HomeMy WebLinkAboutMINUTES - 12092008 - C.110 TO: BOARD OF SUPERVISORS Contra
FROM:. Joseph P. Valentine,.Director Costa
Employment and Human Services
OST'9 COUT�,�
County
DATE: December 9,.2008
SUBJECT: Contra Costa County Area Agency on Aging Area Plan Year-End Report for Fiscal
Year (FY) 2007-2008
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATION:
APPROVE and AUTHORIZE the Employment and Human Services Director, or designee, to submit the Contra
Costa County Area Agency on Aging Area Plan Year-End Report for fiscal year(FY) 2007-2008 to the
California Department of Aging and authorize the Chair, Contra Costa County Board of Supervisors, to sign the
Letter of Transmittal. (All Districts)
FISCAL IMPACT:
No Fiscal impact
BACKGROUND:
The Contra Costa County Area Agency on Aging (AAA) provides services for older residents of the County
under the Older American's Act(OAA) and Older Californian's Act (OCA). The AAA continues to provide
through contracts, Congregate Meals, Home Delivered Meals, Legal Assistance, In-Home Service Registry,
Friendly Visitor, Adult Day Care, Errand and Escort Services and Transportation under OAA. OCA funding has
allowed AAA to provide through contracts, 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 Pro ms. AAA has developed services for
CONTINUED ON ATTACHMENT:_ X YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR COMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S):
ACTION OF BOARD ON APPROVE AS RECOMMENDED OT ER
VOTE OF SUPERVISORS
,// I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT Y > ) AND CORRECT COPY OF AN ACTION TAKEN
AND ENTERED ON THE MINUTES OF THE BOARD
AYES: NOES: OF SUPERVISORS ON THE DATE SHOWN.
ABSENT: ABSTAIN: � 01 )
ATTESTED cl/�t�C.�b o 1y�— - "
DAVID TWA,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact: JOHN COTRELL 3-1605
EHSD CONTRACTS UNIT(EB)
MICKEY SHERMAN,AAA
SCOTT DANIELSON,AAA
COUNTY ADMINISTRATOR
BY: _DEPUTY
Page Two
Contra Costa County Area Agency on Aging.Area Plan Year-End Report for Fiscal.Year (FY)
2007-loos
the Family Caregiver Support Program providing financial, legal'and medical education, Respite Program,.
Multicultural Connection Program, Assistive Technology, and the Grandparents Caregiver,Support Program.
AAA continues to provide program development, coordination, administration and planning to enhance the lives
of older residents of Contra Costa County.
YEAR-END REPORT TRANSMITTAL LETTER
AAA NAME: Area Agency on Aging PSA #:7
Check appropriate box for:
[]FY 2004-05 r1- FY 2005-06 ❑FY 2046-07 MFY 2007-08 nFY 2048-2049
This Year-End Report provides.a retrospective account of progress made toward specified goals
during the abovechecked fiscal year. It provides a performance report for the community and
CDA. -It reaffirrris the important role of AAAs as the advocate, planner, and administrator of
programs that strive to address the care needs of older and disabled adults and their families and
caregivers in their local Planning and Service Area.
We the undersigned recognize the responsibility within each community to establish systems in
order to address the care needs of older individuals and their families and caregivers in this
Planning and Service Area. By'signing below, we confirm that we have had the opportunity to
participate in the planning process and to review and comment on this Year-End Report.
I. ( e} Federal Gli le
(Signed}
Chair, Governing.Board Date
2. (Type Name,/).- Gerald Richards
(Signedj '
Charr;A ea Agency on Aging Date.
j Advisory Council
3. (Type Name): John Cottrell
r
(Signed)
Director, Area Agency on Aging Date
REVISED Reference Guide for Development of the 2005-2009 Area Pian
.29 October 2008
Page 67
YEAR-END REPORT TRANSMITTAL LETTER
AAA NAME: Area Aj!ency on A2in2 PSA #:7.
Check;appropriate box for:
❑FY 2004-05 ❑FY 2005-06 OFY 2006-07 ®FY 2007-08 []FY2008-2009 '
This Year-End Report provides a retrospective account of progress made toward specified goals
during the above checked fiscal year. It provides a perforrimance report for the community and
CDA. It reaffirms the important role of AAAs as the advocate, planner, and administrator of
programs that strive to address the care needs of older and disabled adults and their families and
caregivers in their local Planning and Service Area.
We the undersigned recognize the responsibility within each community to establish systems in .
order to address the care needs of older individuals and their families and caregivers in this
Planning and Service.Area. By signing below, we confirm that we have had the opportunity to .
participate in the planning process and to review and comment on this Year-End Report.
1. (Ty ame): Federal GI
(Signed)_
Chair, Governing Board ' Date
2. (Type Nam ): Gerald Ric) s
(Signed
Chair, Area Agency on.Aging Date
Advisory Council
3. (Type Name): John Cottrell
(Signed) :
Director, Area Agency on Aging Date
REVISED Reference Guide for Development of the 2005-2009 Area Plan
29 October 2008
Page 67
YEAR-END REPORT TRANSMITTAL LETTER
AAA NAME: Area Agency on Aging PSA #:7
Check appropriate box for:
❑FY 2004-05 ❑FY 2005-06 ❑FY 2006-07 ®FY 2007-08 ❑FY 2008-2009
This Year-End Report provides a retrospective account of progress made toward specified goals
during the above checked fiscal year.. It provides a performance report for the community and
CDA. It reaffirms the important role of AAAs as the advocate, planner, and administrator'of
programs that strive to address the care needs of older and disabled adults and their families and
caregivers in their local Planning and Service Area.
We the undersigned recognize the responsibility within each community to establish systems in
order to address the care needs of older individuals and their families and caregivers in this
Planning and Service Area. By signing below, we confirm that we have had the opportunity to
participate in the planning process and to review and comment on this Year-End Report.
1. (Ty me): Federal Gl err
(Signed)
Chair, Governing Board Date
2. (Type Name); Gerald Richard
(Signed /. D
hatr, Area Agency on Aging .
Advisory Council
3. (Type Name): John Cottrell
(Signed)
Director, Area Agency on Aging J Date
REVISED Reference Guide for Development of the 2005-2009 Area Plan.
29 October 2008
Page 67 "
YEAR-END REPORT TRANSMITTAL LETTER
AAA NAME: Area Agency on Aging PSA'#:7
Check appropriate box for:
OFY 204-05 ❑FY 2005-06 ❑FY 2006-07 ®FY 2007-08 (]FY 2008-2009
This Year-End Report provides a retrospective account of progress made toward specified goals
during the above checked fiscal year. It provides a performance report for the community and
CDA. It reaffirms the important role of AAAs as the advocate, planner, and administrator of .
programs that strive to address the care needs of older and disabled adults and their families and
caregivers in their local Planning and Service Area.
We the undersigned recognize the responsibility within each community to establish systems in
order to address the care needs of older individuals and their families and caregivers in this
Planning and Service Area. By signing below, we confirm that we have had the opportunity to
participate in the,planning process and to review and comment on this Year-End Report.
1.. (Type Name); Federal Glov
(Signed) �-�.�"f" •��� ��-g-Zai
Chair, Governing Board Date
2. (Type Name); Gerald Richards
(Signed i, :/ '702
Ch
air,' gency on Aging Date
Advisory Council
3. (Type Name): John Cottrell
(Signed) -
Director, Area Agency on Aging Date
REVISED Reference Guide for Development of the 2005-2009 Area Plan
29 October 2008
Page 67
Appendix XIII " PSA # 7
Year-End Report '
Check each applicable planning cycle:
❑FY 2004-05 []FY 2005-06 []FY 2006-07 ®FY 2007-08 ❑FY 2008-2009
Pierson completing the report: Name/Title Mickey Sherman
Telephone#: (925) 335-8711 E-Mail rhsherman1(aD_ehsd.cccounty.us
10/31/2008
l
TABLE OF CONTENTS
I. Highlights and Accomplishments. .. .. . . .. ... ... . . . . .. . .. . . . . . . . . . 1
11. Summary of Ideas.. . . . . . . . . .. . ... . . . . . . . . . . . . :. . . . . . . . . . . . . 4
111. Service Units.. . . . . ... . . . . .. . . .. .. . . _6
IV. Title III D and Medication.Management.:. ... .. . ... ... ....... . 29
V. Discussion of Objectives.. .,... .. .. . . . .... 30
VI. Summary of Activities for the Year. .:. .. . . . .. . .. : . . . ... ...:... ... 77
10/31/2008
Section I: Significant AAA Highlights and Accomplishments
Fiscal year 2007-08 was a year of accomplishments that highlight the depth of partnerships
PSA 7 Area Agency on Aging (AAA) has with its community partners.
Initiatives
Fall Prevention Program
It was during fiscal year 2007-2008 that the AAA took significant first steps towards establishing
the community-driven, comprehensive Fall Prevention Program (FPP) of Contra Costa County.
AAA along with In-Home Supportive Services, the Contra Costa Public Health Department,
Jewish Family & Children's Services of the East Bay, and John Muir Senior Services formed a
steering committee to first uncover and understand the scope of the problem of falls among
seniors, then brainstormed ideas and developed a strategic plan to address the problem. The
mission is to reduce preventable injuries, loss ofindependence, costs and deaths associated
With falls among seniors and people with disabilities by raising awareness and developing fall
prevention services.
Finding start-up funding can be difficult during these economically troubled times but the FPP
Steering Committee was successful in securing a $90,000 grant from John Muir Hospital in
February 2008. Senior Outreach Services, a non-profit agency, was then selected to act as the
fiscal/lead agency for the Fall Prevention Program of Contra Costa County. A Fall Prevention
Program Manager was hired in June 2008. The Fall Prevention Program will be building on
these early accomplishments as it progresses from program planning to implementation phase
in the coming months.
Transportation
The Senior Mobility Action Council, with leadership from the AAA Mobility Manager, has begun
the process of bringing together the various agencies and advocacy groups dealing with the
different aspects of the "older driver issue" to form an "Older Driver Family Assistance Network.
The AAA Mobility Manager and Transportation Specialist have coordinated several initial
—meetings-of=this-group-which--includes-representatives-of-agencies-such-as-the-DMV;-law
enforcement, health care, AARP, the Calif. Auto Club, senior centers, transportation providers,
CBOs, etc. The focus'-is to learn about the resources of each agency and ultimately to
coordinate referrals for service from older drivers and their families. The collaborating agencies
are enthusiastic about this approach to what is viewed as a growing problem: how to provide
safe mobility for those who can no longer drive safely, and how to transition seniors from.a
driving to a non-driving lifestyle.
Emergency Preparedness
In FY 2007-2008, the AAA continued with its Emergency Preparedness Initiative by partnering
with the Contra Costa County Office of Emergency Services, Department of Public Health, Red
Cross, and other county and community based organizations in an effort to increase staff
personal preparedness, agency preparedness and client preparedness. One result of this effort
was the re-organization and consolidation of the Contra Costa County Multi Agencies Partnering
for Preparedness (MAPP) into a new broader organization re-named "ONE CC" which stands
for Organizations Networking for Emergencies in Contra Costa.
At the end of FY 07-08, ONE CC had begun its efforts to partner with the Fritz Institute of San
Francisco to work toward Fritz Institute's goal of developing disaster resilient organizations in
Contra Costa County. One of the effects of a large scale disaster is the complete collapse of
10/31/2008 - 1 -
some organizations serving vulnerable populations. Some organizations never recover or re-
open their doors after a large scale disaster. The Fritz Institute recognizes this and is working to
address the particular needs of community based organizations and how efforts can be
accomplished to make these.agencies more resilient during a disaster, and after recovery.
Best Practice Guidelines for Senior Housing—Advisory Council on Aging
"Aging in place" is one the most desirable strategies to address the changing needs of seniors
to avoid premature institutionalization, provide a higher quality of life, and keep costs down. In
its role of providing coordination, leadership and advocacy, the Advisory Council on Aging
wanted to develop guidelines for the design and building of senior housing that support aging-in-
place, and to promote the use of those guidelines to city and.county planners, community
groups, local universities, architects, and developers of both private and non-profit senior
housing. To accomplish this, the Council convened the Best Practices Housing Subcommittee,
consisting of our Housing Work Group, the Contra Costa for Every Generation Housing
Initiative, transportation advocates and staff from County Community Development and the Area
Agency on Aging. The result of their hard work is a document entitled, "Best Practice
Development Guidelines for Multi-Family, Senior Housing Projects", officially approved by the
Council in January 2008. These guidelines represent preferred standards for senior housing
design, features, safety, security, and operational considerations. The Advisory Council on
Aging, Contra Costa for Every Generation and other agencies intend to use this document to
help guide senior housing development and to determine which housing projects are most
aging-friendly.
Community Forums to Address Key Issues
In the FY 2006-7 Year End Report the Advisory Council on Aging discussed holding forums to
generate community-wide action to address some of the most critical issues facing older adults.
We discussed partnering with Contra Costa for Every Generation and the Advisory Committee
of the IHSS Public Authority. We have done so and are proud to report that before the close of
FY 07-08 we held two such forums, both of which have yielded demonstrable results. The first
forum on mental health led to the creation of a community-wide mental health task force. The
Task Force members agreed that their mission should be to advocate for an integrated mental
health system of care for all older adults in Contra Costa County.
The second forum on elder financial abuse created more attention on the need-to establish an
elder protection court in Contra Costa County and the incoming presiding Superior Court judge
has indicated that such an elder court should become operational in November.2008.
Challenges
While Contra Costa County Area Agency on Aging has accomplished much during FY 2007-
2008, there were also many significant challenges that the AAA will continue to monitor and
address with diligence:
1. At the close of the 2007-2008 fiscal year, the AAA Transportation Specialist position was
eliminated due to reductions in the County's budget. The loss of this position will impact the
AAA's ability to maintain the same level of focus on the issues of senior mobility that began five
years ago when the position was first-established. It is hoped that the strong committee
structure developed by the AAA mobility staff over the years, plus some additional hours from
an AAA consultant, will enable the Mobility Manager (funded partially by AAA) to continue most
efforts to facilitate senior mobility.
2. Information and Assistance (I & A) entered the fiscal year 2007-2008 short two staff
members. The decision was made to transfer those empty positions to Adult Protective Services
10/31/2008 - 2 -
(APS), in order to relieve the I & A workers of the added responsibility of taking all APS
referrals. Unfortunately this transfer has been delayed for over a year. This has meant that the
unit has dealt with an increasing workload with a 30 % staff reduction. Most significant is the fact
that the calls for*APS and from people applying for In Home Supportive Services have
increased by 40%. These calls average between 20 minutes to an hour in length. In order to
help meet this demand both the clerk and the supervisor have assisted in picking up standard I
&A calls, when possible. But even with that help, callers can wait for a live answer for up to 45
minutes. This has led in turn to numerous complaints. Happily, the coming year should see an
improvement, as the APS unit makes plans to begin doing their own intakes.
3. The census for our long-time Central County Adult Day Care (ADC) provider remained low in
2007-2008 for the third year. After the first year ending with.a lower than normal census, we
provided the organization with technical assistance in developing a comprehensive outreach
plan. This plan, while appearing to have left no stone unturned and being fully executed, did not
prove to be successful. We believed based on past need assessments, the need for this type of
service was substantially more than what was being shown from the lack of utilization, so in the
third year we continued to work with the organization by coming up with ideas to allow for
increased inclusiveness within the structure of the organization. We did this by extending the
contract to our contractor's East County site. We also expanded service to be available to the
Center's ADHC clients;with the provision the provider would pay for the medical care services
provided to the participants. Unfortunately, neither effort brought more clients. We therefore, .
were found to be in a position of having to re-evaluate service needs and then shift funds
accordingly.
4. Our county's Adult Day Health Care (ADHC) service providers have come under scrutiny and
undue distress brought on by a legislative change which added ADHC's to the California Retail
Food Code as a "Licensed Health Care Facilities". This action reclassified ADHC's under the
same level of regulation as hospitals and SNF's, while large assisted living facilities cooking and
serving three full meals a day, seven days a week, to frail elderly remained "exempt". And, even
though our ADHC's food is prepared, packaged, and delivered by Meals on Wheels, they are
.now being mandated to invest huge amounts of money to modify their kitchens to bring them up
to "commercial" standards. Clarification was made by the State that under these circumstance
the mandates currently being enforced at our local level.are not appropriate. The State is
working with one other county to help them resolve the same issue. They assured us they will
assist us as well.
1
10/31/2008 - 3 -
Section II: Summary of Ideas
Ideas Generated as the Result of Service System Changes that Address Growth
in the Older Adult Population
We are clearly entering a period of exponential growth in the older adult population, which
necessitates an expansion of long-term care and supportive services. Yet sadly, budget
problems have created a situation where services are being cut at a time when it should be
expanding to meet the needs of a growing older adult population.
Within the Area Agency on Aging (AAA) there have been many discussions on how best to
address the service needs of older adults in Contra Costa County during these economically
troubled times. We think a continual focus on community collaborations can help alleviate some
damaging impact local, state, and federal budget cuts have on the service delivery system. The
advantage of community collaborations is that it brings organizations together to work on
common goals, avoids unnecessary service duplications, and thereby makes better use of
limited financial and human resources.
The following outlines some of our collaborative initiatives in the upcoming year:
Fall Prevention Program (FPP) of Contra Costa County
The Area Agency on Aging (AAA) staff working in a collaborative steering committee is currently
in the process of transitioning the Fall Prevention Program (FPP) from planning to
implementation stage. FPP will offer fall risks assessments, fall prevention education, home
safety modifications, and resources for physical activity. FPP operates under the auspice of
Senior Outreach Services in collaboration with AAA, John Muir Senior Services, Jewish Family
& Children's Services, Public Health, and In-Home Supportive Services.
In addition, the Steering Committee of FPP will develop a broad coalition of stakeholders from
the public, non-profit, and private sector. We will then provide them with training and support to .
incorporate fall prevention services into their existing programs; thereby avoiding the need to
set-up costly new programs. This will give multiple agencies within our service delivery system
the capacity to offer to their client base some fall prevention education, resources, and referrals
to other agencies for specialized services such as home modifications or physical activity.
This puts Contra Costa County in a stronger capacity to help our growing senior population
prevent falls and live in optimal health.
Transportation
The Contra Costa AAA's Senior Mobility Project began 5 years ago with a focus almost totally
on facilitating the.expansion and development of mobility options for seniors. In the interim with
both some success in expanding those mobility options, plus the growth of the older adult
population and changes in transportation technology and best practices, the focus has evolved
to the point of clearly recognizing that senior mobility is an integral part of a larger societal issue:
"the older driver issue". This older driver issue impacts all of society with the safety issues
resulting from people who can no longer drive safely, and it most directly impacts the families of
those at-risk senior drivers. In addition, there is a definite need to provide mobility options for
those who can no longer drive safely so that they can remain in their homes and communities.
The new "Older Driver Team" of the Senior Mobility Action Council along with the AAA's Mobility
Manager have begun to look more broadly at the issues that are related to senior mobility, such
as medical care, law enforcement, licensing (DMV), counseling services, insurance coverage, in
10/31/2008 - 4 -
order to develop a network of resources that can help seniors and their families better plan for
and respond to all.the issues facing drivers as they age.
A second and related evolutionary change in Contra Costa's Senior Mobility Project is the trend
in the transportation industry to better coordinate and maximize service to the transportation
consumer through the use of technology and relationships between service providers. This is
known as mobility management. In recognition of this trend and its potential to improve mobility
for seniors and other disadvantaged populations, the Contra Costa AAA's transportation staff
has taken a lead role in assisting local transit districts to include stakeholders from all,
populations and geographic areas of the county as they begin the planning for mobility
management centers. This will be an ongoing focus of the AAA's Mobility Manager and the
Senior Mobility Action Council through its Mobility Management Team.
Monument Corridor Senior Outreach Program
The older adult population is expected to not only increase but become more diverse due to
immigration. The need for bilingual and bicultural services has been increasing in Contra Costa
County. As a result, the AAA joined with other agencies.to serve on the Senior Advisory Team
for Catholic Charities' initiative to create the new Monument Corridor Senior Outreach Program.
The creation of the Monument Corridor Senior Outreach Program was in response to a
comprehensive needs assessment survey completed.in April 2007. The survey found many
seniors who live in the Monument Corridor area of Concord were isolated or did not know how
to access services due to language and cultural barriers. In FY 2007-2008 Catholic Charities,
with help from the Senior Advisory Team, successfully developed a strategic plan, secured
start-up funding, and hired a program manager for the Monument Corridor Senior Outreach
Program. Currently, the program utilizes volunteer visitors, including many who are bilingual, to
contact seniors, deliver resource packets, and explain the resources and ask about any special
needs in order to connect them withsupport services. About half of the individuals served are
Latino seniors who have difficulty accessing services due to language and cultural barriers.
AAA staff will continue to serve on the Senior Advisory Team to help the Monument Corridor
Senior Outreach Program expand its current operations and capacity to serve our county's
increasingly diverse senior population.
10/31/2008 - 5 -
10. Transportation (Access)' Units of Service = (One 1-way trip)
Not Applicable: [:](check)
■ 1 .2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
2007-2008 61,414 2 6,7
2008-2009
11. Legal Assistance Units`of Service = (1-Hour)
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
2007-2008 5;466 2 5
2008-2009
12. Nutrition Education Units of Service = (1-Session)
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
2007-2008 5,745 2 7
2008-2009
13. Information and Assistance(Access)' Units of Service= (1-Contact)
Not Applicable: EI(check)
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
2007-2008 21,847 1 /3 1-5/ 1-4, 6-7, 10-11
2008-2009
14. Outreach (Access)' Units of Service = (1-Contact)
Not Applicable: ❑ check
■ 1 ' 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
..2007-2008 443 1/2/7 7,8 /8, 10/4, 7
2008-2009
*Indicates Title III-B Priority Services
10/31/.2008 - 8 -
Section III:
TITLE III/VII SERVICE UNIT PLAN OBJECTIVES
PSA# 7
2007—2008 Year-End Report
TITLE IIINII
1. Personal Care (In-Home)' Units of Service = (1-Hour)
Not Applicable: E(check)
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
2007-2008
2008-2009
2. Homemaker(In-Home)' Units of Service= (1-Hour)
Not Applicable: E(check)
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers ,
2005-2006
2006-2007
2007-2008
2008-2009-
3. Chore (In-Home)' Units of Service = (1-Hour)
Not Applicable: E(check)
■ 1 .2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
2007-2008
-2008=2009-
4. Home Delivered Meals Units of Service = (1-Meal)
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
2007-2008 299,586 2 6, 7
2008-2009
Indicates Title III-B Priority Services
10/31/2008 - 6 -
5. Adult Day Care/Health' Units of Service (1-Hour)
Not Applicable: 0(check)
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007 r:
2007-2008 8,166 2 21,22,23,24
2008-2009
6. Case Management (Access)' Units of Service = (1-Hour)
Not Applicable: M(check)
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
2007-2008
2008-2009
7. Congregate Meals Units of Service = (1-Meal)
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
2007-2008 173,467 2 6,7.
2008-2009
8. Nutrition Counseling Units of Service = (1-Hour)
Not Applicable: M(check)
■ 1 .2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
_20.07=2008
2008-2009
9. Assisted Transportation (Access)* Units of Service = (One 1-way trip)
Not Applicable: ❑ check
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
2007-2008 1,964 -e2 16
2008-2009
Indicates Title III-13 Priority Services
10/31/2008 - 7 -
15. NAPIS Service Category 15-"Other"Title III Services
Title 111 D, Disease Prevention/Health Promotion
Service Activity: Newsletter Health Pages
Units of Service (#of Newsletters Distributed)
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers (Required for
Title III D
2005-2006
2006-2007
2007-2008 50,000 1 /2 /7 7, 8 I , 10 /7
2008-2009
Title III D, Disease Prevention/Health Promotion
Service Activity: Health Faires.
Units of Service #of Health Faires conducted
■. 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers (Required for
Title III D
2005-2006
2006-2007 .
2007-2008 27 1 /2/7 7, 8/ 8, 10/ 3, 8
2008-2009
Title.111 D, Disease Prevention/Health Promotion
Service Activity: Active Aging Forums
Units of Service€—Wof Forums Held)
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers(Required for Title III D
2005-2006
2006-2007
-2007-2008— 2 —2-/-7--- 1.3-/-9-
2008-2009
Title III D, Disease Prevention/Health Promotion
Service Activity: T.V. show: The Time of Your Life
Units of Service (# of Shows)
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers (Required for
Title III D
2005-2006
2006-2007
2007-2008 1 7 1, 4
2008-2009
E Entry Required
10/31/2008 - 9 -
Title III D, Medication Management
Service Activity: Fact Sheet Distribution
Units of Service #of Fact Sheets Distributed)
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers (Required for
Title III D
2005-2006
2006-2007
2007-2008 1,500 7 6
2008-2009
Title III D, Medication Management
Service Activity: Distribution of Pill Boxes
Units of Service #of Pill Boxes Distributed
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers (Required for Title III D
2005-2006
2006-2007
2007-2008 1,500 7 6
2008-2009
Title III B, "Other Supportive Services"
Service Category: In-Home Registry
Units of Service and Activit #of Hours)
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service. Objective Numbers
2005-2006
2006-2007
2007-2008, 2,945 . 2 3
2008-2009
Title III B, "Other Supportive Services"
Service Category: Visiting
Units of Service and Activi #of Hours
■ 1 2 3
--Fiscai-Year— Actual —Goal—Numbers- , Associated ProgramGoal-and
Units of Service Objective Numbers
2005-2006
2006-2007
2007-2008 18,890 2 3
2008-2009 i -
Other Support Services:Visiting(In-Home)now includes Telephoning(See Area Plan Budget).
Title III B, "Other Supportive Services"
Service Category: Health: Community Education/Advocacy
Units of Service and Activit #of Hours
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2006-2007
2007-2008 108 1 /2 /7 7, 8 / 8, 10!4, 7
2008-2009
10/31/2008 _ 10 -
ELDER ABUSE PREVENTION SERVICES (TITLE VII b)
Activities that support the coordination of elder abuse
prevention, investigation, and/or prosecution.
Units of Service = 1 Hour
■ 1 2 3
Fiscal Year Actual Goal Associated Program Goal and
Units of Service Numbers Objective Numbers
2005-2006
2006-2007
2007-2008 709 2 5
2008-2009
Other Title VII b activities from Division 4000.
Service Catego : Complaint Abuse Investi ation Units of Service e #of Clients
■ 1 2 3
Fiscal Year Actual Goal Associated Program Goal and
Units of Service Numbers Objective Numbers
2005-2006
2006-2007 .
.2007-2008 58 2 5
2008-2009
Other Pro ram Accom lishments
Fiscal Year Total#of Public Fiscal Year Total#of Training
Education Sessions Sessions for Professionals
2005-06 2005-06
2006-07 2006-07
-2007-08 2007-08
2008-09 2008-09
Fiscal Year Total#of Fiscal Year Total#of
Educational Materials Educational Materials
Developed Products Distributed Documents
_ 2005-062005-06
2006-07 2006-07
2007-08 2007-08
2008-09 2008-09
10/31/2008 - 12 -
TITLE III E SERVICE UNIT PLAN OBJECTIVES
PSA # 7
2007-2008 Year-End Report
TITLE III E
1. Outreach Units of Service = (1-Contact) ,
Not Applicable: EI(check)
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
-t 2005-2006
2006-2007
2007-2008 5,196 8 1 -6
2008-2009
2. Community Education Units of Service = (1-Hour)
Not Applicable: FI(check)
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
2007-2008 339 8 1-6
2008-2009
3. Information and Assistance Units of Service =(1-Contact)
Not Applicable: EI(check)
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
._20.07-2008 6,455 8 1-6
2008-2009
4. . Comprehensive Assessment Units of Service = (1-Hour)
Not Applicable: EI(check)
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
2007-2008 447 8
2008-2009
10/31/2008 - 13 -
5. Case Management Units of Service = (1-Hour)
Not Applicable: ❑ check
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
2007-2008 1,695 8 176
2008-2009
6. Transportation Units of Service (One 1-way trip)
Not A licable: E(check)
■ 1 2 3
Fiscal Year Actual Goal Numbers. Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
2007-2008
2008-2009
7. Assisted Transportation Units of Service = (One 1-way trip)
Not A licable: Z(check)
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and'
Units of Service Objective Numbers
2005-2006
.2006-2007
2007-2008
2008-2009
8. Counseling Units of Service = (1-Hour)
Not Applicable: EI(check)
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
2007-2008— 348 – 8 1-6
2008-2009
9. Caregiver Support Group Units of Service = (1-Hour Meeting)
Not A plicable: EI(check)
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
2007-2008 361 8 1-6
2008-2009
10/31/2008 - 14 -
10. Caregiver ' Training Units of Service = (1-Contact)
Not Applicable: [:](check)
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
2007-2008 809 8 1-6
2008-2009.
11. Respite Care Services Units of Service = (1-Hour)
Not Applicable: EI(check)
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
2007-2008 12,108 8 176
2008-2009
12. Minor Home Modifications Units of Service = (1-Occurrence)
Not A plicable: ❑ check .
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
2007-2008 9 8 1-6
2008-2009
13. Placement Units of Service = (1-Placement)
Not A plicable: ® check
■ 1 2 3
Fiscal Year. Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
2007-2008
2008-2009
14. Homemaker Units of Service = (1-Hour)
Not Ap licable: E(check)
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
2007-2008
2008-2009
Caregiver: As defined in the Title III E Program: Unpaid, informal assistance provided by supportive
family members or friends.
10/31/2008 - 15 -
15. Chore Units of Service = (1-Hour)
Not Applicable: Z(check)
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
2007-2008
2008-2009
16. • Home Security & Safety Units of Service = (1-Occurrence)
Not Ap licable: Z(check)
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
2007-2008
2008-2009
17. Assistive Devices Units of Service = (1-Single Occurrence)
Not Applicable: ❑ check
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
2007-2008 12 8 1-6
2008-2009
18. Visiting Units of Service = (1-Hour)
Not Applicable: EI(check)
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
+200742008-1-7-1-85-1--8
1-6
2008-2009
1.9. Congregate Meals Units of Service = (1-Meal)
Not Applicable: Z(check)
■ 1. 2 3
Fiscal Year_ Actual. Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
2007-2008
2008-2009
10/31/2008 - 16 -
20. Home Delivered Meals Units of Service = (1-Meal)
Not Applicable: E(check)
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
2007-2008
2008-2009
21. Legal Assistance Units of Service = (1-Hour)
Not Applicable: EI(check)
■ 1 2 3_
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
2007-2008 122 8 1-6
2008-2009
22. Peer Counseling Units of Service= (1-Hour)
Not Applicable: E(check)
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
2007-2008
2008-2009
23. Translation/Interpretation Units of Service = (1-Hour)
Not Applicable: [](check)
■ 1 2 '3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
2007=2008 96 8 1=6
2008-2009
24. Income Support/Material Aid Units of Service = (1-Occurrence)
Not A licable: E(check)
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
2007-2008
2008-2009
4
10/31/2008 - 17 -
25 Money Management Units of Service = (1-Hour)
Not Applicable:EIcheck
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
2007-2008 15 8 7
2008-2009
26. Registry, Units of Service = (1-Match)
Not Applicable: Z(check)
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007-
2007-2008
006-20072007-2008
2008-2009
Other—Specify:
Service Category: Units of Service: E entry required
Requires PRIOR CDA Approval Not Applicable: ®(check
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006 -
2006-2007
2007-2008
2008-2009
E Entry required
10/31/2008 - 18 -
COMMUNITY BASED SERVICES PROGRAMS
SERVICE UNIT PLAN (CBSP) OBJECTIVES:
PSA# 7
2007—2008 Year-End Report
CBSP
Alzheimer's Day Care Resource Center(ADCRC) Not Applicable: ❑(check)
Fiscal Year Goal Numbers Fiscal Year Caregiver Group Support
-Sessions
2005-2006 2005-2006
2006-2007 2006-2007
2007-2008 2 Obj 24 2007-2008 12
2008-2009 2008-2009
■ ■ -■ ■
Fiscal Year In-Service Training Fiscal Year Public/Community
Sessions Education Training
Sessions
2005-2006 2005-2006
2006-2007 2006-2007
2007-2008 20 2007-2008 50
2008-2009 2008-2009
Fiscal Year Professional/Intern
Educational Training
Sessions
2005-2006
2006-2007
2007-2008 4
2008-2009
Brown Bag Not Applicable: ❑(check)
Fiscal Year Goal Numbers Fiscal Year Actual#of Unduplicated
Persons to be Served
2005-2006 2005-2006
2006-2007 2006-2007
2007-2008 2 Ob• 18—20 2007-2008 2,033
2008-2009 2008-2009 •
10/31/2008 - 19 -
Fiscal Year Actual lbs of Food to Fiscal Year Actual#of Volunteers
be Distributed
2005-2006 2005-2006
2006-2007 2006-2007
2007-2008 684,389 2007-2008 146
2008-2009 2008-2009
■ ■ ■ ■
Fiscal Year Actual#of Volunteer Fiscal Year Actual#of Distribution
Hours Sites
2005-2006 2005-2006
2006-.2007 2006-2007
2007-2008 8,450 2007-2008 17
2008-2009 1 d 2008-2009
(CBSP) Respite Purchase of Services — RPOS Not Applicable: ❑(check)
Fiscal Year Goal Numbers Fiscal Year Actual Total#of Respite
Hrs Purchased
(Includes In-home, Day
Care & Institutional hrs
2005-2006 2005-2006
2006-2007 2006-2007
2007-2008 2 2007-2008 267
2008-2009 2008-2009
Linkages Not Applicable: ❑(check)
Fiscal Year Goal Numbers Fiscal Year Number of Unduplicated Clients Served
(Include Targeted Case Management and.
Handicapped Parking Revenue
200572006 2005-2006
2006-2007 2006-2007
2007-2008 2 Obj 26 2007-2008 94
2008-2009 2008-2009
Fiscal Year Active Monthly Caseload
(Include Targeted Case Management and
handicapped parking revenue
2005-2006
2006-2007
2007-2008 80 J
2008-2009
10/31/2008 - 20 -
Senior Companion Not Applicable: ®(check)
Fiscal Year Goal Numbers Fiscal Year Volunteer Service
Years VSYs
2005-2006 2005-2006
2006-2007 . 2006-2007
2007-2008 2007-2008
2008-2009 2008-2009
Fiscal Year Volunteer Hours Fiscal Year Senior Volunteers
2005-2006 2005-2006
2006-2007 2006-2007
2007-2008 2007-2008
2008-2009 2008-2009
Fiscal Year Seniors Served
2005-2006
2006-2007
2007-2008
2008-2009
10/31/2008 - 21 -
HEALTH INSURANCE COUNSELING AND ADVOCACY PROGRAM (HICAP)
SERVICE UNIT PLAN OBJECTIVES
PSA# 7
2007—2008 Year-End Report
HICAP Services
References to Plan Goal(s) and Objective(s) related to HICAP Services without Legal Services
Component
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
2007-2008 3,840 2/7 17 / 13 - 15
2008-2009
1. HICAP Budget without HICAP 2. Community Education
Legal Services Budget
Fiscal Year Actual State & Federal Fiscal Year Actual#of Interactive
Budget Amount Presentations in SFY. Unit of
Service = 1 Presentation).
2005-06 2005-06
2006-07 2006-07
2007-08 $262,234 2007-08 75
2008-09 2008-09
3. Comm* nit Education 4. Counseling
Fiscal Year Actual#of Attendees Fiscal Year Actual#of Clients Counseled in
reached at Interactive SFY.
Presentations in SFY. Unit of Unit of Service =
Service = (1 Client Counseled)
1 Attendee Reached
2005-06 2005-06
2006-07 2006-07
2007-08 2,455 2007-08 1,810
2008-09 2008-09
5. Counselors 6. Counselors
Fiscal Year Actual #of Registered Fiscal Year Actual#of Volunteer Registered
Counselors for SFY. Counselors for SFY. Unit of
• Unit of Service = Service.=
(1 Unduplicated Registered (1 Volunteer Registered
Counselor) Counselor
2005-06 2005-06
2006-07 2006-07
2007-08 23 2007-08 23
2008-09 2008-09
10/31/2008 - 22 -
7. Counselors 8. Counselors
Fiscal Year Actual#of Active Fiscal Year Actual#of Volunteer Active
Counselors for SFY. Counselors for SFY.
Unit of Service= Unit of Service =
(1 Unduplicated Active (1 Unduplicated Volunteer Active
Counselor) Counselor)-
2005-06
ounselor)-2005-06 2005=06
2006-07 2006-07
2007-08 23 2007-08 19
2008-09 2008-09
HICAP Legal Services (if funded and available through HICAP)
References to Plan Goals and Objectives related to HICAP.Le al Services Component
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
2007-2008 382 2 17
2008-2009
9. HICAP Le al Services Budget Only 10. Clients
Fiscal Year Actual State & Federal Fiscal Year Actual Clients Served for SFY
Budget Amount Unit of Service = (1 Client
Served
2005-06 2005-06
2006-07 2006-07
2007-08 $15,000 2007-08 42
2008-09 1 1 ,2008-09
11. Representation 12. Representation
Fiscal Year Actual Hours of Leqal Fiscal.Year Actual Hours of Legal Backup
Representation for SFY. Support to Staff for SFY.
Unit of Service = Unit of Service =
(1 Hour of Legal (1 Hour of Legal Backup
-Representation) -Support)-
2005-06 2005-06
2006-07 2006-07
2007-08 316 2007-08 24
2008-09 2008-09
10/31/2008 - 23 -
LONG-TERM CARE OMBUDSMAN
(Title III B and Title VII a)
AREA PLAN OUTCOMES FOR THE LONG-TERM CARE OMBUDSMAN PROGRAM
Mission: As mandated by the Older Americans Act, the mission of the Long-Term Care Ombudsman
Program is to seek resolution of problems and advocate for the rights of residents of long-term care
facilities with the goal of enhancing the quality of life and care of residents. Baseline numbers are .
provided from each local Ombudsman Program's Fiscal Year(FY) 2003-2004 National Ombudsman
Reporting System data. Targets are established by the local Ombudsman in consultation with the
Area Agency on Aging and are approved by the State Long-Term Care Ombudsman.
1. The problems and concerns of long-term care residents are solved through complaint
resolution and other services of the Ombudsman Program. [OAA Section 712(a)(3)(5)]
Measures and Targets:
A. Complaint Resolution Rate AoA Report, Part I-E, Actions and Complaints)
1. FY 2003-2004 Baseline: 740 complaints resolved plus 257complaints partiallyresolved
complaints divided by total complaints1694 equals Baseline 59%
2. FY 2007-2008 Target: 75% resolution rate
3. FY.2008-2009 Target: 67% resolution rate
Associated Program Goals and Objective Numbers: Goal 2, Objective 23
B.Work with Resident Councils AoA Report, Part III-R, #8
1. FY 2003-2004 Baseline: 12 number of meetings attended
2. . F--Y-200-7-2008-T-arget-22-number-and-55%o-increase -
3. FY 2008-2009 Target: 26 number and 15% increase
Associated Program Goals and Objective Numbers: Goal 2, Objective 23
10/31/2008 _ 24 -
LONG-TERM CARE OMBUDSMAN
(Title III B and Title VII a)
Note: For completion of this section, see Instructions for SUP Objective Guidelines
Total number of cases to be closed: Units of Service = one closed case
■ 1 2. 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
2007-2008 997 2 23
2008-2009
Training for Ombudsman staff and volunteers
Includes 36-hour Certification Training and 12-Hour Required Annual Training .
Fiscal Year Number of Sessions Fiscal Year Number of Hours
2005-06 2005-06
2006-07 2006-07
2007-08 4 2007-08 92
.2008-09 2008-09
Fiscal Year Total Number of Trainees
2005-06
2006-07
2007-08 20
2008-09
Visits
Fiscal Year Number of Visits to SNFs Fiscal Year Number of Visits to
(Unduplicated Count) RCFEs
(Unduplicated Count
2005-06 2005-06
2006-07 2006-07
2007-08 718 2007-08 1,330
2008-09 2008-09
Visits cont.
Fiscal Year Projected Number of Fiscal Year Number of Existing
Volunteers needed Volunteers
2005-06 2005-06
2006-07 2006-07
2007-08 70 2007-08 39
2008-09 2008-09
10/31/2008
C. Work with Family Councils AoA Report,-.Part III-F, #9
1. FY 2003-2004 Baseline: 18 number of meetings attended
2. FY 2007-2008 Target: 11 number and 38% decrease
3. FY 2008-2009 Target: 16 number and 31% decrease
Associated Program Goals and Objective Numbers: Goal 2, Objective 23
D. 'Consultations to Facilities (AoA Re ort, Part III-F, #4)
1. FY 2003-2004 Baseline: 360 number of consultations
2.. FY 2007-2008 Target: 487 number and 35% increase
3. FY 2008-2009 Target: 512 number and 5% increase
Associated Program Goals and Objective Numbers: Goal-.2, Objective 23
E. Information and Consultations to.lndividuals (AoA Report, Part III-F, #5
1. FY 2003-2004 Baseline: 1669 number of consultations
2. FY 2007-2008 Target: 889 number and 53% increase.
3. FY.2008-2009 Target: 920 number and 3% increase
Associated Program Goals and Objective Numbers: Goal 2, Objective 23
F. Community Education AoA Report, Part 111-F, #10)
1. FY 2003-2004 Baseline: 7 number of sessions
2. FY 2007-2008 Target: 10 number of sessions and 30% increase
3. FY 2008-2009 Target: 15 number of sessions and 50% increase
Associated Program Goals and Objective,Numbers: Goal 2, Objective 23
10/31/2008 - 25 -
G. Systems Advocacy
FY 2007-2008 Target: Ombudsman Services of Contra Costa worked with the Contra Costa County Public
Health Department to provide disaster preparedness planning to Skilled Nursing Facilities (SNF) and
Residential Care Facilities for the Elderly (RCFE) in Contra.Costa County. The public health nursing students
went out to our long term care facilities and did emergency planning surveys..As a result of this activity,
Stonebrook, a 120 bed SNF had their eleven department managers complete the Community Emergency
Response Team (CERT) training.
The second phase of education for nursing students that Ombudsman provided was in regards to large
assisted living facilities in our county. On September 21, 2007, a presentation to the nursing students
regarding SNF and RCFE licensing requirements, self-assessment guidelines for Community Care Licensing
(CCL)and Ombudsman's role as advocates to residents was made. The Ombudsman Director spoke to the
students about the challenges small 6-8 bed facilities pose for the Ombudsman program.
The Ombudsman Program is especially concerned about the small 6-8 bed residential care facilities in the
event of a disaster. By bringing community resources to the owners and caregivers in the homes, and training
them to deal with emergency situations, these facilities will know where to get help in their individual
community. The facilities will be identified to our local fire departments and emergency services. Our fragile,
elderly residents will have the best opportunity to receive the care they need in the event of an emergency.
The Ombudsman Director spoke to managers and owners of SNF's and RCFE's about Ombudsman Services
and licensing requirements. Three separate presentations were made in FY 07-08.
Measures and Targets:
2. Residents have regular access to an Ombudsman. (OAA Section 792(a)(3)(D), (5)(e)(ii)J
A. Regular Nursing Facility Resident Visitation (AoA Report, Part III-F, #6)
The target should be 100% of facilities visited. Refer to the NORS definition of regular
visitation, which is at least one visit on a quarterly basis.
1. FY 2003-2004 Baseline: 100%
(710 number of regular visitations divided by the number of 32 nursing facilities)
2 FY 2007-2008 Target: 1% increase in the number of regular resident visitations (718 visits)
3. FY 2008-2009 Target: 10% increase in the number of regular resident visitations
Associated Program Goals and Objective Numbers: Goal 2, Objective 23
10/31/2008 - 26 -
B. Regular Residential Care Facility for the Elderly Resident Visitation
(AoA Report, Part III-F, #6—board and care facilities) The target should be 100% of facilities visited. Refer
to the NORS definition of regular visitation, which is at least one visit on a quarterly basis.
1. FY 2003-2004 Baseline: 75%
(228 number of regularvisitations divided by the number of 304 licensed residential care facilities for
the elderly)
2. FY 2007-2008 Target: 5% increase in number of regular resident visitations
(1305 number of regular visitations divided by the number of 464 residential care facilities for the .
elderly)
3. FY 2008-2009 Target: 2% increase in number of regular resident visitations
(1,330 number of regular visitations divided by the number of 500 residential care facilities for the
elderly)
*Estimated growth in number of facilities.
Associated Program Goals and Objective Numbers: Goal 2, Objective 23
C. Number of Full-Time Equivalent(FTE) Paid Staff Ombudsmen
One FTE generally equates to 40 hours per week or 1,760 hours per ear
1. FY 2003-2004 Baseline: 4,625 FTEs
2. FY 2007-2008 Target: 4,675 and .01% increase
3. FY 2008-2009 Target: 4,675 and 5% increase
Associated Program Goals and Objective Numbers: Goal 2, Objective 23
D. Number--of-Certified_V_olu.nteer_O.mbudsmen
1. FY 2003-2004 Baseline: 43
2. FY 2006-2007 Current Number:39 after decertification
FY 2008-2009 Target: 39 number.and 0% increase
Associated Program Goals and Objective Numbers: Goal 2, Objective 23
10/31/2008 - 27 -
Measures and Targets:
1. Ombudsmen report their complaint processing and other activities accurately and
consistently. [OAA Section 712(c)]
A. Each Ombudsman.Program provides regular training on the National Ombudsman
Reporting System (NORS).
1. FY 2003-2004 Baseline: 2 number of NORS Part I, II or III training sessions
completed.
2. FY 2007-2008 Target: 2 number of NORS Part I, II and III training sessions
planned.
3. FY 2008-2009 Target: 2 number of NORS Part I, II and III training sessions
planned.
Associated Program Goals and Objective Numbers: Goal 2, Objective 23
10/31/2008 - 28 -
Section IV: Title III D and Medication Management
In FY 2007-2008 the Area Agency on Aging offered a variety of services and programs to help
older adults age happily, safely, and in optimal health. The following is a summary of our
services and programs:
• Developed the Fall Prevention Program (FPP) of Contra Costa County through
collaboration with community organizations and local hospitals.
• Participated in approximately 47 outreach activities/community events to present and
distribute information related to healthy aging and chronic diseases prevention.
• Helped older adults better manage their medication.by distributing pill boxes and
medication safety information at community events, senior centers, and other locations
where older adults congregate.
• Published articles in English and Spanish that featured information on chronic
obstructive pulmonary (COPD), how-to spot health scams, and other health issues.
Articles were published.in the AAA Senior Information Newsletter, which has a
readership of approximately 17,000 people..
• Produced.the Time of Your Life senior focus television programs that aired regularly on
Contra Costa Television. The show promotes living a healthy and active lifestyle.
• Collaborated with local hospitals.and community organizations to coordinate and
sponsor health fairs throughout Contra Costa.County, particularly in low-income,
minority, and rural communities with populations at-risk for health disparities. At these
health fairs older adults received health information and vital free check-ups to screen
for diabetes, high blood pressure, osteoporosis, dental problems,.and other health
issues. Those identified as risk for certain health problems received follow-up services.
• Partnered with adult education centers, local hospitals, and community groups to
coordinate and co-sponsor exercise programs that motivate older adults to exercise and
eat healthy. The programs provide exercise demonstration, information about low cost
and free-exercise classes available in the community, and expert advice from
nutritionists, medical professionals, and fitness instructors on issues pertaining to
healthy aging.
• Distributed free exercise resistance bands and tubes with instruction sheets that show
older adults simple exercises they can perform at home to strengthen their bodies and
improve flexibility.
• Distributed pedometers with instruction sheets to encourage older adults to take up
walking as an easy, safe, and inexpensive form of exercise.
• Participated in the East County HIWAIDS Task Force to coordinate a health and
resource fair and develop materials to increase the community's awareness of HIV/AIDS
prevention practices, free testing services, and resources available to support individuals .
living with the disease.
10/31/2008 -29-
Section V: Discussion of Objectives (see comments in blue)
/area Plan Goals and Objectives
GOAL #,1
The AAA is committed to assisting older individuals (who may be in danger of losing
their independence) so they can lead meaningful, dignified, and independent lives in
their own homes and communities as long as possible. AAA will accomplish this
through an accessible range of options including but not limited to, collaborative
efforts, decision making among public, private,voluntary,fraternal organizations, and
coalitions,for continuing the development and enhancement of a comprehensive and
coordinated community and home based system of care.
RATIONALE
The AAA conducted needs assessments and through analyses of the results of
completed surveys found the AAA was asked to provide program development,
coordination, and technical assistance.
OBJECTIVES Projected Title III B
Start& Funded Status
End Dates PD or C
1. The I & A SOGial Work Supervisor will be responsible 7/1/05 - Completed
for planning, coordinating, and co-facilitating the bi- 6/30/08
monthly Central and East County SHARE (Social
and Health Agency Resource Exchange) meetings,
in order to provide forums for networking, resource,
and educational information sharing for service
providers from government, profit and nonprofit
community based organizations who serve older
adults and people with disabilities. As of 1/1/08 the
tasks_wer_e tr_ansfer_r_a.d_to_a_communit-y_pr_ovid.er_.
2. The I & A Sas+a4-VV9FSupervisor will be responsible 7/1/05 - Completed
for coordinating and co-facilitating bi-monthly 6/30/08
planning committee meetings, in order to outline and
arrange for guest.speakers to provide informational
presentations at each of the bi=monthly SHARE
meetings and the "All County Day" half-day
conference held by SHARE once a year. As.of
1/1/08 the tasks.were transferred to a community
provider.
3.- The I & A Sesial-VV9F Supervisor will be responsible 7/1/05 - Completed
for maintaining an up-to-date electronic data-base of 6/30/08
SHARE member's e-mail addresses in order to
increase the delivery of resource information and
reduce paper waste, while promoting networking by
way of electronic communications. As of 1/1/08 the
tasks were transferred to a community provider.
10/31/2008 _30-
4. The I & A Social Workers will gather information and 711105 - Completed
statistics using IRIS 3.0 as requested/needed in 6/30/08
order to assist with the Acute and Long-Term Care
Integration with their planning and implementation.
I&A is updating to 4.0 and ALTCI has been
discontinued because of no funding.
5. In order to provide the highest level of coordinated 7/1/05 - Continued
services to consumers, the I & A Social Work 6/30/09
Supervisor will collaborate with CCC's identified 211
provider, CCC Crisis Center, to create, implement
and maintain the National Information and Referral
System appropriate for older adults calling I & A to
request information.
6. AAA Sr. Staff Assistant will actively participate in 7/1/05 - C Continued
monthly Central County Senior Coalition meetings to 6/30/09
assist in the development and implementation of
coalition activities by working with members of the
coalition steering committee to develop and maintain
an updated directory of service providers in central
county, develop and maintain a media publicity list to
announce upcoming events specific to senior issues,
assist with the planning of an Ageless Lifestyle forum
addressing the issues of aging and its effects on
seniors, assist with the planning of the.annual Mary
Shockley Memorial Senior Center Volunteer
Recognition Awards event, and coordinating with
CCTV for the taping and broadcasting of coalition
events. The Central County Senior Coalition puts on
annual events with the funding it receives from the
AAA. The Mary Shockley Memorial Senior Center
Volunteer Recognition Awards are an annual event
that honors and recognizes the volunteer efforts of
seniors at each of the senior centers in Central
—Contra—Costa—CCounty.—Additionally-the-Coaiitions
sponsor certain forums each year with the different
topics from year to year. The Coalition put on the
Mary Shockley Recognition program in FY 07-09
(completed) and put on one forum in FY 07-08
(completed) and will continue to provide these
programs in FY 07-08.
10/31/2008 -31 -
7. To inform.seniors in East County about services and 711105 - C Continued
how to access them, AAA Sr. Staff Assistants and 6/30/09
AAA Staff Assistant will actively participate on the
East County Senior Coalition's outreach project,
which includes developing.and distributing English
and Spanish resource materials, giving presentations
to groups, and making one-on-one contacts with
seniors. Also, a conference design to address
issues affecting seniors will be held annually. .The
Coalition, at the beginning of each fiscal year, will
decide on the issues to be addressed by the
conference. In FY 07-08 the Coalition produced the
"Living Better After 50" conference, which featured
information booths, speakers, and workshops on
Medicare, exercise, fall prevention, how to reduce
clutter, healthy cooking and other issues to help
older adults live a healthy and fulfilling lifestyle.
About 150 people were in attendance. In addition,
the Coalition produced 2 resource information/health
fairs targeting low-income, rural seniors with free
health screenings and resources. Coalition
members met monthly to network, share information
about services, as well as distributed outreach
materials in English and Spanish.
8. To inform seniors in West County about services and 711/05 - C Continued
how to access them, AAA Sr. Staff Assistants will 6/30/09
actively participate on West County Senior Coalition
and work with other organizations to distribute
resource materials and identify locations for
outreach, which includes giving presentations to
groups and making one-on-one contacts with
seniors. An annual town hall meeting will also be
organized to give seniors an opportunity to speak out
and_be_heard;_issu_es to_be�ddressed_will_be
decided at the beginning of each year. In FY 07-
08, the Coalition successfully sponsored a senior
health fair at Doctors Medical Center for older adults
in West County. Senior centers provided free
transportation to and-from the health fair. Over 200
seniors participated and had the opportunity to hear
from and talk to physicians and experts about
diabetes, osteoporosis, foot care, and other health
issues. Free health screenings were provided and
resource materials were widely distributed. The
Coalition also partnered with a number of agencies
to co-sponsor a town hall meeting to address the
alarming increase in the number of home
foreclosures. Homeowners received critical services
that included financial counseling, the opportunity to
speak directly with lenders about refinancing options,
and information about resources available to help
them avoid foreclosures.
10/31/2008 -32-
9. To provide a special evening of entertainment and 7/1/05 - C Continued'
dinner for frail and homebound seniors, AAA Sr. 6/30/09
Staff Assistants will work in conjunction with West
County Senior Coalition and Richmond Commission
on Aging to organize and sponsor the annually held
"Seniors' Night Out." Volunteers are recruited to
drive and escort seniors to this event. That evening
the Coalition will also present recognition awards to
seniors, volunteers, and advocates who've made
valuable contributions to the West County
community. Over 300 seniors, many of whom are
homebound, attended "Seniors' Night Out" held in
May to celebrate.Older Americans Month. Also, 10
deserving senior volunteers were honored and
presented with awards for their service to the
community.
10. AAA Mobility Manager will work with the public fixed 7/1/05 - PD Continued
route and paratransit transportation service providers 6/30/09
and providers of social service.transportation to
develop ways to increase service to meet the needs
of non-driving seniors, and to improve the effective
use of transportation resources through coordination
of services. This will include developing flexible
transportation services for seniors that go beyond
the limitations of ADA paratransit. The Mobility
Manager and Transportation Specialist have
continued to work with public transit and paratransit
service providers to improve cross jurisdictional
paratransit services for seniors and the disabled.
Paratransit providers are now taking more
passengers to their final destination in another
operator's service.area. The Mobility Manager and
Transportation Specialist have assisted CBO
--trans portation_pr_oviders_in_serving_new populations.
With greater focus on transitioning unsafe drivers to
a non-driving status, there is now greater emphasis
on improving transportation alternatives beyond
traditional transit and paratransit. In addition, the
planning for mobility management centers in the
county, in which the Mobility Manager is playing a
lead role, is focused on improving the coordination of
transportation services to better meet the needs of
consumers, including seniors. A challenge is that
due to loss of funding, the Transportation.Specialist
position was eliminated at the end of the Fiscal Year.
10/31/2008 -33-
11. Where additional services or resources are needed 7/1/05 - PD Continued
to create a true "family" of transportation services to 6/30/09
bridge the identified transportation gaps for seniors
in Contra Costa, the AAA Mobility Manager will work
to facilitate or develop new or expanded services
paying particular attention to the underserved West
and rural areas of the County. This will require the
AAA Mobility Manager to take a leadership role in a
collaborative effort or developing direct agency-
sponsored services. In particular, this effort will
focus on developing and implementing volunteer
driver models as a flexible and cost-effective way of
providing service. The Mobility Manager and
Transportation Specialist have continued to work as
a resource in providing technical assistance on
alternative transportation models, and to take a
leadership role with a variety of community groups
interested in creating local solutions to transportation
problems for seniors. The expansion of volunteer
driver programs into underserved areas, particularly
in Eastern and Western portions of the county is a
major focus. The Mobility Manager wrote a
successful New Freedom Program grant for this
purpose.
12. The AAA Mobility Manager and the Transportation 7/1/05 - PD Continued
Work Group of the Advisory Council on Aging will 6/30/09
support efforts by other organizations to help keep
seniors driving safer longer, such as: design
changes in roadways, signage, vehicles and
pedestrian access; and education for senior drivers
through active participation in pertinent forums. The
Mobility Manager and the Transportation Specialist
are active participants.in the Transportation Work
Group-of-the-Advisor -Council_on_Aging.
Participation in this group and the Senior Mobility
Action Council bring opportunities to advocate for
and educate seniors, their families, and those
agencies serving them on issues related to driving
safely. For example, the Mobility Manager and
Transportation Specialist have taken a lead role in
promoting and organizing the "CarFit" Program in the
county, including a volunteer training session and
several CarFit events where seniors were able to
bring their cars to get advice on how to better fit the
car in order to drive safer.
10/31/2008 -34-
13. AAA Mobility Manager will meet with the Department 711105 - PD Continued
of Motor Vehicles, public transportation providers 6/30/09
and other agencies in order to connect seniors who
are losing their drivers' licenses with appropriate
transportation choices in their communities. The
DMV's Senior Ombudsman has joined the Senior
Mobility Action Council's Older Driver Team to assist
in communicating information about licensing issues
and alternative transportation for those who can no
longer safely drive.
14. To insure seniors an opportunity to age in place in 7/1105 - PD Continued
the community, AAA Program Manager and AAA Sr. 6/30/09
Staff Assistants will actively participate in the Acute
and Long-Term Care Integration (ALTCI) Pilot
Project. In place of the uncoordinated array of
programs delivered by multiple agencies and funding
sources creating barriers to those in need of care,
this collaboration of the CCC Health Plan,
Employment and Human Services Department, and
Community based Organizations (C,BO's) is building .
an integrated long term care system that will provide
a single, comprehensive, coordinated and consumer-
friendly program of care with a continuum of
appropriate medical, social and supportive services.
The AAA in conjunction with their ALTCI Partner
CCHP continues to collaborate in quarterly Meetings
to build an integrated long-term care system for
Contra,Costa County older adults through
community partnerships and educating consumers.
15. To insure the appropriate community.services are 7/1/05 - C. Continued
available to ALTCI participants, AAA Program 6/30/09
Manager and AAA Sr. Staff Assistants will assist
contracted partners and other identified CBOs in
preparing-for-an-increased-volume-of-consumers
requiring services by providing information and
.resources regarding demonstration grants and other
funding related resources in order to begin services
January 1, 2007. Although there is a lack of funding
for ALTCI, the AAA and its' ALTCI partner CCHP
continue to share information on Long Term Care
grants and other resources, with their community-.-
partners.
10/31/2008 -35-
16. The AAA Program Manager, AAA Sr. Staff 7/1/05 - Continued
Assistants, and the Advisory Council Planning 6/30/09
Committee will work together to enhance the Area '.
Plan in its 06-07 Update in order to better plan for
the provision and utilization of services to assist
older adults to lead meaningful, dignified, and
independent lives in their own homes and
communities for as long as possible. The Area Plan
Updates and Year End reports continue to expand
as the Area Agency on Aging increases its'
community partnerships and collaborations as
evidenced by.Partners in-Planning, CCEG activities,
community wide older adult issue forums and work
with the Coalitions.
17 7/1/05 - C Deleted
6/30/08
faGi1itatiRg the bi monthly West GOURty SHARE
ideFs from ,
West
County SHARE was terminated due to lack of
interest in this activity. The AAA Senior Staff
Assistant attempted to restart the committee, but the
service providers did not express sufficient interest in ..
this endeavor. An alternative committee, the West
County Senior Coalition, is available for networking
and the sharing the resources and educational
information.
18 7/1/05 - C Deleted
MaiRtaiRiR. g an up to date eleGtr9niG database Gf 6/30/08
Alost-P-Gunty-SHARE--m em beFs'-e-mail-addre6sec-in—
by way of e'eGtFE)R*G GOMMURiGatie Since the
West County SHARE was terminated, there was no
need to update the electronic database of members.
19. AAA Staff Assistant will actively participate with the 7/1/05 - C Continued
Richmond Commission on Aging and other 6/30/09
Drganizai ons to plan and participate in the "Senior
Information and Health Faire" in order to inform
seniors in West,County about services and how to
access-them. Over 500 people participated in the
"Senior Information and Health Fair" held on May 20,
2008 to coincide with Older Americans Month.
10/31/2008 -36-
20. The AAA Program Manager, AAA Sr. Staff 7/1/06 - PD Continued
Assistants, AAA Staff Assistant, and the Advisory 6/30/09
Council Planning Committee will work collaboratively
with GBO's and For Every Generation to develop
needed programs in underserved and hard to reach
areas of the County in order to assist older adults to
remain independent in their own homes for as long
as possible. The AAA in conjunction with the
Advisory Council continues to work collaboratively
with the for Every Generation organization on
transportation and housing issues, for example
promoting "Best Practice Guidelines" for developers
related to senior housing.
21. The AAA Program Manager, AAA Sr. Staff 7/1/06 - PD Continued
Assistants, and the Advisory Council Planning 6/30/09
Committee Members will work collaboratively with
CBO's and the Neighborheod Quality of Life VV9Fk
G Neighborhoods and Communities Initiative
(name change) of the For Every Generation to assist
with the coordination of the newly formed one-stops
in order to increase access. This objective was put
on hold in FY 2007-2008 due to limited AAA staffing.
The hope is to advance this objective in 2009.
22. The AAA Program Manager, AAA Sr. Staff. 7/1/06 - PD Continued
Assistants, and the Advisory Council Planning 6/30/09
Committee Members will work collaboratively with
CBO's to develop and plan special
programs/events/services with the use of One-Time
Only funds in order to help address the needs of
older adults with particular attention to Family
Caregiver needs. The AAA utilized its portion.of its
Family Caregiver Provider One Time Only funds in
FY 07-08 to develop a new training and counseling
model-for-Grandparents-raising-relative-children.
23. The AAA Program Manager, AAA Sr. Staff 7/1/07 - PD Continued
Assistants, and the Advisory Council Planning 6/30/09
Committee Members will work collaboratively with
CBO's to develop and plan special
programs/events/services with the use of One-Time
Only funds in order to help address the needs of
older adults with particular attention to LGBT seniors.
The AAA worked with the local CBO's to develop an
LGBT project as described in the narrative section of
the report.
10/31/2008 -37-
24. The AAA Program Manager, AAA Sr. Staff 7/1/07- PD Completed
Assistants, and the Advisory Council Planning 6/30/07
Committee Members will work collaboratively with
CBO's to develop and plan special
programs/events/services with the use of One-Time
Only funds in order to help address the needs of
bider adults with particular attention to seniors who
are homeless. In the Spring of 2007, the
Transportation Specialist created a pilot program to
transport homeless seniors living in the County's
shelters to medical appointments, primarily at the
County's clinics. This pilot utilized a taxi-based
transportation service operated by the County's
Workforce Services Bureau to provide employment-
based transportation to the County's CalWORKS
population. Although this pilot for transportation
homeless seniors to medical appointments was
successful and cost-effective, no funds have been
located in order to continue it beyond the Spring
2007 pilot phase.
25. The AAA Program Manager, AAA.Sr. Staff 7/1/07 - PD Continued
Assistants, and the Advisory Council Planning 6/30/09
Committee Members will work collaboratively with
CBO's to develop and plan special
programs/events/services with the use of One-Time
Only funds in order to help address the needs of
older,adults with particular attention to seniors.with
limited-English abilities. In FY 2007-2008 OTO
.funds was used to sponsor the Senior Appreciation
Day- Health & Resource Fair, which focused on
providing health screenings and bilingual resources
to the large population of Latino seniors in Bay Point j
area.
26—The AAA Program-Manager, AAA Sr-Staff 7/4/07-- RD -Continued
Assistants, and the Advisory Council Planning 6/30/09
Committee Members will work collaboratively with
CBO's to develop and plan special
programs/events/services with the use of One-Time
Only funds in order to help address the needs of
older adults with particular attention to disease
prevention.and health promotion of seniors. A
number of programs/events/services were developed
in FY-07-08 using One-Time-Only funds, including a '
health fair, active aging forum, and pilot program that
provided home safety equipment to help seniors
reduce the risk of failing.
10/31/2008 -38-
GOAL # 2
AAA will provide services to older individuals with the greatest economic and social
needs, including low income diverse population groups through continued service
expansion, development, and collaboration with community groups, service providers,
and elected officials, in order to provide health, social, nutrition and legal services for
older individuals who may be at risk of abuse or neglect.
RATIONALE
Mandated by the Older Americans Act and the AAA is committed to providing services
to the population groups specified above.
OBJECTIVES Projected Title III B
Start&End Funded Status
Dates PD or C
1. In order to address the increased need for 7/1/05 C Continued
affordable housing and financial assistance, AAA 6/30/09
Sr. Staff Assistant will meet monthly with the `
Contra Costa County for Every Generation
Housing Workgroup and assist in its' work toward
property development of affordable living for older
adults and encourage the group to explore the
feasibility of duplicating the National Shared
Housing Resource Center (NSHRC) and San
Mateo Human Investment Project (HIP) model in
CCC to add coordinated shared housing services
and assistance with home equity conversion. The
idea was proposed again to invite a representative
from NSHRC to present on shared housing
options. Unfortunately, taking action was tabled
while the group focuses on it's primary goal to
increase the development of affordable housing for
seniors by advocating for increased support of
each city in Contra Costa County. The plan to
bring this to the table will, however, remain in place
through '08-09.
2. In order to assure those aged 60 or older with low- 7/1/05- Continued
incomes, who are ethnically or culturally diverse, 6/30/09
limited English-speaking and/or have the greatest
social needs will be served, AAA Program
Manager and AAA Sr. Staff Assistants will design
Requests for Proposals (RFP's) to require bidders
to include a plan for community outreach when
submitting proposals to,provide services.
10/31/2008 _39-
3. AAA Program Manager and AAA Sr. Staff 7/1/05- Continued
Assistant will ensure that contractors and 6/30/09
subcontractors are,required to serve clients 60
years of age and over. Based on targeting
guidelines, contractors will.be required to seek out
new clients with the greatest economic need,
greatest social need, minority persons and minority
persons of greatest economic need through usage
of clear contract language, monitoring, and review
of client data reports. The term "greatest economic
need" means the need resulting from an income
level at or below the poverty line. The term
"greatest social need" means the need caused by
non-economic factors, which include:
(A) Physical and mental disabilities
(B) Language barriers; and
Cultural, social and or geographical isolation
including isolation caused by racial or ethnic status,
that restricts the ability of an individual to live
independently.
4. AAA Program Manager and AAA Sr. Senior Staff 7/1/05 - Continued
Assistant will design the Request For Proposals 6/30/09
(RFP's) to require bidders to include a plan for
community outreach in order to assure those with
low incomes, ethnically diverse, limited English-
speaking, and persons identified as being of
greatest economic or social need aged 60 years or
older are being served.
6 Senior Legal Sep., Dire GtOF Will develop a FnOlti_. 7/1/05- Deleted
media eutFeaGh plan, aGGess, 6/30/08
Board-of-Di rectors-has-not-expressed-interest-in
trying to launch another website. This should be
deleted because agency lost domain name and
clients rarely used web site.
6. Health Services Program Manager of the 7/1/05- Continued
Congregate and Home Delivered Meals Programs 6/30/09.
will design a plan to enhance outreach activities
through public media, i.e. PSA's, brochures, and
Public presentations in order to raise the number of
meals served.
10/31/2008 -40-
J
7. The CCC Health Services Department will employ 7/1/05- Continued
a Registered Nutritionist to provide nutrition and 6/30/09
safe food handling education by giving
presentations and distributing printed information
at congregate nutrition sites and on home
delivered meal routes which, tells seniors how a
nutritious diet and safe handling of food can play
an important role in maintaining health and disease.
prevention which can lead to a persons increased
enjoyment of life.
8. AAA Sr. Staff Assistant will develop & implement 7/1/05- . Continued
an outreach timeline to reach the senior 6/30/09
community, aging network, private and public
agencies. The timeline will include activities such
as conducting presentations about resources,
making individual contacts with seniors, and
developing and distributing AAA newsletters,
program fact sheets printed in different languages,
brochures, and literature regarding new and
expanded services.
9. AAA Program Manager and AAA Sr. Staff - 7/1/05- C Completed
Assistant will coordinate with members of 6/30/06
Southeast Asian Senior Access Collaborative
(SEASAC) to provide isolated Laotian seniors
living in West CCC access to linguistically and
culturally competent services. Bilingual
caseworkers will provide needs assessment, case
management, advocacy, information and referral,
and health education. Workers will also link
seniors to services that include but are not limited
to transportation, ESL classes, in-home care
services, and affordable housing.
10/31/2008 -41 -
10. AAA Sr. Staff Assistant will utilize the InfoVan, an 7/1/05- C Continued
"information center on wheels",.to travel throughout 6/30/09
the county and attend events to provide
information about services and how to access
them. In addition, staff will collaborate with senior
centers, diverse population groups, senior
coalitions, and appropriate(community groups to
utilize the InfoVan to reach seniors that are
isolated due to their low-incomes, disabilities,
limited English speaking abilities, cultural barriers,
or because they live in rural areas. To meet the
needs of the county's diverse population, InfoVan
will be stocked with brochures and resource `
materials that are printed in several different
languages. In FY 07-08, the AAA continued to
work with various agencies to develop and
schedule community fairs, town hall meetings,
social gatherings, and other events to do outreach.
We completed a total of 47 outreach events and
many of those involved using the InfoVan to
distribute resource information to the community. ,
11: AAA Sr. Staff Assistant will reach out to non- 7/1/05 - Continued
English speaking seniors through the use of 6/30/09
interpreters from the.county's translation service,
.printing publications in different languages, and
publishing health information in the Senior
Information Newsletter in Russian, Spanish,
Laotian, and Vietnamese.
12. AAA Program Manager and AAA Sr. Staff 7/1/05- PD Continued
Assistant will partner with Monument Community 6/30/09
Partnership's Senior Action Team, Catholic
Charities, and other'CBO's to develop services for
low-income and underserved seniors in the
Monument-Corridor,—a-neighborhood-in-Concord. ,
A study will be conducted to identify needs and
services will be then be developed to address
those needs. The needs assessment study was
completed and findings showed*that many seniors
who live in the Monument Corridor area of
Concord, a low-income neighborhood with a large
Latino population, are isolated or did not know how,
to access services. In response to the findings, a.
Monument Corridor Senior Outreach Program was
developed in FY 07-08. The program dispenses
bilingual volunteers out into the community to visit
with seniors and let them know about available
community services.
10/31/2008 -42-
13. In conjunction with Jewish Family and Children 7/1/05 - C Continued
Services, La Clinica, Bay Point Health Clinic and 6/30/09
other organizations, AAA Sr. Staff Assistant will
establish the Bay Point Committee for Senior
Health to address the health issues of low-income,
Latino; and African-American seniors residing in
Bay Point. The Committee will organize and hold a
"Senior Appreciation Day —.Health and Resource
Fair" in recognition of Older Americans Month in
May. The event will feature exercise
demonstrations, nutrition information; and other
resources to help seniors stay active and healthy.
Free health screenings and information about
resources in the community will also be.available.
Presentations and information will be in Spanish
and English. .Over 200 seniors received services
and assistance, in English and Spanish, at this
annual event. The event took place on May 17,
20b8 to coincide with Older Americans Month.
14. The AAA Program Manager working with the 7/1/05 - Continued
Advisory Council Housing work group will explore 6/30/09
options for funding for CBOs interested in providing
low-cost home repairs and modifications for
seniors desiring to stay in their own homes but
unable to pay for the home repairs and
modifications.
15. AAA Program Manager, in collaboration with the 7/1/05- C Continued
CCC Community Development Department and 6/30/09
the Advisory Council.Housing work group, will
develop guidelines for senior housing developers
funding for incorporating Aging Friendly services,
such as referral, and transportation, access in their
housing projects. In addition, the collaboration will
advocate-for-access-by-public-transportation-as -
criteria for senior housing project location and
funding. The collaboration will create specific
endorsement guidelines for use when the Advisory
Council is asked to endorse specific housing
projects.
10/31/2008 -43-
1
19. The Brown Bag Program Coordinator will partner 7/1/05— Continued
by arranging and attending meeting with 6/30/09
organizations, which serve specific ethnic groups
in order to reach ethnically and culturally diverse
populations.
20. In order to reduce isolation and increase 7/1/05— Continued
opportunities for socialization, the Brown Bag 6/30/09
program distribution sites will open early to allow
members to visit with.. one another Brown Bag
members before the bags of groceries are
dispersed. Also-helping to reduce isolation and
reach those with barriers to receiving services,
Brown Bag recipients will deliver bags of groceries
to their neighbors who have no transportation or
limited-English language skills.
21. In order to target potential Adult Day Care 7/1/05— Continued
participants who have physical and mental 6/30/09
disabilities, the Program Director in West County
will collaborate with the.various community groups,
County programs, non-profit organizations, private
agencies, churches, and participant family
members. In addition, Director and Program Staff
will provide outreach by making presentations at
various forums.
22. In order to limit language and cultural barriers and 7/1/05— Continued
provide culturally competent services, the Adult 6/30/09
Day Care Program Director in West County will
employ and maintain staff who speak Spanish, and
Tagalong (and other languages, as needed).
23. In order to reach individuals who are isolated and 7/1/05— Continued
may be difficult to reach, the Adult Day Care 6/30/09
Director and Program Staff in West County will.
partner--with-and-maintain-re.gular--contact-with
medical_practitioners, professionals, community
groups, community based organizations, and
social service programs, such as: Adult Protective
Services, Linkages, and the AAA Information and
Assistance.
10/31/2008 -45-
l
29. The AAA Program Manager and Sr. Staff 7/1/05- PD Completed
Assistants will assist the East County Health Aging 6/30/08
Collaborative in their efforts to secure funding for
housing, transportation, health services and
affordable housing for low-income seniors in East
Contra Costa County through advocacy and
identification of financial grants or county funding.
The East Bay Healthy Aging Collaborative has
been ended due to lack of funding. The AAA in
conjunction with other county services assisted
with the transfer of clients being served by EBHAC
to other county and community services
30. AAA Sr. Staff Assistants will contact other 7/1/05- Continued
community organizations (hospitals, service 6/30/09
organizations, businesses, government
departments) to secure current survey data they
may have which identifies trends and service
needs assessment data related to aging in CCC.
This data will be reviewed and analyzed and
incorporated in future AAA planning.
10/31/2008 -48-
10. In order to provide public information to agencies and 7/1/05 - Continued
community persons 60 + years and their families 6/30/09
regarding resource availability, educational
opportunities, health care counseling and topics
relevant to the aging community, AAA Sr. Staff
Assistant and AAA Program Manager will utilize
CCTV's (Contra Costa Television, a local cable station)
Community Bulletin Board and Community Calendar to
advertise meeting dates, times and places of the East,
West and Central County coalition meetings and other
related activities.
11. In order to provide the public with an internet resources . 7/1/05 - Continued
for topics, issues, and information regarding aging, AAA 6/30/09
Sr. Staff Assistant will contract with Trilogy Integrated
Resources for.the expansion and maintenance of'the
Network of Care by updating resource dates monthly,
legislative module nightly, and maintaining county links
in order to increase consumer knowledge and access to
services. Website: www.contracosta.networkofcare.org
12. AAA Sr. Staff Assistant will actively participant in the 7/1/05 - C Continued
Central County Coalition to identify and prioritize senior 6/30/09
needs-by providing technical assistance by working with
Coalition members on needs identified, including fraud
and intergenerational issues. This objective is an
ongoing and continuing responsibility of the AAA Sr.
Staff Assistant (SSA). The SSA is the liaison from the
AA to the Central County Senior Coalition and provides
technical assistance to the coalitions. The SSA
provided assistance to the Coalition by attending the
Coalition Steering Committee meetings and was active
in the planning and coordination of the Coalition events
in FY 07-08.
13. AAA Program Manager and AAA Sr. Staff Assistant Will 7/1/05 - C Continued
work with senior coalitions, community based -
organizations, the County's aging network, offices of
County Supervisors, and other groups to identify and
address senior needs by providing technical assistance
including, assistance with needs assessments,.focus
groups, quality assurance surveys, program developing,
and fundraising. AAA.staff actively provided technical
assistance to community partners in FY 2007-2008.
Highlights of our efforts include assistance with
fundraising and program development provided to the.
Fall Prevention Program of Contra Costa County,
various transportation programs/projects, and Contra
Costa County for Every Generation.
10/31/2008 -51 -
24. The Central County Adult Day Care and ADCRC 7/1/05— Continued
Program Director will target those with physical 6/30/09
and mental disabilities who have language.
barriers, low-incomes and are isolated and/or
underserved. This will be accomplished by
partnering with other senior service providers and
volunteer organizations in order to develop a
referral network to better educate the public about
services. In order to serve those with limited-
English speaking skills, a partnership with Jewish
Family and Children Services will be maintained in
order to reach Russian and Farsi speaking
immigrants. In order to serve these populations,
multicultural services will be offered to participants
in their native tongue by maintaining bi-lingual
staff. In order reach those who are isolated and/or
difficult to reach, in-service trainings will be offered
to hospitals,.senior peer volunteer groups, and
others who have access to these hard to reach
populations. Self-evaluate of targeting methods
take place relating to outreach and the results will
be evaluated by tracking all inquiries into our
program.
25. AAA Program Manager,AAA Sr. Staff Assistants, 711/05— pD Continued
and Planning Committee to the Advisory Council 6/30/09
will actively work together to plan ways of reaching
those who may be underserved paying particular
attention to reaching individuals with physical and
mental disabilities, language barriers, low-incomes,
or who may be isolated. This focus is woven
throughout all program development and outreach
activities the Planning Committee of the Advisory
Council are involved in with their role in helping the
AAA-plan,-develop,-coordinate,-and-monitor—
services.
plan,develop,-coordinate,and-monitorservices. In conjunction with the Advisory Council
the AAA has provided taxi and bus services to a
homeless shelter, emergency food packs through
the nutrition programs, disaster training and
emergency kits to community seniors reaching
individuals with physical and mental disabilities,
language barriers, low-incomes and isolated.
10/31/2008 -46-
26. The Linkages Social Work Supervisor will target 7/1/05— Continued
people with disabilities, those who are 6/30/09
underserved, people with low-incomes, those with
language barriers, and/or people who are
culturally, socially or geographically isolated. This
will be accomplished by providing outreach
countywide by utilizing AAA Information and
Assistance and the AAA Senior Staff Assistant
Outreach Program Coordinator to assist in
reaching the underserved via phone consultations,
printed.literature, and community presentations.
Additionally, The Linkages Social Work Supervisor
and Linkages Social Workers will maintain regular
contact with other community resources such as
hospital discharge planners, MediCal eligibility
workers, and IHSS workers in order.encourage
referrals of'these types. In order to prevent barriers
to receiving services for those who have limited-
English speaking skills, translation services will be
provided via in-house staff and by contracted
translation services as needed/requested
27. AAA Sr. Staff Assistant will assist the Senior Action 7/1/05— C Completed
Team to participate in an outreach project to 6/30/06
distribute bilingual resource materials and enroll
residents in the PG&E CARE program, which
provides low-income households a discount on
.their gas and electricity bills.
28. AAA SF. Staff Assistant eGhRiGal 7/1/05— C Deleted
6/30/08
Development Inn (I 11 GID) rc_ootablioh ite
se iir ,$ "To Fe establish this nrnnrnmi AAA Cr .
Staff Assistant will meet with ULGID Staff and
BeaFd Members to ideRtify funding opportunities
and to v.Wte and submit grant pFoposals. The
agency unfortunately went out of business.
10/31/2008 -47-
GOAL # 3
AAA will provide public information to agencies and community persons 60+ and their
families regarding resource availability, educational opportunities, demographics,
health care insurance counseling, and funding opportunities.
'RATIONALE
The Key-Informant, Core, and Long-Term Care survey results, Acute and Long-Term
Integration Task Force, AAA Advisory Council, Board of Supervisors, Coalitions and
other groups have identified the need for the AAA to communicate with and provide
information to the general public at-all levels.
OBJECTIVES Projected Title III B
Start& End Funded Status
Dates PD or C
7/1/05 - Deleted
with CORD (Contra Gest.;; G-Riffine RP_6GUFGe Database). 6/30/08
assure that CORD „sere (pFefessionale rlienfe and the
general publin) Reeds are met by pFeyidiRg the most up
re6eUFGe6. The consortium that funded this database
no longer exists because of budget issues. In addition
to this database is now the 2-1-1 database.
2. In order to continue compliance with AIRS (Alliance of 7/1/05- Completed
Information & Referral Systems), the I &A Serial-lark 6/30/08
Supervisor will implement IRIS 3.0 software, which will
be maintained by the Contra Costa Crisis Center for
organizing resources information, collecting data, and
producing statistics. Software has been upgraded to
3. The I & A Social Work Supervisor.will.be responsible for 7/1/05- Continued
assuring I & A Social Workers furnish backup 6/30/09
assistance as requested by the AAA Outreach Program
to provide informational and educational presentations
to the public regarding services and programs for older
adults.
4. The I & A Sesial Work Supervisor will be responsible for 7/1/05- Continued
developing and maintaining updated printed 6/30/09
informational lists and resource materials used as
distribution literature for the public regarding services
available to older adults in order to promote the
increase utilization.
10/31/2008 -49-
5. In order to provide information regarding programs for 7/1/05- Continued
older adults, available funding for services, activities in 6/30/09
relationship to the AAA Area Plan, and gather input
from the community, AAA Program Manager and AAA
Sr. Staff Assistants will hold a public hearing at least
once a year.
6. The I &A Serial Werk Supervisor will be responsible for 7/1/05- Continued
assuring each 14 A Social Worker attends at least six 6/30/09
(6) educational presentations a year in order to stay
informed and up-to-date on health and social issues
and resources related to older adults, so that they may
provide the highest level of assistance to consumers
calling I & A to request information.'
7. The l &A SoGial Supervisor will be responsible for 7/1/05- Continued
providing educational presentations to the general 6/30/09
public and professionals.in order to provide the most up
to date information on resources for services available
to older adults in order to increase access to services.
Printed resource materials will be made available for
handouts at each presentation.
8. In order to ensure continuity.of services delivered by 7/1/05- C Continued
community based organizations, AAA Program 6/30/09
Manager and AAA Sr. Staff Assistants will assist in the
coordination of obtaining grants by working
collaboratively to share information and provide
technical assistance for writing grants in relationship to
funding opportunities appropriate for any community
based organizations:in CCC serving older adults. The
AAA continues to provide information on available
grants and funding opportunities to community
providers. Over the last year a SAMSA grant was
applied for with AAA's assistance for mental health
services for older adults,two transportation grants, one
foundation grant and a hospital grant for a Falls
Prevention program.
9. In order to ensure the delivery of efficient quality 7/1/05- Continued
services to consumers, AAA Program Manager.and 6/30/09
AAA Sr. Staff Assistants will work collaboratively to
provide technical assistance to.contractors, County
programs, County Supervisors, and groups serving
older adults.
10/31/2008 -50-
14. AAA Mobility Manager will work on improving the 7/1/05 - PD Completed
availability of information about transportation choices 6/30/06
for seniors in Contra Costa. This includes the
sponsorship of a countywide senior transportation event
scheduled for October 2005, the "Mobility
Independence Conference", which features both
current services and discussion on planning expanded
services to meet the mobility needs of seniors.
15. AAA Mobility Manager will develop a countywide 7/1/05- PD Completed
transportation guide, "Way To Go Contra Costa", which 8/31/05
will feature information about transportation services
available in each community, and information
resources, such as Information.and Assistance and the
511 transportation phone service and web site. This
guide will be published and distributed.
16. AAA Mobility Manager will work with the public ' 7/1/05 - PD Continued
transportation providers in Contra Costa to develop and 6/30/09
implement a coordinated "travel training" program to
familiarize seniors with using public transportation
providers in Contra Costa to develop and implement a
coordinated "travel training" program to familiarize
seniors with using public transportation and the benefits
thereof. This will also include an outreach component
to senior centers, senior residential facilities and other
locations where seniors congregate. Travel training for
seniors in the county continues to be an identified gap
in service, particularly when it comes to transitioning
seniors who can no longer safely drive into other
transportation modes. Travel training is a component of
two related efforts in the county in which Mobility
Manager is taking a leadership role: the "Older Driver
Team" of the Senior Mobility Action Council; and the
planning efforts to develop mobility management
centers.—Travel-training to inform and-educate-seniors
about non-driving transportation alternatives are
important to enable seniors to successfully age in place.
17. The AAA Program Manager will develop a Power Point 7/1/05 - Continued
Presentation and will make it available to CCC CBO's, 6/30/09
outlining the demographics and trends related to aging
in CCC. The demographics were complied by the AAA
Outreach Senior Staff person and Advantage Initiatives
Every Generation survey of county residents. The AAA
continues to collect data for a Power Point Presentation
for use by community based organizations, however the
project has been put on hold due to lack of resources
and funding.
10/31/2008 -52-
18. To begin preparing CBO's for ALTCI, AAA Program_ 7/1/05- C Completed
Manager and AAA Sr. Staff Assistants will begin 6/30/06
educating them on the demographics of the increased
CCC population needing support services due to the
ALTCI plan. Training will be accomplished through one
to one interaction and through a Partners in Planning
workshop sponsored by AAA by June 2009. Without
ALTCI funding available, the AAA has provided
demographic information through technical assistance,
one on one meeting with providers, e-mails, and
Partners in Planning presentations.
19. Assistance to AAA contract partners and other CBO's 7/1/05- Continued
will be provided by a AAA Sr. Staff Assistant, in 6/30/09
researching government grants through the AAA's
membership and access to,www.grants.gov, to provide
them with funding to prepare for the increased older
adult population they will serve through the ALTCI
program and the coming wave of Baby Boomers
retiring.
20 AAA 4 Program MaRIageF will sei:ye on the Bay Area Bie 7/1/05- C Deleted
EthiG6 Committee IR eFdeF to FePliGate the plan 6/30/06
deeisians. Activities Discontinued
21. The AAA Advisory Council Health Work Group 7/1/05- Continued
members and the AAA Advisory Council Consultant will 6/30/09
partner with Contra Costa Television and County
Emergency Services to develop and implement a series
of three televised strokes awareness shows, in order to
educate County residents about recognition, prevention
and treatment of strokes and stroke-related disabilities
in CCC. The second show in the.series is currently .
being taped.
22. The AAA Advisory Council Housing Work Group and 7/1/05- Continued
the AAA Advisory Council Consultant will conduct six 6/30/09
site visits to senior residential facilities that vary in type,
income target and geography in order to provide County
Information &Assistance with expanded information for
its housing database.
23. The AAA Advisory Council Health Work Group 7/1/05- Continued
members and the AAA Advisory Council Consultant will 6/30/09
outreach to senior centers, the Public Authority and
other appropriate venues,-offering to provide them with
copies of the strokes awareness videos to show to their
participants, and to provide a professional from our
work group to do a follow-up question and answer
period in order to educate professionals about
recognition, prevention, and treatment of strokes and
stroke-related disabilities in CCC.
10/31/2008 -53-
24. The AAA Program Manager, AAA Sr. Staff Assistants, 7/1/05 - C Continued
and the Advisory Council Planning Committee Members 6/30/09
will coordinate with CBO's who provide Title III
supportive services to fund needed .items with the use
of One-Time Only funds which will improve the quality
of service to their older clients. The AAA staff in
conjunction with.the Advisory Council Planning
Committee makes recommendations to the full Advisory
Council on OTO funding in Title 1116 funds based on
proposals solicited'from providers and approved by
CDA. Title 11113 supportive service funds are used to
provide needed items that will improve the quality of
service to older clients.
25. The AAA Program Manager, AAA Sr. Staff Assistants, 7/1/05 - C Continued
and.the Advisory Council Planning Committee Members 6/30/09
.will coordinate with CEO's who provide Title IIIE Family
Caregiver services to fund needed items with the use of
One-Time Only funds which will improve the quality of
service to their older clients. In conjunction with the
Advisory Council Planning Committee, AAA staff
coordinates with CBO's in developing proposals for use
of OTO Title IIIE Family Caregiver funds to provided
needed items that will improve the quality of service to
older adults.
26. AAA Sr. Staff Assistant, as part of her community 7/1/05- C Continued
Outreach.will coordinate her community calendar with 6/30/09
members of the Advisory Council to facilitate their
attending outreach activities with her. While attending
outreach activities, the Advisory Council members will
document any identified service needs relayed to them
by seniors attending the outreach activity. These
documented needs will be included in needs
assessment data used by AAA staff in Area Agency
Planning:This-objective-was-put-on-hold. T-he-hope-is—
to start needs assessment activities with Advisory
Council members in 2009.
10/31/2008 -54-
GOAL # 4
The AAA will work toward an efficient, cost effective, user friendly integrated approach
to deliver Aging & Adult services, including but not limited to, Multipurpose Seniors
Service Project, Adult Protective Services, LPS Conservatorship, In Home Support
Services, Older California Act programs (Linkages, Brown Bag and Alzheimer's Day
Care and Older Americans Act Services. The AAA will continue to provide direct HICAP
services. The adult service delivery system will be monitored to ensure quality
responsiveness to the community based system of care for the elderly.
RATIONALE
The Employment and Human Services Department.and AAA staff are working toward
an integrated approach to services in order to reduce duplication of information
collected about the client to be more responsive to clients' needs, and to work together
more cohesively.
OBJECTIVES Projected Title III B
Start & End Funded PD Status
Dates or C
1. In order to provide for an efficient, cost effective, 7/1/05 - Continued
user friendly integrated approach to the delivery of 6/30/09
services AAA Sr. Staff Assistants and AAA Program
Manager will assist in the planning, development,
and.coordination of Request for Proposals (RFP's)
and Request for Information (RFI's) in order to solicit
and allow opportunities to appropriate providers to
bid for the provision of services in compliance with
Title III B, Title III E, and Title VII programs funded
by the Older Americans Act and Older Californian's
Act. RFP activities for Title III E:
2. AAA Program Manager and AAA Sr. Staff Assistants 7/1/05 - Continued
will assign an outside panel of individuals to review 6/30/09
requests for Proposals submitted as a result of the
AAA RFP.and RFI process in order to provide for an
impartial and unbiased analysis and review of
proposals submitted. An evaluation committee will
be comprised of members from the AAA Advisory
Council, employee(s) of a neighboring PSA, and
fiscal staff from an independent county department.
The evaluation committee will utilize a scoring sheet
that defines specific review criteria for evaluating
each RFP. Each scorer will rate the RFP based on
the defined criteria and assign a score in each
category. The highest score possible is 100 points.
10/31/2008 -55-
3. AAA Sr. Staff Assistants will monitor all contracted 7/1/05- Continued
and funded programs at least once each year. The 6/30/09
AAA will use a program-monitoring tool designed to
evaluate and monitor the performance and
compliance of each contractor. Criteria used to
monitor each contactor will be pertinent to the
contractor's service plan, administration and
program delivery systems. .
4. AAA Sr. Staff Assistants and AAA Program Manager 7/1/05- C Continued
will organize and hold an annual "Partners in 6/30/09
Planning" that brings together volunteers, community
based organizations, and organizations in the
county's aging network to meet each other,
exchange ideas, learn from each other's successes
and challenges, foster partnerships, and develop
strategies to develop, expand, and enhance services
for the elderly in CCC. This annual event was held
-on October 12, 2007. Over 70 volunteers, service
providers, and advocates attended the event which
featured a special training on how to develop
volunteer opportunities that utilizes the energy and
expertise of Baby Boomers to help deliver support
services to the.community.
10/31/2008 -56-
GOAL # 5
The AAA will advocate for all older adults 60+ by analyzing public policy and
legislation, reviewing program regulations, holding and attending hearing, and actively
participating in public forums, community activities, and advocating for the rights of
older adults.
RATIONALE
Goal exemplifies the mission of the AAA and the Older Americans Act.
OBJECTIVES Projected Title III B
Start& End Funded PD Status
Dates or C.
1. In order to maintain awareness of issues, policy, and 7/1/05 - Continued
legislation relating to older adults and provide 6/30/09
advocacy toward addressing the needs, the AAA
Program Manager and AAA Sr. Staff Assistants will
partner with community organizations and groups by
attending meetings, forums, public hearings and
conferences, which relate to the most significant
problems (financial, health/medical. Isolation,
transportation, access, housing) as shown in the
results of the surveys analyzed for the 05-09 Area
Plan needs assessment. The AAA Advisory Council in
conjunction with for Every Generation.and the
Advisory Council of the Public Authority held two
public forums of particular interest to older adults in
early 2008. The first forum was on Elder Financial
Abuse and the second forum on Mental Health for
Older Adults. Additional issues will be addressed at
future forums.
2. AAA Program Manager and AAA Sr. Staff Assistants 7/1/05 - Continued
-will-advocate-for-all-older-adults-60-+--by-analyzing -6/30/09
public policy and legislation, reviewing program
regulations, holding and attending hearing, and
actively participating in public forums, community
activities. The AAA staff participates in community
wide forums on older adult issues,, the Contra Costa
County Budget Coalition, trips locally and to
Sacramento to visit state legislator's offices, meets
with county Board of Supervisors and works with the
collations and community groups to advocate for
public policy that benefits older adults.
3, 7/1/05 - Deleted
6/30/08
the State Capitol f9F the SeRieF Rally and hold TOwn
Hall meetiRgs t opportunity to lea
`�
Service discontinued due to lack of funding.
10/31/2008 -57-
4. AAA Mobility Manager and the Transportation Work 7/1/05 - PD Continued
Group of the Advisory Council on Aging will work on 6/30/09
legislative issues that effect transportation and mobility
for seniors. At the regional level, this includes actively
working with the Metropolitan Transportation
Commission to encourage them to allocate funding to
senior transportation projects, and to conduct research
and foster pilot programs in senior transportation, older
driver issues and transportation coordination. At the
state level, this includes service on the statewide
Mobility Task Force. The Mobility Manager continues
to serve on the above bodies, and currently chairs the
Metropolitan Transportation Commission's Elderly &
Disabled Advisory Committee, which has been
successful in including Mobility Management Centers
as a priority in the draft 25 year Transportation Plan for
the Bay Area.
5. AAA Program Manager, in collaboration with the CCC 7/1/05 - Completed
Community Development and the Advisory Council 6/30/06
Housing work group, will provide education to senior
housing developers on the broad issues of aging and
disabilities, in particular as it relates to the senior's
housing environment. This will.be accomplished with
individual meetings with Senior Housing Developers-
6. Through the Advisory Council Housing work group, the 7/1/05 - Completed
AAA Program Manager will advocate for CCC 6/30/06
Community Development Block Grant funding, a major
source of financing for home modifications that is a
risk for funding cuts.
7. In order to be well-informed about best practices in 7/1/05 - Completed
prescription drug plan policies, the AAA Advisory 3/31/06
Council Health Work Group members and the AAA
Advisory Council Consultant will research model
prescription drug plans throughout the country so that
they can analyze and compare a.minimum of three
plans.
8. With the technical assistance of the AAA Advisory 7/1/05— Continued
Council Consultant, the AAA Advisory Council Health 6/30/09
Work Group members will initiate a letter-writing
campaign promoting the removal of prohibitions
against negotiated prices for prescription drugs in
State and Federal programs, so that fewer residents of - --
California go without needed medications.
10/31/2008 -58-
9. By reviewing and analyzing current laws requiring 7/1/05 - Continued
training of staff in Alzheimer's and dementia facilities, 6/30/09
the AAA Advisory Council Alzheimer's / Dementia
Group members and the AAA Advisory Council
Consultant will develop a strategy to promote
legislation requiring expanded training, so that more
facilities know of procedures which lead to sensitive
care for dementia patients and peace of mind for
family members.
10. The AAA Advisory Council Alzheimer's / Dementia 7/1/05- Completed
Group will appoint a minimum of two representatives 12/30/06
to attend monthly meetings of the Older Adults
Committee of the Mental Health Commission.and the
Contra Costa Alzheimer's Network, in order to create
partnerships between the groups advocating for .
services for those suffering from Alzheimer's and other
forms of dementia.
11. The AAA Advisory Council Housing Work Group 711/05 - Continued
members and the AAA Advisory Council Consultant, 6/30/09
with the assistance of County Homeless Program staff,
will make presentations to city planning commissions
and city councils about senior homeless statistics,
reasons for homelessness, and the homeless
encampments and demographics in each of their
jurisdictions, to raise awareness of the need for cities
to provide affordable and supportive housing.
12. A subcommittee of the AAA Advisory Council Housing 7/1/05 - Completed
Work Group members, staff from Independent Living 6/30/08
Resource and-Public Health, the AAA Advisory
Council Consultant, a retired geriatrician, and the AAA
Program Manager will assist the County Community
Development Department and the Advisory Council on
Aging'in developing best-practice guidelines for
support of affordable and disability housing.
developments in the County, so that housing
developers have stronger incentives to design projects
that meet the needs of seniors and persons with
disabilities. The Best Practice Guidelines document
was developed for the design and building of senior
housing that supports aging-in-place. It was approved
by the Advisory Council in February '08. These
guidelines are being promoted to city and county
planners, community groups, local universities,
architects, and developers of both private and non-
profit senior housing.
10/31/2008 -59-
13. In order to promote Social Security legislation and 7/1/05— Completed
policy changes that reflect local concerns and the 12/30/06
needs of current and future recipients, the AAA
Advisory Council Legislative Advocacy Work Group
will promote a broad discussion on Social Security's
future and proposals for change by researching all
available information and statistics, hosting speakers
at Legislative Advocacy and Advisory Council
meetings, and promoting attendance of its members at
Social Security forums.
14. In order to reduce the incidence of elder financial 7/1/05 - Completed
abuse, the AAA Advisory Council Legislative Advocacy 12/30/05
Work Group members and the AAA Advisory Council
Consultant will implement a statewide campaign to
make financial institutions mandated reporters, by
speaking out at senior centers, commission on aging
meetings, TACC meetings and other appropriate
venues; promoting this issue through the California
Senior Legislature; and sending letters to State
legislators and organizations, encouraging them to
supportsuch legislation.
15. AAA Program Manager and AAA Sr. Staff Assistants 7/1/05 - Continued
will staff the AAA Advisory Council Planning 6/30/09
Committee once a month and provide technical
assistance with analyzing public policy and legislation
and reviewing program regulations in order to assist
the.committee with their task of advocating for older
adults.
16. The AAA Mobility Manager will staff the AAA Advisory 7/1/05 - PD Continued
Council Transportation Work Group meeting once a 6/30/09
month, and provide technical assistance with
analyzing transportation policy, programs, services
and legislation in order to assist the Work Group with
their task of advocating for the transportation needs of
older adults. The Mobility Manager staffs the Advisory
Council on Aging Transportation Work Group meeting.
It continues to be a combined meeting of this g'roup
with.the Transportation Initiative of Contra Costa For
Every Generation, and the combined group has
continued to be identified as the Senior Mobility Action
Council.
17. The Advisory Council Consultant and Advisory Council 7/1/07— Continued
Legislative Committee members will meet with each of 6/30/09
the five County Supervisors in order to advocate for
increased services in the areas of senior mental
health, senior homelessness and elder abuse.
10/31/2008 -60-
0
GOAL # 6
In order to respond to the changing needs of the older population the AAA will enhance
administrative efficiency of its contracting and service delivery operations for the purpose of
improving community-ased care for the elderly of CCC.
RATIONALE
In order to respond to the older adult population,the AAA is committed to enhance the
efficiency of its contracting and service delivery operations.
OBJECTIVES Projected Title III B
Start& End Funded PD Status
Dates or C
1. AAA Sr. Staff Assistant will design RFP's requiring 7/1/05- Continued
bidders to include a plan for community outreach to 6/30/09
assure that low income individuals, ethnically
diverse, limited English speaking individuals and ,
persons identified as being of greatest economic or
social need aged 60 years or older are being
served.
2. In order to improve and standardize the 7/l/05- Continued
procurement, contracting, evaluation, and 6/30/09
monitoring processes of the Employment and
Human Services Dept (EHSD), the EHSD Director
established a Contracts Improvement Committee
comprised of staff from different EHSD Bureaus
and Divisions. AAA Sr. Staff Assistant will actively
participate on this committee. AAA contracts and
monitoring tools will be analyzed as potential
models for use by all EHSD Divisions.
3. In order-to enhance the administrative efficiency of 7/1/05- Continued
contracting and service delivery.operations, the 6/30/09
AAA Program-and AA-A-Sr-Staff.Assistants-will —
develop a schedule, whereas, each contracting and
direct service program manager/director will be
scheduled to attend one Advisory Council Planning
Committee meeting to present information on the
program and service delivery. Additionally, time will
be scheduled at the end of each presentation to
allow comments/recommendations from the Council
members and AAA staff to aid the service providers
in their service delivery methodology.
10/31/2008 -61 -
GOAL # 7
AAA will maintain a preventive health care program that will provide both health care
insurance counseling and advocacy and health promotion and disease prevention
information to the older population of CCC by means of a variety of'community
outreach activities.
'RATIONALE
As specified by the Older Americans Act.
OBJECTIVES Projected Title III B
Start& End Funded PD Status
Dates or C
1 . AAA Sr. Staff Assistant, through an Administrative 7/1/05 - C Continued
Letter of Agreement with CCN, will coordinate 6/30/09
production services for a new program entitled:
"The Time of Your Life", by scouting locations for
tapings and arranging for co-hosts and expert
.guests. A professional broadcast journalist has
been contracted to host this program and develop
topics for four (4) shows focusing on preventive
health, nutrition, exercise and.the importance of
staying active in order to show seniors how they
can improve and/or maintain their health and
prevent disease by taking an active and healthy
approach to aging. One show was completed in
FY 07-08.
2 AAA Sr. Staff Assistant will actively work with 7/1,/05- C Continued
senior community members to organize and 6/30/09
present Ageless Lifestyle forums co-sponsored by
the, Central County Senior Coalition. This forum
-will discuss topics related to preventing illness,
-managing-chronic-disease-and_pr-omoting-healthy
lifestyle habits. CCN will videotape the forums for
broadcast to the community on CCTV's cable
channel. Each year the Central County Senior
Coalition co-organizes and co-presents an aging
lifestyle forum that includes speakers discussing
topics related to preventing illness, managing
chronic disease and promoting healthy lifestyles.
The forum has been able to attract well known
speakers in their respective fields of preventive ••
medicine, psychology of aging, health, and
nutrition and disease prevention. CCTV, the
county's cable access and community television
station video tapes and broadcasts the forums to
households in Contra Costa County. The AAA
also makes available master video tapes of these
programs for distribution to other community cable
stations in the greater San Francisco Bay Area.
10/31/2008 -63-
4. AAA Program Manager, AAA Sr. Staff Assistants, 7/1/05- Continued
and AAA Fiscal Officer will meet at a minimum four 6/30/09
(4) times a year to assure adequate communication
and coordination between AAA fiscal and AAA
program functions in order to provide optimum
delivery of service to our contractors. The AAA
staff communicates frequently with the AAA Fiscal
officer in staff meetings, e-mails, and phone
conversations and though one on one meeting
between the AAA programs Manager and the AAA
Fiscal Officer.
5. The AAA Program Manager and AAA Sr. Staff 7/1/05- C Continued
Assistants will work with the Lead Committee of the 6/30/09
CCC Acute and Long-Term Care Integration
Project in identifying and setting up "Best Practice"
contracting processes to expand the continuum of
community based services needed for the project.
This will result in a continuum of integrated,
accessible service options to seniors and persons
with disabilities in CCC. Due to budget and
resource constraints the work of the AAA and the
ALTCI Lead Committee has been put on hold until
late 2009.
6. In conjunction with the AAA Senior Advisory 7/1/05- Continued
Council, Sr. Staff Assistant will conduct a random' 6/30/09
customer satisfaction survey of the 22 AAA
contracted providers. Eleven AAA Advisory Council
members will each contact 2 provider clients a
month over a 10 month period for a total of 220
calls or. 10 consumer calls for each AAA provider.
The customer satisfaction survey information will
then be collated and analyzed by AAA staff for
future planning related to meeting identified
customer-needs.. This survey-
information-will-also---be shared with the individual contracted providers
for their operational and quality improvement
needs. Due to lack of resources and other
obligations holding priority to the Advisory Council,
formal surveys were not conducted. Client
satisfaction continues, however, to be evaluated on
an ongoing basis in several ways: during
_ monitoring, feedback received from the community,
and particularly through the eyes and ears of our
Advisory Council members and Board of
Supervisors.
10/31/2008 -62-
3. AAA Sr. Staff Assistants and AAA Staff Assistant 7/1/05 - C Continued
will actively work with the East County Senior 6/30/09
Coalition to annually coordinate a series of Senior
Health and Information Mini-Fairs, which will.bring
health screenings and resources to seniors
residing in rural and isolated East County
communities. In FY 07-08 the Coalition produced
two Senior Health and Information Mini-Fairs,
which provided critical free health screenings and
resource information to low-income, rural seniors
in East County.
4. AAA Sr. Staff Assistant will provide the public with 7/1/05 - Continued
preventive health care and disease control 6/30/09
information on a continuing basis by telephone,
community presentations, and the local TV cable
program, The Time of Your Life.
5. AAA Sr. Staff Assistant will work with Office of 7/1/05 - C Completed
County Supervisor Gayle Uilkema, Health Services 6/30/08
Department, Office of Emergency Services, and
other organizations to develop a program and
coordinate the distribution of a Medication Safety
Packets that would hold a 3-day supply of
essential medications and medical information for .
seniors to quickly take with them in an event of an
evacuation. Year One: design Medication Safety
Pack components with input from seniors,
distribute Packs to a sample of seniors and survey
them to determine usability of product, and solicit
donations from businesses to finance the project.
Year.Two: collaborate with community
organizations and emergency response agencies
to educate the public about the Medication Safety
Packs and distribute it throughout the County.
-Over-1-0,-00.0-seniors-received-free-Medication-
Safety
ver-1-0;00-.0-seniors-received-free-MedicationSafety Packs.
6. Older Adults consume more medicines than:any 7/1/05- Continued
other age group, but using medicines may put 6/30/09
them at risk, especially when several medicines
are used at one time. To help seniors-avoid risks
and get the best results from their medicines, AAA
Sr. Staff Assistants will distribute medication safety
fact sheets and medi-sets/pillboxes,lhat keep
medications in order.
10/31/2008 -64-
7. AAA Senior Staff Assistant and AAA Program 7/1/05 - C Continued
Manager will develop and implement an outreach 6/30/09
plan that includes, utilizing the InfoVan.and
working with senior coalitions, health clinics and
hospitals, and community agencies to distribute
exercise, nutrition, and disease prevention fact
sheets to help seniors prevent health problems
and live a healthy lifestyle. Health promotion and
disease prevention outreach activities are
coordinated on an ongoing basis. In FY 07-08 the
AAA coordinated and participated in 27 outreach
events/activities to promote health living and
disease prevention.
8. AAA Sr. Staff Assistant will actively participate in 7/1/05 - Continued
the East County AIDS Task Force, which was 6/30/09
convened in response to the disproportionately
high impact of HIV/AIDS on East County. To
increase awareness about HIV/AIDS and inform
the public about East County resources, the Task
Force will develop and distribute outreach
materials and hold a health and resource fair.
during Aids Awareness Month in May.
9. To increase awareness about the benefits of 7/1/05 - C Continued
physical activity for older adults, AAA Sr. Staff 6/30/09
Assistant will work with community agencies to
develop and coordinate exercise programs
including "Active Aging" forums, which will provide
demonstrations, workshops, and exhibits on
exercise and fitness. Two "Active Aging" forums
were produced in FY 07-08, with a total of about
400 participants.
10. AAA Sr. Staff Assistant and AAA Program 7/1/05 - PD Changed
Manager will provide support and information to 6/30/09
the Case Management Division Manager to make
available to the Mental Health Services Act
community stakeholders in order to plan programs,
services, and funding allocations for Prop 63
dollars intended to address mental health issues
for older adults. In response to the January '08
AAA/Advisory Council Mental Health Community
Forum, the Council formed a 20+ member Mental
Health Community Task Force, which is now
researching and developing a model for an
integrated mental health system of care for older
adults in Contra Costa County.
10/31/2008 -65-
11. In order to develop a coordinated case 7/1/05 - C Changed
management process to patient care, the AAA 6/30/09
Program Manager and AAA Sr. Staff Assistants
will participate in development of an ALTCI plan to
carve in mental health care services resulting in a
coordinated care management process across
disciplines by January 1, 2007. The AAA Advisory
Council sponsored a community wide Mental
Health Forum in January 2008 that focused on a
need for coordinated comprehensive Mental
Health Services including dementia services for
older adults. This forum resulted in the
establishment of an Advisory Council community
wide workgroup to partner with community leaders
in creating an integrated system of mental health
services for older adults in Contra Costa County.
12. AAA Sr. Staff Assistant and AAA Program 7/1/05-- C Completed
Manager will use the Partners in Planning 6/30/08
workshop to explore with contract partners and
CBOs barriers to and opportunities for volunteering
by older adults in the community. In recent AAA
and Every Generation surveys seniors expressed
a desire for more volunteer opportunities. The
Partners in Planning workshop will be used to
educate participants, on what are the advantages
of using volunteers in your CBO and how to set up
and maintain a volunteer program. Over 70
volunteers and CBO representatives participated in
the workshop held on October 12, 2007. The AAA
worked with the Volunteer Center of the East Bay
to offer the training on how to set up and maintain
volunteer programs.
13. In order to help HICAP consumers receive health 7/1/05- Continued
care entitlements and-make informed-decisions, -6/30/09
the HICAP Program Coordinator will work in
collaboration with California Health Advocates and
will update consumer literature regarding health
care benefits and rights regarding Medicare,
HMOs, Medi-gaps, and long-term care insurance.
AAA Sr. Staff Assistant worked with the California
Health Advocates to update consumer handouts
on access to prescription drugs, for example, a
handout titled, "Options for Reducing Drug Costs
10/31/2008 -66-
14. In order to ensure that Medicare beneficiaries 7/1/05 - Continued
receive the information and assistance they need 6/30/09
to make informed decisions and.receive the
benefits to which they are entitled under Medicare
Part D, the HICAP Program Coordinator and
HICAP Staff Assistant will work collaboratively with
other public and private agencies, such as, the
Social Security Administration and Centers for
Medicare and Medicaid Services. AAA Sr. Staff
Assistant arranged for representatives from SSA,
Medi-Cal, Senor Legal Service Programs, etc. to
attend a health fair at a local hospital to provide
direct assistance to low-income seniors. More
than 200 seniors attended the event.
15. In order to increase outreach and information to as 7/1/05 - Continued
many Medicare beneficiaries as possible, the 6/30/09
HICAP Program Coordinator and HICAP Senior
Staff Assistant will target special presentations on
Medicare Part D and other Medicare issues to
aging and adult service providers, relevant citizens
groups and key informants. AAA Staff and Sr.
Staff Assistants provided a half-day workshop on
access to health care for low-income Medicare
beneficiaries. It was attended by more than 75
aging and adult service providers who gained skills
to assist clients and make referrals to HICAP and
other agencies.
16. The Linkages Social Work Supervisor will target 7/1/05 - Continued
people with disabilities, those who are 6/30/09
underserved, people with low-incomes, those with
language barriers, and/or people who are
culturally, socially or,geographically isolated. This
will be accomplished by providing outreach
countywide-by-utilizing AAAlnformation-and
Assistance and the AAA Senior Staff Assistant
Outreach Program Coordinator to assist in .
reaching the underserved via phone consultations,
printed literature, and community presentations.
Additionally, The Linkages Social Work Supervisor
and Linkages Social Workers will maintain regular
contact with other community resources such as
hospital discharge planners, MediCal eligibility
workers, and IHSS workers in.order to encourage
referrals of these types. In order to prevent barriers
to receiving services for those who have limited-
English speaking skills, translation services will be
provided via in-house staff and by contracted
translation services as needed/requested.
1
10/31/2008 -67-
17, AAA HIGAIR Staff AssistaRt Will develep and 7/1/05 - C Deleted
6/30/08
e
Wll„ ei^9-There is no funding for this activity.
18. 7/1/05 - C Deleted
6/30/08
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television aeries would feature evernises
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obesity,stay fit whole FedUGiRg thpi.r 6rk of
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safe WOFkeuts.witheut haviRg to leave the
of their . AAA Sr. Staff
Assistant applied for a grant but proposal was not
awarded.
19. The AAA Program Manager, AAA Sr. Staff. 7/1/05 - PD Continued
Assistants, and the Advisory Council Planning 6/30/09
Committee Members will work collaboratively with
CBO's to develop and plan special
programs/events/services with the use of One-
Time Only funds in order to help address the
needs of older adults with particular attention to
promoting health and preventing disease, such as
health screening, home safety, physical and
mental health. A number of
programs/events/services were developed in
FY07-08 using One-Time-Only funds, including a
health-fair,—active-aging-forum,—and-pilot-program
that provided home safety equipment to help
seniors reduce the risk of falling.
10/31/2008 -68-
GOAL # 8
The CCC AAA is committed to empowering and sustaining family caregivers,
recognizing that they are the backbone of our long-term care system and that they,
function under tremendous burdens. AAA will empower and sustain family caregivers
through the development and enhancement of a comprehensive system of family
caregiver support services and by making this support system both visible and
accessible to them.
RATIONALE
Mandated by the Older Americans Act.
OBJECTIVES Projected Title III B
StartA End Funded PD Status
Dates or C
1. AAA Sr. Staff Assistant will maintain active 7/1/05 - Continued .
participation in the Family Caregiver Support 6/30/09
Program by managing and monitoring FCGP
contractors in order to ensure the continual
networking of FCGP contractors by facilitating
meetings once a year between the six FCGP
contractors.
2. AAA Sr. Staff Assistant will work with the 7/1/05 - Continued
Employment and Human Services Department 6/30/09
contracts staff to issue a RFP for service needs as
identified in the FCSP Needs Assessment and in
compliance with the service categories outlined in
the FCSP Service Matrix.
3. AAA Sr. Staff Assistant will require through its RFP 7/1/05- Continued
process that bidders include a plan for community 6/30/09
outreach in order to assure low income individuals,
ethnically diverse communities, limited English
specking-individuals-and-persons-identified-as
being of greatest economic and'/ or social need
will be served by the programs and services
provided with FCGP funds meeting the targeting
mandates of the Older Americans Act.
4. AAA Sr. Staff Assistant and the Advisory Council 1/1/05 - . Continued
on Aging will review and recommend the awarding 6/30/09
of bids for FCGP services in.order to provide for
contracted services that address the needs of the
target population.
5. AAA Sr. Staff Assistant will negotiate contracts for 7/1/05- Continued
successful provision of FCGP services in order to 6/30/09
provide for a wide array of services to caregivers
meeting the targeted mandates of the FCGP of the
Older Americans Act.
10/31/2008 _69-
6. AAA Sr..Staff Assistant will provide technical 7/1/05 - Continued
assistance to contractors through the entire 6/30/09
contract process and contract year in order to
ensure the adequate provision of services under
the FCGP.
7. AAA Sr. Staff Assistant will work with FCGP 7/1/05 - PD Continued
services to develop a new Money Management 6/30/09
Program where FCGP Contractors will be
responsible to identify through the intake and r
assessment process family caregivers who are in
need of Money Management services in order to
better their ability to prepare a household budget
that can be managed successfully, maintaining a
system to pay bills on time, and helping to alleviate
the stress that comes with financial problems
created by a lack of knowledge or ability to
manage household finances. The AAA provided
15 hours of money management services under
the FCGP in FY 07-08.
10/31/2008 -70-
GOAL # 9
The AAA is committed to planning for and implementing community services for the
Baby Boomer population; recognizing and addressing their unique needs related to
housing,transportation, financial security, health.and well.being, employment and
community involvement.While there is no current funding for this effort, the AAA will
seek to accomplish this through advocacy, and creative collaboration with current and
new community partners.
RATIONALE
To address the needs-of the influx of Baby Boomers expected to retire in the near
future.
OBJECTIVES Projected Title III B
Start& End Funded PD Status.
Dates or C
1. AAA Sr. Staff Assistant responsible for outreach 7/1/05 - C Continued
and AAA Program.Manager will recruit a CBO or 6/30/09
corporate partner to develop and offer a training
program that will develop or enhance skills for older
adults interested in second career employment
opportunities. This objective is currently put on
hold due.to limited staffing and funding resources.
2. AAA Sr. Staff Assistant and AAA Program Manager 7/1/05 - C Continued
will form a AAA community of partners to develop 6/30/09
flexible work option plans for older adults, including
flexible scheduling, compressed work week,
telecommuting, part-time, job sharing and on-call
employment options. Fourteen percent of the
seniors in CCC currently work full or part time with
another twenty—five percent of seniors wanting to
find employment. Large numbers of Baby Boomers
are expected to want to work well into their
seventies. AAA Senior Staff Assistant completed a
report with analysis of employment trends and
needs among older adults in 2007. There is
currently no funding to support plans for services to
address this issue.
3. AAA Sr. Staff Assistant responsible for outreach will 7/1/05 - Continued
work with County Public Relations staff in changing . 6/30/09
negative stereotypes that exist in the media and
throughout society by incorporating issues of
diversity and involvement of older adults in the
community and by addressing common
misperceptions about aging, through the Senior
Information Newsletter and countywide media
publications. (This effort is called the Myth Buster
Campaign.) This objective is currently put on hold
until there's funding to support it.
10/31/2008 .-71 -
4. AAA Sr. Staff Assistant and AAA Program Manager 7/1/05 - C Continued
will partner with the AARP and "aging friendly" 6/30/09
employers in Contra Costa County to hold an
annual countywide Senior Employment Fair in
order to increase senior employment by offering
seniors a variety.of options including: part-time and
short-term work, as well as, full-time employment
for Seniors and to educate Contra Costa employers
on the value to their organizations of hiring older
workers. The AAA staff continues to partner, with
the Contra Costa County Workforce Development
Board in offering employment opportunities for
seniors through the One Stop Career Centers, Title
V funds, Partners in Planning and community
outreach.
5. AAA Sr. Staff Assistant responsible for outreach, 7/1/05 - PD Changed
AAA transportation staff, HICAP staff, and the AAA 6/30/09
Program Manager will be leadiagparticipating in
and providing technical support for Contra Costa
For Every Generation stakeholder community task
forces in the areas of transportation, housing,
support services, quality of life and involvement in
the community, in order to set up-pathways to an
Aging Friendly Community. The For Every
Generation community program has long-range
goals over the next several years. However these
aforementioned task forces, when led by AAA staff
w44 completed the initial pathways.
6. AAA Program Manager, AAA Sr.-Staff Assistants, 7/1/05 - Continued
and Planning Committee of the Advisory Council on 6/30/09
Aging will actively work together to enhance the
Area Plan Update Report, in order to plan.for
services and utilization in preparation of the influx
-of-Baby-Boomers-expected-to-retiree over-the-next---
fifteen (15) years.
7. In conjunction with CCC Health Services and Aging 7/1/05 - PD Changed
and Adult Services Departments the AAA Program 6/30/09
Manager and Sr. Staff Assistants will work to
develop an Acute and Long Term Care Integration
plan which will provide a comprehensive, integrated
system of medical and social services for 30,000
blind, aged, and disabled seniors in CCC,
beginning April 2008. Due to limited county and
state resources, longterm care integration in `
Contra Costa County implementation has been put
on indefinite hold.
10/31/2008 -72-
8. The AAA Program Manager and AAA Senior Staff 7/1/07 — Continued
Assistant will provide trainiRg guidance, resources 6/30/09
and assistance for trainings in civic engagement
skills for the Contra Costa for Every Generation
(CCEG) Ambassador-(Name changed) program
volunteers, in order to educate the public and local
jurisdictions about policies and programs that r
support an Aging Friendly Community.
10/3112008 -73-
GOAL # 10
AAA will work with each of its contractors to assess/design/implement an Emergency Services Plan
that will ensure the continuation of the provision of critical services that will meet the emergency needs
of its staff and clients during a disaster.
RATIONALE
Mandated by the California Department of Aging.
OBJECTIVES Projected Title III B
Start& End Funded PD Status
Dates or C
1. AAA Sr. Staff Assistant will conduct an evaluation of 7/1/07— Continued
each of its contractors Emergency Preparedness Plans 6/30/09
and provide technical assistance to those contractors
that need to implement or update their respective
preparedness plans.
2. 'AAA Sr. Staff Assistant will coordinate its 7/1/07— Continued
responsibilities with the Contra Costa County 6/30/09
Employment and Human Services Dept. Emergency
Preparedness staff and the Contra Costa County Office
of Emergency Services.
3. ,AAA Sr. Staff Assistant will conduct emergency 7/1/07— Continued
preparedness informational presentations at senior 6/30/09
centers in each area of the County in order to assist
seniors in preparation for a disaster.
4. AAA Sr. Staff Assistant will distribute 1000 emergency 7/1/07— Continued
preparedness kits in each area of the.County in order to 6/30/09
assist seniors in preparation for a disaster.
10/31/2008 -74-
GOAL # 11
The AAA will work to prevent isolation, poverty, homelessness, and premature institutionalization of
Lesbian, Gay, Bisexual, and Transgender(LGBT) seniors due recent studies showing them to be at a
higher risk as a result of life-long experiences causing mar inalization.
RATIONALE
Mandated by the California Department of Aging.
OBJECTIVES Projected Title III B
Start& End Funded PD - Status
Dates or C
1. AAA Program Manager and AAA Sr. Staff Assistant will 7/1/07— Continued
conduct a needs assessment of LGBT seniors in all 6/30/09
areas of the County to determine priorities for services
and challenges experienced with service utilization in
order to plan for culturally competent services
2. With One-Time Only funds, the AAA Program Manager 7/1/07— PD Continued
and AAA Sr. Staff Assistant will bid for the services of 6/30/09
an experienced professional CBO to conduct trainings
for AAA service providers in order to maximize their
ability to provide culturally competent services to LGBT
Seniors. With the use of OTO funds, three successful
trainings were developed and conducted in partnership
with the Rainbow Community Center and Lavender
Senior of the East Bay: 1) AAA participated in the
"Lavender Seniors Emblem Program": a special
program developed to increase cultural competence
and certifies programs as they are deemed a safe place
for LGBT individuals to receive services; 2) A Cultural
Sensitivity Training offered to CCC Aging & Adult
Service Bureau staff through our Staff Development
Training Center; 3) A Cultural Sensitivity Training at a
— SHARE-meeting, which-is-a-network-of-community
providers of services to seniors.
3. AAA Program Manager and AAA Sr. Staff Assistant will 7/1/07— C Continued
collaborate with local agencies which serve LGBT 6/30/09
seniors in order to gain technical assistance needed to
plan for culturally competent services to LGBT Seniors.
The AAA.has developed a mutual ongoing support
amongst our LGBT service providers and this will
continue to take place on an ongoing basis, with or
without OTO funding.
4. AAA Program Manager and AAA Sr. Staff Assistant will 7/11/07— C Continued
collaborate with local agencies which serve LGBT 6/30/09
seniors in order to maintain the most current
demographic information on LGBT Seniors, particularly
regarding those of low-income and minority status in
order to adequately plan for services.
10/31/2008 -75-
i
5. AAA Program Manager and AAA Sr. Staff Assistant will 7/1/07— C Continued
collaborate with local agencies which serve LGBT 6/30/09
seniors in order to maintain the most current resource
information on culturally competent services for LGBT
Seniors in order for I &A to provide the appropriate
referrals. With the use of OTO funding, resource guides
and brochures were developed by Rainbow Community
Center and are provided to our I&A on an ongoing
basis.
10/31/2608 -76-
Section VI: Summary of Activities for the Year
FY 2007-2008 was a productive year for Contra Costa County Area Agency on Aging. We had
limited staffing and financial resources but made great strides in many areas such as outreach,
.services for lesbian, gay, bisexual, and transgender seniors, emergency preparedness, and
transportation. Also our Advisory Council, with support from staff, was industrious in their efforts
to pursue activities and issues that address the needs and concerns of our growing senior
population.
Outreach
To ensure that seniors are aware of the services available to them, the Area Agency on Aging
(AAA) actively conducted outreach to seniors, particularly to those with low-incomes, mental or
physical disabilities, language barriers, and who are isolated due to cultural, social, and
geographical factors. Staff spoke to groups and made one-on-one contact with individuals at
service clubs, community events, senior centers, churches, senior housing facilities, and other
locations where seniors congregate. While our InfoVan, "an information center on wheels,"
traveled throughout the county, including to rural communities, to disseminate information about
services and how to access them. In-FY 2007-2008, AAA outreach staff completed a total of 47
outreach activities/presentations and reached approximately 4,400 individuals.
In addition, the Area Agency on Aging Senior Information Newsletter was disseminated to
approximately 17,000 households, of which about 6,000 are low-income and disabled adults and
seniors in the In-Home Supportive Services (IHSS) program. Readers rely on the newsletter for
information about available services, community events, legislative updates, and health information.
Activities to Better Serve LGBT Seniors
The Area Agency on Aging (AAA) partnered again this year with the Rainbow Community
Center (RCC) and Lavender Seniors of the East Bay (LSEB) to continue efforts to become
increasingly culturally competent while outreaching to LGBT seniors, assess their needs, and
offer cultural sensitivity training to individuals and organizations who serve them.
We participated in a couple of"first" LGBT events in Contra Costa County. There was the first
ever"Pride" event: a picnic with an attendance of nearly 200 people (approximately 50% of
which were seniors). In addition, there was the first ever LGBT event, "CCC Senior Pride
Luncheon," to take place at a senior center in our county. This luncheon was sponsor by RCC in
partnership with the Concord Senior Center.
Additionally, AAA Staff participated in a certification program designed by LSEB entitled:
"Lavender Seniors Emblem Program". This is a special program developed to increase cultural
competence.and certifies programs/organizations as a•safe place for LGBT individuals to
receive services.
The AAA, in partnership with RCC and LSEB, designed and conducted cultural sensitivity
trainings offered to the CCC Aging & Adult Service Bureau staff through Employment and
Human Services Department's Staff Development Training Center. The AAA also provided a
cultural sensitivity.training at a SHARE meeting, which is a network of community providers of
services to seniors.
10/31/2008 -77-
We also partnered with the RCC to conduct a Focus Group with lesbian seniors. The results will
be analyzed and described in the upcoming 2009-2012 Three-Year Area Plan.
Health Insurance Counseling & Advocacy Program (HICAP)
HICAP provided in=depth counseling to 1,810 people in FY 07-08 and brief telephone
assistance to another 3,097.people. A total of 4,907 people talked individually with a HICAP
Counselor. In addition, HICAP Counselors offered 75 educational presentations attended by
2,455 people. HICAP Volunteer Counselors provided 3,122 hours of service. HICAP has
documented savings to Medicare beneficiaries of$257,929 from work last year. The number of
clients receiving in-depth assistance exceeded the CDA contracted goal of 1,250 by 56%. The
number of presentations exceeded our performance goal of 48 by 45%. HICAP met or
exceeded all of its contracted goals with the exception of one measure. We had 19 active '
volunteer counselors, while our stated goal was 20.
Emergency Preparedness
The AAA stresses individual and agency preparedness as a goal in order to plan, mitigate,
survive and recover from a natural or man made disaster. To this end, the'AAA has:
• Distributed 1700 Emergency Preparedness Kits to low income seniors in Contra Costa
County via the Contra Costa County Food Bank's Brown Bag Distribution program.
Conducted Emergency/Disaster Preparedness Presentations at Senior Centers.
• Participated in a Concord Home Safety Fair with Presentation on Personal
Preparedness for disasters.
• Conducted Two Disaster Preparedness forums for Community Based Organizations
(CBO's) and governmental entities in conjunction with the Office of Emergency Services
and the Dept of Public Health
• AAA is taking a lead role in working with the Fritz Institute of San Francisco to coordinate
the facilitation of training and technical assistance to CBO's in Contra Costa County in
order to make them more "disaster resilient" organizations via the Fritz Institute's "Bay
Prep Project".
• AAA has participated in table top exercises for Pandemic Flu Outbreak, Earthquake on
Hayward Fault, Red Cross.Emergency Shelter set up and management training and drill
in North Richmond and Antioch
• AAA is working on the review and implementation of CDA's Disaster Assistance
Handbook.
• Per CDA contract requirements, all agencies contracting with the AAA for provision of
services are required to develop and implement an Emergency Preparedness/Disaster
Plan. .
Transportation
The AAA recognizes that mobility is the key to an independent life, and to one's ability to age in
place. Therefore in FY 2007-2008 staff vigorously pursued numerous projects to help improve
transportation for seniors and the disabled in Contra Costa County.
The AAA Mobility Manager,successfully applied for a New Freedom Program grant to fund the
expansion of volunteer driver programs into lower income areas of the county that previously
had limited volunteer driver program penetration due to financial and language barriers. This
grant will provide funds for outreach to recruit volunteer drivers who speak various languages
and for mileage reimbursement for those drivers who need assistance with the costs of driving
their own vehicles.
1M1/2008 -78-
One time only funds was used to translate "Are You Ready for Someone Else to Do the
Driving?" into Spanish and to print several thousand copies for distribution at DMV offices and
senior centers. Also, the AAA Mobility Manager and Transportation Specialist coordinated a
volunteer training for the CarFit Program and participated in several CarFit events.
Additionally, the Senior Mobility Action Council (SMAC) with leadership from the AAA Mobility
Manager has successfully worked to involve stakeholders from throughout the county in the
initial planning for mobility management centers. The first stage of this stakeholder involvement
is ensuring their participation in the development of the transportation inventory studies that are
being led by two of the county's transit districts. Stakeholder involvement has led the transit
districts to combine the studies so that the resulting data can be shared countywide in the next
phases of mobility management center planning.
The AAA Mobility Manager continues to serve as the Chair of the Bay Area Metropolitan
Transportation Commission's Elderly and Disabled Advisory Committee. This Committee
played a major role in advising the Commission in the development of the region's 25 year
transportation plan, and was successful in getting mobility management centers added as a
priority in this plan.
Advisory Council on Aging
Senior Scam Buster Kits
Elder Financial Abuse is being called "the crime of the twenty first century. In the interest of
protecting our most vulnerable populations, the Advisory Council on Aging took the lead in a
wide distribution of Senior Scam Buster Kits as part of a larger and concerted effort to address
elder financial abuse. Senior Scam Buster Kits are compiled and made available by the State
Department of Consumer Affairs. Kits and brochures are available in English and in Spanish.
Each individual or organization receiving a kit is encouraged to spread the word about their
availability and to order more kits.
Strokes Campaign
The Advisory-Council's-strokes-campaign-continued-through-its-Health-work-group.—T-he-C-ouncil
is focusing on several areas: strokes shows, presentations at senior sites, public education,
encouraging more local stroke centers, awareness and protocol for emergency services, and
legislation.
The Council began work on its second television stroke show, which focuses specifically on
Prevention (The first show was entitled "Strokes: Time Lost is Brain Lost".)These shows are
aired on Contra Costa Television and other sites. Presentations were done by doctors on the
Health work group, including the use of clips from the strokes show,.at senior centers, for IHSS
providers and at other sites. The Council distributed "Stroke is a 911" posters, for display at
places where seniors and others gather.
Letters were sent to several local hospitals, encouraging them to become certified as Primary
Stroke Centers. The Health work group continued to work with the County Emergency Medical
Services, researching current protocol for EMT's, and raising awareness of the need for specific
measures when a stroke is suspected. CSL Senator and AAA Advisory Council member, J
Kim-Selby, sponsored a successful State resolution to declare May as Strokes Awareness
Month.
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Collaboration
The Advisory Council was actively involved in collaborative efforts with other organizations,
many members holding multiple memberships or filling formally designated Advisory Council
seats: Contra Costa for Every Generation; Older Adults Committee of the Mental Health
Commission; Central, West; and East County Senior Coalitions; IHSS Public Authority Advisory
Committee; Meals on Wheels Board; Paratransit Coordinating Council, California Alliance of
Retired Americans (CARA), Contra Costa Budget Coalition (among others). For Legislative
Advocacy, the Council has a broad contact list around the state -to enlist in campaigns to pass
legislation such as the legislation for,mandated reporting for financial institutions. The Council
also worked with Adult Protective Services, County Community Development and other entities.
In many cases, it pulled together collaborations of these groups to achieve community goals,
e.g. the Community Forums and the Best Practice Guidelines development
Contra Costa for Every Generation
The Area Agency on Aging and the Advisory Council on Aging remained committed and
involved with the community-based organization, Contra Costa for Every Generation (CCEG).
CCEG's mission is to create aging-friendly communities in Contra Costa County by increasing
awareness, getting people involved through active engagement, supporting them with training
and facilitation, and fostering local action. The County provided technical support with the
establishment of the CCEG website and with brochure development, in addition to numerous in-
kind efforts. Many AAA staff and Council members continued to participate on Initiatives,
Summits and on the CCEG Board. The Area Agency on Aging, the Advisory Council work
groups and the CCEG Initiative groups worked jointly on many goals in the areas of
transportation, housing, health and community involvement. The County and CCEG continue to
encourage opportunities for collaboration: In doing so, there is power to broaden the visibility of
crucial issues and to effect real change.
One of the many areas of joint AAA/Advisory Council / CCEG efforts was in the Myth Busters
Campaign, a public awareness campaign to break down stereotypes and myths about aging.
The Area Agency on Aging Senior Information Newsletter featured regular articles that debunk
myths about aging. The"myth busters" were also made available to newspapers, senior center
newsletters and local city papers for reprint. As part of Myth Busting, Contra Costa County TV
ran the Surfing for Life video(numerous showings),—whichfeatares seniors wh-o are still-surfing
in their 70's, 80's and 90's.
Advocacy
Council members spoke out at press conferences and forums and wrote numerous letters to
protest the drastic cuts proposed in this year's State budget. Our council asked all other
Advisory Council members throughout the state through TACC to do the same and to contact
legislators.
On June 11 th, six Council members, other senior advocates and some staff went to Sacramento
carrying the crucial message that the budget crisis shouldn't be resolved at the expense of our
most poor and vulnerable. Members presented the issues very articulately and passionately.
They also clearly spelled out the domino effect of these cuts, which put a very real and personal
face on their impacts. Finally, advocates presented their own ideas on how to address raising
revenue to offset the most drastic cuts. Council advocacy focused mostly on four key areas:
Adult Protective Services, Medi-Cal programs and In Home Support Services, Nutrition
programs and Transportation services.
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Conclusion
In fiscal year 2007-2008, the Area Agency on Aging operated under budget constraints and with
decreased staffing. This impacted our capacity to advance some objectives in the Area Plan,
but overall we had a,productive year that was highlighted by some significant accomplishments.
Unfortunately the budget and staffing problems experienced by the Area Agency on Aging in FY
2007-2008 continues to balloon into the current year. The mantra of "doing more with less" is
becoming increasingly challenging in the face of the current budget crisis. Moving forward the
AAA will have to prioritize objectives and continue to pursue and develop community
partnerships to help maintain critical operations and address emerging needs.
J
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