10 Government Resources Every Caregiver Should Know About - egauteng.info
Senior Community Services Employment Program In addition to meeting Medi- Cal program and waiver requirements, CBAS providers must. A Home Care Package is a coordinated package of services tailored to meet a person's specific care needs. The package is coordinated by an approved home . Program Director in the Division of Care of the Elderly and Assistant Professor and research roles to meet the health care needs of medically complex seniors.
Administration on Aging AoA The AoA administers many national programs and services for elders, including health insurance counseling, legal assistance, protection from elder abuse and help with long-term care.
Community-Based Supports and Services for Older Adults: A Primer for Clinicians
AAAs are staffed by professionals who are knowledgeable about resources for seniors and caregivers. They can walk you through the specific qualifications and even help prepare the necessary applications and gather supporting documentation. Department of Veterans Affairs. The VA offers health care services, pensions, disability compensation, burial benefits, and other services to eligible vets and their qualifying family members.
Unless your loved one signs a HIPAA release form granting you permission to discuss their condition with physicians, you will be unable to access any information about their health.
The ADA prohibits discrimination against disabled individuals in all aspects of public life, such as employment, state and government programs, transportation, public accomodations, telecommunications, and commercial facilities. The Department of Health and Human Services has created the ADA National Networka resource that provides information, briefings and free publications on the regulations granting universal access to the disabled. As a caregiver, it is important to be aware of what your loved one is taking and why, as well as the side effects and interactions these drugs can have.
Consumers can use this database to search for information on medications, including active ingredients, uses, dosing recommendations, special precautions, side effects and interactions. MedlinePlus also features a database of this detailed information for herbal remedies and dietary supplements.
Senators Every senator has a staff specialist on elder affairs, programs and services, who can both advise and advocate for benefits or services for you and your loved one. Your Congressional Representatives Most congressmen and congresswomen in the House of Representatives also have staff specialists on elder affairs, programs and services and can provide both information and advocacy services.Polk Place: Elderly Services
House of Representatives website. Medicaid Medicaid is a joint federal and state program that provides health coverage to low-income Americans. Adults may qualify for Medicaid if they are disabled or age 65 or older.
Unlike Medicare, Medicaid covers various types of long-term care and home and community based care services. However, applicants must meet stringent financial requirements to be approved for Medicaid coverage. Examples of Services and Supports Provided by Community-Based Organizations Community-based organizations provide a broad range of programs for older adults and caregivers. Most health care providers are familiar with nutrition, homemaker, and transportation services as well as senior centers but many other services are available, including legal assistance and case management services for clients and counseling and respite services for caregivers.
Table 1 lists the primary CBSS available for use by older adults and their caregivers; although broad in scope, the amount of services any one individual receives is often quite limited and not a substitute for formal or family caregiving. Specific community-based supports and services.
The following section summarizes information about four commonly used community-based agencies that provide these services.
Senior Centers | Elderly Community & Activity Centers
Socialization occurs in the setting of congregate meals that are served in the community through senior centers, day health programs, and other venues. Nutritional service programs are directed toward those with significant impairments.
The effectiveness of nutrition support programs has been studied; data suggest that home delivered meals can reduce nursing home admissions [ 1516 ].
Although there is a general sense that senior centers improve physical and mental health, this is not well investigated. Many studies examining the effectiveness of senior centers have been cross-sectional or had methodological weaknesses [ 18 ]; a few controlled trials have examined specific interventions e. Over the past decade participation in senior centers has declined, especially for the younger, healthier segments of the older population [ 19 ], giving rise to a movement to create more flexible and responsive models that will attract a broader range of individuals and be able to meet a diversity of needs.
Pardasani and Thompson [ 20 ] have investigated and classified innovative models into six types, reflecting foci on greater age diversity, health promotion, and intellectual stimulation: There are three types: ADS use is growing. Three-fourths of these programs offer medication management for mental health disorders [ 23 ]. As with other CBSS, it is difficult to measure effectiveness in the absence of randomized controlled trials. Some studies have failed to demonstrate clearly positive outcomes [ 2425 ], but others suggest that these programs may enhance quality of life and reduce stress [ 2627 ].
Naturally Occurring Retirement Communities: The first NORC was created in at a housing development Penn South Houses in New York City to support a group of the elderly who had aged in place but required a support system to enable them to continue to live independently in the community [ 28 ]. The development partnered with a local social service agency United Jewish Appeal Federation of New York to establish the services necessary to convert what was an apartment complex into housing that could meet the needs of those in declining health.
NORCs are formal organizations, with paid staff and volunteers who provide services including socialization, care coordination, and transportation, in addition to expedited referrals to other community services such as home health, nutrition, or legal services [ 29 ]. A newer alternative, known as Villages, is membership-driven and privately funded, originating most often in areas of greater wealth [ 30 ].
Another option is independent senior housing programs that employ service coordinators who link residents to CBSS. OAA requires only that clients be 60 and over; locally funded programs may require means testing. Online, the Benefits Checkup https: The services themselves can be located via local or national sites.
Nationally, the AoA sponsors the Eldercare Locator, which is accessible via the web or phone. States or regions may have their own government information phone number or website offering assistance. Information about how to access CBSS is shown below. These centers are programs jointly managed by the Administration for Community Living and Centers for Medicare and Medicaid Services and in some cases, the Department of Veterans Affairs to expedite and simplify access to long-term care services and hence the motto: Counseling Patients and Caregivers Who Would Benefit from Community-Based Supports and Services CBSS are underutilized by older adults and caregivers for several reasons, including a lack of awareness, reluctance, unavailability, and unaffordability [ 34 ].
Journal of Geriatrics
Clinicians can address the first two of these barriers directly; social work services are occasionally necessary to help patients gain access to services that may substitute for those that are not local or require payment. Even when services and programs are available, older patients and caregivers sometimes refuse them.
They may lack experience in accessing services or have difficulty accepting that they need them [ 35 ]. They may resent subjecting themselves to unnecessary requirements or loss of control; they may feel judged or may feel services are not specific to their needs [ 36 ]. It may be useful to anticipate these attitudinal barriers and provide evidence for the usefulness of local programs. Many of these congregations have some sort of senior outreach, ranging from home visitations to more formalized programs.
Finally, visiting CBSS programs and meeting the staff can be invaluable for the clinician to provide personal experience and anecdote to go along with the generic advice. Local programs generally welcome the opportunity to have clinicians come in to do presentations on specific topics related to health; both the clinician and the CBSS can establish a mutually beneficial collaborative relationship.