HomeMy WebLinkAboutMINUTES - 05252004 - C98 Contra
TO: BOARD OF SUPERVISORS y
FROM: Jahn Cullen, Director Gaeta
,.��
County
Employment & Human Services Dep, ;...... y
DATE: May 12,2004 10
SUBJECT: APPROVE and AUTHORIZE the SUBMITTAL of the Contra Costa County Area Agency on
Aging Area Plan Update for FY 2004/2005 for services under the Older Americans Act and
Other State Funds Programs,previously known as Older Californians Act community-based
programs, to the State and AUTHORIZE the Chair, Board of Supervisors to SIGN the Letters of
Transmittal.
SPECIFIC REQUEST(S)OR RECOMMENDATION($)&BACKGROUND AND JUSTIFICATION -—
RECOMMENDED ACT-ION:
APPROVE and AUTHORIZE the SUBMITTAL of the Contra Costa County Area Agency on Aging Area
Plan Update for FY 2004/2005 for services under the Older Americans Act and Other',State Funds Programs,
previously known as Older Californians Act community-based programs, to the State and AUTHORIZE the
Chair, Board of Supervisors to SIGN the Letters of Transmittal.
FINANCIAL TIUPACT
No County costs. To secure funds for Titles III, III E and VII of the Older Americans Act and Cather State Funded
Programs (OSFPs),previously known as Older Californians Act community-based programs,the State must
approve the Contra Costa County Area Agency on Aging Area Plan Update for FY 2044/2005.
BA KGR!UTIND-
Under the Acts, the Area Agency on Aging (AAA)must develop and submit an update to the four-year plan to
the State to receive funding. The State will determine funding levels and inform the local areas based on their
local plans.
The AAA provides services for older County residents under Titles III, III-E &VII of the Older Americans Act
and under the OSFPs. Under the 2003-2004 Area Plan Update, the AAA provides through contract Congregate
Meals,Home-Delivered Meals, Legal Assistance, Home Visiting, In-Home Services Registry, Transportation,
Adult Day Care, Errand &Escort Services and Family Caregiver Provider program services. Funding from the
Other State Funded Programs allows the AAA to provide through contract the Brown Bag Program and
Alzheimer's Day Care Resource Center Program. Additionally, the AAA directly provides Information and
Assistance, Preventive Health Care and Disease Prevention, Linkages Programs, Respite Purchase of Services,
Health Insurance Counseling and Advocacy Program.(HICAP) and performs the program development,
coordination, administration and planning responsibilities of the Area Agency qn Aging.
at
CONTINUED ON ATTACHMENT: X_YES SIGNATURE:
" ECOMMENDAT€ON OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMM€TTEE
APPROVE OTHER
z r
SIGNATURE(S):,
ACTION OF BO "RD N APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
€HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS(ASSENT ) AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
ATTESTED
JOHN SWE€TEN CLERK F THE BOARD OF
UPERV€SORS AfID
SCOUNTY ADMINISTRATOR
Contact: ROBERT SESSLER,3-1605
cc: JOHN CULLEN-EHSD
EHSD CONTRACTS UNIT—EB
SCOTT DANIELSON(SUMMIT)
BARBARA McNAIR(SUMMIT)
COUNTY ADMINISTRATOR
CONTRACTOR
SZ
F.
BY J f }
DEPUTY
TRANSMITTAL LETTER.
This F5'2004-05 Update of the 2001-2005 Area Plan, including the 2004-05 Area
Plan Update Checklist, for Planning and Service Area#7 is hereby submitted to the
California Department of Aging for approval. By signing below, the Governing Board,
Advisory Council, and Area Agency Director support the planning and development of
community-based systems of care. 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.
1. (Type Name) Fege l Glover
f
(Signed)
Chair, 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. (Type Name) Gerald Sharrock
(Signed)
Chair, Area Agency on Aging Date
Advisory Council
3. (Type Name) Robert Sessler
�a
(Signed) .
e
ctor, Area Agency on Aging Date
CONTRA COSTA COUNTY
AREA AGENCY ON AGING
FiscalE
Year -2005 Area Plan date
Area Plan Program Components
A. AREA AGENCY ON AGING (AAA) CONTRACTED SERVICES
• Ombudsman Program - provides countywide complaint
investigation and resolution services to alder adults residing in
skilled nursing and residential care facilities through a carps of
trained volunteers.
• Congregate Nutrition - provides nutritionally balanced meals in a
group setting at 22 locations throughout the county;
West County North Richmond Multi-Cultural Center
Richmond Civic Senior Drop-in Center
Nevin Community Center/Richmond
San Pablo Senior Center
Rodeo Senior Center
Hercules Senior Center
Crockett Senior Center
El Cerrito Senior Center
Central County Martinez Community Center
Concord Senior Center
Walnut Creek Senior Center
Jewish Community Center/Walnut Creek
Pleasant Hill Senior Center
San Ramon Senior Center
Walnut Creek Rossmoor
Taiwanese Church Walnut Creek
East County Pittsburg Crestview Senior Center
Oakley Senior Center
Brentwood Senior Center
Ambrose Community Center/Bay Paint
Antioch Senior Center
Bethel island Scout Hall
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Home Delivered Nutrition - the delivery of nutritionally balanced
meals to homebound older adults aged 60 ,and older from the
following delivery points throughout Contra Costa County:
West County Crockett
El Cerrito
El Sobrante
Hercules/Rodeo
Pinole
Richmond
San Pablo
Central County Concord
Lafayette
Martinez
Pleasant bill
Walnut Creek
San Ramon
East County Antioch
Brentwood
Oakley
Pittsburg
• Horne Visiting, Program - provides a countywide network of caring
volunteers who visit homebound adults aged 60 and older to
offer companionship, reassurance, and comfort to those who are
often isolated and frail,
• In-Home Services Rg ig. stry - matches are made countywide from a
resource list of screened qualified in-home service workers to
those 60 and older in need of home chore, repair, and other
service assistance in their homes.
• Transportation Program - arranges and provides transportation
for those 60 and older who wish to participate in the enjoyment
of nutritionally balanced meals and socialization at one of the
local nutrition sites.
• Legal Services - provides a countywide program offering
information, counseling, consultation, advice, administrative
representation and advocacy and legal representation services by
attorneys and legal support staff to older persons with certain
law-related problems.
2
Family Caregiver Program_ - addresses the needs of caregivers by
providing respite, resources, and other support services to family
members who provide care to a relative aged 60 or older and to
grandparents who are 60 or older who provide custodial care for
their grandchildren.
Assisted Transportation Service - arranges errand and escort
services by matching caring volunteers with adults who are 50
and older living in East County and no longer able to drive or use
public transportation on their own and who need assistance to
get to doctor appointments, pick up groceries, medications, or
other items necessary for daily living.
Adult Day Care_Services - provides supervised care for dependent
adults aged 60 or older in a social congregate setting offering
recreational activities, meals, and assistance with activities of
daily living.
• Network of Care - an easy-to-navigate Internet Website developed
to increase awareness and use of services and resources available
for seniors, family members, people with disabilities, caregivers,
service providers, and community members countywide.
• Eases West, and Central Senior Coalitions - provides organized
activities and advocacy on issues affecting seniors in the
community.
• Alzheimer's [day Care Resource Center - provides specialized day
care for participants who are 60 and older and have Alzheimer's
disease or other dementia disorders, while serving families and
caregivers by providing support groups, counseling, and
resources. Community members and professionals are served by
providing specialized training and resource.
• Brown Basi Program - serves low-income seniors by providing
bags of groceries twice a month at distribution sites throughout
the County.
B. AAA DIRECT SERVICES
• Information and Assistance Program: provides countywide
assistance to adults by maintaining a current computer database
system containing information on resources for programs and
services throughout the County for adults aged 18 and older.
Specially trained Social Workers provide support counseling and
resource information to callers regarding services available to
meet unmet needs and, when necessary, make arrangements for
appointments or comprehensively assess situations when
multiple services may be required.
Published resource information, updated regularly is mailed to
callers as needed regarding Living Wills, Powers of Attorney,
disease prevention, health promotion, health issues, housing
lists, fraud and scams, etc. from a large resource library.
• Health Promotion and Disease Prevention - maintains or improves
the physical, mental, or nutritional health of older adults by
producing and staffing the following activities and publications:
> Senior Information Journal, which airs on local cable
channels throughout Contra Costa County providing health
promotion and disease prevention information.
> AAA Senior Information Newsletter, printed quarterly,
contains a Health Page to provide health promotion and
disease prevention information.
> Health Education Presentations provide the community with
health information and resources on services for older adults.
> Publications distributed at Health Fairs and other community
events, providing information on how to promote health and
prevent diseases.
> Staff support for community groups working on health
promotion and disease prevention issues.
• Health Insurance CounselingandAdvocacy Program (HICAP) -
provides Medicare beneficiaries and those about to become
eligible for Medicare with counseling and advocacy regarding
Medicare, private health insurance and related health care
coverage plans through the efforts of both a corps of highly
4
skilled volunteers and professional staff. This program provides
objective counseling to assist consumers in choosing appropriate
health insurance coverage. This program provides assistance
with Medicare problems, prescription drug coverage, Medicare
Supplemental Insurance, Health Maintenance Organization (HMO)
plans, long-term care insurance, medical billings, claims and
Medicare appeals.
• Linkages Pro-gram- provides case management, information on
resources, and assistance to individuals 18 years of age and older
who have functional disabilities, in order to prevent inappropriate
institutionalization.
• Linkages Respite Purchase of Service Program - funds are used for
purchasing respite services for primary unpaid caregivers of
functionally impaired individuals.
C. AAA OTHER ACTIVITIES - to provide the following services:
• Program Development - to establish new services and improve,
expand, and integrate existing services.
• Coordination - to bring together groups and organizations in
order to promote and establish an interconnected community-
based system of care.
• Administration - to perform ongoing planning and management
activities to develop and administer the AAA Area Plan. Activities
include:
Researching and surveying to assess and address unmet
needs for services.
> Developing and preparing plans and data reports.
➢ Monitoring contracted and direct-service programs.
> Evaluating consumer and community satisfaction or concerns
with services provided.
> Developing Requests for Proposal (RFP) and Requests for
Information (RFI).
➢ Advocating for older adults by staffing the Advisory Council
on Aging and it's various committees, work groups, task
forces, and other ad hoc groups who advocate on behalf of
older adults by seeking changes in laws, institutions, or
conditions.
5
D. OUTREACH/TARGETING - to reach older adults in communities
throughout the County who are isolated or have priority needs
because their incomes are low or they have difficulty accessing
services due to frailty, lack of transportation, limited English
speaking abilities, or cultural barriers by:
> Developing RFP's and RA's requiring proposals to include a
plan to reach individuals having the greatest economic or
social needs as described above.
> Requiring the selected organizations to sign contracts
agreeing to serve a minimum percentage of low-income and
minority clients.
➢ Providing translation services as needed to assist non-/or
limited English speaking clients in all regions of the County.
➢ Actively participating in work groups, task forces, focus
groups, and community organizations focusing on
addressing multicultural issues.
> Collaborating with other agencies to assist in identifying and
serving low-income, minority seniors who may be at risk of
not accessing needed services.
> Staffing the Southeast Asian Senior Access Collaborative
Project (SEASAC) to help isolated Laotian seniors in West
County overcome language and cultural barriers to access
quality health care and human services. SEASAC provides
comprehensive, multilingual services including community
outreach, needs assessment, case management, and
advocacy. Health education, social and cultural activities, ESI
classes, and information and referral services are also
provided.
> Making available a Tax Counseling Program to assist older
adults with the preparation of tax returns.
Staffing the lnfoVan, an "information center on wheels", to
travel throughout the county and attend events to provide
information about services and how to access them. Printed
resource materials are made available with contact and other
information on health and social service providers. Based on
demographics and history of need, some brochures and
6
other materials are available in Laotian, Russian, Spanish,
Chinese, and Vietnamese.
> The Senior Information Newsletter will reach more than
17,000 organizations and individuals on a quarterly basis
and offers articles and information on services and health
and social issues relating to older adults, family members,
caregivers, and service professionals.
Providing staff support for the Active Aging Community
Task Force to increase public awareness about the benefits
of physical activities for older adults and to implement
community-based physical activity programs.
> Surveying a broad representation of people within the
community with an interest in serving older adults to gather
information on met and unmet needs to assist in the
planning, development, and maintenance of the AAA Area
Plein, while increasing community awareness of AAA and
other services available to meet the needs.
Ea AREA PLAN COALS
Gaal Statement #I #-
The
1kThe 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 by
promoting the availability of an accessible range of service options
through collaborative efforts and decision making among public,
private, voluntary and fraternal organizations and coalitions, for
continuing the development and enhancement of a comprehensive
and coordinated home and community-based system of care.
Goal Statement #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.
7
Goal Statement #1
AAA will provide public information to agencies, the community,
and alder adults aged 60 and older and their families regarding
resource availability, educational opportunities, demographics,
health insurance, and funding opportunities.
Gaal Statement #4:
The AAA will work toward an efficient, cast effective, user friendly
integrated approach to deliver Aging and Adult services, including
but not limited to Information and Assistance, Multipurpose Senior
Service Project, Adult Protective Services, legal Protective Services
Conservatorship, In-Name Support Services, and Linkages. The AAA
will continue to provide direct Health Insurance Counseling and
Advocacy Program services. The adult service delivery system will
be monitored to ensure quality responsiveness to the community-
based system of care for alder adults.
Gaal Statement #5:
The AAA will continue to be an advocate for all older adults aged 60
and older by analyzing public policy issues, legislation, programs,
hearings, and by participating in public forums, community
activities, and advocating for older adults rights, as appropriate.
Gaal Statement #6
The AAA will enhance the administrative efficiency of its contracting
and service delivery operations for the purpose of improving the
responsiveness of the community based system of care for the
elderly in Contra Costa County to the changing needs of the alder
population.
Gaal Statement #7:
AAA will maintain a preventive health care program that will provide
both health care insurance counseling and advocacy and health
promotion and disease prevention information to the older
population of Contra Costa County by means of a variety of
community outreach activities.
Gaal Statement # 8:
The AAA is committed to empowering and sustaining family
caregivers, recognizing that they are the backbone of our longterm
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
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family caregiver support services and by making this support
system bath visible and accessible to them.
F. COMMUNITY SERVICE AREAS c& FOCAL POINTS
The California Department of Aging consistent with Older Americans
Act regulations encourages area agencies on aging to identify,
develop, and implement a community-based system of care for
specific communities in its planning and service area. Area Agencies
on Aging have the responsibility to establish criteria for and
identification of community service areas including designation of
community focal points within each community service area, as
appropriate.
The AAA has established three community service areas - East,
Central, and West County.
The East County Community Service Area includes the cities of
Pittsburg, Antioch, Oakley, and Brentwood and the unincorporated
communities of Bay Point, Bethel Island, Byron, Knightsen,
Discovery Bay and adjacent areas.
The Central County Community Service Area includes the cities of
Martinez, Concord, Pleasant bill, Walnut Creek, Lafayette, Moraga,
Orinda, Danville, San Ramon and Clayton and the unincorporated
communities of Pacheco, Alamo, Blackhawk, and adjacent areas.
The Nest County Community Service Area includes the cities of EI
Cerrito, Richmond, San Pablo, Pinole, and Hercules and the
unincorporated communities of Kensington, East Richmond
Heights, Forth Richmond, El Sobrante, Rodeo, Crockett, Port Costa,
and adjacent areas.
The AAA intends to support the continued development of
coalitions in East, Central, and West County. Each coalition
includes older persons, service provider agency representatives,
business representatives, professionals interested in serving older
persons, local committee on aging representatives, and other
appropriate persons. These coalitions serve as regional focal points
for assisting the AAA in its planning, program development, and
coordination responsibilities.
9
Ga ESTIMATED UNITS OF SERVICE AND INDIVIDUALS SERVED
An
i
PROGRAM SERVICE/SERVED UNDUPLICATED
COUNT
! I �
Adult Day Care ! New Seniors Served: 23
(Social Day Care) Participant Hours: 13,200
Alzheimer's Day New Seniors Served: ; 50
Care Resource Caregiver Support Sessions, 12 '
i Center I In-service Training Sessions: I 6
On-site Training Sessions: 4
Average Volunteers per Month: 6
Volunteer Hours: . 200
I ! Assisted New Seniors Served: 45
; Transportation One-Way Trips: 360
i (Errand and Escort) 1
Brown Bag Program New Seniors Served: 2000
Pounds of Food': 256,000
Ba s distributed': 22,000
Congregate New Seniors Served': 1 ,800
E € Nutrition Meals Served: 199,100
Disease Prevention/ Community Education: 305
Health Promotion Information: 18,500
Outreach: 400
Health Insurance ! New Seniors Served: 1 1 ,300
Counseling & Community Presentations: 50
Advocacy (HICAP) Attendees at Presentations: ; 2,550
i Registered Counselors: 24
j t Long-term Counselors: 12
Community Educators: 6
Active Registered Counselors per Month: 22
HICAP Legal New Seniors Served: 12
Representation Hours of Service: j 85 I
; Home Detivered ! New Seniors Served: ' 2,200
's Nutrition ' Meals Delivered: 237,500
=HomeVisiting New Seniors Served: 210
Visiting Hours: 14,040
In-Home Services New Seniors Served: ! 1 ,100
Registry ! Registry Service Hours: 3,034
i
10
i
PROGRAM j SERVICE/SERVED I UNDUPLICATED
j € COUNT
Information & New Seniors Served: 15,500
Assistance Contacts: 17,667
F
Clients: 2,500
Referrals. 32,943
E Comprehensive Assessments: 395
E Outreach Clients: 7,357
Nutrition Education New Seniors Served; 2,400 j
Nutrition Education Sessions: ; 88
' Nutrition New Seniors Served: 800
Transportation One-way Rides: j 65,000
Linkages New Clients (aged 8 & older) Served: 136
Avera e Clients per Month: 90
Linkages Purchase Families Served: : 35
of Service's Respite Hours: 350
f ' Legal Services New Seniors Served: 700
` Le al Service Hours: 3,500
Ombudsman New Seniors Served: 3,775
Complaints/Investigations/Resolutions: I, 10,600
s
Education/Training 140
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