HomeMy WebLinkAboutMINUTES - 06032008 - C.104 TO: BOARD OF SUPERVISORS Contra
FROM: Joseph P. Valentine, Director Costa -
Employment and Human Services
STA CoUIi t t County
DATE: June 3, 2008
SUBJECT: Area Agency on Aging (AAA) Area Plan Update for FY 2008-2009
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATION:
APPROVE and AUTHORIZE the Employment and Human Services Director, or designee, to
SUBMIT the FY 2008-2009 Contra Costa County Area Agency on Aging (AAA)Area Plan Update to the
California Department on Aging and AUTHORIZE the Chair, Board of Supervisors, to sign the Letter of
Transmittal.
(#29-127)
FISCAL IMPACT:
No Fiscal Impact
BACKGROUND:
The Area Agency onAging (AAA) provides services for older residents of Contra Costa County. The Older
Americans Act (OAA) and Older Californians Act (OCA) require that the Area on Aging (AAA) conduct
assessments in the community to determine the extent of need for seniors and aid in the development of a plan
of service delivery for older adults. The assessments provide, whenever possible, concrete quantitative
estimates of and qualitative context for service gaps countywide, by nei94orhood, and for high need
CONTINUED ON ATTACHMENT: x YES SIGNATURE:
COMMENDATION OF COUNTY ADMINISTRATOR RECOM ENDATION OF BOARD COMMITTEE
e-APPROVE OTHER
SIGNATURE(S): ji
`
ACTION OF BOP ON APPROVE AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT NoIV6 AND CORRECT COPY OF AN ACTION TAKEN
AND ENTERED ON THE MINUTES OF THE".BOARD
AYES: NOES: OF SUPERVISOPZ-ON THE DATE SHOWN.
ABSENT: ABSTAIN: / O^ r
ATTESTED "/v E V Q
JOHN CULLEN,CLERK OF THE"BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact: JOHN COTTRELL 3-1605
EHSD CONTRACTS UNIT(EB)
MICKEY SHERMAN (AAA,SUMMIT)
SCOTT DANIELSON(AAA,S MMIT)
COUNTY ADMINISTRATOR
AUDITOR-CONTROLLER BY: O< DEPUTY
Page Two
Area Agency on.Aging (AAA) Area Plan Update for FY 2008-2009
communities. The AAA continues to provide program development, coordination, administration, and planning.
O
Transmittal Letter
AAA Name: Area Agency on Aging PSA Number: 7
Check appropriate boa for:
❑2005-09 Area Plan ❑FY 06-07 ❑FY 07-08 ®FY 08-09
This Area Plan Update is hereby submitted to the California Department of Aging for
approval. The Governing Board and the Advisory Council have each had the opportunity ,
to participate in the planning process and to review and comment on the Area Plan. The
Governing Board, Advisory Council, and Area Agency Director actively support the
planning and development of community based systems of care and will assure
compliance with the assurances set forth in this 2008-2009 Area Plan. The undersigned
recognize the responsibility within each community to establish systems in order to
address the care needs of older individuals and their families and caregivers in this
planning and service area.
1. ERAL GLOV
C ir, Governing Board Date
2. GERALD RICHARDS
'A4,4
hair, dviso ouncil tae
3. JOH, T .
%' fr
Director, ea Agency on Aging Date
I�
Transmittal Letter
AAA Name: Area Agency on Aging PSA Number: 7
Check appropriate box for:
❑2005-09 Area Plan ❑FY 06-07 ❑FY 07-08 ®FY 08709
This Area Plan Update is hereby.submitted to the California Department of Aging for
approval. The Governing Board and the Advisory Council have each had the opportunity
to participate in the planning process and to review and comment on the Area Pian. The
Governing Board, Advisory Council, and Area Agency Director actively.support the
planning and development of community based systems of care and will assure
compliance with the assurances set forth in this 2008-2009 Area Plan.. The undersigned
recognize the responsibility-within'each community to establish systems in order to
address the care needs of older individuals and their families and;,caregivers in this
planning and service area.
1. FEDERAL G
+Cair, Governing Board Date
2. GERALD RICHARDS
i
hair, Advisory Council Date
3. J 0 H1co TTRELL�
.-C
Director,"Ar a Agency on Aging l Date
i
Transmittal Letter
AAA Name: Area Agency on Aging PSA Number: 7
Check appropriate box for:
❑2005-09 Area Plan ❑FY 06-07 ❑FY 07-08 ®FY 08-09
This Area Plan Update is hereby submitted to the California Department of Aging for
approval. The Governing Board and the Advisory Council have each had the opportunity
to participate in the planning process and to review and comment on the Area Plan. The
Governing Board,Advisory Council, and Area Agency Director actively support the
planning and development of community based systems of care and will assure
compliance with the assurances set forth in this 2008-2009 Area Plan. The undersigned
recognize the responsibility within each community to establish systems in order to
address the care needs of older individuals and their families and caregivers in this
planning and service area.
1. FEDERAL GLOV
Cha' , Governing Board Date
2. GE tALD RICHARDS / r
Adviso-rouilhair, ate
3. JOHN-AC-0 LL
Director, ea Agency`o Aging Date J
1
r
Transmittal Letter
AAA Name: Area Agency on Aging PSA Number: 7
Check appropriate box for:
❑2005-09 Area Plan ❑FY 06-07 [:]FY 07-08 ®FY 08-09
This Area Plan Update is hereby submitted to the California Department of Aging for
approval. The Governing Board and the Advisory Council have each had the opportunity
to participate in the planning process and to review and comment on the Area Plan. The
Governing Board, Advisory Council, and Area Agency Director actively support the
planning and development of community based systems of care and will assure
compliance with the assurances set forth in this 2008-2009 Area Plan. The undersigned
recognize the responsibility within each community to establish systems in order to
address the care needs of older individuals and their families and caregivers in.this
planning and service area.
1. DERAL GLOV
4'--3r - d2
Cha' , Governing Board Date
2. GERALD RICHARDS,
Chair, Advisory C uncil Date
3. JOHN TREL.L,
osDir ,ctor,` rea Agency on Aging Date
Contra-. Gosta
osr``1 COUIZ't`; G�
•
i
Area enc On Aging
2008-2-009 .
Area Plan Update
Submitted by
Mickey Sherman
Area Agency on Aging Program Manager
PSA #07
] 20082009 Area Plan Update
f, [
µ
TABLE OF CONTENTS
Transmittal Letter (signed original to be submitted .no later than 08/01/08)
Area Plan Checklist:...:.................:............................................................................ 3-8
PART ONE: DESCRIPTION OF RELEVANT CHANGES
Narrative Description of Changes ...............:.....:.................................................... 8-13
2008-2009 Area Agency.on Aging Organizational Chart...:....................................... 14
PART TWO: GOALS AND OBJECTIVES
Updated Goals and Objectives............................................ .............................. 15-53
PART THREE: SERVICE UNIT OBJECTIVES
TitleIII/VII.............................................................:............................................... 54-64
TitleI I I E.............................................................:::.. ................................................ 65
Community Based Services Programs.............:..:.:............................................... 66-68
Health Insurance Counseling Advocacy Program................................................ 69-70
PART FOUR: APPENDICES
Appendix IB — Request for Approval to Provide Direct Services... ....................:...'..71
Appendix II — Public Hearing............... ............................... .........:...... ........72-73
Appendix Ilt— Governing Board............ ...:.......... .......... .........'..:..............74
Appendix IV—Advisory Council............................................... ...... ...`..............75-80
Appendix XI — Disaster Preparedness... .. .,..................:..........:... ...:...........'..81-82
Appendix VIII - Family.Caregiver Support Program for FY 2008-09... ......................83
2008-2009 Area Pian Update
Area Plan Update Checklist
1. Necessary Copies and Format: (REQUIRED)
General Requirements for Annual Update 2005-09 2006-07 2007-08 2008-09
the Four-Year Plan Requirements . Four- Annual Annual Annual
Year Update Update Update
Plan
All information is provided on Yes ❑ ❑ ❑
sin le-sided sheets.
One copy of the required Yes ❑ ❑
documents has been E-
mailed to the Department.
An original and two copies of Yes ❑ ❑
the Area Plan, Area Plan
Checklist, and all required
documents are attached.
2. Transmittal Letter: (REQUIRED)
General Requirements for Annual Update 2005-09 2006-07 2007-08 2008-09
the Four-Year Plan Requirements Four- Annual Annual Annual
Year Update Update Update
Plan
The Transmittal Letter signed Yes ❑ ❑ ❑ ❑
by the AAA Director, Chair of
the Advisory Council, and
Chair of the Governing Board,
has original signatures and is
attached.
The signed Transmittal Letter Yes ❑ ❑ ❑
will be submitted by: 8/1/08
(enter date)
3. Strategic Plan: (REQUIRED if Area Plan is a Strategic Plan)
General Requirements for Annual 2005- 2006-07 2007-08 2008-09
the Four-Year Plan Update 09 Annual Annual Annual
Requirements Four- Update Update Update
Year
Plan
A Strategic Plan was submitted Yes, If ❑ ❑ ❑ ❑
as the Area Plan. (A Strategic applicable
Plan Cross Reference Index is
available by contacting CDA). .
3 2008-2009 Area Plan Update
4. Description of the Planning and Service Area (PSA): (REQUIRED)
General Requirements for Annual 2005- 2006-07 2007-08 2008-09
the Four-Year Plan Update 09 Annual Annual Annual
Requirements Four- Update Update Update
Year
Plan
A brief description of the Yes, If changed ❑ ❑ ❑ ❑
physical characteristics of the ;
PSA is included.
A description of the Yes, If changed ❑ ❑ ❑ ❑
demographic characteristics of
the PSA is included.
A description of the unique Yes, If changed ❑ ❑ ❑ ❑
resources and constraints
existing within the PSA is
included.
A broad description of the Yes, If changed ❑ ❑ ❑ ❑
existing service system within
the PSA is included.
5. Description of the Area'Agency on Aging: (REQUIRED)
q
General Requirements for Annual Update 2005- 2006-07 2007-08 2008-09
the Four-Year Plan Requirements 09 Annual Annual Annual
Four- Update Update Update
Year '
Plan
A description*of the type Yes, If changed ❑ ❑ ❑ ❑
and characteristics of the
AAA.
A Mission Statement. Yes, If changed ❑ ❑ ❑ ❑
A current Organization Yes, If changed ❑ ❑ ❑
Chart.
A description of how the 'Yes, If changed ❑ ❑ ❑ ❑
AAA provides visible
leadership in the
development of community
based systems of care.
The Agency type; such as Yes-, If changed ❑ ❑ - ❑. ❑
Public, Private Non-Profit,
or Joint Powers.
The AAA's funding sources. Yes, If changed ❑ ❑ ❑ ❑
4 2008-2009 Area Plan Update
6. Narrative Description of Relevant Changes — REQUIRED FOR UPDATE ONLY
Update Requirement Annual 2005 2006-07 2007-08 2008-09
Update p °09 Annual Annual Annual
Requirements Femur Update Update Update
Yeatr
Plan
Introduction with Narrative Yes ❑ ❑
Description of Significant
Changes, including estimated
number of low-income, minority
seniors
New, continued, revised, Yes ❑ ❑
completed, or deleted goals and
objectives are identified. F
Discussion of major changes and Yes ❑ ❑
effects to the PSA and/or AAA.
Changes that may have reduced Yes ❑ ❑
or increased quality or quantity of {' r
service.
7. The Planning Process: (REQUIRED)
General Requirements for Annual 2005- 2006-07 2007-08 2008-09
the Four-Year Plan Update 09 Annual Annual Annual
Requirements Four- Update Update Update
Year
Plan
Discussion of steps involved in Yes, If changed ❑ ❑ ❑ ❑
the planning process and how'
they fit in with the overall
planning cycle.
Discussion of the needs Yes, If changed ❑ ❑ ❑
assessment process.
Discussion of targeting. Yes, If changed ❑ ❑ ❑ ❑
Identification of priorities. Yes, If changed ❑ ❑ ❑ 0
8. Goals and Objectives, including Targeting, Needs Assessment, and Service Unit Plan:
(REQUIRED)
General Requirements for. Update 2005-09 2006- 2007- 2008
the Four-Year Plan Requirements Four- 07 08 09
Year Annual Annual Annual
Plan Update Update Update
A goal and/or objective is Yes ❑ ❑ ❑
identified for each program or
service.
5 2008-2009 Area Plan Update
Goals and Objectives are Yes ❑ ❑ ❑
included for each program or
service funded by the AAA
from the following sources:
Check all that apply:
.Title III BE
Title III BNII(a)(b)
Title III C1® Title III C2®
Title III D Z Title III E
Title V❑ HICAP
CBSPs
Goals and objectives Yes ❑ ❑ ❑
identified serve to create,
expand, or enhance AAA
direct or contracted services.
Title III B Program Yes ❑ ❑ ❑
Development (PD) and
Coordination (C) activities are
distinctly identified.
Objectives clearly indicate the Yes. ❑ ❑ ❑
nature of the action, the party
responsible for the action, the
outcome of the action, how
the action will be measured,
and projected start and end
dates of each objective.
The Units of Service on the Yes ❑ ❑ ❑
SUP are tied to a specific
goal.
Targeting criteria have been Yes, If changed ❑ ❑ ❑ ❑
met and are included: Specific"
objectives: for providing
services to low-income
minority individuals;
Specific objectives for
providing services to older
individuals with disabilities,
with particular attention to
individuals with severe
disabilities; Specific objectives`
for providing services to older
individuals with limited
English-Speaking ability; and
Specific objectives for
providing services to
caregivers
A description of Needs Yes, If needs ❑ ❑ ❑"
Assessment Activities is assessment
included. activities are
planned or have
been completed
Service Unit Pians are Yes ❑ ❑ . ❑
complete and reconcilable
with appropriate bud ets.
2008-2009 Area Plan Update
9. Older Americans Act Assurances
General Requirements Annual Update 2005-09 20.06 22007 ! 2008"
for the Four-Year Plan Requirements Four- "' U7r �e`3 X08 Y; a09'
fi
Year }Annual Arnnlual " An4nual
PlanU, .;dated wU date. . 0
Older Americans Act No ❑ < < y r
x
Assurances `
10. Appendices: (REQUIRED, IF CHANGES HAVE OCCURRED)
General Requirements for Annual Update 2005-09 2006- 2007- 2008-
the Four-Year Plan Requirements Four- 07 08 09
Year Annual Annual Annual
Plan Update Update Update
IA. Notice of Intent to Provide Yes, If changed ❑ ❑ ❑ ❑
Direct Services if applicable)
IB. Request for Approval to Yes, If changed ❑ ❑ ❑
Provide Direct Services (if
applicable)
II. Public Hearings Yes ❑ ❑ ❑
III. Governing Board Yes, If changed ❑ ❑ ❑
IV. Advisory Council Yes,-If changed ❑ ❑ ❑
V. Priority Services Yes, If changed ' ❑ ❑ ❑ ❑
VI. Community Focal Points Yes, If changed ❑ ❑ ❑ ❑
List
VII. Multipurpose Senior Yes, If changed ❑ ❑ ❑ ❑
Center Acquisition and
Construction Compliance
Review
VIII. Title III E Family Yes, If changed ❑ ❑ ❑ ❑
Caregiver Support Program
IX. Resource Tools NoY'{
Sample Organization Charts, �,
Planning Process and
Funding Sources/Program F i
.
i f `, 3•S Y J "; L. T7 J '.1f i C` f 1 3 �' 'I
Descriptions, Title IIID Fact
Sheet, Ombudsman Fact.
Sheet
X. Legal Services Yes, if changed ❑ ❑ ❑ ❑
XI Disaster Preparation Yes, if changed ❑ ❑ ❑
Planning
XII Baby Boomer Information Yes, if changed ❑ ❑ ❑ ❑
XIII Required Services without Yes, if changed ❑ ❑ ❑ ❑
the use of Federal and/or
State Funds
2008-2009 Area Plan Update
For any unchecked boxes, identify the section number and provide an explanation:
2. Transmittal Letter - Board Order could be place on the Board agenda and signed.until
Area Plan Update is complete.
3. Not Applicable
4. No changes for Boxes left unchecked.
5. No changes for Boxes,left unchecked.
7. No changes for Boxes"left unchecked.
8. Targeting: No changes
10. Appendices
IA : No change
III : No change
V : No change .
VI : No change
i
VII : No change
VIII : No change
X : No change
XII : No change
XIII : Does Not Apply
g 2008-2009 Area Plan Update
PART ONE: Description of Relevant Changes
NARRATIVE DESCRIPTION OF CHANGES
The Contra Costa County Area Agency on Aging (AAA) has progressed in its 2005-2009 Area
Plan and welcomes the opportunity to provide an update to its activities to the California
Department on Aging. The AAA begins with needs assessments of seniors, especially
assessments of underserved or overlooked seniors.
In FY 2008-2009 the Area Agency on Aging will lay the groundwork for a systemic assessment
of the needs of seniors in Contra Costa County. In terms of the targeted populations in
particular out of a total population of 1,053,710 in Contra Costa County, 188,299 are projected
to be age 60+ and of these 53,864 are estimated to be minority seniors and 5,941 individuals
are estimated to be low-income on SSI/SSP. There is also an estimated 15,087 Medi-Cal
eligible individuals age 65+; During these lean budgetary times, we will need to explore creative
assessment strategies that are both cost effective and methodologically sound. To start, we will
collect and analyze senior-oriented data and surveys conducted by hospitals, community
organizations, public policy organizations, and other sources.
The Contra Costa AAA will also begin crafting a needs assessment plan that would include
establishing a timeline, developing an assessment tool, and recruiting Advisory Council
members, representatives from our service provider network, and volunteers who would be
willing and ready to help conduct survey interviews and collect data. The goal:is to have in
place a needs assessment plan that would include surveying a sampling of the county's Baby
Boomers and senior population at large. In addition, the plan will outline strategies to
meaningfully survey segments of the senior population whose needs have largely been under-
examined, such as lesbian, gay, bisexual, and transgender (LGBT) older persons and elderly
individuals who speak limited or no English.
Some main highlights of changes in our PSA are also a reflection of the worsening budget
situation. We have lost a transportation management position. There are looming potential
Medi-Cal cuts that will affect contracted or direct service programs, such as our adult day health
care programs and Linkages. AAA staff will begin providing staffing of our Advisory Council
workgroups.
County Inter-Department Collaborations
Working across County departments will enable the AAA to take better advantage of existing
resources and consolidate any overlapping interest and efforts. We hope to improve cost
efficiency and better service to the county's senior population and have two concrete examples
of this collaboration.
The AAA with the Community Service Division of our larger County Department will initiate an
outreach plan to link low-income seniors who are vulnerable to high energy costs with the Low
Income Home Energy Assistance Program (LIHEAP) and the Weatherization Program. LIHEAP
offers one-time financial assistance to qualifying low-income households who require support in
paying their home heating or cooling bills. The Weatherization Program is designed to reduce
household energy use and costs in the homes of low-income persons by installing energy
9 2008-2009 Area Plan Update
efficient improvements. Components of the public outreach plan will include newsletter articles
in English and Spanish, trainings/presentations to professionals and organizations that work
with low-income. individuals, and attending senior-related events to present materials and'
information.
Whether it is by choice or out of financial necessity, a significant number of Baby Boomers are
expected to continue to work into their retirement years. The AAA is committed to providing
services that support older adults' continuance in the labor market. Together with the County's
Workforce Services Division, the AAA will co-sponsor a senior employment fair and use our
popular Partners in Planning annual event as a platform to educate service providers about
emerging senior employment issues and available resources such as, the Senior Employment
Community Services Program (SECSP) and East Bay.One-Stop Career Centers.
Community Resource Connections
In its continued role of expanding and enhancing outreach to consumers throughout the county,
the AAA is establishing a special project called Community Resource Connections. This project ,
will recruit and train peer vol;'unteers to provide community members with basic information on
senior services and to connect them with the Information and Assistance program. The AAA will
begin the project in four initial pilot sites in various regions of the county: a Brown Bag program
site, a multicultural center, a center serving the LGBT community and a traditional senior
center.
Fall Prevention Program
Falls are the leading cause of unintentional injury deaths among Contra Costa County residents
65 years and older, and the leading cause of unintentional hospitalizations for residents of all
ages. More than 1/3 of adults 65 and older fall 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:
Because falls may lead to serious problems and addressing the complex causes can be
challenging, particularly at a,time when funding is limited due to local and State budget
problems, the Area Agency on Aging is leading an effort to organize a coalition of public,
private, and community agencies that would share resources and work in partnership to
develop and deliver comprehensive, integrated, and systemic solutions to prevent falls. The first
key success of this partnership was securing a $90,000 grant at the start of 2008 from John
Muir Health to establish the Fall Prevention Program (FPP) of Contra Costa County. Senior
Outreach Services, a non-profit agency, will act as the fiscal/lead agency for FPP.
Over the next year the Area Agency on Aging will continue to work with community partners to
expand the FPP collaborative; advocate for sustainable sources of funding for fall prevention
programs; and 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
10 2008-2009 Area Plan Update
• Nutrition and Diet Analysis
• Bone Density Screenings
• Acquisition of Mobility Assistance Equipment (i.e., walkers, grab bars).
Mobility Management Center
Over the next year the Area Agency on Aging will work with public fixed route and paratransit
transportation service providers and providers of social service transportation in the planning
and development of Mobility'Management Center(s) within the County. Called for in the 2003
"Strategic Plan for an Aging California Population", mobility management is a centralized
system for a community that,provides information about transportation options, and coordinates
responses to requests for transportation services, particularly for elderly, disabled, and low-
income populations.
If developed through a collaborative, community-based process that is focused on meeting the
transportation needs of the consumer, a mobility management center could evolve into an
effective one-stop source for information, referral and service for seniors on various
transportation modes and for assistance with transitioning to a non-driving lifestyle. Currently
two transit agencies have begun developing complete transportation inventories in the county,
and the Advisory Council on Aging's Transportation Work Group with the guidance of the
Workforce Services Mobility'Manager has convened a Mobility Management Center
Subcommittee to begin the planning process.
Advisory Council on Aging:
The AAA Advisory Council is advocating on issues of elder abuse, including adult protective
services funding, legislation,'.prevention and intervention in the area of elder abuse, predatory
loans and numerous types of frauds and scams.
As an outgrowth of the mental health forum (discussed under forums) the Advisory Council will
take the lead in convening and supporting a Mental Health Community Task Force to explore
the complex obstacles to mental health services facing many older adults and to work towards
the development of an integrated older adult mental health system of care. The task force will
be a work group of the Advisory Council on Aging. Task Force membership will be open to the
community, with representation from the Advisory Council, community organizations,
advocates, consumers, representatives of mental health and dementia organizations, seniors
and others.
In partnership with the Health department, AAA and the Council are in the process of filming a
second strokes show, focusing on prevention, to be aired on local public access television. It
will also be screened at senior centers and other key venues where seniors gather, as well as
promoted among service providers and IHSS caregivers.
Health Insurance Counseling and Advocacy Program
Contra Costa HICAP has developed and offered "Welcome to Medicare" presentations tailored
to the needs of baby boomers who are becoming eligible for Medicare in increasing numbers.
These presentations describe Medicare coverage and the gaps in Medicare, and focus on the
complex choices that Medicare beneficiaries have to fill the gaps in Medicare. In FY 08-09, the
"Welcome to Medicare" PowerPoint presentation will be featured by the Health Assistance
]] 2008-2009 Area Plan Update
Partnership (HAP) as a "best practice" to be duplicated by State Health Insurance Assistance
Programs (SHIPs) throughout the country. Contra Costa HICAP will serve as a consultant to
other SHIPs.
HICAP Senior Staff Assistant and HICAP Staff Assistant will use at least 5% of Federal SHIP
(State Health Insurance Assistance Program) funding to provide pharmaceutical (Part D);
assistance for dual eligible beneficiaries with mental illness.
Information and Assistance
As one of the direct services AAA provides, I&A remains a key access point for services. There
have been significant changes in the program. At the end of March 2008 the supervisor retired.
Two vacant I&A social worker positions will be upgraded to a higher level of social worker
classification and will move into the Adult Protective Services program in order for APS to
conduct its own intake function and free up I&A to be able to spend more time providing I&A
services. The goal is to minimize wait times and delays in callers being able to reach a live
person. In addition the voice imessage menu has been changed to achieve this goal better and
to make it more user friendly.
Linkages
The Linkages program has also undergone some program changes. The Linkages social
workers are now under the supervision of the MSSP supervisor. The advantages of being co-
located together with MSSP have resulted in more information sharing and collaboration., Case
conferences have become more dynamic. The goal of Linkages is to keep caseloads full while
not having a sizeable waiting list.
Initiatives
Emergency preparedness
The California Department of;Aging requires AAAs to have a disaster plan in place to ensure
the provision of critical services that will meet the emergency needs of the AAA consumers
during a disaster. The ContraCosta AAA is a Division of the Contra Costa County Employment
and Human Services Department (EHSD). EHSD has an Emergency Management Plan in
place and requires that its employees serve as shelter workers during an emergency or
disaster. Care and Shelter Training is provided throughout the year by the EHSD Staff
Development. The AAA also monitors each of its contract service providers and requires that
each contractor have in place an Emergency Preparedness Plan. °Last year (FY 07-08) was
the first year the AAA required the! plan as a contractual obligation and is requiring that the
plans be updated as needed during FY 08-09. The AAA will continue to conduct an evaluation
of each of its contractors Emergency Preparedness Plans and will provide technical assistance
to those contractors that need update their respective preparedness plans. In addition, the
AAA will coordinate its responsibilities with the Department Emergency Preparedness Staff and
the Contra Costa County Office of Emergency Services.The AAA will further conduct
emergency preparedness information presentations at county senior centers countywide and
will additional emergency preparedness kits to seniors in the community utilizing Brown Bag
sites and senior centers as;distribution points.
12 2008-2009 Area Plan Update
Lesbian, Gay, Bisexual, and Transgender Seniors
In April of 2008, the AAA offered an in-service training: "Reaching 'Out to Lesbian, Gay,
Bisexual, and Transgendered Elders" through our County's Staff Development Division. The
invitation went to our Aging and Adult Service's Bureau staff who serve seniors. The general
consensus amongst those who completed the course evaluation forms was that this course had
valuable content and should-'b'e required or included as part of County's (required) Diversity.
With the use of One-Time Only funds offered in '08-'09, we plan to contract again with the
Rainbow Community Center to provide more of these trainings as County in-services and to our
providers.
In addition to two focus groups, one for gay seniors and one for lesbian seniors, we plan to
conduct a focus group,consisting of transgendered seniors during '08-'09. We also hope to help
sponsor the first "LGBT Pride Event" ever to take place in Contra Costa County.
Forums
The AAA decided to co-host quarterly forums to highlight critical issues facing our community.
The forums are co-sponsored with the Advisory Council on Aging, the Contra Costa for Every
Generation organization and the IHSS Public Authority Advisory Committee. Each forum is
designed to frame a particular issue, create a community dialogue, and develop key advocacy
points. Task forces will then work to produce solutions. The first forum focused on mental
health in large part to capitalize on the work that began with a .Prop. 63 (Mental Health Services
Act) older adults stakeholders group. The forum highlighted the complex obstacles to 11
treatment for many older adults, and the need for an integrated mental health system of care .
combining various resources to bring about a comprehensive plan. The second forum focused
on the dramatically rising crime of elder financial abuse. The AAA wanted to raise systems and
policy issues to improve a coordinated response system to elder abuse. A spin-off from this
forum is a series of prevention. workshops oriented towards seniors. Two other forums are
planned for,the remainder of 2008 and will focus on other identified critical needs, such as
senior housing and homelessness, gambling and addiction issues, employment, or other
issues. The topics have notbeen finalized.
Contra Costa for Every Generation
The AAA will continue to promote community-wide planning for the aging boom by
providing technical assistance, guidance and,support for Contra Costa for Every Generation
(CCEG), which is now a 501' (c) 3 organization. Focus in 2008-09 will be on three critical areas,
as they relate to making Contra Costa County "aging-friendly": establishing an elder protection
court, creating a.mobility management center, and educating older adults to apply for local
boards, planning commissions and city councils.
13 2008-2009 Area Plan Update
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PART TWO. Area Plan Coals and Objectives
GOAL # 1
The AAA is committed to assisting older individuals (who may be in danger of losing their
independence) so they can lead meaningful, dignified, and independent lives in their
own homes and communities as long as possible. AAA will accomplish this through an
accessible range of options including but not limited to, collaborative efforts, decision
making among public, private, voluntary, fraternal organizations, and coalitions, for
continuing the development and enhancement of a comprehensive and coordinated
community and home based system of care.
RATIONALE
The AAA conducted needs assessments and through analyses of the results of
completed surveys found the AAA was asked to provide program development,
coordination, and technical assistance.
OBJECTIVES Projected Title III B
Start& End Funded Status
Dates PD or C
1. The I &A Sesial-Werk Supervisor will be responsible for 7/1/05 - Completed
planning, coordinating, and co-facilitating the bi-monthly 6/30/08
Central and East County SHARE (Social and Health
Agency Resource Exchange) meetings, in order to
provide forums for networking, resource, and educational
information sharing for service providers from
government, profit and nonprofit community based
organizations who serve older adults and people with
disabilities. As of 1/1/08 the tasks were transferred to a
community provider.
2. The I &A SesialWe* Supervisor will be responsible for 7/1/05- Completed
coordinating and co-facilitating big-monthly planning 6/30/08
committee meetings, in order to outline and arrange for
guest speakers to provide informational presentations at
each of the bi-monthly SHARE meetings and the "All
County Day" half-day conference held by SHARE once.a
year. As of 1/1/08 the tasks were transferred to a
community provider.
3. The I &A Sasial Wer Supervisor will be responsible for 7/1/05 - Completed
maintaining an up-to-date electronic data-base of SHARE 6/30/08
member's e-mail addresses in order to increase the
delivery of resource information and reduce paper waste,
while promoting networking by way of electronic
communications. As of 1/1/08 the tasks were transferred
to a community provider.
4. The I &A Social Workers will gather information and 7/1/05 - Completed
statistics using IRIS 3.0 as requested/needed in order to 6/30/08
assist with the Acute and Long-Term Care Integration
with their planning and implementation . I&A is updating
to 4.0 and ALTCI has been discontinued because of no
funding
15 2008-2009 Area Plan Update
Goal 1
5. In order to provide the highest level of coordinated. 7/1/05 - Continued
services to consumers, the"I & A Supervisor will 6/30/099
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. Continue
to collaborate with Crisis Center. They refer all senior
calls to I&A.
6. AAA Sr. Staff Assistant will actively participate in monthly 7/1/051- C Continued
Central County Senior Coalition meetings to assist in the 6/30/039
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 community forums
with topics relevant to seniors living in Contra Costa
County. an Ageless I ifestylelfeFum addpessiRg the iCci ioc
of agiRg and its effeGtS ,,., Assist with the
planning of the annual Mary,Shockley Memorial Senior
Center Volunteer Recognition Awards event, and
coordinating with CCN for the taping and broadcasting
of coalition events.
7. To inform seniors in East County about services and how 7/1/05, C Continued
to access them, AAA Sr. Staff Assistants and AAA Staff 6/30/099
Assistant will actively participate on the East County
Senior Coalition's outreach]i 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.
8. To inform seniors.in West County about services and how 7/1/05'- C Continued
to access them, AAA Sr. Staff Assistants will actively 6/30/039
participate on West County,Senior Coalition and work
with other organizations to distribute resource materials
and identify locations for outreach, which includes giving
presentations to groups and 'making one-on-one contacts
with seniors. An annual town hall meeting will.also be
organized to give seniors a'n'`opportunity to speak out and
be heard; issues to be addressed will be decided at the
beginning of each year.
16 2008-2009 Area Plan Update
Goal 1
9. To provide a special evening"of entertainment and dinner 7/1/05 - C Continued
for frail and homebound seniors, AAP, Sr. Staff Assistants 6/30/099
will work in conjunction with West County Senior.Coalition
and Richmond Commission on Aging to organize and
sponsor the annually held "Seniors' Night Out."
Volunteers are recruited todrive and escort seniors to this
event. That evening the Coalition will also present
recognition awards to seniors, volunteers, and advocates
who've made valuable contributions to the West County
community.
10. PAATransportation Manager will work with the 7/1/05'-. PD Continued
public fixed route and paratransit'transportation service 6/30/0$9
providers and providers of social service transportation to
.develop ways to increase service to meet the needs of
non-driving seniors, and to`improve the effective use of
transportation resources through coordination of services.
This will include developing flexible transportation
services for seniors that go beyond the limitations of ADA
paratransit.
11. Where additional services or.resources are needed to 7/1/05- PD Continued
create a true "family" of transportation services to bridge 6/30/069
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.
12. The AAAy Transportation .Manager and the 7/1/05 - PD Continued
Transportation Work Group of the Advisory Council on 6/30/069
Aging will support efforts by other organizations to help
keep seniors driving safer longer, such as: design
changes in roadways, signage, vehicles and pedestrian
access; and education for senior drivers through active
participation in pertinent forums.
13. Transportation Manager will meet with the 7/1/05 - PD Continued
Department of Motor Vehicles, public transportation 6/30/069
providers and other agencies in order to connect seniors
who are losing their drivers licenses with appropriate
transportation choices in their communities.
17 2008-2009 Area Plan Update
Goal 1
14. To insure seniors an.opportunity to age in place in the 7/1/05- PD Continued
community, AAA Program Manager and AAA Sr. Staff 6/30/099
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.
15. To insure the appropriate community services are 7/1/05 - C Continued
available to ALTCI participants, AAA Program Manager . 6/30/099
and AAA Sr. Staff Assistants will assist contracted -
partners and other identified CBOs in preparing for an
increased volume of consumers requiring services by-
providing information and resources regarding
demonstration grants and other funding related resources
in order to begin services January 1, 2007.
16. The AAA Program Manager, AAA Sr. Staff Assistants, 7/1/05 - Continued
and the Advisory Council Planning Committee will work 6/30/099
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 7/1/05 C Continued
responsible for planning; coordinating and co-facilitating 6/30/089
the bi-monthly West County SHARE (Social and Health
Resource Agency Exchange) meetings in order to provide
forums for networking, resource and educational
information sharing for service providers from
government, profit and nonprofit community based
organizations who serve older adults and people with
disabilities.
18. AAA Staff Assistant will be responsible for maintaining an 7/1/05 - C Continued
up-to-date electronic datab';ase of West County SHARE 6/30/089
members' e-mail addresses in order to increase the
delivery of resource information and reduce paper waste,
while promoting networking by way of electronic
communications.
19. AAA Staff Assistant will actively participate with the 7/1/05 - C Continued
Richmond Commission on Aging and other organizations 6/30/089
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.
]g 2008-2009 Area Plan Update
Goal 1
20. The AAA Program Manager, AAA,Sr. Staff Assistants, 7/1/05 PD Continued
AAA Staff Assistant, and the Advisory Council Planning 6/30/099 ,
Committee will work 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, 7/1/05 - PD Continued
and the Advisory Council Planning Committee Members 6/30/099
will work collaboratively with CBO's and the
Neighboi:head Quality 9f Life k-G4:9� Neighborhoods
and Communities Initiative. (name changed) 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,. 7/1/05 PD Continued
and the Advisory Council Planning Committee Members 6/30/099
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.
23. The AAA Program Manager, AAA, Sr. Staff Assistants, 7/1/05 - PD Continued
and the Advisory Council Planning Committee Members 6/30/099
will work collaboratively with CBO's to develop and plan
special programs/events/services with the use of One-
Time Only funds in order to help address the needs of
older adults with particular"attention to LGBT seniors.
24. The AAA Program Manager, AAA Sr. Staff Assistants, 7/1/05 PD Continued
and the Advisory Council Planning Committee Members 6/30/099
will work collaboratively with CBO's to develop and plan
special programs/events/services with the use of One-
Time Only funds in order to.help address the needs of
older adults with particular'attention to seniors who are
homeless.
25. The AAA Program Manager, AAA Sr. Staff Assistants, 7/1/05 - PD ., Continued
and the Advisory Council Plannirug Committee Members 6/30/099
will work collaboratively with CBO's to develop and plan
special programs/events/services with the use of One-
Time Only funds in order to help address the needs of
older adults with particular attention to seniors with
limited-English abilities.
26. The AAA Program Manager, AAA Sr. Staff Assistants, 7/1/05-1, PD Continued
and the Advisory Council Planning Committee Members 6/30/099
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 withparticular attention to disease prevention'
and health promotion of seniors.
19 2008-2009 Area Plan Update
Goal 1
27. Transportation Manager will,actively forward the Mobility 5/1/08 New
Management concept in the County. This will involve 6/30/09
transportation providers, government agencies and .
community-based organizations working toward
.improving transportation inthe County It will include
planning the implementation lof a Mobility Management
Center in the County. If developed through a
collaborative, community-based .process that is focused
on meeting the transportation needs of the consumer, a
mobility management center could evolve into an
effective one-stop source for information, referral, and
service for seniors on various transportation modes and
for assistance with transitioning to a non-driving lifestyle.
28. Falls are the,leading cause`:of unintentional injury deaths 5/1/08 New
among Contra Costa Countyl'residents 65 years and 6/30/09
older, and the leading cause.of unintentional
hospitalizations for residents of all ages. To prevent and
address the factors that causes falls, the AAA will develop
and organize the Fall Prevention Program (FPP) of
Contra Costa County, a coalition of public, private, and
community agencies that would share resources and
work in partnership to develop and deliver
comprehensive, integrated;' and systemic solutions.
29. In conjunction with the County's Ire-Home Support 5/1/08 New
Services Program and Health Services Department, the . 6/30/09
AAA will establish and dedicate a Public Health Nurse
(PHN) position to work on fall prevention activities.
Responsibilities of the PHN will include developing tools
and materials to educate social workers and community
providers on how to screen for clients at risk for falling;
conducting individual health assessments in,clients`
homes to identify those persons with fall risks; and
connecting clients to services in the community to
address the risk factors that.may lead to falls. In
addition, the PHN will work collaboratively with the Fall
Prevention Program (FPP),'of Contra Costa County-to
develop fall prevention programs and activities such as
physical activity and exercise, medication management,
nutrition and diet analysis, 'and public education.
�p 2008-2009 Area Plan Update
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 & Funded Status
End Dates PD or C
1. In order to address the increased need for affordable 7/1/05 - C Continued
housing and financial assistance, AAA Sr. Staff 6/30/089
Assistant will meet monthly with the Contra Costa
County for Every Generation Housing Workgroup and
assist in its'.work toward property development of
affordable living for older adults and encourage the
group to explore the feasibility of duplicating the
National Shared Housing Resource Center (NSHRC)
and San Mateo Human Investment:Project (HIP) model
in CCC to add coordinated.shared housing services
and assistance with home equity conversion. The
CCEG Housing Initiative and the AAA Advisory Council
is planning to hold a joint meeting to review the
feasibility of this objective.
2. In order to assure those aged 60 or older with low- 7/1/05 - Continued
incomes, who are ethnically,or culturally diverse, limited 6/30/099
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.
21 2008-2009 Area Plan Update
Goal 2
3. AAA Program Manager and 'AAA Sr. Staff Assistant will 7/1/05,- Continued
ensure that contractors and subcontractors are required 6/30/069
to serve clients 60 years of age and over. Based on
targeting guidelines, contractors will be required to seek
out new clients with the greatest economic need,
greatest social need, minority persons and minority
persons of greatest economic need through usage of
clear contract language, monitoring, and review of
client data reports. The term "greatest economic need"
means the need resulting from an income level at or
below the poverty line.The term "greatest social need"
means the need caused by non-economic factors,
which include:
(A) Physical and mental disabilities
(B) Language barriers;;,and .
(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.'
4. AAA Program Manager and`AAA Sr. Senior Staff 7/1/057 Continued
Assistant will design the Request For Proposals 6/30/069
(RFP's) to require bidders to include a plan for -
community outreach in order to assure those with low-
incomes, ethnically diverse,,limited English-speaking,
and persons identified as being of greatest economic or
social need aged 60 years'or older are being served.
5. SeRiGF Legal Senlirec Dirar•+nr will develnn a mi rl+i_ 7/1/05 - Deleted
+erne+ nrness 6/30/069 -
idle develnninry .
GOMM inity relatinnchips r6iardipg ceninr '1666 leS and
fliren+nrs has nn+ expFes-64rd in+ere + in tFyiR t +n I_Ai inch
another web site. ,Board of Directors has not expressed -
interest in trying to launch lanother web site. This
should be deleted because agency lost domain name
and clients rarely used website.
6. Health Services Program Manager of the Congregate 7/1/05 - Continued
and Home Delivered Meals Programs will design a plan 6/30/069
to enhance outreach activities through public media, i.e.
PSA's, brochures, and public presentations in order to
raise the number of meals served.
T The CCC Health Services'Departmentwill employ a 7/1/05- Continued
Registered Nutritionist to provide nutrition and safe food 6/30/069 ,
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.
�� 2005-2009 Area Plan Update
Goal 2
8. AAA Sr. Staff Assistant will;develop & implement an 7/1/05 - Continued
outreach timeline to reach the senior community, aging 6/30/089
network,.private and public;agencies. The timeline will
include activities such as conducting presentations
about resources, making individual contacts with
seniors, anddeveloping and distributing AAA
newsletters, program fact sheets printed in different
languages, brochures, and'literature regarding.new and
expanded services.
9. AAA Program Manager and AAA Sr. Staff Assistant will 7/1/05 - C Completed
coordinate with members of Southeast Asian Senior 6/30/06
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 7/1/05 - C Continued
"information center on wheels", to travel throughout the 6/30/089
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 lnfoVan 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. Toimeet the needs of the
county's diverse population, InfoVan will be stocked
with brochures and resource'materials that are printed
in several different languages.
11. AAA Sr. Staff Assistant will reach out to non-English 7/1/05 - Continued
speaking seniors through the use of interpreters from 6/30/089
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 7/1/05 - PID Continued
partner with Monument Community Partnership's 6/30/089'
Senior Action Team, Catholic Charities, and other
CEO's to develop services'Jor low-income and
underserved seniors in the,Monument Corridor, a
neighborhood in Concord. A study will be conducted to
identify needs and services will be then be developed
to address those needs.
�3 2008-2009 Area Plan Update
Goal 2
13. In conjunction with JewishFamily and Children 7/1/05 C Continued
Services, La Clinica, Bay Point Health Clinic and other 6/30/069
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.
14. The AAA Program Manager working with the Advisory 7/1/05 - Continued,
Council Housing work group will explore options for 6/30/069
funding for CBOs interested in providing low-cost home
repairs and modifications for seniors desiring to stay in
their own homes but unable to "pay for the home repairs
and modifications.
15. AAA Program Manager, in;collaboration with the CCC 7/1/05 - C Continued'
Community Development Department and the Advisory 6/30/069
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 coil a borati onwill advocate for access by
public transportation as criteria for senior housing
project location and funding.
16. The Assisted Transportatibn Program Manager will 7/1/05 - Continued
pursue older adults with physical and mental 6/30/069
disabilities, who are underserved and unaware of
services they qualify for, who have low incomes,
language barriers, or maybe culturally, 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) 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.
24 2008-2009 Area Plan Update
Goal 2
17. The AAA HICAP Senior Staff Assistant will be 7/1/015 - Continued
responsible for the targeting andprovision of outreach 6/30/099
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 groups 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.
18. The Brown Bag Program Coordinator will conduct .7/1/05- Continued
outreach visits to other community based organizations, 6/30/099
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 7/1/05 - Continued
arranging and attending meeting with organizations, 6/30/099
which serve specific ethnic groups in order to reach
ethnically and culturally diverse populations.
20. In order to reduce isolation and increase opportunities 7/1/05 - Continued
for socialization, the Brown Bag program distribution' 6/30/090
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 7/1/05 - Continued
who have physical and mental disabilities, the Program 6/30/099
Director in West County will collaborate with the. :
various community groups, County programs, non-
profit organizations, privateagencies, churches, and
participant family members. In addition, Director and
Program Staff will provide outreach by.making
presentations at various fordms.
25 2008-2009 Area Plan Update
Goal 2
22. In order to limit language and cultural barriers and+ 7/1/05 - Continued
provide culturally competent services, the Adult Day 6/30/0+ 9
Care Program Director in West County will employ and
maintain staff who speak Spanish, and Tagalong (and
other languages, as needed).
23. In order to reach individuals who are isolated and may 7/1/05 - Continued
be difficult to reach, the Adult Day Care Director and 6/30/099
Program Staff in West County will partner with and
maintainz regular contact with medical practitioners,
professionals, community groups, community based
organizations, and social service programs, such as:
Adult Protective Services, Linkages, and the AAA
Information and Assistance.
24. The Central County Adult Day Care and ADCRC 7/1/05 ' Continued
Program Director will target those with physical and 6/30/099
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 p'artnership with Jewish
Family and Children Services will be maintained in
order to reach Russian and Farsi speaking immigrants.
In order to serve these populations, multicultural
services will be offered to participants in their native
tongue by maintaining bi-lingual staff. In order reach
those who are isolated and/or difficult to reach, in-
service trainings will be offered to hospitals, senior peer
volunteer groups, and others who have access to these
hard to reach populations. %Self-evaluate of targeting
methods take place relating to outreach and the results
will be--evaluated by tracking all inquiries into our
program.
25. AAA Program Manager, AAA Sr. Staff Assistants, and 7/1/05.- PD Continued
Planning Committee to the Advisory Council will 6/30/099
actively work together to plan ways of reaching those
who may be underserved an
particular attention to
reaching individuals with physical and mental
disabilities, language barriers, low-incomes, or who
may be isolated.
.. ti
26 2008-2009 Area Plan Update
Goal 2
26. The Linkages Social Work'!Supervisor will target people 7/1/05 Continued
with disabilities, those who are underserved, people 6/30/099
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:serv'ices 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.
Outreach is done through I &A and there is no waiting
list for Linkages at this time.
27. AAA Sr. Staff Assistant will assist. the Senior Action 7/1/05 - C Completed
Team to participate in an outreach project to distribute 6/30/099
bilingual resource materials and enroll residents in the
PG&E CARE program, which provides low-income
households a discount on their gas and electricity bills.
28. AAA Sr. Staff Assistant will provide technical assistance 7/1/05 - C Continued
to help United Laotian Community Development Inc. 6/30/099 -
(ULCD) re-establish its Southeast Asian Senior Access
Program, which was eliminated due to a lack of
funding. The program provided bilingual services
including case management and information and
referral to help isolated Laotian seniors access health
and human services. To re-establish this program,
AAA Sr. Staff Assistant will meet with ULCD Staff and
Board Members to identify funding opportunities and to
write and submit grant proposals.
29. The AAA Program Manager and Sr. Staff Assistants will 7/1/05 - PD Continued
assist the East County Health Aging Collaborative in 6/30/099
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 7/1/05 - Continued
organizations (hospitals, service'organizations, 6/30/099
businesses, government departments) to secure
current survey data they may have which identifies
trends and service needsassessment data related to
aging in CCC. This data will be reviewed and analyzed
and incorporated in future AAA planning.
27 2008-2009 Area Plan Update
Goal 2
31. The Area Agency on Aging•and the county's 7/1/08- NEW
Community Service Department will work jointly to 6/30/09
initiate an outreach pian to link lover-income seniors who
are vulnerable to high energy.costs with the Low
Income Home Energy Assistance Program,(LI HEAP)
and the Weatherization Program. LIHEAP offers one-
time financial assistance tol'qualifying low-income
households who require support in paying their home
heating or cooling bills. The Weatherization Program is
designed to reduce household energy use and costs in
the homes of low-income persons by installing energy
efficient improvements. Components of the public
outreach plan include newsletter publications in English
and Spanish, trainings/presentations to professionals
and organizations that work with low-income
individuals, and participation in senior-related events to
set-up exhibit tables or give presentations.
32. The AAA will begin crafting"'a needs assessment plan 7/1/08- : NEW
that would include establishing a timeline, developing 6/30/09
an assessment tool, and recruiting Advisory Council
members, representatives from our service provider
network, and volunteers who would be willing and
ready to help conduct survey interviews and collect
data. The goal is to have in placed a needs
assessment plan that outlines strategies to examine
more closely what reasonable steps are necessary to
ensure that limited Englishl,speaking older adults have
meaningful access to services.
?g 2008-2009 Area Plan Update
GOAL # 3
AAA will provide public information to agencies and community persons 60+ and their
families regarding resource availability, educational opportunities, demographics,
health care insurance counseling, and funding opportunities.
RATIONALE
The Key-Informant, Core., and Long-Term Care survey results, Acute and Long-Term
Integration Task Force, AAA Advisory Council, Board of Supervisors, Coalitions and
other groups have identified the need for the AAA to communicate with and provide
information to the general public at all levels.
OBJECTIVES Projected Title III B
Start & Funded Status
End Dates PD or C
1. The I & A See+al War Supervisor will attend meetings 7/1/05 - Continued
with CORD (Contra Costa Online Resource Database) 6/30/039
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 met by providing the most up
to date information and resources by merging partner
resources.
2. In order to continue compliance with AIRS (Alliance of 7/1/05 - : Completed
Information & Referral Systems), the I &A Sesial VVGFk 6/30/08
Supervisor will implement IRIS 3.0 software, which will
be maintained by the Contra Costa Crisis Center for
organizing resources information, collecting data, and
producing statistics. Software now being upgraded to v.
4.0. _.
3. The I & A Sas+al VFeF-k Supervisor will be responsible for 7/1105 - . Continued
assuring I &A Social Workers furnish backup 6/30/039
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 E;GG;al VVGrk Supervisor will be responsible for 7/1/05 Continued
developing and maintaining Updated printed 6/30/039
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 7/1/05 Continued
older adults, available funding for services, activities in 6/30/039
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.
29 2008-2009 Area Plan Update
Goal 3
6. The I & A Ses+at VVeFk Supervisor will be responsible for 7/1/05 - Continued
assuring each I & A Social Worker attends at least six 6/30/089
(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 Serial-Ward Supervisor will be responsible for 7/1/05 - Continued
providing educational presentations to the general- 6/30/099
public and professionals in order to provide the most up
to date information on resources for services available
to older adults in order to increase access to services.
Printed resource materials will be made available for
handouts at each presentation.
8. In order to ensure continuity of services delivered by 7/1/05 - C Continued
community based organizations, AAA Program 6/30/089
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.
9. In order to ensure the delivery of efficient quality. 7/1/05 - Continued
services to consumers, AAA Program Manager and 6/30/089
AAA Sr. Staff Assistants will worts; collaboratively to
provide technical assistance to contractors, County
programs, County Supervisors, and groups serving
older adults.
10. In order to provide public information to agencies and 7/1/05 Continued
community persons 60 + years and their families 6/30/089
regarding resource availability, educational
opportunities, health care counseling and topics
relevant to the aging community, AAA Sr. Staff
Assistant and AAA Program Manager will utilize
CCTV's (Contra Costa Television,.a local cable station)
Community Bulletin Board and Community Calendar to
advertise meeting dates, times and places of the East,
West and Central County coalition meetings and other
related activities.
11. In order to provide the public with an internet resources 7/1/05 - Continued
for topics, issues, and information regarding aging, AAA 6/30/089
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: networkofcare..grg.
12. AAA Sr. Staff Assistant will actively participant in the 7/1/05 C Continued
Central County Coalition to identify and prioritize senior 6/30/09
needs by providing technical assistance by working with
Coalition members on needs identified, including fraud,
health and intergenerational issues.
30 2008-2009 Area Plan,Update
Goal 3
13. AAA Program Manager and AAA Sr. Staff Assistant will 7/1/05 - . C Continued
work with senior coalitions,,community based 6/30/099
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 71/1/05 - PD Completed'
availability of information about transportation,choices 6/30/06
for seniors in Contra Costa. This includes the
sponsorship of a countywide senior transportation event
scheduled for October 2005, the ``Mobility
=Independence Conference", which features both
current services and discussion on planning expanded
services to meet the mobility needs of seniors:
15.AAA Mobility Manager will develop a countywide 7/1/05 PD Completed.
transportation guide, "Way To Go Contra Costa", which 8/31/05
will feature information about transportation services
available in each community, and information
resources, such as Information and Assistance and the
511 transportation phone service and web site. This
guide will be published and distributed.
16. AAA Mobitz Transportation Manager will work with the 7/1/05 PD Continued
public transportation providers in Contra Costa to 6/30/099
develop and 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.
17. The AAA Program Manager will develop a Power Point 7/1/05 - Continued
Presentation and will make it available to CCC CBO's, 6/30/099
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 for ALTCI, AAA Program, , 7/1/05 - C Completed
Manager and AAA Sr. Staff Assistants will begin 6/30/06
educating them on the demographics of the increased
CCC population needing support services due to the
ALTCI plan. Training will be accomplished through one
to one interaction and through a Partners in Planning
workshop sponsored by AAA by June 2009.
31 2008-2009 Area Plan Update
Goal 3.
19. Assistance to AAA contract partners and other CBO's 7/1/05 - Continued
will be provided by a AAA Sr. Staff Assistant, 'in 6/30/089
researching government grants through the AAA's
membership and access to www.grants.gov, to provide
them with funding to prepare for the increased older
adult population they will serve through the ALTCI
program and the coming wave of Baby Boomers
retiring.
20. will some nn the Bay Area Bin_ 7/1/05 - C Deleted
Gthi-S (Qnmmittee in nrrlor fn' renlir•nte the pian in 6/30/06
6/30/06
which is being dev ele ed M+ g thisi+nmmittee in nrrJnr tn'
streamline the nnncenzatershin nr
,
iRGludiRg, but ROt limited to hew G9RservatGFs will
. I -
handle their re c+nnneihilitive`'� 'in neetini ilgr end of life -
desisians. Activities Discontinued
21. The AAA Advisory Council'"Health Work Group 7/1/05 Continued
members and the AAA Advisory Council Consultant will 6/30/089
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 7/1/05 - Continued
the AAA Advisory Council Consultant will conduct six 6/30/089
site visits to senior residential facilities that vary in type,
income target and geography in order to provide
County Information & Assistance with expanded
information.for its housing'database.
23. The AAA Advisory Council!Health Work Group 7/1/05 - Continued
members and the AAA Advisory Council Consultant will 6/30/089
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, 7/1/05 - C Continued
and the Advisory Council Planning Committee Members 6/30/089
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.
25. The AAA Program Manager, AAA Sr. Staff Assistants, 7/1/05 - C Continued
and the Advisory Council Planning Committee Members .6/30/089
will coordinate with CBO'swho 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.
32 2008-2009 Area Plan Update
Goal 3
26. AAA Sr. Staff Assistant, as part of her community 7/1/05 - C Continued
Outreach will coordinate her community calendar with 6/30/099
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.
27. In order to provide resource information and enhance 7/1/08 — PD NEW
access to services, the AAA Program Manager and 6/30/09
AAA Sr. Staff Assistant will,implement a new program
called Community Resource Connections (CRC), to
recruit and train senior volunteers to provide community
members with basic information on senior services and
to connect them with the Information and Assistance
program. Volunteers will be located at four initial pilot
sites in various regions of the county: a Brown Bag
program site, a multicultural center, a center serving the
LGTB community and a traditional senior center.
28. The AAA is continually looking for ways to assist and 7/1/08 — PD NEW
support its service providers. For that reason, the AAA 6/30/09
will set-up periodic roundtable meetings with providers
to facilitate discussions of issues or changes impacting
programs, network and share information with other
providers, learn about ways-to strengthen program
operations, and keep up-todte on issues that affect
seniors. The end goal is to increase service providers'
access to the information, resources, and support they
need to successfully operate their programs.
29. Transportation Manager will actively forward the 5/1/08- New
Mobility Management concept in the County. This will 6/30/09
involve transportation providers, government agencies
and community-based organizations working toward
improving transportation in the.County It will include
planning the implementation of a Mobility Management
Center in the County. If developed through a
collaborative, community-based process that is focused
on meeting the transportation needs of the consumer, a
mobility management center could evolve into an
effective one-stop source for information, referral, and
service for seniors on various transportation modes and
for assistance with transitioning to a non-driving
lifestyle.
33 2008-2009 Area Plan Update
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 & Funded' Status
End.Dates PD or C
1. In order to provide for an efficient, cost effective, user 7/1/05 - Completed
friendly integrated approach to the delivery of services' 6/30/06
AAA Sr. Staff Assistants and AAA Program Manager
will assist in the planning, development; and
coordination of Request for Proposals (RFP's) and
Request for Information (RFI's) in order to solicit and
allow opportunities to appropriate providers to bid for
the provision of services in compliance with Title III B,
Title III E, and Title VII programs funded by the Older
Americans Act and Older Californian's Act. RFP
activities for Title III E.
2. AAA Program Manager and AAA Sr. Staff Assistants 7/1/05 = Completed
will assign an outside panel of individuals to review 6/30/08
requests for Proposals submitted as a result of the AAA
RFP and RFI. process in order to provide for an
impartial and unbiased analysis and review of
proposals submitted. An evaluation committee will be
comprised of members from;the AAA Advisory Council,
employee(s) of a neighboring PSA; and fiscal staff from
an independent county department. The evaluation
committee.will utilize a scoring sheet that defines
specific review criteria for evaluating each RFP. Each
scorer will rate the RFP based on the defined criteria
and assign a score in each category. The highest
score possible is 1 00points.
3. AAA Sr. Staff Assistants will monitor all contracted and 7/1/05 - Continued;'
funded programs at least once each year. The AAA 6/30/099
will use a program-monitoring tool designed to evaluate
and monitor the performance and compliance of each
contractor. Criteria used to monitor each contactor will
be pertinent to the contractor's service,plan,
administration and programdelivery systems.
;4 2008-2009 Area Plan Update
Goal 4
4. AAA Sr. Staff Assistants and AAA, Program Manager 7/1/05 - C Continued
will organize and hold an annual "Partners in Planning" 6/30/089
that brings together volunteers, community based
organizations, and organizations in the county's aging
network to meet each other, exchange ideas, learn
from each other's successes and challenges, foster
partnerships, and develop strategies to develop,
expand, and enhance services for the elderly in CCC.
The 2008 forum will be used'to spotlight senior
employment issues and resources such as the Title-V
Senior Employment Community Services Program
(SECSP) and East Bay One-Stop Career Centers. This
is a timely topic as a significant number of Baby
Boomers are expected to Continue to work into their
retirement years because of''choice or financial need.
35 2008-2009 Area Plan Update
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 & Funded Status
End Dates PD or C
1. In order to maintain awareness of issues, policy, and 7/1/05 - Continued
legislation relating to older adults and provide advocacy 6/30/089
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 7/1/05 - Continued
will advocate for all older adults 60 + by analyzing 6/30/089
public policy and legislation, reviewing program
regulations, holding and attending hearing, and actively
participating in public forums, community activities.
3. AA9F. Stia#Assista; ate with the 7/1/05 - seRtiRued
op..A. all h, +r." 6/30/08 Deleted
the State Capitol for the Senior Qally and hGId TGWR
Hall rrmeetinnc to nide GenibF6 the 'initis to learn
Service discontinued.
4. AAA Mobility Manager and the Transportation Work 7/1/05 - PD Continued
Group of the Advisory Council on Aging will work on 6/30/089
legislative issues that effect transportation and mobility
for seniors. At the regional level, this includes actively
working with the Metropolitan Transportation
Commission to encourage`them to allocate funding to
senior transportation projects, and to conduct research
and foster pilot programs in senior transportation, older
driver issues and transportation coordination. At the
state level, this includes service on the statewide
Mobility Task Force.
5. AAA Program Manager, in collaboration with the CCC 7/1/05 - Completed'
Community Development and the Advisory Council 6/30/06
Housing work group, will provide education to senior
housing developers on the broad issues of aging and
disabilities, in particular as it relates to the senior's
housing environment. This will be accomplished with
individual meetings with Senior Housing Developers-
36 2008-2009 Area Pian Update
Goal 5
6. Through the Advisory Council Housing work group, the 7/1/05,-, Completed
AAA Program Manager will advocate for CCC 6/30/06
Community Development Block Grant funding, a major
source of financing for home modifications that is a risk
for funding cuts.
7. In order to be well-informed about: best practices in 7/1/05 Completed
prescription drug plan policies, the AAA Advisory 3/31/06,
Council Health Work Group members and the AAA
Advisory Council Consultant will research model
prescription drug plans throughout the country so that
they can analyze and compare a minimum of three
plans.
8. With the technical assistance of the AAA Advisory 7/1/05 - Continued
Council, Consultant, the AAA`Advisory Council Health 6/30/099
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.
9. By reviewing and analyzing current laws requiring 7/1/05 - Continued,
training of staff in Alzheimer's and dementia facilities,, 6/30/089,
the AAA Advisory Council Alzheimer's /Dementia
Group members.and the AAA Advisory,Council
Consultant will develop a strategy to promote
legislation requiring expanded training,so that more
facilities know of procedures.which lead to sensitive
care for dementia patients and peace of mind for family
members.
10.The AAA Advisory Council Alzheimer's/ Dementia 7/,1/05 Completed
Group will appoint a minimum of two representatives to 12/30/06
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 7/11/05 - Continued
members and the AAA Advisory Council Consultant, 6/30/09
with the assistance of County Homeless Program staff,.
will make presentations to city planning commissions
and city councils about senior homeless statistics,
reasons for homelessness, and the homeless
encampments and demographics in each of their
jurisdictions, to raise awareness of the need for cities to
provide affordable and supportive housing.
�� 2008-2009 Area Plan Update
Goal 5
12. A subcommittee of the AAA Advisory Council Housing 7/1/05 Completed
Work Group members, staff from Independent Living 6/30/08
Resource and Public Health, the AAA Advisory Council
Consultant, a retired geriatrician, and the.AAA Program
Manager will assist the County Community
Development Department and the Advisory Council on
Aging in developing.best-practice guidelines for support
of affordable and disability.housing developments in the
County, so that housingdevelopers 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 7/1/05— Completed
policy changes that reflect local concerns and the, 12/30/06
needs of current and future recipients, the AAA
Advisory Council Legislative Advocacy Work Group will
promote a broad discussion on Social.Security's future
and proposals for change by researching all.available
information and statistics, hosting speakers at
Legislative Advocacy and Advisory Council meetings,
and promoting attendance of its members at Social
Security forums.
14. In order to reduce the incidence of elder financial 7/1/05 - Completed
abuse, the AAA Advisory Council.Legislative Advocacy 12/30/05
Work Group members and-the AAA Advisory Council
Consultant will implement a statewide campaign to
make financial institutions mandated reporters, by
speaking out at senior centers, commission on aging
meetings, TACC meetings;,and other appropriate
venues; promoting this issue through the California
Senior Legislature; and sending letters to State
legislators and organizations, encouraging them to
support such legislation.
15. AAA Program Manager and AAA Sr. Staff Assistants 7/1/05 - Continued
will staff the AAA Advisory Council Planning Committee 6/30/099
once a month and providetechnical assistance with
analyzing public policy and legislation and reviewing
program regulations in order to assist the committee
with their task of advocating for older adults.
16. The AAA Mobility Manager will staff the AAA Advisory 7/1/05 - PD Continued
Council Transportation Work Group meeting once a 6/30/069
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.
17. The Advisory Council Consultant and Advisory Council 7/1/05 - Continued
Legislative Committee members will meet with each of 6/30/069
the five County Supervisors in order to advocate for
increased services in the areas of senior mental health,
senior homelessness and elder abuse..
38 2008-2009 Area Plan Update
Goal 5
18. In order to address the need highlighted at the Mental 7/1/08 — PD NEW
Health Community for an integrated system of mental 6/30/09
health services for older adults, the AAA Advisory.
Council on Aging will convene a new work group, the
Mental Health Community Task Force. This task force
will consist of representation from the Advisory Council,
older adults, community organizations, advocates,
consumers, representatives of mental health and
dementia organizations, and will work on policy
changes, program planning and the development of
funding for mental health services.
19. In order to raise public awareness and to find solutions 7/1/08 — PD NEW
to critical issues facing older adults, the AAA Program . 6/30/09
Manager, Sr. Staff Assistant, AAA Advisory Council
Consultant and the AAA Advisory Council on Aging, will
sponsor quarterly community-wide forums in the
chambers of the Board of Supervisors on the topics of
mental health, elder financial abuse,
gambling/addiction, housing/ homelessness, and
health.
39 2008-2009 Area Plan Update
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 for1he 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 1111.13
.Start& Funded Status
End Dates PD or C
1. AAA Sr. Staff Assistant will design RFP's requiring 7/1/05 - Continued
bidders to include a pian for community outreach to 6/30/089
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, _ 7/1/05 - Continued
contracting, evaluation, andmonitoring.processes of the 6/30/099
Employment and Human Services Dept (EHSD), the
EHSD Director established a Contracts Improvement
Committee comprised of staff from different EHSD
Bureaus and Divisions. AAA Sr. Staff Assistant will
actively participate on this.committee. AAA contracts
and monitoring tools will be analyzed as potential
models for use.by all EHSD Divisions.
3. In order to enhance the administrative efficiency of 7/1/05 - Continued
contracting and service delivery operations, the AAA 6/30/099
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 7/1/05 - Continued
AAA Fiscal Officer will meet at a minimum.four,(4) times 6/30/089
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. .
40 2008-2009 Area Plan Update
Goal 6
5. The AAA Program Manager and AAA Sr. Staff 7/1/05 - C Continued'
Assistants will work with the Lead Committee of the 6/30/089
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. 7/1/05 - Continued
Staff Assistant will conduct°�.a random customer 6/30/099
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.
41 2008-2009 Area Plan Update
G
GOAL # 7
AAA will maintain a preventive healthcare program that will.provide both health care.
insurance counseling and advocacy and health promotion and disease prevention
information to the older population of CCC by means of a variety of community
outreach activities.
RATIONALE
As specified by the Older Americans Act.
OBJECTIVES Projected Title III B
Start & Funded Status
End Dates PD or C
1. AAA Sr. Staff Assistant, through an Administrative 7/1/05 - C Continued
Letter of Agreement with CCN, will coordinate 6/30/099
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 feur (4) two
(2) "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. Changed to 2 shows
for FY 08-09
2. AAA Sr. Staff Assistant will actively work with senior 7/1/05 - C Continued
community members to organize and present Ageless 6/30/099
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.
3. AAA Sr. Staff Assistants and AAA Staff Assistant will 7/1/05 - C Continued
actively work with the East County Senior Coalition to 6/30/089
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.
4. AAA-Sr. Staff Assistant will provide the public with 7/1/05 - Continued
preventive health care and disease control information 6/30/089
on a continuing basis by telephone, community
presentations, and the local TV cable program, The
Time of Your Life.
42 2008'-2009 Area Plan Update
Goal 7
5. AAA_Sr. Staff Assistant will work \nrith Office of County 7/1/05 - C Continued '
.Supervisor Gayle Uilkema, Health Services 6/30/089
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.
6. Older Adults consume more`'medicines than any other 7/1/05 - Continued
age group, but using medicines may put them at risk,
especially when several medicines are used at one
time. To help seniors avoid risks and get the best
results from their medicines, AAA Sr. Staff Assistants
will distribute medication safety fact sheets and medi-
sets/pillboxes that keep medications in;order.
7. AAA Senior Staff Assistant and.AAA Program Manager 7/1/05 - C Continued
will develop and implement an outreach plan that 6/30/089
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.
8. AAA Sr. Staff Assistant will actively participate in the 7/1/05 - Continued
East County AIDS Task Force, which was convened in 6/30/099
response to the disproportionately high impact of
HIV/AIDS on East County., To increase awareness
about HIV/AIDS and inform'the public about East
County resources, the Task Force will develop and
distribute outreach materials and hold a health and
resource fair during Aids Awareness Month in May.
9. To increase awareness about the benefits of physical 7/1/057 C . , Continued
activity for older adults,.AAA Sr. Staff Assistant will 6/30/089
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.
10. AAA Sr. Staff Assistant and AAA Program Manager will 7/1/05 - PD Completed
provide support and information to the Case 6/30/08
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.
43 2008-2009 Area Plan Update
Goal 7
11. In-order to develop a coordinated case management 7/1/05 - C Continued
process to patient care, the`AAA Program Manager and 6/30/089
AAA Sr. Staff Assistants will participate in development
of an ALTCI plan to carve in mental healthcare
services.resulting in a coordinated care management
process across disciplines by,.January 1, 2007.
12,AAA Sr. Staff Assistant,and AAA'Program Manager will 7/1/05 = C Completed
use the Partners in Planning workshop to explore with 6/30/08
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.
13. In order to help HICAP consumers receive health care 7/1/05 Continued
entitlements and make informed decisions, the HICAP > 6/30/089
Program Coordinator will work in collaboration with
California Health Advocates and.will update consumer
literature regarding health care benefits and rights
regarding Medicare, HMOs', Medi--gaps, and long-term
care insurance.
14. In order to ensure that Medicare beneficiaries receive 7/1/05 - 1 Continued
the information and assistance they need to make 6/30/OS9
informed decisions and receive the benefits to which
they are entitled under Medicare Part D, the HICAP
Program Coordinator and HICAP Staff Assistant will
work collaboratively with other public and private
agencies,. such as, the Social Security Administration
and Centers for Medicare and Medicaid Services.
15. In order to increase outreach and information to as 7/1/05 - Continued
many Medicare beneficiaries as possible, the HICAP, 6/30/069
Program Coordinator and HICAP Senior Staff Assistant
will target special presentations on Medicare Part D
and other Medicare issuesto aging and adult service
providers, relevant citizens groups and,key informants.
In order to protect the health and welfare of a
vulnerable population, the HICAP Senior Staff Assistant
and HICAP Staff Assistant.will use at least 5% of
Federal SHIP funding to provide pharmaceutical (Part
D) assistance for dual eligible beneficiaries with mental
illness.
44 2008-2009 Area Plan Update
Goal 7
16. The Linkages Social Work,,Supervisor will target people 7/1/05- Continued
with disabilities, those who are underserved, people 6/30/039
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 heeded/requested.
17. 7/1/057 C Geied
a pFagpam +o be effererd at senior.nen+oro to pFeyirde the- 6/30/08 Deleted .
reviews with seniors in eF der+o preye;l -cdn rn
health ar a weld_heinn, There is no funding for this .
activity.
18 AAA Qr Staff 4osis+aa+,e,in ri rrsr a fi rnidiao recur rrres +0 7/1/0.5 - C Deleted
,�
rrs+ioWal evernioe 6/30/08
teleyms*GR seFies. The teles is� a+eries,wc) rld feature
anrd stay fit while rerdr raiaa'+heir ri k of obesity, heart
r
disease, diabetes and n+her ahroanis voncim+iGnrs The
.:ra Costa Tel
r eldeF l�
-s to safe waror r+s
enienne of their homes
There was insufficient Title IIID funding, so we
submitted a grant proposal to a local foundation,
however, were turned down for the funding.
19. The AAA Program Manager, AAA Sr. Staff Assistants, 7/1/05 - PD Continued
and the Advisory Council Planning Committee 6/30/039
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.
45 2008-2009 Area Plan Update
GOAL # 8
The CCC AAA is committed toempowering and sustaining family caregivers,
recognizing that they ar&the backbone of our long-term care system and that they
function under tremendous burdens'; AAA will empower and sustain family caregivers
through the development and enhancement of a comprehensive system of family
caregiver support services'and by making this support system both visible and
accessible to them.
RATIONALE
Mandated by the Older Americans Act.
OBJECTIVES Projected Title III B
"Start & Funded Status
End Dates PD or C
1. AAA Sr. Staff Assistant will maintain active participation 7/1/05 - Continued
in the Family Caregiver Support Program by managing 6/30/089
and monitoring FCGP contractors in order to ensure
the continual networking of.FCGP contractors by
facilitating meetings once ayear between the six FCGP
contractors.
2. AAA Sr. Staff Assistant will:work with the Employment 7/1/05 = Completed'
and Human Services Department contracts staff to 6/30/08
issue
issue a RFP'for service needs as identified in the FCSP
Needs Assessment and in;compliance with the service,
categories outlined in the FCSP Service Matrix.
3. AAA Sr. Staff Assistant will require through its RFP 7/1/05 - Completed
process that bidders include a pian for community 6/30/08 .
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 mandates of the Older .
Americans Act.
4. AAA Sr. Staff Assistantiand the Advisory Council on 7/1,/05 - Completed
Aging will review and recommend the awarding of bids .6/30/08
for FCGP services in order to.provide for contracted
services that address the,needs of the target
population.
5. AAA Sr. Staff Assistant will negotiate contracts for 7/1/05 - Completed
successful provision of FCGP services in order to 6/30/08
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 7/1/05 - Continued
to contractors through the entire contract process and 6/30/089
contract year in order to ensure the adequate provision
of services under the FCGP.
46 2008-2009 Area Plan Update
Goal 8
7. AAA Sr. Staff Assistant will work with FCGP services to 7/1/05 - PD Continued
develop a new Money Management Program where 6/30/089
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 ontime, and helping
to alleviate the stress that comes with financial
problems created by a lack of knowledge or ability to
manage household finances.
47 2008-2009 Area Plan Update
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 & Funded Status
End Dates PD or C
1. AAA Sr. Staff Assistant responsible for outreach and 7/1/05 - C Continued
AAA Program.Manager will recruit a CBO or corporate 6/30/099
partner to develop and offer a training program that will
develop or enhance skills for older adults interested in
second career employment opportunities.
2. AAA Sr. Staff Assistant and AAA Program Manager will 7/1/05 C Continued
form a AAA community of partners to develop flexible 6/30/099
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.
3. AAA Sr. Staff Assistant responsible for outreach will 7/1/05 - Continued
work with County Public Relations staff in changing 6/30/099
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.
4. AAA Sr. Staff Assistant and AAA Program Manager will 7/1/05 - C Continued
partner with the AAR-P—Workforce Services Division and 6/30/099
"aging friendly" employers in Contra Costa County to
hold an annual countywide Senior Employment Fair in
order to increase senior employment by offering seniors
a variety of options including: part-time and short-term
work, as well as, full-time employment for Seniors and
to educate Contra Costa employers on the value to their
organizations of hiring older workers.
48 2008-2009.Area Plan Update
Goal 9
5. AAA Sr. Staff Assistant"responsible for outreach,-AAA 7/1/05 - PD" Continued
transportation staff, HICAP staff, and the AAA"Program 6/30/089
Manager will be leading For Evert/ Generation
stakeholder community taskforces in the areas of
transportation, housing, support services, quality.of life
and involvement in the community in order to set up
pathways to an Aging Friendly Community. The For
Everw 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. . 7/1/05 - Continued.
Planning Committee of the Advisory Council on Aging 6/30/089
will actively work together to enhance the Area Plan
Update Report, in order to pian 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 7/1105 -, PD Continued
Adult Services Departments the AAA Program 6/30/089
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.
8. The AAA Program Manager and AAA Senior Staff 7/1/05 - Continued
Assistant will provide training in civic engagement skills 6/30/099
for the Contra Costa for Every Generation Ambassade
(name changed) program volunteers, in order to
educate the public and local jurisdictions about policies
and programs that support an AgingFriendly
Community.
9. AAA.Transportation Staff, working 'in collaboration;with 7/11/08,_ C NEW
the Contra Costa for Every,Generation-organization, will 6/30/09
convene and develop a mobility management
transportation.center, in order to provide.'a one-call
center for information and referral to transportation
resources and services for non-drivers:
10. AAA Program Manager and Sr. Staff Assistants will , 7/1/08 — C NEW
provide technical assistance and training to Contra 6/30/09
Costa for Every Generation volunteers-on how to
research issues and interview for local,boards, city
councils and planning commissions, in order to increase
the number of older adults`_in policy making positions.
11. In order to increase and enhance'prosecution of the 7/1/08 — C NEW
crime of elder abuse, the AAA Program Manager and 6/30/09
Sr. Staff Assistants will work with Contra Costa for
Every Generation,,Adult Protective Services, local law
enforcement and the district attorneys'`office to.create
an Elder Court.
49 2008-2009 Area Plan Update
Goal 9
12. The AAA will begin crafting a-needs assessment plan 7/1/08— C NEW
that would include establishing a timeline, developing an 6/30/09
assessment tool, and recruiting Advisory Council
members, representatives from our service provider '
network, and volunteers who wound be willing and ready
to help conduct survey interviews and collect data. The
goal is to have in placed a,needs assessment plan that
outlines strategies to survey,a sampling of the county's
Baby Boomers population in order to identify their
unique needs.
50 2008-2009 Area Plan Update
GOAL # 10
AAA will work with each of its contractors to assess/design/implement an Emergency
Services Plan that will ensure the continuation of the provision of critical services that
will meet the emergency needs of its staff and clients during a disaster.
RATIONALE
Mandated by the California Department of Aging.
OBJECTIVES Projected Title III B
Start & . Funded Status
End Dates PD or C
1. AAA Sr. Staff Assistant will,conduct an evaluation of 7/1/07 — Continued
each of its contractors Emergency Preparedness Plans 6/30/099
and provide technical assistance to those contractors
that need to implement or update their respective
preparedness plans.
2. AAA Sr. Staff Assistant will coordinate its 7/1/07 — Continued
responsibilities with the Contra Costa County 6/30/089
Employment and Human Services Dept. Emergency
Preparedness staff and the Contra Costa County Office _
of Emergency Services.
3. AAA Sr. Staff Assistant will conduct emergency 7/1/07 Continued
preparedness informational presentations at senior 6/30/099
centers in each area of the,County in order to assist
seniors in preparation for a disaster.
4. AAA Sr. Staff Assistant will distribute 1000 emergency 7/1/07 — Continued
preparedness kits in each area of the County in order to 6/30/089
assist seniors in preparation for a disaster. In '08-'09
1000 emergency preparedness kits will be distributed
at senior home safety fairs, senior centers, more Brown
Bag sites, and low-income senior housing. In addition,
application will be submitted for funding from the Bay
Area Super Urban Area Security Initiative (SUASI).
51 2008-2009 Area Plan Update
GOAL # 11
The AAA will work to prevent isolation, poverty, homelessness, and premature
institutionalization of Lesbian, Gay, Bisexual, and Transgender (LGBT) seniors due
recent studies showing them to be at a higher,risk as a result of life-long experiences
causing marginalization.
RATIONALE
Mandated by the California Department of Aging.
OBJECTIVES Projected Title III B
Start& Funded Status
End Dates PD or C
1. AAA Program Manager and AAA Sr. Staff Assistant will 7/1/07— Continued
conduct a needs assessment of LGBT seniors in all 6/30/089
areas of the County to determine priorities for services
and challenges experienced with service utilization in
order to plan for culturally competent services
2. With One-Time Only funds, the AAA Program Manager 7/1/07— PD Continued
and AAA Sr. Staff Assistant will bid for the services of 6/30/099 '
an experienced professional CBO to conduct trainings
for County Aging & Adult Service Staff and AAA service
providers in order to maximize their ability to provide
culturally competent services to LGBT Seniors.
3. AAA Program Manager and'AAA Sr. Staff Assistant will 7/1/07 — C Continued
collaborate with local agencies which serve LGBT 6/30/089
seniors in order to gain technical assistance needed to
plan for culturally competent services to LGBT Seniors.
4. AAA Program Manager and1AAA Sr. Staff Assistant will 7/1/07 C. Completed
collaborate with local agencies which serve LGBT 6/30/08
seniors in order to maintain the most current
demographic information on LGBT Seniors, particularly
regarding those of low-income and minority status in
order to adequately plan for,services.
5. AAA Program Manager and.AAA Sr. Staff Assistant will 7/1/07 — C Continued
collaborate with local agencies which serve LGBT 6/30/089
seniors in order to maintain the most current resource
information on culturally competent services for LGBT
Seniors in order for I & A to provide the appropriate
referrals.
6: _AAA Program Manager and AAA, Sr. Staff Assistant Will 7/1/08 C New
partner with local agencies which serve LGBT seniors 6/30/09
to assist in the development of a first ever LGBT Pride
event to take place in Contra CostarCounty as another
way to not only help LGBT seniors come out but to
provide the AAA with opportunities to reach out to
LGBT seniors.
52 2008-2009 Area Plan',Update
7. AAA Sr. Staff Assistant will conduct a focus group 7/1/08— C New
consisting of transgendered elders in order to assess 6/30109
the cultural sensitivity of Contra Costa County services,
ease of access, and service needs. The results will be
illustrated in next Area Plan.
8. The AAA Program Manager and AAA Sr. Staff 7/1/08— C New
Assistants will re-craft the Core Survey to include LGBT 6/30/09
sensitive language which will assure capturing the
demographics and needs of older Contra Costa County
LGBT residents.
53 2008-2009 Area Plan Update
PART THREE: Service Unit Pian Objectives
TITLE III/VII SERVICE UNIT PLAN OBJECTIVES: PSA# 7
2005 — 2009 Four Year Planning Period
TITLE illNll
N i
1. Personal Care (In-Home)' Units of Service = (1-Hour)
Not Applicable: ®(check)
■ 1 2 3
Fiscal Year Proposed 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 Proposed Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
2007-2008
2008-2009
3.. Chore (In-Home)' Units of Service = (1-Hour)
Not Applicable: ®(check)
■ 1 2 3
Fiscal Year Proposed 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 Proposed Coal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006 237,500 2 6,7
2006-2007 270,000 2 6,7
2007-2008 235,000 2 6.7
2008-2009 300,000 2 .6,7
Indicates Title III-8 Priority Services
54 2008-2009 Area Plan Update
5. Adult Day Care/Health' Units of Service = (1-Hour)
Not Applicable: ❑(check)
0 1 2' 3
Fiscal Year Proposed Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006 10,185 2 21,22,23,24 .
2006-2007 11,004 2 21,22,23,24
2007-2008 8,472 2 21,22,23,24
2008-2009 7,208 2 21,22,23,24
6. Case Management (Access)` Units of�Service = (1-Hour)
Not Applicable: ®(check)
e 1 2, 3
Fiscal Year Proposed Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006
2006-2007
2007-2008
2008-2009
7. Congregate Meals Units of Service = (1'-Meal)
■ 1 2 3
Fiscal Year Proposed Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006 199,100 2 6,7
2006-2007 180,000 2 6,7
2007-2008 191000 2 6,7
2008-2009 173,000 2 6,7
8. Nutrition Counseling Units of Service = (1-Hour)
Not Applicable: N(check)
■ 1 2 3
Fiscal Year Proposed . 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: ❑(check).
i 1 2 3
Fiscal Year Proposed Goal Numbers- Associated Program Goal and
Units of Service Objective Numbers
2005-2006 800 2 16
2006-2007 800 2 - 16
2007-2008 800 2 16
2008-2009 2,000 2 16
Indicates Title III-B Priority Services
55 2008-2009 Area Plan'Update
10. Transportation (Access)* . Units of Service.= (One 1-way trip)
Not Applicable: ❑(check) .
® 1 2 3
Fiscal Year Proposed Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006 65,000 2 6,7
2006-2007 51,000 2 6,7
2007-2008 50,000 2 6,7
2008-2009 51,000 2 6,7
11. Legal Assistance* Units of Service ='O-Hour):
■ 1 2 • 3
Fiscal Year Proposed Goal Numbers Associated Program Goa(and
Units of Service Objective Numbers
2005-2006 3,500 2 5
2006-2007 3,500 2 5
2007-2008 3,500 2 5,
2008-2009 3,500 2 7
12. Nutrition Education 'Units of Service,= (1-Session)
■ 1 2 3
Fiscal Year - Proposed Goal Numbers Associated Program Goal and..
Units of Service Objective Numbers
2005-2006 88 2 7
2006-2007 84 2 7
2007-2008 3,600 2 7
2008-2009 4,200 2 . 7
13. Information and Assistance (Access)* ,.Units of Service = (1.-Contact)
Not Applicable: ❑(check)
■ 1 2 3
Fiscal Year Proposed 'Goal Numbers Associated'Program Goal and
Units of Service Objective Numbers
2005-2006 17,667 3 1,2,3,4,6,7,10,11
2006-2007 17,667 1 / 3 1-5/ 1-4, 6-7, 10-11
2007-2008 17,667 1 / 3 1-5/ 1-4, 6-7, 10-11
2008-2009 17,667 1 /3 1-5/ 1-4, 6-7, 10-11
14. Outreach (Access)' Units of Service = (1-Contact)
Not Applicable: ❑ (check)
■ 1 2 3
Fiscal Year Proposed Goal.Numbers Associated Program'Goal and
Units of Service Objective Numbers
2005-2006 80 1 /2/7 7, 8 / 8, 10 /4, 7
2006-2007 " 500 1 /2'/7 7, S % 8, 10 /4, 7.
2007-2008 500 1 /2 /7 7, 8 / 8, 10 /4, 7
2008-2009 500 1 /2 / 7 7, 8 / 8, 10 14, 7.
*Indicates Title'lll-B Priority-Services
56 2008-2009 Area Plan Update'
15. NAPIS Service Category 15 —"Other" Title III Services
Title III D, Disease Prevention/Health Promotion
Service Activity: Newsletter Health Pages
Units of Service E # of Newsletters Distributed)
■ 1 2 3
Fiscal Year Proposed Goal Numbers Associated Program Goal and
Units of Service Objective Numbers (Required for
Title III D
2005-2006 63,000 1 (2/7 7, 8/8, 10/7
2006-2007 63,000 1 /2/7 7, 8/8, 10/7
2007-2008 63,000 1 ,(2/7 7, 8/8, 10/7
2008-2009 63,000 1 /2/7 7, 8/ 8, 10/7
Title III D, Disease Prevention/Health Promotion
Service Activity: Health Faires
Units of Service E (# of Health Faires conducted)
■ 1 2 3
Fiscal Year Proposed Goal Numbers Associated Program Goal and
Units of Service Objective Numbers (Required for
Title III D
2005-2006 20 1 /2/7 7, 8/8, 10/3, 8
2006-2007 20 1 /2/7 7, 8/8, 10/3, 8
2007-2008 20 1 /2/7 7, 8/ 8, 10 13, 8
2008-2009 20 1 /2/7 7, 8 18, 10/ 3, 8
Title III D, Disease Prevention/Health Promotion
Service Activity: Active Aging Forums
Units of Service E (# of Forums Held)
■ 1 2 3
Fiscal Year Proposed Goal Numbers Associated Program Goal and
Units of Service Objective Numbers (Required for Title III D)
2005-2006 2 2/7 13/9
2006-2007 3 2/7 13/9
2007-2008 2 2 /7 13/9
200872009 2 2 /7 13/9
Title III D, Disease Prevention/HealthPromotion
Service Activity: T.V. show: The Time of Your Life
Units of Service E_(# of Shows)
■ 1 2 3
Fiscal Year Proposed Goal Numbers Associated Program Goal and
Units of Service Objective Numbers (Required for
Title III D
2005-2006 3 7 1, 4
2006-2007 4 7 1, 4
2007-2008 3 7 1, 4
2008-2009 2 7 1, 4
Title III D, Medication Management
Service Activity: Fact Sheet Distribution Units of Service (# of Fact Sheets Distributed)
■ 1 2 3
Fiscal Year Proposed Goal Numbers Associated Pram Goal and
e Entry Required
57 2008-2009 Area Plan Update
Units of Service Objective Numbers (Required for.
Title III D
2005-2006 2,000 - 7 6
2006-2007 2,000 7 6
2007-2008 1 2,000 7 6
2008-2009 1 2,000 7 6
Title III D, Medication Management
Service Activity: Distribution of Pill Boxes Units of Service (# of Pill Boxes Distributed
e 1 2 3
Fiscal Year Proposed Goal Numbers Associated Program Goal and
Units of Service Objective Numbers (Required for Title III D
2005-2006 1000 7 6-
2006-2007 2000 7 6
2007-2008 2000 7 6
2008-2009 2000 7 - 6
Title III B, "Other Supportive Services"
Service Category: In-Home Registry `Units of Service and Activit (# of Matches)
■ 1 2 3
Fiscal Year Proposed Goal Numbers Associated,Program.Goal and
Units of Service Objective Numbers
2005-2006 151 2 3
2006-2007 151 2 3
2007-2008 1 151 2 3
2008-2009 2,400 2 , . 3
Title III B, "Other Supportive:Services"
Service Category: Visiting Units of Service and Activity (# of Hours)
■ 1 2 3
Fiscal Year Proposed Goal Numbers Associated Program Goal and .
Units of Service Objective'Numbers
2005-2006 14,000 2 3,
2006-2007 14,040 2 3
2007-2008 14,040 2 3
2008-2009 14,040 2• 3
Title III B, "Other Supportive Services"
Service Category: Health: Community Education/Advocacy .
Units of Service and Activit E (# of H )urs)
e 1 ,.2 3
Fiscal Year Proposed Goal Numbers Associated Program Goal and
Units of Service Objective.Numbers
2006-2007 120 1 /2 / 7 7, 8/8, 10/4, 7
2007-2008 120 1 /2/ 7 7, 8/8, 10 /4, 7
2008-2009 120 1 /2 / 7 7, 8/8, 10 /4, 7
58 2008-2009 Area Plan Update
LONG-TERM CARE OMBUDSMAN
(Title III B and Title VII a)
AREA PLAN OUTCOMES FOR THE LONG-TERM CARE OMBUDSMAN PROGRAM
Mission: As mandated by the Older Americans Act, the mission of the Long-Term Care
Ombudsman Program is to-seek resolution of problems and advocate for the rights of
residents of long-term care facilities with the goal of enhancing the quality of life and care of
residents. Baseline numbers are provided from each local Ombudsman Program's Fiscal
Year (FY) 2003-2004 National Ombudsman Reporting System data. Targets are established
by the local Ombudsman in consultation with the Area Agency on Aging and are approved by
the State Long-Term Care Ombudsman.
1. The problems and concerns of long-term care residents are solved through complaint
resolution and other services of the Ombudsman Program. [OAA Section 712(a)(3)(5)j
Measures and Targets:
A. Complaint Resolution Rate (AOA Report, Part I-E, Actions and Complaints
1. FY 2003-2004 Baseline: 728 complaints resolved plus 234complaints partially
resolved complaints divided by total complaints1432 equals Baseline 67%
2. FY 2007-2008 Target: 75% resolution rate
3. FY 2008-2009 Target: 80% resolution rate
Associated Program Goals and Objective Numbers: Goal2, Objective 23
B. Work with Resident Councils (AoA Report, Part III-R,. #8)
1. FY 2003-2004 Baseline: 12 number of meetings attended
2. FY 2007-2008 Target: 16 number and 25% increase
3. FY 2008-2009 Target: 20 number and 20% increase
Associated Program Goals and Objective Numbers: Goal 2, Objective 23
59 2008-2009 Area Plan Update
C. Work with Family Councils (AoA Report, Part III-F, #9)
1. FY 2003-2004 Baseline: 18 number of meetings attended
2. FY 2007-2008 Target: 24 number and 25% increase
3. FY 2008-2009 Target: 28 number and 14% increase
Associated Program Goals and Objective Numbers: Goal 2, Objective 23
D. Consultations to Facilities (AoA Report, Part III-F, #4)
1. FY 2003-2004 Baseline: 360'number of consultations
2. FY 2007-2008 Target: 3.96 number and 10% increase
3. FY 2008-2009 Target: 416 number and 5% increase
Associated Program Goals and Objective.Numbers: Goal 2, Objective 23
E. Information and Consultations to Individuals (AoA Report, Part III-F, #5)
1. FY 2003-2004 Baseline: 1669 number of consultations
2. FY 2007-2008 Target: 1750 number and 4% increase
3. FY 2008-2009 Target: 1800 number and 3% increase
Associated Program Goals and Objective Numbers: Goal 2, Objective 23
F. Community Education (AoA Report, Part III-F, #10)
1. FY 2003-2004 Baseline: 7 number of sessions
2. FY 2007-2008 Target: 14 number of sessions and 50% increase
3. FY 2008-2009 Target: 18 number of sessions and 14% increase
Associated Program Goals and Objective Numbers: Goal 2, Objective 23
60 2008-2009 Area Plan Update
G. Systems Advocacy
FY 2007-2008 Target: Ombudsman, Services of Contra Costa is working with Contra Costa
Public Health Department to.provide disaster preparedness planning to both Skilled
.Nursing Facilities (SNF) and'Residential Care Facilities for the Elderly, (RCFE))n Contra
Costa. The public health nursing students actually go out,to our long term care facilities and
do emergency planning surveys. This is' a two year project.
The Ombudsman Director speaks to each group about our Ombudsman Services and .
licensing requirements for the SNF and RCFEs. Last year tmade-fhree presentations were
made.
This has been a two year project and after the education'the nursing.
students provided to skilled nursing facilities last year, one of eu-r the large, 120 bed SNFs,
Stonebrook, had their eleven department managers complete the Community Emergency
Response Team (CERT) training in July.
The second phase of education for nursing students that Ombudsman provided was in
regards to large assisted living facilities in our county. , On September
21st, 2007 , I will be doing a,,presentation to the nursing students regarding RCFE.licensing
requirements, copies of the self-assessment guidelines Community Care Licensing (CCL)
requires and our role as advocates to residents will be made. The Ombudsman Director will
bespeaking about the small.6-8 bed facilities.
The Ombudsman Bur Program is especially concerned about the small 6-8 bed residential
care facilities in the event of a;disaster. By bringing community.resources 4gWo the .
owners and caregivers in the homes, and training them to deal with emergency situations;
Guf these facilities will know;where to get help in their individual community. The facilities
will be identified to our local afire departments and emergency services. Our fragile, elderly
residents will have the best opport:unity`to receive the care they need in the event of an '
emergency.
Measures and Targets:
2. Residents have regular access to an Ombudsman. [OAA Section
792(a)(3)(D), (5)(B)(H)1
A. Regular Nursing Facility Resident Visitation (AoA Report, Part III-F, #6)
The target should be 100% of facilities visited. Refer to the NORS definition
of regular visitation,.which is at feast one visit on a quarterIV basis.
1. FY 2003-2004 Baseline:;100%
(710 number of "regular visitations divided by the number of 32 nursing facilities).
2 FY 2007-2008 Target: 25%° increase in the number of regular resident visitations
3. FY 2008-2009 Target: 25% increase in the number of regular resident visitations
Associated Program Goals and Objective Numbers: Goal 2,.Objective.23.
61 2008-2009 Area Pian Update
B. Regular Residential Care Facility for the Elderly Resident Visitation .
(AoA Report, Part III-F #6 -- board and care facilities) The'target should be 100% of
facilities visited. Refer to the NORS definition of regular visitation, which is at least one'
visit on a quarterly basis.
1. FY 2003-2004 Baseline: 75%
(228 number of regular visitations divided by the number`of 304 licensed residential
care facilities for the elderly)
2. FY 2007=2008 Target: 5%° increase in number of regular,resident visitations
(364 number of regular visitations divided.by the number of 454 residential care
facilities for the elderly)
3. FY 2008-2009 Target: 13% increase in number of regular resident visitations
77
(414 number of regular visitations divided by.th,e number of 454 residential care
facilities.for.the elderly)
Associated Program Goals and Objective Numbers: Goal 2, Objective 23
C. Number of Full-Time Equivalent (FTE) Paid Staff Ombudsmen
(One FTE generally equates.to 40 hours per week or 1,760;hours per. ear)
1. FY 2003-2004 Baseline: 4.625 FTEs
.2. FY 2007-2008 Target: 4.685 and .06% increase
. 3. FY 2008-2009 Target: 5.175 and .5% increase
Associated Program Goals and Objective Numbers- Goal 2, Objective 23
D. Number-of Certified Volunteer Ombudsmen
1. FY 2003-2004 Baseline: 43
2. FY 2006-2007 Current Number.-39 after decertification
FY 2008-2009 Target: 49 number and 25% increase
Associated Program Goals and Objective Numbers: Goal 2, Objective.23
6-
2008-2009 Area Plan Update
Measures and Targets:
1. Ombudsmen report their complaint processing and other activities accurately
and consistently. [OAA Section 712(c)]
A. Each Ombudsman Program provides regular training on the National
Ombudsman Repo g System (NORS).
1. FY 2003-2004 Baseline: 2 number of NORS Part 1, II or III training sessions
completed.
2. FY 2007-2008 Target: 2 number of NORS Part I, 11 and III training sessions
planned.
3. FY 2008-2009 Target: 2 number of NORS.Part I, II and III training sessions
planned.
Associated Program Goals and Objective Numbers: Goal 2, Objective 23
63 2008-2009 Area Plan Update
ELDER ABUSE PREVENTION SERVICES (TITLE VII b)
Activities that supp'o'rt the coordination of elder abuse,
prevention, investigation, and/or prosecution.
Units of Service = (I Hour)
■ 1 2 3
Fiscal Year Proposed Goal Associated Program Goal and
Units of Service Numbers ;Objective Numbers
2005-2006 640 2 5 r
2006-2007 640 2 5
2007-2008 640 2 5
2008-2009 640 : 2 5
Other Title VII b activities from Division 4000.
Service Category: Complaint Abuse Investigation Units of Service E # of Clients)
■ 1 2 3
Fiscal Year Proposed Goal Associated Program Goal and
Units of Service Numbers Objective Numbers
2005-2006 .45 2 5
2006-2007 55 2 5
2007-2008 55. 2 5
2008-2009 56 2 5
Other Pro ram Accomplishments
Fiscal Year Total#of Public Fiscal.Year Total#of Training
Education Sessions Sessions for Professionals
2005-06 2005-06
2006-07 2006-07
2007-08 2007-08
2008-09 2008-09
Fiscal Year .Total# of Fiscal Year: Total#of
Educational Materials Educational Materials
Developed (Products) Distributed Documents
2005-06 2005-06
2006-07 2006-07
2007-08 2007-08
2008-09 2008-09
.64 2008-2009 Area Plan Update
TITLE III E - FCSP SERVICE UNIT PLAN OBJECTIVES
PSA #7
For Planning Period FY 2008-09
CCR Article 3, Section 7300(d),
TITLE IH E . _
CATEGORIES 1 2 3
Direct III E Proposed Required Optional
Family Caregiver Services Units of Service Goal# s Associated Objective#(s)
Information Services #of activities:
Total est. audience for above:
Access Assistance Total contacts:
Support Services Total hours:
Respite Care Total hours:
Supplemental Services Total occurrences:
Direct III E Proposed Required Optional
Grandparent Services Units of Service Goal#(s) Associated Objective#(s)
Information Services #of activities:
Total est. audience for above:
Access Assistance Total contacts:
Support Services Total hours:
Respite Care Total hours:
Supplemental Services '' Total occurrences:
Contracted III E Proposed Required Optional
Family Caregiver Services Units of Service Goal#(s) Associated Objective#(s)
Information.Services #of activities: 5 8 1-6
Total est. audience for above: 20
Access Assistance Total contacts: 175 8 1-7
Support Services Total hours: 778 8 1-7
Respite.Care Total hours: 258 8 1-7
Supplemental Services Total occurrences: 75 8 1-7
Contracted III E Proposed Required Optional
Grandparent Services Units of Service Goal#(s) Associated Objective#(s)
Information Services #of activities: 167 8 1-7
Total est. audience for above:
500
Access Assistance Total contacts: 1897 8 1-7
Support Services Total hours: 2156 8 1-7
Respite Care Total hours: 7730 8 1-7
Supplemental Services Total occurrences: 111 8 1-7
65 2008-2009 Area Plan Update
COMMUNITY BASED SERVICES PROGRAMS
SERVICE UNIT PLAN (CBSP) OBJECTIVES:
PSA # 7
2005 — 2009 Four Year Planning Period
C.CR Article 3, Section 7300(d)
CBSR"`
Alzheimer's Day Care Resource Center (ADCRC) Not Applicable: ❑(check)
Fiscal Year Goal Numbers Fiscal Year Caregiver Group Support
Sessions
2005-2006 2005-2006
2006-2007 2 Ob"24 2006-200.7 12
2007-2008 2 Ob' 24 2007-2008 12
2008-2009 2 (Ob' 24) 2008-2009 12
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 6 2007-2008 15
2008-2009 6 2008-2009 15
Fiscal Year Professional/Intern
Educational Training
Sessions
2005-2006
2006-2007 4
2007-2008 4
2008-2009 4
Brown Bag Not Applicable: ❑(check)
Fiscal Year Goal Numbers Fiscal Year Estimated#of
Unduplicated Persons to
be Served
2005-2006 2005-2006
2006-2007 2 Obj 18—20 2006-2007 1 1,700
2007-2008 2 (Obj 18 —20 2007-2008 1700
2008-2009 2 Obj 18 —20 2008-2009 1700
66 2008-2009 Area Plan Update
Fiscal Year Estimated lbs of Food Fiscal Year Estimated # of Volunteers
to be Distributed
2005-2006 500,000 2005-2006, 130
2006-2007 500,000 2006-2007 130
2007-2008 500,000` 2007-2008 130
2008-2009 500,000 2008-2009 130
Fiscal Year Estimated# of Fiscal Year Estimated # of
Volunteer Hours Distribution Sites
2005-2006 7,800 2005-2006 16
2006-2007 7,800 .2006-2007 16
2007-2008 7,800 2007-2008 16
2008-2009 7,800 2008-2009 16
(CBSP) Respite Purchase of Services— RPOS Not Applicable: ❑(check)
■ ■ ■
Fiscal Year Goal Numbers Fiscal Year Estimated Total# of
Respite Hrs Purchased
(Includes In-home, Day
Care& Institutional hrs)
'2005-2006 2 (Obj 26) 2005-2006 350,
2006-2007 2(Obj 26) 2006-2007 350
2007-2008 2(Obj 26) 2007-2008 350
2008-2009 . 2 (Obj 26) 2008-2009 350
,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 2 Obj 26 2005-2006 130
2006-2007 2 Ob'26 2006-2007 130
2007-2008 .2 (Obj 26 2007-2008 130
2008-2009 1 2 Obj 26 2008-2009 130
Fiscal Year Active Monthly Caseload
.(Include Targeted Case Management and
handicapped parking_revenue
2005-2006 95
2006-2007 95
2007-2008 95
2008-2009 95
67 2008-2009 Area Plan Update
Senior Companion Not Applicable: Z(check)
Fiscal Year Goal Numbers Fiscal Year Volunteer Service
Years VSYs
2005-2006 2005-2006
2006-2007 2006-2007 ,
2007-2008 2007-2008
2008-2009 2008-2009:
Fiscal Year Volunteer Fiscal Year Senior Volunteers
Hours
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
68 2008-2009 Area Plan Update
HEALTH INSURANCE COUNSELING AND ADVOCACY PROGRAM (HICAP) SERVICE
UNIT PLAN OBJECTIVES
PSA # 7
2005 — 2009 Four Year Planning Period
CCR Article 3, Section 7300 (d)
HICAP Services
References to Plan Goal(s) and Objective(s) related to HICAP Services without Legal Services
Component
0 1 2 3
Fiscal Year Proposed Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006 3,840 2/7 12/ 13- 15
2006-2007 3,840 2/7 12/ 13- 15
2007-2008 3,840 2/7 12 / 13- 15
2008-2009 3,840 2 /7 12/13 - 16
1. HICAP Budget without HICAP 2. Community Education
Legal Services Budget
Fiscal Year Estimated State & F=ederal Fiscal Year Estimated#of Interactive
Budget'Amount Presentations in SFY. Unit of
Service= (1 Presentation
2005-06 $245;711 2005-06 48
2006-07 $245,711 2006-07 48
2007-08 $245,711 2007-08 48
2008-09 $260,780 2008-09 48
3. Community Education 4. Counseling
Fiscal Year #of Attendees reached at Fiscal Year Estimated#of Clients Counseled
Interactive Presentations in in SFY.
SFY. Unit of'Service= Unit of Service =
1 Attendee Reached 1 Client Counseled
2005-06 2,450 2005-06 1,250
2006-07 2,450 2006-07 1,250
2007-08 2,450 2007-08 1,250
2008-09 2,450 2008-09 1,250
5. Counselors 6. Counselors
Fiscal Year Estimated #of Registered Fiscal Year Estimated #of Volunteer-
Counselors for SFY. Registered Counselors for SFY.
Unit of Service = Unit of Service =
(1 Unduplicated Registered (1 Volunteer Registered
Counselor) Counselor
2005-06 26 2005-06 23
2006-07 26 2006-07 23
2007-08 26 2007-08 23
2008-09 26 2008-09 23
69 2008-2009 Area Plan Update
7. Counselors` 8. Counselors
Fiscal Year Estimated#of Active_ Fiscal Year Estimated #of Volunteer Active
Counselors.for6FY. Counselors for SFY.
Unit of Service = Unit of Service =
(1 Unduplicated Active (1 Unduplicated Volunteer Active
Counselor) Counselor
2005-06 23 2005-06 20
2006-07 23 2006-07 20
2007-08 23 2007-08 20
2008-09 23 2008=09 20
HICAP Legal.Services (if funded and available through HICAP)
References to Plan Goal(s)"and Objective(s) related to HICAP Legal Services Component
® 1 2 3
Fiscal Year Proposed Goal Numbers Associated Program Goal and
Units of Service Objective Numbers
2005-2006 105 2 17
2006-2007 105 2 17
2007-2008 105 2 17
2008-2009 105 2 17
9. HICAP Legal Services Budget Only 10. Clients
Fiscal Year Estimated State & Fiscal Year Estimated Clients Served for SFY
Federal.Budget Unit of Service = (1 Client Served)
Amount
2005-06 $15,000 2005-06 15
2006-07 $15,000 2006-07 15
2007-08 $15,000 2007-08 15
2008-09 $15;000 2008-09 15
11. Representation 12. Representation
Fiscal Year Estimated Hours of Fiscal Year Estimated Hours of Legal Backup
Legal Representation Support to Staff for SFY.
for SFY. Unit of Service =
Unit of Service =. (1 Hour of Legal Backup Support)
(1 Hour of Legal
Representation)
2005-06 125 2005-06 15
2006-07 125 2006-07 15
2007-08 125 2007-08 15
2008-09 125 2008-09 15
70 2008-2009 Area Plan Update
APPENDIX IB - PSA # 7
REQUEST FOR APPROVAL TO PROVIDE DIRECT SERVICES
Older Americans Act, Section 307(a)(8)
CCR Article 3, Section 7320(c), W& I Code Section 9533(f)
If not requesting approval to provide any direct services in Appendix IB, check this box❑.
Identify Service Category: a Boyle is a faGilitateF of#anspaFtatic)
. UPDATE: This consultant position has been
eliminated. Paul Branson, Transportation Services Manager will now provide program
development services for Transportation relating to serving seniors for the AAA at 33% out
of Title IIIB Supportive Services/Direct Service funds. Contractor, Kitty Barnes will provide
coordination services using Title 11113Supportive Services/Direct Service funds.
Check applicable funding source:
®III B ❑lll C-1 ❑III C-2 ❑III E_ ❑VII a and supplemented by County,Funding.
❑ CBSP (Identify the specific CBSP program or
service on the "Service Category" line above)
❑ HICAP
Basis of Request for Waiver:
j� Necessary to Assure an Adequate Supply of Service, OR
❑ More economical if provided by the AAA than comparable services purchased from a
service provider.
Check each applicable Fiscal Year(s)
❑FY 2005-06 ❑FY 2006-07 ❑FY 2007-08 ®FY 2008-09
Justification: In the space below and/or through additional documentation, AAAs must
provide a cost-benefit analysis that substantiates any requests for direct delivery of
the above stated service.
Contra Costa County has been striving to change contractor status to employee status, as
the individual is providing employee like services to the population we serve. See above for
update.
71 2008-2009 Area Plan Update.
APPENDIX II - PSA # 7
Check each applicable planning cycle:
❑FY 2005-06 ❑FY 2006-07 ❑FY 2007-08 ®FY 2008-09
PUBLIC HEARINGS
Conducted for the 2005-2009 Planning Period
CCR Article 3, Section 7302(a)(1.0) and Section 7308
Date Location Number . Area Plan Hearing Heid
Attending . presented with at Long-Term
Translator:' Care Facility:Z
Yes/No Yes/No
3-19-08 2424 Bisso Lane, Concord, CA 52 No No
All of the items below must be discussed at each planning cycle's Public Hearings
1. Discuss outreach efforts used in seeking input into the Area Plan from institutionalized, homebound, and/or
disabled older individuals.
- Notices in newspapers
- Outreach to individuals and agencies in AAA's Aging Network, which includes representatives from
skilled nursing facilities and older adults who are homebound and/or disabled.
2. Proposed expenditures for Program Development(PD) and Coordination (C) must be discussed at a
public hearing. Did the AAA discuss PD and C activities at a public hearing?
® Yes ❑ Not Applicable (check only if PD and C funding is not being used)
❑ No
If No, Explain:
3. Summarize the comments received concerning proposed expenditures for PD and C, if applicable.
?g fnr the Cr a pd4 i Wsi eFs Drnnram
A member of the public expressed concerns about State budget cuts to the Adult Day Health Care
program and appealed to the Advisory Council to advocate on the program's behalf. Comments were
made in support of AAA's efforts to develop both a fall prevention program and services to address the
needs of lesbian, gay, bisexual and transgender older persons.
4. Were all interested parties in the PSA notified of the public hearing and provided the opportunity to testify
regarding setting of minimum percentages of Title III B program funds to meet the adequate proportion
funding for Priority Services? (See Appendix V)
®Yes
❑No
1
7 A Translator is not required unless the AAA determines that a significant number of attendees require translation services.
is AARs are encouraged to include individuals in LTC facilities in the planning process, but hearings are not required to be held in
facilities.
. 72 2008-2009 Area Plan Update
If No, Explain:
5. Summarize the comments received concerning minimum percentages of Title III B funds to meet the
adequate proportion funding for priority services. (See Appendix V)
There were no comments from the public regarding this matter.
6. Summarize other major issues discussed or raised at the public hearings.
A.(G Rqajg r-issues were
F
AAA staff and prGgFams.
Major issues raised concerned continuing and/or expanding the Senior Mobility Project, Friendly Visitors
Program, and health promotion/chronic illness prevention activities.
List major changes in the Area Plan resulting from input by attendees at the hearings.
Input from attendees at the public hearing will be reviewed and analyzed by the Planning committee of
the Advisory Council, the Advisory Council, and staff for further recommendations. Any major changes
will be forthcoming through an amendment to the Area Plan.
73 2008-2009 Area Plan Update
APPENDIX III - PSA #7 .
Check each applicable planning cycle:
❑FY 2005-06 7FY 2006-07 7FY 2007-08 ❑FY 2008-09
GOVERNING BOARD
CCR Article 3, Section 7302(a)(11)
Number of Members on the Board: 5
Names/Titles of officers: Contra Costa County Board of Supervisors
Term in Office Expires:
Supervisor Federal D. Glover, District # 5, Chair .1/5/09
Supervisor John M. Gioia, District # 1 1/3/11
Supervisor Gayle B. Uilkema, District # 2 1/5/09
Supervisor Mary N. Piepho, District #3 1/5/09
Supervisor Susan A. Bonilla, District #4 " 1/3/11 .
Names/Titles of All Members: Term on Board Expires:
74 2008-2009 Area Plan Update
APPENDIX IV - PSA # 7
Check each applicable planning cycle:
72005-06 7FY 2006-07 7FY 2007-08 ®FY 2008-09
ADVISORY COUNCIL
45 Code of Federal Regulations (CFR), Section 1321.57
CCR Article 3, Section 7302 (a) (12)
Total Council Membership (including vacancies) 40
Number of Council Members 60+ 28
% of PSA's % on
60+Population Advisory Council
Race/Ethnic Composition
White 71% 68%
Hispanic 7% 6%
Black 7% 14%
Asian/Pacific Islander 9% 9%
Native American/Alaskan Native .003% 3%
Other
Attach a copy of the current advisory council membership roster that includes:
■ Names/Titles of officers and date term expires:
President— Gerald Richards, term expires 12/31/08
15t Vice President- Sam Yoshioka, term expires 12/31/08
2nd Vice President— Mim Carlson, term expires 12/31/08
Secretary—Kathryn Williams, term expires 12131/08
Treasurer—Bertha Stobb, term expires 12/31/08
■ Names/Titles of other Advisory Council members and date term expires
See Attached Roster
Indicate which member(s) represent each of the"Other Representation" categories listed below.
We don't have designated slots specifically for those categories listed below, but we strive to have a very
broad representation and so seek individuals to reflect geographic, income, race/ethnicity, disability, services
sector, veterans, LGBT community, etc. See attached roster for members that fit the classifications listed
below even though they aren't officially designated as such. (For some of these categories, more than one of
our members fit.)
Our official designations for the Advisory Council on Aging are as follows: 19 local commissions on aging or
cities, 19 members-at-large, and two designated seats (RSVP and the Nutrition Council). A majority of
members must be over the age of 60 and all must live in Contra Costa County.
Yes No
Low Income Representative ® ❑
Disabled Representative ® ❑
Supportive Services Provider Representative ® ❑
Health Care Provider Representative Z ❑
Local Elected Officials ® ❑
75 2008-2009 Area Plan Update
Individuals with Leadership Experience in the Private and Voluntary Sectors ❑
Briefly describe the process designated by the local governing board to appoint Advisory Council
members.
All final zppointments are;.made.by=board order..of the.Board of Supervisors. Members-at-Large are-selected
by:the Membership Committee of the Advisory'Council.Designated Seats and,Local Committee Seats are,
selected by the designated agencies and�by-the cities,'respectively.
76 2008-2009 Area Plan Update
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APPENDIX XI-PSA#7
Check each applicable planning cycle:
❑FY 2005-06 ❑FY 2006-07 ❑FY 2007-08 ®FY 2008-09
Disaster Preparation Planning
Conducted for the 2005-2009 Planning Period
OAA Title 111, Sec. 310, CCR Article 2, Section 7529(a) (4) and Section 7547
Effective 2007-08 this information is required to be submitted in the format below and
updated annually.
Please provide narrative answers to the following questions. The text boxes following
the questions have been formatted to type your answers.
1. Describe the AAA's disaster plan. The plan shall ensure the provision of critical services
that will meet the emergency needs of consumers the AAA is charged to serve during
medical or natural disaster, such as earthquakes or floods.
The purpose of this plan is to protect the health and safety of employees and persons who visit our
offices and to provide continuation of essential operations during and immediately following and
emergency.An emergency is any unplanned event that can cause deaths or significant injuries to
employees or the public or that can shut down or disrupt our operations.Examples of emergencies
include technological breakdowns caused by loss of power or computer malfunction, fire,earthquake,
flood,explosions,hazardous materials incidents and civil disturbances,In the event of a major
emergency,the Department's responsibilities are two-fold:
1. Work with the American Red Cross to coordinate care and shelter activities at the activated
Emergency Operating Center.
2. Restore internal operations as quickly as possible in order to provide essential services,as
defined by each bureau,to our various vulnerable populations.
2. Describe how AAA would coordinate its disaster response with the local Office of
Emergency Services.
The Emergency Operating Center(EOC)is located at the Office of Emergency Services on Glacier
Dr. in Martinez. When the EOC is activated in becomes the command center for managing the
county's response to an emergency. The County Administrator's Bulletin 115.7 outlines each
department's responsibility for various response activities. This includes the coordination with state
and federal efforts as well as local and volunteer efforts.The Director of the Employment and Human
Services Department is designated as the Care and Shelter Services Chief, working with the local
American Red Cross,to coordinate the opening and operating of emergency shelters and evacuation
centers.
Essential Services-The Department serves a number of client populations, some with special needs,
particularly during and emergent situation. This plan identifies the vulnerable populations and
outlines the essential services each will need. This plan uses the Standardized Emergency
Management System (SEMS)as,a model for providing these services. SEMS is an organizational
system designated by the California Office of Emergency Services(OES)to assist all departments
coordinate their responses to emergencies in an effective, consistent and efficient manner. This model
addresses certain aspects of managing an emergency such as Operations,Planning or Logistics. Staff
whose job expertise will enable them to provide the necessary services will carry out these functions.
81 2008-2009 Area Plan Update
3. Identify the local Office of Emergency Services contact person your AAA would coordinate
with in the event of a disaster.
name: Michael Marchiano
telephone number: 925-646-4461
e-mail address: mmarc@so.cccounty.us
address: 50 Glacier Dr. Martinez, CA 94553
4. Identify your:
AAA Disaster Response Coordinator
name: Scott Danielson
telephone number: 925-335-8737
e-mail address: sdanielson@ehsd.cccounty.us
address: 2530 Arnold Dr. Suite 300 Martinez, CA 94553
AAA Back-up Disaster.Response.Coordinator
name: Mickey Sherman
telephone number: 925-335-8711
e-mail address: msherman1 @ehsd.cccounty.us
address: 2530 Arnold Dr. Suite 300 Martinez, CA 94553
5. Has your Information and Assistance staff been provided written emergency procedures
on how to provide services during and after a disaster?
®Yes
❑No
If No, Explain:
6. Describe your emergency and disaster training curriculum and the frequency this training
is provided to AAA staff that work directly with older individuals.
AAA will work with each of its contractors to assess/designAmplement an Emergency Services Plan that
will ensure the continuation of the provision of critical-services that will meet the emergency needs of its
staff and clients'during a disaster.
AAA will conduct an evaluation of each of its contractors Emergency Preparedness Plans.AAA staff will
provide technical assistance to those contractors that need to'implement or update their respective
preparedness plans. AAA staff will coordinate its responsibilities with the Contra Costa County
Employment and Human.-Services Dept.Emergency Preparedness staff and the Contra Costa County
Office of Emergency Services.
AAA staff will conduct emergency preparedness informational presentations at the county senior centers
and distribute 1000 emergency preparedness kits to seniors in the community.
82 2008-2009 Area Plan Update
APPENDIX VIII - PSA#7
Notice of Intent for Non-Provision of FCSP Multifaceted Systems of
Support Services
Older Americans Act Section 373 (a and b)
Based on PSA review of current support needs and services for family caregivers and
grandparents (or other older relative of a child), does the AAA intend to use Title III E
and/or matching FCSP funds to provide each of the following federal Title III E services for
both family caregivers and grandparents?
Check NYES or ONO for each of the services identified below.
FAMILY CAREGIVER SUPPORT.PROGRAM for FY 2008-09
Family Caregiver Information Services L]YES ❑NO
Family Caregiver Access Assistance YES ❑NO
Family Caregiver Support Services 2]YES ❑NO
.Family Caregiver Respite Care 17YES ❑NO
Family Caregiver Supplemental Services YES ❑NO
and
Grandparent Information Services 17YES ❑NO
Grandparent Access Assistance L]YES ❑NO
Grandparent Support Services 17YES ❑NO
Grandparent Respite Care NYES ❑NO
Grandparent Supplemental Services EYES ❑NO'
NOTE: Refer to PM 08-03 for definitions for the above Title III E categories.
Justification: For each above service category that is checked "no", explain
how it is being addressed within the PSA:
83 2008-2009 Area Plan Update