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HomeMy WebLinkAboutMINUTES - 07152003 - C.51 TO: BOARD OF SUPERVISORS �'�%,�. Contra Costa FROM: Jahn Cullen, Director 4``>, �' Count Employment & Human Services nt t..- DATE; June 25, 2003 ,1 ( SUBJECT: APPROVE and AUTHORIZE the Employment and Human Services Director, or designee, to SUBMIT the FY 2003-04 Contra Costa County Area Agency on Aging Update of the Title III E Area Plan Addendum for Planning and Service to the California Department on Aging and AUTHORIZE the Chair, Board of Supervisors, to sign the Letter of Transmittal. SPECIFIC REQUEST(S)OR RECOMMENDATION(a)&BACKGROUND AND JUSTIFICATION C !Milt 'TI iD ACTIOIN APPROVE and AUTHORIZE the Employment and Human Services Director, or designee, to SUBMIT the FY 2003-04 Contra Costa County Area Agency on Aging Update of the Title III E Area Plan Addendum for Planning and Service to the California Department on Aging and AUTHORIZE the Chair, Board of Supervisors, to sign the Letter of Transmittal. FINANCIAL,IMPACT. No fiscal impact. RACIGROIAM The Area Agency on Aging (AAA) provides services for older residents of the County under the Older American'sAct (OAA) and Older Californian'sAct (OCA). The AAA has developed services for the Family Caregiver Support Program, funded under OAA Title III E, providing Financial, Legal and Medical. Education, Respite, Multicultural Connection Program, Assistive Technology, and Grandparent Caregiver Support Program. The AAA continues to provide program development, coordination, administration, and planning as outlined in the FY 2003-04 Update of the Title III E Area Plan Addendum for Planning and Service. CONTINUED ON ATTACHMENT---X--YES SIGNATURE: ;COMMENDATION OF COUNTY ADMINISTRATOR _RECOMMENDATION OF BOARD COMMITTEE �°J(PPROVE OTHER SIGNATURE S i-.. , A . r ACTION OF B(3A�D ON July 15, 2003 APPROVED AS RECOMMENDED OTHER ty,.f' VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE --!L-UNANIMOUS(ABSENT IV ) AND CORRECT COPY OF AN ACTION TAKEN AYES; NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. **District III Seat VACAN-I** ATTESTED July 151 2003 JOHN SWEETEN,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact; ROBERT SESSLER 3-1645 Cc: JOHN CULLEN-EH.SD EHSD(CONTRACTS UNIT)-EB BY ' '' ,DEPUTY COUNTY ADMINISTRATOR SHARON JOHNSON,SUMMIT BARBARA MCNAIR,SUMMIT SCOTT DANIELSON,SUMMIT TRANSMITTAL LETTER This FY 2003-44 Update of the Title Ill E Area Plan Addendum,;.or Planning and Service Area # 7 is hereby submitted to the California Department of Aging for approval. The Contra Costa County Board of Supervisors supports the development of community-based systems of care and recognizes the responsibility within each community to establish systems in order to address the care needs of older individuals and individuals 18 and older with disabilities, their families, and caregivers. 1. (Signed) 7-1 1-1,el,03 Pair, Governing Board Date The Area Agency Advisory Council has had the opportunity to participate in the planning process and to review and comment on the Area Plan. 2. (Signed} Chair, Area Agency on Aging date Advisory Council 3. (Signed) 12-1- Director, Area Agency on Aging Date Title III E Area plan Addendum Instructions Fiscal Year 2003-04 Summit an original and two copies of your FY 2003-04 Addendum and include a copy of these instructions with appropriate sections checked. Tran-thittal L tt r a y r better REQ D Submit a transmittal letter signed by the AAA Director, Chair of the Advisory Council, and Chair of the Governing Board. (Place the Transmittal Letter behind the cover page of your Title Ill E Area Plan Addendum.) 77 lr atlap a cript n eievan. Chang t ,l Z Attach a narrative describing relevant changes to your FY 2003-04 Title Ill E Area Plan Addendum. The Narrative Must Describe: ® Amended sections of the Area Plan Addendum. ® Affected goals. Z Location of objectives that are new, revised, or continued. Z Any new needs assessment findings, which have influenced the AAA's planned direction. ® Include a goal and/or objective for each of the FCSP service categories funded by the AAA. Z Indicate the status of each goal and objective (e.g., accomplished, new, revised, or continued). ® All goals and objectives must comply with the requirements of the California Code of Regulations, Title 22, Article 3, §7300(c). Goals are statements of ideal conditions that the AAA wishes to achieve through its planned efforts. Objectives are measurable statements of action to meet the goals. Objectives indicate the following: (1) The nature of the action. (2) The party responsible for the action. (3) How the action will be accomplished. (4) The anticipated outcome of that action. (5) How the outcome of the action will be measured. (6) The projected dates for starting and completing the action. 4. Ierrerxt:Actvifiis CF'TICNA . ❑ Include a description of any needs assessment activities planned for the coming fiscal year. jlertttona)fsQRP UElE ► Describe challenges to implementation encountered by the AAA, such as: • Adequacy of providers to serve the eligible service population. • Discrepancies between budgeted services versus actual services delivered. • Cultural barriers to service delivery. • Capacity to meet the needs of grandparents raising grandchildren. • Ability to meet funding requirements. �... Ur��t R� II�) ��► Attach the completed FY 2003-04 Title III E Service Unit Pian. Include in the Title III E Service Unit Plan units for each service category funded in the Title III E Budget (CDA 269). Mu 7s �` TIIAi ❑ Attach a revised Appendix IA (III E) and/or IB (Ill E) if there has been a change in direct service activities as approved in your Title III E 2002-03 Area Plan Addendum. ❑ Attach Appendix IX (III E) "Notice of Intent for Non-Expenditure of Funds," if you do not fund one or more of the five FCSP Support Services. Title Ill E Service Unit Pian: Fiscal Year 2003-04 Year Three of the Planning Period Indicate the, number of units of service to be provided with ALL funding sources, including federal funds, State funds, program income, and all local funds. Use only units of service identified in the Family Caregiver Support Program Service Matrix and approved services in the "Other"category. In the Coals and Objectives column, identify the goal and objective number(s) for each service category funded. Tit f� rrc pct v00. �11Vilia Z: i cl ,;h Outreach Goal #8 Objective #s 12 Units of Service 13,450 (1 contact) Objective #s 18 Objective #s 27 Community Education Coal # 8 Objective #s 111 Units of Service 245 (1 hour) Objective #s 28 Objective #s Information and Assistance Goal # 8 Objective #s 13, 36. 38 Units of Service 1,806 (1 contact) Objective #s 40,44 Objective #s Comprehensive Assessment Goal #8 Objective #s 14 13,2J Units of Service 447 (1 hour) Objective #s 34,41344 Objective #s Case Management Coal # 8 Objective #s 20 Units of Service 880 (1 hour) Objective #s 33 Objective #s Service Unit Pian FY 2003-04 (rev. 04/03) Transportation Goal # 8 Objective #s Units of Service 675 (1 one-way trip) Objective #s Objective #s Assisted Transportation Goal # Objective #s Units of Service (1 one-way trig) Objective #s Objective #s Counseling Goal # 8 Objective #s 15 Units of Service 232 (1 hour) Objective #s 22 Objective #s 30 Caregiver Support Group tarsal # 8 Objective #s 24 Units of Service 1.245 (1 hour meeting) Objective #s 31 Objective #s 39 Caregiver Training Goal # 8 Objective #s 15, 23 Units of Service 422 (1 contact) Objective #s 32.42 Objective #s Respite Care Services Goal # 8 Objective #s 16 Units of Service 4,6OO (1 hour) Objective #s 39 Objective #s Minor Horne Modifications Goal #8 Objective #s 43 Units of Service 280 (1 occurrence) Objective #s Objective #s Placement Goal # Objective #s Units of Service (1 placement) Objective #s Objective #s Service Unit Pian FY 2003-04(rev.04/03) Page 2 of 4 Homemaker Goa! # Objective #s Units of Service (1 hour) Objective #s Objective #s Chore Goa! # Objective #s Units of Service (1 hour) Objective #s Objective #s Home Security and Safety Goa! # Objective #s Units of Service (1 occurrence) Objective #s Objective #s Assistive Devices Goa! # Objective #s Units of Service (1 single occurrence) Objective #s Objective #s Visiting Goal # Objective #s Units of Service (1 hour) Objective #s Objective #s Home Delivered Meals Goal # Objective #s Units of Service (1 meal) Objective #s Objective #s LegalAssistance Goal # 8 Objective #s 8 Units of Service 218 (1 hour) Objective #s 17 Objective #s Service Unit Plan FY 2003-04 (rev. 04/03) Page 3 of 4 Peer Counseling Goal # Objective #s Units of Service (1 hour) Objective #s Objective #s Translation/interpretation Goal # 8 Objective #s 18 Units of Service 60 (1 hour) Objective #s 25 Objective #s 26 Income Support/Material Aid Goal # Objective #s Units of Service (1 occurrence) Objective #s Objective #s Money Management Goal # Objective #s Units of Service (1 hour) Objective #s Objective #s Re ist Goal # Objective #s Units of Service (1 match) Objective #s Objective #s "Other-Specify" (Requires prior CDA approval) Other: Goal# Objective #s Units of Service Objective #s Objective #s Other: Goal # Objective #s Units of Service Objective #s Objective #s Service Unit Plan FY 2003-04(rev.04103) Page 4 of 4 _. GOAL #8 The Contra Costa County Area Agency on Aging is committed to empowering and sustaining family caregivers, recognizing that they are the backbone of our long term care system and that they function under tremendous burdens. AAA will empower and sustain family caregivers through the development and enhancement of a comprehensive system of family caregiver support services and by making this support system both visible and accessible to them. RATIONALE Based on the Family Caregiver Needs Assessment and its analysis, conducted by AAA and the FCSP Planning Group, AAA was requested to provide an expanded system of support that addresses caregivers needs for increased access to services. OBJECTIVES 1. AAA staff and the Family Caregiver Support Program Planning Group will seek input of family caregivers and other stakeholders regarding service needs by conducting a comprehensive needs assessment by August 31, 2001. Completed August 31, 2001 2. AAA staff will assure ongoing participation in the Family Caregiver Support Program planning process of service providers, funders, advocates, family caregivers and other stakeholders through June 30, 2002. Completed and Continued 3. AAA Staff and the Advisory Council on Aging will develop a timeline and budget for FCSP implementation by September 1, 2001. Completed. Additionally, FY 02-03 and 03-04 allocations and contracting has been approved by the Advisory Council' and Board of Supervisors. 4. AAA Staff, in conjunction with the Advisory Council on Aging, will develop FCSP evaluation components by October 15, 2001. Completed. Evaluation and Monitoring tools have been developed and each contractor and program has been monitored and evaluated. 5. AAA will work with Employment and Human Services and contract staff to issue an RFP for service needs as identified in the FCSP Needs Assessment and in compliance with the service categories outlined in the FCSP Service Matrix by October 30, 2001. Completed 6. AAA,through its Request for Proposals process will require bidders to include a plan for community outreach to assure that low income individuals, __ ethnically diverse, limited English speaking individuals and persons identified as being of greatest economic or social need are being served through June 30, 2002. Completed and Continued. 7. AAA will assure that programs and services provided with FCSP funds meet the targeting mandates of the Older Americans Act through June 30, 2002. Completed and Continued. 8. AAA Staff and the Advisory Council on Aging will review and recommend the awarding of bids for FCSP services by December 1, 2001. Completed December 2001. 9. AAA Staff will negotiate contracts for successful provision of FCSP services by December 31, 2001. CompletedDecember 2001. 10.AAA Staff will provide technical assistance to successful bidders through June 30, 2002. Completed and Continued. 11. Family Caregiver Alliance will provide a Community Education Campaign targeted for medical groups, hospitals (discharge planners and casemanagers), allied health services, social services, libraries, faith based organizations with the goal of providing a multi-faceted approach to reaching both the probable referral sources and caregivers themselves by June 2003. PD Completed and Continued. 12. Family Caregiver Alliance will conduct broad community outreach through activities such as media, newsletter articles, flyers, and web site byJune 2003. PD Completed and Continued. 13. Family Caregiver Alliance will make information and assistance accessible to caregivers by live-voice telephone. Each contact will be sent a package of materials and resource information tailored to the identified caregiver need and be offered a quarterly newsletter, notice of workshops, support groups and related events by June 2003. PD Completed and Continued. 14. Family Caregiver Alliance will provide comprehensive assessment of caregiver functioning and assessment of the care recipient's functional status, resulting in a plan of care for the caregiver with follow-up services provided by June 2003. PD Completed and Continued. 15. Family Caregiver Alliance will provide caregivers individual and/or family counseling and Caregiver Training Workshops by June 2003. PD Completed and Continued. 16, Family Caregiver Alliance will offer an array of respite services to family caregivers, which include on-going monthly respite, short-term respite, in-home services, and day care slots by June 2003. PD Completed and Continued. _. 17. Family Caregiver Alliance will provide caregivers with access to legal assistance, including but not limited to, legal advice, counseling, and representation by an attorney or other acting under the supervision of an attorney by June 2003. PD Completed and Continued. 13. Jewish Family Services of the East Bay will conduct bilingual/bicultural outreach to family caregivers through 1) informal community networks such as schools, community centers, clinics, churches and synagogues, etc., 2) dissemination of information through newsletters and brochures by June 2003. PD Completed and Continued. 19. Jewish Family Services of the East Bay will provide comprehensive assessments to caregivers with multiple needs and determine the appropriate supportive services. The assessment includes physical and mental health, formal and informal support systems, activities of daily living, mobility, nutrition, cognitive functioning physical environment and financial resources by June 2003. PID Completedand Continued. 20. Jewish Family Services of the East Bay will provide direct case management assistance to caregivers experiencing diminished functioning capabilities, personal conditions or other characteristics. Case managers will provide service referral, service coordination, linkage, monitoring and advocacy by June 2003. Completed and Continued. 21. Jewish Family Services of the East Bay program staff and volunteers will help clients access transportation by June 2003. PD Completed and Continued. 22. Jewish Family Services of the East Bay will provide caregiver counseling at local sites and in-home to work with caregivers on issues, such as, feelings of anger and guilt, changes in familial roles, and crisis situations by June 2003. PD Completed and Continued. 23. Jewish Family Services of the East Bay will conduct caregiver training with a focus on developing skills necessary to perform caregiving activities, such as decision- making, problem solving, long term planning, use and misuse of drugs for older adults, legal issues in eldercare, and family dynamics in caregiving byJune 2003. PD Completed and Continued. 24. Jewish Family Services of the East Bay will conduct caregiver support groups for socialization, education and peer support by June 2003. PD Completed and Continued. 25. Jewish Family Services of the East Bay will provide home visiting to family caregivers. For refugees and immigrants, volunteers may be trained to tutor English-as-a-second language {ESL} or general life skills, so that the caregiver is better able to function independently by June 2003. PD Completed and Continued. 26. Jewish Family Services of the East Bay will create a Multilingual Resource Library and website to include an estimated 50-70 books, informational brochures, pamphlets and 20-40 videotapes on caregiver topics in multiple languages of English, Spanish, Russian, Farsi, Bosnian, Vietnamese, Cambodian and Lao. Information from the resource library will be widely distributed throughout the target communities by June 2002. (This is an OTO funding objective so the completion date is June 2002.) PD Completed 27. The Alzheimer's Association of the East Bay will provide outreach services by individual contact, newsletters and meetings to promote, organize, and establish Alzheimer's Disease resource network for identifying caregivers by June 2003. PD Completed and Continued. 28. The Alzheimer's Association of the East Bay will provide community education to family caregivers, to assist in the development of effective caregiving skills and enhance caregiver well-being including but not limited to Alzheimer's Beginning to Cope, legal and financial planning, dealing with challenging behaviors, communication strategies, and caregiver wellness by June 2003. PD Completed and Continued 29. The Alzheimer's Association of the East Bay will provide comprehensive assessment to recruit, train and supervise volunteer"family consultants" who will provide intensive emotional support and an expanded follow-up component to family caregivers and intensive phone assistance by June 2003. PD Completed and Continued. 30. The Alzheimer's Association of the East Bay will provide counseling to determine the most appropriate type of caregiver support necessary for individual families by June 2003. PD Completed and Ongoing. 31. The Alzheimer's Association of the East Bay will provide caregiver support to assist individuals to better cope with their situation by June 2003. PD Completed and Ongoing. 32. The Alzheimer's Association of the East Bay will provide dementia education forums and caregiver training, which offers support group attendees in-depth training and education by skilled professionals by June 2003. PD Completed and Ongoing. 33. FamiliesFirst, Inc. & The Family Enhancement Collaborative will match grandparents and other relative caregivers with a peer Kinship Mentor for short term, one-on-one support and case management services by June 2003. PD Completed and Ongoing. 34. FamiliesFirst, Inc. & The Family Enhancement Collaborative will work with the family to identify needs and develop a plan to address those needs by June 2003. PD Completed and Ongoing. __ 35. FamiliesFirst, Inc. &The Family Enhancement Collaborative will provide an intensive home-visitation component with meetings and/or phone calls twice a week by the kinship mentors by June 2003. PD Completed and Ongoing. 36. FamiliesFirst, Inc. &The Fainly Enhancement Collaborative will provide information and assistance linking families to available community resources and will address short-term needs with direct emergency assistance for housing, transportation, financial and other needs by June 2003. PD Completed and Ongoing. 37. FamiliesFirst, Inc. &The Family Enhancement Collaborative will accompany grandparents and relative caregivers to doctor's appointments, meeting with social service agencies, and parent teacher conferences to provide support during stressful periods and facilitate communication and interaction with the health care and school systems by June 2003. PD Completed and Ongoing. 38. FamiliesFirst, Inc. & The Family Enhancement Collaborative will assist grandparents and relative caregivers with information regarding legal options and provide support coping with the loss of a child and caring for the children's children by June 2003. PD Completed and Ongoing. 39. FamiliesFirst, Inc. & The Family Enhancement Collaborative will provide for recreational activities, respite days, and support groups for caregivers by June 2003. PD Completed and Ongoing. 40. Independent Living Resource will provide information and assistance to connect individuals in caregiving roles with current technology and services in the community by June 2002. (This is an OTO funding objective o the completion date is June 2002.) PD Completed. 41. Independent Living Resource will assess individual needs through one-to-one meetings with caregivers, will conduct at-home site evaluations and link caregivers with appropriate sources for assistance by June 2002. (This is an OTO funding objective so the completion date is June 2002.) PD Completed. 42. Independent Living Resource will provide training to family members and Others providing care for older persons on such topics as effective use of technology and/or services, problem-solving techniques, aid and personal care activities such as bathing, exercising, transferring and preparation of meals for special diets by June 2002. (This is an OTO funding objective so the completion date is June 2002.) PD Completed. 43. Independent Living Resource will research and purchase assistive living devices and equipment for demonstration and for the lending library by June 2002. (This is an OTC) funding objective so the completion date is June 2002.) PD Completed. _. ........ 44. Independent Living Resource will provide a benefits specialist to assess, provide information and advocate for caregivers to access programs that can provide the needed technology and service by June 2002. PD Completed and Ongoing. 45. The AAA will design a training program specifically addressing the needs of an ethnically diverse caregiver population in Contra Costa County. This program is funded under the Title Ill E Family Caregiver Support Program. AAA will contract with Jewish Family and Children's Services (JFCS), acting as the lead agency, to provide the development and design of a program addressing the training and educational needs of caregivers who exhibit cultural barriers to accepting assistance in the care of a family member. Caregivers from different ethnic cultures bring with them cultural stigmas about care giving responsibilities. They also lack specialized training and counseling on how to deal with the daily stresses of caring for a relative as well as lack information about the resources available to them. A coalition of agencies, coordinated by JFCS, will coordinate outreach in the following.communities: Laotian, Vietnamese, Latino, African American, Russian, Afghan and Philippine. Focus groups will be assembled to discuss the specific cultural needs for caregivers from these cultures. Based upon information gathered from these focus groups, a curriculum will be designed to address the needs assessed. This phase will be completed by June 30, 2003. Completer) The Implementation phase (identification of caregivers and training provided) will be completed by June 30, 2004. 46. The AAA will participate in a project sponsored by the )National Association of Area Agencies on Aging (n4a) entitled: Making the Link. This program is designed to work with area physicians to identify caregivers and link them with available services provided by the Human Service organizations of Contra Costa County. All phases of this project will be completed by June 30, 2004. Narrative Title III E Area Plan Addendum Fiscal Year 2003-04 In fiscal year 2002-2003, PSA 7 (Contra Costa County Area Agency on Aging) contracted with Jewish Family and Children's Services of the Greater East Bay to develop, in conjunction with the Family Caregiver Alliance, a Caregiver Training Curriculum addressing the particular cultural barriers and diversity found in Contra Costa County. Using One Time Only funds,Jewish Family Services developed a caregiver- training curriculum addressing the particular cultural aspects of the Lao,Russian, Afghan communities. In fiscal year 2003-04,Jewish Family Services will implement the training curriculum for those three ethnic groups. Contra Costa County has not encountered any particular challenges in the implementation of the Title III E program. Contra Costa County AAA was aware that there was a need to provide caregiver training to caregivers from specific ethnic cultures where cultural barriers prevented those caregivers from receiving complete services under the Title III E Family Caregiver Provider Program. To this end, Contra Costa County AAA has contracted with Jewish Family and Children's Services to develop culturally specific caregiver training curriculum and to implement that program by providing training sessions to caregivers from the Lao, Russian and Afghan communities.