-;-r-,�.�.]::,,�1,;-. --.::-.:, --'. .. 'I-s -:-�,,�-- I I 1. 1 . 1-1 - 1- 1 - . 11 ' '.''ll - �1, --I -I I '- ' '. - - � I - , I I I '', . I'll , --.- I . . I 1 . I � I I - - . -.1 � -.1 " I" ." . - 11-1.1 1. 11. 1 , I -. 1-11 I 11--l-I ...11 - 11.1 I ' ' . -- ---;: �: :,:-, �, ." - I .1 , ... y the1. Rihm1.�nd Cc�m1. missrvn.1 - 1 11- 1 - 1-1 - I 1, - c�r� AgingI 'llI -I'll, -.;-:'.'---1 1: 11 .1-11 Please deth and roturn below Make piyable : Richmond Seniors'Night cul: Mail to: Seniors"Night Out-Commission on Aging . X230 h'lacdonald avenue, Richrrar►d, CA 9480 _. _ . �� .. x a� r 9. S 9 S �a• m Gree NAndneed n eScrt Yes . :.:. ca -. Y ti wish:tourha tb(e #0 sets, r y 4 :sll.eJ dSae! : ._ w� % ., reensedVO] haYloa :.. „ . m x Yscort . 91 �h ' rvir " e.srra s 7 9 ,ket g OU .� . }ot "tc � �4 et 4r ` 2 c,ki:ptand f r . b��k f - AlVCanrlve Q s ..., < ' nc� tri; ut �4 r s " `- fz ". h . �� � tkiV I.+ � 49 U;i, Iii h 3 , . ~ .. �+ Y x. a 9 9Rr bhi 3 k i J\.. � Z� 1 `1. f t • 1'IfJEi ] +4 ,h!YV ' J t h > �F 1 :y { 4�ya„,hj.it ry{{ h- s10 X15:1113 {Arnie IasendorF� f , '91 , s 51f60�fi3g2 (Recreation and.Parks ©epactmeritj �1 � �. tfi e F 3 99 9 99999 99999 999 99999 99999 9999999999.999 Do Or A,ppirectatloft Resource for Seniors and their families S p e fS M f r - t y i R'+ 'tL S$Z MwCay, M, 22hdY Wn, *M" F x Ambrose Recreation e r i 4_0 1+C�5 �V* low Pais Bay Potni Blood Glucose * Cholesterol * Blood Pressure * Bone Density "00.ttt ri lrie"i`Y..i�►� a/ tyF4 �w h;9 s .a^-4'�"F it Entertat',nm,ent, s �ry � sky �.�nS.' } h F2 :-��+g�'�bi��l�� .Sq t .'N R � Commun ty Re � rces f poi �, rug;tt X� This event sponsored by.. La Clinica, Bay Point Partnership for the Public's Health, Ambrose Recreation & Park District, Criterion Catalyst, For more information please ca11. Bay Point Family Health Center, Bay Point Family Ser- Carlos E. Torres, MA vice Center,Kaiser Permanente,Jewish Family&Chil- (925) 51 8-4259 dren"s Services of the East Bay,Give Always to Others& Ca.,'An Elderly,Wish Foundation Mis Amigos Markret, Del Valle Peoduce,La Finca Restaurant,and Jamba Juice. dear prize for first 20 seniors The Fast County Senior Coalition Presents a ' Senior Health & Information Mini-Fair at The lie Pittsburg Senior Center Have lunch* at the CC Cafe and participate in the fair Health Screenings & Education: • Blood Glucose(5 hr. fasting for accuracy) • Cholesterol (5 hr. fasting for accuracy) • Blood Pressure j • Bone Density Social Services Information: • 'transportation • Healthcare Coverage(Services and Medication) • Medicare Counseling • Social Security/SSI 'Y' & • H.ousingfUtility help ° • Food/Nutrition • Case management C 4t=� • Caregiving • Alzheimer's Disease& Memory Disorders Refreshments and much more............ Tuesday, May 4, 2004 j 10:30a.m. -- 1:30p.m. Pittsburg Senior Center 300 Presidio Lane For more information call (925) 439-4001 or (925) 978-2754 *Lunch reservations are required. Call 439-2136 to make a reservation. Health Screenings provided by John Muir/Mt. Diablo Senior Services I F � �► At Goin 9 Stron 9 V11 Fitness Options After 50 Workshops & Demonstrations w Low-impact Aerobics ■ Yoga / Meditation ■ Tai Chi • Water Aerobics ■ Strength Training ■ Dynaband Exercises ■ Healthy Eating ■ Chair Exercises . Injury Prevention Keynote Speaker: Karl Knopf, Ed.D. "Grow g StrongNot 0 ldr'* In a relaxed, approachable and entertaining style, Dr. Karl :Knopf will present sensible exercise programs that enable you to maximize your true potential. DATE: Saturday, April 24, 2004 TIME, 9.30 a.m. -- 3 p.m. FREE lunch for the 1 PLACE: Pleasant Hill Education Center 200 people 3100 Oak Park Blvd., Pleasant Hill to register'. # NO COST. Compliments of Active Aging Community Task Farce & Mt. Diablo Adult Education Free shuttle from Pleasant Hill BART, courtesy of A6gis of Pleasant Hill. Coordinated by:Active Aging Community Task Force, .Mt. Diablo Adult Education, John MuirlMt. Diablo Health System, .Area Agency on Aging &Adult Services Registration form & directions on reverse. i f 02 Come one come a Barbara Morrow, Community Liaison wit Aging & Adult Services, I&A Employment & Human Services Department Will make anumber of p►resentatiol.s about seniof services available to � semors in Centra Costa Bounty 1 Date : Saturday, April 24 2004, Time: 9:30 a.m.-3:00 p.m. 4 MAN (During the Going Strong Forum Place: Pleasant Hill Education Center 3100 Oak Dark Blvd., Pleasant R ► t ,; , Villa San Ramon hosts Senior Hand Fitness Fair Wednesday March 17, 2004 1.00 PM - 4.00 PM 9199 Fircrest Lane, San Ramon, CA. 94583 (925) 803-9100 � sr ' ' 'mics *Diabetes Self Management Training Massage/Aroma Therapy *Gratitude .helps .feat The .Flues Booths Health Screenings Health .Education Lif eLine Associations Blood .Pressure Pharmacy � � HearingTests .Nutrition Centers Podiatrist Fitness Centers ,..And More Massage ,speakers, Booths, Health Screenings! ! FREE ADMISSION Giveaways, Raffles and Refreshments License # 071441092 ell pittsbuxg-o y ss V-Oad 1 Ilt Cavil° fishes day ° b Loav Lunch Provided It .SOU vlow pR OPG loj? } � �,,� , + • ISK 0r LOSIN VT��E C. p��. AYR YpU ���,�.to r,OR �H Sv.RV.'cf-S ,gos„6444 � � �;I4 } L, yiCL'$j Celt " '�� LET Us N'��p for fineirgencV ��` Assistance ��1 t Genecai Furniture case Management t� s ak fi¢ }1 1oYrn nt Search t Mental health Care t, T Medical r-are u- L Food Kousing CONCORD TRANSCRIPT , THURSDAY, OCTOBER I6 20.0.3 Everyone s a ' we need t0 end via s 0 to improve senior :lifestyles, well-being EVERAL WEEKS ago I did riot provide any specific so- participated in a work- lotions for the seniors' many shop sponsored by the concerns, one thing is certain. Contra Costa County Area The workshop succeeded in Agency on Aging in Martinez. uniting senior coalition mem- I assume most everyone has .y bers and commissioners from attended a workshop at one West,Central, and East County time or another,but for those EIZO KOBAYASHI to examine senior issues collec- who haven't, allow me to prof- seniority tively and to set up a county- fer my definition of a"work- wide network to better serve all shop."It's a seminar for people participated and were ran- seniors living in Contra Costa. who hold a common interest to domly divided into small One of the workshop speak- share their knowledge and ex- groups,then given challenging ers emphasized that seniors are perience with the group. problems to solve and a chance living longer today,with those As a public servant,I partici- to feed their thinking back to 85 and older the.fastest-grow- pated in more than 100 work- the world group. ing population,and those be shops during my career.I en- Problems affecting seniors, tween ages 50-54 comprising joyed a few—but for the most such as transportation,hous- the second-largest increasing part I was"required"to go,so ing, medical care,and loneli- group. you can figure out why I hesi- ness,were addressed, and the That said,it's time we all tated for a moment when I re- conclusion from every group start to focus on the aging is- ceived an invitation to attend was the same:those are the sue and find ways to improve that workshop mentioned above. same problems "almost all"se- seniors' lifestyles,if for no The theme, "Partners in niors face, no matter where other reason than our own. Planning—Planning Today for they reside in the county. "The future is the past in Tomorrow,"sounded'interest- On a lighter note,the preparation."—Pierre Dac ing enough,and the fact that groups were all asked to com- senior coalition members and pose and sing compositions re- Eizo Kobayashi is a Concord members of the Commission lating to today's seniors.That resident and the immediate on Aging throughout the allowed them to show their cre- past president of the Concord county were being invited,bol- ativity and ability to work un- Senior Citizens Club.He can be stered my interest and assured der pressure as a team. reached at ccnweehlies@cc- that I would be in for a frust- Although the participants times.corn. rate exchange session. _ The workshop started right on schedule,which was the first good sign. Several speak- ers were listed on the day's agenda,and their talks were in- i formative and brief—another plus,which allowed the major- ity of the time to be spent in group interaction. About 40 people represent- ing all sections of the county A'APR t �O ,Qp 'WCq Please Join Us! A The Social Service Department Presents: Barbara Morrow 61t Community Liasion with Aging and Adult Services Contra Costa County OF A r 49", 4 ' F t. Wednesday, March 31, 2004 at INA 0:30 a.m. in the Multi-Use Room. cup Barbara will talk about senior programs offered in the community by Contra Costa County. Refreshments will be served'. ll 1 ""ate ,N {� �,} Q r v u 'fE '4 v