How To Help The Elderly

Transcription

1 RESPITE Ellen M. Nau, M.A., Human Services Program Coordinator Virginia Department for the Aging

2 RESPITE Respite is a concept. It can mean temporary services provided to aged, infirm or disabled adults that allow their caregivers to take a break from caregiving. Jefferson Board on Aging Adult Day Health Care Center

3 VIRGINIA RESPITE CARE INITIATIVE PROGRAM Established by the 1988 General Assembly to provide respite for elderly (60 and older), and persons with Alzheimer s disease or related illnesses Clients must have a twenty-four hour caregiver Respite care limited to 35 hours per month per client Jefferson Board on Aging Adult Day Health Care Client

4 VIRGINIA RESPITE CARE INITIATIVE PROGRAM (CONT.) FY 2009: 83,063 hours of respite provided by this program 309 clients received adult day care, personal care, homemaker, companion care and hospice services Program participants included 11 Area Agencies on Aging and 3 non-profits Participants must furnish matching funds and cost sharing is permitted using the Virginia Department of Health sliding fee scale

5 RESPITE ADULT DAY CARE IN-HOME RESPITE INSTITUTIONAL RESPITE CARE

6 ADULT DAY CARE Social day care (providing social activities, meals, recreation, and limited health-related services). Adult health day care (offering more intensive health, therapeutic, and social services for individuals with severe medical problems). Adult day care is useful for caregivers who cannot stay home all day to provide care, supervision, and companionship. Adult Care Center of Central Virginia

7 PERSONAL CARE SERVICES In-home respite care combines health care and support services to help people with disabilities continue living at home as well as possible. Two types of home care are available: Home health care services provide medical care such as medication assistance, nursing services, and physical therapy. Non-medical home care services include personal care, companionship, housekeeping, cooking, and other household activities. Appalachian Agency for Senior Citizens Crater District Area Agency on Aging

8 INSTITUTIONAL RESPITE CARE Institutional respite care in nursing homes, assistive living centers, and occasionally hospitals, provide respite care for individuals with disabilities who need to be away from home overnight or for several days. They can handle people in need of more care.

9 THE NATIONAL FAMILY CAREGIVER SUPPORT PROGRAM (NFCSP) A multifaceted support system that helps families sustain their efforts to care for an older individual or child Area Agencies on Aging are encouraged to develop new models of caregiver support that enhance the role of the family caregiver There must be both a caregiver and a care recipient to qualify for Title III-E services

10 NFCSP ELIGIBLE POPULATION Caregiver is an adult family member, or another individual who is an informal provider of in-home and community care to: An individual who is 60 years of age or older; and for persons receiving Respite or Supplemental Service, meets the definition of frail as found in Section 102 (26) of the Older Americans Act A child not more than 18 years of age being cared for by a grandparent or older individual who is a relative caregiver 55 years of age or older

11 SERVICE DELIVERY ELEMENTS FIVE BROAD CATEGORIES Information to caregivers about available services Assistance to caregivers in gaining access to the services: Information and Referral/Assistance Care Coordination Transportation Assisted transportation

12 SERVICE DELIVERY ELEMENTS FIVE BROAD CATEGORIES (cont.) Individual Counseling, organization of support groups, and training to caregivers to assist them in making decisions and solving problems related to their caregiving roles

13 SERVICE DELIVERY ELEMENTS FIVE BROAD CATEGORIES (cont.) Respite care to enable caregivers to be temporarily relieved of their caregiving responsibilities Adult Day Care Homemaker Personal Care Institutional Respite Direct Payments Other

14 SERVICE DELIVERY ELEMENTS FIVE BROAD CATEGORIES (cont.) Supplemental services, on a limited basis, to complement the care provided by caregivers Chore Congregate Meals Home Delivered Meals Direct Payments Other supplemental services

15 VIRGINIA CAREGIVER COALITION Volunteer coalition that meets bi-monthly at VDA Formed after coalition training session sponsored by AARP Discussion centers on a variety of issues of concern to caregivers and how to resolve these issues Produced new revised Taking Care A Resource Guide for Caregivers

16 VIRGINIA CAREGIVER COALITION 90+ members from state, local, AAA, public and private organizations Recognized in 2007, 2008, 2009 by the National Alliance for Caregiving (NAC) Facilitator presented on the Coalition at the NCOA/ASA National Conference in March, 2009

17 KINSHIP CARE INITIATIVE STATEWIDE TASK FORCE AND INFORMATION NETWORK Volunteer coalition that meets quarterly Focus on issues of interest to relatives serving as parents Founded on seed money from the Brookdale Foundation although money is exhausted, the task force still receives technical support from Brookdale Partnership with Kinship Care Workgroup at the Virginia Department of Social Services

18 VIRGINIA S ALZHEIMER S DISEASE AND RELATED DISORDERS COMMISSION Advisory Committee to the Governor and Secretary of Health and Human Resources to assist people with Alzheimer s disease or related disorders, as well as their caregivers Nonlegislative citizen members appointed by the Governor, Speaker of the House of Delegates and the Senate Committee on Privileges and Elections 2007, 2008, 2009 Reports of this Commission advocate for more respite for caregivers

19 ELECTRONIC PROGRAMS TO AID CAREGIVERS Developing the PeerPlace Program for easy transference of client information Virginia Easy Access - information for caregivers that has a portal to more information at SeniorNavigator.com

20 At the Virginia Department for the Aging, we want all our seniors to age gracefully and comfortably as they ride into their sunset years!

21 CONTACT/PROGRAM INFO Ellen M. Nau, M.A., Human Services Program Coordinator National Family Caregiver Support Program In-Home Services Adult Day Care Virginia Respite Care Grant Virginia Respite Care Initiative Care Coordination for Elderly Virginians Kinship Care Money Follows the Person Grant Elderly Refugee Program Virginia Department for the Aging