HomeMy WebLinkAboutMINUTES - 06172008 - C.129 sE L
TO: BOARD OF SUPERVISORS Contra
CostaFROM: Joseph P. Valentine, Director
Employment and Human Services
~`
mos.._ - •�.
DATE: June 17, 2008 County
SUBJECT: Contra Costa County Area Agency on Aging Area Plan Year-End Report for Fiscal
Year (FY) 2006-2007
SPECIFIC REQUESTS)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION I-IL4 101
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) 2006-2007 to the
California Department of Aging and authorize the Chair, Contra Costa County Board of Supervisors, to sign the
Letter of Transmittal.
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 fundiig 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 Pparanis. AAA has developed services for
CONTINUED ON ATTACHMENT:_ X YES SIGNATURE:
'ECOMMENDATION OF COUNTY ADMINISTRATOR COMMENDATION OF BOARD COMMITTEE
/ PPROVE OTHER
SIGNATURE(CL4n.0�1
ACTION OF BOP ON I APPROVE AS RECOMMENDED V OT ER
VOTE OF SUPERVISORS
✓ 1 HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT 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: gg�� �y
ATTESTED,�--��}}- UAe'
JOHN CULLEN,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact: JOHN COTTRELL 3-1605
EHSD CONTRACTS UNIT(EB)
MICKEY SHERMAN,AAA
COUNTY ADMINISTRATOR
AUDITOR-CONTROLLER BY: DEPUTY
Page Two
Contra Costa Codn'ty Area Agency on Aging Area Plan Year-End Report for Fiscal Year (FY)
2006-2007
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 ❑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 AARs 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. ( e Nam N. Pie ho
I
(Si ned)
Chair, Governing Board Dat
2. (Type Name): A.C. Hollister
(Signed)
Chair, ArealAgency on Aging Date
Advisory Council
3. (Type Name): John.Co e
(Signed)
/ Agency ongingire or, Date
4/28/2008 -f-
i
FY 20062007 AREA PLAN
YEAR-END REPORT
Eal E3.
I
I
F
A cour�''
CONTRA COSTA COUNTY
AREA AGENCY ON AGING
PSA 7
SUBMITTED
BY MICKEY SHERMAN
DATE: May, 2008
5/16/2008
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
Person completing the report: Name/Title Mickey Sherman
Telephone #: (925) 33,5-8711 E-Mail msherman1(a-ehsd.cccounty.us
5/16/2008 1 -
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 prof ides 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.
1Ligned) a e). N. Pie ho
(
Chair, Governing Board Dat
2. (Type Name): A.C. Hollister
(Signed)�;L(� � S��s
Chair, Area k gency on Aging Date
Advisory Co cit
3. (Type Name),,John el
(Signed) , C) c�
% Director, A ea Agency on Aging Date
{
1
4/28/2008 -1 -
Section I: Introduction and Narrative of Significant AAA
Highlights and Accomplishments
Fiscal year 2006-2007 proved to be a productive year for the AAA. As a major focus of PSA 7's AAA is
advocacy, primarily at macro and mezzo levels, we utilized ongoing networks, coalitions, and create use
of OTO funds to address big picture issues and needs.
In the earthquake-prone Bay Area, the AAA conducted an evaluation of its contractors' emergency
preparedness plans and purchased Emergency Preparedness Kits with OTO funds for distribution to Low
Income Seniors through the Brown 9ag program and senior centers. We partnered with the Contra Costa
County Office of Emergency Services and its Public Health Department to conduct three forums, one in
each region of the county, for organizations and individuals who work with seniors or their caregivers. In
addition, 10,000 medication safety packs were manufactured and distributed to residents of the county's
largest senior living community, Rossmoor. Rossmoor residents received instruction on how to use to
packs to store a 3-day supply of essential medications and medical information that they can quickly take
with them in an event of an evacuation.
Contra Costa County AAA takes gre It pride in our ever deepening relationships to the community we
serve through our outreach activities i nd collaborative endeavors:
• As there was a new priority on outreach to Lesbian, Gay, Bisexual, and Transgender seniors, we
partnered with two organizations serving the LGBT community, Lavender Seniors and the
Rainbow Center. They conducted cultural sensitivity training for our Advisory Council, our
providers, and Aging and Ad I Its Services staff. Planning for the mandated LGBT seniors needs
assessment has begun.
• AAA successfully coordinated two health and information fairs and a 2"d annual "Exercising Your
Mind and Body after 50"conference to increase seniors' awareness of and access to social
services, health screenings and health promotion activities. As a result of positive feedback from
these events, these activities will be coodina5ed annually to expand to other areas of East Contra
Costa County.
• AAA coordinated a Town Hall meeting in June in West County to address health care and
affordable housing. Resource information was distributed.
• Over 600 seniors attended S i niors' Night Out in 2007. This popular event will be repeated in
2008.
• Over 700 seniors attended the Senior Information and Health Fair during Older Americans month.
• The InfoVan traveled to 60 locations or events in this reporting period.
• In our area which has the highest percentage of residents living below the poverty level in the
county, 250 Bay Point seniors enjoyed and benefited from the 2007 Senior Appreciation Day.
• 70 providers from various senior services participated in the 6th Annual Partners in Planning,
which featured a media relations training for community agencies.
• Mini-fairs were coordinated fogy a rural area, Byron, and for Bay Point.
• Over 550 seniors and Baby Boomers participated in the 2007 Active Aging Forums.
Collaborative efforts include:
• A partnership with Catholic Charities, UC-Berkeley's School of Social Welfare, City of Concord,
and other community organizations completed a needs assessment survey of low-income,
predominantly Latino seniors in the Monument Corridor. Survey findings will aid in the
development of bi-lingual programs that address the needs of seniors.
• Working with hospitals, adult education centers and senior organizations to cosponsor the events:
Exercising Your Mind and Body Over 50 and Going Strong: Active Aging Over 50.
• Participated in the East County HIV/AIDS tasks force to coordinate a health and resource fair.
5/16/2008 -3-
Advocacy efforts include:
• Successful appeal to the City of Richmond to expand and develop its senior programs, resulting
in the hiring of additional staff person.
• The Senior Mobility Project worked with the Paratransit Coordinating Council and other groups to
improve coordination of services; hosted regional statewide workshops on Mobility Management
and Non-Emergency Medical Transportation; participated in helping develop a Bay Area
Coordinated Human Service Transportation Plan
• The Transportation Mobility Specialist chaired the Metropolitan's Transportation Commission's
Elderly and Disable Advocacy Committee.
• The mobility specialist helped form "the Senor Mobility Action Council" (SMAC), an outgrowth of
joint meetings between the AAA Advisory Council's transportation work group and the
transportation committee of Contra Costa For Every Generation.
Technical assistance was provided to community agencies/programs to try to bring more financial
resources into the PSA. AAA staff provided information about funding opportunities to the Elder
Actualization Program in West County, to the Independent Living Resource for transportation assistance
to low income, disabled seniors, and the AAA mobility management staff assisted various groups in
completing 5310 federal grant applications, helping develop and coordinate local transportation services.
Through creative use of OTO funds, AAA partnered with the County's Health Services Department
through the Senior Mobility Project and Workforce Services"Rides to Success"to provide rides to older
adults in homeless shelters through using taxis.
5/16/2008 -4-
Section II: Summary of Ideas
A rapidly increasing older adult population, decreased funding and limited staff resources had led to many
discussions within the Area Agency on Aging (AAA)of how best to address the service needs of older
adults in Contra Costa County(CCC),I Recognizing that"one size does not fit all"approach to planning
for services will not work; the AAA has outlined several key initiatives it will implement over the next year.
PSA 7 Contra Costa County for 2008
Population 1,053,710
60+ population 188,299 or 18% of Contra Costa County population
Non-minority 134,435 or 71% of Contra Costa County population
Minority 53,864 or 29% of Contra Costa County population
75+ 57,947 or 31% of Contra Costa County population
Lives Alone 33,600 or 18% of Contra Costa County population
SSI/SSP 5,941 or 3% of Contra Costa County population
Medi-Cal Eligible 15,087 or 8% of Contra Costa County population
In 2002, 11.5% of the total Contra Costa County(CCC) population was age 65 or over. In 2008, it will be
18% of the total CCC population. By the year 2020, the County's 65 and older population will increase
25%, while the age 85 and over will more than double.
Forums
Given the lack of adequate resources, funding and staff the AAA has discussed how to generate
community-wide action to address some of the most critical issues facing older adults. In partnership with
the Advisory Council on Aging, the community organization for Every Generation, and the (IHSS) In-
Home Support Services Advisory Committee four quarterly community-wide forums will be held in CCC
over the next year. Each forum will address a particular issue confronting CCC Older Adults. The focus
of the forum will be to inform, educate and most importantly create on-going community action to support
policy change and funding for each area of concern.
The first forum will address the lack of Mental Health Services for Older Adults especially in the area of
dementia which isn't a primary mental diagnosis by Medi-Cal. Therefore, the largest growing population
of Older Adults in CCC exhibiting Mental Health Problems due to dementia will not be served by Mental
Health Services. Mental Health services including (MHSA) Mental Health Services Act-Proposition 63 is
limited to those who fit the Medi-Cal diagnostic categories.
• Most older adults with mental health needs are seen only by their primary care physician, who
may not be fully aware of mental health manifestations, interventions and medications, resulting
in mental health issues not addressed until there is a crisis.
• Mental Health crisis services for older adults are extremely limited.
• Insufficient funding and resources, stigma and lack of bilingual/bicultural services and training all
contribute to the problems.
• Older adults' needs are greater than rest of the population yet they are the most underserved
population throughout California.
• There is a proportionately high rate of depression and suicide in the older adult population.
• Most Mental Health services, including MHSA funding, are limited primarily to those who fit the
Medi-Cal diagnostic categories.
• "Dementia" isn't consideredla primary mental health diagnosis by Medi-Cal. Therefore, the large
and growing population of older adults exhibiting mental health problems due to dementia is not
served by most mental health services.
• Clients with dementia or other mental illness, who have private insurance, still find it difficult to
access mental health services since there aren't enough geriatricians and geropsychiatrists and
5/16/2008 -5-
many are unwilling to take new patients. Most don't want to take patients with Medi-Cal or
Medicare.
• There is no longer a geriatric psychiatry ward at the Contra Costa County hospital.
• Funding for the Mental Health Division continues to be reduced, due to both the State and the
County's budget issues.
The second quarter forum will address the crisis in Elder Financial Abuse focusing on policy issues
and change. This forum will address the Age Wave and the challenges of the existing aging services
network to meet current and future needs of a population vulnerable to exploitation and fraud due to
mental and physical capabilities that may be diminishing. Forum panelists will include professionals
from the judiciary, law enforcement, elder law experience, Adult Protective Services and the District
Attorney's office.
The third and fourth quarter forum topics have not been decided on at this time.
HICAP
Recognizing the complexities of Medicare selection for retirees and the need to begin the education
of the"Boomer"population's emi,ent retirements HICAP, Health Insurance Counseling and Advocacy
will embark on County-wide offered workshops called "Welcome to Medicare". These free, two hour
seminars will educate soon to be retired Older Adults on the A-B-C & D's of Medicare, Medigap
Insurance and Medicare Advantage Plans.
LGBT
The most recent population statistics for CCC document 8-10% of the adult population as LGBT.
Since the inception of AB2920 mandating AARs to include the needs of LGBT services in needs
assessments and area plans, the CCC AAA has developed a relationship with local LGBT agencies
to collaborate on education the AAA and other Aging services on cultural competency to ensure the
success of accessing and planning for the needs of LGBT older adults in CCCF.
The AAA has initiated plans to become certified by a local LGBT agency as a safe place for LGBT
older adults to come to receive County services. Discussions also include offering a staff
development class to all Aging and Adult staff in CCC on "Reaching out to Lesbian, Gay, Bisexual
and Transgender(LGBT) Elders'I sponsored by the AAA. The course is designed to increase cultural
awareness, sensitivity and competency seniors and offers opportunities for staff to:
• Hear from a panel of LGBT seniors about individual personal challenges, particularly in
receiving senior services.
• Learn appropriate gender neutral terminology and ways to design printed materials to allow
LGBT seniors to feel welcome and safe when receiving services from CCC programs.
• Become more comfortable reaching out and assessing needs and providing services to
LGBT seniors.
Transportation
Recognizing that access to services is critical to planning for and providing services the AAA has
engaged in many discussions and activities centered on older adult transportation needs.
Many seniors who have been driving a car all their adult lives, due to age-based disabilities will no longer
be able to drive safely. Recent statistics from the California Department of Motor Vehicles show that in
Contra Costa County, 11% of those Jage 65-74, do no have drivers licenses, followed by 29% of those
age 75-84, and 63% of those age 85 and higher(San Francisco Bay Area Older Adults Transportation
Study). When combined with the aging of the huge Baby Boomer generation, the need for transportation
alternatives to driving one's own car will only continue to grow and will, of necessity, require more creative
and collaborative approaches.
5/16/2008 -6-
Transitioning to a non-driving lifestyle represents for many seniors the giving up of the freedom and
independence that driving one's own car provides. For some there is a reluctance to face the fact that
perhaps they shouldn't be driving. Foi those planning current and future transportation systems and
services in Contra Costa, the challenge is how to assist the growing population of non-driving seniors to
remain mobile, so that they can access the services they need to"age in place: in the community.
Research along with anecdotal evidence from throughout the county indicates that this is already a
growing problem.
Some Issues Facing Seniors,their Families,and Transportation Providers in Contra Costa
• Many seniors, in planning their retirement, fail to plan for the potential that they may someday not
be driving. This is reflected in the trend to retire in outlying communities that have limited
transportation alternatives, or in homes that are difficult for vehicles to access, such as up steep
driveways.
• There is a misunderstanding among many seniors, their families, and policymakers regarding the
nature of paratransit services as they relate to seniors. There is a mistaken belief that when an
individual becomes a senior they are automatically eligible to ride on a door-to-door paratransit
service. The reality is that in most cases, the paratransit services provided by public transit
districts are limited by funding and policy to those who qualify under the Americans with
Disabilities Act (ADA)as functionally unable to ride fixed-route transit. Only in some parts of
Contra Costa can any individual over a certain age (usually 65) schedule a paratransit ride.
Another reality is that even for those seniors who qualify for ADA paratransit, many cannot use it
due to their frail health.
• There has been progress made in some parts of the County in developing community-based
transportation alternatives for seniors, but much more is needed. There is a need to expand the
"Family of Services" model, which provides a variety of transportation modes and services
depending on the riders' needs. Examples of services that have been developed in Contra Costa
include: senior van programs, tax scrip programs, volunteer driver programs, travel training
programs to familiarize seniors with public transit, etc. Many frail seniors cannot simply be
"dropped off"at their destination—they need to be escorted to their medical appointments, and
assisted with shopping, etc.
• One type of service that is non-existent in Contra Costa and most other Bay Area counties is that
of wheelchair accessible taxis. Without this type of service, non-ambulatory seniors and persons
with disabilities who do not own a wheelchair accessible van, are stranded without mobility
options when ADA paratransit is not available, usually on evenings and weekends. Options
under study to fill this gap include developing model accessible taxi ordinances and assisting taxi
provides to acquire accessible taxis through purchase and lease agreements.
• There has also been progress made in improving information available regarding transportation
alternatives, but again, morel needs to be done. In 2005, Contra Costa County Aging and Adult
Services produced the"Way To Go Contra Costa!"transportation resource guide in both Spanish
and English and the accompanying website. In 2007, Aging and Adult Services in cooperation
with the Department of Motor Vehicles produced the brochure: "Are You Ready for Someone
Else to Do the Driving?"which is being distributed at DMV offices and senior centers throughout
the county. The Information Iand Assistance Program, also operated by Aging and Adult
Services, handles many requests for information on transportation alternatives for seniors.
• Initial work has also been done on the older driver issue in Contra Costa, but again more needs
to be done. "CarFit" Progra T s and CarFit volunteer trainings have taken place, and driver
assessment tools and videos on older driver issue have been distributed. In addition,Aging and
Adult Services applied in December 2007 to the National Center on Senior Transportation for a
grant to establish an 'older driver family assistance network" in Contra Costa to provide
information and assistance to families in the community who are facing the issues of either
keeping an older driver safely on the road or of assisting an at-risk older driver to transition to
other transportation alternatives. The response to this grant application is still pending.
Many agencies in Contra Costa County are actively working on these issues, including public transit
operators, County Aging and Adult Services and the Community Development Department, non-profit
providers, the Contra Costa Transportation Authority and its Paratransit Coordinating Council, the County
5/16/2008 -7-
Advisory Council on Aging, Contra Costa For Every Generation, many cities, etc. At the regional level,
the Metropolitan Transportation Commission is aware of the issues of senior mobility and has produced
several important studies an excellent video, "Mobility Matters For Older Drivers." In addition, there are
efforts at the state level being led by the California Highway Patrol and the Department of Motor Vehicles
—both have produced excellent information and videos on the older driver issue and the need for
transportation alternatives for those who are no longer driving.
Over the next year, the AAA will focus on the following transportation imperatives:
• Possible participation in a collaborative county-wide travel training program with other agencies,
with a focus on familiarizing seniors and other populations with public transit.
• Possible participation in a county-wide mobility management center to assist agency clients and
the public with information abi ut transportation choices, referrals and possible coordination of
services.
• Expanded emphasis on both older driver safety and the transition to non-driving status.
• Continued involvement of theI community and building relationships with potential partners, all
focused on improving mobility for seniors.
and finally recognizing the need to change our RFI process for assisted transportation services to require
provider applicants to serve two underserved, low income areas of West and East Contra Costa County.
Fall Prevention Program of Contra Costa County
Falls are the leading cause of unintentional (accidental) injury deaths among Contra Costa County
residents 65 years and older, and the leading cause of unintentional injury hospitalizations for residents of
all ages.
More than 1/3 of adults 65 and older all each year.
Of those who fall, 20% to 30% suffer moderate to severe injuries such as bruises, hip fractures, or head
traumas. These injuries can make it hard to get around and limit independent living, as well as increase
the risk of early death."
Between 2002-2004, there were 8,658 hospitalizations and 140 deaths due to falls for Contra Costa
residents as a whole. Of those deat i s , 108 involved people who were 65 and over.` This problem is
expected to increase as the 60 and older population doubles over the next 20 years, according to the
U.S. Census.
The total direct cost of all fall injuriesi for people 65 and older in 2000 in the United States was more than
$19 billion. By 2020 the annual direct and indirect cost of fall injuries is expected to reach $43.8 billion.
• Direct costs for the treatment of fall-related injuries include: hospital and nursing home care,
doctors and other professional services, rehabilitation, community-based services, medical
equipment, prescription drugs, and home modifications.
• Indirect costs include long-term effects of these injuries: disability, loss of independence and
dependence on others, lost i ime fro work and household duties, or reduced quality of life.
Falls have complex causes and preventing them requires a comprehensive, systematic solution, including
increasing physical activity for older adults, personal and home risk assessments and medical provider
education.
Over the next year the AAA in conjunction with their community will develop and coordinate the following
programs and activities to prevent falls.
• Fall Risk Assessments
• Fall Prevention Education
• Physical Activity and Exercise
• Home Safety Modifications
• Medication Management
• Nutrition and Diet Analysis
5/16/2008 -8-
• Bone Density Screenings
• Acquisition of Mobility Assistance Equipment (i.e., walkers, grab bars)
Emergency Disaster Preparedness
During the 06-07 year, the AAA made significant strides in addressing the needs of older adults and
persons with disabilities as relates to Disaster Preparedness.
The AAA conducted an evaluation of each of its contractors' Emergency Preparedness Plans and
provided technical assistance to contractors who needed help developing the plan. AAA contracts
require funded agencies to have in place an emergency preparedness plan and the AAA monitors to
ensure that the plans are in place.
One Time Only funding was used to purchase Emergency Preparedness Kits for distribution to Low
Income Seniors through county senior centers and food bank distribution sites.
As an outgrowth of these plans, in FY 07/08 the AAA is partnering with the Contra Costa County Office of
Emergency Services and Public Health Department to conduct three Emergency Preparedness Forums
for organizations and individuals that work with seniors or whose client base are seniors and/or their
caregivers. Forums are to be held in the East, Central and West regions of Contra Costa County. As a
follow up to these forums, AAA, OES and DHS will conduct table top exercises with non profits and for
profit agencies that assist or provide services to seniors, including Assisted Living Facilities, Board and
Care facilities and Home Care agencies.
As an outgrowth of these efforts,AAA staff will be going to all of the Contra Costa County senior centers
to make presentations on Emergency Preparedness and distribute emergency preparedness information
and materials as well as Emergency Preparedness Kits.
Nutritional Services
As part of Emergency Disaster Preparedness discussions, PSA 7 nutrition program Meals on Wheels
(MOW)will provide participants with pan emergency meal pack(E-Pack)containing six nutritious, high
quality, shelf stable meals to sustain them in the event that a major public emergency prevents regular
MOW deliveries. All E-Packs will be replaced every six months at which time program participants can
consume the meals from their previous E-Pack. The $48,000 annual cost of this project is sponsored
entirely by the individual charitable contributors and foundation grants received by Meals on Wheels of
Contra Costa Inc., a charitable non-profit that raises private sector funds especially to provide meals for
homebound seniors.
Ongoing discussion and coordinatio between MOW and the AAA ensure that as the need for home-
delivered meals increases options for frozen meals as well as hot meals prevent waiting lists for services.
5/16/2008 -9-
Section III:
TITLE III/V11 SERVICE UNIT PLAN OBJECTIVES
PSA# 7
006—2007 Year-End Report
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: ®(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)' I Units of Service = (1-Hour)
Not Applicable: E(check)
■ 1 2 3
Fiscal Year Actual I 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 274-,GW 260,388 6, 7
2007-2008
2008-2009
Indicates Title III-B Priority Services
5/16/2008 _10-
5. Adult Day-Care/Health' Units of Service = (1-Hour)
Not Applicable: EI(check)
■ 1 2 3
Fiscal Year Actual I Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007 11,004 2 21, 22, 23, 24
2007-2008
2008-2009
6. Case Management(Access)' Units of Service =(1-Hour)
Not Applicable: Z(check)
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service i 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 190,000 174,904 2 6, 7
2007-2008
2008-2009
8. Nutrition Counseling 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
9. Assisted Transportation (Access)' Units of Service=(One 1-way trip)
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 800 2 16
2007-2008
2008-2009
' Indicates Title III-B Priority Services
5/16/2008 11 -
10. Transportation (Access)' Units of Service=(One 1-way trip)
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 54-,A99 61,044 2 6, 7
2007-2008
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 35W 6,408 2 5
2007-2008
2008-2009
12. Nutrition Education I 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 842,876 1 2 7
2007-2008
2008-2009
13. Information and Assistance (Access)' Units of Service =.(1-Contact)
Not Applicable: EI(check)
■ 1 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007 17667 22,197 11 /3 1-5/ 1-4, 6-7, 10-11
2007-2008
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 5W 2,368 11 /2/7 7, 8 / 8, 10 /4, 7
2007-2008
2008-2009
*Indicates Title III-B Priority Services
5/16/2008 -12-
15. NAPIS Service Category 15—"Other"Title III Services
Title III D, Disease Prevention/Health Promotion
Service Activity: Newsletter Health Pages
Units of Service (#of Newsletters Distributed)
■ 1 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 63,000 1 '/2/7 7, 8/8, 10/7
2007-2008
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 2-059 11/2/7 7, 8/8, 10/3, 8
2007-2008
2008-2009
I .
Title III D, Disease Prevention/Health Promotion
Service Activity: I
Units of Service (#of 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 1
2006-2007 3 2/7 13/9
2007-2008
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 4 ( 7 1, 4
2007-2008
2008-2009
E Entry Required
5/16/2008 -13-
Title III D, Medication Management
Service Activity: Fact Sheet Distribution
Units of Service #of Pact 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 2000 6
2007-2008
2008-2009
Title III D, Medication Manageme It
Service Activity: Distribution of Pill lBoxes
Units of Service #of Pill Boxes Distributed
■ 1 2 3
Fiscw Year Actual Goal Numbers Associated Program Goal and
Units of Service ( Objective Numbers (Required for Title III D
2005-2006
2006-2007 2000 _ 6
2007-2008
2008-2009
Title 111 B, "Other Supportive Services"
Service Category: In-Home Registry
Units of Service and Activit #of Matches
■ 1. 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006 151 2 3
2006-2007 4-54-477 2 3
2007-2008
2008-2009
Title 111 B, "Other Supportive Seryices"
Service Category: Visiting
Units of Service and Activitv #of Hours
■ 1 2 3
FiscwYear Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006 7
2006-2007 14,040 19,830 2 3
2007-2008
2008-2009
Other Support Services:Visiting(In-Home)now includes Telephoning(See Area Plan Budget).
Title III B, "Other Supportive Servlices'
Service Category: Health: Community Education/Advocacy
Units of Service and Activit ((of Hours
■ 1 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2006-2007 42-0 177 11 /2/7 7, 8 / 8, 10 /4, 7
2007-2008
2008-2009
5/16/2008 -14-
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 4-, 00 1,0,75 2 23
2007-2008
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 4 18 2006-07 8077
2007-08 2007-08
2008-09 2008-09
Fiscal Year Total Number of Trainees
2005-06
2006-07 4-2491
2007-08 1
2008-09
Visits
Fiscal Year Number of Visits to SNFs Fiscal Year Number of Visits to
(Unduplicated Count) RCFEs
(Unduplicated Count
2005-06 - 1 2005-06
2006-07 S90 1,039 2006-07 4-,2-00
2007-08 2007-08 _.
2008-09 2008-09
Visits cont.
Fiscal Year Projected Nu ber of Fiscal Year Number of Existing
Volunteers needed Volunteers
2005-06 2005-06
2006-07 70 2006-07 5535
2007-08 2007-08
2008-09 2008-09 .
5/16/2008 -15-
ELDER ABUSE PREVENTION SERVICES (TITLE VII b)
Activities that support the coordination of elder abuse
prevention, investigation, and/oi 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 640 J 2 5
2007-2008
2008-2009
Other Title VII b activities from Divi i ion 4000.
Service Categor : Complaint Abuse Investigation Units of Service e #of Clients
■ 1 J 2 3
Fiscal Year Actual Goal Associated Program Goal and
Units of Service Numbers Objective Numbers
2005-2006 J
2006-2007 55 2 5
2007-2008 -
2008-2009 J
Other Pro ram Accom lishments
Fiscal Year Total #of Putjlic Fiscal Year Total #of Training
Education Sessions Sessions for Professionals
2005-06 2005-06
2006-07 J 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
2005-06 J 2005-06
2006-07 ( 2006-07
2007-08 2007-08
2008-09 J 2008-09
5/16/2008 -16-
TITLE III E SERVICE UNIT PLAN OBJECTIVES
PSA# 7
2006—2007 Year-End Report
il a z E
a '�[
AM
3 s "MMTITLE 111€E ,
ME "nuAME
101,
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
2005-2006
2006-2007 2-,@W 1,089 8 1 -6-
2007-2008 62007-2008
2008-2009
2. Community Education 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 4-00320
2007-2008
2008-2009
3. Information and Assistance 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 4_99 5,980
2007-2008
2008-2009
4. Com prehensive.Assessment 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 34-5421
2007-2008
2008-2009
5/16/2008 -17-
5. Case Management 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 4-,7,15 2,001
2007-2008
2008-2009
6. 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
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 320 427
2007-2008
2008-2009
9. Caregiver Support Group Units of Service=(1-Hour Meeting)
Not A licable: ❑ check
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007 336 602
2007-2008
2008-2009
5/16/2008 -18-
10. Caregiver ' Training Units of Service = (1-Contact)
Not A licable: ❑ check
■ 1 ) 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007 836 932
2007-2008
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 6770010,809
2007-2008
2008-2009
12. Minor Home Modifications Units of Service =(1-Occurrence)
Not A licable: ❑ check
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007 409
2007-2008
2008-2009
13. Placement Units of Service=(1-Placement)
Not A plicable: 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
14. Homemaker Units of Service= (1-Hour)
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
Caregiver:_As defined in the Title III E Program: Unpaid, informal assistance provided by supportive
family members or friends.
511612008
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 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
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 Ob ective Numbers
2005-2006
2006-2007 4029
2007-2008
2008-2009
18. Visiting Units of Service = (1-Hour)
NotApplicable: EI(check)
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007 488 232 8 1-6
2007-2008
2008-2009
19. 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
5/16/2008 -20-
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 A licable: ❑ check
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007 444-270 �
2007-2008
2008-2009
22. Peer Counseling Units of Service =(1-Hour)
Not Applicable: E(check)
■ 1 2 _ 3
Fiscal Year UnitsActual of Service Goal Numbers Associated Program Goal and
Objective Numbers
2005-2006
2006-2007
2007-2008
2008-2009
23. Translation/Interpretation Units of Service=(1-Hour)
Not Applicable: EI(check)
■ 1 _� 2 3
Fiscal Year Actual I Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007 4094
2007-2008
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
5/16/2008 -21 -
25 Money Management Units of Service=(1-Hour)
Not Applicable:EIcheck
■ 1 2 3
Fiscal Year Actual I Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007 4-56 8 7
2007-2008
2008-2009
26. Registry Units of Service =(1-Match)
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
Other—Specify:
Service Category: Units of Service: E entry required
Requires PRIOR CDA Approval Not Applicable: Z(check)
■ 1 1 2 3
Fiscal Year Actual I Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
2007-2008
2008-2009
E Entry required
5/16/2008 -22-
COMMUNITY BASED SERVICES PROGRAMS
SERVICE UNIT PLAN (CBSP) OBJECTIVES:
PSA# 7
2006—2007 Year-End Report
f
CBSP
Alzheimer's Day Care Resource Center(ADCRC) Not Applicable: ❑(check)
Fiscal Year Goal Numbers Fiscal Year Caregiver Group Support
Sessions
2005-2006 1 2005-2006
2006-2007 2 Ob' 24 2006-2007 12
2007-2008 1 1 1 2007-2008
2008-2009 2008-2009
Fiscal Year In-Service Training Fiscal Year Public/Community
Sessions Education Training
Sessions
2005-2006 2005-2006
2006-2007 6 2006-2007 15
2007-2008 2007-2008
2008-2009 2008-2009
Fiscal Year Professional/I h tern
Educational Training
Sessionsi
2005-2006
2006-2007 4
2007-2008
2008-2009
Brown Bag Not Applicable: ❑(check)
Fiscal Year Goal Numbers Fiscal Year Actual#of Unduplicated
Persons to be Served
2005-2006 1 2005-2006
2006-2007 2 Ob' 18—20 2006-2007 a-,�00 1,694
2007-2008 2007-2008
2008-2009 2008-2009
5/16/2008 -23-
Fiscal Year Actual lbs of Food to Fiscal Year Actual#of Volunteers
be Distributed
2005-2006 1 2005-2006
2006-2007 500;098 576,031 2006-2007 439 136
2007-2008 1 2007-2008
2008-2009 2008-2009
Fiscal Year Actual#of Volunteer Fiscal Year Actual#of Distribution
Hours Sites
2005-2006 2005-2006
2006-2007 7-,899 8,278 2006-2007 4-617
2007-2008 1 2007-2008
2008-2009 i I I 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 2 2006-2007 350
2007-2008 2007-2008
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
2005-2006 2005-2006
2006-2007 2 Ob' 26 2006-2007 4-3087
2007-2008 T 2007-2008
2008-2009 2008-2009
Fiscal Year Activel Monthly Caseload
(Include Targeted Case Management and
handicapped parking revenue
2005-2006
2006-2007 9583
2007-2008
2008-2009
5/16/2008 -24-
Senior Companion Not Applicable: ®(check)
■ 1 0 ■
Fiscal Year Goal Numbers Fiscal Year, Volunteer Service
Years VSYs
2005-2006 2005-2006.
2006-2007 2006-2007
2007-2008 2007-2008
2008-2009 L 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
5/16/2008 -25-
HEALTH INSURANCE COUNSELING AND ADVOCACY PROGRAM (HICAP)
SERVICE UNIT PLAN OBJECTIVES
PSA# 7
2006—2007 Year-End Report
HICAP Services
e
k"
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 3-,840 3,246 2/7 12/ 13- 15
2007-2008
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 $24�7-4$278,872 .2006-07 4846
2007-08 $ 2007-08
2008-09 $ 2008-09
3. Communit 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 2-,450 1,548 2006-07 X91,542
2007-08 2007-08
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 26 30 J 2006-07 2-325
2007-08 2007-08
2008-09 2008-09
5/16/2008 26
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 2005-06
2006-07 2330 2006-07 2025
2007-08 2007-08
2008-09 2008-09
HICAP Legal Services (if funded and available through HICAP)
References to Plan Goals and Objectives related to HICAP Legal Services Component
■ 1 2 3
Fiscal Year Actual Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007 4-05 217 2 17
2007-2008
2008-2009
9. HICAP Legal 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 $15,000 2006-07 4-530
2007-08 $ 2007-08
2008-09 $ 2008-09
11. Re resentation 12. Representation
Fiscal Year Actual Hours of Lepal 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 42-5 173 2006-07 4-59
2007-08 2007-08
2008-09 2008-09
5/16/2008 -27-
Section IV: Title III D and Medication Management
Promoting healthy living and disease prevention practices to the older adult community, and informing
them of proper medication manageme i t is an important priority for Contra Costa County AAA. Therefore,
we coordinated and took part in a variety of health promotion activities in FY 2006-2007 to give older
adults the tools and knowledge to live happily, safely, and in optimal health. The following summarizes
our activities:
• Participated in 60 outreach activities/community events to present and distribute information
about how to live healthy and prevent certain chronic diseases/illnesses.
• 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 how to prevent falls and
factures, prostate problems, pulmonary disease, strokes, and other health issues. Articles were
published in the AAA Senior Information Newsletter, which has a readership of approximately
17,000 people.
• Produced four Time of Your Life senior focus television programs that aired regularly on Contra
Costa Television. The programs promote 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 barriers to accessing health services. Older adults received health information and free
check-ups to screen for diabetes, high blood pressure, osteoporosis, dental problems, and other
health issues at the health fairs. 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, an d expert advice from nutritionists, medical professionals, and
fitness instructors on issues relating to healthy living.
• Distributed free exercise resistance bands with instruction sheets to older adults in order to show
them 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 HIV/AIDS 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.
5/16/2008 -28-
Section V: Discussion of Objectives (see comments in violet)
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 Social Work Supervisor will be responsible for 7/1/06 - Continued
planning, coordinating, and co-facilitating the bi-monthly 6/30/07
Central and East County SHARE (Social and Health
Agency Resource Exchanges) 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.
2. The I &A Social Work Supervisor will be responsible for 7/1106- Continued
coordinating and co-facilitating bi-monthly planning 6/30/07
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.
3. The I &A Social Work Supervisor will be responsible for 7/1/06- Continued
maintaining an up-to-date electronic data-base of SHARE 6/30/07
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.
4. The I & A Social Workers will gather information and 7/1/06- Continued
statistics using IRIS 3.0 as requested/needed in order to 6/30/07
assist with the Acute and Long-Term Care Integration
with their planning and implementation
5/16/2008 -29-
5. In order to provide the highest level of coordinated 7/1/06 Continued
services to consumers, the I & A Social Work Supervisor 6/30/07
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 monthly 7/1/06- C Continued
Central County Senior Coalition meetings to assist in the 6/30/07
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 Se for 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 County. Additionally, the
Coalition sponsors certain forums each year with different
topics from year to year. The Coalition put on the Mary
Shockley Recognition program in FY 06-07 (completed)
and put on one forum in FY06-07 (completed) and will
continue to provide these programs in FY 07-08.
7. To inform seniors in East County about services and how 7/1/06 - C Continued
to access them, AAA Sr. Staff Assistants and AAA Staff 6/30/07
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. Outreach project highlights in FY 06-07
included the successful coordination of two health and
information fairs and a 2nd Annual Exercising Your Mind &
Body after 50 Conference to increase seniors' awareness
of and access to social services, health screenings, and
health promotion activities. Resource materials in English
and Spanish was also developed and distributed. Due to
demonstrated success and positive feedback, these
outreach activities will be coordinated annually for
expansion into different locations throughout East County
5/16/2008 -30-
8. To inform seniors in West County about services and how 7/1/06- C Continued
to access them, AAA Sr. Staff Assistants and AAA Staff 6/30/07
Assistant will 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. AAA will also
participate in the "Senior Information & Health Faire,"
which is annually held during Older Americans Month and
attended by over 1,000 seniorsi Completed activities
include the coordination of a Town Hall Meeting in June to
address health care and affordable housing issues.
Information about resources were distributed and
presented to individuals and groups of seniors at
community events and locations where seniors
congregate in West County. A Town Hall meeting will be
repeated annually to give seniors the opportunity to learn
and voice concerns about different issues of interest.
Outreach activities are ongoing and were expanded to
include the coordination of a health and information fair at
Doctors Medical Center—completed in August.
9. To provide a special evening of entertainment and dinner 7/1/06 C Continued
for frail and homebound seniors, AAA Sr. Staff Assistants 6/30/07
and AAA Staff Assistant 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 reciuited to drive and escort
seniors to this event. That eveining the Coalition will also
present recognition awards to seniors, volunteers, and
advocates who've made valuable contributions to the
West County community. Over 1600 seniors attended
Seniors' Night Out in 2007. Duie to its success and
popularity, this event will be repeated in 2008.
10. AAA Mobility Manager will work with the public fixed route 711/06- Continued
and paratransit transportation siervice providers and 6/30/07
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 transportation specialist has worked with fixed route
& paratransit operators to improve cross county
transportation for seniors and the disabled. Paratransit
operators are now taking some passengers to their final
destination in another operator's service area. The
Transportation Specialist has assisted CBO transportation
providers in serving new populations. While progress has
been made in some areas there remain areas that need
to be improved for non driving seniors.
5/1612008 -31 -
11. Where additional services or resources are needed to 7/1/06 - Continued
create a true "family" of transportation services to bridge 6/30/07
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 AAA
Transportation Specialist has worked as a resource and
taken a leadership role with a variety of community
groups interested in creating local solutions to
transportation problems for seniors. A good example of
real change created through this work has been the
adoption of the "Rides for Seniors" model by the far east
county community of Brentwood. People who sometimes
were without options getting to necessary appointments
now have a volunteer resource in the community. This
work needs to continue to other communities especially in
the more rural areas of the county.
12. The AAA Mobility Manager and the Transportation Work 7/1/06 - Continued
Group of the Advisory Council on Aging will support 6/30/07
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 AAA Transportation Specialist is an active
participant in the Transportation Workgroup of the
Advisory Council on Aging. Participation in this group and
the Senior Mobility Action Council bring opportunities to
advocate for and educate seniors and those agencies
serving them on issues relating to driving safely. The
Transportation Specialist pa icipates in different forums
focused on driving issues fo I seniors. A good example is
the participation as a moderator in the Senior Safe
Mobility Summit. This type of participation and support
needs to be continued and broadened to meet the needs
of this group.
5/16/2008 -32-
13. AAA Mobility Manager will meet with the Department of 7/1/06 - Continued
Motor Vehicles, public transportation providers and other 6/30/07
agencies in order to connect seniors who are losing their
drivers' licenses with appropriate transportation choices in
their communities. The AAA Senior Transportation
Specialist continues to work with different agencies to
help seniors in different parts of the county receive the
appropriate information regarding their transportation
choices. This year the Transportation Specialist
produced a brochure of choices for people in danger of
losing their license to drive and worked with the DMV
safety office to make it available in all DMV offices in the
county. This type of information should be made
available in more communities and agencies in the
county. Expansion of this work is necessary.
14. To insure seniors an opportunity to age in place in the 7/1/06- PD Continued
community, AAA Program Manager and AAA Sr. Staff 6/30/07
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 (CBO'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 on 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 7/1/06 - C Continued
available to ALTCI participants, AAA Program Manager
and AAA Sr. Staff Assistants jwill assist contracted 6/30/07
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 it's ALTCI
partner CCHP continue to share information on Long
Term Care grants and other resources, with their
community partners.
5/16/2008 -33-
16. The AAA Program Manager, AAA Sr. Staff Assistants, 7/1/06 - Continued
and the Advisory Council Planning Committee will work 6/30/07
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.
17. AAA Sr. Staff Assistant and AAA Staff Assistant will be 7/1/06- C Continued
responsible for planning, coordinating and co-facilitating 6/30/07
the bi-monthly West County SHARE (Social and Health
Resource Agency Exchange) nj eetings 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. The primary staff member responsible for this
objective was out on sick leaveI for 4 months of the fiscal
year. Some of the meetings needed to be cancelled.
Efforts to build a coalition of active service providers was
not successful. A needs assessment will be conducted in
the new fiscal year, and this service will be enhanced or
integrated into another service. Planning, coordinating
and co-facilitating the West County SHARE Meeting is
being continued under"Coordination", as this service will
be enhanced and possibly intergrated into another service
based on a needs assessment. Additional participation
from service providers will be sought, and the meeting
format will be enhanced.
18. AAA Staff Assistant will be responsible for maintaining an 7/1/06 - C Continued
up-to-date electronic database'of West County SHARE 6/30/07
members' e-mail addresses in order to increase the
delivery of resource information and reduce paper waste,
while promoting networking bye way of electronic
communications. The West County SHARE electronic
database was keep current and updated for new
members. The West County SHARE members e-mail
address electronic database will be enhanced and
updated. It will be integrated and coordinated with other
databases to disseminate senior service information.
5/16/2008 -34-
19. AAA Staff Assistant will actively participate with the 7/1/06- C Continued
Richmond Commission on Aging and other organizations 6/30/07
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. The staff
member responsible for this objective was out on
extended sick leave and not able to fully participate in the
planning of this event. Efforts will be made next year to
enhance the event and integrate it with more services in
the community that are relevant to the seniors in West
County. The planning and participation in "Senior
Information and Health Faire" is being continued under
"Coordination", as the event is being enhanced and
intergrated based on the needs of seniors for access to
preventative health services and other services designed
to meet the special needs of low-income seniors.
20. The AAA Program Manager, AAA Sr. Staff Assistants, 7/1/06- PD New
and the Advisory Council Planning Committee will work 6/30/07
collaboratively with CBO'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.
21. The AAA Program Manager, AAA Sr. Staff Assistants,
7/1/06- PD New
and the Advisory Council Planning Committee Members 6/30/07
will work collaboratively with CBO's and the
Neighborhood Quality of Life Work Group of the For
Every Generation to assist with the coordination of the
newly formed one-stops in order to increase access.
22. The AAA Program Manager, AAA Sr. Staff Assistants, 7/1/06- PD New
and the Advisory Council Planning Committee Members 6/30/07 .
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 it's a portion of its Family
Caregiver Provider One Time Only funds in FY 06-07 to
sponsor a "Caring Count's Conference for Caregivers,
families and friends caring for an elder with memory loss.
This conference was completed in FY 06-07. The AAA
also provided FCCP OTO funding to provide Emergency
Preparedness Training for caregivers. The AAA will
continue to earmark a portion of its One Time Only
funding to continue to address specific needs of the
caregiver community for FY 07-08.
5/16/2008 -35-
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 affordable 7/1/06 - C Continued
housing and financial assistance, AAA Sr. Staff 6/30/07
Assistant will form a collaborative/task force to partner
with the National Shared Housi Ing Resource Center
(NSHRC) and San Mateo Human Investment Project
(HIP) and will meet monthly to explore the feasibility of
duplicating the HIP model in CCC to add coordinated
shared housing services, assistance with home equity
conversion, and property development. This group's
priority is currently on the development of affordable
housing for seniors, however, consideration has been
given to shared housing and a representative from the
NSHRC will be scheduled to make a presentation
during the current fiscal year of '07-'08.
2. In order to assure those aged 610 or older with low- 7/1/06 - Continued
incomes, who are ethnically or culturally diverse, limited 6/30/07
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.
5/16/2008 -36-
3. AAA Program Manager and AAA Sr. Staff Assistant will 7/1/06 - Continued
ensure that contractors and subcontractors are required 6/30/07
to serve clients 60 years of age land 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 Ian income level at or
below the poverty line. The tern "greatest social need"
means the need caused by non-economic factors,
which include:
(A) Physical and mental disabilities
(B) Language barriers; and
(C) Cultural, social and or geographical isolation
including isolation caused by racial or ethnic
status, that restricts the ability of an individual to
live independently. 1
4. AAA Program Manager and AAA Sr. Senior Staff 7/1/06- Continued
Assistant will design the Request For Proposals 6/30/07
(RFP's) to require bidders to include a plan for
community outreach in order ito assure those with low-
incomes, ethnically diverse, limited English-speaking,
and persons identified as being of greatest economic or
social need aged 60 years o l'older are being served.
5. Senior Legal Services Director will develop a multi- 7/1/06 - Continued
media outreach plan, includi g internet access, 6/30/07
brochures, and presentations, while developing
community relationships regarding senior issues and
services available to countywide residents.
6. Health Services Program Manager of the Congregate 7/1/06- Continued
and Home Delivered Meals Programs will design a plan 6/30/07
to enhance outreach activities through public media, i.e.
PSA's, brochures, and public presentations in order to
raise the number of meals served. The AAA Nutrition
program provides transportation services to seniors to
and from congregate meal sites who remain mobile and
independent but need transportation assistance from
time to time. By providing this transportation
assistance, the nutrition program expands its outreach
to the senior community and provides a nutritious lunch
meal in a social setting.
5/16/2008 -37-
7. The CCC Health Services Department will employ a 7/1/06- Continued
Registered Nutritionist to provide nutrition and safe food 6/30/07
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 an 7/1/06- Continued
outreach timeline to reach the senior community, aging 6/30/07
network, private and public agencies. The timeline will
include activities such as conducting presentations
about resources, making individual contacts with
seniors, and developing and Idistributing AAA
newsletters, program fact sheets printed in different
languages, brochures, and literature regarding new and
expanded services.
9. AAA Program Manager and 1AAA Sr. Staff Assistant will 7/1/06 - C Completed
coordinate with members of Southeast Asian Senior 6/30/07
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. AAA Sr. Staff Assistant will utilize the InfoVan, an 7/1/06- C Continued
"information center on wheels", to travel throughout the 6/30/07
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. Plans to utilize InfoVan
are developed on an ongoing basis. New informational
materials and locations for loutreach are continually
added to respond to emergent needs/demands.
Activities in FY 06-07 included outreach at 60
locations/community events.
5/16/2008 -38-
11. AAA Sr. Staff Assistant will reach out to non-English 7/1/06 - Continued
speaking seniors through the use of interpreters from 6/30/07
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 Assistant will 7/1/06 - PD Continued
participate in the Monument Community Partnership's 6/30/07
Senior Action Team to develop services for low-income
and underserved seniors in the Monument Corridor, a
neighborhood in Concord. Services will include English
as a Second Language classes, health and resource
fairs, and a social club for Latino seniors. Study was
completed and published in August 2007. The
Partnership will continue to meet, in order to develop
programs and services to address needs that were
identified in the study.
13. In conjunction with Jewish Family and Children 7/1/06- C Continued
Services, La Clinica, Bay Point Health Clinic and other 6/30/07
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. About 250 Bay Point seniors
enjoyed and benefited from the activities presented at
the 2007 Senior Appreciation Day. A repeat of the
event is planned for 2008 to provide seniors in Bay
Point, which has the highest percentage of residents
living below the poverty level in Contra Costa County,
with services and free annual health screenings.
14. The AAA Program Manager working with the Advisory 7/1/06 - Continued
Council Housing work group will explore options for 6/30/07
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.
5/16/2008 -39-
15. AAA Program Manager, in collaboration with the CCC 7/1/06 - C Completed
Community Development Department and the Advisory 6/30/07
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. With the assistance of the
Contra Costa County Community Development
Department "Best Practice Guidelines"for senior
housing have been developed by the AAA Advisory
Council and For Every Generation community
organization. These guidelines have been provided to
all community housing planning boards and local
developers.
16. The Assisted Transportation Program Manager will 7/1/06- Continued
pursue older adults with physical and mental 6/30/07
disabilities, who are underserved and unaware of
services they qualify for, who have low incomes,
language barriers, or may be c uI lturally, socially, or
geographically isolated. This will be accomplished by:
1) participating in the East County Healthy Aging
Collaborative dedicated to improving access to 2)
meeting with Hispanic community members and
existing bi-lingual volunteers 3)11 collaborating with the
CCC AAA Outreach and Information and Assistance
Programs 4) maintaining a culturally competent
interagency support-system by providing the above and
recruiting and training bi-lingual program volunteers 5)
enlisting volunteers from rural areas to reach those who
may be geographically isolated 6) obtaining adequate
funding to continue this level of service.
17. The AAA HICAP Senior Staff Assistant will be 7/1/06- Continued
responsible for the targeting and provision of outreach 6/30/07
to people with disabilities, the underserved, people with
low-incomes, those with language barriers, and people
who are culturally, socially or geographically isolated by
1) providing Consumer Fact Sheets available in
languages other than English, including Spanish and
Chinese 2) partnering with community leaders and
services that target the above Igroups to offer outreach
and intervention 3) advertising its free services on
CCTV 4) providing home visits to the homebound in
homes, assisted living facilities and nursing homes 5)
providing free translation services at its counseling
locations 6) targeting outreach to areas of CCC where
low-income Medicare beneficiaries reside 7) out-
stationing counseling site locations where they are
accessible to individuals who are disabled and rural
communities.
5/16/2008 40-
18. The Brown Bag Program Coordinator will conduct 7/1/06- Continued
outreach visits to other community based organizations, 6/30/07
low-income senior housing and medical service
providers to make them aware of the Brown Bag
program. The Brown Bag Program targets individuals
who have low-incomes by maintaining distribution sites
in low-income areas. Sites are chosen which have a
minimum of physical barriers in order to make them
accessible to seniors with physical disabilities.
19. The Brown Bag Program Coordinator will partner by 7/1/06- Continued
arranging and attending meeting with organizations, 6/30/07
which serve specific ethnic groups in order to reach
ethnically and culturally diverse populations.
20. In order to reduce isolation and increase opportunities 7/1/06- Continued
for socialization, the Brown 6ag program distribution 6/30/07
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 participants 7/1/06 - Continued
who have physical and mental disabilities, the Program 6/30/07
Director in West County will collaborate with the
various community groups, County programs, non-
profit organizations, private agencies, churches, and
participant family members. Iln addition, Director and
Program Staff will provide outreach by making
presentations at various forums.
22. In order to limit language and cultural barriers and 7/1/06 - Continued
provide culturally competent services, the Adult Day 6/30/07
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 individualslwho are isolated and may 7/1/06 - Continued
be difficult to reach, the Adult Day Care Director and 6/30/07
Program Staff in West County will partner with and
maintain regular contact with medical practitioners,
professionals, community groups, community based
organizations, and social service programs, such as:
Adult Protective Services, Llinkages, and the AAA
Information and Assistance!
5/16/2008 -41 -
24. The Central County Adult Day Care and ADCRC 7/1/06 - Continued
Program Director will target those with physical and 6/30/07
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 Serviceslwill 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-ling ulal 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, and 7/1/06- PD Continued
Planning Committee to the Advisory Council will 6/30/07
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.
26. The Linkages Social Work Supervisor will target people 7/1/06 - Continued
with disabilities, those who are underserved, people 6/30/07
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
5/16/2008 -42-
27. AAA Sr. Staff Assistant will assist the Senior Action 7/1/06 - C Completed
Team to participate in an outreach project to distribute 6/30/07
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.
2$. 7/1/06- C 6satiRUed
6/30/07 Deleted
(I.11 GD) re ea4nhlich i4 Cn-i4heast Adan Sevier Anness
Program,
referral 4n hole icnlnierl 1 ae}inn sZPnOE_)Fs ar•ness hen4h
. Deleted—ULCD is
no longer in operation.
29. The AAA Program Manager and Sr. Staff Assistants will 7/1/06 - PD New
assist the East County Health Aging Collaborative in 6/30/07
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.
30. AAA Sr. Staff Assistants will contact other community 7/1/06 - New
organizations (hospitals, service organizations, 6/30/07
businesses, government depa fitments) 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.
5/16/2008 -43-
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 gen i ral public at all levels.
OBJECTIVES Projected Title III B
Start& End Funded Status
Dates PD or C
1. The I &A Social Work Supervisor will attend meetings 7/1/06 - Continued
with CORD (Contra Costa Online Resource Database) 6/30/07
partners (CCC Employment and Human Services and
Health Services Departments, CCC Community
Services, and the Contra Costa Crisis Center), in order
assure that CORD users (professionals, clients, and the
general public) needs are meet by providing the most up
to date information and resources by merging partner
resources.
2. In order to continue compliance with AIRS (Alliance of 7/1/06 - Continued
Information & Referral Systems), the I & A Social Work 6/30/07
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.
3. The I &A Social Work Supervisor will be responsible for 7/1/06- Continued
assuring I &A Social Workers furnish backup 6/30/07
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 Social Work Supervisor will be responsible for 7/1/06- Continued
developing and maintaining i pdated printed 6/30/07
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.
5. In order to provide information regarding programs for 7/1/06 - Continued
older adults, available funding for services, activities in 6/30/07
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.
5/16/2008 44-
6. The I & A Social Work Supervisor will be responsible for 7/1/06 - Continued
assuring each I & A Social Worker attends at least six 6/30/07
(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 I & A Social Work Supervisor will be responsible for 7/1/06- Continued
providing educational presentations to the general 6/30/07
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 7/1/06- C Continued
community based organizations, AAA Program 6/30/07
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.
Information about funding opportunities and technical
assistance to community agencies are provided on an
ongoing basis. In FY 06-07, AAA staff provided
technical assistance and information to the Elder
Actualization Program and other West County agencies
to identify funding opportunities and apply for grants.
AAA transportation staff provided technical assistance
and helped Independent Living Resources apply for a
foundation grant to provide transportation assistance to
low income disabled seniors. Additional funding was
received to pay for regional discount cards for this same
group. AAA Transportation Specialist assists various
groups complete 5310 federal grant applications.
These grants provide capitol funding for transportation
projects.
9. In order to ensure the deliveryof efficient quality 7/1/06- Continued
services to consumers, AAA Program Manager and 6/30/07
AAA Sr. Staff Assistants will work collaboratively to
provide technical assistance to contractors, County
programs, County Supervisors, and groups serving
older adults.
5/16/2008 -45-
10. In order to provide public information to agencies and 7/11/06- Continued
community persons 60 + years and their families 6/30/07
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 7/1/06- Continued
for topics, issues, and information regarding aging, AAA 6/30/07
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 7/1/06 - C Continued
Central County Coalition to identify and prioritize senior 6/30/07
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
AAA to the Central County Senior Coalition and
provides technical assistance to the coalition. The SSA
provided assistance to the Coalition by attending the
Coalition Steering committee meetings, was active in
the planning and coordination of the Coalition events in
FY 06-07.
13. AAA Program Manager and AAA Sr. Staff Assistant will 7/1/06 - C Continued
work with senior coalitions, community based 6/30/07
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.
14. AAA Mobility Manager will work on improving the 7/1/06- Completed
availability of information about transportation choices 6/30/07
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.
5/16/2008 -46-
15. AAA Mobility Manager will develop a countywide 7/11/06- Completed
transportation guide, "Way Tol Go Contra Costa", which 6/30/07
will feature information abouttransportation 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 7/1/06- Continued
transportation providers in Contra Costa to develop and 6/30/07
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. The Transportation Specialist has worked
with different agencies to encourage them to make this
available to their participants and passengers. The
degree to which this type of training is necessary varies
from less dense population areas to urban centers.
Continued education and advocacy for these projects
are necessary for seniors to age in place.
17. The AAA Program Manager will develop a Power Point 7/1/06- Continued
Presentation and will make it available to CCC CBO's, 6/30/07
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.
18. To begin preparing CBO's fogy ALTCI, AAA Program 7/1/06- C Completed
Manager and AAA Sr. Staff Assistants will begin 6/30/07
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 2006. Without
ALTCI funding available, the AAA has provided
demographic information through technical assistance,
one on one visits with providers, e-mails, and Partners
in Planning presentations.
19. Assistance to AAA contract partners and other CBO's 7/1/06- Continued
will be provided by a AAA S r�. Staff Assistant, in 6/30/07
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 wale of Baby Boomers
retiring.
5/16/2008 -47-
20. AAA Program Manager will serve on the Bay Area Bio- 7/1/06 - C Continued
Ethics Committee in order to replicate the plan in CCC, 6/30/07
which is being developed by this committee in order to
streamline the conservatorship process and standards,
including, but not limited to how conservators will
handle their responsibilities, in particular end of life
decisions.
21. The AAA Advisory Council Health Work Group 7/1/06 - Continued
members and the AAA Advisory Council Consultant will 6/30/07
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.
22. The AAA Advisory Council Housing Work Group and 7/1/06- Continued
the AAA Advisory Council Consultant will conduct six 6/30/07
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 7/1/06 - Continued
members and the AAA Advisory Council Consultant will 6/30/07
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.
24. The AAA Program Manager, AAA Sr. Staff Assistants, 7/1/06 - C New
and the Advisory Council Planning Committee Members 6/30/07
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. These activities will
continue again this year in anticipation of the receipt of
One-Time Only funds.
5/16/2008 -48-
25. The AAA Program Manager, AAA Sr. Staff Assistants, 7/1/06- C New
and the Advisory Council Planning Committee Members 6/30/07
will coordinate with CBO'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. Each year the AAA
receives One Time Only funding under Title III E.
Approved projects are funded via county contracts and
all activities were completed in FY 06-07. With the
anticipation of continued Title III E funding for FY 07-08,
the AAA will continue the same process for developing
projects and services that improve the quality of
caregiver's service to their carel receiver.
26. AAA Sr. Staff Assistant, as partof her community 7/1/06- C New
Outreach will coordinate her community calendar with 6/30/07
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. Advisory Council me T bers were recruited to
assist with surveys. Planning and scheduling of survey
activities will begin in 2008.
5/16/2008 -49-
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, user 7/1/06 Continued
friendly integrated approach to the delivery of services 6/30/07
AAA Sr. Staff Assistants and 1AAA 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 will 7/1/06- Continued
assign an outside panel of individuals to review requests 6/30/07
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 wild 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 Iscorer will rate the RFP
based on the defined criteria and assign a score in each
category. The highest score possible is 100 points.
3. AAA Sr. Staff Assistants will monitor all contracted and 7/1/06 - Continued
funded programs at least once each year. The AAA will 6/30/07
use a program-monitoring to 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.
5/16/2008 -50-
4. AAA Sr. Staff Assistants and AAA Program Manager will 711106- C Continued
organize and hold an annual "Partners in Planning" that 6/30/07
brings together volunteers, community based
organizations, and organizatioIns 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. About 70
individuals participated in the 2006 Partners in Planning,
which also featured a media relations training for
community agencies. The 2007 Partners in Planning is
scheduled for October and will include discussion and
training on how to develop volunteer opportunities that
utilizes the energies and talents of a growing pool of
retired seniors and Baby Boomers to provide services in
the community.
5/16/2008 -51 -
i
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 7/1/06 - Continued
legislation relating to older adults and provide advocacy 6/30/07
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.
2. AAA Program Manager and AAA Sr. Staff Assistants will 7/1/06 - Continued
advocate for all older adults 60 + by analyzing public 6/30/07
policy and legislation, reviewing program regulations,
holding and attending hearing, and actively participating
in public forums, community activities.
3. AAA Sr. Staff Assistant will coordinate with the West 7/1/06 - Continued
County Senior Coalition to organize annual bus trips to 6/30/07
the State Capitol for the Senior Rally and hold Town Hall
meetings to give seniors the opportunity to learn about,
discuss, and advocate for senior issues.
5/16/2008 -52-
4. AAA Mobility Manager and the Transportation Work 7/1/06 - Continued
Group of the Advisory Council on Aging will work on 6/30/07
legislative issues that effect transportation and mobility
for seniors. At the regional level, this includes actively
working with the Metropolitan ransportation
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. Work in this area continues on
different fronts. The Transportation Specialist is an
active member of the Transportation Task Team at the
state level working on legislation to implement the
Mobility Action Plan of the Long Range Strategic Plan.
Recent leadership changes have altered the focus and
need continued work in this field.
5. AAA Program Manager, in collaboration with the CCC 7/1/06 Continued
Community Development and the Advisory Council 6/30/07
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 7/1/06 - Continued
AAA Program Manager will advocate for CCC 6/30/07
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 7/1/06- Continued
prescription drug plan policies, the AAA Advisory 6/30/07
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 7/1/06 - Continued
Council Consultant, the AAA Advisory Council Health 6/30/07
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.
5/16/2008 -53-
9. By reviewing and analyzing current laws requiring 7/1/06 - Continued
training of staff in Alzheimer's and dementia facilities, 6/30/07
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 711/06 - Completed
Group will appoint a minimum of two representatives to 6/30/07
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 7/1/06- Continued
members and the AAA Advisory Council Consultant, 6/30/07
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 7/1/06 - Continued
Work Group members, staff from Independent Living 6/30/07
Resource and Public Health, the AAA Advisory Council
Consultant, a retired geriatrician, and the AAA Program
Manager will assist the County ICommunity 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.
13. In order to promote Social Security legislation and policy 7/1/06 - Completed
changes that reflect local concerns and the needs of 6/30/07
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.
5/16/2008 -54-
14. In order to reduce the incidence of elder financial abuse, 7/1/06- Continued
the AAA Advisory Council Legislative Advocacy Work 6/30/07
Group members and the AAA lAdvisory Council
Consultant will implement a statewide campaign to
make financial institutions mai dated 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
support such legislation.
15. AAA Program Manager and AAA Sr. Staff Assistants will : 7/1/06- Continued
staff the AAA Advisory Council Planning Committee 6/30/07
once a month and provide technical assistance with
analyzing public policy and legislation and reviewing
program regulations in order tb assist the committee with
their task of advocating for older adults.
16. The AAA Mobility Manager will staff the AAA Advisory 7/1/06 - Continued
Council Transportation Work Group meeting once a 6/30/07
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 AAA Transportation Specialist Staffs the Advisory
Council Transportation Workg�roup Meeting. It is now a
newly combined meeting of this group and the
transportation initiative of Contra Costa for Every
Generation. The new group has identified itself as the
Senior Mobility Action Council.
5/16/2008 -55-
'C
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 7/1/06- Continued
bidders to include a plan for community outreach to 6/30/07
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 procurement, 7/1/06 - Continued
contracting, evaluation, and 11 onitoring processes of the 6/30/07
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 admin',istrative efficiency of 7/1/06 - Continued
contracting and service delivery operations, the AAA 6/30/07
Program and AAA 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,
4. AAA Program Manager, AAA Sr. Staff Assistants, and 7/1/06 - Continued
AAA Fiscal Officer will meet at a minimum four(4) times 6/30/07
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.
5/16/2008 -56-
5. The AAA Program Manager and AAA Sr. Staff 7/1/06- C Continued
Assistants will work with the Lead Committee of the 6/30/07
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.
6. In conjunction with the AAA Senior Advisory Council, Sr. 7/1/06- New
Staff Assistant will conduct a random customer 6/30/07
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.
5/16/2008 -57-
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. i
RATIONALE
As specified by the Old er Americans Act.
OBJECTIVES Projected Title III B
Start&End Funded PD Status
Dates or C
1. AAA Sr. Staff Assistant, through an Administrative 7/1/06_ C Continued
Letter of Agreement with CCTV, will coordinate 6/30/07
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. Two CCTV productions
were sponsored by the AAA focused on active older
adults hiking and other outdoor activities in the Contra
Costa County Regional Parksl and the second on
grandparents raising grandchildren. In addition to the
shows being shown on CCTV, the AAA offers DVDs
through the Information and Assistance (I&A)for
consumer viewing.
5/16/2008 -58-
2. AAA Sr. Staff Assistant will actively work with senior 7/1/06 - C Continued
community members to organize and present Ageless 6/30/07
Lifestyle forums co-sponsored by the, Central County
Senior Coalition. This forum will discuss topics related
to preventing illness, managing chronic disease and
promoting healthy lifestyle habits. CCTV will videotape
the forums for broadcast to the community on CCTV's
cable channel. Each year the Central County Senior
Coalition co-organizes and capresents an Ageless
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 know speakers in their respective
fields of preventive medicine, psychology of aging,
health, nutrition and disease prevention. CCTV, the
county's cable access and community television station
videotapes 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.
3. AAA Sr. Staff Assistants and AAA Staff Assistant will 7/1/06- C Continued
actively work with the East County Senior Coalition to 6/30/07
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. Mini-Fairs were
coordinated for Byron and Bay Point in FY 06-07.
Plans are underway to coordinate a Mini-Fair for senior
residents of Oakley in November 2007.
4. AAA Sr. Staff Assistant will provide the public with 7/1/06- Continued
preventive health care and disease control information 6/30/07
on a continuing basis by telephone, community
presentations, and the local TV cable program, The
Time of Your Life.
5/16/2008 -59-
5. AAA Sr. Staff Assistant will work with Office of County 7/1/06- C Ceatiaoed
Supervisor Gayle Uilkema, Health Services 6/30/07 Completed
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. Completed—over 10,000
seniors received free Medication Safety Packets.
6. Older Adults consume more nj edicines than any other 7/1/06 - Continued
age group, but using medicines may put them at risk, 6/30/07
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
and AAA Staff Assistant will distribute medication safety
fact sheets and medi-sets/pillboxes that keep
medications in order.
7. AAA Senior Staff Assistant and AAA Program Manager 7/1/06 - C Continued
will develop and implement an outreach plan that 6/30/07
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. Activities in FY 06-07
included outreach at 60 locations/community events to
promote health-related resources and information.
8. AAA Sr. Staff Assistant will actively participate in the 7/1/06 - Continued
East County AIDS Task Force, which was convened in 6/30/07
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.
5/16/2008 -60-
9. To increase awareness about the benefits of physical 7/1/06 - C Continued
activity for older adults, AAA Sr. Staff Assistant will 6/30/07
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. Over 550 seniors
and Baby Boomers participated in the 2007 Active
Aging forums. The 2008 foru T s are plan for Pittsburg
and Pleasant Hill, scheduled respectively for March and
April.
10. AAA Sr. Staff Assistant and AAA Program Manager will 7/1/06- PD Completed
provide support and information to the Case 6/30/07
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. The AAA and
Advisory Council provide demographic information from
collaborations with community providers and
organizations regarding Prop 63 Mental Health
Services service coordination to the Case Management
Division Manager.
11. In order to develop a coordinated case management 7/1/06 - C Continued
process to patient care, the AAA Program Manager and 6/30/07
AAA Sr. Staff Assistants willparticipate 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 will sponsor a community wide
Mental Health Forum in January 2008 to focus on a
need for coordinated comprehensive Mental Health
Services including dementia services for older adults
12. AAA Sr. Staff Assistant and AAA Program Manager will 7/1/06 - C Continued
use the Partners in Planning workshop to explore with 6/30/07
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. Schedule
to be completed in October 2007.
13. In order to help HICAP consumers receive health care 7/1/06- Continued
entitlements and make informed decisions, the HICAP 6/30/07
Program Coordinator will work in collaboration with
California Health Advocates and will update consumer
literature regarding health ca ie benefits and rights
regarding Medicare, HMOs, Medi-gaps, and long-term
care insurance.
511612008 -61 -
14. In order to ensure that Medicare beneficiaries receive 7/1/06- Continued
the information and assistance they need to make 6/30/07
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 othe I public and private
agencies, such as, the Social Security Administration
and Centers for Medicare andl Medicaid Services.
15. In order to increase outreach and information to as 7/1/06 - Continued
many Medicare beneficiaries as possible, the HICAP 6/30/07
Program Coordinator and HIC�AP 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.
Targeting special presentations on Medicare to
providers of aging services is being newly assigned
under"Coordination", as it is being integrated into
services and enhanced this year to address the
emerging issues that face providers of care to low-
income seniors.
16. The Linkages Social Work Supervisor will target people 7/1/06 - Continued
with disabilities, those who are underserved, people 6/30/07
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 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.
17. AAA HICAP Staff Assistant will develop and coordinate 7/1/06 - C Continued
a program to be offered at senior centers to provide the 6/30/07
services of a pharmacist to conduct prescription drug
reviews with seniors in order to prevent adverse drug
reactions and overmedication and to promote good
health and well-being. HICAP staff held multiple
presentations in Senior Centers and other county
venues providing the services of a pharmacist to
conduct prescription drug reviews with seniors.
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18. AAA Sr. Staff Assistant will pursue funding resources to 7/1/06- C New
develop pilot episodes of an instructional exercise 6/30/07
television series. The television series would feature
exercises specifically design to help Contra Costa
County's Baby Boom and senior population become
and stay fit while reducing their risk of obesity, heart
disease, diabetes, and other chronic conditions. The
show would be televised on Contra Costa Television
(CCTV), giving older adults access to safe workouts
without having to leave the convenience of their homes.
No funding for this activity—grant proposal was
submitted to local foundation but it was not funded.
19. The AAA Program Manager, AAA Sr. Staff Assistants, 7/1/06 - PD New
and the Advisory Council Planning Committee 6/30/07
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. With the anticipation of the receipt of
One-Time Only funds, these activities will continue
again this year. Unfortunately there were no One-Time
Only funds available for Health Promotion and Disease
Prevention in '06-'07.
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GOAL # 8
The CCC 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 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
Start& End Funded PD Status
Dates or C
1. AAA Sr. Staff Assistant will maintain active participation 7/1/06 - Continued
in the Family Caregiver Support Program by managing 6/30/07
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 Employment 7/11/06- Completed
and Human Services Department contracts staff to 6/30/07
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 7/1/06- Completed
process that bidders include a plan for community 6/30/07
outreach in order to assure low income individuals,
ethnically diverse communities, limited English
speaking 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 i mandates of the Older
Americans Act.
4. AAA Sr. Staff Assistant and the Advisory Council on 7/1/06 - Completed
Aging will review and recommend the awarding of bids 6/30/07
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 7/1/06- Completed
successful provision of FCGP services in order to 6/30/07
provide for a wide array of services to caregivers
meeting the targeted mandates of the FCGP of the
Older Americans Act.
6. AAA Sr, Staff Assistant will provide technical assistance 7/1/06- Continued
to contractors through the entire contract process and 6/30/07
contract year in order to ensure the adequate provision
of services under the FCGP.
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7. AAA Sr. Staff Assistant will work with FCGP services to 7/1/06- PD New
develop a new Money Management Program for 2006- 6/30/07
2007 where FCGP Contractors will be responsible to
identify through the intake and 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 6.25 hours of Money Management Services
under the FCGP in FY 06-07.1 We have expanded this
service to provide 15 hours ofj services in FY 07-08.
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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 and 7/1/06- C Continued
AAA Program Manager will recruit a CBO or corporate 6/30/07
partner to develop and offer a training program that will
develop or enhance skills for older adults interested in
second career employment opportunities. There is
currently no funding for this activity.
2. AAA Sr. Staff Assistant and AAA Program Manager will 7/1/06 - C Continued
form a AAA community of pa rl'tners to develop flexible 6/30/07
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. Current studies and research on
employment needs of older adults were compiled and
analyzed by AAA Senior Staff Assistant in a written
report completed in May 2007. The report outlined
employment issues to be addressed, including the need
for more flexible work options for aging Baby Boomers
who will need or want to work beyond the traditional
retirement age. Plans are underway to form a
community partnership to address this issue.
3. AAA Sr. Staff Assistant responsible for outreach will 7/1/06- Continued
work with County Public Relations staff in changing 6/30/07
negative stereotypes that exist in the media and
throughout society by incorporating issues of diversity
and involvement of older adults in the community
through the Senior Information Newsletter and
countywide media publications.
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4. AAA Sr. Staff Assistant and AAA Program Manager will 7/1/06 - C Continued
partner with the AARP and "aging friendly" employers in 6/30/07
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. There is currently no funding for
this activity. The AAA staff is partnering with the Contra
Costa County Workforce Development Board to fund a
countywide Employment Fair in 2008.
5. AAA Sr. Staff Assistant respo sible for outreach, AAA 7/1/06 - PD Continued
transportation staff, HICAP staff, and the AAA Program 6/30/07
Manager will be leading For Every Generation
stakeholder community task forces in the areas of
transportation, housing, support services, quality of life
and involvement in the comm i nity 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 afore
mentioned task forces led by AAA staff will complete the
initial pathways.
6. AAA Program Manager, AAA Sr. Staff Assistants, and 7/1/06- Continued
Planning Committee of the Advisory Council on Aging 6/30/07
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 retire over the next fifteen (15) years.
7. In conjunction with CCC Health Services and Aging and . 7/1/06 - PD New
Adult Services Departments the AAA Program 6/30/07
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.
Section VI: Summary of Activities for the Year
As illustrated in Section I., which described our significant accomplishments, great strides were made
during Fiscal Year 2006-2007 in the following areas:
• Emergency Preparedness
• Area Agency on Aging Advisory Council
• Lesbian, Gay, Bisexual, and Transgender Seniors
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• Outreach
• Acute and Long-Term Care Integration
• Contra Costa County for Eve l y Generation
• Transportation
• Medicare Part-D and HICAP
In addition, due to the outreach and partnership efforts to aging networks, along with the use of One-Time
Only(OTO)funds, 2006-2007 proved to be a particularly productive year for the AAA. Some of our other
important activities included the following:
• New Information &Assistan I (I &A) Phone System: The purchase of a new Information &
Assistance(I &A)phone system with the use of OTO funds has aided in the triaging of calls and
reducing the amount of time it takes I &A Social Workers to respond to callers.
• Senior Farmer's.Market Nutrition Program (SFMNP): The increase in data collection and new
requirements resulted in significant challenges, but thanks,to the Food Bank of Contra Costa and
Solano County, 700 coupon booklets were successfully distributed to seniors at the Brown Bag
Program sites.
• Bay Area Social Services Consortium BASSC): One of our staff was selected and successfully
completed the BASSC traini,g offered by U.C. Berkeley. As part of the training, she researched
and completed an extensive report regarding older adults' employment and training needs.
• Rollout of CARS: While we are unsure where the addition resources will come from necessary for
the AAA and its providers to implement CARS, we have begun planning for this transition and
working with our providers to prepare for the changes in data collection requirements.
• Needs Assessments: Planni I g and activities took place to include: meetings to begin planning for
the next Four-Year Area Plain, the collection of the results from existing surveys from other
organizations, and a focus group with LGBT seniors.
• Technical Support: Many fort s of ongoing technical support was provided to contractors,
community organizations, and other Units within our Department, as well as, other Departments
within the entire County entity.
The discussion of the objectives provided in Section III explains some of our challenges and continued
efforts. And, while we continue to develop new ideas to expand and enhance our delivery system, our
staffing and financial resources are limited.We will, however, continue to strive to expand on our services
in whatever way possible throughout!2007-2008. Given adequate resources, we would like to amp up our
efforts to meet increasing needs of the aging population and retiring boomers in Contra Costa County,
particularly in the areas of:
• Emergency Preparedness: by implementing the 911 Cell Phones for Seniors Program in order to
make available 911 cell phones free of charge to seniors with low-incomes to use for emergency
purposes.
• Employment: by working in collaboration with AARP, CCEG, and CCC Workforce Services
Bureau to planning and conducting an Employment Summit, which will attract seniors, adults with
disabilities, and boomers planning for retirement who are looking for employment or
entrepreneurial opportunities to supplement their retirement incomes.
• Problem Gambling: by receil ing technical support and training from the American Society on
Aging (ASA)to in order to conduct presentations which may reach those who have a problem
with gambling, particularly the most vulnerable populations, which, according to ASA are: Older
Adults, American Indians, Latino/Hispanics, Pacific Islanders, African Americans, Asian
Americans, and people with disabilities.
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