HomeMy WebLinkAboutMINUTES - 11062001 - C.182 5 t' Contra
TO: BOARD OF SUPERVISORS - ;
Costan
FROM: John Cullen, Director "
z
Employment & Human Services ment -___ County���K�C./gz
DATE: September 17, 2001
SUBJECT: APPROVE and AUTHORIZE the SUBMITTAL of the Contra Costa County Area Agency
on Aging Area Plan Year-End Report for FY 2000/2001 to the California Department on
Aging and AUTHORIZE the Chair, Board of Supervisors to sign the Letter of Transmittal.
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDED ACTION*
APPROVE and AUTHORIZE the SUBMITTAL of the Contra Costa County Area Agency on Aging Area
Plan Year-End Report for FY 2000/2001 to the California Department on Aging and AUTHORIZE the
Chair, Board of Supervisors to sign the Letter of Transmittal.
FINANCIAL IMPACT-
No fiscal impact.
BACKGROUND-
The
ACKGRO JND-The Area Agency on Aging (AAA) provides services for older residents of the County under the Older
American's Act (OAA) and Older Californian's Act (CAA). The 2000/2001 Area Plan Update proposed to
continue to provide through contract Congregate Meals, Home-Delivered Meals, Legal Assistance, In-Home
Services Registry, Friendly Visitor, Adult Day Care, Errand and Escort Services and Transportation under
OAA. OCA funding has allowed AAA to provide through contract Alzheimer's Day Care Resource Center
Services, Respite Registry, Brown Bag and Senior Companion Programs. In addition, AAA directly
provides Information and Assistance, Disease Prevention and Health Promotion Services, Linkages, and
Health Insurance Counseling Advocacy Program. The AAA continues to provide program development,
coordination, administration, and planning.
CONTINUED ON ATTACHMENT: ^ YES SIGNATURE: `
COMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
t
SIGNATURE(S):
ACTION OF BOAR N November 6, 2001 APPROVED AS RECOMMENDED XX OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
XX UNANIMOUS(ABSENT none ) 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 November 6, 2001
JOHN SWEETEN,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Conum ROBERT SESSLER 3-1605 ,r
cc: JOHN CULLEN - EHSD Q /
EHSD(CONTRACTS UNIT)- EB BY I W -,DEPUTY
COUNTY ADMINISTRATOR
SHARON JOHNSON/BARBARA MCNAIR,SUMMITT
AREA AGENCY ON AGING
s -
.4Y�•
tl�C .1 I3S 1001
TRANSMITTAL LETTER
The 2000-2001 End of the Year Report for PSA 7 is hereby submitted to the
California Department of Aging for approval. The (Governing Body) supports the
development of community based systems of care and recognizes the responsibility
within each community to establish systems in order to address the care needs of older
individuals and individuals with functional impairments, their families and caregivers.
1. (Signed
Chao erson, Gov ning Board Date
2. (Signed) ?& 7( 4/
Director, Area Agency on Aging Date
The Area Agency Advisory Council has had the opportunity to participate in the
planning process and to review and comment on the Area Pian.
3. (Signed))
Chairperson, Area Age y on Aging Date
Advisory Council
Please Note: The language used in this Transmittal Letter may also be used in
local resolutions required for transmittal of the Area Plan.
END OF THE YEAR REPORT
2000-01
PSA-7
CONTRA COSTA COUNTY
I
,y
COUl�
SUBMITTED
BY.- SHARON TOHNSON
DATE: August 30, 2001
H:Wrea Plan\END OF THE YEAR REPORT 00-01.doc rev.08/30/01
L NEEDS ASSESSMENT ACTIVITIES
The AAA organized, coordinated, and implemented a day of data gathering by
inviting local committees and commissions on Aging to participate in the planning
process. The objective for bringing the local committees and commissions
together was to discuss the obstacles and successes each local commission and
committee has had in the last fiscal year. Bringing the local committees and
commissions together was an empowering tool, because it promotes networking
and assists the AAA in determining service needs in each city throughout the
county. (Please see Attachment A.)
AAA is continuing to participate in the planning collaborative to implement joint
regional planning and program activities, including participation in the Contra
Costa County United Way/Hospital Council Collaborative Community Assessment
(Attachment B). The AAA Director and Planner participated in the Cabinet and
Steering Committees of the United Way.
AAA staff and the Housing Committee developed and implemented a survey and
evaluated senior care facilities serving persons with dementia. (See Attachment C.)
AAA staff participated in a Needs Assessment assessing seniors needs in West
County by collaboration with the West County Coalition.
HA.Ajea Plan\END OF TI4E YEAR REPORT 00-01.doc 1
08/30/01
Needs Assessment Activities
Methodologies, Data, &
Findings incorporated
into Area Plan
Priority Setting
Analysis of Needs
Assessment Data
Community Needs
Assessment
Resources
Staff
Determine Needs
Assessment Community
Methodologies Demographics
Economy
5-22-98 ap9899 needchrt.doc
NEEDS ASSESSMENT METHODOLOGIES
1989-1993:
• NINE PUBLIC FORUMS
• THREE REGIONAL MEETINGS
• KEYINFORMANT SURVEY
FINDINGS:
• TRANSPORTATION
• HEALTH ISSUES
• HOUSING
• IN-HOME CARE
• NUTRITION
• ELDER AB USE/AD ULT PROTECTIVE SERVICES
• COMMUNICATION, PUBLICITY, OUTREACH
• VOL UNTEERS
• PROGRAMDEVELOPMENT
• FUNDING OF NEW SER VICES
1997-2001:
• ANALYZED ALL OF THE SURVEYS AND
ASSESSMENTS FOR THE LAST FO UR YEARS
INCL UDING, WEST CO LINTY COALITION'S
ASSESSMENT, DELTA 2000'S COMMUNITY
FOR UM FINDINGS, UNITED WAY OF THE BAY
AREA, AND ALLEN PARDINI'S DEMOGRAPHIC
CENSUS DATA INFORMATION
• PRETESTED CDA 'S SURVEY, UTILIZED CDA 'S
SUR VE Y, AND UPDA TED THE KEY INFORMANT
SURVEY
FINDINGS:
• TRANSPORTATION
• MONEY TO LIVE ON = CDA SURVEY
• HEALTH CARE
• PROBLEMS DOING ACTIVITIES
• PROBLEMS WITHPERSONAL ACTIVITIES
• KEY INFORMANT SUR VEY.•
• TRANSPORTATION
• HOUSING
• HEALTH RELATED ISSUES
• ACCESS TO SER VICESICOMMUNICA TION
• IN-HOME CARE
• ISOLATIONAND LONELINESS
• LONG TERM CARE
3
199 7-2001 STATE PLAN IDENTIFIED NEEDS
THE 10 MOST IDENTIFIED AREAS OF
NEED
• ACCESSING SERVICES
• CRIME PREVENTION
• HEALTH CARE
• HOUSING
• INCOME
• INFORMA TION AND ASSISTANCE
• IN-HOME CARE
• LONELINESS/SOCIALIZATION
• NUTRITION
• TRANSPORTATION
s
IL STATUS OF OBJECTIVES
GOAL # 1:
1. Completed '98. C
2. Completed '98. C
3. Ongoing.
4. Completed '98.
5. Ongoing. C
6. Completed '97.
7. Completed '98.
8. Ongoing. C
9. Ongoing. C
10. Ongoing. C
11. Ongoing.
12. The Advisory Council recommended Adult Day Care (ADC)
contracts be renewed for FY00-01. Networking to increase ADHC
and ADC services is ongoing and becoming a stronger focus of the
Advisory Council `01. P.D.
13. Ongoing. PD,
14. Completed '98.
15. Completed '99. C
16. Ongoing. C
17. Ongoing. C
18. Ongoing. C
19. Ongoing. C
20. Completed '98.
HAArea Plan\END OF THE YEAR REPORT 00-01 Am 2
08/30/01
21. Caregiver Conference was held in East County in Oct. `99. PD
22. Ongoing. Scam Conferences were held in Concord (Oct. '99),
Walnut Creek (March '00), San Ramon (July '00), Concord
(Sept. '00), Oakland (May '01). All were well attended and
provided information on a wide range of concerns and local and
national resources. PD
22. Completed. The proposal was completed in July 1999; we were
not funded. PD
23. Completed `99. PD
24. Completed `99. PD
25. Completed `99. C
26. Completed `99.
27. Completed-implementation ongoing `01. PD & C
28. Completed & group has discontinued `01.
29. Ongoing. C
30. Ongoing. C
31. Completed `00. Retreat held Sept '00 and another planned for
Sept. '01. C
32. Ongoing. PD
33. Ongoing. PD
34. Ongoing. PD
35. Ongoing. PD
36. Ongoing. PD
37. Completed `00.
38. Ongoing. PD
39. Due to lack of staff and workload,we were unable to complete
this objective.
HAArea Plan\END OF THE YEAR REPORT 00-01.doc 3
08/30/01
40. AAA Staff worked with the U.C. Berkeley School of Social
Welfare to enlist MSW Gerontology Majors, however, because
CCC was unable to provide stipends, we were unsuccessful in our
attempts to enlist interns. PD
41. Ongoing. C
42. Ongoing. PD
43. Completed `01.
44. Due to complex program issues and staff turnover, comprehensive
program technical support and NAPIS data entry training were
provided throughout `01.
45. Ongoing. PD
46. Ongoing. PD
47. Ongoing. PD
48. Completed `01. C
GOAL #2:
1. Ongoing, as new facilities are built & data is revised. C
2. Ongoing. PD
3. Ongoing. PD
4. Ongoing. C
5. Ongoing. Committee is planning on do more in this area. C
6. Ongoing. PD
7. Ongoing. PD
8. Ongoing. PD
9. Not yet completed, though individual members have participated
in other such forums around the County. PD
HAArea Plan\END OF THE YEAR REPORT 00-01.doc 4
08/30/01
10. Ongoing. Currently working on a specific plan to approach the
City Council and Board of Supervisors with a boilerplate of the
Committee's position for policy development on Housing &
Transportation, including how they are linked. C
11. Ongoing. Looking at each City's housing element. C
12. The Alzheimer's Subcommittee of the Health Committee has been
working on the development and coordination of an Alzheimer's
educational forum to be presented September 26, 2001. C
13. Ongoing. Looking at Alzheimer's training for staff of assisted
living and SNF facilities. CCC California Senior Legislators
introduced this bill and it is in process. C
14. Ongoing. Speakers from these entities come to Advisory Council
meeting to present. C
15. Ongoing. Have been planning a concerted, written and personal
outreach to all transportation entities and to entities making
transportation decisions. C
16. Ongoing. Invited paratransit representatives to attend meetings
and be on committee. They do attend occasionally. C
17. Committee's first Measure C Position Paper promoted increasing
the percentage of Measure C funds designated for paratransit. C
18. Completed. Developed two measure C Position Papers: one on %
of transit funding and one on creating enforceable language for
the Housing Element `01. C
19. Ongoing. AAA staff will continue to meet with the Laotian
population to develop programs. C
20. Ongoing. C
21. Ongoing.
HAArea P1an\END OF THE YEAR REPORT 00-01.doc 5
08/30/01
22. Deleted — discontinued as a County Program.
23. Ongoing.
24. I & A was restructured to include intake responsibilities for
several CCC Aging & Adult Services programs, therefore, AAA
Outreach Staff has taken over primary responsible of
disseminating information to low-income ethnic minorities.
25. Deleted - not realistic for I & A.
26. Ongoing. PD
27. Ongoing. PD
28. Ongoing.
29. Ongoing.
30. Ongoing. C
31. Ongoing. C
32. Ongoing. C
33. Ongoing. PD
34. Ongoing. C
35. Ongoing.
36. Initial effort completed-ongoing follow-up. C
37. Completed `01— ongoing follow-up. C
38. Ongoing. PD
39. Completed `01.
40. Completed `01.
41. Ongoing — Forum planned for September 2001. PD
42. Ongoing - Liaison Report on agenda at monthly meetings: hosting
of speakers at committee and Advisory Council meetings `01.
43. Ongoing — Ombudsman attends Alzheimer's Subcommittee
meetings V.
HAArea PIan\END OF THE YEAR REPORT 00-0 Ldoc 6
08/30/01
44. Completed — follow-up will assist existing support workshops and
classes.
45. Ongoing.
46. Ongoing. C
47. Ongoing. C
48. Ongoing. C
49. Completed '01. C
50. Ongoing. C
51. Ongoing.
52. Ongoing. C
53. Ongoing. PD
54. Ongoing. PD
55. Ongoing. PD
56. Ongoing. PD
57. Ongoing. PD
GOAL #3:
1. Completed `98.
2. Ongoing. C
3. Ongoing (see Section III Targeting). C
4. Completed. All County Day planned and coordinated in both `00
& `01. PD & C
5. Ongoing (see Section III Targeting). C
6. Completed `01. C
HAArea P1an\END OF THE YEAR REPORT 00-01.doc 7
08/30/01
7. Completed `01. Goal of increasing average daily attendence to 16
from 14 was surpassed to 18 at year-end. Will continue ongoing
effort. C
8. Ongoing.
9. Ongoing. C
10. Ongoing. C
GOAL #4:
1. Completed `99.
2. Ongoing.
3. Completed `98.
4. Ongoing.
5. Ongoing.
6. Ongoing.
7. Completed `99.
8. Completed `99.
9. Ongoing.
10. Completed `99.
11. Ongoing. P.D.
12. Completed `99. P.D.
13. Completed `99. P.D.
14. Completed `9. P.D.
15. Completed `01& Ongoing. Community Online Resource Database
(CORD) is a collaboration between Contra Costa's Employment &
Human Services, Health Services, and Community Services
HAArea P1anNEND OF THE YEAR REPORT 00-01.doc 8
08/30/01
departments to provide staff, other professionals, clients and the
public with referral and resource data via the Internet. C
16. Completed `01. PD
17. Ongoing.
18. Ongoing. PD
19. Ongoing. PD
20. Ongoing. PD
21. Ongoing. C
GOAL #5:
1. Ongoing — Representatives of TACC and CSL are on the
Legislative Committee. C
2. Ongoing —This year, staff started meeting regularly with the
County Legislative Analyst for the California Welfare Director's
Association, focusing on senior-related legislation. C
3. Ongoing — Actively supporting Prescription Drug coverage
inclusion in Medicare and financial abuse protections. C
4. Ongoing. C
5. Ongoing —Focusing specifically on Olmstead and the energy crisis
as it effects seniors. C
6. Completed `01. C
7. Completed `01. C
8. Ongoing. PD
9. Completed `01. PD
10. Ongoing.
11. Ongoing (see #3). PD
HAArea Plan\END OF THE YEAR REPORT 00-01.doc 9
08/30/01
12. Ongoing. PD
13. Completed `01— however, is difficult to promote, due to the
complexity of the issue.
14. Completed `01. C
15. Completed `01. C
16. Ongoing —Transportation & Housing Committees meeting jointly
on this
17. Completed `01. C
III. PROGRAM DEVELOPMENT AND COORDINATION
Program Development and Coordination (PD & C) activities were included
in Section II. Status of Objectives, indicated by a PD or C next to the
correlating objectives. The AAA is able to do millions of dollars worth of
services, activities, and events because, the PD & C dollars are utilized to
leverage other revenue sources. By forming collaboratives, the AAA public
and private partners are able to use in-kind resources to further expand,
develop, and implement new services. Our collaboration have resulted in:
new Senior Housing Projects, new services such as Errand and Escort, many
special events, and less duplication of services through our ability to use
funds for PD & C.
14AArea PIan\END OF THE YEAR REPORT 00-01.doc 10
08/30/01
IV. TARGETING
The Area Agency on Aging (AAA) and programs funded through the AAA
continue to target and serve minorities in Contra Costa County (CCC). Our
County's ethnic demographic profile includes: Afro-American, Hispanic,
Laotian, Vietnamese, Filipino, Russian, and Ukrainian, with a small
percentage of Native American and Middle-Eastern elders. AAA requires its
contractors to target and serve minorities and individuals with the greatest
social and economic needs as part of their contractual obligation and
compliance in accordance with the Older Americans Act and Older
Californians Act.
We continue to provide intensive outreach and targeting to our community.
Our Community Liaison Staff seek out diverse and hard to reach seniors by
forming collaborative working relationships with other organizations and
groups, by making verbal presentations to a variety of audiences, and
broadly distributing brochures, pamphlets, and other printed information
about the available services.
Translation services continue to be provided for both written and spoken
information for the community at large and its contractors. The AAA Senior
Information Newsletter was printed over the past year in four languages
other than English: English, Spanish, Laotian and Vietnamese. We have
almost doubled our circulation of the Newsletter this year throughout the
County from approximately 2600 to 5000 by increasing our mailing list, the
number of presentations made to various organizations and groups, and
distribution while attending social events for outreach and rapport building.
HAArea PIan\END OF THE YEAR REPORT 00-01.doc 11
08/30/01
During this past year, we held meetings with leaders from the Laotian,
Vietnamese, Russian and Ukrainian populations in Contra Costa County to
better understand there culture and needs. AAA Staff attended Conferences,
which focused on planning for the needs of refugees in our County. We had
meetings and discussions with the Director of the Resettlement and
Immigration Services who represented the Jewish Family & Children's
Services (JFCS). The purpose of this concerted effort was to increase
understanding the functions of each agency (AAA and JFCS) and to
determine how we can best work together to serve refugees living in the Bay
Area. We continue to meet the needs of the Asian population in CCC
through the Nutrition Program by continuing to provide meals targeted to he
Laotian, Vietnamese and Filipino seniors. AAA staff and Nutrition staff
meet with CDA and State staff to identify potential funding sources for new
activities to be incorporated into Nutrition Cafes (sites) and Senior Centers.
AAA staff also participates in Cultural Awareness Day in East County
annually.
AAA continues to work with the United Laotian Community Development
Inc., City of San Pablo, City of Richmond, West Contra Costa Senior
Coalition and Lao Senior Association to assess the needs of it Laotian elders
and develop strategies and programs to address the identified needs. The
Collaboration's approach has been to engage service system administrators,
community leaders and elders in a meaningful dialog. A grant proposal was
submitted to and granted by the California Program to address the
Multicultural Health objective by creating community driven, multicultural,
HAArea Plan\END OF THE YEAR REPORT 00-01.doc 12
08/30/01
multilingual responses to the problem of health care access for the Southeast
Asian elder communities in all of CCC.
V. VULNERABLE ELDER RIGHTS PROTECTION ACTIVITIES
AAA staff continues to participate, provide technical support, and assist in
the coordination of the activities of the Contra Costa County's Fraud
Fighters Coalition. The function of this committee is to support the newly
formed Senior Fraud Fighter's Bureau by offering support, advice, technical
assistance, planning and development of the bureau, advocacy, and Fraud
Conferences presented Countywide. The Coalition is responsible for the
successful development of the Senior Fraud Fighter's Bureau due to its
diligent advocacy and hard work to involve the District Attorneys Office,
County Supervisors, and other experts, while providing technical assistance
to seek funding and develop of grant proposals. The Bureau provides
Countywide services and is housed at the Elder Abuse Protection Agency in
West County. The Coalition also provides advocacy and assistance by
developing and promoting legislative activities for increasing law
enforcement and protection for seniors who are/have been victims of fraud.
The expansion of outreach efforts to protect vulnerable elders by fighting
fraud have involved community collaboration and community education by
inviting experts to Contra Costa County Television's local cable channel
through the Senior Network show to get the word out about the latest scams.
H:\Ajea PIan\END OF THE YEAR REPORT 00-01.doc 13
08/30/01
The Registry Program continues to include training on identifying potential
abuse situations that are both physical and fiduciary for in-home workers.
The augmentation to services to the vulnerable elders has allowed the
addition of Legal staff to investigate elder abuse issues and to train the
community in recognizing potential abuse problems.
Ombudsman Services of Contra Costa provides mediation and conciliation
services in the resolution of inquiries and complaints from older long term
care residents and patients, to establish Family Councils for support of
families of long term care residents, and to investigate reports of physical
abuse of all dependent adult and elder residents of long term care facilities.
The contract stipulates that they are to provide services to 3,750
unduplicated individual clients, 10,450 hours assisting in complaint
investigation and resolution; and 140 hours of education and training
provided to clients, family members, and facility care providers. This last
Fiscal Year they surpassed their contract requirements with 10,505 hours
provided to 4,351 seniors.
HAArea PIan\END OF THE YEAR REPORT 00-01.doc 14
08/30/01
SERVICE UNIT PLAN — End of the Year Report 2000 = 2001
Note this Service Unit Plan utilizes the NAPIS (National Aging Program Information
System) Categories
Indicate the number of units of service to be provided with ALL funding sources, including federal,
State, USDA, program income, and local funds (i.e., list all units of service reportable through the
MIS). Other units of service cannot be added since only the units of service listed under each
program are allowable. . Programs identified should be funded in the budget.
The right-hand column titled Goals / Funds) provides the Area Agency with an opportunity to relate
each Title III and Title VII funded service/program to goal statements and funding levels. Use of this
column is optional. Area Agencies are encouraged to relate the listed source of funds to goals
identified either by name or number.
TITLE III Goals /Funds
# Program (Optional)
Projected Actual
1. Personal Care (In-Home)* Goal #
Units of Service
2. Homemaker (In-Home)* Goal #
Units of Service
3. Chore (In-Home)* Goal #
Units of Service
4. Home Delivered Meals Goal # 1, 2, &4
Units of Service 180,000 217,074 $1,019,179
* Total funding is split between a) Nutrition Ed.
b) Home Delivered Meals
c) Congregate Meals
15
Projected Actual
5. Adult Day Care/Health Goal # 1 & 2
Units of Service 23 39 $87,331
6. Case Management (Access)* Goal #
Units of Service
7. Congregate Meals Goal # 1, 2, 3, 4
Units of Service 173,395 192,265 $1,418,833
8. Nutrition Counseling Goal #
Units of Service
9. Assisted Transportation (Access)* Goal # 1 & 2
Units of Service 360 408 $10,000
10. Transportation (Access)* Goal #
Units of Service 65,000 63,243 29,000
11. Legal Assistance* Goal #
Units of Service 3,500 6,879 $128,817
12. Nutrition Education Goal #
Units of Service 150 201 28,990
13. Information and Assistance (Access)* Goal # 1,2,3,4
Units of Service 17,667 19,120 388,324
14. Outreach (Access)* Goal #
Units of Service
* Indicates Title III-B priority services
16
Projected Actual
15. Other Services
Visiting (hrs) Goal #
Units of Service 13,000 21,771 $22,800
Registry Goal #
Units of Service 2,500 4,200 $35,762
Title VII
Ombudsman Services $178,389
New Seniors 3,750 4,351
Compl/Inves/res hrs 10,450 10,505
17
ATTACHMENT A
Partner in Planning
Planning Today for Tomorrow
Agenda
10:00 -10:20 Registration and get acquainted
Review Resources and Displays
10:20 - 10:30 Welcome and Introduction of Participants
10:30 - 10:35 Introduction to Group sharing
10:35 - 11:05 Two 15 minute sharing segments
First, segment. Sit by Committees or
Commission or by Community.
Share what's going on in your community
that enhances the quality of life of seniors.
Comment on independent seniors, the
frail, the language isolated the disabled.
Choose a scribe for sharing later.
Second Segment. Discuss greatest
obstacles and challenges in your
communities for seniors, for families of
elderly, neighborhoods, the city, or town.
What would enhance the quality of life of
seniors? Prioritize your lists. Choose a
Scribe.
11:05- 11:50 Reports from the Groups
Share and Respond
11:50- 12:05 Senior Information and Referral Up - Date
12:05 - 12:20 Break to Prepare for Lunch
Minutes
Partners in Planning
Planning Today for Tomorrow Old
I
January 26, 2001
Sharon welcomed the group to the meeting at 10:00 a.m. At today's meeting,the
discussion will be about what to do for the community in terms of providing support and
how to best utilize resources. Sharon mentioned some of the things that have happened
over the last ten years--Fraud Fighters, Care Givers conference. Sharon discussed the
expansion of Adult Protective Services, MSSP and Linkages. She discussed the Central
and West County Coalitions and local committees on Aging. Support of in home
workers has been established through the development of the Public Authority. Today's
meeting is to assist in identifying planning needs the AAA can assist with in the
community.
Sharon stated that Kitty Barnes and Barbara Morrow are working with east county
seniors and grassroots organizations to develop a coalition in East County. The Advisory
County has a Liaison committee of members who work with staff to the members of the
Board of Supervisors.
At this point Sharon introduced Margaret Schultz, who was the facilitator for the
meeting. She stated that the meeting will be for the purpose of clarifying roles and
relationships, develop networks and share resources. At this point everyone present
introduced themselves, told where they are from and a secret about themselves.
The first group activity was to address the relationship with Area Agency on Aging.
What are key issues, priorities. Brainstorm ideas. Enhance communication, do
networking.
Ground Rules developed by the participants were as follows:
1. Allow equal air time
2. Withhold judgment
3. No side talk
4. Accept possible changes
5. Spokesperson
6. Use "I" experience
7. Don't give advice unless asked for
8. Stay focused
9. Have fun
10. Creative solutions
Margaret asked the participants to think about their relationship with AAA. What works?
What are the challenges?
Sharon gave each participant a copy of the Area Agency on Aging brochure.
The participants identified the following community issues: transportation, independent
living, affordable assisted living, demographics, cost of prescription drugs, guidelines for
senior housing, shared housing referral, homeless seniors, elder abuse prevention,
caregivers—number and quality, adult children, affordable housing/SSL spirituality,
appropriate medical care, alternative medical care. Other issues listed were assisted
devices for disabled, mental health services, research based.
Arnie Kasendorf stated that the Transportation Committee of the Advisory Council on
Aging has just joined the Housing Committee.
Earl stated that isolation and loneliness came up as top issues in a survey developed and
implemented in Concord.
Gil Shepard stated that spirituality and emotional issues are key to health. These link
with transportation. Another key issue suggested was education and outreach.
Top key issues were transportation, housing, isolation/loneliness, education/outreach,
prescription drugs and mental health.
Margaret asked each table to give solutions to each issue. New groups were formed to do
the brainstorming.
Sharon stated that the results will be incorporated into the four year Area Plan which goes
to the California Department of Aging. Kitty Barnes will do a presentation of the
information from today's meeting to the Advisory Council. Copies of today's material
will go to each committee of the Advisory Council.
The participants worked on housing, then worked on education/outreach. The
participants next worked on transportation, mental health, isolation/loneliness,
prescription drugs.
There was a comment made that sometimes service providers and key leaders have
assumptions around seniors needs. Bette Wilgus stated that there have been many
surveys done around senior needs.
Sharon stated that there is limited staff and volunteers to do surveys. The top ten
priorities have not changed over the years California Department of.Aging,just shifted in
priority. Sharon stated that she hopes AAA can do focus groups with student interns.
Beverly Kalmbach stated that the survey she presented was not well received because of
the time of the year. Could this be reconsidered?
Leon Morphew discussed ads on TV for prescription drugs. Sometimes doctors prescribe
drugs that are too expensive.
2
There was comment made that community needs to understand contributions older adults
make in the community.
Arnie Kasendorf talked about the survey the Laotian community did. A town hall
meeting will be held February 23 to address the top issues. West County Coalition is
hosting the meeting with Supervisor Gioia.
Don Williams suggested that a list be made of the services seniors provide in the
community(See Attachment A)
Margaret suggested that a list could be created at the break of the services seniors provide
in the community.
Arnie Kasendorf discussed the recognition lunch that RSVP holds for its volunteers.
There was a comment about Contact Care--seniors call seniors who live alone.
Arnie Kasendorf stated that the county needs a publicity person to publicize what seniors
do.
Sharon stated that one of the ways to get information out to the community is through the
Information and Assistance newsletter. Barbara Morrow stated that articles have already
been printed in the newsletter about Friendly Visitor program, Care Management, Meals
on Wheels, RSVP. Sharon stated that additional volunteer recruiting could be done from
the private sector utilizing persons who are getting ready to retire.
Birthe Kirsch asked how word could get to the isolated seniors? Sharon stated that often,
seniors don't know about a service until the service is needed.
Beverly Kalmbach stressed the importance of using Information and Assistance and
publicizing their phone number-1-800-510-2020. Arnie Kasendorf stated that the
number should be featured prominently on the front of the newsletter.
Margaret asked the participants to go to the blue handout,the middle page, "Two Ways
of Looking at the Same Problem". She asked that the participants take this back to those
they work with.
Margaret distributed handouts on strategic planning. "What is the final outcome"?
Decide milestone, decide what steps need to be taken. What are resources needed?
Margaret gave an example of planning a task. Communicate--get help.
Margaret asked how networks are created in the room? How are networks created
between their groups and AAA? She asked the participants to brainstorm ideas.
At this point the groups reported out.
3
Jerry Sharrock's group reported the following: Enhance communication, three coalitions
meet jointly at least once a year, address major county issues, encourage city
commissions to attend coalitions, continue annual partnership meeting, have liaisons
attend commission, coalition meetings, have liaisons meet with senior center directors,
have members from today's meeting attend coalitions.
Bette Wilgus'group reported: Add today's attendance list to SHARE mailing list. Have
representatives from each group meet once or twice a year to share information.
Teleconference from AAA website--1. Links 2. Page to list upcoming events. Hot line
for new programs, developments, ideas.
Arnie's group reported the following: Monthly meetings of coalition, yearly contact
using a list from newsletter,E mail. Have regular meetings of representatives from other
coalitions. Have mailings between coalitions to share what is happening in each area.
Have quarterly joint coalition meetings.
The Concord Commission on Aging table reported the following: Contribute to and read
I&A newsletter. Commissions on Aging expand their newsletters. Check city websites
where available. AAA staff share expertise in areas, such as planning. Exchange of
information on specific topics. Have tour of I&A program to see what information is
offered. Exchange ideas on fundraising, budgets. Work more closely with county
supervisors.
Leon Morphew's group reported the following: Include information from I&A newsletter
with AARP, exchange ideas.
Barbara Morrow stated that she and Sharon will review the notes from today's meeting.
Margaret will make revisions.
• The names and addresses from today's participants will be mailed out to those present.
Sharon reminded those present that if the community and constituents they represent
have any questions, please call the I&A toll-free number, 1-800-510-2020.
4
Key Issues
• Transportation
• Housing
• Isolation/loneliness
• Education & Outreach
• Prescription drugs
• Mental health
• Community awareness of senior contributions
Issues
Transportation
Independent living safety
Affordable assisted living (subsidized)
Demographics--where are seniors?
Cost of prescription drugs
Guidelines for senior housing--structural/facility, programs
Isolation/loneliness
Education & outreach
Assisted devices for disabled
Mental health services
Shared housing referral
Homeless seniors
Elder abuse prevention
Caregivers--paid (too few), quality
Adult children
Affordable housing/SSI
Spirituality
Continual education of services
Appropriate medical care (alternative)
Mental Health
Use mental activities to stimulate a more healthy outlook.
Encourage involvement with other people, groups and frequent activities.
Offef seminars to senior groups regarding mental health issues regarding
elder age groups.
Work with EAP/Crisis centers/police & DA's regarding senior abuse
problems. (Need better cooperation).
Provide mental health clinicians in each area of county.
Research on mental health needs in community.
Discuss issue more frequently.
Transportation to and from mental health centers and clinics.
Education on what's available in community.
Legal implications.
Access (timely) to doctors.
More stories-)�reduee stigma.
(Reagan--Betty Ford)
List of si ns--help families & caregivers recognize symptoms i.e. depression
Suggestions of"what to do", first steps
Outreach to places where seniors go
Emphasize non medical dealing with issues instead of pills
Support groups--patients & families
Effects of medicines--"side" effects, overmedication, interactions between
meds and alcohol
Outreach to shut-ins
TV series directed to shut-ins
Use shows from commercial TV that highlight mental health issues.
Dementia/Alzheimer's adoption by mental health or medical coverage.
Recognize correlation between mental health &.physical activities.
Housing
Reverse mortgage education and options
Co-op owned congregate living
Transportation services nearby
Built near business centers
Shared housing--list of suggestions on how it would work
Construction guidelines for senior housing via AAA to counties
Need developer who will plan/build senior housing(provide funds)
City planning & design review board to review guidelines
Understand city position on true senior housing
City councils--set aside percent for affordable senior housing
Keep focus narrow--something that can be achieved
More HUD type places
County should give cities senior housing goals
Resources for independent living
Build more affordable housing ways to keep current affordable housing
Goal of keeping seniors in own homes--aging in place
Find out what resources are needed by "economic gap" people--above SSI
but limited fixed income
Define what affordable housing is
Help create more subsidized housing--independent & assisted
Education/Outreach
Better spreading of already available information i. e. 911 (like), radio,
TV/get message to community about older adults & what they provide
Followup needed when seniors get information
Education on how to deal with technology
Advocate for seniors should be in every senior center
Caring neighborhood program
Ongoing
(Poster keep at front desk) I&R training to refer to 800-510-2020 for focal
points--all senior centers, churches, apartments, community centers, etc.,
police, NM's
Magnets with phone # sent with PG&E bill
Through Channel 25 (CCTV)/19/27 (city & county channels)
Networking with health care providers
Clarify Triple A terminology--glossary
Outreach to assisted living facilities
*Utilize senior centers/churches to spread information--organized, ongoing
effort working with AAA *A job description
Make this an "A1" priority for senior leaders--identify staff person to get job
done senior groups
More flyers
Better use of Internet among service groups
Expand outreach beyond usual suspects--Boy Scouts--Girl Scouts--
MacDonald's--Pacific Bell--Ser-vice Clubs--Barnes &Noble, Letter Carriers
(knows a lot of residents)
Road show to present&discuss infonnatio*n--ongoing/interactive
Isolation/Loneliness
Finding them--canvass neighborhoods
Meals on Wheels
Families--informing, surveying
County records--who has lived in same home 30+ years
Solutions
1) What's causing isolation?
--alcoholism
--depression
2) Community education--that this problem exists
3) Survey in tax bill
Work with health care providers
Promote volunteerism
Outreach through churches/synagogues, etc., priests, rabbis, ministers
Mobile book unit
Senior centers outreach
Meals on Wheels survey/take newsletter(report isolated senior)
Transportation to programs, centers & churches
Public relations
Newsletter on activities
Culturally sensitive assessment methods--tise what people will find (PG&E
bills)
Train gatekeepers--Meals on Wheels, police, fire, chaplains, emergency
response teams, neighborhood watch, buddy systems
Use interactive TV/radio/Intemet
Apartment managers-program to help identify isolated
Make community aware of needs
Use neighborhood watch
More support to Friendly Visitors, etc.
Build community
Prescription Drugs
Caution regarding TV ads, prescription drugs
Health care professionals talking at centers--pharmacists
Health fairs at senior centers
Individuals carry list of meds on person
Health bracelets/drug allergies
Take all drugs & vitamins to doctor appointments/herbals
Layman terms to explain prescriptions
Senior centers have drug information books available for members
Doctor need to give complete drug information when prescribed
Road show to share information
Political action--lobby
Advise doctors
Educate consumer
8004 to get advice on drugs (pharmacists man)
Contact by phone while senior takes drugs
*Continue to advocate for federal Medicare coverage of drugs
Education about discount opportunities
Caution with supplements and self medication with herbal remedies
Get help to obtain information about plans available
Use part of state surplus to give vouchers
Monitor what individuals take
How see doctor who is not covered for Medi-Cal, Get information about
simpified list of approved meds (approved by Medi-Cal)
Patient guidelines for what to think about when acquire & use prescription
drugs ss
Alert about what kills--plain English
Drug & alcohol interaction
Help with administration of meds
Alternatives to drugs--publicity, i.e. acupuncture, Chiropractor, homeopathy,
massage
Transportation
Vouchers
Better connections with county
One transportation system
Outreach & education
Bus shelters
Shopping center shuttles/other points
Senior vans to work within designated area
Voice opinions to county & state boards
Short term transportation to appointments/same day
Transportation specialist for seniors
Education on bus schedules & how to use bus
Affordable
Central organization to "pool" vans during free hours--time share--institution
State waivers on transportation "boundary" regulations
Extend times--past 3:30-5:00
Move to facility that has a van
Senior preference--survey
Back packs to transport
Connections between jurisdictions & systems
Central planning
Door to door--for frail (expand)
Sunday transportation*
Survey (mailed) for need
Taxi vouchers
Vans (buses) that go to supermarket doors
Senior volunteer drivers (expand)
Free transportation
Build neighborhood mom/pop groceries
Delivery for groceries, etc.
Advocate for more federal subsidy
Networking
Enhance Communication
• Three coalitions meet jointly yearly--address major county issues, share.
functions/process
• City commissions attend coalitions
• Continue annual "partnership" meet
• Liaisons to commissions/coalitions
• Liaisons to senior center directors (is there a senior center organization?)
• People here attend respective coalitions
• Monthly meetings--coalition
• Telephone contact using list from today & e mail (list serve)
• Newsletter--each coalition to share
• Regular meetings of representatives from other coalitions
• Informational mailings between coalitions to share what happening in
each area
• Quarterly joint coalition meetings
• Add today's attendee list to SHARE mailing list
• Representatives (one or two) from each group meet once or twice a year,
to share information
• Teleconferencing--phone tree
• AAA web site--1 . Links to coalitions 2. Page to list upcoming events
• Hot line--for new programs and developments, ideas
• Senior newsletter
• News from other newsletters and announcements
• AARP newsletters
• Contribute networking ideas to and read Senior Information
• COM exchange newsletters
• Check city websites where available
• AAA staff share expertise in areas such as planning
• Share points from today within our own "home" groups
• Exchange of visits to each other's meetings on a selective basis (i.e. on
specific issues to be featured)
• (Linda Anderson) Tour of Information and Assistance program could be
offered to senior leaders
• Exchange ideas on fundraising/budgets
• County supervisor--work more closely with
Summary of Evaluations
EVALUATION
PARTNERS IN PLANNING: PLANNING TODAY FOR TOMORROW
Facilitator: Margaret Schultz Date: January 26, 2001
1. What did you like about today? Examples:
--great organization& leader- realistic goals for today
--everything—So many of us sharing learning.
--remarkable
—great job(ideas exchanged networking, facility, food
--sharing- meeting people from different sections of the county
—good ideas
2. Was enough time allowed for activities during the day?
Yes 19 No 3
3. If you could change anything about the day what would it be?
-our supervisors should attend
—have one of AAA staff set the stage for continuing collaboration
—more time to network
—nothing- do more often
—very informative & well planned
—allow more time to put ideas on paper when in group
—add more time for reports on what individuals are doing
—not so much food
—follow up meeting to discuss printed materials
4. Would you attend again?
Yes 21 No 0_
Why or why not:
--good networking and information
--more sharing of information about our opportunities, priorities & solutions
--let's have these workshops annually
—it is ok - great
--more mixing of participants from different groups
ATTACHMENT B CONTRA COSTA COUNTY UNtTEDWAYINOSPITAL COUNCIL
COLLABORATIVE COMMUNITY ASSESSMENT
Cabinet&Steering Committee Members
Janice Anderson Catherine Giacalone Etta Maitland Robert Sessler
Program Coordinator Project Supervisor Executive Director Director
Neighborhood Youth Corps,Contra CCC Office of Education Ombudsman Services of Contra Costa County Office on Aging
Costa County Office of Education Contra Costa County
Joe Goglio Cymdi Simpson
Myrtle Ballard Community Services Director Ginger Marsh Director,Community Wellness&
Office Manager Contra Costa County Central Labor Volunteer,Contra Costa County Prevention Program,Contra Costa
California Employment Development Council Continuum of Care County Health Services
Department
Steve Graham Leila Marsh Belinda Smith
Kitty Barnes Director,Community Health Community Health Specialist CDBG Program Manager
Executive Director Partnerships Kaiser Permanente Community Development Dept.
Delta Community Services Kaiser Permanente County of Contra Costa
Jost Martin,LMFT
Neil Barth Teddi Grant-Adel Administrative Programs Manager Isiah Turner
President Director Contra Costa Mental Health Deputy City Manager/
Worldwide Educational John Muir/Mount Diablo Community Executive Director
Services/Private Industry Council Health Institute Robert McEwan Private Industry Council of Richmond
Central County Regional Office Executive Director
Janet Harden Housing Authority of Ed Valladares
Lynn Baskett West County Program Manager Contra Costa County Newcomer Coordinator
Regional Vice President Regional Occupational Program Filipinos for Affirmative Action
Hospital Council of Northern& Contra Costa County Office of Charlie McNeil
Central California Education Executive Director Maria Teresa Viramontes
Alcohol and Drug Council of Executive Director
Rosemarie Bell Alana Hogan Contra Costa County East Bay Public Safety
Deputy County Librarian Program Analyst Corridor Partnership
Contra Costa County Library System Department of Social Services Ralph Murphy
County of Contra Costa Managing Attomey John Wolfe
Tom Berglund Contra Costa Legal Services Executive Vice President
Director/Consultant Sharon Johnson Foundation Contra Costa County Taxpayers
Mental Health Association of Assistant Director Association
Contra Costa County Contra Costra County Office on Carol Newkirk
Aging Executive Director Catherine Zaharko
Linda Best YWCA of Marin,SF&San Mateo Director of Marketing/Corporate
Executive Director Ginny Keenan Counties Development
Contra Costa Economic Partnership Executive Director Doctors'Medical Center
Alcohol&Drug Council of Kathleen Odne
Brenda Blasingame Contra Costa County Executive Director
Homeless Program Director Dean&Margaret Lesher Foundation
Department of Health Services Julie Kelley
Contra Costa County Assistant for Program&Policy Yung Ouyang
Contra Costa County Health Services Researcher
Linda Chandler Asian Pacific Environmental Network
Deputy Director Jim Kennedy
Private Industry Council of Contra Director,Redevelopment Agency Joseph Ovick
Costa County Contra Costa County Community County Superintendent of Schools
Development Department CCC Office of Education
Linda Cherry
Representative Carolyn Krantz Steve Peavler
Contra Costa County Contractors' Pastoral Associate Program Manager,Children's
Alliance St.Peter Martyr Church Services,Contra Costa County Social
Services
John Cullen Mark Lachman
Director Associate Director of Development Deborah Pitts
Contra Costa County Social Services Rubicon Programs,Inc. Community Affairs
Alta Bates Medical Center
Eileen DeMaria Yvette Leung
Executive Director Food Security Project Coordinator Yvette Radford
Child Abuse Prevention Council Contra Costa County Community Community/Gov't Relations Leader
Wellness&Prevention Program Kaiser Permanente
Wayne Ernstrom
Chief,Social Work Services Christina Linville Rebecca Rozen
Veteran's Outpatient Clinic Division Manager Representative
U.S.Veteran's Administration Welfare Reform Planning Community&Government Relations
Contra.Costa County Social Services Kaiser Permanente
Kate Ertz-Berger
Executive Director Darien Louic Bertha Ruiz
Contra Costa Child Care Council East Bay Regional Director Program Manager
United Way of the Bay Area East Bay Works Career Center-
Brentwood
ATTACHMENT C
A Non-Medical Survey and Evaluation of Senior Care Facilities
Serving Persons with Dementia in Contra Costa County
The Purpose:
Prepare and publish a survey of facilities located in Contra Costa County, California that offer
residential care to older persons affected by dementia. The study would be limited to care
facilities that provide a 24 hour per day program 365 days per year.
The Need:
The incidence of Alzheimer's Disease and other forms of dementia is on the increase. From age
65 to 74 about three percent of the people have Alzheimers. The incidence increases to nineteen
percent for seniors 75 to 84 and to an estimated 47 percent for elders over 85 (Evans, D. A etal.
"Estimated Prevalence of Alzheimer's Disease in the U. S."Millbank Quarterly(1990)68:267).
For Contra Costa County this translates, in 1998, to over eleven thousand seniors afflicted with
various forms of dementia. The Association of Bay Area Governments has published current .
projections indicating the population of Contra Costa County will increase an additional seven
percent by the year 2000 and over twenty percent by 2010. As the 85+age senior is increasing
faster than the general population,the increase in seniors suffering from dementia will rise even
more dramatically.
At this time there is no governmental standard for a family to use as a guideline to determine the
quality, much less the adequacy, of a facility to care for a loved one with dementia. To compound
the matter, most family members are reeling from the impacts of the disease: trying to understand
what the disease is; how to deal with it and what to expect for the future of all involved . Most /
have little time or capacity to comparatively evaluate facilities that purport to serve the senior with
dementia. Currently, they must rely almost entirely upon their own resources to find and evaluate
facilities that may provide care and services they need.
A precise, reliable and independently prepared comparative analysis of facilities would prove
valuable to these families in their time of need. The State of California has volumes of
regulations on the minimum levels of medical care necessary in Skilled Nursing Facilities
(Nursing Homes and Convalescent Hospitals) and Residential care facilities for the Elderly
(Assisted Living and Board and.Care). The families are often interested in the non-medical
evaluation of the facility-those components that make a facility"home"instead of"a home"(for
example:a hospital may meet all medical standards but most do not consider it a pleasant place
to live.) The analysis would include objective information obtained from each facility. Each
facility would also be reviewed on subjective issues to further define the living environment. It is
anticipated that these subjective observations, when combined with the more statistical objective
information will present a fuller picture of the environment for the potential resident and their
family. The evaluations would be non-medical, that is, prepared by an informed and sensitized
team of individuals who evaluate each facility on objective and subjective basis from the eyes of
an informed buyer, but not a medical expert.
The.Study
The study would address the many aspects of concern of the families, including:
Objective(Factual)
General
Size and type of facility.
Care delivery structure(medical or social model, or other distinctive constructs).
What level(s)of dementia does the facility provide care for?
Licensure
Safety
Systems and design incorporated in the facility.
Facilities to permit safe wandering.
I
Medical
Size, composition and certification criteria of medical staff.
Administrative and medical supervision of staff.
Program
Availability, frequency of activities programs.
Is respite care available?At what cost?
Is hospice care available?
Nutrition
What is the daily nutrition program?
Are special diets accommodated?
Financial
What are the charges for facility? What is included in the quoted costs?
Are various types of accommodations available?At what cost?
Are unused pre-paid days refunded?
What is the facilities discharge policies?
i
Subjective(Observations)
General
Is the facility clean, odor free?
How"new"are the facilities?
Is the facility appropriate for the frailty of the residents?
What is the overall atmosphere of the facility?
Safety
Do the residents look well cared for?
Are there apparent hazards that the residents must negotiate?
Is the facility prepared for wandering residents?
Medical
Does the staff show"caring"?
How does the staff communicate with the residents?
Does staff allow resident privacy and choice?
Program
Are the residents active?
What is the quality of activities programs?
Are there other services provided that help families cope?
Nutrition
Is the food appetizing, tasty?
Is there choice?
Financial
What is the likelihood of incurring "extra"charges on a regular basis?
The Process
1. Define dementia(medical and as used by caregivers)
2. Determine issues to be evaluated.
3. Determine scale of evaluation for each issue.
4. Identify facilities operating in study area that meet study's facility definition.
5. Survey minimum of 3 facilities(site visit and phone surveys for each).
6. Review sample results and modify survey as necessary.
7. Determine channels for distribution of final report
8. Survey identified facilities(site visit and phone surveys for each).
9. Compile data.
10. Perform follow-up to fill voids in data.
11. Prepare final report.
12. Publish report
The Study Preparer
Michael Dugan has been involved with senior issues for over twenty five years. He practiced
architecture and was a principle of a multi-disciplined firm where he focused on housing,
particularly senior housing and facilities for the developmentally disabled. He became sensitized
to the special needs of people who have capabilities different than the general population.
Working with non-profit developers he helped create housing for women with AIDS and senior
housing for very frail seniors. He helped forge an alliance between affordable senior housing and
i
i
I
i
affordable medical services,creating assisted living (of sorts)for a very frail, very poor population
in inner city Oakland, California. Mr. Dugan is currently pursuing creation of modest cost assisted
living in the Bay Area. He also is an active member of California Association of Housing and
Services for the Aging, Contra Costa County Advisory Council on Aging and its Housing and
Legislative subcommittees. He is a resident of Orinda,California and a member of the Orinda
Design Review Board.
. I
I
i
I
I
I
CONTRA COSTA COUNTY MINUTES
ADVISORY COUNCIL ON AGING MARCH 17, 1999 MEE
Muriel Clausen called the meeting to order at 9:35 am. Gerry Witucki led in the Pledge of
Allegiance.
Sally Shultz took the roll.
PRESENT: Debbie Card,Reva Clark,Muriel Clausen,Cathy Demut,Margaret Dowling, Bonnie
Eisenberg,Trevor Evans-Young,Dan Freudenthal, Cordelia Hardy,A. C. Hollister, Ora Jackson,
Arnie Kasendorf,Bill Kendall,Alberto Lemos,Edith Loewenstein, Ilene Lubkin,"Leon Morphew,
Norman Nelson,Nick Rodriguez,Phil Saxton, Gerald Sharrock,Sally Shultz, Paul Takayanagi,
Ramon Taraya,Patsy Welty,Gerry Witucki.ABSENT/EXCUSED: Murray Bishop, Michael
Dugan, Rudy Fernandez,Lou Ferrero,Andrew Newcomer,Gene Wolfe. GUESTS PRESENT:
Janice Compton,Audrey Pite,Lupe Monterrosa,Barbara Lessegna, Christine Kolaites, Helen Hall,
Joan Carpenter,M.C.Christi,Thongsoon Phutharme,Bounthong Karnsenvogi, Bonaypha
Taminaly,Phanh Phongkia, Phanh Boutang, Dorothy Clinton,Maxine Concepcion,Kathryn
Robertson,Natalie Zarchin,Dorothy Fowler, Gil Shepard,T. Gillen, Walter Bank, Laura
Takovchi,Linda Rodini,Hakeim McGee,Deborah Janke,Gary Tatpaporn, Linda Thaxter,Georgia
Stockton, Loren Cole. STAFF PRESENT: . Bob Sessler,Sharon Johnson,Judy Weitzner, Kathy
Radke, Peter Koster, Barbara McNair,Karen Gregory, Ruth Goodin,Kitty Barnes, Linda Schaefer,
Leah McIntosh,Bette Wilgus.
Subject Discussion Action/Who
Agenda The agenda was approved.. MSP (Evans-
Young/Jackson) to
approve the agenda as
submitted.
Minutes The minutes for the February meeting were approved MSP (EvansYoung/
as corrected. Freudenthal)to approve
minutes following
corrections. Show Maggie
Dee as present. Mr.
Kasendorf should be
added to Housing
committee on attendance
list..
Correspondence Sally Shultz read the correspondence. Muriel stated
that Trevor Evans-Young received a certificate of
appreciation for his contribution to the Medicare
education program.
Inez Nichols resigned from the Advisory Council.
On Friday,May 7 from 9 a.m. 3 p.m.a meeting on
Immigration Rights will be held at the Plumbers&
Steamfitters Hall in Concord. .
_2_ i
Subject Discussion ActionfWho
Consent The consent calendar included a letter to Supervisor MSP(Evans-Young/
Calendar Uilkema inviting her to the roundtable discussion on Freudenthal)to approve
April 21 at 1:00 p.m. The consent calendar also consent calendar.
included the treasurer's report..
Committee .Muriel reported that the Silver Haired Congress met in
e its Washington,D.C. Contra Costa County has a
Legislative proposal that is#5 priority--requiring geriatric training
Advocaa in medical schools. Alameda County has#3 priority.
Health/Mental Dr.Loewenstein reported that the next Health
Health committee meeting will be the second Thursday,next
month with speakers on health-related topics.. .
Housing The next Housing committee is Thursday,April 8 and
will include a tour of the Concord Royale. Kitty
Barnes reported that the Housing committee will start
meeting on the first Thursday of the month, 1:30 p.m.
beginning in May.
Last month the committee toured Columbia Park
Manor in Pittsburg.
i
Planning Leon Morphew reported that the Planning Committee
received a report from Barbara Morrow on various
contracts. Barbara Morrow will be monitoring federal
contracts,and Barbara McNair will be monitoring state
contracts.
Ung Term Dr.Hollister reported that the Long Term Care
Care Coordinating Committee Task Force had an item on the
last Board of Supervisors consent calendar. The task
force will develop a community based long term care
plan. Social Service Department and Health Services
will jointly apply for a planning grant from the State.
Kitty Barnes reported that the Long Term Care
committee is planning a caregivers conference in
October. The committee is looking for volunteers to be
on the committee to plan the conference. The
subcommittee will meet Friday,April 2 at 9:30 a.m.
Transportation Gerry Witucki stated that he is on the paratransit
committee. The Pleasant Hill Senior Center is applying
for a van.
-3-
Subject Discussion Action/Who
utrition Ora Jackson stated that the waiting list for home
delivered meals varies from month to month At the
present time the following are on the waiting list: El
Sobrante-7;Central County--101;Pittsburg-5.
Nutrition will be celebrating its 25th anniversary on
April 22.
CoalitionsGerry Sharrock reported on the Central County
Coalition. At the February meeting representatives
from Elder Abuse Prevention reported on advance
directive banking.
Muriel Clausen reported that the West County
Coalition is meeting today to hear the Public Hearing.
Bob Sessler reported that the work of the In Home
Supportive Services(IHSS)Implementation Team was
completed on March 4. A report was presented to John
Cullen,who will make a recommendation to the Board
of Supervisors. The Board will take final action by the
end of April. By July 1, staff and the registry will be
up and running.
The reauthorization of the Older Americans Act is
looking more optimistic.
Membership Patsy Welty reported that the Membership Committee
interviewed two candidates. At that time the Council
was full. Since then a resignation has been received.
One of the candidate's names will be sent to the Board
for approval.
Kitty Barnes stated that in February the Housing
committee had a joint meeting with the Long Term
Care committee. Ombudsman Program representative
met with the two committees. Kitty suggested that the
Advisory Council invite Ombudsman Program
representative
Public Hod= Gerry Sharrock opened the public hearing. The
1999-2000 Area purpose of the public hearing is to allow public input
Plan U ate on the information. During the question period,the .
time limit for each speaker is two minutes. He
introduced Bob Sessler,Director and Sharon Johnson,
Planner.
-4-
Subject Discussion Action/Who
Sharon Sharon went over the Older Americans Act contracted
Johnson, services which include Ombudsman,Congregate
anner Nutrition,Home Delivered Nutrition,Home Visiting,
In Home Services Registry,Transportation,Legal
Services,Adult Day Care,Brown Bag Program,
Alzheimers Day Care Resource Center, Senior
Companion,and Respite Registry.
Office on Aging is going to bid for Alzheimer's Day
Care, Brown Bag,Home Visiting,In Home Services
Registry&Respite Registry,and Social Day Care.
The services that the Office on Aging provide directly
include Information and Referral, Health Insurance
Counseling and Advocacy Program, Linkages and
Respite Purchase of Services.
Office on Aging other activities include Program
Development,Coordination,Administration.
Older Californian's Act services include Brown Bag
Program,Alzheimer's Day Care Resource Center,
Senior Companion and Respite Registry.
Outreach/Targeting—A requirement is in the RFP that
agencies providing service must adhere to.
There are seven goals in the Area Plan. (see handout)
Community Service Areas and Focal Points--including
activities of such groups as West County Coalition,
Central County SHARE group and others.
Estimated Seniors to be Served and Estimated Units of
Service to be Provided(attached to the 1999-2000 Area
Plan Update)—Office on Aging will be going to bid for
most services.
Bob Sessler, Bob went over the budget for 1999-2000. There are
'rector two sources of funding: federal and state government.
Title IIIB—$593,947;III administration—$223,390,IIIC
Nutrition—$1,007,418; IIID In Home—$25,237;IIIF
Health Promotion&Disease Prevention—$40,889;III
Support for Ombudsman—$13,316;VIIB Elder Abuse
Prevention—$12,828;USDA—$183,935. Total:
$2,105,440.
State Revenue: State Administration—$162,153;
I-HCAP—$87,286; Older Californians Act—$387,612.
Total: $639,051.
-5-
Subject Discussion Action/Who
Bob went over the contracted services—Ombudsman—
$89,606;Congregate Nutrition—$786,596;Home
Delivered Nutrition—$487,238; Home Visiting—
$22,800;In.Home Services Registry—$35,762;
Nutrition Transportation—$26,000; Legal Assistance—
$77,817;Social Day Care—$63,975;and$10,000 as yet
to be determined. One of the programs that has been
considered in an escort shopping service program.
Office on Aging services: I&R—$298,642; Disease
Prevention/Health Promotion—$40,889;Program
Development—$29,842; Coordination--$36,991;
AdministrativelAdvocacy—$223,390 and In Home
Service for Frail at Risk Clients—$38,045.
Federal government requires that 50%be spent on
access services, 11%on legal services and a minimum
of 8%on in home services.
State funding includes programs under the Older
Californian's Act: Senior Companion--$89,867;
Brown Bag—$18,615;Alzheimers Day Care—$80,000;
Respite Registry—$8,000. $900 goes to Napa/Solano to
cover administrative costs for their Brown Bag
program-
Administration—$33,272; Linkages—$152,231; Respite
Purchase of Services—$4,727 and HICAP—$87,286.
Case management will be provided through MSSP
program, Linkages Program,and APS program.
Questions from Margaret Dowling asked if any.money from Title III or
Audience state funds are going to IHSS Public Authority
Registry? Bob stated that they are not. Bob stated that
nothing would prohibit this.
Maggie Dee also asked about HICAP brochures. Is
there money to re-publish the brochures to include
funding for younger disabled people? Bob stated that
the office will come up with a plan to do this.
Question was asked regarding the Bidders Conference—
when does this occur? There are two bidders
conferences on March 22. From 10:30 am. - 12:30
p.m. is for Older American Act programs,and 2:30
p.m. -4:30 p.m. is for Older Californians Act services.
i
-6-
Subject Discussion Action/%o
Walter Bank from Senior Legal Services asked if there
is anything different with the service delivery? He also
asked a question about the goals in the Area Plan. He
said they are very broad. He asked if there are any
--subgoals? He also asked if it would be possible for.
Contra Costa Senior Legal Services to provide legal
services to the other contractors?
Bob stated that in answer to the first question,there are
significant changes in the range of dollars for long term
care case management which enables office on Aging
to serve disabled and elderly clients. In answer to the
second question about the Area Plan Goals, Specific !
Objectives are listed with each goal. Sharon stated that
the objectives are very specific and time limited.
Sharon does a year end report which is sent to the
Board of Supervisors and California Department of
Aging regarding outcomes of the goals and objectives.
Bob stated that in answer to question#3,the only type
of legal services are client centered services. Individual
services could use the legal services.
I
A question was asked by Sandy Medvedoff from
Diablo Valley Foundation—How long will it be until
staff is hired for Multi Senior Services Program,
Linkages,Adult Protective Services and the program is
up and running? How long is the commitment for
funding for the programs?
Bob stated that the office is in the process of hiring
case management staff. Four social workers,public
health nurse and supervisor have been hired for MSSP.
During the period April 1 -July 1,the program will
obtain the 200 clients needed for the program. For the
Linkages program—the office is in the process or hiring '
additional case worker. For the APS program,
interviews will be scheduled soon. The level of
funding right now is$700,000. The committed level
won't be known until the state budget is adopted.
-7-
Subject Discussion Action/Who
Trevor Evans-Young asked about the funds under
Administration/Advocacy. Is it possible to adjust this?
Bob stated that$2.1 million dollars is augmented by a
million dollars in local matching resources. Also
$300,0004400,000 in meal contributions is received.
Bob stated that for administrative services, the county
matches at 25%. For program development,
coordination and supportive services,the county
provides a 10%match.
Trevor asked if any inkind funds or resources are
included? Bob stated that for the current year$227,000
is received in cash match,and.an additional$158,000
in in-kind contributions from community agencies.
The amount of grant related income is$669,000.
Sharon stated that this goes back into the program.
Question was asked regarding outreach to minorities
and low income seniors. What kind of outreach is done
in communities that can't access because of language
barriers?
Sharon stated that outreach is done to diverse
populations. Also brochures are printed in different
languages. Department has a contract with California
Translation Services and Center for New Americans.
Sary Tatpaporn of Asian Family Resource Center
stated that Asian people from Laos and VietNam in
North Richmond need help with English and becoming
U. S.citizens.
Dorothy Clinton read a paragraph of a letter from K. G.
Dorosz. Ms. Dorosz spoke about the$70,000
previously awarded to provide case management
services. Will any Older American Act funds be used
for case management?
Bob stated that no case management services will be
provided directly by Older American Act funds
because of additional new funds in APS,Linkages and
MSSP. Bob stated that the Office on Aging is still
committed to the national priority of 50%for these
access services.
Mrs. Clinton asked if there will only be 200 people
served under the program? Bob stated that the 200 is
for MSSP only.
i
Subject Discussion Action/Who
Arnie Kasendorf asked question about mandate for
minorities and low income. He stated that he doesn't
see outreach in his community. Sharon stated service
providers are encouraged o utilize county translators to
have brochures translated into different languages.
AAA has coordinated with other agencies and provided
bilingual family conferences. AAA staff also
participates on cultural diversity task forces.
Question was asked by Laura Takeuchi from Japanese
American Services of East Bay—She asked what
languages the brochures are printed in?
Sharon stated that service providers have been hired.
All service providers are mandated to serve minorities
and those of low income. Languages that brochures are
printed in include Spanish,Tagalog, Laotian,
Vietnamese and Farsi. i
A member of the audience stated that outreach includes
more than printing information in different languages.
There is a missing link between the community and the
services.
Sharon stated that she will take the information to the
Planning Committee and the Advisory Council. i
Judy Weitzner stated that I&R can make presentations
on different topics. I&R can be'reached at 1-800-510-
2020.
Public Gerry Sharrock reminded audience members of the two
Comment minute time limit.
Mr. Tatpaporn stated that most younger families are
working and fewer parents stay home with older
parents. Most of the older Asian people do not speak
English. He recommended that these issues be
integrated into the Plan.
Question was asked regarding Asian/American Islander
seniors--there needs to be a method of providing
services for transportation to the entire county. It is
difficult for ethnic providers to provide services with
Older American Act dollars. Language barrier for
seniors isn't only problem,there is a cultural
difference.
Loren Cole,Executive Director,Senior Outreach
Services distributed a two page handout. Dr. Cole
stated that he feels the case management program
provided by Senior Outreach Services is more dollar
effective than the programs operated by the county.
Subject Discussion Action/Who
Walter Bank, Senior Legal Services requested the
$10,000 in the"as yet to be determined"category be
allocated for Senior Legal Services.
Deborah Janke, West County Adult Day Care—She
commended the Advisory Council on their
recommendation to provide$63,975 for Social Day
Care.
Dorothy Clinton backed up what Walter Bank said
about Senior Legal Services needing more funding.
Audrey Pite spoke in support of Senior Outreach
Services. She spoke regarding the impact of losing the
Geriatric Unit.
Georgia Stockton from Senior Outreach Services stated
that she is glad that MSSP has the component with
Linkages. 20%of SOS clients are not eligible for
MSSP and 30%are not eligible for Linkages. That
leaves 49%that will fall through the cracks. She
suggested that volunteers could go to senior centers.
Leah McIntosh from I&R stated that her major concern
is that MSSP and Linkages are located in central
county. There is a psychological barrier to keep people
in east and west county from accessing services.
Dr. Hollister spoke about demographics in Contra
Costa County. The population,especially of older
people,is increasing. The population of those over the
age of 65 is at risk of needing services.
Ruth Goodin asked about the timeline for finalization
of the plan? Bob stated that the plan is reviewed by
staff and put together for the Planning committee for its
meeting the first Tuesday in April. The final
recommendations go to the Advisory Council in April
and on to the Board of Supervisors in late May or early
June.
Sharon stated that the Area Plan is a living document,
always changing.
Sharon stated that she will put her business cards on the
table for anyone interested in contacting her regarding
the Plan
Gerry Sharrock thanked everyone for coming,and the .
meeting was adjourned at 12:00 noon.. -
I t
I
Subject Discussion ActionlWho i
Submitted by,
{
Sally Shultz,
Advisory
Council
Secretary
f
II
4
- !4
1
I
I
I
i
' I
II
I
i
.�
•
4 • ' �
,� � � �
\� � � \.
u
� � ,s�
• � �! \ ,
.,
t
� �
1
J
�•
.;
• � � . � 1
,.
�� � 1 �
• � � �
�, �� � '1
�� y �•
�,
• t �
�'�
�`
„ '` � !►.
�, ,`
1 \ - , `\ ,
� . �, �
�� � ` \\V
� c'����
.r � � � �
�.` � � .�
1
• �
•
•
all IN
•
11 � Y ,
1
•
•
11 11
,,
•�
•• � 1\
�/
•
11 � ..
,,
� �� `� � �
•�
r
•� � �
� � `1
� 7
I
�y \�
1
11 \ �
• `� .
• ' � i � �
• � ` ��
• ��
��
1 � \' �
1 ` �1
�, ,� �
. �1 ' �
11 \� � �,� � ���
11 .
' � �
• _• 1' 1 � �
11 � \ ,\
1 1 � `, I `
0 1
• 1
R
Advisa-i-Couricil on Aging C.....JL_-_
OFFICE ON AG:NG
2530 Arnold Drive, Suite 300 Aging
Martinez, 94553-4359 Office on Ag�
Marti ez, CaliforniaCa00 Sharon Johnson
2530 Arnold Drive, Suite 300
Martinez, CA
s V_
April 13 1999
P
TO: Planning Committee Members
FROM: Leon Morphew,Chair
SUBJECT: Monthly Meeting
WHAT: April Planning Committee Meeting
WHEN: Friday,April 23, 1999 - 1:30 p.m.*
WHERE: 2530 Arnold, Suite 300, Martinez
Diablo Room
*Note different day & time this meeting only.
AGENDA:
ctivi : Time:
I. Public Comment 1:30
11. Review Public Hearing Information 1:35 -2:00
III. Maggie Dee-Grocery Escort Shopping 2:00-2:15
IV. Make Funding Recommendations Re: 2:15 - 3:00
a. Contra Costa Senior Legal Services
b. Grocery/Escort Services
C. Social Day Care
V. Public Comment
THE CONTRA COSTA COUNTY ADVISORY COUNCIL ON AGING IS APPOINTED BY THE BOARD OF SUPERVISORS TO
ADVISE THE AREA AGENCY ON AGING ON ALL MATTERS RELATED TO THE DEVELOPMENT AND ADMINISTRATION OF
THE ANNUAL AREA AGENCY PLAN AND OPERATIONS CONDUCTED THEREUNDER,IN ACCORDANCE WITH MANDATES
FROM THE OLDER AMERICANS ACT. ANY COMMENTS OR RECOMMENDATIONS MADE BY THE COUNCIL OR ITS
INDIVIDUAL MEMBERS DO NOT REPRESENT THE OFFICIAL POSITION OF THE COUNTY OR ANY OF ITS OFFICERS.
PLANNING COMMITTEE
CONTRA COSTA COUNTY MINUTES
ADVISORY COUNCIL ON AGING APRIL 6, 1999 MEETING
Leon Morphew called the meeting to order at 9:35 a.m.
Present: Rosemary Shepard,Norman Nelson, Sally Shultz,A. C. Hollister, Ora Jackson,
Reva Clark,Leon Morphew,Ramon Taraya,Gerard Witucki. Excused: Gerald Sharrock,
Lou Ferrero.Staff Present: Sharon Johnson, Barbara McNair, Karen Gregory. Guests
resent: Loren Cole, K. G. Dorosz.
Clear the Air/Information Sharing
I�
i
Reva Clark stated that she attended a meeting at Supervisor Gioia's home. She also
attended the ribbon cutting of the North Richmond Center for Health.
i
Reva shared with the group that she has a new grandson.
Sharon introduced Barbara McNair,who will be monitoring the Older Californian's Act
programs as well as other duties.
i
Rosemary Shepard announced that Betty.Fielding has a new book published on memory. i
- I
Minutes
I
Rosemary Shepard moved and Reva Clark seconded to approve the March minutes as
submitted. The motion passed.
Report on April 2, 1999 Meeting,with Boupha Toomalay&Louise Gonsalez
I
Sharon stated that she received a call from Father McKinney,who is representing the
Asian population.
The meeting with Boupha Toomalay and Louise Gonsalez did not take place,because of
Good Friday.
The Laotian population would like to have a senior center building for their population.
Sharon discussed some of the other alternatives: the seniors could meet at Richmond
Senior Center,have some cultural meals and participate in arts and crafts.
Father McKinney will be invited to a Planning Committee meeting.
Report on Results of RFI for Respite Registry
Sharon stated that a legal notice was put in the newspaper for$3,333 in start-up funds for
Respite Registry. Independent Living Resource will be providing the service.
Independent Living Resource is located at 3200 Clayton Road in Concord.
-2-
Maggie Dee Proposal for Grocery Escort Shopping
Maggie Dee has proposed that Office on Aging fund grocery escort shopping in—
the-amount of$10,000 in hopes that a grocery store will match this amount.
Sharon stated that the Planning Committee needs to make a decision on the$10,000--
whether to use it for the grocery escort service or augment legal services.
Leon Morphew—Evaluate Planning Committee
Leon Morphew discussed some of the duties of the Planning Committee. The Planning
Committee is governed by the federal and state goverment and is a policy making body.
Mr. Morphew's question: would Sharon be more effective without the Planning
Committee?
Sally stated that the Planning Committee is not a policy making body. It makes referrals
to the Advisory Council. The Board of Supervisors is the Area Agency on Aging and is
the policy making body. The director of the Office on Aging has the authority to support
the Advisory Council with its recommendations.
The committee brainstormed the following:
Planning Committee:
1. How beneficial is the Planning Committee/or is it?
a. Budget process
b. Contract monitoring
C. Population diversity
Contractors come in to the Planning Committee meeting, and the members ask questions.
Barbara Morrow reports to the Planning Committee quarterly.
Sharon stated that the item that needs to be addressed is population diversity.
Leon Morphew stated that he feels the services that are offered to seniors are too
fragmented.
Sharon stated that Aging and Adult Services is in the process of being redesigned.
Mr. Cullen's philosophy is to focus on the client. Make the process friendly for the
client.
Leon Morphew stated that he would like to have a segment of each Planning Committee
devoted to how effective the committee is.
Public Hearin Items
tems
A. Asian Family Resource Center-Sary Tatapaporn
Sharon stated that according to the letter received from the Asian Family
-3-
Resource Center,the older members of the Asian families feel that younger
family members are losing their culture.
Sharon stated that she would like to ask Mr. Tatpapom to speak to the Planning
Committee.
Dr. Hollister stated that a proposal is needed from Asian Family Resource Center.
Sharon stated that possibly Information and Referral could make a presentation to the
Asian group.
Sally Shultz stated that El Cerrito has phone books in many languages. She also
suggested that Ellen McDonald be contacted.
Senior Outreach Services--Dr. Loren Cole
Dr. Loren Cole,executive director of Senior Outreach Services, stated that he is
concerned about Office on Aging moving to providing case management services through
MSSP and Linkages. Dr. Cole stated that he feels that gaps in services won't be filled by
the Linkages program.
Dr. Cole stated that care management is at the heart of the services that Senior Outreach
Services provides. Dr. Cole stated that their agency needs time to make the change, to
realign the way funds are raised.
i
Gerry Witucki stated that there are concerns about the fiscal solvency of the agency.
;I
Dr. Cole stated that he has worked with nonprofits for 35 years. He has been a business
manager for 21 years..In the cost saving measures for the agency, Dr. Cole stated that
overhead was cut and two line staff were laid off.
Three new meals on wheels routes were opened, and three more will be opened.
Over$50,000 was raised for meals on wheels since September.
Dr. Cole stated that half of the current care management program is being taken away.
About 125 people will not be served under the MSSP program.
Dr. Cole stated that the clients of MSSP must be skilled nursing facility certifiable. The
clients of Linkages must meet at least one Activity of Daily Living.
Sharon stated that the Office on Aging is also receiving the Adult Protective Services
augmentation. Self neglect is one criteria for APS augmentation.
Ramon Taraya asked how effective their program is in outreach to the Asian/Laotian
community? Dr. Cole stated that Senior Outreach Services has over 1600 volunteers.
Ramon Taraya asked about the reduction in services at the agency. Dr. Cole stated that
there has not been a reduction in service. Sharon stated that the units of service for the
agency continues to be over what is required.
-4-
Dr. Cole stated that the agency is looking to develop more fee for service programs. Dr.
Cole stated that their agency is asking the Office on Aging for$75,000. This will provide
staffing to continue the services.
K. G.Dorosz
K.G. Dorosz is the executive director of the Elder Abuse Prevention Consortium. She
stated that she is present in two capacities:
1. Advocacy for services for seniors.
2. As chair of West County Senior Coalition.
Kagey stated that many of the clients do not meet the criteria for MSSP or APS. Kagey
stated that the APS standard level of cases is 10.
Kagey stated that she feels that agencies should be supported when they.go through tough
times. She asked that the$75,000 be set aside until the situation is studied.
Kagey stated that the Office on Aging is required to give at least 50%of their federal
allocation to access.
Dr. Cole suggested looking at how Information and Referral is funded.
The following is the brainstorming the committee did on case management issue.
Case Management
Loren Cole,K. G. Dorosz
$75,000 in Title IIIB Older American Act funds.
1. Received$700,000 in start-up funds for MSSP to carry 200 cases. MSSP
is for Medi-Cal clients and the clients must be skilled nursing facility
certifiable.
2. Received$152,000 for Linkages,which serves the 18+population. There is
no income requirement. The clients must meet at least one Activity of
Daily Living. The caseload is 75.
3. Adult Protective Service Augmentation-16 to 22 staff.
10 cases per worker?
Sharon suggested that Linda Anderson talk to the Planning Committee next month.
Sharon stated that it will be necessary to have another Planning Committee meeting this
month.
Dr. Hollister stated that he would like to have a pie chart that would show the disposition
of Title III services.
I '
-5-
The special Planning Committee meeting will be Friday,April 23 at 1:30 p.m.
Reva Clark announced that the Concord Royale will hold an open house from 1 P.M. to 4
p.m. on Thursday,April 8. The Housing Committee will have a private tour that day.
I
Sally Shultz stated that Gerry Sharrock will be honored for his work on scams at a dinner
in Oakland.
Submitted by,,
I
II
Karen Gregory
Advisory Council Secretary
I
t ;
i
i
I
I
II
I
it
. II
At this point Sharon went over the pie charts with the committee. One pie chart shows
how Older Californian's Act funds are spent; another shows how Older American's Act
funds are spent.
Contra Costa Senior Legal Services
Walter Bank from Contra Costa Senior Legal Services has requested $30,000.
PI anning Estimates
At this point Sharon went over the planning estimates, which compare 1998/99 planning
estimates with 1999/2000 planning estimates.
The meeting was adjourned at 3:10 p.m.
Submitted by,
Karen Gregory
Staff Secretary
ATTACHMENT C
A Non-Medical Survey and Evaluation of Senior Care Facilities
Serving Persons with Dementia in Contra Costa County
The Purpose:
Prepare and publish a survey of facilities located in Contra Costa County, California that offer
residential care to older persons affected by dementia. The study would be limited to care
facilities that provide a 24 hour per day program 365 days per year.
The Need:
The incidence of Alzheimer's Disease and other forms of dementia is on the increase. From age
65 to 74 about three percent of the people have Alzheimers. The incidence increases to nineteen
percent for seniors 75 to 84 and to an estimated 47 percent for elders over 85 (Evans, D. A. etal.
"Estimated Prevalence of Alzheimer's Disease in the U. S." Millbank Quarterly(1990)68:267).
For Contra Costa County this translates, in 1998,to over eleven thousand seniors afflicted with
various forms of dementia. The Association of Bay Area Governments has published current
projections indicating the population of Contra Costa County will increase an additional seven
percent by the year 2000 and over twenty percent by 2010. As the 85+age senior is increasing
faster than the general population,the increase in seniors suffering from dementia will rise even
more dramatically.
At this time there is no governmental standard for a family to use as a guideline to determine the
quality, much less the adequacy, of a facility to care for a loved one with dementia. To compound
the matter, most family members are reeling from the impacts of the disease: trying to understand
what the disease is; how to deal with it and what to expect for the future of all involved . Most /
have little time or capacity to comparatively evaluate facilities that purport to serve the senior with
dementia. Currently, they must rely almost entirely upon their own resources to find and evaluate
facilities that may provide care and services they need.
A precise, reliable and independently prepared comparative analysis of facilities would prove
valuable to these families in their time of need. The State of California has volumes of
regulations on the minimum levels of medical care necessary in Skilled Nursing Facilities
(Nursing Homes and Convalescent Hospitals)and Residential care facilities for the Elderly
(Assisted Living and Board and.Care). The families are often interested in the non-medical
evaluation of the facility-those components that make a facility"home"instead of"a home"(for
example: a hospital may meet all medical standards but most do not consider it a pleasant place
to live.) The analysis would include objective information obtained from each facility. Each
facility would also be reviewed on subjective issues to further define the living environment. It is
anticipated that these subjective observations, when combined with the more statistical objective
information will present a fuller picture of the environment for the potential resident and their
family. The evaluations would be non-medical, that is, prepared by an informed and sensitized
team of individuals who evaluate each facility on objective and subjective basis from the eyes of
an informed buyer, but not a medical expert.
The Study i
i
The study would address the many aspects of concern of the families, including: i
Objective(Factual)
i
General
Size and type of facility. �.
Care delivery structure(medical or social model, or other distinctive constructs). -
What level(s)of dementia does the facility provide care for?
Licensure
Safety
Systems and design incorporated in the facility.
Facilities to permit safe wandering.
i
Medical !
Size, composition and certification criteria of medical staff. !
Administrative and medical supervision of staff.
Program
Availability, frequency of activities programs.
Is respite care available?At what cost?
Is hospice care available? !
!
Nutrition
What is the daily nutrition program?
Are special diets accommodated?
Financial !
What are the charges for facility? What is included in the quoted costs?
Are various types of accommodations available?At what cost?
Are unused pre-paid days refunded?
What is the facilities discharge policies?
i
!
!
!
!
!
Subjective(Observations)
General
Is the facility clean, odor free?
How"new"are the facilities?
Is the facility appropriate for the frailty of the residents?
What is the overall atmosphere of the facility?
Safety
Do the residents look well cared for?
Are there apparent hazards that the residents must negotiate?
Is the facility prepared for wandering residents?
Medical
Does the staff show"caring"?
How does the staff communicate with the residents?
Does staff allow resident privacy and choice?
Program
Are the residents active?
What is the quality of activities programs?
Are there other services provided that help families cope?
Nutrition
Is the food appetizing, tasty?
Is there choice?
Financial
What is the likelihood of incurring"extra"charges on a regular basis?
The Process
1. Define dementia(medical and as used by caregivers)
2. Determine issues to be evaluated.
3. Determine scale of evaluation for each issue.
4. Identify facilities operating in study area that meet study's facility definition.
5. Survey minimum of 3 facilities(site visit and phone surveys for each).
6. Review sample results and modify survey as necessary.
7. Determine channels for distribution of final report
8. Survey identified facilities(site visit and phone surveys for each).
9. Compile data.
10. Perform follow-up to fill voids in data.
11. Prepare final report.
12. Publish report
The Study Preparer
Michael Dugan has been involved with senior issues for over twenty five years. He practiced
architecture and was a principle of a multi-disciplined firm where he focused on housing,
particularly senior housing and facilities for the developmentally disabled. He became sensitized
to the special needs of people who have capabilities different than the general population.
Working with non-profit developers he helped create housing for women with AIDS and senior
housing for very frail seniors. He helped forge an alliance between affordable senior housing and
affordable medical services,creating assisted living(of sorts)for a very frail,very poor population
in inner city Oakland, California. Mr. Dugan is currently pursuing creation of modest cost assisted!
living in the Bay Area. He also is an active member of California Association of Housing and
Services for the Aging, Contra Costa County Advisory Council on Aging and its Housing and
Legislative sub-committees. He is a resident of Orinda, California and a member of the Orinda
Design Review Board.
I
I
!
_ I
I
I
I
I
I
i
I
I
i
i
it .
v
CONTRA COSTA COUNTY MINUTES
ADVISORY COUNCIL ON AGING MARCH 17 1999 MEETING
Muriel Clausen called the meeting to order at 9:35 a.m. Gerry Witucki led in the Pledge of
Allegiance.
Sally Shultz took the roll.
PRESENT: Debbie Card,Reva Clark,Muriel Clausen,Cathy Demut,Margaret Dowling, Bonnie
Eisenberg,Trevor Evans-Young,Dan Freudenthal, Cordelia Hardy,A.C. Hollister, Ora Jackson,
Arnie Kasendorf,Bill Kendall,Alberto Lemos,Edith Loewenstein,Ilene Lubkin,-Leon Morphew,
Norman Nelson,Nick Rodriguez,Phil Saxton, Gerald Sharrock,Sally Shultz,Paul Takayanagi,
Ramon Taraya,Patsy Welty,Gerry Witucki. ABSENT/EXCUSED: Murray Bishop, Michael
Dugan,Rudy Fernandez,Lou Ferrero,Andrew Newcomer,Gene Wolfe. GUESTS PRESENT':
Janice Compton,Audrey Pite, Lupe Monterrosa,Barbara Lessegna,Christine Kolaites,Helen Hall,
Joan Carpenter, M. C. Christi,Thongsoon Phutharme,Bounthong Karnsenvogi, Bonaypha
Taminaly,Phanh Phongkia,Phanh Boutang, Dorothy Clinton,Maxine Concepcion, Kathryn
Robertson,Natalie Zarchin,Dorothy Fowler,Gil Shepard, T. Gillen, Walter Bank,Laura
Takovchi, Linda Rodini,Hakeim McGee,Deborah Janke,Gary Tatpaporn,Linda Thaxter,Georgia
Stockton, Loren Cole. STAFF PRESENT: .Bob Sessler,Sharon Johnson,Judy Weitzner, Kathy
Radke, Peter Koster,Barbara McNair,Karen Gregory,Ruth Goodin,Kitty Barnes, Linda Schaefer,
Leah McIntosh, Bette Wilgus.
Subject Discussion Action/Who
Aeg nda The agenda was approved.. MSP (Evans-
Young/Jackson) to
approve the agenda as
submitted.
Minutes The minutes for the February meeting were approved MSP (EvansYoung/
as corrected. Freudenthal)to approve
minutes following -
corrections. Show Maggie
Dee as present. Mr.
Kasendorf should be
added to Housing
committee on attendance
list..
Correspondence Sally Shultz read the correspondence. Muriel stated
that Trevor Evans-Young received a certificate of
appreciation for his contribution to the Medicare
education program.
Inez Nichols resigned from the Advisory Council.
On Friday,May 7 from 9 a.m.:3 p.m.a meeting on
Immigration Rights will be held at the Plumbers &
Steamfitters Hall in Concord. .
-2-
Subject Discussion Action/Who i
Consent The consent calendar included a letter to Supervisor MSP(Evans-Young/
Calendar Uilkema inviting her to the roundtable discussion on Freudenthal)to approve
April 21 at 1:00 p.m. The consent calendar also consent calendar.
included the treasurer's report..
I
Committee .Muriel reported that the Silver Haired Congress met in
e its Washington,D. C. Contra Costa County has a
L&gislative proposal that is#5 priority--requiring geriatric training
Advocacy in medical schools. Alameda County has#3 priority.
Health/Mental Dr.Loewenstein reported that the next Health
Health committeemeeting will be the second Thursday,next
month with speakers on health-related topics.. .
i
Housing The next Housing committee is Thursday,April 8 and
will include a tour of the Concord Royale. Kitty
Barnes reported that the Housing committee will start
meeting on the first Thursday of the month, 1:30 p.m.
beginning in May.
Last month the committee toured Columbia Park
Manor in Pittsburg.
Planning Leon Morphew reported that the Planning Committee
received a report from Barbara Morrow on various i
contracts. Barbara Morrow will be monitoring federal
contracts,and Barbara McNair will be monitoring state
contracts.
Ung Term Dr. Hollister reported that the Long Term Care
Care Coordinating Committee Task Force had an item on the
last Board of Supervisors consent calendar. The task
force will develop a community based long term care
plan. Social Service Department and Health Services
will jointly apply for a planning grant from the State.
Kitty Barnes reported that the Long Term Care
committee is planning a caregivers conference in
October. The committee is looking for volunteers to be
on the committee to plan the conference. The
subcommittee will meet Friday,April 2 at 9:30 a.m.
Transportation Gerry Witucki stated that he is on the paratransit
committee. The Pleasant Hill Senior Center is applying
for a van.
-3-
Subject Discussion Action/Who
utrition Ora Jackson stated that the waiting list for home
delivered meals varies from month to month. At the
present time the following are on the waiting list: El
Sobrante--7;Central County--101; Pittsburg--5.
Nutrition will be celebrating its 25th anniversary on
April 22.
CoalitionsGerry Sharrock reported on the Central County
Coalition. At the February meeting representatives
from Elder Abuse Prevention reported on advance
directive banking.
Muriel Clausen reported that the West County
Coalition is meeting today to hear the Public Hearing.
Bob Sessler reported that the work of the In Home
Supportive Services(IHSS)Implementation Team was
completed on March 4. A report was presented to John
Cullen,who will make a recommendation to the Board
of Supervisors. The Board will take final action by the
end of April. By July 1, staff and the registry will be
up and running.
The reauthorization of the Older Americans Act is
looking more optimistic.
Membership Patsy Welty reported that the Membership Committee
interviewed two candidates. At that time the Council
was full. Since then a resignation has been received.
One of the candidate's names will be sent to the Board
for approval.
Kitty Barnes stated that in February the Housing
committee had a joint meeting with the Long Term
Care committee. Ombudsman Program representative
met with the two committees. Kitty suggested that the
Advisory Council invite Ombudsman Program
representative
Public Hearing Gerry Sharrock opened the public hearing. The
1999-2000 Area purpose of the public hearing is to allow public input
Plan U ate on the information. During the question period,the
time limit for each speaker is two minutes. He
introduced Bob Sessler, Director and Sharon Johnson,
Planner.
-4-
Subject Discussion Action/Who '
Sharon Sharon went over the Older Americans Act contracted
Johnson, services which include Ombudsman,Congregate
Planner Nutrition,Home Delivered Nutrition,Home Visiting,
In Home Services Registry,Transportation,Legal
Services,Adult Day Care,Brown Bag Program,
Alzheimers Day Care Resource Center, Senior
Companion,and Respite Registry.
i
Office on Aging is going to bid for Alzheimer's Day
Care, Brown Bag,Home Visiting,In Home Services
Registry&Respite Registry,and Social Day Care.
The services that the Office on Aging provide directly
include Information and Referral, Health Insurance
Counseling and Advocacy Program, Linkages and
Respite Purchase of Services.
Office on Aging other activities include Program
Development, Coordination,Administration.
i
Older Californian's Act services include Brown Bag
Program,Alzheimer's Day Care Resource Center,
Senior Companion and Respite Registry.
Outreach/Targeting--A requirement is in the RFP that
agencies providing service must adhere to.
There are seven goals in the Area Plan. (see handout) .
Community Service Areas and Focal Points--including
activities of such groups as West County Coalition,
Central County SHARE group and others..
Estimated Seniors to be Served and Estimated Units of
Service to be Provided(attached to the 1999-2000 Area
Plan Update)—Office on Aging will be going to bid for
most services.
Bob Sessler, Bob went over the budget for 1999-2000. There are
'rector two sources of funding: federal and state government.
Title IIIB—$593,947; III administration—$223,390,IIIC
Nutrition—$1,007,418;IIID In Home--$25,237; IIIF
Health Promotion&Disease Prevention—$40,889;III
Support for Ombudsman—$13,316;VIIB Elder Abuse
Prevention—$12,828;USDA—$183,935. Total:
$2,105,440.
State Revenues State Administration—$162,153;
I-RCAP—$87,286;Older Californians Act—$387,612.
Total: $639,051.
-5-
Subject Discussion Action/Who
Bob went over the contracted services—Ombudsman—
$89,606;Congregate Nutrition—$786,596;Home
Delivered Nutrition—$487,238; Home Visiting—
$22,800; In.Home Services Registry—$35,762;
Nutrition Transportation—$26,000; Legal Assistance—
$77,817; Social Day Care—$63,975;and$10,000 as yet
to be determined. One of the programs that has been
considered in an escort shopping service program.
Office on Aging services: I&R—$298,642;Disease
Prevention/Health Promotion—$40,889; Program
Development—$29,842; Coordination—$36,991;
Administrative/Advocacy—$223,390 and In Home
Service for Frail at Risk Clients—$38,045.
Federal government requires that 50%be spent on
access services, 11%on legal services and a minimum
of 8%on in home services.
State funding includes programs under the Older
Californian's Act: Senior Companion—$89,867;
Brown Bag—$18,615;Alzheimers Day Care—$80,000;
Respite Registry—$8,000. $900 goes to Napa/Solano to
cover administrative costs for their Brown Bag
program.
Administration—$33,272; Linkages—$152,231; Respite
Purchase of Services—$4,727 and HICAP—$87,286.
Case management will be provided through MSSP
program, Linkages Program,and APS program.
Questions from Margaret Dowling asked if any.money from Title III or
Audience state funds are going to IHSS Public Authority
Registry? Bob stated that they are not. Bob stated that
nothing would prohibit this.
Maggie Dee also asked about HICAP brochures. Is
there money to re-publish the brochures to include
funding for younger disabled people? Bob stated that
the office will come up with a plan to do this.
Question was asked regarding the Bidders Conference—
when does this occur? There are two bidders
conferences on March 22. From 10:30 am. - 12:30
p.m. is for Older American Act programs,and 2:30-
p.m. -4:30 p.m.is for Older Californians Act services.
i
-6-
i
!
Subject Discussion Action/Who '
Walter Bank from Senior Legal Services asked if there
is anything different with the service delivery? He also
asked a question about the goals in the Area Plan. He
said they are very broad. He asked if there are any
subgoals? He also asked if it would be possible for
Contra Costa Senior Legal Services to provide legal
services to the other contractors?
Bob stated that in answer to the first question,there are
significant changes in the range of dollars for long term
care case management which enables office on Aging '
to serve disabled and elderly clients. In answer to the
second question about the Area Plan Goals,Specific
Objectives are listed with each goal. Sharon stated that
the objectives are very specific and time limited.
Sharon does a year end report which is sent to the
Board of Supervisors and California Department of
Aging regarding outcomes of the goals and objectives. i
Bob stated that in answer to'question#3,the only type
of legal services are client centered services. Individual
services could use the legal services. '
A question was asked by Sandy Medvedoff from
Diablo Valley Foundation—How long will it be until !
staff is hired for Multi Senior Services Program,
Linkages,Adult Protective Services and the program is
up and running? How long is the commitment for
funding for the programs?
Bob stated that the office is in the process of hiring
case management staff. Four social workers,public
health nurse and supervisor have been hired for MSSP.
During the period April 1 -July 1,the program will
obtain the 200 clients needed for the program. For the
Linkages program—the office is in the process or hiring
additional case worker. For the APS program,
interviews will be scheduled soon. The level of
funding right now is$700,000. The committed level
won't be known until the state budget is adopted.
-7-
Subject Discussion Action/Who
Trevor Evans-Young asked about the funds under
Administration/Advocacy. Is it possible to adjust this?
Bob stated that$2.1 million dollars is augmented by a
million dollars in local matching resources. Also
$300,0004400,000 in meal contributions is received.
Bob stated that for administrative services,the county
matches at 25%. For program development,
coordination and supportive services,the county
provides a 10%match.
Trevor asked if any inkind funds or resources are
included? Bob stated that for the current year$227,000
is received in cash match,and an additional$158,000
in in-kind contributions from'community agencies.
The amount of grant related income is$669,000.
Sharon stated that this goes back into the program.
Question was asked regarding outreach to minorities
and low income seniors. What kind of outreach is done
in communities that can't access because of language
barriers?.
Sharon stated that outreach is done to diverse
populations. Also brochures are printed in different
languages. Department has a contract with California
Translation Services and Center for New Americans.
Sary Tatpaporn of Asian Family Resource Center
stated that Asian people from Laos and VietNam in
North Richmond need help with English and becoming
U. S.citizens.
Dorothy Clinton read a paragraph of a letter from K. G.
Dorosz. Ms. Dorosz spoke about the$70,000
previously awarded to provide case management
services. Will any Older American Act funds be used
for case management?
Bob stated that no case management services will be
provided directly by Older American Act funds
because of additional new funds in APS,Linkages and
MSSP. Bob stated that the Office on Aging is still
committed to the national priority of 50%for these
access services.
Mrs.Clinton asked if there will only be 200 people
served under the program? Bob stated that.the 200 is
for MSSP only.
i
Subject Discussion Action/Who
Arnie Kasendorf asked question about mandate for
minorities and low income. He stated that he doesn't
see outreach in his community. Sharon stated service
providers are encouraged o utilize county translators to
have brochures translated into different languages.
AAA has coordinated with other agencies and provided
bilingual family conferences. AAA staff also
participates on cultural diversity task forces.
Question was asked by Laura Takeuchi from Japanese i
American Services of East Bay—She asked what
languages the brochures are printed in?
Sharon stated that service providers have been hired.
All service providers are mandated to serve minorities
and diose of low income. Languages that brochures are
printed in include Spanish,Tagalog,Laotian,
Vietnamese and Farsi.
A member of the audience stated that outreach includes
more than printing information in different languages.
There is a missing link between the community and the
services.
Sharon stated that she will take the information to the
Planning Committee and the Advisory Council.
Judy Weitzner stated that I&R can make presentations
on different topics. I&R can be reached at 1-800-510-
2020.
ublic Geny Sharrock reminded audience members of the two
Comment minute time limit.
Mr.Tatpaporn stated that most younger families are
working and fewer parents stay home with older i
parents. Most of the older Asian people do not speak
English. He recommended that these issues be
integrated into the Plan.
Question was asked regarding Asian/American Islander
seniors—there needs to be a method of providing
services for transportation to the entire county. It is
difficult for ethnic providers to provide services with
Older American Act dollars. Language barrier for
seniors isn't only problem,there is a cultural
difference.
Loren Cole,Executive Director,Senior Outreach
Services distributed a two page handout. Dr. Cole
stated that he feels the case management program
provided by Senior Outreach Services is more dollar
effective than the programs operated by the county.
-9-
Subject Discussion Action/Who
Walter Bank,Senior Legal Services requested the
$10,000 in the"as yet to be determined"category be
allocated for Senior Legal Services.
Deborah Janke, West County Adult Day Care—She
commended the Advisory Council on their
recommendation to provide$63,975 for Social Day
Care.
Dorothy Clinton backed up what Walter Bank said
about Senior Legal Services needing more funding.
Audrey Pite spoke in support of Senior Outreach
Services. She spoke regarding the impact of losing the
Geriatric Unit .
Georgia Stockton from Senior Outreach Services stated
that she is glad that MSSP has the component with
Linkages. 20%of SOS clients are not eligible for
MSSP and 30%are not eligible for Linkages. That
leaves 49%that will fall through the cracks. She
suggested that volunteers could go to senior centers.
Leah McIntosh from I&R stated that her major concern
is that MSSP and Linkages are located in central
county. There is a psychological barrier to keep people
in east and west county from accessing services.
Dr. Hollister spoke about demographics in Contra
Costa County. The.population,especially of older
people, is increasing. The population of those over the
age of 65 is at risk of needing services.
Ruth Goodin asked about the timeline for finalization
of the plan? Bob stated that the plan is reviewed by
staff and put together for the Planning committee for its
meeting the first Tuesday in April. The final
recommendations go to the Advisory Council in April
and on to the Board of Supervisors in late May or early
June.
Sharon stated that the Area Plan is a living document,
always changing.
Sharon stated that she will put her business cards on the
table for anyone interested in contacting her regarding
the Plan
Gerry Sharrock thanked everyone for coming, and the
meeting was adjourned at 12:00 noon..
n
Subject Discussion Action/Who
Submitted by,
i
i
Sally Shultz,
Advisory
Council
Secretary
i
i
i
.i
i
i
i
i
i
i
I
it
i
i
i
CIO 0
co
IOD
10
IaD
C:
46.
ID
0
m � �
0 Cir)
(D co
C-1 or)
0
c
0 o
C)
•
•
•
r1�14'N
wt
i
MEMO
7
I mosoll
•
�� + 4
•
•
�r • ..
� . •. � ��
�� �� � � „+
� �
• •�
♦•
�� \�
„� �. 1
•
� \ a �� ��
�•
� ' \ y
\ � -'�
� �.
� 1
� *` ♦ 1
.�
1
�► � '�.�
4 � \ �
• "� � �� � `
r ` � ~♦
� �\� 1 �
� �
,� r �
V sj � � � � �
�R � �
�• t
.� ,
• '�
o ,' � ,,� � �►�
i '
t t �
� 1� �►
1 ►
R � «
,� �, � � �.
� �� 1
a � ` � ..
u ,\ `` 1, �1 _\�
-.� .
,.