Services for Seniors - Jane Erickson
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Jane Erickson of the Iowa Department of Aging discusses providing services for seniors in rural communities. Presentation from the Housing Assistance Councils symposium "Housing Seniors & Veterans in Rural America: Preservation, Development and Services" in Council Bluffs, IA on August 28-29, 2013
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Services for Seniors - Jane Erickson
- 2. • Enacted in 1965 • Purpose: – To address community service needs for older adults. – Current emphasis on helping older adults maintain independence in homes & avoid institutionalization. • Needs reauthorization. 2
- 3. • Most programs for ages 60+ • Target populations – Rural, economic need, social need, limited English proficiency, severe disabilities, Alzheimer’s & related neurological and A-3 brain dysfunction, at- risk for institutional placement • No means testing for services 3
- 4. • http://aoa.gov/AoARoot/AoA_Programs/OAA/ index.aspx • Title I – Declaration of Objectives; Definitions • Title II – Designates Administration on Aging 4
- 5. • Title III – Grants for State and Community Programs on Aging – IIIA: State Administration on Aging – IIIB: Social Services and Discretionary Programs – IIIC1: Congregate Nutrition Services – IIIC2: Home-Delivered Nutrition Services – IIID: Disease Prevention and Health Promotion – IIIE: Caregiver Support 5
- 6. • Title IV – Activities for Health, Independence and Longevity • Title V – Community Services – Employment for Older Americans (administered by DOL) – Training program for ages 55+; 125% of FPL • Title VI – Grants for Native Americans • Title VII – Vulnerable Elder Rights Protection Activities – Long Term Care Ombudsman – Prevention of Elder Abuse, Neglect and Exploitation – Elder Rights and Legal Assistance 6
- 8. 8 US Department of Health & Human Services (HHS) Administration for Community Living (ACL) Administration on Aging (AOA) State Units on Aging (SUA) Area Agencies on Aging (AAA) Service Providers
- 9. 9
- 11. • Outreach • Information and Assistance • Nutrition (Congregate & HD meals) • Case Management Program for Frail Elders (CMPFE) • Iowa Family Caregiver Program – Respite – Grandparent support • Legal services • Advocacy efforts in mental health, transportation, housing 11
- 12. • Iowa’s Aging and Disability Resource Center – Virtual ADRC www.LifeLongLinks.org is available worldwide – Local ADRC’s and Options Counseling currently available in 17 of 99 counties 12
- 13. • Resolves complaints made by or on behalf of residents of long-term care facilities • Educates consumers and long-term care providers about residents’ rights and good care practices • Provides information to the public on nursing home and other long-term care facilities and services, residents’ rights and legislative & policy issues • Advocates for residents rights and quality care in nursing homes, residential care facilities and assisted living programs. 13
- 14. • U.S. Administration for Community Living www.acl.gov • U.S. Administration on Aging www.aoa.gov • Eldercare Locator www.eldercare.gov • National Association of States United for Aging and Disabilities www.nasuad.org 14
- 15. • National Association of Area Agencies on Aging www.n4a.org or www.iowafamilycaregiver.org • Iowa Association of Area Agencies on Aging www.i4a.org • Iowa Department on Aging www.iowaaging.gov 15
- 16. Jane Erickson, MPA Director of Monitoring and Compliance Jessie Parker Building 510 E. 12th Street, Ste. 2 | Des Moines, IA 50010 515-725-2112 Jane.erickson@iowa.gov
Notas do Editor
- Enacted in 1965.Provides framework for services to older adults nationwide. Authorization for the Act’s programs expired in FY11. Last reauthorization was FY06. Congress has continued appropriating funds but has not come to agreement on reauthorization.
- Participants are given the opportunity to make voluntary contributions, & there are provisions to allow cost sharing for some services, but individuals cannot be denied service for an inability to pay.
- Include series of formula based and discretionary grants.
- Title III funds support the services of 56 state agencies, over 620 AAA’s, 246 Indian tribal & Native Hawaiian orgs. Title III accounts for over 70% of OAA funds (in FY12).Formula allottments to states based on population 60+; (caregiver funds based on population 70+); States develop formula for allocating funds to the AAA’s. IIIA – performance standards for states and AAA’s: state and area plans, coordination of services, providing continuum of care, etc. IIIB – support services and senior centers programs; health education, training, IIIC – meals supply 33% of RDAIIID – preventative activities (health screenings, counseling and education, exercise programs…fall prevention, depression screenings, etc.)
- Title IV – Funds for training, research and demonstration projects in the field of aging. Used to fund more experimental programs and was source of creativity. A little less flexible now. Title V – Training to work program; Goal is to “to foster individual economic self-sufficiency and promote useful opportunities in community service activities…for unemployed low-income persons who are age 55 or older…”55+, 125% FPL, unemployed, have a training needTitle VI – AoA funds over 250 tribal organizations for supportive services and nutrition programs. Title VII – LTCO is only OAA program focused solely on needs of those in institutions; LTCO investigates and resolves complaints at nursing & care facilities. EA – states are required to carry out activities to make public aware of ways to identify & prevent abuse, neglect and exploitation.
- Used to be fairly easily reauthorized every five years, but that changed after about 2000. Now the challenge is how to position the act for the baby boom population. 1946-1964 Baby Boomers born2011 First Baby Boomers turn 652031 First Baby Boomers turn 85Also in this time period SSI enacted (1972); Medicaid HCSB waiver program (1981); ADA (1990); Olmstead Decision (1999); Medicare Prescription Drug Program Enacted (2003); ACA (2010)ADRC’s…
- Goal of Aging Services Network is to develop comprehensive and community based Long Term Services and Supports that is responsive to the needs and preferences of older adults and caregivers. To meet people where they are. To provide individualized services. To make sure nursing homes aren’t overused. Access point for all LTSS information.
- AAA’s in Iowa are all non-profits with the exception of Heritage which is a multi-service agency that’s part of a Community College.Nationwide about 42% are non-profits, 30% are part of city of county governments, 23% are part of Councils of Govt or Regional Planning and Development agencies.
- Ways that Iowa AAA’s attempt to overcome rural barriers…technology, outreach…
- The Iowa office of the LTCO includes numerous (10?) regional ombudsmen. Only OAA service that is solely directed at those in institutions.
- AAA’s and SUA go by different names. Not all AAA’s call themselves that. Some SUA are part of umbrella organization or include services for the disabled (reflected in their name). Eldercare Locator is a useful tool for identifying what agencies serve your region. Also NASUAD has a list of SUA. Reach out to local AAA’s – see what they may have available in your region; if not available let them know your needs; they have relationships with legislators in their area, and they communicate their needs to the state unit on aging. SUA do take these things into account when developing policy recommendations. There are opportunities (like the current reauthorization) for SUA to influence legislation…