Aging & Disability Resource Centers: Helping You Connect with Options for Embracing Life and Living Well Washington State 2013 Traumatic Brain Injury Conference May 24, 2013
Topics 2 What are Aging & Disability Resource Centers (ADRCs) and who do they serve? How can ADRCs help me and the person I am caring for embrace life and live well? How do I find an ADRC? What is the state s plan for statewide expansion? How can I participate in the ADRC planning for my community? How can I find out more? Q & A
Learning Objectives: Generally understand and describe ADRCs and their networks Understand ADRC network services and supports. Understand where ADRCs are located. Understand and describe how Washington State is expanding ADRCs statewide. 3 Have information on ways to participate in local planning efforts
Aging & Disability Resource Centers What are they? - Who do they Serve? 4
5 Everyone, regardless of age, impairment, or financial ability wants to live their lives as fully as possible.
Independent Living Philosophy All people regardless of disability have the capacity to: Make their own decisions Direct their own lives Live where they choose, and Access all the opportunities in their communities. 6
From the Consumer s Perspective Where to go who to talk to what will happen? Challenges. Repeating the same information over and over Bouncing around from agency to agency Confusion and frustration Inadequate information about all the options Multiple steps for eligibility What about what my goals and preferences? What happens if things don t go as expected?
Aging & Disability Resource Centers (ADRCs) A federal initiative of the Administration for Community Living, the Centers for Medicare and Medicaid Services, and the Veterans Health Administration Empowers consumers to successfully navigate and access public and/or private long-term and home or communitybased services and supports Serves individuals of all ages and all types of disabilities and their representatives, regardless of income; Creates formal partnerships across aging, disability, Medicaid, healthcare and other human service providers to appropriately assist consumers. 8
What are the Benefits of ADRC Networks? Often a small amount of information or support can help persons and caregivers understand and access needed services and supports that help them live in least restrictive and preferred settings By linking consumers with services and supports that match their individualized priorities and preferences, ADRC networks have the ability to assist individuals to remain at home or in their communities. By facilitating access to these services, ADRCs support individual self-empowerment and quality of life. 9
Washington State s ADRCs: Community Living Connections 10 Area Agencies on Aging (AAAs) are charged with planning and development of ADRCs Builds on the Area Agency on Aging (AAA) Senior Information & Assistance (I&A) infrastructure. Engages partners to build a coordinated network of highly visible and trusted access points to serve a wider population. No-Wrong-Door concept Builds on the I&A and partners expertise and reputations: Information & Referral/Assistance programs (I&R/A) Disability organizations Other human services partners. Statewide expansion in process.
A little background: Senior Information and Assistance Infrastructure An established and trusted source of local, regional, state, and national resources Funded through: U.S. Administration for Community Living (ACL) Washington State s Aging and Long-term Support Administration (ALTSA) 13 Local Area Agencies on Aging (AAAs) Network in existence over 30 years Located in local communities across the state: In close geographical proximity to populations who could benefit from their services. 11
A Little Background Senior Information and Assistance Serves: individuals 60 years and older and their representatives. Provides: 12 Information on available programs and benefits; Access Assistance and Advocacy All AAA funded services Services available through other community agencies Public benefit programs Follow-up as requested/needed
Washington s ADRCs: Community Living Connections Mission: ADRCs provide quality information and education about disability and aging supports and services, as well as assistance to access them. Vision: Individuals and families confronting challenges around disabilities and aging throughout Washington State can easily access relevant options for services and supports that maximize independence and quality of life in their home and community. Philosophy: We are better together; collaborative partnerships support high quality, responsive, and accountable service delivery. 13
Services: Person-Centered: Washington s ADRCs: Community Living Connections Information & Awareness Options Counseling Access Assistance Evidence-based Care Transitions Care Coordination Quality Assurance, Evaluation, and Continuous Quality 14 Improvement
Person-Centered Planning Approach (PCP) A process that is driven by the person with longterm support needs, and may also include a representative whom the person has freely chosen or is legally authorized. 15
Community Living Connections: Expanding ADRCs Statewide 16
Evolution from Senior I&A to ADRCs Thirteen contracted local AAA s provide: Senior I&A (9 AAAs) Community Living Connections (4 AAAs) Family Caregiver and Kinship Caregiver Support (serves caregivers of all ages caring for others of all ages) Medicaid case management and nursing services for in-home clients Other community services 17
18 AAA Planning & Service Areas
AAA Planning & Service Areas 1. Olympic Area Agency on Aging: Clallam, Grays Harbor, Jefferson, Pacific 2. Northwest Regional Council: Island, San Juan, Skagit, Whatcom 3. Snohomish County Long Term Care and Aging Division 4. Aging & Disability Services of Seattle/King County 5. Pierce County Aging & Disability Resources 6. Lewis/Mason/Thurston Area Agency on Aging 7. Southwest Washington Agency on Aging & Disabilities: Clark, Cowlitz, Klickitat, Skamania, Wahkiakum 8. Aging & Adult Care of Central Washington: Adams, Chelan, Douglas, Grant, Lincoln, Okanogan 9. Southeast Washington Aging & Long Term Care: Asotin, Benton, Columbia, Franklin, Garfield, Kittitas, Yakima, Walla Walla 10.Yakama Nation Area Agency on Aging 11.Aging & Long Term Care of Eastern Washington: Ferry, Pend Oreille, Spokane, Stevens, Whitman 12.Colville 19 Indian Area Agency on Aging 13.Kitsap County Division of Aging & Long Term Care
20 Community Living Connections
21 Expansion Plan Community Living Connections Infrastructure Development & Expansion State and Local Partnerships Public Planning State Advisory Committee Local Advisory Committees Stakeholders and Constituents Program Standards Technical Assistance Tools (Partnerships, Marketing, Care Transitions) Statewide Community Living Connections Information System: Self-service Portal and Resource Directory Quality Assurance and Quality Improvement Processes (e.g. secret shopper)
Expansion Plan Community Living Connections Professional Development Training Mentoring Technical Assistance Marketing Fiscal Sustainability Statewide Expansion by Fall, 2015 22
State Partners (include, but not limited to) Community Living Connections Association of Centers for Independence in Washington (ACIL- WA) Developmental Disabilities Council Developmental Disabilities Administration Healthcare Authority Washington Association of Area Agencies on Aging Disability Rights of Washington Washington PAVE TBI Resource Center Washington State Hospital Association Qualis Health Washington State LTC Ombudsman 23 Statewide Health Insurance Benefits Advisors (SHIBA) Disease Specific Associations Housing Associations Northwest Justice Washington State Department of Veterans Affairs VA Puget Sound Healthcare System WIN 2-1-1 211info Home & Community Services Regional offices Lifespan Respite Washington Behavioral Health & Recovery Division Association of Geriatric Care Managers Washington State Guardianship Program
Q: How do you find Area Agencies on Aging? A: County click map available Go to http://www.altsa.dshs.wa.gov Look under Adult/Senior Services & Information Click on Find Local Services Click on the county you are interested in to display a list of AAA offices for that county (also other supports) 24 http://www.altsa.dshs.wa.gov/resources/clickmap.htm
Community Living Connections Related Services: Unpaid Caregivers family and friends Other supportive services 25
Family Caregivers in Washington In 2009, 850,000 unpaid family members provided care for adults in Washington The value of this state s informal care annually $10.6 billion dollars 26 AARP Public Policy Institute
Area Agency on Aging Family Caregiver Support Program Provides services to unpaid caregivers of adults who need care. Assists caregivers with locating resources and services within the community. Services are free or shared cost, depending on the care receiver s income. 27
Family Caregiver Support Program TCARE: Tailored Caregiver Assessment & Referral Caregiver-centered: Screening Assessment Algorithm Consultation 28
Washington State s Family Caregiver Support Program 29 Services include: Specialized Caregiver Information (services/how to access) Screening/Needs Assessment Consultation and Care Planning Counseling Respite Care (formal and informal) Training/Education (self-care, coping and caregiving skills) Support Groups Supplies/Equipment Physical and Mental Health/Wellness Programs Referrals
Kinship Caregiver Support Program Provides short-term financial assistance to meet emergent needs to kinship care families 30 Eligibility Grandparent or other relative (age 18 +) who is responsible for raising a child whose parent(s) are unable to do so; Is at risk of not being able to continue caring for the child unless assistance is given; The child is being raised without the help of the child welfare system (Foster Care).
DSHS Kinship Care Website http://www.dshs.wa.gov/kinshipcare Provides a one-stop site for information on: Resources (Kinship Navigators, support groups, legal information and services, child development etc.) Services (online applications) Publications (booklets, brochures) Announcements (trainings, awards) Media and legislation 31
Additional Aging Network Services Nutrition Chronic Disease Self- Management Program Foot Care Health Promotion/ Disease Prevention Adult Day Care/Adult Day Health Depression Screening Health Appliances Oral Screening 32 Transportation Case Management Personal Care Nutrition Education Legal Assistance Minor Home Repair Senior Community Service Employment Program (55 yrs.)
Pierce County Aging & Disability Resources Older adults often have disabilities. Individuals with disabilities get older. A Local ADRC Example
Pierce County Aging & Disability Resources Audience 790,500 Pierce County Population 114,269 60+ 162,052 Non-Institutionalized/Disabled 27,913 Seniors with N/I Disability 24% Caregiving Households People Planning for Long Term Needs Relatives, Friends, Neighbors Professionals, Providers
Pierce County Aging & Disability Resources Walk-In 1305 Tacoma Ave. South Tacoma Call-In (253) 798-4600 (800) 562-0332 (253) 798-2837 - TTY Log-In www.pierceadrc.org ADRC@co.pierce.wa.us
Pierce County Aging & Disability Resources Mission The Pierce County ADRC assists older adults, people with disabilities and the wider community to consider options for immediate and long-term personal care and to obtain needed services. Vision The ADRC will be recognized as a visible, convenient and welcoming entry point where people can get comprehensive information on resources and receive appropriate assistance provided by knowledgeable staff supported by strong community partnerships.
Pierce County Aging & Disability Resources TBI Developmental Disabilities Functional Disabilities Aging Providers ADRC Healthcare State Agencies Public Social Services Home & Community Services
Information & Referral Pierce County Aging & Disability Resources CSO APS Local Agencies ADRC Pierce County Programs Colleges Local Charities ALTSA Local Partners Faith Organizations
Pierce County Aging & Disability Resources Partners Alzheimer s Association Catholic Community Services Center for Independence CenterForce HopeSparks Community Healthcare Pierce Transit Dept. of Services for the Blind Division of Vocational Rehabilitation Hearing, Speech, and Deafness Center Homecare Referral Registry TACID AMVETS NW Furniture Bank Washington PAVE United Way South Sound Outreach Tacoma Power Mustard Seed NW Justice Community Connections Local Governments MultiCare Health Franciscan Health Dept. of Corrections VADIS Habitat for Humanity Rebuilding Together Shared Housing Services Over Eighty Five Partners in All
Pierce County Aging & Disability Resources Visible Infrastructure Partnerships Understanding Trust ADRC Easy Coordinate Responsive Communicate Integrated
Pierce County Aging & Disability Resources What occurs when someone calls the ADRC? What programs and services does the ADRC provide? Let s look at some scenarios. How does the public get involved with the ADRC?
Pierce County Aging & Disability Resources How to contact the local ADRC (253) 798-4600 Local (800) 562-0332 Toll Free (253) 798-2837 TTY ADRC@co.pierce.wa.us www.pierceadrc.org
Contacts: Susan Shepherd, ADRC Program Manager DSHS-Aging & Long-Term Support Administration Susan.Shepherd@dshs.wa.gov 360.725.2418 http://www.adsa.dshs.wa.gov/professional/adrc 43 Paul Calta, Case Manager Supervisor Aging & Disability Resources Pierce County Community Connections pcalta@co.pierce.wa.us 253.798.4376
44 Comments??? Questions????