AREA PLAN ON AGING PROGRAM MODULEcdn.trustedpartner.com/docs/library/AreaAgningOn... ·...

Revised March 1, 2013

AREA PLAN ON AGING

PROGRAM MODULE

PSA: 9

For the Period

January 1, 2014 - December 31, 2015

JANUARY, 2014

Revised January 14, 2014

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Table of Contents

P. II. PROGRAM AND CONTRACT MODULE CERTIFICATION ......................................... 3

P.III (A) EXECUTIVE SUMMARY............................................................................................4

P.III (B) MISSION AND VISION STATEMENT .................................................................... 10

P.IV. NEEDS ASSESSMENT .............................................................................................. 11

P.IV (A) PROFILE ................................................................................................................ 32

P.IV (B) UNMET NEEDS/GAPS ........................................................................................ 115

P.V. TARGETING AND OUTREACH ................................................................................ 155

P.VI. GOALS AND OBJECTIVES ...................................................................................... 203

APPENDIX 2: DIRECT SERVICE WAIVER REQUESTS……………..……………….…….237

ATTACHMENT I: PUBLIC HEARING DOCUMENTATION…………….……………………264


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P. II. PROGRAM AND CONTRACT MODULE CERTIFICATION


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P.III (A) EXECUTIVE SUMMARY

The Area Agency on Aging of Palm Beach and Treasure Coast, Inc. is pleased to present

this EXECUTIVE SUMMARY for the 2013-2015 Area Plan on Aging for Planning and

Service Area 9 of Florida. Planning and Service Area 9 includes Palm Beach County,

Indian River County, Martin County, Okeechobee County and St. Lucie County. In close

partnership with the Department of Elder Affairs, the Area Agency on Aging of Palm

Beach/Treasure Coast dba Your Aging Resource Center administers Older Americans Act,

General Revenue, private grants and donations for service provision and access to

information, resources and assistance. The service network includes more than 15

contracted providers.

Your Aging Resource Center (the Center) is a private, non-profit organization that focuses

its attention on seniors, adults with disabilities and those who care for them. With more

than 553,000 individuals who are 60+ residing within the five counties, Your Aging

Resource Center is the largest Area Agency on Aging in the state of Florida in terms of its

older population. Established in 1988, the Area Agency on Aging was designated as an

“Area Agency on Aging” (AAA) by the Florida Department of Elder Affairs in accordance

with the Older Americans Act and as a fully implemented “Aging Resource Center” in

2008. As a “fully operational” Aging Resource Center, Your Aging Resource Center

committed itself to major systems and staffing changes to implement the Elder Helpline

service. Last year the Elder Helpline handled over 100,000 calls throughout the planning

and service area.

In 2012 the Department of Elder Affairs expanded the designation of Your Aging Resource

Center to an Aging and Disability Resource Center. This designation reflects the

expansion of information and referral services to adults with disabilities. In coordination

with this designation the Board of Directors revised the Center’s mission statement to:

Our MISSION

is to promote, support and advocate for the independence, dignity

and wellbeing of seniors, adults with disabilities, and those who care for them

in a manner that values diversity, reflects the communities we serve and

embraces the collaboration of the aging network.

Collaborative partnership sections of our SCOT analysis include organizations with a focus

on disability. Specific strategies and actions steps for this community are included in the

goals and objectives section of this area plan


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Whereas our focus for service delivery will continue to prioritize those in greatest

economic or social need, with particular attention to low income minority individuals, the

role of Your Aging Resource Center has expanded to include person-centered access to

information and resources to persons of all ages with respect to individual service needs

and/or related caregiver concerns. Along these lines, Your Aging Resource Center

recognizes the need for people of all ages to prepare for retirement and old age while

helping them understand the service infrastructures that are available to support people as

they age.

The four years that have passed since the completion of the last full cycle area plan of 2009

have shown remarkable changes. The 60+ population in our Planning and Service Area has

grown by more than 13,000 from 2009 to 2011. Population projections is this plan reflect

increases of more than 100% by 2030 for some population segments that we serve. As we

look at where we have come from, we assessed our success in addressing issues found in

the previous area plan. These accomplishments are listed below.

Weakness Turned into Strengths

Agency Promotion – To date minimal progress has been made in promoting the Aging

Resource Center throughout the community.

a. With the transformation to centers of excellence, staff has done well in completing

outreach for their own programs and educating the community regarding programs

of other centers of excellence. Each presentation/participation emphasizes Your

Aging Resource Center as a whole with its heart and soul being the Elder Helpline.

b. The Communications Center of Excellence participates in conferences, sits on

committees, presents at functions and presents all aspects of Your Aging Resource

Center.

c. Collaborations, such as with the Fearless Caregiver Conferences, the Alzheimer’s

Educational Conferences and the Future of Medicine Summits, provide a great

deal of exposure and offer staff opportunities to participate on panels and present.

d. The Elder Helpline has implemented regular presentations of “ Everything you ever

wanted to know about the Elder Helpline" as part of their outreach to professionals.

Fundraising / Charitable Giving / Donations – Few resources have been put into this area.

a. FUNdraising events for staff were implemented in 2010 resulting in 100% participation of staff in contributions to Your Aging Resource Center. Board of Director and Advisory Council meetings/events to encourage 100% participation are underway.

b. Organizational and strategic planning meetings have been conducted with Foundation members one-on-one, the Karp Law Firm, and Harris Private Bank.

c. A foundation board has been selected to serve as the fundraising arm of Your


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Aging Resource Center.

Customer Satisfaction -Though staff shares a common purpose in identifying as a part of

Your Aging Resource Center, there are still weaknesses in terms of duplication of work

and lack of integration which have a negative impact on customer satisfaction

a. The establishment of centers of excellence has resulted in increased communication through cross-center meetings and consideration of overall agency impact with new projects’ implementation.

b. Where applicable senior advocacy and the Elder Helpline staff share resolution of calls when a client’s issues cross both centers of excellence

c. SHINE and Elder Helpline have developed a process for proactively responding to Medicare open enrollment season so that customers are served quickly and effectively and assistance is recorded in all applicable databases.

d. Intake and Consumer Services Consultants review the availability of new funding and coordinate the enrolling of wait list clients

e. Emergency Readiness developed and implemented a plan for using volunteers for emergency readiness training. The plan helps the program to reach homebound seniors and meets the deliverables for both programs.

f. All Elder Helpline staff have completed the learning curve for the REFER database

g. The Elder Helpline’s acceptance of the role of processing SNAP applications has increased the food stamp participation rate among seniors.

Strengths Capitalized Upon

Computing Policy and Infrastructure for Business Continuity

a. New technology implemented during the past year includes: Storage Area Network

(SAN); Windows Server 2008; SQL Server 2008; and Gigabit Ethernet.

Opportunities Acted Upon

Locate a New Source of Revenue - Request donations from private and public sources for

services (i.e. Emergency Respite).

a. An application for 501c3 status is in process for Your Aging Resource Center

Foundation.

There are several housing and community development initiatives that already exist in

communities in our planning and Service Area

a. Your Aging Resource Center staff participate on the Palm Beach County Homeless

Coalition

There are transportation disadvantaged workgroups throughout the Planning and

Service Area


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a. Staff participate on the Palm Tran Service Board Paratransit Subcommittee, Palm

Beach County Local Coordinating Board, and Local Coordinating Boards for

Transportation Disadvantaged for Martin, Okeechobee, St. Lucie and Indian River

Counties.

There is the opportunity to collaborate with contracted agencies to share data with local

community officials regarding senior needs and values

a. CEO presented at the Advocacy Summit in Stuart

b. CEO presented at Partnership for Aging of Palm Beach County

c. CEO met with state representatives Pat Rooney and Mark Pafford regarding senior

issues

d. Director of Communications presented at public hearing advocating for seniors

regarding Medicaid Managed Care

e. Director of Communications presented at the COBWRA (Coalition of Boynton West

Residential Associations) meeting

f. Staff presented at Congressman Posey’s Senior Summit in Vero Beach

g. Director of Communications facilitated at the Human Services Coalition Advocacy

Priorities Workshop in West Palm Beach

h. CEO attended the Martin County Legislative Delegation Meeting

i. CEO attended the ACHA meeting in Tallahassee

j. CEO attended the N4A Conference in Washington, DC

Threats Overcome

Current Environment - The state has relaxed standards and enforcement of standards related

to proper background checks or checking qualifications of individuals who provide

services in homes to seniors.

State requirements for increasing background checks for those who work with seniors to a Level II background check are being implemented at Your Aging Resource Center and among our providers and volunteers helping to address the threat of both companies and individuals who exploit seniors and the growing amount of fraud among companies who provide services to seniors.

Action Steps Completed

Ensure services provided to consumers are meeting consumer needs

a. Re-negotiate contract with Communication Vendor for an additional 23 phone

lines to ensure consumers’ timely access to Aging Resource Center staff.


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b. Install 4 more voicemail channels to ensure consumers’ timely access to Aging

Resource Center staff.

c. Staff will conduct two public forums in 2011 to gather information from the

community regarding the needs of seniors and their caregivers

d. Aging Resource Center Management staff has improved awareness of providers to

include: (a) Elder Helpline staff meetings with providers to educate provider staff

(b) provide brochures and flyers for agency bulletin boards (c) provide outreach

and in service training to agencies as needed.

e. ARC has held informational meeting(s) for agency social workers and care

managers in the community for the purpose of education and collaboration.

Satisfaction surveys for the meetings were completed.

f. Customer satisfaction surveys of the Elder Helpline are being completed monthly

with volunteers from the Board and the community.

To Maximize Resources

a. Implement the use of video-conference equipment to improve attendance at Board

and Advisory Council meetings and to make the most efficient use of staff time.

Develop practices to Increase Board Participation and Provide for Board Development

a. Implement Video-Conferencing for Board meetings.

b. Include Board and Advisory Council members as participants in Senior Forums.

c. Through the Center of Excellence model allow Board and Advisory Council

Members to engage in Centers of Excellence.

d. Re-establish the Planning Committee.

Help communities better support people age 60 and older to age in place, function

independently, and live safely and affordably in their community.

a. Your Aging Resource Center is a part of the F4A/FCOA e-lert system for local and

statewide political influence on senior issues.

b. Your Aging Resource Center has its own internal e-lert database for sharing

information to help communities better support people age to and older.

c. Staff is engaged in all of the following opportunities for advocating for and

developing local, state, regional, and national policy that reflects the Agency’s

vision, mission and values and is responsive to current and emerging needs of

elders: Partnership for Aging, Palm Beach County Human Services Coalition,

Treasure Coast Advocates for Seniors, F4A, N4A, Medical Reserve Corps,

Citizens Corps, Caregiver Coalition, Palm Beach County Community Action

Committee, and various transportation committees.

d. Staff, Board and Advisory Council members have informed the public of the

waiting list problem by sharing the information at the venues listed above.

e. Data regarding the civic contributions of seniors in each of the counties in our PSA

in regards to political participation has been completed.


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Ensure elder consumers information needs for health insurance and pre-planning

for long-term care needs (including long-term care insurance) are provided

a. Establish a SHINE office in Indian River County.

b. Establish an MBOA office in Indian River County.

Ensure that Medicaid Waiver funds are appropriately managed to ensure as many

consumers are served as possible.

a. Operational drafts of policies and procedures for releasing names from the MW APCL are

in place.

Maintain effective and responsive management

a. Complete the fiscal quality improvement project for timesheets. b. Complete the fiscal quality improvement project regarding check requests.

One of the most significant and extensive changes over the last four years has been the

transition of the organizational structure of the Center from departments to Centers of

Excellence. This transition encourages cross-center communication. In conjunction with

this effort, there has been a move to “engage” Advisory Council and Board of Directors

members in Center of Excellence activities as volunteers. This provides first-hand learning

experiences regarding the activities of Your Aging Resource Center.

Even more remarkable changes are anticipated for the future. Among them are a transition

of our Medicaid Waiver long term care services to managed care, implementation of care

transitions programs, and the merging of long term care and health care programs in

concert with the development of the national Administration for Community Living (ACL).

This plan includes strategies and action steps to prepare for and address these changes.


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P.III (B) MISSION AND VISION STATEMENT

Our MISSION

is to promote, support and advocate for the independence, dignity

and wellbeing of seniors, adults with disabilities, and those who care for them

in a manner that values diversity, reflects the communities we serve and

embraces the collaboration of the aging network.


P.IV. NEEDS ASSESSMENT

SCOT ANALYSIS

Strengths/Challenges/Opportunities/Threats

Following is the SCOT analysis of Your Aging Resource Center (the Center) outlining the

strengths, challenges, opportunities and threats that our organization faces.

Strengths

Infrastructure -

Organizational restructuring from departments to Centers of Excellence allows us to

better integrate and innovate as well as pursue quality and best practices across the

entire organization. It also ensures that the time, attention and focus of the Center is on

working toward that “common vision” with our community partners on the delivery of

quality services to our consumers. Establishing a culture based on Humility,

Gratitude/Appreciation, Respect and Responsibility has improved communication and

productivity. The increased effort to align and engage Board of Directors and Advisory

Council members with specific Centers of Excellence strives to take the best advantage

of the individual talents and expertise. Other outcomes include enhanced

communication and employee knowledge of all parts of the Center which result in

increased collaboration and efficiency across the organization.

The consolidation of Information/Referral and Intake services at the Center provides an

infrastructure that allows for centralized information gathering and reporting regarding

senior, individuals with disabilities, and caregiver needs and resources, as well as direction

and integration for service delivery.

In March 2012 the Center was designated as an ADRC (Aging and Disability Resource

Center) broadening the community that we serve. We have increased partnerships, cross-

trained staff, and enhanced the resource database to be more comprehensive in our service

approach.

The co-location of CARES and DCF staff streamlines the eligibility process for Statewide

Medicaid Managed Care Long Term Care.

The current organizational structure of the Center facilitates diverse outreach activities

throughout all centers of excellence (SHINE, Communications, Foster Grandparents,


Elder Rights, Healthy Living, and the Elder Helpline). This structure allows us to

leverage staff and share resources to be more efficient in delivery of services.

In 2013 the Center launched a locally driven outreach initiative to Lesbian, Gay,

Bisexual and Transgendered Elders (LGBT)

The Center website provides an additional format for relaying information about elder

needs and programs that communities can implement to meet these needs.

Leadership engages Board and Advisory Council Members in the work of the centers

of excellence. The CEO Headline News highlights timely, focused information about

the centers of excellence.

The Board and Advisory Council embrace the opportunity to be engaged and devote

more time to becoming ambassadors for the Center. The Advisory Council is actively

involved with its five standing committees: Executive, Consumer Services, Advocacy,

Membership and Planning Committee members are engaged as volunteers with

Centers of Excellence.

The CEO continues to identify and strengthen the bonds and relationships with the

Center’s founders and former leadership in order to preserve and honor the history of

the Center.

Computing Policy and Infrastructure for Business Continuity

The Center continues to look at ways to improve business operations that would also

benefit the recovery of its computing functions in the event of a disaster. Strategic

planning and initiatives that have been taken to enhance business recovery capability are as

follows:

1) Two offices each with independent phone systems, computer networks and Internet access. This gives the Center the choice of operating the Elder Helpline at either location. Internet access is required in order to work with CIRTS and REFER.

2) Virtualized Server Technology allows the Center to restore the more important servers at the secondary location. Important servers may include fiscal and email services.

3) The Center also has a business agreement with the phone service provider to forward all calls to the second location, or any other area agency when this is required upon as part of the Center’s disaster preparedness plan or criteria outlined in the Continuity of Operations Plan.

4) The Center also backs up all data to tape and stores the tapes offsite in a bank vault.


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5) Finally, in the event both locations are severely damaged, the Center has partnered with the area agency in Jacksonville to take our calls

Staff

The Center has strong leadership as well as dedicated, committed and passionate staff

who all work together toward a common purpose. Senior management has a

commitment to quality and delivery of service which is evidenced throughout all levels

of the organization. Recognizing that there is insufficient staff for all current objectives,

management is committed to prioritizing.

Many staff have a number of years of experience in the workplace and bring a strong

knowledge base and understanding of community needs and resources. The longevity

of staff makes a strong foundation for institutional knowledge. Our diverse staff

promotes a better understanding of the communities we serve and provides for a richer

working environment. In addition, a substantial number of staff are already involved in

their communities -- even outside of work. They take advantage of these involvements

to speak to the needs of seniors and caregivers and to relay information to communities

regarding the value of the senior population.

The monthly Bagels & Brains series of informational presentations at Your Aging Resource Center provides opportunities for professional development for staff, Board and Advisory Council Members and community partners to enable each of them to be more knowledgeable about Your Aging Resource Center and better equipped to advocate for our seniors, adults with disabilities and their caregivers.

Accessibility

The Center has two facilities which provide visibility and easy access for consumers.. The Palm Beach office allows for co-location of other agencies with an aligned mission (CARES, DCF, PACE and Experience Works). Meeting space at the West Palm Beach location provides a venue for internal and external events.

The Center offers a toll-free Elder Helpline accessible from anywhere within the United

States.

Additional SHINE promotional funding allows media advertisement opportunities. The additional Victims of Crime Act funding to start up of a new victim services

program in the 19th Judicial Circuit (Martin, St. Lucie, Indian River and Okeechobee

counties) provides the Elder Rights Center the ability to serve an expanded number of

senior crime victims..

Competitive Advantages


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The Center currently has a wide array of intervention programs already in place to

empower older persons to stay healthy. These include Stanford University’s Chronic

Disease Self-Management Program, Spanish Chronic Disease Self-Management Program

(Tomando Control de su Salud), A Matter of Balance Program, and , Tai Chi for Better

Balance.

The Healthy Living Center of Excellence has two master trainers on staff (Matter of Balance and Chronic Disease Self Management). This allows the Center to train facilitators in these critical interventions and thereby reach more seniors. A collaboration to expand the promotion of Tai Chi, Moving for Better Balance has been established with the CDC office under the Older Adult Fall Prevention Program and the Center is working with Palm Beach County Fire Rescue to train more first responders and volunteers in Matter of Balance with the goal of proactively preventing falls and reducing the number of 911 calls dealing with seniors who have fallen.

The Elder Helpline shares a wide array of resources for seniors, individuals with disabilities, and caregivers to enable them to remain in their home and community as long as possible. The Elder Helpline provides access to long term care options and assistance with challenges consumers are facing. The Elder Helpline makes use of lead agencies’ non-DOEA grant-funded programs to serve more consumers. These include DOSS’ meal program for persons over 90. Ruth Rales offers a subsidized home-delivered meal program for low income seniors living in Boca Raton and Delray. We have relationships with several faith-based and community organizations that provide food baskets or shopping assistance. The Elder Helpline keeps current on resources to serve the needs of seniors and persons with a disability.

The Elder Rights Center is the recipient of two national awards - Volunteer Best

Practice and Aging Innovations - from n4a (National Association for Area Agencies on

Aging).

The Center staff is continually involved in on-going education and holds advanced

certification in the following:

• Nationally credentialed advocate at the advanced level with a designation of comprehensive victim intervention specialist

• FL Attorney General Victim Services Practitioner designation

• Certified instructor on Elder Abuse - Federal Law Enforcement Training Center and Office on Violence Against Women

The Center has eleven years of experience providing direct services to senior crime

victims and concurrently provides community outreach and professional trainings

locally, state-wide and nationally on elder abuse/later life violence. The engagement of

senior volunteers as victim advocates is critical in meeting the needs of the increasing

number of victims and affords the opportunity to provide quality services.


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Since April 2003, the Center has maintained a reliable and accurate senior crime victim

data base of 29,956 cases. Concomitantly the Center is migrating its data management

operations to a highly scalable cloud based system that will support anticipated growth.


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Resources

The Center has an established infrastructure for recruiting and placing volunteers. Our senior volunteers remain actively engaged in their communities.

Center of

Excellence

Annual

number of

persons

served

Program

Purpose

Annual

current

enrollment ( #

of active

volunteers)

Number of

hours

Economic

Impact

Elder Rights 4,850 Victim Advocacy

9 3,500 $63,805

Healthy Living

1,800 Fall and Health Prevention

10 3,850 $59,500

Foster Grandparents

800 Mentor K-3rd grade special needs students with math and reading skills

180 40,500 $738,315

SHINE 4,000 Provide free and unbiased Medicare and Other Health Insurance Counseling

30 3,500 Dollars saved on Medicare Part D (prescription drug) costs and Part B premiums

Our demonstrated ability to recruit and place volunteers has resulted in a significant

volume and variety of human resources which we are able to mobilize into home and

community-based supports where they are most needed. These resources include

volunteers trained to intervene and advocate on behalf of elderly crime victims and those

that provide respite services, insurance counseling, health promotion, and disease

prevention education to name a few.

Volunteers on the Board of Directors and the Advisory Council add depth and breadth

to the Center. The Board’s primary function is governance; however the individual

talents of board members can complement the Center’s efforts in many ways as

evidenced by their alignment with our Centers of Excellence. The Advisory Council


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members assist in developing the area plan and identifying unmet needs as well as

participating in legislative advocacy to name a few of their contributions. Members of

the Advisory Council have also aligned themselves with Centers of Excellence and

bring a broad community-based focus to our efforts.

Community Alliances – The Center’s participation in the Palm Beach County

Partnership for Aging and the Treasure Coast Advocates for Seniors allows it to

combine efforts with local providers in order to advocate for funding for services that

allow seniors to remain active and healthy. Staff is involved in the additional

community alliances listed below.

AREA

SERVED

COMMUNITY

ORGANIZATION

Center of

Excellence

FOCUS AREA

INITIATIVES

TARGET

POPULATION

Palm Beach/

Treasure

Coast

Professional

Firefighters/Paramedi

cs of Palm. Beach.

County, Inc.

Healthy

Living

Fall Prevention

Interventions

and Education

and First Aids

Training

Age 60+ Seniors

Treasure

Coast

Wellmed Medical

Management of Fl.,

Inc.

Healthy

Living

Fall Prevention,

Education and

in-kind support

Age 60+ Seniors

Palm Beach Caridad Center

Healthy

Living

Fall and Health

Prevention,

Education and

in-kind support

Age 60+ Seniors

Palm Beach Molina Health Care Healthy

Living

Fall and Health

Prevention,

Education and

in-kind support

Age 60+ Seniors

Palm Beach Medical Coral

Center

Healthy

Living

Fall and Health

Prevention,

Education and

in-kind support

Age 60+ Seniors

Martin

County

Martin Metropolitan

Planning

Organization Local

Planning

and

Consumer

Transportation Seniors and

individuals with

disabilities


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AREA

SERVED

COMMUNITY

ORGANIZATION

Center of

Excellence

FOCUS AREA

INITIATIVES

TARGET

POPULATION

Coordinating Board

for the

Transportation

Disadvantaged

Care

Indian River

County

Indian River County

Local Coordinating

Board for the

Transportation

Disadvantaged

Planning

and

Consumer

Care


individuals with

disabilities

Okeechobee,

Hardee, and

Highland

Counties

Transportation

Disadvantaged

Multi-County Board

Planning

and

Consumer

Care


individuals with

disabilities

Indian River,

Martin and

St. Lucie

Counties

TC3 Quarterly

Transportation

Meeting

Planning

and

Consumer

Care


individuals with

disabilities

St. Lucie

County

Transportation

Coordination

Network

Planning

and

Consumer

Care

Identifying

what

transportation is

needed to those

outside of the

transit

operator’s

hours.

Seniors and

individuals with

disabilities

St. Lucie

County

St. Lucie Local

Coordinating Board

for the

Transportation

Disadvantaged

Planning

and

Consumer

Care


individuals with

disabilities

Palm Beach

County

Palm Tran Service

Board Paratransit

Subcommittee

Planning

and

Consumer

Care


individuals with

disabilities

Palm Beach Palm Beach County Planning Transportation Seniors and


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AREA

SERVED

COMMUNITY

ORGANIZATION

Center of

Excellence

FOCUS AREA

INITIATIVES

TARGET

POPULATION

County Transportation

Disadvantage Local

Coordinating Board

and

Consumer

Care

individuals with

disabilities

Palm Beach

County

Palm Beach County

Emergency

Management

Planning

and

Consumer

Care

Emergency

Response (Food

and Water)

Senior

Communities

Martin, St.

Lucie, Indian

River and

Okeechobee

Counties

Treasure Coast

League of Cities

Strategic

Initiatives/A

dvisory

Council

Advocacy Local

Municipalities

and

Governments

Palm Beach

County

Palm Beach County

League of Cities

Strategic

Initiatives/A

dvisory

Council

Advocacy Local

Municipalities

and

Governments

Palm Beach

County

PBC Health

Department

Community Health

Improvement Plan

Strategic

Initiatives

Health

improvement

Elder obesity,

diabetes, falls

prevention

The Center is a leader of an entire aging network for Indian River, Martin, Palm Beach,

Okeechobee and St. Lucie counties.

Staff has a strong visibility in local communities through participation in meetings of

local Chambers of Commerce, the Partnership for Aging, Treasure Coast Advocacy

Coalition, the Hispanic Chamber of Commerce of Palm Beach County, Palm Beach

County Homeless Coalition, West Palm Beach Housing Authority, Provider Resource

Network, REAL, Disaster Recovery Coalition, Palm Beach County Housing Authority,

Palm Beach County Black Chamber of Commerce, the Okeechobee Kiwanis,

Okeechobee County Rotary, Martha’s House, GIN, PATCH, and the Glades Ministerial

Alliance and local Red Cross.. Staff is recognized in these organizations as experts in

and advocates for communities which value elders.


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The Elder Helpline maintains an alliance with over 1,300 community resources in order

to effectively serve the community.

Collaborative Partnerships

Area Served Community

Organization

Focus Area Center Of

Excellence

Palm Beach Disaster Recovery Coalition

Disaster recovery ADRC

Palm Beach The ARC Disability ADRC

Palm Beach/Treasure Coast

CILO Disability ADRC

Palm Beach Palm Beach Habilitation

Disability ADRC

Treasure Coast COSA Senior networking ADRC

Palm Beach PRN - Professional Network

Senior networking ADRC

Palm Beach Homeless Coalition Expanding options for the homeless

Elder Helpline

Palm Beach 15th Judicial Circuit State Attorney Task Force

Abuse, neglect & exploitation

Elder Rights

Palm Beach 15th Judicial Circuit Victims Rights Coalition

Crime victims Elder Rights

Palm Beach Domestic Violence Council P.B. Co.

Victims of domestic violence/dating, sexual assault and harassment

Elder Rights

Palm Beach Long-Term Care Ombudsman Council

Senior safety & well-being in facilities

Elder Rights

Palm Beach PBC Anti-stalking Collaborative

Prevention and services for stalking victims

Elder Rights

Palm Beach Adult Protection Team

Victims of abuse, neglect and exploitation

Elder Rights

Palm Beach Alzheimer’s Community Care, Inc. Standing Committee

Alzheimer’s and related dementias

Elder Rights

Palm Beach Partnership for Aging

Senior Advocacy and Networking

Communications

Palm Beach P.B. Economic Crime Unit

Economic crime Elder Rights


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Palm Beach Law Enforcement Planning Commission

Crime Elder Rights

19th Judicial Circuit Treasure Coast counties

19th Judicial Circuit Victims Rights Coalition

Crime victims Elder Rights

19th Judicial Circuit Treasure Coast counties

Domestic Violence Council 19th Judicial Circuit

Victims of domestic violence/dating, sexual assault and harassment

Elder Rights

Planning and Service Area 9

S.E. Florida Older Americans Financial Protection Network

Financial Protection

Elder Rights

Treasure Coast Treasure Coast Advocates for Seniors

Navigating the system of services available to seniors and their caregivers

Advisory Council

Palm Beach The Palm Beach County School District

Education FGP

Martin County The Martin County School District

Education FGP

Okeechobee County The Okeechobee County School District

Education FGP

St. Lucie County The St. Lucie County School District

Education FGP

Palm Beach St. Mary’s Memory Disorder Clinic

Assist in efforts to provide in-service training to all respite, in-facility respite and model day care centers in their designated service areas

Consumer Care and Planning

Palm Beach St. Mary’s Memory Disorder Clinic

Collaborate to carry out Silver Alert protocol activities

Elder Helpline

Indian River, Martin, St. Lucie and Okeechobee Counties

East Central Florida Memory Disorder Clinic

Assist in efforts to provide in-service training to all respite, in-facility respite and model day care centers in their designated

Consumer Care and Planning


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service areas

Indian River, Martin, St. Lucie and Okeechobee Counties

East Central Florida Memory Disorder Clinic

Collaborate to carry out Silver Alert protocol activities

Elder Helpline

Challenges

Center Promotion – Promotion is a constant focus and challenge. This is evidenced in

the following key areas:

1) To maintain a current, comprehensive, and dynamic website.

Staffing Shortfalls – The Center is understaffed in a number of areas and there

is a lack of support staff.

Unmet Needs -

1) Insufficient funding prevents the Center from meeting all the needs of those who come to the Center for services.

2) The inability to expand current programs that do meet the needs of seniors and caregivers and individuals with disabilities.

Customer Satisfaction – There is room for improvement in customer satisfaction where it

is felt that the challenges lie in the areas listed below:

1) Some methods currently used to measure goals and outcomes of programs do not appropriately measure how well customer needs are being met. 2) The Statewide ReferNet database is not customer friendly.

Community Alliances - Data regarding the needs of seniors and their value to the

community is not communicated widely outside the Center.

Resources - There are not enough volunteers for the SHINE and Healthy Living programs.

If volunteer numbers increase, it requires an increase in funding needed to support the management of the volunteers. Also once volunteer facilitators are trained in Evidence Based Interventions, if there is no money to offer the workshop (cover the workshop costs) the facilitators lose interest. Refocusing volunteers in programs for required impact areas (includes right-sizing).


23

Recruiting new volunteers for identified community impact areas.

Lack capacity to deliver the Elder Sensitivity training.

Many needed technology improvements such as document management are not yet

affordable.

There is additional data regarding the needs of and value of elders that has not yet been

analyzed. This is especially true in terms of relating data to the local level..

Comprehensive recordkeeping for our donor database.

The need to reinstate some employee benefits that were suspended due to economic

conditions.

Fundraising.

Access – Current wellness and disease prevention programs do not reach homebound individuals, persons with limited English speaking ability, or those who lack transportation. The process that will be required to transfer the Medicaid eligibility determination process from case management agencies to the Center under Managed Care Long Term Care reform – especially for homebound applicants.

Knowledge – The need for continuing education for staff, Board Members, and Advisory

Council Members to have better knowledge of the work done by and programs operated

by the Center. More developmental opportunities for staff (i.e. public speaking,

keyboarding, team building, grant writing, Excel, etc.) in addition to existing limited

educational assistance would also be welcome to improve technical capabilities.

Environment - The large geographical area of our Planning and Service Area requires

substantial travel and time for Advisory Council Members, Board Members and staff to

participate.


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Opportunities

Community Partnerships – The following areas provide an opportunity to capitalize

upon current and new community partnerships:

1) Grow existing partnerships with aging network partners, advocacy groups, educational institutions, governmental organizations, faith-based entities, the business community, the disability community and current and potential funders. 2) Utilize providers and community partners to promote the Elder Helpline and other Centers of Excellence.

3) Utilize providers and community partners to educate legislators/public officials/general public and or community partners regarding the services the Center offers seniors and caregivers.

4) Form alliances with providers (lead agency directors) to investigate joint funding in their communities for Center programs. 5) Expand partnerships with faith-based volunteer programs.

6) Continue to support the work of community partners participating in the work group to develop, implement and evaluate a Care Transition Pilot Program.

7) Continue to expand relationships with area hospitals and community health providers to promote evidence-based wellness and prevention programs for underserved seniors.

8) Capitalize on the urging of the U.S. Department of HHS and the DoEA to initiate outreach partnerships in the aging Lesbian, Gay, Bisexual and Transgendered community.

9) Ensure that our providers are aware of the most low cost method of completing background checks so that more service dollars are available for direct services.

10) Partnerships with CARES and Department of Children and Families to ensure effective implementation of Statewide Medicaid Managed Care.

Community Alliances –Mentoring programs moving from Children’s Services Council of

Palm Beach County to United Way of Palm Beach County provide the opportunity to offer

the Foster Grandparent Program to other venues besides the school systems.

Partner with for-profit long term care providers to offer pro bono services to meet

senior needs.

There is an opportunity through CMS to obtain a reward for the reporting of Medicare

or Medicaid Fraud.


25

There is an opportunity to partner with universities to enlist students to deliver elder

sensitivity training.

Collaborating with universities to include an orientation as to Your Aging Resource

Center as part of their curriculum can increase the awareness of our organization in the

community.

Provide input to the Purple Ribbon Task Force regarding the needs of persons having

Alzheimer’s Disease or a related form of dementia and their family caregivers.

Business Alliances – Expand partnerships with law enforcement agencies within the planning and service area. This alliance may provide an opportunity to identify ways to obtain security systems to address the threat of seniors who do not feel safe in their home. There is an opportunity for our Board Members to become more knowlegeable about the aging network services through site visits with our providers. Current corporate social responsibility philosophies provide additional opportunities for recruiting Board volunteers. Expand with our legal partners the availability of pro bono attorneys to provide services to meet seniors’ needs Partner with financial institutions to address the fraud, scams, and financial exploitation of seniors. Partner with physicians to train them to recognize signs and symptoms of financial exploitation among seniors. Partner with physicians to train them in fall prevention strategies including Center provided interventions (CD C’s STEADI program).

Internal Business Opportunities – There are opportunities to utilize existing strengths

and expertise to develop additional revenue streams and capacity.

1. The ability to donate online through our website may increase funds to assist seniors 2. Your Aging Resource Center Foundation (Foundation) was formed to assist the Area Agency on Aging of Palm Beach/Treasure Coast, Inc. as a supporting agency organization as defined in Section 509 (a) (3) of the Internal Revenue Code. The principal purpose of the Foundation is to support the Agency in its charitable efforts to improve the lives of senior citizens in Indian River, Martin, Okeechobee, Palm Beach and St. Lucie counties. The Foundation’s functions include, but are not limited to: raising, receiving, investing, managing and administering funds for the Agency to use for its charitable purposes.


26

3. The formation of a charitable giving committee comprised of Board Members will provide for new fundraising initiatives.

4. There is the opportunity to use Board or Advisory Council Members to assist with the shortfall of volunteers within the SHINE and Healthy Living programs.

5. The implementation of Statewide Medicaid Managed Care Long Term Care provides the opportunity to offer current services (i.e. Elder Rights and Healthy Living Training programs) to a private market.

Additional Promotional Vehicles – There is an opportunity to use broadcast media to

promote the Center.

The new user-friendly website design will allow for all topical kinds of media

presentations.

There is an opportunity to use our website to share data regarding the needs of seniors and their value to the community

There are still opportunities to expand the education of faith-based organizations and senior

communities regarding Center services.

EHEAP outreach funding will provide the opportunity for media advertisement.


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Threats Economic Conditions -. As the economy declines seniors and family caregivers are seeking

employment. This means that there are fewer family caregivers at home.

The depletion of many seniors’ resources puts more people on the waitlist. This has led to seniors being unsafe in terms of long term care needs, health, depression, isolation and vulnerability to abuse, neglect and exploitation.

The cost of the Level II background checks among aging network providers reduces the

amount of dollars available for services.

Funding - Flat or reduced funding has reduced the number of seniors who can receive

services.

Sequestration threatens to decrease current funding even more.

Demographics - Growing waitlists with a projected growing population of the “older-old”

threatens the delivery of services beyond network capacity.

Current Environment - Detailed needs assessments show that Planning and Service Area 9

is severely lacking in many of the supports needed by seniors. Access to medical care,

assisted living services, and even basic supplies are limited because of an insufficient provider

base for these services.

Customers have limited knowledge of the availability of resources and how to access them. There are family members, companies and individuals who exploit seniors. There is a growing amount of fraud among companies who provide services to seniors. Elder services and issues are not seen as a priority by some politicians or members of the public. Some elders may experience changes to their cognitive abilities which increases their vulnerability to fraud and exploitation. PSA 9 has a higher average than the State of seniors who do not feel safe from crime in their home. Awareness of and/or failure to implement intervention processes for unsafe senior drivers.

Public Perception - There is a misperception among many communities that seniors drain the economy. There is a lack of awareness of the Center by the general public.


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Many seniors hold a mind-set which is resistant to change and implementing activities to maintain health and/or activity Society’s image of older adults as not having worth when compared to the needs of children can limit funding. Society’s social attitude that older adults do not have value can have a negative impact on a senior’s feeling of self-worth and powerlessness. Victims and other concerned people assisting elder victims of crime do not know where to turn for assistance. Many seniors are embarrassed that they have been a victim of abuse or exploitation and often do not report the crime. In some communities crimes against the elderly are given low priority in investigation,

prosecution and investigation.

Resources - There are insufficient family support systems in place to support the growing

number of seniors. At the same time the number of seniors in need has increased.

Medicare and Medicaid fraud reduce the dollars available for services for senior recipients.

There are limited affordable resources for seniors to include long term care services, housing, legal services, and transportation. Limited local public transportation systems prevent many seniors, caregivers, and individuals with disabilities from participating in activities. Current Discover reports used for data integrity may become outdated with planned DOEA changes to CIRTS. Limited administrative dollars (no raises, benefit reductions) may result in staff turnover as the job outlook improves and more opportunities become available resulting in a high retraining cost and loss of in-house expertise. How to handle aging out of volunteers.


NEEDS ASSESSMENT ELDER HELPLINE CALLS

Calls to our Elder Helpline for the period January 2012 through August 2012 reflect the

following needs for services among seniors and caregiver in our Planning and Service

Area.

Area Agency on Aging of Palm Beach/Treasure Coast, Inc.

Statistical Report

Referred Service Group

01/01/2012 To 08/31/2012

Total Contacts in Date Range: 49394

2479 5.019% INSURANCE

2202 4.458% CASE MANAGEMENT

1621 3.282% FOOD SERVICES

1590 3.219% INTAKE

936 1.895% FINANCIAL ASSISTANCE

895 1.812% HOME HEALTH / PERSONAL CARE

793 1.605% MEDICAID / MEDICARE

716 1.45% INDIVIDUAL AND FAMILY SUPPORT SERVICES

668 1.352% LEGAL SERVICES

557 1.128% SNAP

509 1.03% DOEA, CARES

490 0.992% TRANSPORTATION SERVICES

383 0.775% HOUSING SERVICES

267 0.541% HEALTH / MEDICAL SERVICES

260 0.526% PHARMACIES / PRESCRIPTION SERVICES

210 0.425% INFORMATION AND REFERRAL SERVICES

208 0.421% ALZHEIMER'S SERVICES

204 0.413% FAMILY SERVICES

191 0.387% VETERANS SERVICES

179 0.362% DISABILITY SERVICES

148 0.3% ADULT DAY CARE

133 0.269% UTILITY ASSISTANCE

126 0.255% HOMELESS SERVICES

115 0.233% SENIOR CENTERS

104 0.211% CONSUMER SERVICES

100 0.202% MEDICAL EQUIPMENT AND SUPPLIES


96 0.194% DENTAL SERVICES

88 0.178% DISASTER SERVICES

87 0.176% ADVOCACY AND HUMAN RIGHTS

81 0.164% MENTAL HEALTH SERVICES

80 0.162% AREA AGENCY ON AGING

74 0.15% SOCIAL SECURITY / SSI

72 0.146% HOME IMPROVEMENT AND REPAIR

69 0.14% HEARING SERVICES

67 0.136% HOSPITALS / CLINICS

66 0.134% EMPLOYMENT SERVICES

64 0.13% VICTIMS SERVICES

61 0.123% EYE CARE / VISION ASSISTANCE SERVICES

59 0.119% ASSISTIVE TECHNOLOGY / EQUIPMENT

55 0.111% DISEASE INFORMATION AND PREVENTION

52 0.105% TAX SERVICES

51 0.103% PATIENT ASSISTANCE PROGRAM

44 0.089% COUNSELING SERVICES

43 0.087% 23999 - LEGAL SERVICES

42 0.085% NURSE REGISTRY

40 0.081% AGING RESOURCE CENTERS

38 0.077% ASSISTED LIVING FACILITIES / ADULT RESIDENTIAL HOMES

37 0.075% SUBSTANCE ABUSE SERVICES

34 0.069% CREDIT / DEBT SERVICES

33 0.067% GOVERNMENT SERVICES

33 0.067% TELEPHONE REASSURANCE

30 0.061% RECREATION AND ENRICHMENT

29 0.059% ELDER LAW LIBRARY

29 0.059% STATE GOVERNMENT COMPLAINTS/OMBUDSMAN OFFICES

24 0.049% HOSPICE

24 0.049% NURSING FACILITIES / SERVICES

23 0.047% SUPPORT GROUPS

22 0.045% BUSINESS AND COMMUNITY DEVELOPMENT

21 0.043% SAFETY RESOURCES

21 0.043% THRIFT SHOPS

21 0.043% VOLUNTEER OPPORTUNITIES

19 0.038% CRIME PREVENTION

19 0.038% ELDER RIGHTS

18 0.036% IMMIGRANT / REFUGEE SERVICES

16 0.032% ECONOMIC SELF-SUFFICIENCY

13 0.026% LICENSES / PERMITS

13 0.026% OUTREACH PROGRAMS

12 0.024% SENIOR SERVICE PROGRAM

11 0.022% PHYSICIAN


9 0.018% CAREGIVER SUPPORT

8 0.016% LAW ENFORCEMENT

7 0.014% REHABILITATION SERVICES

6 0.012% EMERGENCY SERVICES

6 0.012% MOVERS

5 0.01% ADULT PROTECTIVE SERVICES

5 0.01% CONSUMER SERVICES1

5 0.01% RESIDENTIAL PLACEMENT SERVICES

5 0.01% SENIOR RENTAL APTS./ADULT RESIDENTIAL HOMES

4 0.008% 22758 - EMPLOYMENT SERVICES

4 0.008% AIDS/HIV PROGRAMS

4 0.008% ANIMAL SERVICES

4 0.008% DRIVER PROGRAMS

4 0.008% GENERAL PROPERTY TAX INFORMATION

3 0.006% 22072 - SENIOR CENTERS

3 0.006% CELL PHONES

3 0.006% COMPLAINT RESOLUTION

3 0.006% DOMESTIC VIOLENCE

3 0.006% EDUCATION

3 0.006% ENVIRONMENTAL SERVICES

3 0.006% GUARDIANSHIP

3 0.006% SENIOR SERVICES

3 0.006% SOCIAL SERVICES

2 0.004% AMERICAN ASSOCIATION FOR RETIRED PERSONS FLORIDA

2 0.004% ASSISTED LIVING FACILITIES

2 0.004% BURIAL SERVICES FOR JEWISH COMMUNITY

2 0.004% CANCER SUPPORT

2 0.004% CONSUMER SERVICES2

2 0.004% EYE CARE

2 0.004% FINANCIAL ASSISTANCE TAXES

2 0.004% LIHEAP

2 0.004% NURSING AND CONCIERGE SERVICES

2 0.004% VOTER / ELECTION SERVICES

1 0.002% ADULT SERVICES

1 0.002% AGING AND DISABILITY RESOURCE CENTERS

1 0.002% BANKRUPTCY COUNSELING

1 0.002% BIRTH / DEATH CERTIFICATES 1 0.002% COMPREHENSIVE ASSESSMENT AND REVIEW FOR LONG

TERM SERVICES 1 0.002% COMPREHENSIVE INFORMATION AND REFERRAL/SUICIDE

PREVENTION

1 0.002% CRISIS HOTLINE

1 0.002% DISABILITY RIGHTS GROUPS


1 0.002% FINANCIAL/SAVINGS COUNSELING

1 0.002% GERIATRIC CARE MANAGEMENT

1 0.002% HISPANIC SERVICES

1 0.002% INTEREST FREE LOANS AND GRANTS

1 0.002% LIBRARY SERVICES

1 0.002% MEDICAL CARE EXPENSE ASSISTANCE

1 0.002% NEWSPAPER

1 0.002% PERSONAL EMERGENCY RESPONSE SYSTEMS

1 0.002% POLITICAL PARTIES

1 0.002% SUPPORT GROUPS CANCER

1 0.002% UNEMPLOYMENT COMPENSATION INFORMATION SERVICES

1 0.002% UNITED WAY

1 0.002% VISITING PHYSICIAN SERVICES

1 0.002% WEATHERIZATION PROGRAMS

1 0.002% WELLINGTON COMMUNITY CENTER

1 0.002% WORKER COMPENSATION

18062 TOTAL Referred Service Group

Data from the following needs assessments are included in applicable portions of Section

PIV.(B) for Unmet Needs/Gaps.

Okeechobee Community Health Assessment

Palm Beach County Community Health Assessment

Indian River County MPO Summary Report

DOEA January 2012 Assessing the Needs of Elder Floridians Report


P.IV (A) Profile

FLORIDA

Migration

A December 10, 2012 article by Josh Salman in the Herald Tribune reported that “New

York lost 59,228 residents to Florida this year, the most any one state saw move to another

as wounds from the financial crisis began healing for Empire State baby boomers. New

York has traditionally been one of the top feeder markets for Florida.

Georgia-to-Florida also was among the 10 largest interstate moves, with 38,658 residents

trading in their peaches for oranges. But because 42,666 Floridians also crossed the border

to Georgia, Florida lost a net population of 4,008 in 2012 to its neighbor just north, the

census data showed.

The Sunshine State also had the largest flow of people moving both to and from Puerto

Rico, where a net of 14,997 came to Florida in 2012.” By Josh Salman

(www.heraldtribune.com) Published: Monday, December 10, 2012 at 5:45 p.m.


Economic Contribution

In its report The Net Impact of Retirees on Florida’s State and Local Budgets the Bureau of

Economic and Business Research of the University of Florida reported that, “Although

retirees contribute essentially the same per capita revenue to state and local governments in

Florida as other adults (roughly $33 more per person, before adjusting revenues to equal

expenditures), their per capita expenses are significantly lower. A chart from the report is

displayed below.

Category Adults Age 65 and up Adults Age 18-64

Sales and Gross Receipts Revenue* $1,609 $1,846

Property Tax Revenue $2,379 $1,966

All other Revenue $6,255 $6,397

Total Revenue** $10,244 $10,209

Education Expenses $437 $3,360

Health & Hospital Expenses $1,766 $1,385

Transportation Expenses $638 $953

Police & Corrections Expenses $401 $1,178

All Other Expenses $4,152 $4,152

Total Expenditures** $7,394 $11,028

Net Benefit** $2,850 -$818

Summary Table: Revenues and Expenditures to State and Local Governments for Retirees and Non-retirees

*Sales and Gross Receipts revenue also include several other sales tax categories (e.g. beverage tax, gasoline tax, etc.) **Totals may not sum correctly due to rounding


COUNTIES AND MAJOR COMMUNITIES WITHIN PSA 9

PSA 9 encompasses five counties of Palm Beach County, Okeechobee County and the

Treasure Coast Counties of Indian River, Martin, and St. Lucie. A map depicting PSA 9 in

relation to the state of Florida is pictured below.


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MIGRATION

The impact to our Planning and Service Area of the population migration outlined for the state of Florida above is shown in the table below. Note that for three of the four counties the migration percentage for the 75+ population is equal to or higher than the migration percentage for the 65+ population. This indicates that is an older senior that is driving the migration rate for the 65+ population.

Total Population

Population 65+

Population 75+

Migration Among Total Population *

Migration Percentage for Total Population

Migration Among 65+ Population*

Migration Percentage for 65+ Population

Migration Among 75+ Population*

Migration Percentage for 75+% Population *

Palm Beach County 1,320,134 363,618 155,561 44,249 3.4% 9,233 2.5% 4,613 3.0%

Martin County 146,318 50,753 20,547 11,033 7.5% 1,855 3.7% 923 4.5%

St. Lucie County 277,789 72,951 26,043 11,747 4.2% 2,463 3.4% 780 3.0%

Indian River County 138,028 47,756 19,824 9,447 6.8% 1,595 3.3% 663 3.3%

* includes moved from different county, within same, moved from different state, and moved from abroad


The percentage of 60+ population in each of PSA 9’s counties as well as the county subdivisions is shown in the chart below.

PLANNING AND SERVICE AREA 9 – 60+ POPULATION PERCENTAGES

Counties and County Subdivisions

Percentage of Population 60 Years of Age or Older

INDIAN RIVER COUNTY 34.06%

Vero Beach 35.72%

MARTIN COUNTY 34.67%

Port Salerno - Hobe Sound 38.95%

Stuart 35.56%

OKEECHOBEE COUNTY 21.98%

Okeechobee 23.54%

PALM BEACH COUNTY 27.27%

Boca Raton 33.08%

Boynton Beach - Delray Beach 37.51%

Jupiter 26.78%

Lake Worth 20.78%

Riviera Beach 26.63%

Royal Palm Beach 22.90%

Sunshine Parkway 23.92%

West Palm Beach 23.43%

ST. LUCIE COUNTY 25.93%

Fort Pierce 25.87%

Port St. Lucie 22.90%

Source: 2007-2011 American Community Survey 5-Year Estimates


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The chart below reflects the growth in the 65+ and 85+ populations in our Planning and

Service Area compared to the State of Florida. The growth in the 65+ and 85+ populations

in our Planning and Service Area, 143% and 145%, respectively is significantly above that

of the state 116% and 131% respectively. In fact, all of the counties in our Planning and

Service Area have a growth rate above that of the state. St. Lucie County is the highest for

both age groups.

FLORIDA POPULATION DATA AND PERCENTAGES

Location Gender Census Yr

2010

All Ages % Change All Ages 2000 to 2010

65+ % 65+ % Change 65+ 2000 to 2010

85+ % 85+ % Change 85+ 2000 to 2010

State of Florida 18,801,310 118% 3,259,602 17% 116% 434,125 2% 131%

M 9,189,355 1,450,426 158,313

F 9,611,955 1,809,176 275,812

Total PSA 9 1,922,265 120% 544,086 28% 143% 68,153 4% 145%

M 935,405 244,024 27,473

F 986,860 300,063 40,680

Palm Beach 1,320,134 117% 363,618 28% 139% 49,205 4% 141%

M 638,945 160,580 19,823

F 681,189 203,039 29,382

Okeechobee 39,996 111% 9,008 23% 154% 662 2% 136%

M 21,430 4,452 264

F 18,566 4,556 398

Martin 146,318 115% 50,753 35% 142% 6,009 4% 153%

M 72,423 23,452 2,440

F 73,895 27,301 3,569

St. Lucie 277,789 144% 72,951 26% 167% 6,599 2% 167%

M 135,859 33,808 2,587

F 141,930 39,143 4,012

Indian River 138,028 122% 47,756 35% 145% 5,678 4% 161%

M 66,748 21,732 2,359

F 71,280 26,024 3,319


The chart below shows how this growth is reflected within the places within each county.

POPULATION PERCENTAGES FOR THE 65+ AND 85+ AGE GROUPS BY

PLACE IN PSA 9

The chart below compares the percentages of the 65+ and 85+ populations in each of the places in Planning and Service Area 9. The data is taken from the 2010 Census. Those cells highlighted in green indicate places with population percentages for the 60+ and 85+ age groups that exceed those of the State of Florida – 23.4% for the 60+ population and 2.3 % for the 85+ population. It is apparent that our Planning and Service Area is rich in an aging population. For many of the places where the 60+ population percentage exceeds the State of Florida percentage, the 85+ population percentage also exceeds the State’s. This may be an indicator of the success of these places to help seniors age in place.

INDIAN RIVER COUNTY

PERCENTAGE OF TOTAL POPULATION 60 YEARS

OF AGE OR OLDER

PERCENTAGE OF TOTAL POPULATION 85

YEARS OF AGE OR OLDER

Fellsmere city 6.29% 0.23%

Florida Ridge CDP 27.01% 2.97%

Gifford CDP 34.61% 7.12%

Indian River Shores town 80.70% 7.10%

Orchid town 84.10% 1.45%

Roseland CDP 39.54% 4.14%

Sebastian city 34.22% 3.02%

South Beach CDP 57.61% 6.77%

Vero Beach city 35.95% 4.82%

Vero Beach South CDP 28.11% 2.87%

Wabasso CDP 33.00% 1.64%

Wabasso Beach CDP 71.02% 3.94%

West Vero Corridor CDP 66.14% 16.98%

Windsor CDP 63.28% 1.95%

Winter Beach CDP 26.90% 1.55%

MARTIN COUNTY


OF AGE OR OLDER



Hobe Sound CDP 39.02% 5.04%

Indiantown CDP 18.38% 1.73%

Jensen Beach CDP 33.19% 4.15%

Jupiter Island town 58.38% 9.67%

North River Shores CDP 38.10% 4.38%

Ocean Breeze Park town 75.77% 6.48%

Palm City CDP 33.85% 4.12%

Port Salerno CDP 32.16% 4.01%

Rio CDP 36.17% 4.15%


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Sewall's Point town 32.41% 2.86%

Stuart City 31.91% 5.68%

OKEECHOBEE COUNTY


OF AGE OR OLDER



Cypress Quarters CDP 19.34% 1.56%

Okeechobee city 21.54% 3.24%

Taylor Creek CDP 37.60% 2.60%

PALM BEACH COUNTY


OF AGE OR OLDER



Acacia Villas CDP 11.24% 4.68%

Atlantis city 54.61% 7.88%

Belle Glade city 14.44% 0.81%

Boca Raton city 27.79% 3.51%

Boynton Beach city 26.58% 4.10%

Briny Breezes town 83.86% 8.15%

Cabana Colony CDP 15.01% 0.79%

Canal Point CDP 20.44% 1.91%

Cloud Lake town 24.44% 3.70%

Delray Beach city 30.22% 5.23%

Glen Ridge town 18.72% 2.28%

Golf village 80.56% 8.33%

Greenacres city 21.04% 2.58%

Gulf Stream town 46.06% 5.98%

Gun Club Estates CDP 14.05% 0.64%

Haverhill town 15.27% 0.75%

Highland Beach town 66.09% 8.59%

Hypoluxo town 32.50% 2.20%

Juno Beach town 59.19% 10.83%

Juno Ridge CDP 10.17% 0.97%

Jupiter town 26.50% 2.45%

Jupiter Farms CDP 17.22% 0.78%

Jupiter Inlet Colony town 45.75% 4.75%

Kenwood Estates CDP 11.07% 0.55%

Lake Belvedere Estates CDP 8.52% 0.30%

Lake Clarke Shores town 25.62% 2.37%

Lake Harbor CDP 44.44% 2.22%

Lake Park town 16.08% 1.45%

Lakewood Gardens CDP 8.64% 0.31%

Lake Worth city 15.66% 1.60%

Lantana town 18.66% 3.10%

Limestone Creek CDP 7.40% 0.59%

Loxahatchee Groves town 19.37% 1.04%

Manalapan town 54.43% 5.67%

Mangonia Park town 12.29% 0.37%


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North Palm Beach village 36.75% 4.58%

Ocean Ridge town 48.32% 5.38%

Pahokee city 16.53% 1.40%

Palm Beach town 66.49% 12.35%

Palm Beach Gardens city 33.34% 3.50%

Palm Beach Shores town 49.47% 7.27%

Palm Springs village 17.37% 1.51%

Pine Air CDP 10.72% 0.49%

Plantation Mobile Home Park CDP 12.06% 0.32%

Riviera Beach city 20.33% 1.78%

Royal Palm Beach village 15.22% 1.59%

Royal Palm Estates CDP 11.34% 0.99%

San Castle CDP 15.67% 1.49%

Schall Circle CDP 11.19% 0.36%

Seminole Manor CDP 16.52% 0.84%

South Bay city 10.48% 0.66%

South Palm Beach town 70.79% 13.32%

Stacey Street CDP 2.80% 0.00%

Tequesta village 32.49% 3.66%

The Acreage CDP 12.16% 0.61%

Watergate CDP 13.46% 1.19%

Wellington village 16.06% 1.09%

Westgate CDP 8.50% 0.48%

West Palm Beach city 21.80% 2.56%

ST. LUCIE COUNTY


OF AGE OR OLDER



Ft. Pierce city 20.38% 2.26%

Ft. Pierce North CDP 22.21% 0.88%

Ft. Pierce South CDP 17.66% 2.35%

Hutchinson Island South CDP 79.95% 7.75%

Indian River Estates CDP 34.28% 2.68%

Lakewood Park CDP 30.76% 3.80%

Port St. Lucie city 21.61% 1.84%

River Park CDP 37.30% 5.06%

St. Lucie Village town 26.10% 1.36%

White City CDP 22.37% 1.40%

Source: 2010 Census Summary File 1


INDIAN RIVER COUNTY

Indian River County is bordered on the north by Brevard County, on the west by

Okeechobee and Osceola Counties, on the south by St. Lucie County, and on the east by

the Atlantic Ocean. It is the northernmost county in PSA 9 and is approximately 503

square miles in geographic size.

According to the Indian River Chamber of Commerce, Indian River County's population, currently at 138,028, has grown steadily by approximately two percent per year.

The three largest incorporated municipalities in Indian River County are Vero Beach and Sebastian on the east and Fellsmere, a small rural community, in the west.

Historical growth in the population highlighting major municipalities is shown in the chart from the Indian River Chamber of Commerce website below.

1980 1990 1995 2000 2005 2011

COUNTY 59,896 90,208 100,261 112,947 130,043 138,028

UNINCORPORATED COUNTY 38,455 58,143 64,114 71,660 83,822 91,366

MUNICIPALITIES

Fellsmere 1,161 2,179 2,354 3,813 4,322 5,197

Indian River Shores 1,254 2,278 2,599 3,448 3,654 3,901

Orchid 19 10 25 140 302 415

Sebastian 2,831 10,248 13,488 16,181 20,048 21,929

Vero Beach 16,176 17,350 17,681 17,705 17,895 15,220

Sources: U.S. Census, 2010; University of Florida Bureau of Business and Economic Research, Statistical Abstract 2011

In terms of employment history the Indian River Chamber of Commerce reports that

“historically, agriculture and tourism were the county’s largest industries. These industries

are now complimented by an increasing number of firms in the health care and information

technology industries along with a steady stream of light manufacturing and service sector

jobs.” Their chart of number of firms and employment by industry sector is shown below.

Most recently it is health care/social assistance and retail industries that have employed the

most persons. Both of these are industries highly utilized by seniors.


44

INDUSTRY SECTORS Number of Firms Total Employment

2011

Average

Annual

Wage

2009 2010 2011 2009 2010 2011

Accomodations, Food Services 279 281 289 4,015 4,267 4,301 $16,744

Agriculture, Forestry, & Fishing 86 92 89 2,758 2,598 3,319 $22,776

Arts, Entertainment, Recreation 78 79 79 2,064 2,148 2,163 $29,536

Construction 666 610 571 3,134 2,611 2,755 $36,660

Educational Services ** ** 41 ** ** 2,981 $38,636

Finance, Insurance, Real Estate 504 497 483 2,490 2,227 2,244 $46,514

Health Care, Social Assistance 476 481 490 8,077 7,839 7,969 $43,836

Information Technology 42 44 46 614 618 665 $54,548

Manufacturing 118 128 131 1,574 1,754 1,822 $48,412

Professional, Scientific, Techn Svcs 549 540 540 2,048 2,048 2,089 $69,004

Public Administration 48 49 53 3,083 3,002 2,823 $45,656

Retail 673 667 668 7,453 7,557 7,851 $25,792

Transportation and Warehousing 80 74 74 892 872 916 $40,352

Wholesale Trade 189 180 160 725 669 631 $304,720


45

The Chamber of Commerce website reflects the following major employers in Indian River County from 2011/2012

Major Employers in Indian River County - 2011/12

Employer Type Total* Full-

Time

Part-

Time/Seasonal

School District of Indian River County

Government 2013 2013 0

Indian River County (includes Constitutional offices)

Government 1,354 1,279 67/8

Indian River Medical Center

Healthcare 1,608 1,093 266/249 (per diem)

Publix Supermarkets Food/Beverage 1,006 (breakdown not available)

Piper Aircraft, Inc. Manufacturer 700 700 0

Sebastian River Medical Center

Health Care 569 370 199

John's Island Residential/Resort 550 250 300

City of Vero Beach Government 492 445 15/32

Visiting Nurse Association Health Care 399 177 25/197

Indian River Estates Retirement/Life Care 350 350 0

Wal-Mart Retail 727 (breakdown not available)

Grand Harbor Management

Developer 295 190 70/35

Disney's Vero Beach Resort

Resort Hotel 300 (breakdown not available)

CVS Warehouse/Distribution

Distribution 254 254 0

Sun Ag. Inc Citrus, Agriculture 380 130 250

Capt. Hirams Restaurant/Resort

Restaurant/resort 174 59 115

City of Sebastian Government 166 114 52

Medical Data System Collection Agency 133 125 8

Flight Safety International Flight Instruction 162 142 20

Novurania of America Manufacturing 120 120 0

St. Edwards School Independent School 108 97 11

*Figures as of 12/2011


46

The following workforce data was also gathered from the Indian River County Chamber of

Commerce website. The negative impact of the current economy is shown by the high

annual unemployment rate and the decrease in the average annual wage.

2008 2009 2010 2011

Average Annual Workforce

62,786 62,528 62,464 63,290

Average Annual Unemployment Rate

7.9% 13.0% 14.0% 12.6%

Average Annual Wage

$35,043 $35,879 $34,730 $33,947

There are two full-service hospitals in Indian River County. The Indian River Medical Center and its affiliate, the Duke Heart Center, are in the central part of the county in Vero Beach. Sebastian River Medical Center, serving residents in northern Indian River County and south Brevard County, is located in Sebastian.

Universities and colleges include Indian River State College and branches of Florida

Atlantic University and the University of Florida, Keiser College, and the Florida Institute

of Technology.

Senior Resource Association (SRA) is the primary recipient of federal and state funds for

elder services in this county. It is the only licensed provider of Adult Day Services in

Indian River County, with Centers in Vero Beach and Sebastian. SRA operates congregate

meal sites at The Club at Vero, St. Francis Manor, Wabasso Church of God, Gifford

Community Center and By the River. SRA has two senior centers – one in Sebastian and

one in Vero Beach.

SRA operates the Community Coach (a para-transit door-to-door “demand response”

service) for those over the age of 60 and for the transportation disadvantaged. It also

operates the Go-Line, a public transportation system for riders of all ages.

Your Aging Resource Center provides direct services for Information and Referral, Intake

for state and federally-funded programs, Community Outreach, Healthy Living and Elder

Rights throughout the Treasure Coast. Additionally, the Center directly administers the

Foster Grandparent and SHINE programs in Indian River County. Emergency Alert

Response Services are provided by Critical Signal Technologies under Older Americans


47

Act funding. Florida Rural Legal Services provides Legal Services to all the Treasure

Coast counties.


48

Population projections and estimates of population changes from 2010 to 2020 for selected

populations in Indian River County are shown below.

INDIAN RIVER COUNTY 2010 AND 2020 POPULATION

DEMOGRAPHICS

April 1, 2010 Census Counts

April 1, 2020 Population

Projections

% Change from April 1, 2010

to April 1, 2020

TOTAL 60+ POPULATION TOTAL 60+ POPULATION TOTAL POPULATION 60+

Age

Group Total Female Male Total Female Male Total Female Male

60-64 10,252 5,617 4,635 13,873 7,378 6,495 35.32% 31.35% 40.13%

65-69 9,651 5,182 4,469 13,927 7,508 6,419 44.31% 44.89% 43.63%

70-74 8,385 4,448 3,937 12,469 6,893 5,576 48.71% 54.97% 41.63%

75-79 7,535 4,000 3,535 9,175 4,971 4,204 21.77% 24.28% 18.93%

80-84 6,255 3,458 2,797 6,214 3,328 2,886 -0.66% -3.76% 3.18%

85+ 5,678 3,319 2,359 7,363 4112 3251 29.68% 23.89% 37.81%

TOTAL

60+ 47,756 26,024 21,732 63,021 34,190 28,831 31.96% 31.38% 32.67%

WHITE ALONE WHITE ALONE WHITE ALONE

Age


60-64 9,438 5,175 4,263 12,431 6,633 5,798 31.71% 28.17% 36.01%

65-69 9,070 4,879 4,191 12,817 6,918 5,899 41.31% 41.79% 40.75%

70-74 7,972 4,231 3,741 11,668 6,454 5,214 46.36% 52.54% 39.37%

75-79 7,228 3,841 3,387 8,695 4,709 3,986 20.30% 22.60% 17.69%

80-84 6,060 3,328 2,732 5,897 3,160 2,737 -2.69% -5.05% 0.18%

85+ 5,518 3,225 2,293 7084 3952 3132 28.38% 22.54% 36.59%

TOTAL

60+ 45,286 24,679 20,607 58,592 31,826 26,766 29.38% 28.96% 29.89%

BLACK OR AFRICAN

AMERICAN ALONE

BLACK OR AFRICAN AMERICAN

ALONE

BLACK OR AFRICAN

AMERICAN ALONE

Age


60-64 556 302 254 859 460 399 54.50% 52.32% 57.09%

65-69 381 210 171 665 362 303 74.54% 72.38% 77.19%

70-74 289 157 132 493 274 219 70.59% 74.52% 65.91%

75-79 231 112 119 313 167 146 35.50% 49.11% 22.69%

80-84 140 93 47 200 108 92 42.86% 16.13% 95.74%

85+ 124 76 48 185 109 76 49.19% 43.42% 58.33%

TOTAL

60+ 1,721 950 771 2,715 1,480 1,235 57.76% 55.79% 60.18%


49

ALL RACES ALONE OR IN

COMBINATION, EXCLUDING

WHITE ALONE



WHITE ALONE



WHITE ALONE

Age


60-64 814 442 372 1,442 745 697 77.15% 68.55% 87.37%

65-69 581 303 278 1,110 590 520 91.05% 94.72% 87.05%

70-74 413 217 196 801 439 362 93.95% 102.30% 84.69%

75-79 307 159 148 480 262 218 56.35% 64.78% 47.30%

80-84 195 130 65 317 168 149 62.56% 29.23% 129.23%

85+ 160 94 66 279 160 119 74.38% 70.21% 80.30%

TOTAL

60+ 2,470 1,345 1,125 4,429 2,364 2,065 79.31% 75.76% 83.56%

WHITE ALONE NOT

HISPANIC OR LATINO

WHITE ALONE NOT HISPANIC OR

LATINO

WHITE ALONE NOT HISPANIC

OR LATINO

Age


60-64 9135 5003 4132 11,839 6,346 5,493 29.60% 26.84% 32.94%

65-69 8830 4734 4096 12,403 6,697 5,706 40.46% 41.47% 39.31%

70-74 7773 4131 3642 11,380 6,289 5,091 46.40% 52.24% 39.79%

75-79 7,089 3,767 3,322 8,542 4,622 3,920 20.50% 22.70% 18.00%

80-84 5,959 3,267 2,692 5,797 3,110 2,687 -2.72% -4.81% -0.19%

85+ 5,450 3,187 2,263 6992 3898 3094 28.29% 22.31% 36.72%

TOTAL

60+ 44,236 24,089 20,147 56,953 30,962 25,991 28.75% 28.53% 29.01%

BLACK OR AFRICAN

AMERICAN ALONE NOT

HISPANIC OR LATINO


ALONE NOT HISPANIC OR

LATINO

BLACK OR AFRICAN

AMERICAN ALONE NOT

HISPANIC OR LATINO

Age


60-64 544 296 248 830 447 383 52.57% 51.01% 54.44%

65-69 374 207 157 647 353 294 72.99% 70.53% 87.26%

70-74 285 155 130 477 264 213 67.37% 70.32% 63.85%

75-79 229 111 118 307 164 143 34.06% 47.75% 21.19%

80-84 139 92 47 196 105 91 41.01% 14.13% 93.62%

85+ 122 75 47 177 106 71 45.08% 41.33% 51.06%

TOTAL

60+ 1,693 936 747 2,634 1,439 1,195 55.58% 53.74% 59.97%


50

HISPANIC OR LATINO OF

ANY RACE

HISPANIC OR LATINO OF ANY

RACE


RACE

Age


60-64 417 230 187 957 448 509 129.50% 94.78% 172.19%

65-69 319 175 144 667 346 321 109.09% 97.71% 122.92%

70-74 235 113 122 462 257 205 96.60%

127.43

% 68.03%

75-79 167 91 76 245 136 109 46.71% 49.45% 43.42%

80-84 115 68 47 162 79 83 40.87% 16.18% 76.60%

85+ 78 45 33 147 84 63 88.46% 86.67% 90.91%

TOTAL

60+ 1,331 722 609 2,640 1,350 1,290 98.35% 86.98% 111.82%

The charts above project significant increases in every age group of the 60+ population

except for the 80-84 age group where a decrease of 160 in the White Alone Female

population leads to an overall projected decrease in this age group of 0.66% by 2020.

The Hispanic or Latino of Any Race population has the most significant percentage of

increase in population for the 60+ age group with a projected increase in population of

98.35% by 2020.


51


populations in Indian River County are shown below.

INDIAN RIVER COUNTY 2020 AND 2030 POPULATION

DEMOGRAPHICS



Projections

% Change from April 1, 2020 to

April 1, 2030

TOTAL 60+ POPULATION TOTAL 60+ POPULATION TOTAL POPULATION 60+

Age


60-64 13,873 7,378 6,495 12,677 6,690 5,987 -8.62% -9.33% -7.82%

65-69 13,927 7,508 6,419 16,693 8,819 7,874 19.86% 17.46% 22.67%

70-74 12,469 6,893 5,576 16,921 9,095 7,826 35.70% 31.95% 40.35%

75-79 9,175 4,971 4,204 13,329 7,254 6,075 45.28% 45.93% 44.51%

80-84 6,214 3,328 2,886 9,348 5,214 4,134 50.43% 56.67% 43.24%

85+ 7,363 4112 3251 8,726 4,803 3,923 18.51% 16.80% 20.67%

TOTAL

60+ 63,021 34,190 28,831 77,694 41,875 35,819 23.28% 22.48% 24.24%


Age


60-64 12,431 6,633 5,798 11,054 5,832 5,222 -11.08% -12.08% -9.93%

65-69 12,817 6,918 5,899 15,040 7,933 7,107 17.34% 14.67% 20.48%

70-74 11,668 6,454 5,214 15,603 8,410 7,193 33.72% 30.31% 37.96%

75-79 8,695 4,709 3,986 12,501 6,810 5,691 43.77% 44.62% 42.77%

80-84 5,897 3,160 2,737 8,821 4,922 3,899 49.58% 55.76% 42.46%

85+ 7084 3952 3132 8,334 4,586 3,748 17.65% 16.04% 19.67%

TOTAL

60+ 58,592 31,826 26,766 71,353 38,493 32,860 21.78% 20.95% 22.77%

BLACK OR AFRICAN

AMERICAN ALONE

BLACK OR AFRICAN

AMERICAN ALONE


ALONE

Age


60-64 859 460 399 831 464 367 -3.26% 0.87% -8.02%

65-69 665 362 303 928 521 407 39.55% 43.92% 34.32%

70-74 493 274 219 746 404 342 51.32% 47.45% 56.16%

75-79 313 167 146 507 275 232 61.98% 64.67% 58.90%

80-84 200 108 92 325 180 145 62.50% 66.67% 57.61%

85+ 185 109 76 244 136 108 31.89% 24.77% 42.11%

TOTAL

60+ 2,715 1,480 1,235 3,581 1,980 1,601 31.90% 33.78% 29.64%


52



WHITE ALONE


COMBINATION,

EXCLUDING WHITE ALONE



WHITE ALONE

Age


60-64 1,442 745 697 1,623 858 765 12.55% 15.17% 9.76%

65-69 1,110 590 520 1,653 886 767 48.92% 50.17% 47.50%

70-74 801 439 362 1,318 685 633 64.54% 56.04% 74.86%

75-79 480 262 218 828 444 384 72.50% 69.47% 76.15%

80-84 317 168 149 527 292 235 66.25% 73.81% 57.72%

85+ 279 160 119 392 217 175 40.50% 35.63% 47.06%

TOTAL

60+ 4,429 2,364 2,065 6,341 3,382 2,959 43.17% 43.06% 43.29%

WHITE ALONE NOT

HISPANIC OR LATINO

WHITE ALONE NOT

HISPANIC OR LATINO


LATINO

Age


60-64 11,839 6,346 5,493 10,116 5,357 4,759 -14.55% -15.58% -13.36%

65-69 12,403 6,697 5,706 14,272 7,549 6,723 15.07% 12.72% 17.82%

70-74 11,380 6,289 5,091 15,003 8,117 6,886 31.84% 29.07% 35.26%

75-79 8,542 4,622 3,920 12,210 6,653 5,557 42.94% 43.94% 41.76%

80-84 5,797 3,110 2,687 8,639 4,817 3,822 49.03% 54.89% 42.24%

85+ 6992 3898 3094 8,205 4,514 3,691 17.35% 15.80% 19.30%

TOTAL

60+ 56,953 30,962 25,991 68,445 37,007 31,438 20.18% 19.52% 20.96%

BLACK OR AFRICAN

AMERICAN ALONE NOT

HISPANIC OR LATINO

BLACK OR AFRICAN

AMERICAN ALONE NOT

HISPANIC OR LATINO



LATINO

Age


60-64 830 447 383 799 448 351 -3.73% 0.22% -8.36%

65-69 647 353 294 903 509 394 39.57% 44.19% 34.01%

70-74 477 264 213 725 394 331 51.99% 49.24% 55.40%

75-79 307 164 143 497 270 227 61.89% 64.63% 58.74%

80-84 196 105 91 319 177 142 62.76% 68.57% 56.04%

85+ 177 106 71 239 133 106 35.03% 25.47% 49.30%

TOTAL

60+ 2,634 1,439 1,195 3,482 1,931 1,551 32.19% 34.19% 29.79%


53


ANY RACE


ANY RACE


RACE

Age


60-64 957 448 509 1,515 743 772 58.31% 65.85% 51.67%

65-69 667 346 321 1,240 600 640 85.91% 73.41% 99.38%

70-74 462 257 205 970 459 511 109.96% 78.60% 149.27%

75-79 245 136 109 468 245 223 91.02% 80.15% 104.59%

80-84 162 79 83 292 164 128 80.25% 107.59% 54.22%

85+ 147 84 63 208 113 95 41.50% 34.52% 50.79%

TOTAL

60+ 2,640 1,350 1,290 4,693 2,324 2,369 77.77% 72.15% 83.64%

The charts above project increases in every age group of the 60+ population except for the

60-64 age group where a decrease of 1,723 in the Total White Alone Not Hispanic or

Latino population and a decrease of 32 (8.36%) in the Black or African American Alone

Not Hispanic or Latino Male population leads to an overall decrease in the 60-64 age group

of 8.62%.


54

MARTIN COUNTY

Martin County is bordered to the north by St. Lucie County, the west by Glades County,

the south by Palm Beach County, and the east by the Atlantic Ocean. It is approximately

556 square miles in size geographically.

Most of the county is unincorporated with Stuart (15,925) being the largest municipality

and the small communities of Ocean Breeze Park (400), Sewall’s Point (2000), and Jupiter

Island (817) being the only other incorporated municipalities. (Figures from TCPalm.com

February 2012.)

Martin County is very rural, although significant growth in terms of housing starts has

taken place in the central sector of the county, particularly in Palm City and Hobe Sound.

The three primary population centers of Stuart, Sewall's Point and Jupiter Island are along

the eastern coastal corridor. Indiantown is the only community in the western part of the

county and its population is small, largely migrant, and low-income. Martin County is

known for its policies of controlled development – there is little urban or suburban sprawl

and the result is limited overall population growth from year to year.

Martin County along with St. Lucie County comprise the Port St. Lucie Metropolitan Area.

POLICOM provides annual rankings of MSA’s for economic strength. There are 366

Metropolitan Statistical Areas in the United States. According to an Economic/Opportunity

study POLICOM Corporation conducted for the Stuart/Martin County Chamber of

Commerce in May of 2012, the Port St. Lucie MSA ranked 224 in 2011. In 2006 it had

ranked 141st.

The statistics from the Martin County Chamber of Commerce below reflect the impact of

this economic downturn on the labor force.

Labor Force

Employed Unemployment Rate (%)

2004 63,400 4.8

2005 64,611 3.8

2006 61,384 3.6

2007 62,455 4.4

2008 59,903 6.9

2009 55,978 11.1

2010 56,444 11.8

(Source: Fla. Statistical Abstract 2011)


55

The major private sector employers are reflected in the chart below from the Martin County

Chamber of Commerce.

Major Private Sector Employers

Employer Business Line # of Employees Phone

Martin Health Systems Healthcare 2,700 (772) 287-5200

Martin County School District Education 2,456 (772) 287-6400

Publix Supermarkets Retail 1,168 (772) 652-2411

Armellini Express Lines Trucking 684 (772) 287-0575

Home Depot Retail 400 (772) 223-7216

Winn Dixie Retail 382 (305) 783-2700

Lowes Home Improvement Retail 335 (772) 692-7745

Vought Aircraft Aerospace 300 (772) 220-5301

TurboCombustor Technology Aerospace 294 (772) 287-7770

Seacoast National Bank Banking 272 (772) 387-4000

(Source: Enterprise Florida)

The Chamber of Commerce reports that there are approximately 35 different businesses

that employ over 100 people. The marine industry and agriculture are major contributors.

The POLICOM study found that the “’retirement industry’ is overwhelming the largest

importer of money to the area accounting for 62%. It also drives a local healthcare system

to be larger than for a normal population.”

Universities and colleges include branches of Florida Atlantic University and Indian River

State College. Indian River State College offers career-oriented training programs in

Indiantown.

The Council on Aging of Martin County (COAMC) and Alzheimer’s Community Care,

Inc. are the primary recipients of federal and state funds for elder services.

The Council on Aging of Martin County has eight different congregate meal locations in

Martin County. The Log Cabin Senior Center also provides classes, activities and special

events for active seniors. Council on Aging volunteers deliver Meals on Wheels, work at

the thrift shop, and visit or shop for the homebound. The Council on Aging of Martin

County Community Coach provides transportation to all citizens and includes wheelchair-

lift vehicles for the disabled and door-to-door assistance, all for just $1.00 per ride. All

Medicaid transportation is scheduled through Community Coach.


56

Alzheimer’s Community Care, Inc. operates ten Specialized Adult Day Service Centers

with locations throughout Palm Beach, Martin and St. Lucie counties. The sites are

culturally diverse including an Hispanic site in Greenacres and a site in Pahokee ( a rural

area of Palm Beach County with a high concentration of low-income minorities).

Alzheimer’s Community Care, Inc. Specialized Adult Day Service Centers provide

dementia-specific services for the person and his or her family caregivers. The program

includes on-going education and support for families who are caring for their loved one at

home. The Adult Day Service Centers incorporate dementia-specific standards of care

through a wide range of services such as ongoing clinical intervention and health

management by a Florida licensed nurse as well as therapeutic activities that provide

physical, cognitive and social stimulation in a safe and supportive environment.



Rights throughout the Treasure Coast. Additionally, the Center directly administers the

Foster Grandparent and SHINE programs in Martin County. Emergency Alert Response

Services are provided by Critical Signal Technologies under Older Americans Act funding.

Florida Rural Legal Services provides Legal Services to all the Treasure Coast counties.


populations in Martin County are shown below.


57

MARTIN COUNTY 2010 AND 2020 POPULATION

DEMOGRAPHICS

April 1, 2010 Census

Counts


Projections


to April 1, 2020

TOTAL POPULATION 60+ TOTAL POPULATION 60+ TOTAL POPULATION 60+

Age


60-64 10,781 5,675 5,106 14,293 7,313 6,980 32.58% 28.86% 36.70%

65-69 10,517 5,626 4,892 13,886 7,397 6,489 32.03% 31.48% 32.65%

70-74 8,958 4,656 4,302 12,448 6,620 5,828 38.96% 42.18% 35.47%

75-79 7,950 4,216 3,734 9,737 5,255 4,482 22.48% 24.64% 20.03%

80-84 6,538 3,560 2,978 6,408 3,362 3,046 -1.99% -5.56% 2.28%

85+ 6,009 3,569 2,440 7,964 4,447 3,517 32.53% 24.60% 44.14%

TOTAL

60+ 50,753 27,302 23,452 64,736 34,394 30,342 27.55% 25.98% 29.38%


Age


60-64 10,174 5,372 4,802 13,203 6,793 6,410 29.77% 26.45% 33.49%

65-69 10,122 5,423 4,699 13,129 7,042 6,087 29.71% 29.85% 29.54%

70-74 8,652 4,493 4,159 11,869 6,326 5,543 37.18% 40.80% 33.28%

75-79 7,732 4,090 3,642 9,368 5,058 4,310 21.16% 23.67% 18.34%

80-84 6,414 3,493 2,921 6,186 3,238 2,948 -3.55% -7.30% 0.92%

85+ 5,889 3,484 2,405 7,765 4,330 3,435 31.86% 24.28% 42.83%

TOTAL

60+ 48,983 26,355 22,628 61,520 32,787 28,733 25.59% 24.41% 26.98%

BLACK OR AFRICAN

AMERICAN ALONE


ALONE

BLACK OR AFRICAN

AMERICAN ALONE

Age


60-64 333 169 164 531 260 271 59.46% 53.85% 65.24%

65-69 224 110 114 379 170 209 69.20% 54.55% 83.33%

70-74 194 100 94 313 154 159 61.34% 54.00% 69.15%

75-79 126 75 51 181 96 85 43.65% 28.00% 66.67%

80-84 80 43 37 120 64 56 50.00% 48.84% 51.35%

85+ 72 51 21 93 55 38 29.17% 7.84% 80.95%

TOTAL

60+ 1,029 548 481 1,617 799 818 57.14% 45.80% 70.06%


58


COMBINATION,




WHITE ALONE



WHITE ALONE

Age


60-64 607 303 304 1,090 520 570 79.57% 71.62% 87.50%

65-69 395 202 193 757 355 402 91.65% 75.74% 108.29%

70-74 306 163 143 579 294 285 89.22% 80.37% 99.30%

75-79 218 126 92 369 197 172 69.27% 56.35% 86.96%

80-84 124 67 57 222 124 98 79.03% 85.07% 71.93%

85+ 120 85 35 199 117 82 65.83% 37.65% 134.29%

TOTAL

60+ 1,770 946 824 3,216 1,607 1,609 81.69% 69.87% 95.27%

WHITE ALONE NOT

HISPANIC OR LATINO


OR LATINO


OR LATINO

Age


60-64 9,892 5,225 4,667 12,775 6,601 6,174 29.14% 26.33% 32.29%

65-69 9,875 5,275 4,600 12,859 6,907 5,943 30.22% 30.94% 29.20%

70-74 8,520 4,406 4,114 11,683 6,229 5,454 37.12% 41.38% 32.57%

75-79 7,608 4,031 3,577 9,226 4,974 4,252 21.27% 23.39% 18.87%

80-84 6,331 3,444 2,887 6,117 3,194 2,923 -3.38% -7.26% 1.25%

85+ 5,817 3,433 2,384 7,672 4,274 3,398 31.89% 24.50% 42.53%

TOTAL

60+ 48,043 25,814 22,229 60,332 32,179 28,144 25.58% 24.66% 26.61%

BLACK OR AFRICAN

AMERICAN ALONE NOT

HISPANIC OR LATINO



LATINO

BLACK OR AFRICAN

AMERICAN ALONE NOT

HISPANIC OR LATINO

Age


60-64 326 164 162 513 250 263 57.36% 52.44% 62.35%

65-69 220 108 112 367 164 203 66.82% 51.85% 81.25%

70-74 192 99 93 305 150 155 58.85% 51.52% 66.67%

75-79 126 75 51 179 95 84 42.06% 26.67% 64.71%

80-84 80 43 37 120 64 56 50.00% 48.84% 51.35%

85+ 70 49 21 88 51 37 25.71% 4.08% 76.19%

TOTAL

60+ 1,014 538 476 1,572 774 798 55.03% 43.87% 67.65%


59


ANY RACE


RACE


RACE

Age


60-64 393 196 197 754 325 429 91.86% 65.82% 117.77%

65-69 304 172 132 489 228 261 60.86% 32.56% 97.73%

70-74 166 104 62 326 164 162 96.39% 57.69% 161.29%

75-79 159 81 78 249 142 107 56.60% 75.31% 37.18%

80-84 93 56 37 119 75 44 27.96% 33.93% 18.92%

85+ 90 63 27 163 96 67 81.11% 52.38% 148.15%

TOTAL

60+ 1,205 672 533 2,100 1,030 1,070 74.27% 53.27% 100.75%


except for the 80-84 age group where a decrease of 250 in the white alone not Hispanic or

Latino Female population leads to an overall projected decrease in this age group by 2020.

The Hispanic or Latino of Any Race population has the most significant percentage of

increase in population for the 60+ age group.


60


populations in Martin County are shown below.

MARTIN COUNTY 2020 AND 2030 POPULATION DEMOGRAPHICS


Projections


Projections


to April 1, 2030

TOTAL POPULATION 60+ TOTAL POPULATION 60+ TOTAL POPULATION

Age


60-64 14,293 7,313 6,980 12,519 6,394 6,125 -14.17% -14.37% -13.96%

65-69 13,886 7,397 6,489 16,915 8,711 8,204 17.91% 15.08% 20.90%

70-74 12,448 6,620 5,828 16,605 8,606 7,999 25.03% 23.08% 27.14%

75-79 9,737 5,255 4,482 13,010 7,007 6,003 25.16% 25.00% 25.34%

80-84 6,408 3,362 3,046 9,031 4,850 4,181 29.04% 30.68% 27.15%

85+ 7,964 4,447 3,517 9,506 5,199 4,307 16.22% 14.46% 18.34%

TOTAL

60+ 64,736 34,394 30,342 77,586 40,767 36,819 16.56% 15.63% 17.59%


Age


60-64 13,203 6,793 6,410 11,126 5,783 5,343 -18.67%

-

17.46% -19.97%

65-69 13,129 7,042 6,087 15,649 8,108 7,541 16.10% 13.15% 19.28%

70-74 11,869 6,326 5,543 15,673 8,154 7,519 24.27% 22.42% 26.28%

75-79 9,368 5,058 4,310 12,424 6,728 5,696 24.60% 24.82% 24.33%

80-84 6,186 3,238 2,948 8,658 4,658 4,000 28.55% 30.49% 26.30%

85+ 7,765 4,330 3,435 9,224 5,041 4,183 15.82% 14.10% 17.88%

TOTAL

60+ 61,520 32,787 28,733 72,754 38,472 34,282 15.44% 14.78% 16.19%


61

BLACK OR AFRICAN

AMERICAN ALONE


ALONE


ALONE

Age


60-64 531 260 271 628 269 359 15.45% 3.35% 24.51%

65-69 379 170 209 610 276 334 37.87% 38.41% 37.43%

70-74 313 154 159 476 229 247 34.24% 32.75% 35.63%

75-79 181 96 85 299 136 163 39.46% 29.41% 47.85%

80-84 120 64 56 195 96 99 38.46% 33.33% 43.43%

85+ 93 55 38 129 68 61 27.91% 19.12% 37.70%

TOTAL

60+ 1,617 799 818 2,337 1,074 1,263 30.81% 25.61% 35.23%


COMBINATION,




WHITE ALONE



WHITE ALONE

Age


60-64 1,090 520 570 1,393 611 782 21.75% 14.89% 27.11%

65-69 757 355 402 1,266 603 663 40.21% 41.13% 39.37%

70-74 579 294 285 932 452 480 37.88% 34.96% 40.63%

75-79 369 197 172 586 279 307 37.03% 29.39% 43.97%

80-84 222 124 98 373 192 181 40.48% 35.42% 45.86%

85+ 199 117 82 282 158 124 29.43% 25.95% 33.87%

TOTAL

60+ 3,216 1,607 1,609 4,832 2,295 2,537 33.44% 29.98% 36.58%


62

WHITE ALONE NOT

HISPANIC OR LATINO


LATINO


OR LATINO

Age


60-64 12,775 6,601 6,174 10,451 5,482 4,969 -22.24% -20.41% -24.25%

65-69 12,859 6,907 5,943 15,115 7,840 7,275 14.93% 11.90% 18.31%

70-74 11,683 6,229 5,454 15,341 8,004 7,337 23.84% 22.18% 25.66%

75-79 9,226 4,974 4,252 12,211 6,624 5,587 24.45% 24.91% 23.89%

80-84 6,117 3,194 2,923 8,534 4,593 3,941 28.32% 30.46% 25.83%

85+ 7,672 4,274 3,398 9,088 4,958 4,130 15.58% 13.80% 17.72%

TOTAL

60+ 60,332 32,179 28,144 70,740 37,501 33,239 14.71% 14.19% 15.33%

BLACK OR AFRICAN

AMERICAN ALONE NOT

HISPANIC OR LATINO


ALONE NOT HISPANIC OR LATINO



LATINO

Age


60-64 513 250 263 605 259 346 15.21% 3.47% 23.99%

65-69 367 164 203 591 267 324 37.90% 38.58% 37.35%

70-74 305 150 155 464 224 240 34.27% 33.04% 35.42%

75-79 179 95 84 292 133 159 38.70% 28.57% 47.17%

80-84 120 64 56 191 94 97 37.17% 31.91% 42.27%

85+ 88 51 37 124 65 59 29.03% 21.54% 37.29%

TOTAL

60+ 1,572 774 798 2,267 1,042 1,225 30.66% 25.72% 34.86%


ANY RACE


RACE


RACE

Age


60-64 754 325 429 1,189 510 679 36.59% 36.27% 36.82%

65-69 489 228 261 938 456 482 47.87% 50.00% 45.85%

70-74 326 164 162 585 255 330 44.27% 35.69% 50.91%

75-79 249 142 107 374 177 197 33.42% 19.77% 45.69%

80-84 119 75 44 218 111 107 45.41% 32.43% 58.88%

85+ 163 96 67 236 140 96 30.93% 31.43% 30.21%

TOTAL

60+ 2,100 1,030 1,070 3,540 1,649 1,891 40.68% 37.54% 43.42%


63

The 2020 to 2030 projections show increases for all 60+ age groups for all races except for

the 60-64 age group for White Alone where there is a decrease of more than 18%. This

decline of more than 2000 leads to an overall projected decrease in the in the 60-64 age

group in Martin County by 2030.

OKEECHOBEE COUNTY

Okeechobee County is located on the northern banks of Lake Okeechobee, 70 miles

northwest of West Palm Beach and 110 miles south of Orlando. Lake Okeechobee is the

second largest body of fresh water in the United States. Okeechobee is bordered to the

north by Indian River and Osceola Counties, the west by Highlands and Glades Counties,

the south by Palm Beach County and the east by St. Lucie and Martin Counties. It is

approximately 774 square miles in size geo-graphically. Okeechobee County is the

smallest county in the PSA in terms of population.

The City of Okeechobee (5,621) is the major population center with Fort Drum to the

northwest being the only other small outlying town. This is a highly rural county with a

total population of 39,870 according to the 2011 Florida County Profiles (projection).

The per capita income estimate for Okeechobee from the Okeechobee County Community

Health Assessment December 2011 was $18,713. This differs significantly from the state

of Florida per capita income estimate of $26,787. In this same study, Okeechobee ranked

6th in the state among county unemployment rates with an unemployment rate of 12.9%.

The table below from the Okeechobee County Community Health Assessment December

2011 shows the major industries in Okeechobee County.

Table 21: 2010 Quarterly Census of Employment and Wages, Sector (2 digit) data for Okeechobee County, All Ownerships. Industry Average

Establishments Average Employment Average Weekly Wage

Health Care and Social Assistance

91 1,471 $719

Retail Trade 155 1,464 $459 Agriculture, Forestry, Fishing & Hunting

77 1,266 $509

Public Administration 38 1,090 $757 Accommodation and Food Services

66 956 $254

Construction 118 541 $579 Administrative and Waste Services

70 443 $605

Manufacturing 33 358 $746 Transportation and Warehousing

39 318 $858

Arts, Entertainment, and Recreation

16 284 $558


64

Other Services, Ex. Public Admin

79 255 $489

Professional and Technical Services

56 218 $609

Wholesale Trade 38 197 $647 Finance and Insurance 31 189 $763 Real Estate and Rental and Leasing

38 92 $575

Information 8 90 $740 Utilities 5 77 $948 Mining 4 30 $588 Educational Services *** *** *** Unclassified *** *** *** Source: FL Labor Market Statistics, Quarterly Census of Employment and Wages Program, 2010 Note: Asterisks indicate non-disclosable data Compiled by: Health Council of Southeast Florida, 2011

Raulerson Hospital is the only hospital in the county. Post-Secondary institutions serving

the county include Indian River State College, a branch of Florida Atlantic University, and

the Dixon Hendry Vocational Center.

Okeechobee Senior Services (OSS) is the primary recipient agency for state and federal

funds in this county. Okeechobee has one senior center located in the City of Okeechobee

and this facility also serves as a congregate meal site. OSS services include Meals on

Wheels, Transportation, Support Groups, Recreation, and Education.



Rights in Okeechobee. Additionally, the Center directly administers the Foster

Grandparent and SHINE programs in Okeechobee County. Emergency Alert Response


Florida Rural Legal Services provides Legal Services to Okeechobee County.


65


populations in Okeechobee County are shown below.

OKEECHOBEE COUNTY 2010 AND 2020 POPULATION DEMOGRAPHICS



Projections

% Change from April 1, 2010 to

April 1, 2020


Age


60-64 2,217 1,123 1,094 2,779 1,395 1,384 25.35% 24.22% 26.51%

65-69 2,102 1,065 1,037 2,363 1,192 1,171 12.42% 11.92% 12.92%

70-74 1,800 905 895 2,086 1,080 1,006 15.89% 19.34% 12.40%

75-79 1,277 582 695 1,612 829 783 26.23% 42.44% 12.66%

80-84 950 483 467 1,086 553 533 14.32% 14.49% 14.13%

85+ 662 398 264 922 471 451 39.27% 18.34% 70.83%

TOTAL

60+ 9,008 4,556 4,452 10,848 5,520 5,328 20.43% 21.16% 19.68%


Age


60-64 2,004 1,028 976 2,412 1,244 1,168 20.36% 21.01% 19.67%

65-69 1,931 992 939 2,117 1,088 1,029 9.63% 9.68% 9.58%

70-74 1,700 858 842 1,919 993 926 12.88% 15.73% 9.98%

75-79 1,214 552 663 1,491 775 716 22.82% 40.40% 7.99%

80-84 917 468 449 1,032 527 505 12.54% 12.61% 12.47%

85+ 631 386 245 870 447 423 37.88% 15.80% 72.65%

TOTAL

60+ 8,397 4,284 4,114 9,841 5,074 4,767 17.20% 18.44% 15.87%

BLACK OR AFRICAN

AMERICAN ALONE


ALONE


ALONE

Age


60-64 99 48 51 151 60 91 52.53% 25.00% 78.43%

65-69 91 38 53 97 42 55 6.59% 10.53% 3.77%

70-74 51 30 21 71 40 31 39.22% 33.33% 47.62%

75-79 41 23 18 62 27 35 51.22% 17.39% 94.44%

80-84 18 8 10 26 14 12 44.44% 75.00% 20.00%

85+ 21 8 13 26 12 14 23.81% 50.00% 7.69%

TOTAL

60+ 321 155 166 433 195 238 34.89% 25.81% 43.37%


66



WHITE ALONE



WHITE ALONE



WHITE ALONE

Age


60-64 213 95 118 367 151 216 72.30% 58.95% 83.05%

65-69 171 73 98 246 104 142 43.86% 42.47% 44.90%

70-74 100 47 53 167 87 80 67.00% 85.11% 50.94%

75-79 63 30 33 121 54 67 92.06% 80.00% 103.03%

80-84 33 15 18 54 26 28 63.64% 73.33% 55.56%

85+ 31 12 19 52 24 28 67.74%

100.00

% 47.37%

TOTAL

60+ 611 272 339 1,007 446 561 64.81% 63.97% 65.49%

WHITE ALONE NOT

HISPANIC OR LATINO


OR LATINO


OR LATINO

Age


60-64 1,888 963 925 2,251 1,183 1,068 19.23% 22.85% 15.46%

65-69 1,868 965 903 2,001 1,044 957 7.12% 8.19% 5.98%

70-74 1,654 841 813 1,848 959 889 11.73% 14.03% 9.35%

75-79 1,171 531 640 1,450 757 693 23.83% 42.56% 8.28%

80-84 904 465 439 1,012 520 492 11.95% 11.83% 12.07%

85+ 616 378 238 850 438 412 37.99% 15.87% 73.11%

TOTAL

60+ 8,101 4,143 3,958 9,412 4,901 4,511 16.18% 18.30% 13.97%

BLACK OR AFRICAN

AMERICAN ALONE NOT

HISPANIC OR LATINO



LATINO



LATINO

Age


60-64 98 47 51 148 58 90 51.02% 23.40% 76.47%

65-69 90 37 53 95 40 55 5.56% 8.11% 3.77%

70-74 51 30 21 71 40 31 39.22% 33.33% 47.62%

75-79 41 23 18 62 27 35 51.22% 17.39% 94.44%

80-84 18 8 10 26 14 12 44.44% 75.00% 20.00%

85+ 20 8 12 25 12 13 25.00% 50.00% 8.33%

TOTAL

60+ 318 153 165 427 191 236 34.28% 24.84% 43.03%


67


ANY RACE


RACE


RACE

Age


60-64 189 88 101 323 123 200 70.90% 39.77% 98.02%

65-69 112 47 65 233 89 144 108.04% 89.36% 121.54%

70-74 75 27 48 141 67 74 88.00% 148.15% 54.17%

75-79 56 23 33 83 36 47 48.21% 56.52% 42.42%

80-84 25 9 16 41 15 26 64.00% 66.67% 62.50%

85+ 22 10 12 41 17 24 86.36% 70.00% 100.00%

TOTAL

60+ 479 204 275 862 347 515 79.96% 70.10% 87.27%

Okeechobee is the only county in our PSA that shows projected growth in every 60+ age

group across every demographic type from 2010 to 2020.


populations in Okeechobee County are shown below.

OKEECHOBEE COUNTY 2020 AND 2030 POPULATION

DEMOGRAPHICS


Projections


Projections


to April 1, 2030


Age


60-64 2,779 1,395 1,384 2,653 1,255 1,398 -4.75% -11.16% 1.00%

65-69 2,363 1,192 1,171 2,849 1,446 1,403 17.06% 17.57% 16.54%

70-74 2,086 1,080 1,006 2,645 1,371 1,274 21.13% 21.23% 21.04%

75-79 1,612 829 783 1,844 947 897 12.58% 12.46% 12.71%

80-84 1,086 553 533 1,282 672 610 15.29% 17.71% 12.62%

85+ 922 471 451 1,186 613 573 22.26% 23.16% 21.29%

TOTAL

60+ 10,848 5,520 5,328 12,459 6,304 6,155 12.93% 12.44% 13.44%


68


Age


60-64 2,412 1,244 1,168 2,233 1,075 1,158 -8.02% -15.72% -0.86%

65-69 2,117 1,088 1,029 2,519 1,288 1,231 15.96% 15.53% 16.41%

70-74 1,919 993 926 2,382 1,257 1,125 19.44% 21.00% 17.69%

75-79 1,491 775 716 1,678 874 804 11.14% 11.33% 10.95%

80-84 1,032 527 505 1,199 627 572 13.93% 15.95% 11.71%

85+ 870 447 423 1,106 575 531 21.34% 22.26% 20.34%

TOTAL

60+ 9,841 5,074 4,767 11,117 5,696 5,421 11.48% 10.92% 12.06%

BLACK OR AFRICAN

AMERICAN ALONE


ALONE

BLACK OR AFRICAN

AMERICAN ALONE

Age


60-64 151 60 91 147 56 91 -2.72% -7.14% 0.00%

65-69 97 42 55 127 65 62 23.62% 35.38% 11.29%

70-74 71 40 31 110 46 64 35.45% 13.04% 51.56%

75-79 62 27 35 64 28 36 3.13% 3.57% 2.78%

80-84 26 14 12 34 18 16 23.53% 22.22% 25.00%

85+ 26 12 14 36 16 20 27.78% 25.00% 30.00%

TOTAL

60+ 433 195 238 518 229 289 16.41% 14.85% 17.65%


69



WHITE ALONE



WHITE ALONE



WHITE ALONE

Age


60-64 367 151 216 420 180 240 12.62% 16.11% 10.00%

65-69 246 104 142 330 158 172 25.45% 34.18% 17.44%

70-74 167 87 80 263 114 149 36.50% 23.68% 46.31%

75-79 121 54 67 166 73 93 27.11% 26.03% 27.96%

80-84 54 26 28 83 45 38 34.94% 42.22% 26.32%

85+ 52 24 28 80 38 42 35.00% 36.84% 33.33%

TOTAL

60+ 1,007 446 561 1,342 608 734 24.96% 26.64% 23.57%

WHITE ALONE NOT

HISPANIC OR LATINO


OR LATINO


OR LATINO

Age


60-64 2,251 1,183 1,068 2,009 979 1,030 -12.05% -20.84% -3.69%

65-69 2,001 1,044 957 2,363 1,228 1,135 15.32% 14.98% 15.68%

70-74 1,848 959 889 2,267 1,212 1,055 18.48% 20.87% 15.73%

75-79 1,450 757 693 1,596 842 754 9.15% 10.10% 8.09%

80-84 1,012 520 492 1,163 610 553 12.98% 14.75% 11.03%

85+ 850 438 412 1,076 563 513 21.00% 22.20% 19.69%

TOTAL

60+ 9,412 4,901 4,511 10,474 5,434 5,040 10.14% 9.81% 10.50%



LATINO





Age


60-64 148 58 90 143 54 89 -3.50% -7.41% -1.12%

65-69 95 40 55 124 64 60 23.39% 37.50% 8.33%

70-74 71 40 31 107 45 62 33.64% 11.11% 50.00%

75-79 62 27 35 62 27 35 0.00% 0.00% 0.00%

80-84 26 14 12 33 17 16 21.21% 17.65% 25.00%

85+ 25 12 13 35 16 19 28.57% 25.00% 31.58%

TOTAL

60+ 427 191 236 504 223 281 15.28% 14.35% 16.01%


70


ANY RACE


RACE


RACE

Age


60-64 323 123 200 451 194 257 28.38% 36.60% 22.18%

65-69 233 89 144 314 121 193 25.80% 26.45% 25.39%

70-74 141 67 74 231 90 141 38.96% 25.56% 47.52%

75-79 83 36 47 164 64 100 49.39% 43.75% 53.00%

80-84 41 15 26 74 36 38 44.59% 58.33% 31.58%

85+ 41 17 24 62 26 36 33.87% 34.62% 33.33%

TOTAL

60+ 862 347 515 1,296 531 765 33.49% 34.65% 32.68%

The charts above projects increases in every age group of the 60+ population except for the

60-64 age group where a decrease of 242 in the Total White Alone Not Hispanic or Latino

population and a decrease of 4 (7.14%) in the Black or African American Alone Not

Hispanic or Latino Female population leads to an overall decrease in the 60-64 age group

of 8.62%.

There are 681 grandparents responsible for their own grandchildren in Okeechobee County.

This is 1.7% of the total population – more than double the statewide average of 0.8%.

PALM BEACH COUNTY

Palm Beach County is bordered on the north by Martin County, on the west by Hendry

County and Lake Okeechobee, on the south by Broward County, and on the east by the

Atlantic Ocean. It is the most southern county in Planning and Service Area 9. At 2,023

square miles, Palm Beach County is the largest county geographically in the State of

Florida and is approximately the same size as the entire state of Rhode Island. Its sheer

size presents unique challenges to service delivery.


71

The table below from the Palm Beach County Community Health Assessment September

2012 reflects the Palm Beach County Population by municipality and the change in

population sinc3 2000.

Table 7: Census Population Counts Palm Beach and Florida, 2000 and 2010 April 1, 2010 f April 2010 April 1, 2000 Total Change Percent Change Palm Beach 1,320,134 1,131,191 188,943 16.7% Atlantis 2,005 2,005 0 0.0% Belle Glade 17,467 14,906 2,561 17.2% Boca Raton 84,392 74,764 9,628 12.9% Boynton Beach 68,217 60,389 7,828 13.0% Briny Breezes 601 411 190 46.2% Cloud Lake 135 167 -32 -19.2% Delray Beach 60,522 60,020 502 0.8% Glen Ridge 219 276 -57 -20.7% Golf Village 252 230 22 9.6% Greenacres City 37,573 27,569 10,004 36.3% Gulf Stream 786 716 70 9.8% Haverhill 1,873 1,454 419 28.8% Highland Beach 3,539 3,775 -236 -6.3% Hypoluxo 2,588 2,015 573 28.4% Juno Beach 3,176 3,262 -86 -2.6% Jupiter 55,156 39,328 15,828 40.2% Jupiter Inlet Colony

400 368 32 8.7%

Lake Clarke Shores

3,376 3,451 -75 -2.2%

Lake Park 8,155 8,721 -566 -6.5% Lake Worth 34,910 35,133 -223 -0.6% Lantana 10,423 9,404 1,019 10.8%


72

Economic data from the Palm Beach County Business Development Board is shown below.

Total Nonagricultural Employment (thousands)

504.8

Goods Producing 43.8 Housing (2009 ACS)

Construction 27.5 Total housing units 642,074 Manufacturing 16.3 Occupied housing units 506,414 Service Providing 461.0 Vacant housing units 135,660 Wholesale Trade 21.9 Homeowner vacancy rate 4 Retail Trade 66.6 Rental vacancy rate 10.8 Trans., Warehousing & Utilities 9.6 Average household size 2.43 Information 9.6 Financial Activities 34.9 Economic Finance and Insurance 21.9 County Average Wage

(2008) $45,016

Professional and Business Services

81.5 Median Family Income $60,222

Pro., Scientific & Tech. Services 35.4 Per Capita Income $30,992 Mngt. of Companies & Enterprises 8.6 Median Earnings For Male

Administrative and Waste Services 37.6 Full-Time, Year-Round Workers

$42,708

Education and Health Services 79.3 Median Earnings For Female

Leisure and Hospitality 67.9 Full-Time, Year-Round Workers

$35,649

Accommadation & Food Services 52.7 Other Services 23.0

There are 19 hospitals in Palm Beach County. Six colleges and universities are located in

Palm Beach County. They include Florida Atlantic University, Lynn University,

Northwood University, Nova Southeastern University, Palm Beach Atlantic University and

Palm Beach State College.

The West Palm Beach the Housing Authority has an Elder Services component with a

social worker who provides care management to extremely low income seniors of color

and those who are immigrants. The services are provided to persons 62 years of age or

older. They manage 188 client contacts per month.

Your Aging Resource Center funds several agencies through state and federal contracts for

elder services in Palm Beach County. Palm Beach County Division of Senior Services, The

Volen Center, and Alzheimer’s Community Care, Inc. provide services through

Community Care for the Elderly, Home Care for the Elderly, Alzheimer’s Disease

Initiative, and Older Americans Act funding. Ruth Rales Jewish Family Service is a Local

Service Program (LSP) provider of services to Holocaust survivors. Federation

Transportation Services also has LSP funding to provide transportation to the elderly and

disabled populations. They provide 200 trips per month. Legal Aid Society of Palm Beach

County and Just Checking! provide services under OAA funding. Palm Tran Connection


73

receives OAA transportation funding. Contracted providers operate 30 congregate meal

sites and four senior centers.



Rights in Palm Beach County. Additionally, the Center directly administers the Foster

Grandparent and SHINE programs in Palm Beach County. Emergency Alert Response



populations in Palm Beach County are shown below.

PALM BEACH COUNTY 2010 AND 2020 POPULATION DEMOGRAPHICS



Projections


to April 1, 2020


Age


60-64 78,463 42,477 35,986 102,260 52,836 49,424 30.33% 24.39% 37.34%

65-69 70,465 38,839 31,626 95,990 50,996 44,994 36.22% 31.30% 42.27%

70-74 59,962 33,189 26,773 87,932 48,036 39,896 46.65% 44.73% 49.02%

75-79 54,879 30,561 24,318 69,230 38,491 30,739 26.15% 25.95% 26.40%

80-84 50,644 28,590 22,054 47,361 26,445 20,916 -6.48% -7.50% -5.16%

85+ 49,205 29,382 19,823 57,206 33,023 24,183 16.26% 12.39% 21.99%

TOTAL

60+ 363,618 203,038 160,580 459,979 249,827 210,152 26.50% 23.04% 30.87%


Age


60-64 66,480 36,083 30,397 80,823 41,666 39,157 21.57% 15.47% 28.82%

65-69 61,832 34,098 27,734 79,157 41,934 37,223 28.02% 22.98% 34.21%

70-74 53,709 29,789 23,920 76,481 41,876 34,605 42.40% 40.58% 44.67%

75-79 50,708 28,195 22,513 61,544 34,246 27,298 21.37% 21.46% 21.25%

80-84 47,934 26,899 21,035 42,495 23,770 18,725 -11.35% -11.63% -10.98%

85+ 47,125 28,001 19,124 53,320 30,678 22,642 13.15% 9.56% 18.40%

TOTAL

60+ 327,788 183,065 144,723 393,820 214,170 179,650 20.14% 16.99% 24.13%


74


ALONE


ALONE


ALONE

Age


60-64 8,476 4,543 3,933 14,444 7,638 6,806 70.41% 68.13% 73.05%

65-69 6,255 3,423 2,832 11,517 6,243 5,274 84.12% 82.38% 86.23%

70-74 4,537 2,467 2,070 7,717 4,170 3,547 70.09% 69.03% 71.35%

75-79 3,062 1,742 1,320 5,142 2,866 2,276 67.93% 64.52% 72.42%

80-84 1,959 1,230 729 3,186 1,741 1,445 62.63% 41.54% 98.22%

85+ 1,554 1,063 491 2,522 1,556 966 62.29% 46.38% 96.74%

TOTAL

60+ 25,843 14,468 11,375 44,528 24,214 20,314 72.30% 67.36% 78.58%



WHITE ALONE



WHITE ALONE



WHITE ALONE

Age


60-64 11,983 6,394 5,589 21,437 11,170 10,267 78.90% 74.70% 83.70%

65-69 8,633 4,741 3,892 16,833 9,062 7,771 94.98% 91.14% 99.67%

70-74 6,253 3,400 2,853 11,451 6,160 5,291 83.13% 81.18% 85.45%

75-79 4,171 2,366 1,805 7,686 4,245 3,441 84.27% 79.42% 90.64%

80-84 2,710 1,691 1,019 4,866 2,675 2,191 79.56% 58.19% 115.01%

85+ 2,080 1,381 699 3,886 2,345 1,541 86.83% 69.80% 120.46%

TOTAL

60+ 35,830 19,973 15,857 66,159 35,657 30,502 84.65% 78.53% 92.36%


LATINO


LATINO


OR LATINO

Age


60-64 60,060 32,492 27,568 71,462 36,789 34,673 18.98% 13.22% 25.77%

65-69 56,592 31,139 25,453 71,973 38,028 33,945 27.18% 22.12% 33.36%

70-74 49,462 27,298 22,164 71,275 38,913 32,362 44.10% 42.55% 46.01%

75-79 47,551 26,368 21,183 57,731 32,051 25,680 21.41% 21.55% 21.23%

80-84 45,855 25,650 20,205 39,922 22,230 17,692 -12.94% -13.33% -12.44%

85+ 45,549 26,993 18,556 51,031 29,267 21,764 12.04% 8.42% 17.29%

TOTAL

60+ 305,069 169,940 135,129 363,394 197,278 166,116 19.12% 16.09% 22.93%


75



LATINO

BLACK OR AFRICAN

AMERICAN ALONE NOT

HISPANIC OR LATINO

BLACK OR AFRICAN

AMERICAN ALONE NOT

HISPANIC OR LATINO

Age


60-64 8,233 4,421 3,812 13,939 7,396 6,543 69.31% 67.29% 71.64%

65-69 6,057 3,322 2,735 11,086 6,027 5,059 83.03% 81.43% 84.97%

70-74 4,416 2,396 2,020 7,423 4,005 3,418 68.09% 67.15% 69.21%

75-79 2,966 1,687 1,279 4,907 2,740 2,167 65.44% 62.42% 69.43%

80-84 1,901 1,203 698 3,032 1,667 1,365 59.50% 38.57% 95.56%

85+ 1,505 1,036 469 2,370 1,477 893 57.48% 42.57% 90.41%

TOTAL

60+ 25,078 14,065 11,013 42,757 23,312 19,445 70.50% 65.74% 76.56%


RACE


RACE


RACE

Age


60-64 7,979 4,409 3,570 13,287 6,765 6,522 66.52% 53.44% 82.69%

65-69 6,311 3,528 2,783 10,187 5,419 4,768 61.42% 53.60% 71.33%

70-74 4,961 2,888 2,073 7,374 4,111 3,263 48.64% 42.35% 57.40%

75-79 3,652 2,119 1,533 5,398 3,044 2,354 47.81% 43.65% 53.56%

80-84 2,397 1,441 956 3,639 2,136 1,503 51.81% 48.23% 57.22%

85+ 1,807 1,157 650 3,234 1,957 1,277 78.97% 69.14% 96.46%

TOTAL

60+ 27,107 15,542 11,565 43,119 23,432 19,687 59.07% 50.77% 70.23%


except for the 80-84 age group where a decrease of 5,933 in the Total White Alone Not

Hispanic or Latino population with a projected decrease or 12.94% by 2020 causes the

entire 80-84 population to decrease by 11.35%.


76


populations in Palm Beach County are shown below.

PALM BEACH COUNTY 2020 AND 2030 POPULATION DEMOGRAPHICS


Projections


Projections


to April 1, 2030


Age


60-64 102,260 52,836 49,424 95,163 49,352 45,811 -7.46% -7.06% -7.89%

65-69 95,990 50,996 44,994 114,151 59,306 54,845 15.91% 14.01% 17.96%

70-74 87,932 48,036 39,896 113,180 59,002 54,178 22.31% 18.59% 26.36%

75-79 69,230 38,491 30,739 93,822 50,263 43,559 26.21% 23.42% 29.43%

80-84 47,361 26,445 20,916 69,808 38,479 31,329 32.16% 31.27% 33.24%

85+ 57,206 33,023 24,183 64,906 36,907 27,999 11.86% 10.52% 13.63%

TOTAL

60+ 459,979 249,827 210,152 551,030 293,309 257,721 16.52% 14.82% 18.46%


Age


60-64 80,823 41,666 39,157 71,003 36,481 34,522 -13.83% -14.21% -13.43%

65-69 79,157 41,934 37,223 90,167 46,524 43,643 12.21% 9.87% 14.71%

70-74 76,481 41,876 34,605 94,152 48,991 45,161 18.77% 14.52% 23.37%

75-79 61,544 34,246 27,298 80,235 42,883 37,352 23.30% 20.14% 26.92%

80-84 42,495 23,770 18,725 61,932 34,203 27,729 31.38% 30.50% 32.47%

85+ 53,320 30,678 22,642 58,733 33,398 25,335 9.22% 8.14% 10.63%

TOTAL

60+ 393,820 214,170 179,650 456,222 242,480 213,742 13.68% 11.68% 15.95%


77


ALONE


ALONE

BLACK OR AFRICAN

AMERICAN ALONE

Age


60-64 14,444 7,638 6,806 15,689 8,572 7,117 7.94% 10.90% 4.37%

65-69 11,517 6,243 5,274 15,747 8,523 7,224 26.86% 26.75% 26.99%

70-74 7,717 4,170 3,547 12,831 6,846 5,985 39.86% 39.09% 40.74%

75-79 5,142 2,866 2,276 9,178 5,043 4,135 43.97% 43.17% 44.96%

80-84 3,186 1,741 1,445 5,253 2,860 2,393 39.35% 39.13% 39.62%

85+ 2,522 1,556 966 3,960 2,261 1,699 36.31% 31.18% 43.14%

TOTAL

60+ 44,528 24,214 20,314 62,658 34,105 28,553 28.93% 29.00% 28.86%



WHITE ALONE



WHITE ALONE



WHITE ALONE

Age


60-64 21,437 11,170 10,267 24,160 12,871 11,289 11.27% 13.22% 9.05%

65-69 16,833 9,062 7,771 23,984 12,782 11,202 29.82% 29.10% 30.63%

70-74 11,451 6,160 5,291 19,028 10,011 9,017 39.82% 38.47% 41.32%

75-79 7,686 4,245 3,441 13,587 7,380 6,207 43.43% 42.48% 44.56%

80-84 4,866 2,675 2,191 7,876 4,276 3,600 38.22% 37.44% 39.14%

85+ 3,886 2,345 1,541 6,173 3,509 2,664 37.05% 33.17% 42.15%

TOTAL

60+ 66,159 35,657 30,502 94,808 50,829 43,979 30.22% 29.85% 30.64%


OR LATINO


OR LATINO


OR LATINO


78

Age


60-64 71,462 36,789 34,673 58,470 30,026 28,444 -22.22% -22.52%

-

21.90%

65-69 71,973 38,028 33,945 78,263 40,151 38,112 8.04% 5.29% 10.93%

70-74 71,275 38,913 32,362 85,878 44,639 41,239 17.00% 12.83% 21.53%

75-79 57,731 32,051 25,680 74,354 39,656 34,698 22.36% 19.18% 25.99%

80-84 39,922 22,230 17,692 58,277 32,105 26,172 31.50% 30.76% 32.40%

85+ 51,031 29,267 21,764 55,315 31,354 23,961 7.74% 6.66% 9.17%

TOTAL

60+ 363,394 197,278 166,116 410,557 217,931 192,626 11.49% 9.48% 13.76%



LATINO



LATINO

BLACK OR AFRICAN

AMERICAN ALONE NOT

HISPANIC OR LATINO

Age


60-64 13,939 7,396 6,543 15,158 8,303 6,855 8.04% 10.92% 4.55%

65-69 11,086 6,027 5,059 15,243 8,257 6,986 27.27% 27.01% 27.58%

70-74 7,423 4,005 3,418 12,481 6,665 5,816 40.53% 39.91% 41.23%

75-79 4,907 2,740 2,167 8,930 4,909 4,021 45.05% 44.18% 46.11%

80-84 3,032 1,667 1,365 5,098 2,772 2,326 40.53% 39.86% 41.32%

85+ 2,370 1,477 893 3,816 2,176 1,640 37.89% 32.12% 45.55%

TOTAL

60+ 42,757 23,312 19,445 60,726 33,082 27,644 29.59% 29.53% 29.66%


RACE


RACE


RACE

Age


60-64 13,287 6,765 6,522 17,796 8,955 8,841 25.34% 24.46% 26.23%

65-69 10,187 5,419 4,768 16,885 8,841 8,044 39.67% 38.71% 40.73%

70-74 7,374 4,111 3,263 11,743 6,038 5,705 37.21% 31.91% 42.80%

75-79 5,398 3,044 2,354 8,336 4,476 3,860 35.24% 31.99% 39.02%

80-84 3,639 2,136 1,503 5,176 2,911 2,265 29.69% 26.62% 33.64%

85+ 3,234 1,957 1,277 4,834 2,835 1,999 33.10% 30.97% 36.12%

TOTAL

60+ 43,119 23,432 19,687 64,770 34,056 30,714 33.43% 31.20% 35.90%


The charts above projects increases in every age group of the 60+ population except for the

60-64 age group where a decrease of nearly 13,000 (22.22%) in the Total White Alone Not

Hispanic or Latino population leads to an overall decrease in the 60-64 age group of

13.83%.

There are 9,397 grandparents responsible for their own grandchildren in Palm Beach

County. This is 0.7% of the total population – very similar to the statewide average of

0.8%.

ST. LUCIE COUNTY

St. Lucie County is bordered on the north by Indian River County, on the west by

Okeechobee County, on the south by Martin County, and on the east by the Atlantic Ocean.

It is approximately 572 square miles in size geographically. The two largest cities are Fort

Pierce with a population in 2011 of 41,993 and Port St. Lucie with a population of 166,149.

Fort Pierce and St. Lucie County continue to lead the State of Florida in grapefruit

production. Several large juice companies are based in St. Lucie, including Tropicana,

which recently expanded its juice production storage facility.

The St. Lucie County Demographic Profile from the county government shows the following industries for 2010.

Industry Total Companies Agriculture & Forestry 96

Mining & Utilities 7

Construction 817

Manufacturing 184

Wholesale Trade 287

Retail Trade 748

Transportation & Warehousing 135

Information 59

Finance & Insurance 253

Real Estate 275

Professional & Technical Services 578

Management 20

Administrative 433

Health Care 587

Arts & Recreation 78

Accommodation & Food Service 379

Other Services 460

Per capita income in 2011 was $39,563. The unemployment rate in 2010 was 14.1%.


80

Major private sector employers are shown on the chart below from the Enterprise Florida website.

Wal-Mart

Business Line: Retail

Number of Employees..................................................... 2,105

Liberty Medical Supply

Business Line: Medical Supplies


QVC

Business Line: Inbound Call Center


Publix Supermarkets

Business Line: Retail Food Market


Lawnwood Regional Medical Center

Business Line: Healthcare


Indian River State College

Business Line: Education


FPL

Business Line: Utility


St. Lucie County Medical Center

Business Line: Healthcare

Number of Employees..................................................... 880

PNC Bank

Business Line: Bank


Aegis Communications

Business Line: Communications


St. Lucie County has two hospitals – Lawnwood Regional Medical Center and St. Lucie Medical Center.

The Council on Aging of St. Lucie (COASL) and Alzheimer’s Community Care, Inc. are

the major recipients of federal and state funds for elder services. Fort Pierce and Port St.

Lucie each has a senior center, congregate meal site, and adult day care program. COASL

services include Adult Day Care, Homemaking, Nutrition, Personal Care, Respite Care,

Recreation, Social Activities and Transportation.


81

Alzheimer’s Community Care, Inc. operates ten Specialized Adult Day Service Centers

with locations throughout Palm Beach, Martin and St. Lucie counties. Alzheimer’s

Community Care of Palm Beach and Martin Counties Specialized Adult Day Service

Centers provide dementia-specific care for the person and his or her family caregivers. The

program includes on-going education and support for families who are caring for their

loved one at home. The Adult Day Service Centers incorporate dementia-specific standards

of care through a wide range of services such as ongoing clinical intervention and health

management by a Florida licensed nurse as well as therapeutic activities that provide

physical, cognitive and social stimulation in a safe and supportive environment.



Rights in St. Lucie County. Additionally, the Center directly administers the Foster

Grandparent and SHINE programs in St. Lucie County. Emergency Alert Response


Florida Rural Legal Services provides Legal Services to St. Lucie County.


populations in St. Lucie County are shown below.

SAINT LUCIE COUNTY 2010 AND 2020 POPULATION DEMOGRAPHICS



Projections


to April 1, 2020


Age


60-64 17,573 9,265 8,308 26,588 13,754 12,834 51.30% 48.45% 54.48%

65-69 15,865 8,485 7,380 24,044 12,749 11,295 51.55% 50.25% 53.05%

70-74 13,530 7,037 6,493 20,609 10,961 9,648 52.32% 55.76% 48.59%

75-79 11,135 5,892 5,243 14,668 7,920 6,748 31.73% 34.42% 28.70%

80-84 8,249 4,452 3,797 9,034 4,745 4,289 9.52% 6.58% 12.96%

85+ 6,599 4,012 2,587 8,869 4,952 3,917 34.40% 23.43% 51.41%

TOTAL

60+ 72,951 39,143 33,808 103,812 55,081 48,731 42.30% 40.72% 44.14%


Age


60-64 14,589 7,661 6,928 20,749 10,669 10,080 42.22% 39.26% 45.50%


82

65-69 13,493 7,199 6,294 19,316 10,197 9,119 43.16% 41.64% 44.88%

70-74 11,702 6,055 5,647 17,315 9,173 8,142 47.97% 51.49% 44.18%

75-79 9,933 5,225 4,708 12,406 6,689 5,717 24.90% 28.02% 21.43%

80-84 7,550 4,037 3,513 7,644 3,992 3,652 1.25% -1.11% 3.96%

85+ 6,084 3,682 2,402 7,769 4,307 3,462 27.70% 16.97% 44.13%

TOTAL

60+ 63,351 33,859 29,492 85,199 45,027 40,172 34.49% 32.98% 36.21%

BLACK OR AFRICAN

AMERICAN ALONE


ALONE

BLACK OR AFRICAN

AMERICAN ALONE

Age


60-64 2,289 1,223 1,066 4,116 2,197 1,919 79.82% 79.64% 80.02%

65-69 1,831 993 838 3,386 1,839 1,547 84.93% 85.20% 84.61%

70-74 1,457 780 677 2,362 1,282 1,080 62.11% 64.36% 59.53%

75-79 968 539 429 1,638 880 758 69.21% 63.27% 76.69%

80-84 567 334 233 1,035 565 470 82.54% 69.16% 101.72%

85+ 425 277 148 811 483 328 90.82% 74.37% 121.62%

TOTAL

60+ 7,537 4,146 3,391 13,348 7,246 6,102 77.10% 74.77% 79.95%



WHITE ALONE



WHITE ALONE



WHITE ALONE

Age


60-64 2,984 1,604 1,380 5,830 3,085 2,754 95.38% 92.33% 99.57%

65-69 2,372 1,286 1,086 4,728 2,552 2,176 99.33% 98.44% 100.37%

70-74 1,828 982 846 3,294 1,788 1,506 80.20% 82.08% 78.01%

75-79 1,202 667 535 2,262 1,231 1,031 88.19% 84.56% 92.71%

80-84 699 415 284 1,390 753 637 98.86% 81.45% 124.30%

85+ 515 330 185 1,100 645 455 113.59% 95.45% 145.95%

TOTAL

60+ 9,600 5,284 4,316 18,604 10,054 8,559 93.79% 90.27% 98.31%


OR LATINO


OR LATINO


OR LATINO

Age


60-64 13,546 7,092 6,454 18,832 9,698 9,134 39.02% 36.75% 41.52%


83

65-69 12,576 6,684 5,892 17,893 9,400 8,493 42.28% 40.63% 44.14%

70-74 10,973 5,664 5,309 16,241 8,584 7,657 48.01% 51.55% 44.23%

75-79 9,389 4,941 4,448 11,677 6,264 5,413 24.37% 26.78% 21.70%

80-84 7,232 3,856 3,376 7,255 3,781 3,474 0.32% -1.95% 2.90%

85+ 5,880 3,548 2,332 7,422 4,109 3,313 26.22% 15.81% 42.07%

TOTAL

60+ 59,596 31,785 27,811 79,320 41,836 37,484 33.10% 31.62% 34.78%

BLACK OR AFRICAN

AMERICAN ALONE NOT

HISPANIC OR LATINO



LATINO

BLACK OR AFRICAN

AMERICAN ALONE NOT

HISPANIC OR LATINO

Age


60-64 2,250 1,205 1,045 4,000 2,142 1,858 77.78% 77.76% 77.80%

65-69 1,789 967 822 3,275 1,777 1,498 83.06% 83.76% 82.24%

70-74 1,419 763 656 2,262 1,232 1,030 59.41% 61.47% 57.01%

75-79 942 531 411 1,575 852 723 67.20% 60.45% 75.91%

80-84 544 317 227 985 533 452 81.07% 68.14% 99.12%

85+ 411 269 142 772 463 309 87.83% 72.12% 117.61%

TOTAL

60+ 7,355 4,052 3,303 12,869 6,999 5,870 74.97% 72.73% 77.72%


RACE


RACE


RACE

Age


60-64 1,931 1,057 874 3,007 1,490 1,517 55.72% 40.96% 73.57%

65-69 1,539 824 715 2,227 1,224 1,003 44.70% 48.54% 40.28%

70-74 1,149 655 494 1683 905 778 46.48% 38.17% 57.49%

75-79 754 398 356 1,140 653 487 51.19% 64.07% 36.80%

80-84 523 280 243 611 324 287 16.83% 15.71% 18.11%

85+ 399 234 165 543 305 238 36.09% 30.34% 44.24%

TOTAL

60+ 6,295 3,448 2,847 9,211 4,901 4,310 46.32% 42.14% 51.39%

St. Lucie County is one of only two counties in our PSA that shows projected increases in

all 60+ age categories for the Total Population. Though there is a slight decrease for the

80-84 White Alone Not Hispanic or Latino Female population (-75) it does not

significantly impact the 80-84 Total Population projected increase.


populations in St. Lucie County are shown below.


84

SAINT LUCIE COUNTY 2020 AND 2030 POPULATION DEMOGRAPHICS


Projections


Projections


to April 1, 2030


Age


60-64 26,588 13,754 12,834 28,400 14,516 13,884 6.38% 5.25% 7.56%

65-69 24,044 12,749 11,295 33,117 17,051 16,066 27.40% 25.23% 29.70%

70-74 20,609 10,961 9,648 30,445 15,884 14,561 32.31% 30.99% 33.74%

75-79 14,668 7,920 6,748 21,833 11,678 10,155 32.82% 32.18% 33.55%

80-84 9,034 4,745 4,289 13,576 7,288 6,288 33.46% 34.89% 31.79%

85+ 8,869 4,952 3,917 11,105 6,066 5,039 20.14% 18.36% 22.27%

TOTAL

60+ 103,812 55,081 48,731 138,476 72,483 65,993 25.03% 24.01% 26.16%


Age


60-64 20,749 10,669 10,080 21,033 10,642 10,391 1.35% -0.25% 2.99%

65-69 19,316 10,197 9,119 25,713 13,110 12,603 24.88% 22.22% 27.64%

70-74 17,315 9,173 8,142 24,683 12,817 11,866 29.85% 28.43% 31.38%

75-79 12,406 6,689 5,717 17,897 9,534 8,363 30.68% 29.84% 31.64%

80-84 7,644 3,992 3,652 11,415 6,103 5,312 33.04% 34.59% 31.25%

85+ 7,769 4,307 3,462 9,257 5,035 4,222 16.07% 14.46% 18.00%

TOTAL

60+ 85,199 45,027 40,172 109,998 57,241 52,757 22.54% 21.34% 23.85%


85

BLACK OR AFRICAN

AMERICAN ALONE

BLACK OR AFRICAN

AMERICAN ALONE

BLACK OR AFRICAN

AMERICAN ALONE

Age


60-64 4,116 2,197 1,919 4,825 2,598 2,227 14.69% 15.43% 13.83%

65-69 3,386 1,839 1,547 4,980 2,717 2,263 32.01% 32.32% 31.64%

70-74 2,362 1,282 1,080 3,938 2,136 1,802 40.02% 39.98% 40.07%

75-79 1,638 880 758 2,761 1,505 1,256 40.67% 41.53% 39.65%

80-84 1,035 565 470 1,527 842 685 32.22% 32.90% 31.39%

85+ 811 483 328 1,312 734 578 38.19% 34.20% 43.25%

TOTAL

60+ 13,348 7,246 6,102 19,343 10,532 8,811 30.99% 31.20% 30.75%



WHITE ALONE



WHITE ALONE



WHITE ALONE

Age


60-64 5,830 3,085 2,754 7,367 3,874 3,493 20.86% 20.37% 21.16%

65-69 4,728 2,552 2,176 7,404 3,941 3,463 36.14% 35.24% 37.16%

70-74 3,294 1,788 1,506 5,762 3,067 2,695 42.83% 41.70% 44.12%

75-79 2,262 1,231 1,031 3,936 2,144 1,792 42.53% 42.58% 42.47%

80-84 1,390 753 637 2,161 1,185 976 35.68% 36.46% 34.73%

85+ 1,100 645 455 1,848 1,031 817 40.48% 37.44% 44.31%

TOTAL

60+ 18,604 10,054 8,559 28,478 15,242 13,236 34.67% 34.04% 35.34%


86


OR LATINO

WHITE ALONE NOT

HISPANIC OR LATINO


OR LATINO

Age


60-64 18,832 9,698 9,134 17,909 9,063 8,846 -5.15% -7.01% -3.26%

65-69 17,893 9,400 8,493 22,889 11,693 11,196 21.83% 19.61% 24.14%

70-74 16,241 8,584 7,657 22,634 11,769 10,865 28.25% 27.06% 29.53%

75-79 11,677 6,264 5,413 16,656 8,833 7,823 29.89% 29.08% 30.81%

80-84 7,255 3,781 3,474 10,768 5,745 5,023 32.62% 34.19% 30.84%

85+ 7,422 4,109 3,313 8,714 4,723 3,991 14.83% 13.00% 16.99%

TOTAL

60+ 79,320 41,836 37,484 99,570 51,826 47,744 20.34% 19.28% 21.49%

BLACK OR AFRICAN

AMERICAN ALONE NOT

HISPANIC OR LATINO

BLACK OR AFRICAN

AMERICAN ALONE NOT

HISPANIC OR LATINO

BLACK OR AFRICAN

AMERICAN ALONE NOT

HISPANIC OR LATINO

Age


60-64 4,000 2,142 1,858 4,648 2,510 2,138 13.94% 14.66% 13.10%

65-69 3,275 1,777 1,498 4,820 2,638 2,182 32.05% 32.64% 31.35%

70-74 2,262 1,232 1,030 3,823 2,078 1,745 40.83% 40.71% 40.97%

75-79 1,575 852 723 2,691 1,466 1,225 41.47% 41.88% 40.98%

80-84 985 533 452 1,491 822 669 33.94% 35.16% 32.44%

85+ 772 463 309 1,281 716 565 39.73% 35.34% 45.31%

TOTAL

60+ 12,869 6,999 5,870 18,754 10,230 8,524 31.38% 31.58% 31.14%


RACE


ANY RACE


RACE


87

Age


60-64 3,007 1,490 1,517 4,902 2,425 2,477 38.66% 38.56% 38.76%

65-69 2,227 1,224 1,003 4,433 2,176 2,257 49.76% 43.75% 55.56%

70-74 1.683 905 778 3,215 1,609 1,606 99.95% 43.75% 51.56%

75-79 1,140 653 487 1,942 1,077 865 41.30% 39.37% 43.70%

80-84 611 324 287 1,015 551 464 39.80% 41.20% 38.15%

85+ 543 305 238 850 479 371 36.12% 36.33% 35.85%

TOTAL

60+ 7,530 4,901 4,310 16,357 8,317 8,040 53.97% 41.07% 46.39%

Though there is a slight decrease for the 60-64 White Alone Not Hispanic or Latino

population

(-932), it does not significantly impact the 60-64 Total Population projected increases.

There are 4,370 grandparents responsible for their own grandchildren in St. Lucie County.

This is 1.6% of the total population – double the statewide average of 0.8%.


88

B. Description of Service System

TRANSPORTATION

The following information from the Florida Commission for the Transportation on

Disadvantaged 2011 Performance Report reflects data on the use of the Coordinated

Transportation system in our PSA. The first set of charts shows the trips by type of

passenger for each of the counties in our Planning and Service Area as well as for the PSA

as a whole. The data shows that on a whole as a PSA and for three of our counties (Indian

River, Palm Beach, and St. Lucie) elderly passengers account for the largest percentage of

trips. In Martin County the “Other” category accounted for the largest portion of trips. In

Okeechobee the highest percentage of trips were for disabled clients.

TRIPS BY PASSENGER

ELDERLY CHILDREN

LOW

INCOME DISABLED

LOW

INCOME/DISABLE

D OTHER TOTAL

COUNTY

INDIAN RIVER 34,110 1,001 3,615 5,798 26,310 1,807 72,641

MARTIN 11,009 1,137 66,407 78,553

PALM BEACH 2,717,901 68,123 836 1,707,469 287,239 41,056 4,822,624

OKEECHOBEE 10,849 1,771 4,890 20,939 1,184 956 40,589

ST. LUCIE 133,007 65,751 3,274 17,628 95,713 315,373

PSA 9 2,906,876 137,783 12,615 1,751,834 410,446 110,226 5,329,780

TRIPS BY PASSENGER (% OF TOTAL TRIPS)

ELDERLY CHILDREN

LOW

INCOME DISABLED

LOW

INCOME/DISABLE

D OTHER TOTAL

INDIAN RIVER 46.96% 1.38% 4.98% 7.98% 36.22% 2.49% 100.00%

MARTIN 14.01% 1.45% 0.00% 0.00% 0.00% 84.54% 100.00%

PALM BEACH 56.36% 1.41% 0.02% 35.41% 5.96% 0.85% 100.00%

OKEECHOBEE 26.73% 4.36% 12.05% 51.59% 2.92% 2.36% 100.00%

ST. LUCIE 42.17% 20.85% 1.04% 5.59% 30.35% 0.00% 100.00%

PSA 9 55% 2.59% 0.24% 32.87% 7.70% 2.07% 100.00%

Source: Transportation Disadvantaged 2012 Performance Report


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When looking at the reason for trips through the Coordinated Transportation system the

charts below show that for our PSA the largest percentage of trips were for a medical

reason. This was also true for the counties of Indian River and Palm Beach. In Martin

County the major reason for trips was life-sustaining/other. In Okeechobee, employment

was the number one reason for trips through the Coordinated Transportation system, and in

St. Lucie the highest ranked purpose for trips was education/training though life-

sustaining/other was a close second. TRIPS BY

PURPOSE

COUNTY MEDICAL EMPLOYMENT EDUCATION/TRAINING NUTRITIONAL

LIFE-

SUSTAINING

/OTHER TOTAL

INDIAN RIVER 39,385 73 15,725 1,302 16,156 72,641

MARTIN 14,864 4,527 28,808 31 30,323 78,553

PALM BEACH 1,784,371 434,036 868,072 530,489 1,205,656 4,822,624

OKEECHOBEE 15,659 21,761 33 2,195 941 40,589

ST. LUCIE 76,443 21,009 110,707 8,518 98,696 315,373

PSA 9 1,930,722 481,406 1,023,345 542,535 1,351,772 5,329,780

TRIPS BY PURPOSE (% of TOTAL TRIPS)

COUNTY MEDICAL EMPLOYMENT EDUCATION/TRAINING NUTRITIONAL

LIFE-

SUSTAINING

/OTHER TOTAL

INDIAN RIVER 54.22% 0.10% 21.65% 1.79% 22.24% 100.00%

MARTIN 18.92% 5.76% 36.67% 0.04% 38.60% 100.00%

PALM BEACH 37.00% 9.00% 18.00% 11.00% 25.00% 100.00%

OKEECHOBEE 38.58% 53.61% 0.08% 5.41% 2.32% 100.00%

ST. LUCIE 24.24% 6.66% 35.10% 2.70% 31.30% 100.00%

PSA 9 36% 9.03% 19.20% 10.18% 25.36% 100.00%

Source: Transportation Disadvantaged 2011 Performance Report

PALM BEACH COUNTY

Palm Tran’s Transit Development Plan Executive Brief of December 2011 describes Palm Beach County as “a challenging area from the perspective of a transit provider. It is the largest county in Florida, but it does not have a clearly dominant central business district. Commercial and residential land uses are generally separated, but the sidewalk and bicycle networks are limited or nonexistent in certain parts of the county. In addition, Palm Beach County has many gated communities and low-density residential neighborhoods. The lower densities and segregated land uses create a challenging environment in which to


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provide efficient transit service.” Palm Tran devotes 34% of its resources to demand-response service. The Palm Tran Palm Transit Development Plan 2011- 2021 identifies the following areas for improvement: Added shelters along existing routes; Added lights at shelters; Communication with/training for customers. Other goals of the report are: Provide services that optimize independence for the elderly and disabled; Design transit loops for use by the disabled and elderly

Federation Transportation Services provides transportation services to elderly and disabled

populations through funding from AHCA and Palm Tran. They serve an estimated 225

elderly clients and 78 disabled clients. Cuts to Medicare and Medicaid over the past two

years have meant that a large portion of their disabled clients are only receiving a very

small quantity of trips that are covered by AHCA now. Many of these clients do not

qualify for other subsidized programs.

The Volen Center provides transportation through the Community Coach and LIFT

programs in Palm Beach County. The Center focuses most of its rides first on essential

needs such as medical rides and nutrition rides (such as to congregate dining sites and

grocery stores to access food.) All of the rides are door to door. The Community Coach

are group type rides for individuals 60 and over, while the LIFT program provides more of

an individualized service with shorter travel times for the disabled adult population (aged

18-59) as well as those 60 and over. For the 2011 calendar year the Community Coach

trips totaled 69,515 and the LIFT total trips totaled 7,152. For January through September

of 2012, the Community Coach Trips total 59,613 and the LIFT trips are 6,011.

INDIAN RIVER COUNTY

Indian River County has both a para-transit and public transit system. The Go-Line is the

Indian River County public transit system with bus service on 14 fixed routes throughout

the County and in Barefoot Bay to the north. Riders take GoLine buses to work or school,

to medical appointments, grocery stores, to the mall, to the beach and to dozens of other

locations throughout the area. GoLine buses operate weekdays from 8:00 a.m. through 5:00

p.m. with extended hours on specific routes. In addition, Saturday service is offered on


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several routes from 9:00 a.m. until 3:00 p.m. The Go-Line celebrated its one millionth

rider in 2012.

The Community Coach provides door-to-door service between the hours of 7:30 a.m. to

5:00 p.m. Monday through Friday. Rides are available to all eligible Indian River County

customers for just $2.00 per trip. It is a "demand response" service.

SAINT LUCIE COUNTY

“St. Lucie County has more than 13 coordinated contractors who have historically provided

specialized transportation services for their clients. As unmet transportation needs have

been identified in St. Lucie County, several coordination contractors, human and social

services agencies and Council on Aging, the local transit provider, have forged a

collaborative forming the Transportation Coordination Network (TCN)….

St. Lucie County is one of 10 communities across the nation that was recently awarded a

training support grant thorough an Easter Seals Project Action technical support team. The

winning entities receive assistance in developing local coordinated transportation services

through the United We Ride Program.

United We Ride (UWR) is a federal interagency program aimed at improving the

availability, quality and efficient delivery of transportation services for older adults, people

with disabilities and individuals with lower incomes, including veterans.” (TCPalm, April

11, 2012). The Center staff participate in this initiative.

OKEECHOBEE COUNTY

The lack of public transportation in Okeechobee County was recognized in the Okeechobee County Community Health Assessment of December 2011.

“Access to health care services is important to all communities, but it is especially important in rural communities. There is no public transportation system for residents of Okeechobee County, making access to health care services more difficult, particularly for vulnerable and at-risk populations, such as the poor, uninsured, underinsured, and other special needs populations. There is however, a limited resource for transportation called Community Transportation. This service may be accessed in a limited capacity. Individuals can contact and schedule a ride with the appropriate county contact.”

The County Summary from the 2011 Annual Performance Report of the Florida Commission for the Transportation Disadvantaged is shown below.


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MARTIN COUNTY

“As the CTC, MTM operates transportation requests throughout Martin County through a

subcontracted transportation provider network. This network consists of transportation

providers that meet the demands of the community providing public transportation, shuttle

services, ambulatory, wheelchair and stretcher van services.

The program is operating with four transportation provider companies totaling 37 vehicles.

Service is available based on the community’s needs. MTM expanded the operational

service hours beginning January 1, 2009 due to the increased network capacity. Service is

Monday through Friday, excluding holidays, from approximately 5:00am to 5:00pm.

Saturday service is provided to accommodate dialysis patients traveling from Stuart and

Indiantown. MTM provides curb-to-curb and door-to-door service based on the client’s

needs. These needs are identified during the initial call intake and arranged with a

transportation provider that can meet those needs.” (Martin County 2009-2013

Transportation Disadvantaged Service Plan (Minor Update) Amended December 5, 2011)


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EMPLOYMENT

Workforce Solutions is a private, non-profit, Florida corporation covering the four-county

region of Florida’s Research Coast. The agency is chartered by the State of Florida to

create and manage a workforce development service delivery system responsive to the

needs of businesses and jobseekers. Workforce Solutions maintains 17 Career Centers

located throughout the region to assist job-seekers.

Experience Works, located at Your Aging Resource Center, is a national, nonprofit

organization that provides training, employment assistance, and local community service

assignments to low-income seniors under the Senior Community Service Employment

Program (SCSEP) which is funded under Title V of the Older Americans Act.

LEGAL SERVICES

Both OAA IIIB and IIIE dollars are used to support legal assistance services in the PSA.

Legal Aid Services of Palm Beach County is the sole provider of OAA Legal services in

Palm Beach County. They provide services to seniors, their caregivers, and grandparents

or older persons who are relative caregivers of children. The chart below reflects the ages

of the consumers served by Legal Aid Services of Palm Beach County for contract year

2011 and through mid-year 2012.

AGE AT INTAKE

Opened Cases 2011 Opened Cases January 2012 To

June 2012

40-49 5 3

50-59 44 28

60-69 908 406

70-79 654 272

80-89 510 185

90-99 68 27

109 1 0

Total 2190 921


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Though the largest number of persons receiving legal services are in the 60-69 age group,

25% of the persons receiving legal services are 80 years of age or older. The 80+

population makes up 7.6% of the general population in Palm Beach County.

RACE

Opened Cases

2011

Opened Cases

January 2012 To June

2012

Asian or Pacific Islander 7 1

Black (Not Hispanic) 341 171

Hispanic 196 83

Native American 1 0

Other 54 22

Organization/Group 12 0

White (Not Hispanic) 1579 644

Total 2190 921

If the Other and Organization/Group categories are eliminated from the calculation, the

percentage of minorities to whom legal services were provided is 26%. Black and other

minorities make up 10.4% of the general 60+ population in Palm Beach County. This

shows that services are being targeted to minorities as required by the Older Americans

Act.

GENDER

Opened Cases 2011 Opened Cases January

2012 To June 2012

Female 1440 611

Male 750 310

Total 2190 921

66% of the persons seeking legal services were female.


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VETERAN STATUS

Opened Cases 2011 Opened Cases January

2012 To June 2012

Not entered 693 149

No 1461 760

Yes 36 12

Total 2190 921

Of those reporting their veteran’s status, 2% were veterans.

DISABILITY STATUS

Opened Cases 2011

Opened Cases 2012 To

Date

Not entered 655 130

No 1061 617

Yes 474 174

Total 2190 921

Of those reporting their disability status 28% had a disability.


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PRIMARY LANGUAGE

Opened Cases 2011 Opened Cases 2012 To

Date

Chinese/Cantonese 1 o

English 2166 907

French Creole 2 2

Portuguese 0 1

Not Entered 2 0

Spanish 19 11

Total 2190 921

1% had a primary language other than English. 4.7% of the 60+ population in Palm Beach

County have limited English proficiency.

The types of legal problems handled by Legal Aid Services of Palm Beach County in 2011

and the first half of 2012 are shown below

Legal Problem Opened Cases

2011

Opened Cases

January 2012 To

June 2012

01 Bankruptcy/Debtor Relief 136 52

02 Collect/Repo/Def/Garnsh 116 50

03 Contract/Warranties 69 26

04 Collection Practices / Creditor Harassment 50 6

05 Predatory Lending Practices (Not Mortgages) 1 0

06 Loans/Installment Purchases (Not Collections) 14 3

07 Public Utilities 60 25

08 Unfair and Deceptive Sales Practices (Not Real Property) 6 0

09 Other Consumer/Finance 196 110

12 Discipline (Including Expulsion and Suspension) 4 0

15 Vocational Education 1 0

16 Student Financial Aid 2 0

21 Employment Discrimination 17 9

22 Wage Claims and Other FLSA Issues 1 1

24 Taxes (Not EITC) 9 1

25 Employee Rights 4 3

29 Other Employment 3 1


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30 Adoption 3

31 Custody/Visitation 11 23

32 Divorce/ Sep./Annul. 86 37

33 Adult Guardianship / Conservatorship 76 41

34 Name Change 11 4

36 Paternity 1 0

37 Domestic Abuse 3 0

38 Support 11 5

39 Other Family 5 3

42 Neglected/Abused/Dependent 7 0

44 Minor Guardianship / Conservatorship 1 0

51 Medicaid 44 18

52 Medicare 12 6

54 Home and Community Based Care 1 0

55 Private Health Insurance 7 1

56 Long Term Health Care Facilities 20 11

57 State and Local Health 4 1

59 Other Health 19 10

61 Federally Subsidized Housing 8 3

62 Homeownership/Real Property (Not Foreclosure) 218 90

63 Private Landlord/Tenant 195 72

64 Public Housing 13 6

65 Mobile Homes 8 2

66 Housing Discrimination 1 0

67 Mortgage Foreclosures (Not Predatory Lending/Practices) 120 64

68 Mortgage Predatory Lending/Practices 5 0

69 Other Housing 13 8

72 Social Security (Not SSDI) 35 14

73 Food Stamps 15 3

74 SSDI 7 3

75 SSI 31 14

76 Unemployment Compensation 9 0

77 Veterans Benefits 11 1

79 Other Income Maintenance 3 0

81 Immigration/Naturalization 3 1

82 Mental Health 5 0

84 Disability Rights 8 1

85 Civil Rights 5 2

89 Other Individual Rights 60 36

93 Licenses (Drivers, Occupational, and Others) 5 0

94 Torts 43 34


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95 Wills and Estates 266 105

96 Advanced Directives/Powers of Attorney 20 11

99 Other Miscellaneous 75 1

Total 2,190 635

Financial issues (Legal Problems 1-9) were the most frequent types of legal services

provided by Legal Aid Services of Palm Beach County (920) with housing issues (Legal

Problems 61-69) running a close second (805). Both are consistent with the recent

economic downturn and housing crisis

HEALTH CARE AND LONG TERM CARE

The number of providers for the health care and long term care delivery systems for each

of the counties in PSA 9 is shown below. The data was gathered from the Agency for

Health Care Administration website as well as the DOEA 2011 County Profiles

(Projection).


99

INDIAN

RIVER MARTIN OKEECHOBEE

PALM

BEACH

ST.

LUCIE

Adult Day Care 2 1 0 19 4

Adult Family Care Homes 3 1 0 7 16

Ambulatory Surgical Centers 11 4 1 31 6

Home Health Agencies 17 13 4 190 23

Medicaid Certified 1 1 0 23 2

Medicare Certified 9 8 2 91 18

Homemaker and Companion

Service Companies 11 16 2 134 33

Home Medical Equipment

Provider 6 5 2 65 13

Portable X-Ray 1 0 0 3 0

Assisted Living Facilities 21 12 2 128 56

Hospitals 3 3 1 19 3

Hospitals with Skilled Nursing

Units 12 0 0 0 0

End-Stage Renal Disease

Center 3 1 1 26 6

Rural Health Clinic 0 0 0 4 0

Hospice 0 1 1 3 1

Community Mental Health -

Partial Hospitalization

Program 0 1 0 10 0

Comprehensive Outpatient

Rehabilitation Facility 0 0 0 11 0

Residential Treatment Facility 0 0 0 3 1

Intermediate Care Facility for

the Developmentally Disabled 0 1 0 1 2

Nursing Home 6 6 1 56 8

Licensed Medical Doctors 343 351 36 3,592 304

Licensed Registered Nurses 1,563 1,827 232 13,038 2,928

The chart above shows a limited number of Adult Day Care facilities in the Treasure Coast

and none in the rural community of Okeechobee. There is also a small number of Medicaid

Certified Home Health Agencies in these communities. All of the DOEA-funded programs

require lead agencies to use other community resources (such as Medicaid) prior to using

DOEA-funded services. This is difficult when so few exist and when those that do exist


100

are permitted to deny services even to qualified applicants. There are no residential

treatment facilities in Indian River, Martin, or Okeechobee counties.

DOEA CONTRACTED HOME AND COMMUNITY BASED SERVICES

There are 14 directly contracted providers/vendors for in-home and supportive services in

PSA 9 listed below.

PALM BEACH MARTIN ST. LUCIE INDIAN RIVER OKEECHOBEE

CCE The Volen

Center

Palm Beach

County

Division of

Senior

Services

Council on

Aging of

Martin County

Council on

Aging of St.

Lucie County

Senior

Resource

Association

Okeechobee

Senior

Services

HCE The Volen

Center

Palm Beach

County

Division of

Senior

Services

Council on

Aging of

Martin County

Council on

Aging of St.

Lucie County

Senior

Resource

Association

Okeechobee

Senior

Services

ADI The Volen

Center

Palm Beach

County

Division of

Senior

Services

Alzheimer’s

Community

Care, Inc.

Council on

Aging of

Martin County

Alzheimer’s

Community

Care, Inc.

Council on

Aging of St.

Lucie County

Alzheimer’s

Community

Care, Inc.

Senior

Resource

Association

Okeechobee

Senior

Services

LSP Ruth Rales


101


Jewish Family

Service

Federation

Transportation

Services

EHEAP The Volen

Center

Palm Beach

County

Division of

Senior

Services

Council on

Aging of

Martin County

Council on

Aging of St.

Lucie County

Senior

Resource

Association

Okeechobee

Senior

Services

RELIEF Palm Beach

County

Division of

Senior

Services

OAA The Volen

Center

Palm Beach

County

Division of

Senior

Services

Alzheimer’s

Community

Care, Inc.

Palm Beach

County Legal

Aid Society

Just Checking!

Council on

Aging of

Martin County

Alzheimer’s

Community

Care, Inc.

Just

Checking!

Critical Signal

Technologies

Florida Rural

Legal

Services

Council on

Aging of St.

Lucie County

Alzheimer’s

Community

Care, Inc.

Just

Checking!

Critical

Signal

Technologie

s

Florida Rural

Senior

Resource

Association

Just

Checking!

Critical Signal

Technologies

Florida Rural

Legal

services

Okeechobee

Senior

Services

Just Checking!

Critical Signal

Technologies

Florida Rural

Legal Services


102


Palm Tran

Critical Signal

Technologies

Legal

services

Together these contracted providers provide the following services through general revenue

and federally-funded contracts:

Adult Day Care, Adult Day Health Care, Basic Subsidy, Case Aide, Case Management,

Chore, Companionship, Congregate Meals, Caregiver Training/Caregiver Support,

Emergency Alert Response, Escort, Homemaker, Intake, Legal Services, Mental Health

Counseling/Screening, Medication Management, Personal Care, Respite In-Facility,

Respite In-Home, Screening and Assessment, Specialized Medical Equipment and Supplies

and Transportation.

The DOSS RELIEF program has provided over 13,000 hours of volunteer respite services

to 18 current consumers.

The Center provides the following direct services through general revenue and federally-

funded contracts: Information and Referral; Intake; and Evidence-Based Health Promotion

Programs regarding Diabetes, Fall Prevention, Chronic Disease Self-Management, and

Nutrition.

C. Economic and Social Resources

Additional social resources are provided by our contracted providers through other grants

and funding as listed below.

The Volen Center

In Palm Beach County, The Volen Center hosts a week long program of education and

entertainment to honor those who are affected by Alzheimer’s disease and related

dementias. The Volen Center obtained funding through SFRTA in 2010 for their LIFT

program. The program provides a taxi-like service where seniors over 60 and disabled

persons aged 18-59 can call the day transportation is needed and receive a ride to medical


103

appointments as well as other destinations. The Volen Center has transitioned the Shopper

Hopper Program from the City of Boynton Beach to their agency.

In partnership with Ruth Rales Jewish Family Service and Alpert Jewish Family Services,

the Volen Center hosts the Eat and Schmooze program. The program provides a gathering

place for Holocaust survivors and their families. The Volen Center has provided over

10,000 meals above and beyond the contract amount through its fundraising efforts and is

continuing to provide meals out of private funds into 2012.

The Volen Center receives continued funding through a United Way grant to continue its

transportation program, Care Link Community Coach, for seniors. It has a VA contract for

Adult Day Care Services.

Alzheimer’s Community Care, Inc.

Alzheimer’s Community Care, Inc. has 11 ongoing support groups with 323 caregivers

attending the groups. In 2012 they began a new support group in southern Palm Beach

County by and for men.

Alzheimer’s Community Care, Inc. also operates a Family Nurse Consultant Service.

Over the past year they have answered 1300 information and referral calls and completed

559 home visits serving 1288 patients and caregivers in Palm Beach, Martin and St. Lucie

Counties.

In collaboration with three counties’ Sheriff’s offices as well as the local municipalities’

law enforcement agencies, Alzheimer’s Community Care, Inc. offers an Electronic

Monitoring Bracelet device which works hand and glove with the Florida Silver Alert

Program.

Alzheimer’s Community Care offers a 24/7 Alzheimer’s Crisis Line. Their website and

social media offering attracts approximately 4,000 visitors monthly.

Council on Aging of Martin County

In 2011 the Charles and Ray Kane Center was completed. The $15 million Charles and Rae

Kane Center was developed through a public/philanthropic partnership, with nearly $5.8

million coming from public funds, the Florida Legislature and a grant from the Florida

Department of Elder Affairs. Over four million has been raised to date through

philanthropic gifts. The Kane Center is the first senior center in Florida to use the

innovative Town Center concept, offering a gathering place and a "one stop shop” for


104

commonly needed services. The facility also features green building technology and has

been designed to serve as an emergency shelter for seniors and their pets. At the Charles

and Rae Kane Center, seniors of all capabilities and walks of life – as well as their families

and caregivers - find access to wellness programs, adult day care, social interaction,

entertainment, activities and more. Florida Rural Legal Services provides free legal

counseling at the Kane Center.

The Council on Aging of Martin County was awarded a local grant to fund ten days of

home -delivered meals for eligible seniors upon their discharge from hospitalization.

Senior Resource Association (SRA)

SRA is contracted with the VA to provide Adult Day Health Care Services for veterans in

Indian River County. United Way awarded SRA a $50,000 grant for Adult Day Care

Scholarships and a $50,000 grant for Meals on Wheels. SRA sponsors The Silver Tones

Chorus providing older adults with a fun and meaningful musical outlet that encourages

their unique talents and provides a service to the community. It is starting its sixth season

and has two intergenerational concerts planned to date for the 2012-2013 season.

Council on Aging of St. Lucie (COASL)

The Council on Aging of St. Lucie assisted with coordinating the Center’s senior forum

hosted by St. Marks Missionary Baptist Church in 2011. The forum was attended by more

than 100 community residents. COASL offers senior sensitivity training to schools,

businesses and corporations. It provides opportunities for students and elders to get

together sharing stories, playing games, listening to music, working on craft projects and

laughing together while developing a mutual respect for one another. The program also

incorporates Medical Students from Indian River State College and Florida State

University, which proves to be a meaningful learning experience for all concerned.

Additional programs include social time, crafts, games, quilting and cards several times per

week at each of its senior dining centers. Computer classes are offered weekly at the Port.

St. Lucie Senior Center.

The Treasure Coast Bible Assembly visits the Port St. Lucie Senior Center monthly.

Palm Beach County Division of Senior Services (DOSS)


105

DOSS has developed intergenerational programs with the local Boy and Girl Scouts, local

schools and Head Start Program. It provides community service opportunities for seniors at

the Palm Beach County Courthouse. DOSS provides hands-on work experience to seniors

in the Experience Works program.

Activities at DOSS’ senior centers include: Book discussion groups, arts and crafts,

creative writing and language classes, drawing, china and one-stroke painting, ceramics,

wood carving, quilting, crochet, embroidery, knitting, mahjong, bridge, cards, billiards and

bingo.

DOSS provides health education classes and screenings on preventive health issues, blood

pressure clinics, and an annual Health and Safety Fair. Day trips and luncheons are

organized to local restaurants and venues. The book Mobile provides a library of books and

language CD's; as well as on-site library. Fitness and recreation classes, dance classes and

chair exercises are offered.

In conjunction with AARP and VITA, DOSS offers free income tax completion & filing

for seniors. Special events include dances, craft/bake sales, birthday and holiday events,

sing-a-longs and on site entertainment; as well as defensive driving classes.

Okeechobee Senior Services (OSS)

OSS is developing life-course planning and elder care planning in partnership with other

agencies to educate persons on the aging process and potential long term care needs. OSS

utilizes the local “COPS” organization (Citizens on Patrol) volunteers to check on shut-ins

or respond to complaints, people in need. This agency makes use of the local Contractor’s

Association and refers projects such as small repairs, roof repairs etc. that consumers may

need.

To improve mental health status of seniors, Okeechobee Senior Services provides training

about the warning signs of illness for the formal and informal home care support network

:i.e. providing meals –on-wheels- volunteers and home care workers with training to

recognize the warning signs of depression and mental health symptoms.

Okeechobee Senior Services has an agreement with the local New Horizons-sharing the

responsibilities for mental health services for people age 60 and older. Florida Rural Legal

Services visits their site to meet with seniors.

MorseLife Just Checking!


106

Just Checking! provides twenty-five ongoing caregiver support groups within Palm Beach

County and Treasure Coast communities with 300 caregivers attending the groups on a

monthly basis. The caregiver groups include Parkinson’s disease, Life after Stroke, Adult

Children taking care of Parents, Generalized Caregivers group and Grandparents raising

grandchildren. Just Checking!’s mission is to address the needs of any caregiving issue.

Just Checking! provides education, community resource information and support.

Just Checking was instrumental in establishing the First Grandparents Raising

Grandchildren Recognition Day in Palm Beach County in conjunction with Legal Aid, the

University of Florida Extension, Families First and American Association of Caregiver

Youth. They are educate and address the needs of over 250 grandparents throughout Palm

Beach County.

Additional social resources are provided by Your Aging Resource Center through other

grants and funding as listed below.

Ruth Rales Jewish Family Service (JFS)

Ruth Rales Jewish Family Service serves over 15,000 community members in South Palm

Beach County annually. They handle approximately 5,000 calls for information and

referral each year. An average of 350 seniors visit the Weisman Delray Community Center

daily to enjoy a sense of community, including educational, recreational, health and

wellness and artistic programs with their peers in a welcoming environment. Over 250

volunteers assist each year in the community.

Ruth Rales Jewish Family Service Senior Services program provides a comprehensive

array of services to enhance quality of life, health and wellbeing. Services include

information and referral to community resources; assessment and care coordination;

counseling and mental health services including in-home counseling, bereavement and

caregiver support groups; transportation; companionship; financial assistance including

assistance in applying for SNAP benefits; and many volunteer opportunities. The Weisman

Delray Community Center provides a welcoming community where seniors can access

social services as well as many social, educational, recreational, health and wellness

programs. A new partnership with the Volen Center enhances the health and wellness

capabilities at the Weisman Delray Community Center with the addition of an ARNP. In

addition, JFS is a life line for people in times of crisis, providing emergency funds for basic

necessities such as utility bills, mortgage payments, short-term in-home healthcare,

medications and other emergency needs. The Food Pantry at JFS delivers bi-weekly food

packages to qualified low-income seniors in need of food.


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Your Aging Resource Center (the Center)

The Center holds a seat at the Palm Beach County Emergency Operations Center in order

to assist with the distribution of food and water to senior communities following a disaster.

Staff maintains a database of senior communities who are willing and able to serve as

distribution sites. Staff also maintains a general list of senior communities, their size and

contacts.

The Healthy Living Center of Excellence collaborates with the Palm Beach County Immunization

Coalition. This is a collaboration of the Palm Beach County Health Department, the Palm Beach

County Health Care District, local health care providers, and community organizations with an

interest in immunizations to prevent illness and disease. In 2012 the immunization program was

expanded with a Flu + You grant. Healthy Living has established partnerships with Molina Health

Care and the Caridad Center. Staff promoted Breast Cancer Awareness to seniors through a grant

from the Susan G. Komen Foundation.

The Foster Grandparent program collaborates with the Martin County School District,

Okeechobee County School District, and Palm Beach County School District providing

intergenerational volunteer opportunities for seniors. 175 volunteers serve as role models,

mentors, tutors and friends to children at a local Head Start Center or elementary school.

In order to ensure the rights of older people and prevent their abuse, neglect, and

exploitation staff participates in the Elder Abuse and Exploitation Task Force, the 15th

Judicial Circuit Victims Rights Coalition, the 19th Judicial Circuit Victims Rights

Coalition, the Domestic Violence Council, and the Palm Beach County Ombudsman

Council. Staff continues existing meetings with DCF to ensure coordination of APS

referrals. Volunteer Senior Victim Advocates regularly interact with numerous law

enforcement agencies. The Elder Rights Center has conducted a two-hour interdisciplinary

workshop on Later Life Violence for professionals within the 15th Judicial Circuit. The

participation included 46 multi-disciplinary professionals.

For 21 years the Agency has hosted an Annual Prime Time Awards Breakfast celebrating

senior volunteers. The event uses community sponsors and allows the network to

recognize the value of senior volunteer contributions.

In a collaborative effort with the Professional Firefighters/Paramedics of Palm Beach

County, Inc staff has helped with the effort to install smoke alarms in senior homes.

Prior to and during Medicare Annual Enrollment Period October 15th – December 7th, 2011

SHINE volunteers provided one-on-one counseling assistance to approximately 3,890


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clients. In addition to providing comparisons of the various Medicare prescription drug

coverage plans available, SHINE volunteers assisted clients with understanding important

mailings received from Centers for Medicare and Medicaid Services, Plan Providers and

Social Security notifying clients of changes in their coverage and/or action needed during

this critical decision making time period.

The following chart of referrals by agency for January through August 2012 reflects the

extent of the social and economic resources within the PSA beyond the Agency and its

contracted partners. Additional social and economic resources within the community are

listed in the REFER database of the Agency Elder Helpline. The chart below shows the top

50 resources to which seniors and caregivers were referred during the first half of 2012.

Area Agency on Aging of Palm Beach/Treasure Coast, Inc.

Statistical Report

Agency Name Referred

01/01/2012 To 08/31/2012

Total Contacts in Date Range: 49394

# of

Referrals

% of

Total

Referrals Resource

5041 10.206% AREA AGENCY ON AGING *WEST PALM BEACH*

1045 2.116% PALM BEACH COUNTY DIVISION OF SENIOR SERVICES (DOSS)

780 1.579% VOLEN CENTER, THE

708 1.433% FLORIDA DCF *CIRCUIT 15*

537 1.087% FLORIDA DEPARTMENT OF ELDER AFFAIRS

527 1.067% COUNCIL ON AGING OF ST. LUCIE, INC.

348 0.705% PALM BEACH COUNTY DIVISION OF HUMAN SERVICES

345 0.698% HEALTH E HOME DELIVERED MEALS, INC.

324 0.656% LEGAL AID SOCIETY OF PALM BEACH COUNTY, INC.

288 0.583% BAY AREA LEGAL SERVICES, INC.

285 0.577% G.A. FOOD SERVICE, INC.

280 0.567% PALM TRAN

279 0.565% FLORIDA DCF *CIRCUIT 19*

238 0.482% ALZHEIMER'S COMMUNITY CARE

224 0.453% SCHWAN'S

217 0.439% COALITION FOR INDEPENDENT LIVING OPTIONS, INC.

211 0.427% VIP CARE MANAGEMENT, INC.

186 0.377% SENIOR RESOURCE ASSOCIATION, INC. *VERO BEACH*

185 0.375% VICKERS HOUSE

171 0.346% FOOD WITH CARE


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158 0.32% COUNCIL ON AGING OF MARTIN COUNTY, INC.

148 0.3% KARP LAW FIRM

143 0.29% Rx Outreach

142 0.287% NEEDYMEDS, INC.

142 0.287% SALVATION ARMY, THE *PALM BEACH COUNTY*

133 0.269% MOM'S MEALS

129 0.261% LOLA & SAUL KRAMER SENIOR SERVICES AGENCY, INC.

122 0.247% ELDER LAW ASSOCIATES PA

119 0.241% CHRISTIANS REACHING OUT TO SOCIETY, INC.

115 0.233% A PLUS HOME HEALTH CARE, INC.

102 0.207% TRUE FAST OUTREACH MINISTRIES

101 0.204% RUTH RALES JEWISH FAMILY SERVICE

87 0.176% ASSURANCE WIRELESS

85 0.172% MEALS ON WHEELS OF THE PALM BEACHES, INC

84 0.17% FLORIDA RURAL LEGAL SERVICES, INC. *PALM BEACH

82 0.166% CSI PRIVATE DUTY SERVICES, INC.

82 0.166% ST. JOAN OF ARC CATHOLIC CHURCH

82 0.166% ST. VINCENT DE PAUL SOCIETY

79 0.16% SENIOR HELPERS

78 0.158% COMMUNITY CARING CENTER

77 0.156% HEALTH CARE DISTRICT OF PALM BEACH COUNTY

76 0.154% SUNSHINE SENIOR PLACEMENT

74 0.15% MUSTARD SEED MINISTRIES OF FORT PIERCE, INC.

73 0.148% 2-1-1 PALM BEACH/TREASURE COAST

73 0.148% FLORIDA DISCOUNT DRUG CARD

72 0.146% MORSE LIFE

66 0.134% PALM BEACH COUNTY HEALTH DEPARTMENT

63 0.128% SOCIAL SECURITY ADMINISTRATION *WEST PALM BEACH*

62 0.126% CENTER FOR FAMILY SERVICES OF PALM BEACH COUNTY

62 0.126% OKEECHOBEE SENIOR SERVICES 61 0.123% AHCA / COMPLAINT

ADMINISTRATION UNIT (CAU)

60 0.121% FOOD WITH CARE, INC.

60 0.121% SALVATION ARMY, THE *ST. LUCIE COUNTY*

59 0.119% BOCA HELPING HANDS

58 0.117% ELDERCARE AT HOME, INC.

58 0.117% WEST PALM BEACH COUNTY HOUSING AUTHORITY

57 0.115% ALWAYS BEST CARE SENIOR SERVICES

57 0.115% FERD & GLADYS ALPERT JFS

57 0.115% LEVIN HOME CARE 56 0.113% FLORIDA MEDICARE AND MEDICAID PRESCRIPTION DRUG

ACCESS HELPLINE

55 0.111% CARIDAD CENTER, INC.


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55 0.111% COMFORCARE SENIOR SERVICES OF THE PALM BEACHES

53 0.107% COMFORT KEEPERS 1

53 0.107% COMMUNITY ACTION PROGRAM OF PALM BEACH COUNTY

50 0.101% DIVISION OF BLIND SERVICES (STATE OF FLORIDA)

D. Role in Interagency Collaborative Efforts

The Center is active in many interagency collaborative efforts and committees across the

five-county Planning and Service Area. In terms of disaster preparation staff participates in

the following:

Monthly meetings of Palm Beach County Emergency Management

Monthly meetings of the Human Services Team, Palm Beach County Emergency

Management

Monthly meetings of Citizen Corps Executive Council - a cooperative network of social

service agencies coordinating volunteer deployment

Monthly meetings of the Medical Reserve Corps Steering Committee ensuring the needs of

vulnerable adults are considered

The Center CEO is a member of the Human Services Coalition of Palm Beach County. The

mission of the Human Services Coalition of Palm Beach County is to inform and

coordinate health and human service organizations and advocates on issues of common

concern for the benefit of Palm Beach County. Staff has participated in both the Palm

Beach County Community Health Assessment September 2012 and the Okeechobee

County Community Health Assessment December 2011.

Staff works with the Treasure Coast Homeless Services Council to learn of resources and

information to assist seniors in finding affordable housing in Martin, St. Lucie, Indian

River and Okeechobee Counties. Staff attends Ombudsman Council meetings in these

counties to learn of monitoring results and the quality of service of assisted living facilities

and nursing homes in this area.

Other private, non-profit collaborations include the Glades Initiative and Redlands

Christian Migrant Head Start in Belle Glade.

The Elder Helpline participates in collaboration with St. Mary’s Memory Disorder Clinic,

the East Central Florida Memory Disorder Clinic and Alzheimer’s Community Care in

order to implement the Silver Alert Protocols outlined by the Department of Elder Affairs.

Consumer Services Consultants assist the St. Mary’s Memory Disorder Clinic and East

Central Florida Memory Disorder Clinic to connect with contracted providers who require


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in-service training.


112

E. Socio-Demographic and Economic Factors

POPULATION

The chart below reflects the change in specific population age groups from 2000 to 2010

and compares the data for each of the counties in the PSA, the PSA as a whole and the state

of Florida

Census

Year 2010

Location Gender

Population-

All Ages

%Population

Change All

Ages 2000

to 2010

Population-

60+

%Population

Change 60+

2000 to

2010

Population-

85+

%Population

Change 85+

2000 to

2010

State of

Florida

18,801,310 118% 4,394,852 124% 434,125 131%

M 9,189,355 1,984,294 158,313

F 9,611,955 2,410,558 275,812

Total PSA

9

1,922,265 120% 544,086 119% 68,153 145%

M 935,405 244,024 27,473

F 986,860 300,063 40,680

Palm

Beach

1,320,134 117% 363,618 116% 49,205 141%

M 638,945 160,580 19,823

F 681,189 203,039 29,382

Okeecho

bee

39,996 111% 9,008 116% 662 136%

M 21,430 4,452 264

F 18,566 4,556 398

Martin

146,318 115% 50,753 117% 6,009 153%

M 72,423 23,452 2,440

F 73,895 27,301 3,569

St. Lucie

277,789 144% 72,951 135% 6,599 167%

M 135,859 33,808 2,587

F 141,930 39,143 4,012

Indian

River

138,028 122% 47,756 121% 5,678 161%

M 66,748 21,732 2,359

F 71,280 26,024 3,319


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POVERTY

The charts below compare seniors living below 125% of poverty level as compared to the

state.

% of 60+ Living Below 125% of Poverty Guideline

Indian

River

Martin Okeechobee Palm

Beach

St. Lucie PSA 9 Florida

11.40% 9.50% 17.10% 11.70% 12.60% 11.70% 14.70%

DOEA County Profiles 2011 Projection

% of Minorities 60+ Living Below 125% of Poverty Guideline

Indian

River


Beach

St. Lucie PSA 9 Florida

1.90% 1.50% 3.10% 4.10% 5.20% 3.80% 6.40%

DOEA County Profiles 2011 Projection

The percent of the total 60+ population living below 125% of poverty level is below the

statewide percentage for all PSA 9 counties except for Okeechobee. Okeechobee’s

percentage of 17.10% is significantly higher than the state percentage of 14.7%.

For the 60+ minority population, all of the counties in PSA 9 had a lower percentage than

the state of persons living below 125% of poverty level.


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SOCIAL ISOLATION

The chart below compares the 60+ population in PSA 9 living alone compared to the state.

60+ POPULATION LIVING ALONE

Indian

River Martin Okeechobee

Palm

Beach

St.

Lucie PSA 9 Florida

60+

Population 48,300 51,318 9,023 368,548 73,626 550,815 4,477,554

Living Alone 11,726 12,272 1,768 95,848 15,148 136,765 1,042,376

% Living Alone 24.28% 23.91% 19.59% 26.01% 20.57% 24.83% 23.28%

Palm Beach, Martin and Indian River County all have a higher percentage of seniors living

alone than the statewide percent. Our PSA makes up 12.3% of the statewide 60+

population. In terms of the 60+ population living alone, our PSA makes up 13.1% of the

statewide total.

MINORITIES

The chart below shows the minorities as a percentage of the 60+ population in PSA 9.

Indian

River


Beach

St.

Lucie

PSA 9 Florida

Total

Minorities

60+ as a %

of 60+

Population

7.6% 5.5% 10.4% 16.6% 18.8% 15.0% 24.3%

All PSA 9 counties have a lower percentage of 60+ minorities than does the state. Palm

Beach County and St. Lucie County do have a significant number of minority seniors – one

of the targeted populations for OAA funding.


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HOUSING

Home ownership and housing cost burden for the 65+ population in each of the counties in

or PSA is reflected below.

%Households

headed by 65+

% 65+ Own

their homes

%65+ Pay >30% Income for

Housing

State of

Florida 27.8%

Palm Beach 33.6% 87.7% 26.0%

Okeechobee 41.5% 87.8% 23.0%

Martin 40.2% 92.3% 18.0%

St. Lucie 34.4% 92.5% 26.0%

Indian River 37.4% 87.2% 23.0%

Source: http://flhousingdata.shimberg.ufl.edu

The data above is consistent with DOEA’s January 2012 Assessing the Needs of Elder

Floridians Report where 26% of the respondents indicated that they were finding it hard to

pay rent/mortgage/taxes (i.e. homeowner association dues.)

P.IV (B) Unmet Needs/Gaps

The Consumer Services Report for August 2012 has these highlights of the top services

being provided to seniors as well as the top services for which consumers are waiting. It

includes a comparison of 2011 and 2012


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Highlights of persons in service and those waiting for services

August 2012 August 2011

Consumers Receiving

Services

1 Number of consumers

receiving services

Including MW and

CDC clients 7,801

Including MW and

CDC clients 8,078

2 Number of unique

services provided to

individuals (does not

count the frequency of

the service)

Excluding MW and

CDC services 6,824

Excluding MW and

CDC services 7,416

3 Number of clients for the

5 top services provided

Congregate Meals

2,182

Congregate Meals

2,959

Home Delivered

Meals 1,509

Home Delivered

Meals 1,814

Homemaker 620 Case Management

518

Personal Care

420

Homemaker 308

Case Management

394

Screening &

Assessment 294

4 Average profile Age: 76.76 Age: 77.46

Gender: 69%

female; 31% male

Gender: 68%

female; 32% male

54% Living alone 54% Living alone

Consumers Waiting for

Services

5 Number of consumers

waiting for program

services (Numbers for

rank are as of end of the

reporting month)

3,873 3,522

High priority rank

1,020

High priority rank

861

Moderate to low

priority rank 2,530

Moderate to low

priority rank 2,453

6 Number of services

needed to individuals

(does not count the

frequency of the service)

as of end of August

2012 12,145

as of end of August

2011 10,669


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7 Number of clients waiting

for top 5 services (all

numbers are as of the

end of the reporting

month)

Case Management

2,781

Case Management

2,505

Homemaker 2,403 Homemaker 2,195

Personal Care

1,641

Personal Care

1,388

Home Delivered

Meals 1,068

Home Delivered

Meals 1,132

Respite In-Home

811

Emergency

Alert/Response

663

8 Average profile Age: 78.12 Age: 78.75

Gender: 68%

female; 32% male

Gender: 69%

female; 31% male

47% Living alone 50% Living alone

77% of the respondents to DOEA’s January 2012 Assessing the Needs of Elder Floridians

Report indicated that they always eat all the food they need and 18% reported that most of

the time they eat all the food they need. 94% reported that they have a healthy variety of

foods in their diet. In PSA 9 experience has shown a resistance to receiving nutrition

counseling even when the assessment score indicates it is needed. There are 2,475 OAA

clients with nutrition scores of 5 or above. Only a small number opt to accept of nutrition

counseling.

This brings up a question as to whether seniors are aware of what is “all the food that they

need”. The overweight, obesity and chronic disease findings under the health portion of

this section seem to indicate that many seniors are not aware of proper nutrition.

Each of the following reasons for not eating “all they food they need” ranked a 12%:

Can’t afford it;

I am too tired or too weak to prepare food;

I have physical or health issues that make eating difficult;

I have little or no appetite and forget to eat sometimes;

I don’t like to eat alone.

All of these findings are reasons for continuing to support congregate meals and home-

delivered meals as well the need to make seniors aware of private pay options for home-

delivered meals. In fact 12%, of the respondents were interested in learning about where

meals for seniors may be offered in their community.

92% reported that they do not have a food debit card because it is not needed or they are

not eligible. Of those who may be eligible 3% indicated that they don’t like asking for


118

help. 1% felt they would not get enough assistance to be worth the effort. 15% did indicate

that they would like more information about a food debit cared.

The food stamp participation rate for persons 60 years of age and older who are eligible for

food stamps is shown below.

Indian

River Martin Okeechobee

Palm

Beach

St.

Lucie PSA 9 Florida

Food Stamp

Participation

Rate 27.0% 22.0% 41.6% 38.3% 39.6% 36.4% 50.7%

A look a persons with self-care limitations (ADLs) and limitations of independent activity

(IADLs) is delineated in the charts below.

FLORIDA

PSA 9

DISABILITY

STATUS 65+

Number

of

Persons

65+

% of 65

Population

DISABILITY

STATUS 65+

Number

of

Persons

65+

% of 65

Population

Self-Care 258,953 7.79%

Self-Care 30,487 7.10%

Independent

Living 482,204 14.50%

Independent

Living 56,039 13.05%

Total 65+ 3,325,408

Total 65+ 429,436

INDIAN RIVER

MARTIN

DISABILITY

STATUS 65+

Number

of

Persons

65+

% of 65

Population

DISABILITY

STATUS 65+

Number

of

Persons

65+

% of 65

Population

Self-Care 2,772 7.32%

Self-Care 2,614 6.48%

Independent

Living 4,504 11.89%

Independent

Living 4,773 11.83%

Total 65+ 37,871

Total 65+ 40,359


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OKEECHOBEE

PALM BEACH

DISABILITY

STATUS 65+

Number

of

Persons

65+

% of 65

Population

DISABILITY

STATUS 65+

Number

of

Persons

65+

% of 65

Population

Self-Care 681 10.00%

Self-Care 20,891 7.24%

Independent

Living 775 11.38%

Independent

Living 38,468 13.33%

Total 65+ 6,812

Total 65+ 288,597

ST. LUCIE

DISABILITY

STATUS 65+

Number

of

Persons

65+

% of 65

Population

Self-Care 3,529 6.32%

Independent

Living 7,519 13.48%

Total 65+ 55,797

The percent of the population with a self-care limitation is below the statewide percentage

except for Okeechobee at 10.00% which is significantly above the statewide percentage of

7.32%. These limitations are for the most basic needs of Bathing, Dressing, Eating, Using

the Bathroom, and Transfer/Walking Mobility. Personal Care is the service most often

used to meet these needs. The chart below compares the number of clients in the PSA

currently receiving Personal Care with the number on the wait list for Personal Care with

the number of potential persons 65+ needing the service from the DOEA 2011 PSA 9

Profile. Keep in mind that services delivered are to those 60+ so that the disparity for the

65+ population may be more than it appears.


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Activities of independent living include Heavy Chore, Light Housekeeping, Using the

Phone, Managing Money, Preparing Meals, Shopping, Taking Medication, Using

Transportation. Homemaking Service is the service most often used to meet these needs.

The chart below compares the number of clients in the PSA currently receiving

Homemaking Services with the number on the wait list for Homemaking Service with the

number of potential persons 65+ needing the service from the DOEA 2011 PSA 9 Profile.

Keep in mind that services delivered are to those 60+ so that the disparity for the 65+

population may be more than it appears.


121

The DOEA January 2012 Assessing the Needs of Elder Floridians Report showed that in

PSA 9 50% of the respondents indicated that they “hardly ever/never” receive the help they

need with personal care tasks (ADLs). This is slightly above the state percentage of 47%.

Question 3: How often do you receive the help you need with personal care tasks (ADLs)?

PSA 9 STATE

Hardly ever/never 50% 47%

Always 25% 12%

Sometimes 19% 27%

Most of the time 6% 14%

In terms of IADLs 47% “hardly ever/never” receive the help they need with general

activities (IADLs). This is slightly below the state percentage of 48%.

Question 5: How often do you receive the help you need with general activities (IADLs)?

PSA 9 STATE


Most of the time 20% 16%

Sometimes 18% 22%

Always 14% 14%

The state has a higher percentage of persons that have tried to get help with personal care

tasks and general activities from family and friends than does PSA 9. PSA 9 seniors report

higher percentages than the state of trying to get help from religious organizations,

community groups, local and federal agencies. DOEA programs require that case managers

make use of informal supports when available. The results below indicate the need to

inquire of consumers if they have asked family or friends for help to ensure that informal

supports are used prior to DOEA-funded programs.

Question 6: From whom have you tried to get help with personal care tasks and general activities?

PSA 9 STATE

Family 22% 36%

Not Applicable 19% 17%

Other 18% 10%

Friends and/or Neighbors 14% 18%

Religious Organization 8% 6%

Community Group 6% 3%

Local Agency 6% 4%

Federal Agency 6% 4%

State Agency 1% 3%


122

The list of consumers receiving services by county from DOEA programs is shown in the

chart. below.


123

The list of consumers waiting for DOEA-funded services by county is shown in the chart

below.


124


125

2. Caregiver

The DOEA January 2012 Assessing the Needs of Elder Floridians Report shows that 81%

of PSA 9 respondents provide care to someone else.

Question 8: How often do you provide care?

PSA 9 STATE


One or more times a year 8% 6%

One or more times a month 27% 29%

One or more times a week 31% 29%

One or more times a day 8% 10%

Continuously or all day long 8% 9%

The chart below reflects the ages of the care recipients.

PSA 9 STATE

0-18 years old 1+ 11% 16%

19-59 years old 1+ 22% 25%

60+ years old 1+ 84% 86%

32% reported they needed help (or more help) with their caregiving responsibilities. This

is significantly higher than the state average of 21%. In an analysis of Medicaid Waiver

high cost care plans we have uncovered that the driving cost for the higher cost care plans

is respite and adult day care services. Both are services that provide relief to the caregiver.

In the most recent monitoring by DOEA, our providers achieved the state legislated

outcome measure for Caregiver Likelihood to Continue Providing Care: 89 %. They

surpassed the outcome measure for Caregiver Ability to Continue to Provide Care: 95 %.

The goal is 90%

The type of help that was most needed was emotional support (17%). The number one

reason for not receiving or not trying to get help with caregiving responsibilities was “I

can’t afford the expense” (27%) Only 5% said that they would be interested in caregiver

training (1/2 of the state percentage of 10%).

The intent of the DOEA Silver Alert Protocols are to offer assistance to caregivers of

persons with dementia. Your Aging Resource Center is able to offer community resources

and referrals to caregivers who have been referred to us though the Silver Alert program.

3. Access to Services

Information and Assistance


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The data below from DOEA January 2012 Assessing the Needs of Elder Floridians Report

supports the Center’s planned strategies to continue to reach out more to the medical

community regarding services available through Your Aging Resource Center. Doctor’s

offices, the VA Clinic, or registered nurse were the second most frequent response

regarding where to turn to for information about services that help older adults.

Question 28: Who would you contact if you needed information about services that help older adults?

PSA 9 STATE

Family members, neighbors, or friends

22% 18%

Doctor's office, VA clinic, or registered nurse

20% 19%

National organizations (AARP)

12% 11%

Internet 9% 9%

Government agency 9% 8%

Aging agencies, senior centers, or retirement communities

8% 7%

Newspaper, magazines 5% 6%

Elder Helpline 4% 6%

Church 4% 7%

Other 4% 4%

Community organizations 4% 5%

76% of the respondents had access to the internet. And 35% would be interested in

attending training on the internet. Many of the Center’s contracted partners provide internet

training for seniors.

Senior Center

91% of the respondents to the DOEA January 2012 Assessing the Needs of Elder

Floridians Report reported that they never/hardly ever go to the senior center. Only 6%

indicated that they go to the senior center often.


127

The chart below shows the reason for why they never/hardly ever go to the senior center.

Not being aware of the services offered was the second most frequent response.

Question 40: Why is it that you hardly ever or never go to the Senior Center?

PSA 9 STATE

I stay busy through other activities and groups

30% 26%

I am not aware of the services that are offered

15% 12%

Other 11% 12%

I don't have time 9% 12%

I would prefer a location that also includes other age groups

9% 8%

I don't think I am old enough to go there

7% 8%

There is not a senior center nearby

6% 6%

Transportation is not available

5% 4%

I don't like the activities offered

3% 4%

Physically unable to attend 3% 3%

Caregiving responsibilities 3% 3%

When asked, “What kinds of services or activities do you think should be offered at senior centers that you would be more likely to use?” the answers were physical activities; arts and crafts/hobby classes; using the computer and/or internet; card games; travel tours; nature-related activities; geneology classes, and other. Most of the senior centers in PSA 9 provide these activities. It appears that lack of knowledge of the requirements and services of senior centers prevents more robust participation.

Transportation

97% of the respondents to the DOEA January 2012 Assessing the Needs of Elder

Floridians Report said that they are usually able to get where they need or want to go.

There were only two answers as to what limits the ability to get where you want to go: “I

don’t know anyone I can ask 50%; and I don’t know 50%. Only 2% indicated that they use

a taxi or public transportation and 1% reported using senior rides. None of the respondents

used public transportation often. Of those that used public transportation 67% were very

satisfied and 33% were somewhat satisfied.


128

The reasons for being less than satisfied with public transportation are listed below.

Question 48: Please select your reasons for being less than satisfied with or are not using public transportation:

PSA 9 STATE

My town has very limited public transportation

25% 13%

It is inconvenient (rides too long or too many stops)

25% 18%

Don't need it 13% 10%

It doesn't go where I need to go

13% 13%

Lack of knowledge about the service

13% 6%

Other 13% 28%

I have health, age, or financial issues

0% 4%

Safety issues 0% 7%

Not accessible with wheelchair

0% 0%

It is not clean 0% 0%

My friends don't use it 0% 2%

When asked what makes your city/town not seem elder friendly to you 16% indicated

transportation is not available to me.

Analysis of Service implications of identified HCBS unmet needs

Home-delivered Meals and Respite In-Home Care are two services among the top five on

the wait list that are not among the top five for which consumers are receiving services.

One of the reasons for the disparity is that Congregate Meals are not a service for which

Your Aging Resource Center maintains wait lists. If this were removed from the list of top

five services clients are receiving, the list of services provided would be consistent with the

list of services for which clients are waiting except for Respite In-Home care. Another

activity to satisfy this unmet need is for the Center's Advisory Council and community

private pay home health providers to serve consumers in need of limited or short term

services through a pro bono program using donated in-home services from community

providers


129

To address the finding that seniors are not aware of proper nutrition, this Area Plan

includes strategies to add a nutrition curriculum to the Healthy Living program. Where it is

found that seniors are not eating “all the food they need” because they can’t afford it, the

Center will continue to assist with the SNAP program to provide more access to food and

increase the food stamp participation rate.

Where the findings show that PSA 9 has a lower percentage of persons than the state who

have tried to get help with personal care tasks and general activities from family and

friends, staff will ensure that case managers inquire of consumers if they have asked family

or friends for help to ensure that informal supports are used prior to DOEA-funded

programs. Both provider and staff strategies to accomplish task this are included in

Objective 2.2.

Both our providers and staff have included outreach activities to address the finding that it appears that lack of knowledge of the requirements and services of senior centers prevents some seniors from participating in activities that they find relevant.

Caregiver Unmet Needs - Several strategies are included in Objective 1.5 to address

caregivers’ most needed type of help of emotional support (17%). Both counseling

services and legal aid services are directed to and will continue to be directed to enhance

service to grandparents 55+ responsible for their own grandchildren. The Area Plan,

providers’ service provider applications, and OAA contracts include requirements for

providers to set goals for outreach to and track their progress in reaching grandparents 55+

responsible for their own grandchildren to ensure their access to OAA services. The fact

that the Center’s contracted providers achieved the state legislated outcome measure for

Caregiver Likelihood to Continue Providing Care: 89 % and surpassed the outcome

measure for Caregiver Ability to Continue to Provide Care: 95 % shows that the PSA 9

aging network is doing a good job at meeting caregiver needs.

4. Health Care

The following data was taken from the Florida Charts County Behavioral Risk Factor

Data. The data compares each of the counties within our PSA as well as the state of

Florida.


130

Percentage of Adults who engage in heavy or binge

drinking

Grouped by Age

2010

County 18-44 Quartile 45-64 Quartile 65 + Quartile

State Total

20.9

14.4

6.8

(18.8-23.1)

(12.9-15.9)

(6.0-7.6)

Indian River

28.2

16.2

3

7.7

3 (16.0-

40.3)

(8.7-

23.6)

(4.1-

11.3)

Martin

24.7

20.4

4

9.4

4 (10.6-

38.8)

(12.7-

28.1)

(5.8-

12.9)

Okeechobee

20.1

12.1

2

5.2

2 (9.3-

30.8)

(4.0-

20.2)

(1.9-

8.6)

Palm Beach

14.9

19.8

4

8.2

3 (6.2-

23.7)

(10.2-

29.4)

(4.7-

11.6)

St. Lucie

17.8

9.2

1

5.8

2 (9.3-

26.2)

(3.8-

14.6)

(2.7-

8.9)

ALCOHOL CONSUMPTION The percentage of adults who reported engaging in heavy

or binge drinking for those 65 and older (according to data reported 2010) averaged 6.8%

in the state of Florida. In PSA 9, Martin County reported having the highest rate at 9.4%

and Okeechobee reported having the lowest reported rate at 5.2%. Three out of five

counties in PSA 9 who reported heavy or binge drinking above the state average: Martin

(9.4%), Palm Beach (8.2%), and Indian River (7.7%). Only Okeechobee and St. Lucie

counties were below the state average at 5.2% and 5.8% respectively.

Percentage of Adults who have ever had a heart attack, angina, or

coronary heart disease

Grouped by Age


131

2010


State Total

2.3

8.9

24.8

(1.6-3.0)

(7.9-10.0)

(23.4-26.3)

Indian River

1.9

11.4

2

31.6

4 (0.0-4.5)

(3.7-

19.0)

(25.3-

37.9)

Martin

3.3 6.2 1 22.4

1

(0.0-8.7) (2.1-

10.2)

(16.7-

28.1)

Okeechobee

3.8 11.8 3 38.4

4

(0.0-9.0) (5.4-

18.1)

(30.9-

45.8)

Palm Beach

4.3

1

20.6

1 (1.3-7.2)

(15.5-

25.6)

St. Lucie

1.4

13

3

27.5

3 (0.0-3.3)

(7.6-

18.3)

(21.0-

34.0)

CARDIOVASCULAR: Heart attack, angina, coronary heart disease

The state average percent for those adults 65 and older reported experiencing a heart attack,

angina or coronary heart disease is 24.8 according to data reported in 2010. Palm Beach

County reported 20.6% which was the lowest in PSA 9. Martin County also reported being

below the state average at 22.4 percent. Okeechobee County reported the highest

percentage of those experiencing heart attack, angina or coronary heart disease at 38.4% in

PSA 9. This is 11.6% above the state average. Indian River (31.6%) and St. Lucie (27.5%)

were both above the state average by 6.8% and 4.1% respectively.

The Okeechobee County Community Health Assessment December 2011 reported that

“out of 67 counties in the state of Florida, Okeechobee County has the 10th highest age-

adjusted death rate due to coronary heart disease in 2009.”

Though not delineated by age group, the December 2011 Okeechobee County Community

Health Assessment reported that in 2009 the number of hospitalizations due to coronary

heart disease in 2009 was nearly 2.5 times the rate in Florida as a whole.

This area plan includes strategies to add a nutrition curriculum to the Healthy Living

program.

Percentage of Adults who have ever had a stroke


132

Grouped by Age

2010


State Total

1

3.3

8.1

(0.5-1.4)

(2.5-4.1)

(7.1-9.0)

Indian River

1.9

4.9

3

8.9

3 (0.0-

4.5)

(0.0-

11.0)

(5.0-

12.8)

Martin

0.6

1

10.1

3 (0.0-

1.3)

(5.4-

14.8)

Okeechobee

3.2

2

13.5

4 (0.4-

5.9)

(8.7-

18.3)

Palm Beach

0.3

1

5.1

1 (0.0-

0.7) (2.4-7.7)

St. Lucie

1.4

4.3

3

7.4

2 (0.0-

3.3)

(1.4-

7.2)

(3.9-

11.0)

CARDIOVASCULAR: Stroke

The state average of adults 65 and older reported ever having a stroke is 8.1 percent.

Okeechobee County (13.5%) ranked highest in PSA 9 and was more than 5% above the

state average according to the 2010 data. Okeechobee was reportedly 3% higher than

second ranked Martin County (10.1%) for those reported ever having a stroke. Palm Beach

County (5.1%) had the lowest raking and was reported 3% lower than the state average. St.

Lucie County was second lowest rank at 7.4%, but was still more than 2% higher than

Palm Beach County. Indian River County (8.9%) was slightly higher than the state

average.

Percentage of Adults who are overweight or obese

Grouped by Age

2010


133

County 18-44 Quartile

45-64 Quartile 65 + Quartile

State Total

60.7

69.8

63.7

(58.2-63.2)

(68.0-71.7)

(62.2-65.3)

Indian River

66

69.8

2

63.5

2 (52.6-

79.5)

(60.5-

79.1)

(57.1-

69.8)

Martin

62.3

61.2

1

59.9

1 (47.4-

77.1)

(52.2-

70.3)

(53.7-

66.2)

Okeechobee

76.3

73.7

3

69.9

3 (64.8-

87.9)

(65.2-

82.2)

(63.2-

76.6)

Palm Beach

54.2

65

1

63.5

2 (40.8-

67.6)

(55.9-

74.1)

(57.2-

69.8)

St. Lucie

65.6

75.7

3

67.4

3 (55.1-

76.1)

(68.5-

82.9)

(60.8-

73.9)

OVERWEIGHT OR OBESE:

According to the 2010 data collected, the state average for those 65 and older who were

reportedly overweight or obese was 63.7%. Martin County ranked lowest at 59.9%, which

is more than 3.5 percentage points below the state average. Indian River and Palm Beach

Counties were slightly below the state average both at 63.5%, and 3.6% higher than Martin

County. Okeechobee (69.9%) and St. Lucie County (67.4%) were above the state average

by 6.2% and 3.7% respectively. There was a ten point percentage spread between the

highest and lowest counties in PSA 9 for adults 65 and older reportedly being overweight

or obese.

The Okeechobee. Community Health Assessment of 2011 reported that the county as a

whole ranked 8th highest in percentage of obesity in the state.

86% of PSA 9 respondents to the DOEA January 2012 Assessing the Needs of Elder

Floridians Report indicated that they had attended an event offering free health information

over the past year. 11% said that they would be very interested in attending training or

classes to learn about keeping themselves healthy. 33% were somewhat interested. In light

of the health findings above and the willingness of 44% of the PSA 9 elder population to

attend training or classes to learn about keeping themselves healthy, there appears to be an

opportunity for expansion of Healthy Living services. One of the challenges will be to

provide these classes in rural areas where transportation may not be accessible to allow

strong participation.


134

81% of the respondents in the DOEA January 2012 Assessing the Needs of Elder

Floridians Report indicated that they are regularly doing physical activity three or more

times/week. This is a bit higher than the state percentage of 76%.

Only 1% of the respondents reported that they are not able to get medical care if they need it. The top reasons for not getting medical care are shown in the chart below. Question 20: What keeps you from getting medical care? PSA 9 STATE

Insurance does not cover all I need

25% 21%

Lack of transportation 17% 10%

Lack of money 17% 19%

Other 14% 14%

No provider will take my insurance

8% 8%

No insurance 8% 10%

No local provider 6% 9%


Language barrier 3% 4%

85% of the respondents reported no delay in filling their prescription medications over the last 12 months. 7% reported a delay of 1 month or more. 51% of the respondents were not aware of prescription assistance programs. 65% of the respondents reported no delay in getting dental care over the last 12 months. 14% reported a delay of longer than 6 months. 71% reported no delay in getting new eye glasses or other eye care. 12% reported a delay of longer than 6 months. The reasons for the delay in obtaining prescription medication, dental care or eye glasses are shown in the chart below. Question 25: What has limited your ability to get prescription medications, dental care, or eyeglasses?

PSA 9 STATE

Other 38% 22%

Insurance does not cover what I need

26% 24%


135

Can't afford it 21% 27%

Health limitations 5% 5%

Lack of transportation 5% 6%

Appointment or scheduling issues

2% 7%


The services or supplies are not available in my community

0% 3%

3% of the PSA 9 respondents to the DOEA January 2012 Assessing the Needs of Elder

Floridians Report reported having to delay or do without help for an emotional or mental

health problem.

73% of the respondents had Medicare, well below the state percentage of 85%. 36% had private insurance. 9% had veterans health benefits 7% had other insurance. 5% had Medicaid and 1% had no insurance. The maps below show the concentration of falls among the 65+ population in each of our counties. The maps are separated by rural and non-rural. Palm Beach County (the PSA’s largest county) and Okeechobee County rank among the highest incidence of falls.


136


137


138

The Profile for Fatal Injuries from Florida CHARTS for each of the counties in PSA 9 is

shown below.

Profile of Fatal Injuries, Indian River County Residents, 2010 Table 1. Total Fatal Injuries, By Intent and Age Group

Intent <1 1-4

5-14 15-24 25-34

35-44 45-54

55-64

65-74

75-84

85+

Unk

Total Coun

t

County Age Adj

Rate

Florida Age

Adj Rate

Homicide 0 0 0 1 0 0 0 0 0 0 0 0 1 0.97 6.17

Other 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0.11

Suicide 0 0 0 2 2 3 5 4 1 1 1 0 19 13.55 13.62

Undetermined

0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0.93

Unintentional 0 0 1 5 2 7 9 14 10 20 17 0 85 41.71 41.31

Total 0 0 1 8 4 10 14 18 11 21 18 0 105 56.23 62.14

<1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+

Population (FL CHARTS)

1,146 5,700 14,223 14,259 12,714 13,995 19,582 21,259 17,543 14,474 7,213

68 of the 105 of fatal injuries in Indian River County were to victims 55 years of age and

older. 61 of these were unintentional. 7 were suicide. 5 of the suicides were by firearms 2

were by poisoning.

The percentage of fatal injuries compared to the total 55+ population is 0.11%


139

Of the 61 unintentional fatal injuries for those 55+ 27 were caused by falls. 10 were as an

occupant in a MV, 6 were by poisoning and 3 by suffocation. All of the causes are shown

below. Unintentional Fatal Injuries, By Mechanism and Age Group

Mechanism 55-64 65-74 75-84 85+ Unk Total Count

Drowning, Submersion 0 0 1 0 0 1

Fall 2 4 11 10 0 27

Fire, Flame 0 1 1 0 0 2

Firearm 0 0 0 0 0 0

Hot Object, Substance 0 0 0 0 0 0

MV Traffic - Motorcyclist 2 0 0 0 0 2

MV Traffic - Occupant 3 2 3 2 0 10

MV Traffic - Oth, Unspec 0 0 0 0 0 0

MV Traffic - Pedalcyclist 0 0 0 0 0 0

MV Traffic - Pedestrian 0 0 1 0 0 1

Machinery 0 0 0 0 0 0

Natural, Environmental 0 0 0 1 0 1

Other Spec & Classifiable 0 0 1 0 0 1

Other Spec & NEC 1 0 0 0 0 1

Overexertion 0 0 0 0 0 0

Pedalcyclist, Other 0 1 1 0 0 2

Pedestrian, Other 0 1 0 0 0 1

Poisoning 6 0 0 0 0 6

Struck By, Against 0 0 0 0 0 0

Suffocation 0 1 1 1 0 3

Transport, Other 0 0 0 0 0 0

Unspecified 0 0 0 3 0 3

Total Unintentional 14 10 20 17 0 61


140

Profile of Fatal Injuries, Martin County Residents, 2010 Table 1. Total Fatal Injuries, By Intent and Age Group

Intent <1 1-4

5-14

15-24 25-34

35-44

45-54

55-64

65-74

75-84

85+

Unk Total Count

County Age Adj

Rate

Florida Age Adj

Rate

Homicide 0 0 0 0 0 2 0 0 0 0 0 0 2 2.23 6.17

Other 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0.11

Suicide 0 0 0 1 1 5 6 2 2 3 1 0 21 14.20 13.62

Undetermined 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0.93

Unintentional 0 0 2 3 12 10 14 9 5 11 17 0 83 51.81 41.31

Total 0 0 2 4 13 17 20 11 7 14 18 0 106 68.23 62.14

<1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+

Population (FL CHARTS)

1,222

4,890 13,630 13,885 11,364 14,611 21,186 22,171 19,261 14,395 7,244

50 of the 106 of fatal injuries in Martin County were to victims 55 years of age and older.

42 of these were unintentional. 8 were suicide. 7 of the suicides were by firearms one was

by fall.



141


occupant in a MV, 6 were by poisoning and 1 by suffocation. All of the causes are shown

below.

Table 3. Unintentional Fatal Injuries, By Mechanism and Age Group

Mechanism <1

1-4

5-14

15-24

25-34

35-44

45-54

55-64

65-74

75-84

85+

Unk Total Count

County Age Adj

Rate

Florida Age Adj

Rate

Cut, Pierce 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0.04

Drowning, Submersion

0 0 0 0 2 1 3 0 2 1 0 0 9 6.41 2.06

Fall 0 0 0 1 0 0 0 0 0 8 10 0 19 5.63 7.59

Fire, Flame 0 0 0 0 0 0 1 0 0 0 0 0 1 0.64 0.54

Firearm 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0.08

Hot Object, Substance 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0.02

MV Traffic - Motorcyclist

0 0 0 0 0 1 1 1 0 0 0 0 3 2.14 2.12

MV Traffic - Occupant 0 0 0 1 0 1 2 2 2 1 2 0 11 5.60 6.29

MV Traffic - Oth, Unspec

0 0 1 0 0 0 0 0 1 0 1 0 3 1.62 1.21

MV Traffic - Pedalcyclist

0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0.41

MV Traffic - Pedestrian

0 0 0 0 1 0 0 0 0 0 0 0 1 1.19 2.22

Machinery 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0.09

Natural, Environmental

0 0 0 0 0 1 0 0 0 0 0 0 1 1.11 0.27

Other Spec & Classifiable

0 0 0 1 0 0 1 0 0 0 0 0 2 1.63 0.51

Other Spec & NEC 0 0 0 0 1 0 1 0 0 0 0 0 2 1.83 0.34

Overexertion 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0.01

Pedalcyclist, Other 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0.11

Pedestrian, Other 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0.32

Poisoning 0 0 0 0 8 6 5 5 0 0 1 0 25 21.59 14.19

Struck By, Against 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0.11

Suffocation 0 0 0 0 0 0 0 0 0 0 1 0 1 0.21 1.63

Transport, Other 0 0 1 0 0 0 0 0 0 0 1 0 2 1.28 0.49

Unspecified 0 0 0 0 0 0 0 1 0 1 1 0 3 0.92 0.66

Total Unintentional 0 0 2 3 12 10 14 9 5 11 17 0 83 51.81 41.31


142

Profile of Fatal Injuries, Okeechobee County Residents, 2010 Table 1. Total Fatal Injuries, By Intent and Age Group

Intent <1

1-4

5-14

15-24 25-34

35-44

45-54

55-64

65-74

75-84

85+

Unk Total Count

County Age Adj

Rate

Florida Age Adj

Rate

Homicide 0 0 0 0 0 1 1 0 0 0 0 0 2 5.98 6.17

Other 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0.11

Suicide 0 0 0 0 2 2 0 2 1 0 0 0 7 18.75 13.62

Undetermined 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0.93

Unintentional 1 0 1 0 5 5 4 3 3 3 2 0 27 67.15 41.31

Total 1 0 1 0 7 8 5 5 4 3 2 0 36 91.88 62.14

<1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+

Population (FL CHARTS) 549 2,171 5,283 5,742 4,860 4,660 5,418 4,140 3,338 2,579 1,017

14 of the 36 of fatal injuries in Okeechobee County were to victims 55 years of age and

older. 11 of these were unintentional. 3 were suicide. 2 of the suicides were by poisoning

and one was by firearm.



143


occupant in a MV. All of the causes are shown below.


Mechanism <1

1-4

5-14

15-24

25-34

35-44

45-54

55-64

65-74

75-84

85+

Unk Total Count

County Age Adj

Rate

Florida Age Adj

Rate

Cut, Pierce 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0.04


0 0 1 0 0 1 2 0 1 0 0 0 5 13.20 2.06

Fall 0 0 0 0 0 0 0 0 1 1 0 0 2 3.72 7.59

Fire, Flame 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0.54

Firearm 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0.08

Hot Object, Substance

0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0.02


0 0 0 0 0 0 0 1 0 0 0 0 1 2.11 2.12



0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 1.21


0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0.41


0 0 0 0 0 1 0 0 0 1 0 0 2 5.23 2.22

Machinery 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0.09


0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0.27


0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0.51

Other Spec & NEC 0 0 0 0 1 0 0 0 0 0 0 0 1 2.79 0.34

Overexertion 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0.01



Poisoning 0 0 0 0 2 2 2 1 0 0 0 0 7 19.64 14.19


Suffocation 1 0 0 0 0 0 0 0 0 1 0 0 2 4.26 1.63

Transport, Other 0 0 0 0 0 1 0 0 1 0 0 0 2 5.47 0.49

Unspecified 0 0 0 0 0 0 0 0 0 0 1 0 1 1.52 0.66



144

Profile of Fatal Injuries, Palm Beach County Residents, 2010 Table 1. Total Fatal Injuries, By Intent and Age Group

Intent <1

1-4

5-14

15-24 25-34

35-44

45-54

55-64

65-74

75-84

85+

Unk Total Count

County Age Adj

Rate

Florida Age Adj

Rate

Homicide 1 0 6 23 24 18 12 5 3 3 0 0 95 8.49 6.17

Other 0 0 0 0 0 2 0 0 0 0 0 0 2 0.21 0.11

Suicide 0 0 0 12 23 25 52 37 22 12 6 0 189 13.76 13.62

Undetermined 0 0 0 1 4 4 3 4 0 0 0 0 16 1.34 0.93

Unintentional 6 7 4 56 78 65 68 67 47 69 102 0 569 38.36 41.31

Total 7 7 10 92 129 114 135 113 72 84 108 0 871 62.15 62.14

<1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+

Population (FL CHARTS) 13,718 59,654 150,284 148,152 141,575 155,327 179,292 160,724 121,274 101,935 55,289

377 of the 871 of fatal injuries in Palm Beach County were to victims 55 years of age and

older. 285 of these were unintentional. 77 were suicide. 35 of the suicides were by firearm.

24 were by poisoning and 12 were by suffocation.



145

Of the 285 unintentional fatal injuries for those 55+ 135 were caused by falls. 33 were as

an occupant in a MV. 42 were by poisoning, and 21 were by suffocation.

All of the causes are shown below.


Mechanism <1

1-4

5-14

15-24

25-34

35-44

45-54

55-64

65-74

75-

84 85+ Unk

Total Count

County Age Adj

Rate

Florida Age Adj

Rate

Cut, Pierce 0 0 0 1 0 0 0 0 0 0 0 0 1 0.09 0.04


0 4 0 2 6 2 3 5 8 4 0 0 34 2.45 2.06

Fall 0 0 0 0 3 2 6 9 17 37 72 0 146 6.01 7.59

Fire, Flame 0 0 0 0 1 0 0 0 0 0 0 0 1 0.10 0.54

Firearm 0 0 0 0 1 0 0 0 0 0 0 0 1 0.10 0.08



0 0 0 6 5 5 2 5 2 1 0 0 26 2.14 2.12



0 0 0 3 4 0 1 1 0 2 0 0 11 0.88 1.21


0 0 1 0 0 1 1 0 1 1 0 0 5 0.38 0.41


0 0 1 3 3 1 1 3 1 2 1 0 16 1.18 2.22

Machinery 0 0 0 0 0 0 0 1 2 0 0 0 3 0.16 0.09


0 1 0 0 0 1 1 0 0 0 0 0 3 0.27 0.27


0 0 0 2 1 1 3 0 1 0 0 0 8 0.67 0.51

Other Spec & NEC 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0.34

Overexertion 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0.01



Poisoning 0 0 1 21 40 43 45 31 6 1 4 0 192 15.94 14.19


Suffocation 5 0 0 2 0 0 0 2 1 5 13 0 28 1.44 1.63

Transport, Other 0 0 0 0 0 1 0 2 1 0 0 0 4 0.27 0.49

Unspecified 0 0 0 1 0 2 1 0 0 1 5 0 10 0.56 0.66



146

Profile of Fatal Injuries, Saint Lucie County Residents, 2010 Table 1. Total Fatal Injuries, By Intent and Age Group

Intent <1

1-4

5-14

15-24 25-34

35-44

45-54

55-64

65-74

75-84

85+

Unk Total Count

County Age Adj

Rate

Florida Age Adj

Rate

Homicide 0 0 0 5 5 2 2 4 0 0 0 0 18 7.29 6.17

Other 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0.11

Suicide 0 0 1 0 3 12 9 3 6 8 2 0 44 15.57 13.62

Undetermined 0 0 0 1 0 2 0 0 0 0 0 0 3 1.52 0.93

Unintentional 4 4 0 8 14 19 25 10 15 12 21 0 132 44.56 41.31

Total 4 4 1 14 22 35 36 17 21 20 23 0 197 68.93 62.14

<1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+

Population (FL CHARTS) 3,048 13,075 32,778 32,313 28,145 29,921 38,311 36,912 28,864 22,897 9,034

81 of the 197 of fatal injuries in St. Lucie County were to victims 55 years of age and older.

58 of these were unintentional. 19 were suicide. 14 of the suicides were by firearm. 3 were

by poisoning and 2 were by suffocation.



147


occupant in a MV. 8 were by poisoning.

All of the causes are shown below.


Mechanism <1

1-4

5-14

15-24

25-34

35-44

45-54

55-64

65-74

75-84

85+

Unk Total Count

County Age Adj

Rate

Florida Age Adj

Rate

Cut, Pierce 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0.04


0 3 0 0 0 1 2 1 1 0 1 0 9 3.15 2.06

Fall 0 0 0 1 0 0 0 1 7 8 12 0 29 5.89 7.59

Fire, Flame 0 0 0 0 0 0 0 0 0 1 0 0 1 0.20 0.54

Firearm 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0.08



0 0 0 0 2 1 3 0 0 0 1 0 7 2.73 2.12



0 0 0 0 1 0 0 0 0 0 0 0 1 0.48 1.21


0 0 0 0 0 0 0 0 1 0 0 0 1 0.23 0.41


0 0 0 2 0 0 1 0 2 0 0 0 5 1.67 2.22

Machinery 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0.09


0 0 0 0 0 1 1 0 0 1 0 0 3 1.09 0.27


0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0.51

Other Spec & NEC 0 0 0 0 0 0 1 0 0 0 0 0 1 0.35 0.34

Overexertion 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0.01



Poisoning 0 1 0 2 7 12 16 5 0 1 2 0 46 18.53 14.19


Suffocation 4 0 0 0 0 0 1 0 0 0 1 0 6 2.34 1.63

Transport, Other 0 0 0 0 1 2 0 0 0 0 0 0 3 1.57 0.49

Unspecified 0 0 0 0 0 0 0 1 2 0 1 0 4 0.87 0.66



148

5. Communities

CRIME AND LEGAL ISSUES

11% of the respondents in PSA 9 reported that high crime or a bad neighborhood was a

problem with their home or neighborhood. This was higher than the state percentage of

8%. However 98% reported that they do feel safe at home most or all of the time and 2%

reported that they feel safe at home some of the time. When asked what makes you feel

unsafe in your home 50% of PSA 9 respondents indicated “afraid of crime”. This was

significantly higher than the state average of 28%.

37% report they currently volunteer. 20% were not interested in volunteering and 18% did

not have enough time. 26% were interested in receiving information on volunteer

opportunities in their area.

In the AARP/DOEA survey Legal needs of Older Floridians: A 2006 Survey 21% of the

respondents indicated that they felt they were a victim of a consumer fraud or swindle. The

finding are shown below.


149

These numbers appear to have decreased with the DOEA January 2012 Assessing the

Needs of Elder Floridians Report with 13% of PSA 9 seniors reporting that “In thinking

about your experiences as a consumer, in recent years have you felt that you were the

victim of consumer fraud or a swindle?” This is similar to the statewide number of 12%.

The concern about becoming a victim of fraud remains high in PSA 9 and the state. The

findings from the 2006 AARP/DOEA survey are shown below.


150


151

The findings from PSA 9 respondents and the state of Florida to the same question in the

DOEA January 2012 Assessing the Needs of Elder Floridians Report are shown below.

Question 73: How concerned are you about becoming the victim of consumer fraud or a swindle, such as identity theft, home repair fraud, or otherwise being pressured to make a financial commitment you might not agree with?

PSA 9 STATE

Extremely concerned 38% 26%

Somewhat concerned 38% 32%

Very concerned 23% 29%

Not very concerned 0% 4%

Not at all concerned 0% 9%

PSA 9 seniors do show an awareness of where to find legal services. The chart below is

from the DOEA January 2012 Assessing the Needs of Elder Floridians Report.

Question 74: Florida has several organizations in place that assist elderly and low-income residents with legal needs. Are you aware of any of the following organizations?

PSA 9 STATE

Florida Department of Elder Affairs

30% 30%

Local Legal Aid Office 20% 21%

Local Area Agency on Aging 20% 19%

Florida Senior Legal Helpline 15% 14%

Florida Bar Lawyer Referral Service

15% 16%

The types of legal issues with which seniors are concerned has shifted somewhat from the

2006 survey. The 2006 survey is shown below.


152

One quarter of the respondents in the AARP/DOEA 2006 survey said they needed services of a

lawyer but did not go to see one with the main reason being they felt a lawyer was too expensive.


153

Though estate issues remain among the top 3 legal concerns in the DOEA January 2012

Assessing the Needs of Elder Floridians Report health matters and benefits have risen to a

higher priority.

Question 77: What legal issues concern you the most?

PSA 9 STATE

Health-related (Medicaid or Medicare, improper billing)

20% 19%

Estate (wills, trusts) 16% 16%

Benefits (Social Security, Veterans Administration)

12% 10%

Guardianship or Power of Attorney

11% 10%

Family matters (divorce, custody, child support)

10% 10%

Other 8% 11%

Consumer (home improvement, shoddy goods or services)

8% 9%

Abuse, exploitation, or fraud 6% 7%

Employment (worker's compensation, discrimination)

5% 5%

Housing (landlord/tenant, foreclosures, evictions)

4% 4%

A large proportion of PSA 9 respondents (55%) were unaware of programs to protect them from

abuse, neglect and financial exploitation.

DISASTER PREPARATION

A significant number of the PSA 9 respondents to the DOEA January 2012 Assessing the

Needs of Elder Floridians Report indicated an interest in learning more about disaster

preparedness. 31% were interested in learning more about temporary or special needs

shelter options that might be available to them in the event of an emergency requiring

evacuation. 35% were somewhat interested and 16% were very interested in elder-specific

training or classes were available on how to best ensure your needs are met before, during

and after a hurricane or other major hazardous event. Your Aging Resource Center

provided elder-specific disaster preparation training through a Palm Beach County grant

until it ended in 2012. The Red Cross, Palm Beach County Emergency Management and


154

the Palm Beach County Medical Reserve Corps do provide training on disaster preparation.

The Medical Reserve Corps targets its training to vulnerable populations.

WORK AND VOLUNTEERING

65% of the senior respondents in PSA 9 in the DOEA January 2012 Assessing the Needs of

Elder Floridians Report reported that they were not looking for work. Of those looking for

work, 16% were looking for part time work 3% were looking for full-time work, and 16%

were looking for other work.

During the senior forum in Fort Pierce in St. Lucie County when asked “If__________were

available in my community it would make my life better,” the number one response for the

60-64 age group was “jobs” None of the PSA 9 respondents in the DOEA January 2012

Assessing the Needs of Elder Floridians Report were receiving job training though 10%

said they would be interested in it. This is significantly different from the state response

where 6% of seniors were already receiving job training.


155

(b) Significant Differences Among Counties

County level analysis for unmet needs/gaps in service has been presented throughout this

document.

P.V. TARGETING AND OUTREACH

A. Targeting Goals for 2013-15 The targeting goals for the entire Planning and Service Area for the period 2013-2015 are charted below.

2013 - 2015 Targeting Plan (embedded Excel worksheet)

Characteristic

2012 PSA 60+

Population Count

(1)

%

Goal: # of

Service* Recipients in PSA

(2) to

serve in

2013

%

Goal: # of


(2) to

serve in

2014

%

Goal: # of


(2) to

serve in

2015

%

All 60+ 550,815 100% 8,784 100% 8,784 100% 8,784 100%

Below Poverty Level

42,993 8% 3,250 37% 3,426 39% 3,500 40%

Living Alone 139,077 25% 3,953 45% 4,128 47% 4,300 49%

Minority 82,366 15% 3,074 35% 3,250 37% 3,350 38%

Low-Income Minority (below 125% of poverty level)

20,882 4% 1,757 20% 1,932 22% 2,000 23%

Rural areas 16356 3% 928 11% 1060 12% 1159 13%

Low-Income Minority Older Individuals with Limited English Proficiency

6,570 1% 1,800 20% 1,850 21% 1,900 22%


156

Targeting goals are broken down by county in the charts listed below.


Characteristic

2012 Indian River

County 60+

Population Count

%

Goal: # of

Service* Recipients in Indian

River County to serve in

2013

%

Goal: # of



2014

%

Goal: # of



2015

%

All 60+ 48,300 100% 770 100% 770 100% 770 100%

Below Poverty Level

3,495 7% 285 37% 300 39% 307 40%

Living Alone 11,726 24% 347 45% 362 47% 377 49%

Minority 3,659 8% 270 35% 285 37% 294 38%


909 2% 154 20% 169 22% 175 23%

Rural areas 2400 5% 175 23% 185 24% 192 25%


576 1% 158 21% 162 21% 167 22%


157


Character-istic

2012 Martin County

60+ Population

Count

%

Goal: # of

Service* Recipients in Martin County to serve in

2013

%

Goal: # of


2014

%

Goal: # of


2015

%

All 60+ 51,318 100% 818 100% 818 100% 818 100%

Below Poverty Level

3,227 6% 303 37% 319 39% 326 40%

Living Alone

12,274 24% 368 45% 385 47% 401 49%

Minority 0 0% 286 35% 303 37% 312 38%


751 1% 164 20% 180 22% 186 23%

Rural areas 4,352

8% 186 23% 196 24% 204 25%


612 1% 168 21% 172 21% 177 22%


158


Character-istic

2012 Okeechobee County 60+ Population

Count

%

Goal: # of Service* Recipients

in Okeechobee

County to serve in

2013

%

Goal: # of Service* Recipients in Okeechobee

County to serve in

2014

%

Goal: # of Service* Recipients in Okeechobee

County to serve in

2015

%

All 60+ 9,023 100% 144 100% 144 100% 144 100%

Below Poverty Level

1,051 12% 53 37% 56 39% 57 40%

Living Alone 1,768 20% 65 45% 68 47% 70 49%

Minority 938 10% 50 35% 53 37% 55 38%


277 3% 29 20% 32 22% 33 23%

Rural areas 3298 37% 53 37% 56 39% 58 40%


105 1% 29 20% 30 21% 31 22%


159


Characteristic

2012 Palm

Beach County

60+ Population

Count

%

Goal: # of

Service* Recipients

in Palm Beach

County to serve in

2013

%

Goal: # of

Service* Recipients

in Palm Beach

County to serve in

2014

%

Goal: # of Service* Recipients in Palm Beach County to

serve in 2015

%

All 60+ 368,548 100% 5,877 100% 5,877 100% 5,877 100%

Below Poverty Level

29,460 8% 2,175 37% 2,292 39% 2,342 40%

Living Alone 95,848 26% 2,645 45% 2,762 47% 2,877 49%

Minority 61,108 17% 2,057 35% 2,175 37% 2,241 38%


15,135 4% 1,176 20% 1,293 22% 1,338 23%

Rural areas 3833 1% 267 5% 341 6% 411 7%


4,401 1% 1,204 20% 1,238 21% 1,271 22%


160


Characteristic

2012 St. Lucie County

60+ Population

Count

%

Goal: # of

Service* Recipients

in St. Lucie

County to serve in

2013

%

Goal: # of

Service* Recipients

in St. Lucie

County to serve in

2014

%

Goal: # of

Service* Recipients

in St. Lucie

County to serve in

2015

%

All 60+ 73,626 100% 1,174 100% 1,174 100% 1,174 100%

Below Poverty Level

5,761 8% 434 37% 458 39% 468 40%

Living Alone 15,148 21% 528 45% 552 47% 575 49%

Minority 13,854 19% 411 35% 434 37% 448 38%


3,811 5% 235 20% 258 22% 267 23%

Rural areas 2474 3% 267 23% 282 24% 294 25%


874 1% 241 21% 247 21% 254 22%


161

B. Targeting Reports

2011 Targeting Report (embedded Excel worksheet)

Characteristic PSA 60+

Population Count(1)

%

Number of Registered*

Service Recipients in PSA(2)

% Goals

for 2011

% of Goal Met

All 60+ 550,815 100.0% 8,784 100.0% 8,784 100.0%

Below Poverty Level

42,993 7.8% 3,096 35.2% 3,801 81.5%

Living Alone 136,765 24.8% 3,717 42.3% 4,005 92.8%

Minority 82,366 15.0% 3,073 35.0% 2,937 104.6%


15,175 2.8% 1,636 18.6% 1,821 89.8%

Rural areas 9,023 1.6% 1,893 21.6% 2,101 90.1%


6,570 1.2%

641

7.3% 3,453 47.4%

*Registered Services include personal care, homemaker, chore, home delivered meals, adult day/health care, case

management, escort, and congregate meals.

Data Sources:

(1) The PSA 60+ population count data source is the 2011 County Profiles.

(2) The PSA registered services recipients count is provided by the Department from the NAPIS

report data.

PSA 9 providers have done a good job of delivering services to targeted populations. The

percent of registered recipients being served in each targeted category far exceeds the

percentage of these categories in the general 60+ population.


2012 Targeting Report

Characteristic

PSA 60+

Population

Count(1)

%

Number of

Registered*

Service

Recipients in

PSA(2)

%Goals

for 2012

% of

Goal Met

All 60+ 558,842 100.0% 8,302 100.0% 8,905 93.2%

Below Poverty

Level45,883 8.2% 3,378 40.7% 3,562 94.8%

Living Alone 138,986 24.9% 3,634 43.8% 4,005 90.7%

Minority 86,227 15.4% 3,032 36.5% 3,300 91.9%

Minority Below

Poverty Level

(low-income

minority)

21,713 3.9% 2,221 26.8% 1,821 122.0%

Rural areas 15,126 2.7% 1,888 22.7% 2,101 89.9%

Low-Income

Minority Older

Individuals with

Limited English

Proficiency

7,287 1.3% 843 10.2% (3) (3)

*Registered Services include personal care, homemaker, chore, home delivered meals, adult day/health care, case

management, escort, and congregate meals.

Data Sources:

(1) The PSA 60+ population count data source is the 2012 County Profiles.

(2) The PSA registered services recipients count is provided by the Department from the NAPIS

report data.

(3) Data for Low-Income Minority Older Individuals with Limited English Proficiency was not

available at the time of the 2012 Area Plan in order to establish a goal for this demographic

category.

Though we did not meet the targeting goals for 2012. The percentages increased in every

characteristic category except one as to the number of registered service recipients being

served in that category. This indicates improvement in reaching targeted populations.


163

C. Targeting Plan Summary – 2012

The Center has required providers to provide a report of targeting goals and quarterly

achievements during 2011 and 2012. This was in response to DOEA monitoring

recommendations in 2010 “to establish a uniform report format for quarterly reporting of

outreach activities directed to targeted elders. The report format should include all

targeting categories and the achievement status of established targeting goals.” Providers

did establish goals and reported quarterly on those goals.


164

Outreach targeting goals for 2013-2015 for our contracted providers are outlined below.

These goals are included in the providers approved OAA service provider applications.

COUNCIL ON AGING OF MARTIN COUNTY (COAMC) OAA Targeted Population Goal for Number of

Persons Within the

Targeted Population to

be Reached through

Outreach Activities in

FY 2013

Goal for Number of

Persons Within the


be Reached through


FY 2014

Goal for Number of

Persons Within the

Targeted Population

to be Reached

through Outreach

Activities in FY 2015

Older individuals residing in rural areas 50 55 60

Low-income older individuals 200 205 210

Low-income minorities 70 72 74

Older individuals with the greatest social

need

100 110 120

Older individuals with severe disabilities 10 12 14

Older individuals with limited English

proficiency

15 17 19

Older individuals with Alzheimer’s disease

and related disorders with neurological and

organic brain dysfunction (and the

caretakers of such individuals)

30 35 40

Older individuals at risk for institutional

placement

25 30 35

Caregivers of older individuals with

Alzheimer’s disease and related disorders

with neurological and organic brain

dysfunction

30 35 40

Grandparents or older individuals who are

relative caregivers who provide care for

children with severe disabilities

10 11 12

Caregivers who are older individuals with

greatest social need

35 40 45


greatest economic need (with particular

attention to low-income older individuals)

25 30 35

Caregivers who are older individuals who

provide care to individuals with severe

disabilities, including children with severe

disabilities.

15 16 17

In Martin County COAMC works with neighborhood associations and local food pantries

to outreach to their community. Outreach is also be conducted at congregate meal sites and

to home-delivered meal clients. In addition COAMC participates in health and wellness

fairs year-round to outreach to targeted populations. Several different activities are planned

for Indiantown, a low-income minority rural area of Martin County. These outreach

activities also reach the communities of Hobe Sound, Stuart and Jensen Beach, In addition,

COAMCS works with the Veteran’s Council of Martin County to reach targeted

populations.


165

PALM BEACH COUNTY

DOSS OAA Targeted Population Goal for Number of

Persons Within the


be Reached through


FY 2013

Goal for Number of

Persons Within the


be Reached through


FY 2014

Goal for Number of

Persons Within the

Targeted Population

to be Reached

through Outreach






need

200 200 200



proficiency

100 100 100





75 75 75


placement

50 50 50




dysfunction

75 75 75




10 10 10



40 40 40




40 40 40




disabilities.

40 40 40

In Northern Palm Beach County DOSS makes individual contact with targeted populations

through visits to senior housing facilities and apartment complexes with high

concentrations of seniors. DOSS staff also attend health fairs such as the Lake Worth

Health Fair, Riviera Beach Resource Fair, Cancer Health Fair, and Good Health Resource

Fair. These are attended throughout the year. DOSS staff participate in community events

of Annual Have a heart in Riviera Beach, the Alzheimer’s Conference, the Back to School

Blasé in West Palm Beach, and The Future of Medicine Conference. DOSS outreach

reaches the cities of West Palm Beach, Riviera Beach, Lake Worth, Palm Beach Gardens,


166

Jupiter, and Pahokee. All of the events reach functionally impaired seniors, minorities and

low income seniors. These activities cover zip codes 33401, 33407, 33415, 33417, 33463,

33476, 33404, 33410, 33409, 33476, 33460, 33417, and 33477.


167

SOUTH PALM BEACH COUNTY – THE VOLEN CENTER

OAA Targeted Population Goal for Number of

Persons Within the


be Reached through


FY 2013

Goal for Number of

Persons Within the


be Reached through


FY 2014

Goal for Number of

Persons Within the


be Reached through


FY 2015

Older individuals residing in rural areas The state average

percentage for rural

population is 10.3 %.

The Center’s proposed

service area has a near

negligible rural

population. All of the

targeted areas are urban

areas. However, when

the situation presents

itself, the Center does and

will continue to do

outreach in rural areas or

to agencies that serve

these areas. Moreover,

we have supported and

will continue to support

the efforts of

organizations in other

parts of the County and

the state who do work

with concentrations of

elders in rural areas.

Support includes

consultation, providing

information, and

providing materials.

The state average





negligible rural





itself, the Center does

and will continue to do






the efforts of






Support includes


information, and


The state average





negligible rural





itself, the Center does

and will continue to do






the efforts of






Support includes


information, and


Low-income older individuals 30,000 30,000 30,000



need

5,000 5,000 5,000

Older individuals with severe disabilities 24,000 24,000 24,000


proficiency

4,000 4,000 4,000

Older individuals with Alzheimer’s

disease and related disorders with

neurological and organic brain

dysfunction (and the caretakers of such

individuals)

2,500 2,500 2,500


placement

25,000 25,000 25,000




dysfunction

5,000 5,000 5,000


168

Grandparents or older individuals who

are relative caregivers who provide care

for children with severe disabilities

1,000 1,000 1,000



5,000 5,000 5,000



attention to low-income older

individuals)

5,000 5,000 5,000



disabilities, including children with

severe disabilities.

150 150 150

The Volen Center concentrates outreach on the DOEA High Needs areas. These include

zip codes 33428, 33433, 33426, 33435, 33436, 33437 (highest concentration of homebound

seniors), 33444, 33445, 33446 and 33484.

The Volen Center conducts outreach via exhibits/fairs, professional education/training,

consumer education/training, consumer events, tours of The Volen Center, open houses,

planning/networking and general outreach activity such as their Food Box program. They

use magazines, outdoor displays, mailings, and newspapers to assist with outreach

The Volen Center Community Contact Summary for 2012 is listed below.

Quarter Advertising Targeted General

outreach

calendar

contacts

Total

1st 7,917,365 1,098 77 7,918,540

2nd 250 4,158 42 4,450

3rd 25,496 1,187 61 26,744

4rth 107,000 3,154 63 110,217

Annual total

to date 8,050,111 9597 243 8,059,951


169

Alzheimer’s Community Care – Palm Beach, Martin and St. Lucie Counties OAA Targeted Population Goal for Number of

Persons Within the


be Reached through


FY 2013

Goal for Number of

Persons Within the


be Reached through


FY 2014

Goal for Number of

Persons Within the

Targeted Population

to be Reached

through Outreach






need

250 275 325

Older individuals with severe disabilities N/A N/A N/A


proficiency

100 150 200





850 900 1,000


placement

150 200 250




dysfunction

400 450 500




N/A N/A N/A



100 125 150




150 175 225




disabilities.

N/A N/A N/A

ACC’s outreach activities are ongoing throughout the year and include Alzheimer’s

Community Care scheduled activities, such as the Treasure Coast Caregivers’ Conference

and Alzheimer’s Conversations hosted by Mary M. Barnes who is the President and CEO.

Other outreach activities include setting up a table and speaking at local Health Fairs, over

55 communities, expos and interviews about dementia on local radio.

The organization has a full time Outreach Coordinator who is out in the community every

day. He is available to speak at functions, set up a table with literature at Health Fairs. By

his presence in the community, he is able to alert ACC Family Nurse Consultants about

needs in the community and links patients and family to appropriate resources. ACC’s 7

Family Nurse Consultants all perform outreach , working closely with law enforcement and


170

1st responders during crisis situations with Alzheimer’s patients and families. ACC’s

website covers a wide variety of Alzheimer’s specific issues in an easy to use form. ACC’s

Educator teaches Level 1 & 2 Dementia Specific training that is approved by the Florida

Department of Elder Affairs to individuals working professionally with dementia patients.

This outreach raises the standards of care to patients who are living in nursing homes or

assisted living facilities. The Educator was recognized at the Crisis Intervention Training

Awards Ceremony for her contribution to Crisis Training in 2012.

COUNCIL ON AGING OF ST. LUCIE COUNTY (COASL)

OAA

Older i

Targeted Population Goal for Number of

Persons Within the

Targeted Population

to be Reached

through Outreach

Goal for Number of

Persons Within the

Targeted Population

to be Reached

through Outreach

Goal for Number of

Persons Within the

Targeted

Population to be

Reached through FY 2015

individuals residing in rural areas 2100 2300 2500



Older individuals with the greatest social need 2100 2100 2100


Older individuals with limited English 1000 1000 1000

Older individuals with Alzheimer's disease


organic brain dysfunction (and the caretakers

50 50 50

Older individuals at risk for institutional placement

35 35 35

Caregivers of older individuals with Alzheimer's disease and related disorders

25 25 25



3 5 8

Caregivers who are older individuals with greatest social need

100 120 140



100 120 140




25 25 25

In St. Lucie County COASL distributes English, Spanish and Creole brochures at the City

Hall, the Nurse On Call site, the Port St. Lucie Civic Center, the Fort Pierce Library, St.

Lucie County Health Department, Lakewood Park Library, Lawnwood Hospital, St. Lucie

Medical Center, Florida Community Health Department, Ft. Pierce Administration Annex,

Ft. Pierce Housing Authority, Image of Christ Ministries, St. Lucie Medical Hospital,

Cathedral of Notre Dame Mission, doctor’s offices known to serve elderly clients, Port St.

Lucie Community Center, Fort Pierce City Hall, the Chamber of Commerce, St. Lucie

County Annex Office, Madison Vines Senior Community, and The Cove of Port St. Lucie.

Many of these sites are Very High Needs Target areas for seniors.

In addition COASL staff participate in networking events to increase awareness in the

community of services offered through the Older Americans Act programs. These include


171

The SunTrust Networking Breakfast, Ombudsman Meeting, Senior Networking Meeting,

Council on Social Services Annual Meeting, COAD Meeting, TCAS Meeting, Associates

in Medicine Meeting, Chamber of Commerce Roaming Breakfast, Treasure Coast

Advocates for Seniors Meeting, Chamber Ambassador Meeting, Chamber Networking

Meeting, Chamber Mayor Meeting, Martin Memorial Heath Meeting, and Treasure Coast

Hunger Coalition.

Provider staff use media events to increase awareness of services also. These include

WSTU Radio Show Aging Issues and Caring Solutions, WQCS Radio Show, WPSL Radio

Show, Well-Med Radio Show, and The Flame Radio Show.

Finally COASL staff attend community events and health fairs to reach targeted

populations. In St. Lucie County these include Golden Ponds Health and Information Fair

(zip code 34940), The Lynmoore Event in Ft. Pierce (zip code 34950), Sam’s Club Health

and Information Fair in Port St. Lucie (zip code 34953), Hospice Treasuring Life Event in

Fort Pierce (zip code 34981), the Friendship Missionary Church Event in Fort Pierce (zip

code 34950), Lynmoore Health Fair in Fort Pierce (34950), the Holy Family Church Health

Fair in Port St. Lucie (zip code 34952) , the Jetson’s Information Event in Port St. Lucie

(zip code 34986), the Tiffany Hall Meet and Greet in Port St. Lucie (zip code 34952),

Indian River State College Service Learning Day in Fort Pierce (zip code 34981),

Lynmoore Mardi Gras Event in Fort Pierce (zip code 34950), High Point Health Fair in

Fort Pierce (zip code 34982), Moe’s Ribbon Cutting (zip code 34986), Brighton Gardens

Health and Information Fair in Port St. Lucie (zip code 34952), HANDS Dental Clinic

Event in Fort Pierce (zip code 34950), Villa Seton Resource Fair in port St. Lucie (zip code

34953), King’s Isle Health Fair in Port St. Lucie (zip code 34986), LakeForest park Event

in Fort pierce (zip code 34981), Victim’s Rights Resource Fair in Port St. Lucie (zip code

34953), Night of Hope, Port St. Lucie (zip code 34987), The Estate, Trust, and Elder law

Firm Event in Port St. Lucie (zip code 34986), City of Fort Pierce Health and Information

Fair in Fort Pierce (zip code 34950), Madison Vines Health Fair in Fort Pierce (zip code

34982) The Cove/Low Income Housing Panel Discussion in Port St. Lucie (zip code

34983), the St. Lucie Medical Center Information Fair in Port St. Lucie (zip code 34952),

the Chamber Ribbon Cutting in Port St. Lucie (zip code 34952), Elder Abuse Awareness

Day in Fort Pierce (zip code 34950), Hurricane Expo in Port St. Lucie (zip code 34952),

Aging Gracefully Seminar in Port St. Lucie (zip code 34952), Tradition Medical Center

Lecture in Port St. Lucie (zip code 34987), Chamber Annual County Luncheon in Port St.

Lucie (zip code 34986), VIP Open House in Stuart, PSL Rotary Presentation in Port St.

Lucie (zip code 34952), Waste Pro Grand Opening in Fort Pierce (zip code 34981),

Abbiejean Russel Open House in Fort Pierce (zip code 34947), Children Services Council

Event in Port St. Lucie (zip code 34986) , Wells Fargo Presentation in Port St. Lucie (zip

code 34987), Horizon Bay Health Fair in Port St. Lucie (zip code 34952), the Fearless


172

Caregiver Conference in Port St. Lucie (zip code 34952), Tropicana Presentation in Fort

Pierce (zip code 34982), Alzheimer’s Tool Kit Event in Port St. Lucie (zip code 34952),

Legislative Breakfast in Port St. Lucie (zip code 34952), Caregivers Retreat in Port St.

Lucie (zip code 34952), Abingdon Holiday Event in Port St. Lucie (zip code 34987), and

Spanish Lakes country Club Presentation in Fort Pierce (zip code 34951).

SENIOR RESOURCE ASSOCIATION – INDIAN RIVER COUNTY

OAA Targeted Population Goal for Number of

Persons Within the


be Reached through


FY 2013

Goal for Number of

Persons Within the


be Reached through


FY 2014

Goal for Number of

Persons Within the

Targeted Population

to be Reached

through Outreach


Older individuals residing in rural areas 1,153 1,153 1,153

Low-income older individuals 1,812 1,812 1,812



need

3,869 3,869 3,869



proficiency

246 246 246





1,883

1,883

1,883


placement

790 790 790




dysfunction

240

240

240




N/A

N/A

N/A



240 240 240




598

598

598




disabilities.

N/A

N/A

N/A

SRA’s outreach is conducted through webinars, tours, phone inquiries, the Owls Hoot

Newsletter, distribution of materials to doctor’s offices and service providers, information

provided with emergency meals and at congregate meal sites, PSAs, articles and flyers


173

distributed throughout the county, radio shows, senior health fairs, meetings of the Council

of Community Services, social service fairs, presentations to community churches, articles

in the Press Journal and Hometown News, and focus groups with targeted populations.

SRA’s outreach targets zip codes 32967, 32960, 32958, 32961, 32962, 32963, and 32966.

Outreach includes the community of Fellsmere, a low-income, limited English speaking

population.

OKEECHOBEE – OKEECHOBEE SENIOR SERVICES OAA Targeted Population Goal for Number of

Persons Within the


be Reached through


FY 2013

Goal for Number of

Persons Within the


be Reached through


FY 2014

Goal for Number of

Persons Within the

Targeted Population

to be Reached

through Outreach






need

23 38 33



proficiency

7 12 15





12 14 16


placement

5 11 15




dysfunction

10 15 25




5 7 8



22 30 30




22 30 30




disabilities.

5 7 8

In order to identify the service needs of the elders with greatest health and/or social need

with particular attention to low-income minority individuals the Okeechobee Senior

Services recognizes the diversity of the minority population and takes into account their


174

language, history, cultural background, education, occupations and their economic and

social classes. The service needs of low-income minority individuals will be satisfied by

the following actions to be taken by Okeechobee Senior Services:

1). Recruit staff that includes seniors, representatives of social and ethnic minorities and

Multi-lingual employees.

2). Recruit Nutritional Committee members who represent the minority population and are

active in organizations for low income minority seniors.

3). Participate in Red Cross Board, Transportation Disadvantaged, S.H.I.P, Housing

Committee, Children and Family Human Service's Board, AARP meetings, etc.

4). Place brochures in locations frequented by elders with greatest economic and /or social

need, wiith attention to low-income minority.

Your Aging Resource Center outreach activities are outlined in Objectives 1.1 and 1.6.


D. Targeting Plan Summary Update – 2013

The following describes targeting activities implemented by providers since January 2013

as well as progress on targeting goals. The information is for the first half of 2013.

Reports for the second half of 2013 are due January 15, 2014. Several contracted Palm

Beach County providers (DOSS, Alzheimer’s Community Care, Morse Life Just

Checking!, and Legal Aid Services of Palm Beach County, as well as our Elder Helpline)

participated in a senior forum in Belle Glade in 2013. The goal was to ensure outreach to

this low-income rural population with a substantial population of seniors with limited

English proficiency.


SEMI-ANNUAL REPORT OF PROVIDER OUTREACH

PROVIDER NAME COUNCIL ON AGING OF MARTIN CO.

SEMI-ANNUAL PERIOD JAN. 2013 -JUNE 2013

Type of

Event or

Activity

Date Location

(Including Zip

Code)

Total # of

Participants

Reached

Individual

Service Needs

Identified

Referral Sources or

Information Provided

In-service 1/6/2013 Peace Presbyterian Church, 34997

75 Meals on Wheels

information for ADRC

In-service 1/13/2013 Mount Zion Baptist Church, Indiantown, 34956

55 MOW, EHEAP Vouchers for the Treasure Coast Mobile Food Bank, EHEAP flyers. Information for ADRC

In-service 2/3/2013 Mount Zion Baptist Church, Indiantown, 34956

14 MOW Vouchers for the Treasure Coast Mobile Food Bank. Information for ADRC.

Kane Center Health Fair

2/6/2013 Kane Center, 34997

200 MOW information for ADRC, Kane Cuisine, & volunteering

YMCA Health Fair

2/25/2013 YMCA, Stuart, 34997

125 MOW, EHEAP Information for ADRC, EHEAP, volunteering, & Kane Cuisine.

Televised 3/5/2013 Martin County Board of County Commissioners, 34997

Television Viewers

N/A Meals on Wheels Proclamation

Radio Show 3/8/2013 WSTU Radion Interview

Radio Audience N/A Information for ADRC, MOW, Volunteering, & Kane Cuisine.

In-service 3/15/2013 Banner Lake, Hobe Sound, 33455

17 MOW Information for ADRC

In-service 4/17/2013 Surviving Spouses Luncheon, 34997


In-service 4/17/2013 Parkway Rehab, 34994


In-service 6/5/2013 Martin Memorial Case Mgmt Dept.

10 In-home, MOW

Information for ADRC, Kane Cuisine

In-service 6/7/2013 LAHIA, Homeless Shelter, 34997

10 MOW Information for ADRC, vouchers for Treasure Coast Food Bank Mobile Unit.

In-service 6/8/2013 Community Baptist Church, Stuart Seniors Group, 34997

20 MOW Information for ADRC, vouchers for Treasure Coast Food Bank Mobile Unit.

In-service 7/24/2013 St Mary's Kitchen, Stuart, 34994

48 MOW Information for ADRC, volunteering


177

COUNCIL ON AGING OF MARTIN COUNTY PROGRESS ON OUTREACH

TARGETING GOALS AS OF JUNE 30, 2013

OAA Targeted Categories Number of Persons

Within the Targeted

Population Reached

through Outreach

Activities During the

last 6 months

Older individuals residing in rural areas 86

Low-income older individuals 150

Low-income minorities 163

Older individuals with the greatest social need 87

Older individuals with severe disabilities 15

Older individuals with limited English proficiency 20

Older individuals with Alzheimer’s disease and related disorders

with neurological and organic brain dysfunction (and the


31

Older individuals at risk for institutional placement 50

Caregivers of older individuals with Alzheimer’s disease and

related disorders with neurological and organic brain

dysfunction

31

Grandparents or older individuals who are relative caregivers

who provide care for children with severe disabilities

N/A

Caregivers who are older individuals with greatest social need 70

Caregivers who are older individuals with greatest economic

need (with particular attention to low-income older individuals)

179

Caregivers who are older individuals who provide care to

individuals with severe disabilities, including children with severe

disabilities.

N/A

TOTAL: Please note several clients fall into more than one

category

882


178


PROVIDER NAME DOSS

SEMI-ANNUAL PERIOD January - June 2013

Event

Number

Type of Event or

Activity Date

Location

(Including Zip

Code)

Total # of

Participants

Reached

Individual

Service

Needs

Identified

Referral Sources or

Information

Provided

1 Senior Academy 1/11/2013 Jupiter 33477 33 All services Brochures





6 Senior Expo 2/12/2013 WPB 33411 375 All services Brochures

7 Senior Expo 2/13/2013 WPB 33411 280 All services Brochures

8 Bridges of LP 3/9/2013 Lake Park 180 Utility Assistance Brochures

9 Riverview Apts 3/28/2013 WPB 33461 18 Utility Assistance Brochures

10 Greenacres Meal 3/29/2013 Greenacres 33463 13 All services Brochures

11 MCSC Meal Site AM 3/29/2013

LakeWorth 33461 20 All services Brochures

12 MCSC Meal Site PM 3/29/2013

LakeWorth 33461 29 All services Brochures

13 WCSC Meal Site 3/27/2013 Belle Glade 33430 27 All services Brochures

14 Village of Royal Palm 3/26/2013

Royal Palm Beach 33411 12

Utility Assistance Brochures

15 NCSC Meal Site 3/24/2013 Palm Beach Gardens 33418 31 All services Brochures

16 Limestone Creek 4/9/2013 Jupiter 33477 25 All services Brochures

17 Mangonia Apts 4/29/2013 WPB 33409 49 Utility Assistance Brochures

18 Limestone Creek 4/9/2013 Jupiter 33477 17 Utility Assistance Brochures

19 Century Village 5/2/2013 WPB 33417 60 All services Brochures

20 Alzheimers' Conf 5/2/2013 WPB 33401 150 All services Brochures

21 Alzheimers' Conf 5/3/2013 WPB 33401 85 All services Brochures

22 Villa Regina 5/29/2013 WPB 33417 51 Utility Assistance Brochures

23 Villa Mondonna 5/30/2013 WPB 33461 56 Utility Assistance Brochures


179

PALM BEACH COUNTY DIVISION OF SENIOR SERVICES PROGRESS ON

OUTREACH TARGETING GOALS AS OF JUNE 30, 2013

OAA Targeted Categories

Number of Persons

Within the Targeted

Population Reached

through Outreach


last 6 months







Older individuals with Alzheimer’s disease and related disorders with

neurological and organic brain dysfunction (and the caretakers of such

individuals) 200


Caregivers of older individuals with Alzheimer’s disease and related

disorders with neurological and organic brain dysfunction 210

Grandparents or older individuals who are relative caregivers who

provide care for children with severe disabilities 3


Caregivers who are older individuals with greatest economic need (with

particular attention to low-income older individuals) 25

Caregivers who are older individuals who provide care to individuals with

severe disabilities, including children with severe disabilities. 17

TOTAL 1171


180


PROVIDER NAME The Volen Center

SEMI-ANNUAL PERIOD January 2013-June 2013

Event

Number

Type of

Event or

Activity Date

Location

(Including

Zip Code)

Total # of

Participants

Reached

Individual Service Needs

Identified

Referral

Sources or

Information

Provided

1

Alzheimer's Conference

5/2

Palm Beach Convention Center 33401

500 Conference on Alzheimer's disease- exhibit on services offered, handing out printed materials

Fliers and phamplets on services handed out.

3

Networking

5/14

United Way PBC 33426

20 Exchange of ideas with other service providers.

Discussion of services provided by Center

2

Network Meeting

5/15

Interfaith Community Resourcing 40

Networking with other service providers

Discussion of services provided by Center

4

Broward Aging Network 5/16

SW Focal Center Pembroke Pines 33026

400

exhibit on services offered, handing out printed materials


5

presentation

5/27

Whisper Walk 33496

60 Presentation to VFW group on services available to them.


6

Exhibit

8/1

Whitehall at Boca 33433

Exhibit at fair showcasing all of the Volen Center services- outreaching to older adults and professionals.

Various fliers and brochures

7

presentation

7/24

Boca Hilton 33434

40 Information to community on all of the Volen Center services

Fliers and brochures for all of the VC services

8

Presentation

8/1

Macy's 33431

8

Presentation to Macys employees for United Way campaign to inform them of Volen Center transportation services and how those services impact the community.

Transportation brochures, other brochures on Center as requested

9

Presentation

8/3

Macy's 33431

12

Presentation to Macys employees for United Way campaign to inform them of Volen Center transportation services and how those services impact the community.

Transportation brochures, other brochures on Center as requested


181

THE VOLEN CENTER PROGRESS ON OUTREACH TARGETING GOALS AS OF

JUNE 30, 2013


Within the Targeted

Population Reached

through Outreach


last 6 months









individuals)

100


Caregivers of older individuals with Alzheimer’s disease and related disorders

with neurological and organic brain dysfunction

100

Grandparents or older individuals who are relative caregivers who provide care


0



particular attention to low-income older individuals)

190


severe disabilities, including children with severe disabilities.

100

TOTAL 1110


182


PROVIDER NAME Alzheimer's Community Care

SEMI-ANNUAL PERIOD 1/1/13 - 6/30/13

Event

Number

Type of Event or

Activity

Date Location

(Including Zip

Code)

Total # of

Participants

Reached

Individual

Service Needs

Identified

Referral Sources or

Information

Provided

1 Sr Health Fair 1/31/2013 PSL - 34984 25 Yes

2 Presentation 1/31/2013 Ft. Pierce 34982 15 Yes

3 Patient Meetings 1/1-1/31/13 Pahokee 33476 30 Yes Yes

4 Provider Meeting 2/4/2013 Boca 33431 3 Yes

5 Provider Meeting 2/5/2013 WPB 33462 30 Yes

6 Community Educ. 2/6/2013 Lake Worth 33462 65 Yes

7 Health Fair 2/7/2013 Jupiter 33458 100 Yes Yes

8 Health Fair 2/7/2013 Tequesta 33469 65 Yes Yes

9 Health Fair 2/13/2013 Boynton 33437 30 Yes Yes

10 Sr. Health Fair 2/28/2013 Delray 33446 200 Yes Yes

11 Patient Meetings 2/1 - 2/28/13 Greenacres 33461 3 Yes Yes

12 Patient Meetings 2/1 - 2/28/13 Pahokee 33476 14 Yes Yes

13 Community Educ. 3/22/2013 PSL - 34986 150 Yes

14 Caregiver Educ 3/22/2013 PSL - 34986 5 Yes Yes

15 Provider Meeting 3/22/2013 Hobe Sound 33455 45 Yes

16 Patient Meetings 3/1-3/31/13 Delray 33444 24 Yes Yes


18 Provider Meeting 4/3/2013 PSL 34986 3 Yes

19 Community Educ. 4/3/2013 Ft. Pierce 34982 5 Yes



22 Health Fair 5/7/2013 Ft. Pierce 34950 150 Yes

23 Health Fair 5/7/2013 Ft. Pierce 34982 200 Yes

24 Caregiver Educ 5/8/2013 Ft. Pierce 34981 10 Yes Yes


26 Community Educ. 5/30/2013 PSL 34952 20 Yes


28 Provider Meeting 6/5/2013 Jupiter 33458 4 Yes

29 Health Fair 6/15/2013 Pahokee 33476 50 Yes

30 Provider Meeting 6/18/2013 Boynton 33437 5 Yes

31 Health Fair 6/20/2013 Delray 33483 20 Yes

32 Sr. Health Fair 6/20/2013 Delray 33483 45 Yes

33 Community Educ. 6/26/2013 WPB 33417 15 Yes

34 Provider Meeting 6/28/2013 Delray 33445 20 Yes

35 Sr. Health Fair 6/24/2013 Palm City 34990 75 Yes

36 Caregiver Educ 6/25/2013 Stuart 34994 20 Yes Yes



183

ALZHEIMER’S COMMUNITY CARE PROGRESS ON OUTREACH TARGETING

GOALS AS OF JUNE 30, 2013


Number of Persons

Within the Targeted

Population Reached

through Outreach


last 6 months





Older individuals with severe disabilities N/A




individuals) 885





provide care for children with severe disabilities N/A





severe disabilities, including children with severe disabilities. N/A

TOTAL 3676


184


PROVIDER NAME Legal Aid Society of Palm Beach County

SEMI-ANNUAL PERIOD January 2013-June 2013

Outreach Title

Outreach Type

Date Location Zip Code Number of Attendees

DOSS Senior Academy

Community Legal Education

01/11/2013 815 Indiantown Road Jupiter

33477 25

Villa Franciscan


02/08/2013 Villa Franciscan 2101 Ave F Riviera Beach

33404 18

Senior Expo Fairs 02/12/2013 South FL Fairgrounds

33411 150

Mid County Senior Center

Outreach 02/13/2013 Mid County senior center

33460 7

Delray Beach PoliceSenior Academy


02/27/2013 6500 Congress Ave Boca Raton

33487 32

Semi-Annual Senior Health Fair

Fairs 03/06/2013 128 E. Ocean Avenue, Boynton Beach, Florida

33435 86

Mid County Senior Center

Outreach 03/13/2013 Mid County Senior Center

33463 6

Mid County senior center

Outreach 04/10/2013 Lake worth 33461 6

Consumer Protection Seminar


05/09/2013 West County Senior Center

33430 32

Mid County senior center

Outreach 05/15/2013 Mid County senior center

33461 6

Palms Springs Travel Club


06/06/2013 Palm Springs Community Center

33460 33

mid county senior center

Outreach 06/12/2013 lake worth road 33461 3

West County Senior Center

Outreach 06/13/2013 Belle Glade Senior Center

33430 8

mid county senior center

Outreach 06/13/2013 lake worth road 33461 8

Mae Volen Senior Fair

Fairs 01/24/2013 Mae Volen Senior Center

33434 163

Kingspoint Senior FAir

Fairs 02/28/2013 Kingspoint Monaco Clubhouse

33486 408

Hispanic Chamber

Fairs 05/24/2013 Mid County Senior Center

33461 200


185

Health and Wellness FAir Spanish River Church


06/03/2013 2400 Yamato Road Boca Raton

33431 33

Spanish River Church


06/03/2013 2400 Yamato Road Boca RAton

33431 33

New Homebuyer Workshop

Workshop 01/12/2013 Iberiabank, 1101 N. Congress Avenue, Boynton Beach

33426 14

Rise To The Challenge

Community Legal Education, Outreach

01/16/2013 Glades Community Organization Center, 366 South Main Street, Belle Glade, FL

33430 25

Urban League of Palm Beach County, Inc.

Training 01/18/2013 The President Country Club, 2300 Presidential Way, West Palm Beach, Florida

33401 50

First Time Homebuyer Workshop

Workshop 01/19/2013 Chase Bank, 1325 N. Congress Avenue, West Palm Beach, Florida

33401 19

Homeless Coalition Palm Beach County

Outreach 01/23/2013 600 North Rosemary Avenue, West Palm Beach, Florida

33401 215

The Lord's Place Annual Reentry Resource Fair

Fairs 02/08/2013 Men's Campus, 1750 N.E. 4th Street, Boynton Beach, Florida

33435 30

Community Services Expo & Health Fair

Outreach 02/14/2013 Temple Beth Shalom, Century Village, Boca Raton

33434 1200

Veterans Benefits & Job Fair

Fairs 02/20/2013 West Palm Beach Armory, 3193 Gun Club Road, West Palm Beach, FL

33406 150

Jupiter Jubilee Civic Fair

Fairs 02/20/2013 210 Military Trail, Jupiter, Florida 33458

33458 139

MLK Memorial

Outreach 02/23/2013 Currie Park, 2400 N. Flagler Dr., West Palm Beach, FL

33407 550

Help For Homeowners Event

Outreach 02/27/2013 James L. Knight Center, Miami, Florida

33131 500

Women's Circle FHA Presentation

Workshop 02/27/2013 Women's Circle, 912 SE 4th Street, Boynton Beach, FL

33435 17


186

33435

2013 REACH for Excellence in Health Fair

Fairs 03/02/2013 CL Brumbeck Health Center, Palm Beach County Health Dept., 38754 State Road 80, Belle Glade, FL

33430 325

Senior Lifestyle & Healthcare Expo

Outreach 03/04/2013 South County Civic Center

33484 200

Royal Palm Beach Art & Music Festival

Outreach 03/09/2013 701 Royal Palm Beach Blvd., Royal Palm Beach, FL

33411 800

Royal Palm Beach Art & Music Festival

Outreach 03/10/2013 701 Royal Palm Beach Blvd., Royal Palm Beach, Florida 33411

33411 850

Art Fest By The Sea

Outreach 03/10/2013 4050 S. US Higway 1, Jupiter, Florida

33477 500

Women's Conference

Outreach 03/16/2013 Greater Union Missionary Baptist Church, South Bay, FL

33493 30

New Homebuyer Workshop

Workshop 03/16/2013 1325 N Congress Ave., #201 West Palm Beach, FL 33401

33401 8

4th Annual Health & Wellness Fair

Fairs 03/21/2013 Jupiter Community Center, 200 Military Trail, Jupiter, Florida

33458 80

PRIDE FESTIVAL

Outreach 03/23/2013 Bryant Park, Lake Worth, FL

33460 550

Foreclosure Prevention Workshop

Workshop 03/23/2013 Mary Immaculate Church/Skaff Hall Center, 500 Spencer Drive, West Palm Beach, Florida

33409 50

PRIDEFEST Outreach 03/24/2013 Bryant Park, Lake Worth, FL

33460 560

Delray Affair Community Legal Education, Fairs, Outreach

04/05/2013 Atlantic Avenue, Delray Beach, FL

33444 2500

Delray Affair Community Legal Education

04/06/2013 Delray Beach 33444 3000

L.I.F.T., Inc. 1st Time Homebuyer

Community Legal Education,

04/06/2013 L.I.F.T., Inc., WPB, FL

33401 8


187

Workshop Outreach

Delray Affair Fairs 04/07/2013 Atlantic Avenue, Delray Beach, Florida

33444 1000

Black Gold Jubilee

Outreach 04/13/2013 Belle Glade Marina, Belle Glade, FL

33430 428

CredAbility 1st Time Homebuyer Workshop

Community Legal Education, Outreach

04/20/2013 Northwood Rennaisance Center, WPB, FL

33405 13

First Time Homebuyer Workshop

Workshop 04/20/2013 Neighborhood Renaissance, 510 24th Street, Suite A, West Palm Beach

33407 16

Soup Kitchen Community Legal Education, Collaboration

05/23/2013 Soup Kitchen, West Boynton Beach, FL

33435 35

Soup Kitchen Community Legal Education, Collaboration

05/24/2013 Soup Kitchen, West Boynton Beach, FL

33435 22

Pentecostal City Mission of Boynton Beach

Outreach 01/26/2013 399 Northwest 17th Avenue, Boynton Beach, FL

33474 60

Jupiter Jubilee Civic Fair

Fairs 02/02/2013 210 Military Trail, Jupiter, FL

33458 139

Royal Palm School Presentation


01/28/2013 Lantana 33462 25

Families First Grandparents Support Group


02/06/2013 West Palm Beach Armory, 3193 Gun Club Road, West Palm Beach, FL

33407 15

Families First Grandparents Support Group


03/06/2013 West Palm Beach Armory, 3193 Gun Club Road, West Palm Beach, FL

33407 15

UF Grandparents Raising Grandchildren Group


04/24/2013 33401 10

Grandparents Group Mount Olive Baptist Church


05/21/2013 Mount Olive Baptist Church - Delray Beach, Florida

33444 15

Grandparents Group - Jupiter Fire Station


06/04/2013 Jupiter Fire Rescue Station - Burt Reynolds Park

33458 6

TOTAL 10,735


188

LEGAL AID SOCIETY OF PALM BEACH COUNTY PROGRESS ON OUTREACH



Within the Targeted

Population Reached

through Outreach


last 6 months









individuals)

1



disorders with neurological and organic brain dysfunction

0


provide care for children with severe disabilities

4




61

Caregivers who are older individuals who provide care to individuals

with severe disabilities, including children with severe disabilities.

4

TOTAL 261


189


PROVIDER NAME CoASL

SEMI-ANNUAL PERIOD

Event

Number

Type of Event or

Activity

Date Location

(Including

Zip Code)

Total # of

Participants

Reached

Individual

Service Needs

Identified

Referral Sources or

Information

Provided

4 Info Fair 1/8/13 Ft. Pierce 34982

12 HMK,MOW, EHEAP

COA,Elder Helpline

6 Info Presentation 1/9/13 PSL 34957 17 Transportation, HMK

Community Transit, COA

12 Health Fair 1/23/13 PSL 34952 25 All COA Services

COA Elder Helpline

14 TV Show 1/14/13 PSL 34983 Viewing Audience

All COASL Services

COA,Elder Helpline

19 Info & Health Fair 2/5/13 PSL 34952 17 MOW, HMK, EHEAP

COA, Elder Helpline

20 Creole TV 2/6/13 Ft. Pierce 34950

Viewing Audience

All COASL Services

COA, Elder Helpline

21 Info Presentation 2/7/13 PSL 34952 25 HMK,MOW,EHEAP

COA, Elder Helpline

25 Health Fair 2/20/13 Ft. Pierce 34982

50 MOW, HMK, EHEAP

COA Elder Helpline

29 SLC Health Meeting

2/29/13 Ft. Pierce, 34950

10 All COA Services

COA Elder Helpline

37 Info/ Health Fair 3/14/13 PSL, 34952 150 MOW, EHEAP, HMK

COA Elder Helpline

41 Health Fair 3/20/13 PSL,34953 25 MOW, HMK, EHEAP

COA Elder Helpline

42 Radio Show 3/21/13 PSL, 34952 Viewing Audience

All COASL Services

COA Elder Helpline

50 Health Fair 4/17/13 PSL 34986 75 ADC Respite HMK

COA, Elder Helpline

61 Health Fair 5/7/13 Ft. Pierce 34950

75 All COA Services

COA Elder Helpline

67 ALZ Conference 5/22/13 Stuart 34997 100 ADC, Respite COA , ACC, Elder Helpline

71 Info/Resources 5/31/13 Ft. Pierce 34950

50 All COA Services

COA Elder Helpline

73 Info/Resources 6/1/13 PSL 34952 100 All COA Services

COA Elder Helpline

88 Health Fair 7/10/13 PSL 34953 40 Transportation, MOW

COA Elder Helpline

95 Info Fair 7/23/13 Ft. Pierce 34950

60 All COA Services

COA Elder Helpline


190

COUNCIL ON AGING OF ST. LUCIE COUNTY PROGRESS ON OUTREACH



Within the Targeted

Population Reached

through Outreach


last 6 months









individuals)

100



disorders with neurological and organic brain dysfunction

50


provide care for children with severe disabilities

0




25

Caregivers who are older individuals who provide care to individuals

with severe disabilities, including children with severe disabilities.

5

TOTAL 1965


191

SEMI-ANNUAL REPORT OF PROVIDER

OUTREACH

PROVIDER NAME SENIOR RESOURCE

ASSOCIATION

SEMI-ANNUAL PERIOD JANUARY 1, 2013 - JUNE 30,

2013

Event

Number

Type of Event

or Activity

Date Location

(Including

Zip Code)

Total # of

Participants

Reached

Individual

Service Needs

Identified

Referral

Sources or

Information

Provided

Facility Tour 1/16/2013 SRA - Vero

Beach -

32960

3 Meals on

Wheels

MOW

Presentation 5/22/2012 SRA Vero

Beach 32960

8 211

Sunshine/Law

Enforcement

SRA Programs

and HCBS

Local News

Coverage

1/3/2013 TC Palm 10,000+ Transportation

Meeting 1/9/2013 Royal Palm

Rehab 32960

2 ADC and

EMOWS/Rehab

Discharge

SRA Programs

and HCBS

Local News

Coverage

1/12/2013 Vero News 10,000+ General

Local News

Coverage

1/16/2013 TC Palm 10,000+ Transportation

Facility Tour 1/18/2013 Vero Beach

ADS - 32960

3 Adult Day Care Adult Day Care

Local News

Coverage


Meeting 1/30/2013 SRMC

Sebastian

32958

2 ADC and

EMOWS/Hosp

Discharge

SRA Programs

and HCBS

Meeting 1/30/2013 Dr.

Rose/Sebasti

an 32958

4 Adult Day Care

and HCBS

ADS and HCBS

Facility Tour 2/12/2013 SRA - Vero

Beach -

32960

4 Adult Day Care Adult Day Care

Local News

Coverage

2/12/2013 Vero News 10,000+ Transportation

Presentation 2/15/2013 United Way -

32960

6 Emergency

Meals on

Wheels

EMOW

Presentation 2/26/2013 Alz/Park

Association

18 Adult Day Care

and HCBS

ADS and HCBS


192

32960

Meeting 2/26/2013 Atlantic

HealthCare

32960

2 ADC and

EMOWS/Rehab

Discharge

SRA Programs

and HCBS

Meeting 2/26/2013 Drs.

Shafer/Ofner

/staffVB

32960

3 Adult Day Care

and HCBS

ADS and HCBS

Presentation 3/5/2013 SRA - Vero

Beach -

32960

20 SRA programs

and HCBS

SRA programs

and HCBS

Local News

Coverage

3/8/2013 Hometown

News

10,000+ General

Stakeholder

Workshop for

Needs

Assessment

3/12/2013 Sheriff's

Office -

32960

75 Data presented

and priorties

identified for

older adults in

IRC

Meeting 3/14/2013 IRMC Vero

Beach 32960

6 ADC/EMOWS/

Hosp Discharge

SRA Programs

and HCBS

Meeting 3/14/2013 Palm

Gardens

32960

2 ADC and

EMOWS/Rehab

Discharge

SRA Programs

and HCBS

Color Me Rad -

5K -

registration

3/15/2013 Sports

Authority -

32967

3,000+ SRA programs

and HCBS

Local News

Coverage

3/15/2013 Hometown

News

10,000+ Transportation

Color Me Rad -

5K

3/16/2013 Pointe West -

32967

3,000+ SRA programs

and HCBS

Mayors for

Meals

3/20/2013 SRA - 32960 5 Meals on

Wheels

MOW and

other SRA

programs

Volunteer

Appreciation

Breakfast

3/20/2013 Our Savior

Lutheran -

32960

40 Meals on

Wheels

MOW

One-on-one

meeting

3/21/2013 By The River 4 Congregate

Meals

Congregate

meals

United Way

Execs

3/21/2013 United Way -

32960

25 SRA programs

and HCBS

SRA programs

and HCBS

Local News

Coverage

3/22/2013 Hometown

News

10,000+ General

Local News

Coverage

3/22/2013 Hometown

News

10,000+ General

Local News

Coverage

3/22/2013 Hometown

News

10,000+ General

Facility Tour 4/1/2013 Vero Beach 1 Adult Day Care ADS and other


193

ADS - 32960 and other HCBS HCBS


ADS - 32960

1 Adult Day Care

and other HCBS

ADS and other

HCBS

One-on-one

meeting

4/9/2013 SRA - Vero

Beach -

32960

1 Emergency

Meals on

Wheels

EMOW

Facility Tours 4/10/2013 Vero Beach

ADS - 32960

30 Adult Day Care

Day of Hope -

Alz/Parkinsons

4/11/2013 First

Presbyterian

Church -

32960

60 Adult Day Care

and other

Caregiver

supports

ADS and other

HCBS

Presentation 4/11/2013 Oak Harbor -

32960

430 Adult Day Care

Meeting 4/11/2013 SRA Vero

Beach 32960

3 Veterans (VA

Social Workers)

SRA Programs

and HCBS

Meeting 4/11/2013 Dr.

Kantzler/staff

VB 32960

6 Adult Day Care

and HCBS

ADS and HCBS

SRA's

Corporate

Newsletter

4/15/2013 All 15000 All programs SRA programs

and HCBS

Presentation 4/15/2013 IRSC - 32968 100 Data and

priorities

presented for

older adults in

IRC

Local News

Coverage

4/15/2013 TC Palm 10,000+ General

Local News

Coverage

4/16/2013 Vero News 10,000+ Transportation

Presentation 4/22/2013 SRA - Vero

Beach -

32960

13 SRA programs -

especially ADS

and MOW

Health Fair 4/24/2013 Indian River

Mall 6200

20th St. Vero

Beach, FL

32966

20+ Medical/Perso

nal Care

Goline/Commu

nity Coach


ADS - 32960

1 Adult Day Care

and other HCBS

ADS and other

HCBS

Meeting 5/2/2013 SRA - Vero

Beach -

32960

6 Case

Management

Local News

Coverage

5/3/2013 Hometown

News

10,000+ General

Local News 5/9/2013 Vero News 10,000+ Transportation


194

Coverage

Presentation 5/14/2013 River Park

Apts 32962

30 SRA Programs

and HCBS, APS

SRA Programs

and HCBS

Presentation 5/14/2013 Orange

Blossom Apts

32960

15 SRA Programs

and HCBS

SRA Programs

and HCBS

Meeting 5/15/2013 Sheriff's

Office -

32960

20 Services of

Older Adults

Presentation 5/16/2013 St. Marks

Church

32967

22 SRA Programs

and HCBS

SRA Programs

and HCBS

Meeting 5/16/2013 Consulate

Rehab 32960

2 ADC and

EMOWS/Rehab

Discharge

SRA Programs

and HCBS

Meeting 5/16/2013 Dr. Husainy

VB 32960

4 Adult Day Care

and HCBS

ADS and HCBS

Local News

Coverage

5/23/2013 Vero News 10,000+ Adult Day Care

Local News

Coverage

5/23/2013 Luminaries 10,000+ General & ADC

Local News

Coverage

5/24/2013 Hometown

News


Local News

Coverage


Local News

Coverage


Local News

Coverage

5/28/2013 TC Palm 10,000+ General

Hunger

Coalition

Meeting

5/29/2013 United Way,

Vero Beach

9 SRA Programs

Local News

Coverage


Meeting 5/31/2013 SRA Vero

Beach 32960

2 Hospice (VNA

Hospice Social

Workers

SRA Programs

and HCBS

Local News

Coverage

5/31/2013 Hometown

News


Local News

Coverage

6/8/2013 TC Palm 10,000+ Adult Day Care

Presentation 6/11/2013 Well-Med

Sebastian

32958

10 SRA Programs

and HCBS

SRA Programs

and HCBS

Meeting 6/11/2013 Drs.

Fermin/More

l

6 Adult Day Care

and HCBS

ADS and HCBS


195

StaffSebastia

n 32958

Meeting 6/11/2013 Dr. Weiss

Sebastian

32958

3 Adult Day Care

and HCBS

ADS and HCBS

Radio

interview

6/12/2013 32960 100s Adult Day Care

Local News

Coverage

6/14/2013 Hometown

News

10,000+ Adult Day Care

Local News

Coverage


Meeting 6/21/2013 32960 8 HCBS

Local News

Coverage

6/21/2013 Vero News 10,000+ EMOW

Meeting 6/25/2013 Sebastian

ADS - 32958

10 Services of

Older Adults

Meeting 6/27/2013 United Way -

32960

22 Services of

Older Adults

Local News

Coverage

6/27/2013 TC Palm 10,000+ MOW

Local News

Coverage

6/28/2013 Hometown

News

10,000+ EMOW

Phone

Inquiries

April Sebastian

ADS - 32958

8 ADS,

Transportation

and MOW

ADS,

Transportation

and MOW

Facility Tours April Sebastian

ADS - 32958

10 Adult Day Care

and other HCBS

ADS and other

HCBS

Meeting - HH

Agencies

April SRA Vero

Beach 32960

3 SRA Programs

and HCBS

SRA Programs

and HCBS

Phone

Inquiries

April SRA Vero

Beach 32960

200 SRA Programs

and HCBS

SRA Programs

and HCBS

Home Visits April Indian River

County

16 EMOW SRA Programs

and HCBS

Phone

Inquiries and

Facility Tours

February Vero Beach

ADS - 32960

20 Adult Day Care

and other HCBS

ADS and other

HCBS

Phone

Inquiries

February Sebastian

ADS - 32958

22 ADS, Senior

Activities,

Transportation

and MOW

ADS, Senior

Activities,

Transportation

and MOW

Facility Tours February Sebastian

ADS - 32958

2 Adult Day Care

and other HCBS

ADS and other

HCBS

Meeting - HH

Agencies

February SRA Vero

Beach 32960

1 SRA Programs

and HCBS

SRA Programs

and HCBS

Phone

Inquiries

February SRA Vero

Beach 32960

200 SRA Programs

and HCBS

SRA Programs

and HCBS

Home Visits February Indian River 10 EMOW SRA Programs


196

County and HCBS

Phone

Inquiries and

Facility Tours

January Vero Beach

ADS - 32960

14 Adult Day Care

and other HCBS

ADS and other

HCBS

Phone

Inquiries

January Sebastian

ADS - 32958

16 ADS, Senior

Activities and

Transportation

ADS, Senior

Activities and

Transportation

Facility Tours January Sebastian

ADS - 32958

4 Adult Day Care

and other HCBS

ADS and other

HCBS

Meeting - HH

Agencies

January SRA Vero

Beach 32960

2 SRA Programs SRA Programs

and HCBS

Phone

Inquiries

January SRA Vero

Beach 32960

200 SRA Programs

and HCBS

SRA Programs

and HCBS

Home Visits January Indian River

County

7 EMOW SRA Programs

and HCBS

Phone

Inquiries

June Sebastian

ADS - 32958

12 ADS, MOW, In-

home services,

assisted living

ADS, MOW, In-

home services,

assisted living

Facility Tours June Sebastian

ADS - 32958

3 Adult Day Care

and other HCBS

ADS and other

HCBS

Meeting - HH

Agencies

June SRA Vero

Beach 32960

2 SRA Programs

and HCBS

SRA Programs

and HCBS

Phone

Inquiries

June SRA Vero

Beach 32960

200 SRA Programs

and HCBS

SRA Programs

and HCBS

Home Visits June Indian River

County


and HCBS

Phone

Inquiries and

Facility Tours

March Vero Beach

ADS - 32960

25 Adult Day Care

and other HCBS

ADS and other

HCBS

Phone

Inquiries

March Sebastian

ADS - 32958

22 ADS,

Transportation

and MOW

ADS,

Transportation

and MOW

Facility Tours March Sebastian

ADS - 32958

2 Adult Day Care

and other HCBS

ADS and other

HCBS

Meeting - HH

Agencies

March SRA Vero

Beach 32960

2 SRA Programs

and HCBS

SRA Programs

and HCBS

Phone

Inquiries

March SRA Vero

Beach 32960

200 SRA Programs

and HCBS

SRA Programs

and HCBS

Home Visits March Indian River

County


and HCBS

Phone

Inquiries

May Sebastian

ADS - 32958

11 ADS,

Transportation,

MOW and In-

home services

ADS,

Transportation,

MOW and In-

home services

Facility Tours May Sebastian

ADS - 32958

8 Adult Day Care

and other HCBS

ADS and other

HCBS

Meeting - HH May SRA Vero 1 SRA Programs SRA Programs


197

Agencies Beach 32960 and HCBS and HCBS

Phone

Inquiries

May SRA Vero

Beach 32960

200 SRA Programs

and HCBS

SRA Programs

and HCBS

Home Visits May Indian River

County


and HCBS

SRA client

newsletter

Monthly The Booming

Times

1000 SRA Programs

and other

programs and

services for

older adults


198

SENIOR RESOURCE ASSOCIATION PROGRESS ON OUTREACH TARGETING

GOALS AS OF JUNE 30, 2013


Within the Targeted

Population Reached

through Outreach

Activities During the last 6

months

Older individuals residing in rural areas 1,000+

Low-income older individuals 1,000+

Low-income minorities 100+

Older individuals with the greatest social need 1000+

Older individuals with severe disabilities 100+

Older individuals with limited English proficiency 50+



individuals)

100+

Older individuals at risk for institutional placement 1000+

Caregivers of older individuals with Alzheimer’s disease and related disorders

with neurological and organic brain dysfunction

1000+

Grandparents or older individuals who are relative caregivers who provide care


10+

Caregivers who are older individuals with greatest social need 1000+



100+


severe disabilities, including children with severe disabilities.

1000+

TOTAL 7,460+


199

Semi Annual Report of Provider Outreach

Okeechobee Senior Services

January – June 2013

Event Type of

Event or

Activity

Date Total #

Participants

Reached

Service Needs

Indentified

Referral Sources

or Information

1 Line Dancing Mondays 20 Socialize Exercise

2 Blue Grass

Music

Wednesdays 20 Socialize

3 Card/Board

Games

Daily 10 Socialize/ Brain

Stimulation

4 Wheel of

Fortune

Fridays 15 Socialize

5 Health Fair 6/7/13 45 Socialize Health/nutrition

6 Dr.

Deshpande

Monthly 30 Health

Prevention &

Management

Shingles

7 Senior Singers Weekly

(Oct. to

Apr)

50 Socialize

8 Birthday

Celebrations

Monthly 35 Socialize

9 Blood

Pressure

Checks

Monthly 35 Health

prevention &

management

Know Your

Numbers!

10 Safety 7/18/13 35 Personal safety Fall prevention

Safety awareness

11 Humana

Healthy

Eating

July 25 &

26

100 Healthy Diet Cooking

demonstration

with recipes

12 Life

Enrichment-

Volunteerism

6/22/13 35 Guardian Ad

Litum

Gail Griffith

contact

13 Movie

Matinee

Monthly 20 Socialize

14 Nutrition

Awareness

Monthly 35/180 Healthy Diet Handout

Bulletin Board


200

OKEECHOBEE SENIOR SERVICES PROGRESS ON OUTREACH TARGETING

GOALS AS OF

JUNE 30, 2013



Low income minorities 15




Older individuals with Alzheimer’s disease & related

disorders

2


Caregivers of older individuals with greatest social need 5

Grandparents who are relative caregivers who provide for

children with disabilities

Caregivers who are older individuals with economic needs 5

Caregivers who are older individuals who provide care to

individuals with severe disabilities, including children

with severe disabilities

1

Total 413


201


PROVIDER NAME Florida Rural Legal Services

SEMI-ANNUAL PERIOD January 1-June 30 2013

Event

Number

Type of

Event or

Activity

Date Location

(Including Zip

Code)

Total # of

Participants

Reached

Individual

Service Needs

Identified

Referral Sources

or Information

Provided

1 Ask a Lawyer

1/17/2013 Okeechobee Library

2 housing, collection

Legal education flyers

2 Presentation

1/24/2013 Senior Public Housing

15 life planning Legal education flyers

Lawnwood Terrace

debt collection

3 Outreach 1/31/2013 Senior Resource Cent.

5 information provided and

vero beach education materials to

4 Outreach 3/2/2013 Glades Reach Fair

20 various needs distribute to seniors

5 Presentation

3/4/2013 Senior Public Housing

10 pub. Benefits Legal education flyers

Park Terrace-Ft. Pierce

debt collection

6 Presentation

3/27/2013 By the River-senior

10 end of life planning

Legal Education flyers

housing debt collection

7 Foreclosure 6/26/2013 Port St. Lucie 4 foreclosure advice


workshop Civic Center

8 Presentation

6/2/2013 Our Lady Guadalupe

35 identity theft/scams


Mission-Fellsmere

fair debt collection

9 Outreach 2nd and 4th Holy Cross Service

Tuesdays Center-Indiantown

20 various issues legal education flyers

Jan.-May income maintence,

family law, benefits


202

FLORIDA RURAL LEGAL SERVICES PROGRESS ON OUTREACH TARGETING

GOALS AS OF

JUNE 30, 2013


Number of Persons

Within the Targeted

Population Reached

through Outreach


last 6 months









individuals) 0





provide care for children with severe disabilities 0





severe disabilities, including children with severe disabilities. 1

TOTAL 121


203

P.VI. GOALS AND OBJECTIVES

GOAL 1: Empower older people, individuals with disabilities, their families, and other

consumers to choose and easily access options for existing mental and physical health and

long-term care

OBJECTIVE 1.1: ▲ Provide streamlined access to health and long-term care options through the Aging and Disability Resource Centers EXPLANATION: The primary intent of this objective is to address ways you link people to information and services. Strategies should address ways to improve connecting people to information and services through the ADRC. Examples include building new relationships and/or partnerships, and the effective use of technology.

STRATEGIES/ACTION STEPS:

Your Aging Resource Center (the Center) will provide outreach activities targeting seniors,

individuals with disabilities, and professionals in the community to educate them about all

aspects and services of the Center, primarily about our role in being the gateway for long-term

care options. The Center will continue the newly developed educational series Bagels and

Brains offered monthly to help accomplish this goal.

Your Aging Resource Center provides in-service training to professionals on Long Term Care

Options. We offer community presentations to senior communities and caregiver forums.

The Elder Helpline will provide seamless access to SHINE and basic assistance with Medicare

questions and scheduling for SHINE appointments.

Your Aging Resource Center will continue to sponsor and be an active participant in three

Fearless Caregiver Conferences each year. One conference is held in south Palm Beach

County; one in North Palm Beach County and one in Martin County. The Center will continue

to participate in two Senior Healthy Living Expos which target low income seniors and

caregivers. The Center is asked to participate in a great number of community health and

resource events and to present before various community groups and does so as staff is able.

We will continue to train and prepare volunteers, particularly Advisory Council members, to

assist in this effort.

The Center website will be an access site for seniors, individuals with disabilities, and

caregivers to access information on private pay and publically-funded programs.

The Center will educate organizations serving persons with disabilities about the assistance

available from the ADRC.


204

The Center offers outreach to educate about easy access to healthy living activities including

evidence-based workshops. This outreach occurs through informing senior communities about

available classes and the goal is to work with health care providers and others who could refer

seniors to appropriate classes. Effectiveness will be determined by the increase in requested

workshops and completers (those seniors successfully completing the workshops).

Staff will debrief Advisory Council members on ongoing service reports to keep them

knowledgeable of current service delivery accomplishments and challenges.

Our network providers will assist us in linking people to information and services by:

Making appropriate referrals for information and services to the Center;

Distributing our pamphlets and brochures;

During home visits, refer patients and caregivers to the Center as needs are

identified and assist clients in making the phone call;

Placing links to the Center on their websites; and

Including links to other community services on their websites.

Providers have individualized methods to provide information to their local communities

regarding the contracted services they provide through the Center these include:

A partnership The Volen Center has established with CROS Ministries to determine eligibility

for food stamps and possibly other Medicaid programs. In this program a representative from

Cros Ministries visits The Volen Senior Center several times per month and does direct online

eligibility which links seniors to services as quickly as possible.

In the rural community of Okeechobee our lead agency will provide access to information

through the local radio station WOKC, the local newspaper Okeechobee News, computer

programs at Okeechobee library, courses through Indian River State college and through

referrals to the Center and 211.

Palm Beach County Division of Senior Services (DOSS) operates three (3) Senior Centers in

Palm Beach County and DOSS’s resource materials, newsletters and brochures are available to

all seniors that participate in the programs.

Our contracted providers also connect people to information and services by building

partnerships through participation in community outreach events and meetings as well as

participation in monthly community events to disseminate resource materials and educate the

public on services available.


205

Streamlined access to health and long term care options is provided at two of our contracted

provider’s senior centers through a partnership between The Volen Center, Ruth Rales Jewish

Family Service and Genesis Community Health, Inc. A Family ARNP is on-site at The Volen

Center three times per week and at Ruth Rales Weisman Delray Community Center two days

per week. This will enable seniors to access health care right at The Volen Center while also

accessing other programming such as wellness, exercise, and senior dining through the Older

Americans Act program. By consulting with an ARNP, the individuals will be able to receive

preventive healthcare, referrals to specialist, and information on better health options and long

term care.

Okeechobee Senior Services is also working to develop new partnerships to create a seamless

system for consumers and their families through the following actions:

Identify and develop life-course planning and elder care planning in partnership with other

agencies to educate persons on the aging process and potential long term care needs;

Seek additional funding through other sources. This supports the Center’s obligation to ensure

that all other funding sources available have been exhausted before targeting CCE funds.

Senior Resource Association will distribute, utilize and update the Guide to Senior Services in Indian River County.

OUTCOMES:

The ADRC will continue to see an increase in call volume. The ADRC will measure inquiries from individuals with a disability.

OUTPUTS:


206



long-term care

OBJECTIVE 1.2: ▲Encourage individuals, including people under 60, to plan for future long-term care needs by providing access to information EXPLANATION: The primary intent of this objective is to get the message to people who are not yet 60 that planning for long-term care is needed. Strategies should address ways to increase public awareness of the costs of long-term care (LTC), the likelihood of the need for LTC services and the LTC options available. They should also dispel the myth that Medicare will meet all long-term care needs.


Continue SHINE presentations in the community to Medicare-eligible persons regardless of age

to include education about the unmet needs of long term care.

The Director of Strategic Initiatives will establish a coalition (LGBT Aging Task Force) with

local lesbian, gay, bisexual and transgendered stakeholders to advocate for and to design

community strategies to educate the 55+ LGBT population about long-term care options and

planning. Advisory Council assistance will be sought.

Consumer Service Consultants will participate in the St. Lucie County Transportation

Coordination Workshop to identify additional transportation options for seniors and the disabled

of any age.

Elder Helpline staff will add new transportation resources for seniors and the disabled to the

REFER database as they are identified.

The Director of Strategic Initiatives will collaborate with local medical and social services

providers to develop Community Based Care Transition programs that seek to reduce avoidable

readmissions for Medicare recipients of any age who are at risk at for readmission within 30

days of discharge.

OUTCOMES:

OUTPUTS:


207



long-term care

OBJECTIVE 1.3: Ensure that complete and accurate information about resources is available and accessible EXPLANATION: The intention of this objective is to keep ReferNET current and to continue to enhance how people can connect to the information, such as through additional access points. Strategies should ensure that information in ReferNET is kept accurate and up-to-date. ReferNET should include services identified through the creation of new partnerships.


When reviewing providers’ use of community resources, Consumer Service Consultants will

ensure that providers’ resources include the ReferNET database.

The Center has a full time staff person dedicated to the ReferNet database for PSA 9. We will

continue to update annually all resources for accuracy and complete information. The ADRC

will continue to seek out new resources that can be added to the ReferNet data base to offer

consumer choice. We will also seek solutions to identified “unmet" needs.

The Healthy Living and Communications Centers of Excellence will continue to identify new

healthy living resources through outreach, marketing, and community connections.

The Center website will offer easy access to the ReferNet database.

By the end of this 3-year cycle Elder Helpline and Planning and Consumer Services staff will

provide training for case managers of all contracted provider agencies on the ReferNet database.

IT and the Director of Communications will add a navigational tool for ReferNet to the Center

website.

IT, the Director of Communications and the Healthy Living Center of Excellence will provide

current, accurate information about healthy living resources on websites, in newsletters, and

other relevant media.

Contracted providers have included goals and strategies in their 2013-2014 service

provider applications to ensure that “the case manager should have access to a local

community care service system resource directory to assist in selecting and arranging for

services.”

OUTCOMES:

OUTPUTS:




long-term care

OBJECTIVE 1.4: Ensure that elders have access to free, unbiased, and comprehensive health insurance counseling EXPLANATION: The primary intent of this objective is to show how the AAA is supporting the SHINE program. Ways to show the support might be through establishing additional counseling sites. Strategies may include activities that expand the SHINE program and access more consumers. Example: increase the number of SHINE service sites.


When conducting quality assurance reviews, Consumer Services Consultants will check that

providers refer consumers to the SHINE program where applicable ensuring the use of a free

community resource rather than case management dollars to obtain insurance assistance.

SHINE

In order to increase access to SHINE services and assist more consumers the SHINE

program will complete the following action steps:

- Plan and implement a local Media Campaign focused on Volunteer Recruitment;

Additionally, free publicity opportunities will be established through radio, print,

and/or web-based activities

- Establish a Basic Training schedule for new volunteers within Indian River, St.

Lucie, Martin, and Okeechobee counties so that Palm Beach County is not the only

option for training new volunteers who live outside of Palm Beach County

- Strengthen partnerships at current SHINE counseling sites through implementation

of a Counseling Site Checklist (determine strengths/weaknesses at each site and

address with partner to ensure easy access for consumers as well as promotion of

SHINE services)

- Seek additional SHINE counseling sites through community partners where access

to consumers is needed

As opportunities present themselves, the Director of the SHINE Center of Excellence may

request assistance from the Committee to expand outreach efforts, particularly to Hispanic

and other minority populations.

OUTCOMES:

OUTPUTS:


209



long-term care

OBJECTIVE 1.5: Increase public awareness of existing mental and physical health and long-term care options EXPLANATION: The primary intent of this objective to help people become aware that they might benefit from mental and physical health services and that the services are available in the community. Strategies for this objective should include how to inform the public of available long-term care services. Examples: using websites, publications, or mailings.


The Center will offer in-service training for Elder Helpline staff on resources in the community

that provide mental health and physical health services in the community. This will help

increase Elder Helpline knowledge on the resources available and assist with consumer choice

when seeking options. The Elder Helpline provides in-service training for I/R and Intake staff

bi monthly. These include presentations from community agencies that offer mental health and

physical health resources. The Elder Helpline will maintain the ReferNet database to maintain

and promote awareness of the mental health needs and resources.

The Center will utilize its website to educate individuals with disabilities, older adults and

caregivers about long-term care options and resources for mental health and physical health.

The Director of Strategic Initiatives will lead activities to encourage individuals who identify

with the LGBT community to plan for their elder years through education about long-term care

options.

The Director of Strategic Initiatives, in collaboration with the LGBT Aging Task Force will

lead the effort in promoting awareness among in-home, assisted living and institutional care

service providers about the special needs of individuals who identify with the LGBT

community.

The Center will continue to fund individual and group counseling services.

The following strategies have been incorporated into the Center’s contracted providers’

service provider applications in order to increase public awareness of existing mental and

physical health and long-term care options:

Just Checking Caregiver Counselors screen each client to determine if additional or more

intensive mental health intervention is required.

Case managers will provide information regarding mental and physical health services available

when working with patients and families ;


210

Providers will utilize internal resource handbooks for referral as needs arise;

Information regarding the availability of mental and physical health services will be relayed

through resource materials, newsletters, brochures, radio shows, flyers, press releases, and

websites;

Information will be also be relayed through continuous participation in health fairs and

community events;

Nutrition Education will be delivered monthly at Congregate Meal Sites and to home-delivered

meal recipients;

Information will be made available through professionals such as Florida Rural Legal Services,

AARP and various health care agencies who will be invited to congregate meal sites to help

elders with estate, health and long term planning;

Providers will encourage the incorporation of transportation planning as part of individual

retirement plans for when one is no longer able to drive by advising consumers of the local

Transportation Disadvantaged Programs, taxi services, getting their family, neighbors, or

friends to car pool planned trips, and advertising the availability of providers’ own

transportation programs to low-income/at-risk seniors.

With the addition of an ARNP to The Volen Center, seniors’ awareness of health care options

will increase as access to health care will be much more streamlined for them. The health care

professional will also be giving lectures about health care and health care options to ensure that

seniors and other visitors to The Volen Center have access and increased awareness of mental

and physical health and long term care options.

Our providers’ transportation services will allow them to assist seniors to access senior centers

for a planned day of activities, a nutritious lunch, and to see a health care professional.

The Volen Center employs a Registered Dietitian (RD) who is on staff and promotes wellness

and nutrition. The RD can promote health care options to seniors in need. The RD will be

providing wellness lectures to seniors (open to both members and individuals from the

community) to raise awareness of health care options.

SRA will use the Comprehensive Community Needs Assessment for Adults age 50+ published in 2013 to raise awareness about the needs of older adults in Indian River County, including issues of physical and mental health and access to services which rank very high among important issues for seniors.

OUTCOMES:

OUTPUTS:




long-term care

OBJECTIVE 1.6: Identify and serve target populations in need of information and referral services EXPLANATION: The primary intent of this objective is for the AAA to detail how they plan to reach populations in need of information or referral services that might require more challenging outreach efforts. Strategies may include how to reach and serve individuals in need of I&R who have limited English proficiency, low-literacy, low-income in rural populations, disabled persons who receive Medicare but are under the age of 65, grandparents caring for grandchildren, individuals with disabilities, and dual eligibles across any Special Needs Population.


The Center will continue to reach the target population through outreach activities, our website,

SHINE counselors, satisfied customers (word of mouth), and provider referrals. The Center will

seek the help of its Advisory Council to assist in these outreach efforts.

The Center will continue to provide outreach to the target population and caregivers by

participating in monthly outreach activities. These will include Radio programs on the Spanish

channel as well as SeaView Radio. Participation in the Fearless Caregiver Conference.

Participation in health fairs and information exhibits at our Lead Agencies, Faith based

organizations and presentation to professionals in the community that work with at risk Seniors

and person with a disabiltity.

In order to reach the limited English speaking population we will maintain our multi-lingual

staff. With the use of Proprio translation service, staff will be able to assist consumers in any

languages not spoken by staff.

Elder Rights staff and SHINE Counselors will continue to refer customers who need additional

services to include Medicaid/ SNAP, transportation and in-home services, back to the Elder

Helpline

OUTCOMES:

OUTPUTS:


212



long-term care OBJECTIVE 1.7: Provide streamlined access to Medicaid Managed Care and address grievance issues EXPLANATION: The primary intent of this objective is for the AAA to provide detail on the role the AAA will assume as Medicaid Managed Care is implemented in the PSA. Strategies may include actions that will be taken to provide consumers with access to Medicaid Managed Care information and enrollment services. Strategies to address grievance issues in relation to Medicaid Managed Care should also be included.


Center staff will collaborate with CARES to facilitate a smooth transition of the intake and

referral process for Medicaid Managed Care.

The Advisory Council will receive ongoing briefings from staff on the preparation and

deployment of Florida's Medicaid Managed Long Term Care Reform in PSA 9; Council

members' critical thinking and feedback will be sought.

The designated choice counseling staff will complete the AHS required training and be

certified.

The Intake staff will continue to assist individuals being evaluated for eligibility for enrollment

in Medicaid services through the ADRC.

The Elder Helpline will maintain web site addresses, contact information and printed materials

to share with consumers as needs arise.

The Center will put in place protocols for dealing with grievances that meet standards.

The Director of Strategic Initiatives will lead staff participation with F4A and AHCA in

developing standardized efforts regarding Statewide Medicaid Managed Care Long Term Care.

The Elder Helpline and IT will standardize technology and protocols for routing and handling

MMLTC calls.

Senior Management will prepare for increases and changes to staffing needs for MMLTC.

OUTCOMES:

OUTPUTS:


213

GOAL 2: Enable individuals to maintain a high quality of life for as long as possible

through the provision of home and community-based services, including supports for

family caregivers

OBJECTIVE 2.1: Identify and serve target populations in need of home and community-based services EXPLANATION: The primary intent of this objective is twofold: 1) to address how the AAA will identify the target populations in the PSA and 2) to address how the AAA will provide services to the targeted populations who may be in hard-to-reach areas. Strategies should include how the PSA will identify and serve individuals who are in need of HCBS with limited English proficiency, low-literacy, low-income in rural populations, disabled persons who receive Medicare but are under the age of 65, grandparents caring for grandchildren, people with developmental disabilities, and dual eligibles across any Special Needs Population. Best practice should also include the PSA serving clients according the to the Department’s prioritization criteria.


Providers report on targeting goals at the start of the contract year. Their progress will be

reported semi-annually for Consumer Services Consultants review and feedback.

The Director of Strategic Initiatives, in collaboration with the LGBT Aging Task Force, will

lead outreach efforts to the LGBT community for home and community-based services.

Specific strategies and actions steps for providers to identify target populations and address how

they will provide services to the targeted populations have been included in contracted providers

2012-2013 and 2013-2014 service provider applications. Consumer Services Consultants will

monitor providers’ progress in obtaining their targeting goals and provide technical assistance

as to how to improve outcomes where warranted.

The following strategies have been incorporated into the Center’s contracted providers’

service provider applications in order to identify and serve target populations in need of

home and community-based services:

The Council on Aging of St. Lucie (COASL) will employ a bi-lingual case manager to assist with Spanish Speaking clients. COASL will pay particular attention to areas identified as low-income, low-literacy, and limited English proficiency as described in the

United Way of St. Lucie County wide Needs Assessment Survey.

English, Spanish, and Creole brochures will be distributed by COASL to faith-based organizations, hospitals, clinics, and health departments, senior and public housing, community centers and libraries to inform caregivers, grandparents and individuals with

disabilities of available services and to target populations.


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The Palm Beach County Division of Senior Services (DOSS) will identify the target populations

in the Community Care Service Area through: 1. Clients/caregivers seeking assistance through telephone and email contacts to DOSS; 2. At community outreach events; and 3. At the senior centers.

DOSS will provide services to the targeted populations who are in hard-to-reach areas through the following strategies: 1. Through trained culturally sensitive staff, multi-lingual staff; 2. By providing community-based outreach efforts for accessibility; and

3. Offices and congregate meal sites located in rural Palm Beach County.

Senior Resource Association will reach targeted populations by:

1. SRA use of congregate meal sites, Meals on Wheels clients, HCBS clients in targeted communities, and through these venues word will spread about SRA’s programs and services.

2. SRA will employ bilingual employees to help reach targeted populations. 3. SRA will develop and distribute basic informational materials about HCBS in Spanish. 4. SRA staff will be interviewed regularly on services and elder issues. 5. SRA will update the website weekly, as well as Facebook page. 6. SRA will send a minimum of 2 press releases to media monthly on programs and services. 7. SRA will take every opportunity to speak to groups, individuals, attend health fairs and get

information out to new constituencies. 8. SRA will post flyers about services in libraries, hospitals, and health care facilities and

home health agencies. 9. SRA will publish and distribute 1,000 monthly newsletters on programs and activities.

SRA will publish a company newsletter in the Fall and Spring and distribute to 15,000.

Just Checking will increase its efforts to reach all caregivers of older adults by making physicians, home health agencies, skilled nursing facilities and other social service agencies aware of their caregiver counseling services. Additional outreach tools will include public forums, radio shows, specialized events, health fairs and senior centers. Just Checking has a designated staff member who will focus on outreach to grandparents and relative caregivers especially in low-income areas such as Belle Glade.

OUTCOMES:

Note: The AAAs will not be monitored on the measures listed in italics, though the AAA must

still include strategies to address them in this section.

• Percent of most frail elders who remain at home or in the community instead of going

into a nursing home

• Average monthly savings per consumer for home and community-based care versus


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nursing home care for comparable client groups

• Percent of new service recipients whose ADL assessment score has been maintained or

improved

• Percent of new service recipients whose IADL assessment score has been maintained or

improved

• Percent of customers who are at imminent risk of nursing home placement who are served with community-based services

• Percent of elders assessed with high or moderate risk environments who improved their

environment score

• Percent of new service recipients with high-risk nutrition scores whose nutritional status improved

DOEA Internal Performance Measures:

• Percent of high-risk consumers (APS, Imminent Risk, and/or priority levels 4 and 5) out of all referrals who are served

OUTPUTS:


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family caregivers

OBJECTIVE 2.2: Ensure efforts are in place to fulfill unmet needs and serve as many clients as possible EXPLANATION: The primary intent of this objective is to address how the AAA oversees the service delivery system in the PSA. Strategies to address unmet needs/gaps can include partnerships and collaborations with other entities which have expertise in meeting the identified needs/gap.


Consumer Services Consultants will ensure that care plans reflect unmet needs for consumers.

A review of each provider’s resource directory will be included as a part of the annual quality

assurance review process conducted by Consumer Services Consultants.

Consumer Services Consultants will continue to participate on the transportation boards

representing all counties within the PSA to ensure that the needs of seniors and individuals with

disabilities are addressed.

The Center will conduct two forums over the next two years to obtain community input

regarding the unmet needs of seniors, caregivers and individuals with disabilities.

The Elder Helpline will continue the efforts of a Resource Database Specialist who reviews the

unmet needs identified and looks for resources and out of the box solutions to those challenges.

We are continually updated the REFERNet database to include a variety of resources.

In collaboration with the Center's Advisory Council and community private pay home health

providers the ADRC will seek alternate resources to serve consumers in need of limited or short

term through a pro bono program using donated in home services from community providers.

Our providers have included the following strategies as part of their service provider

applications in order to ensure that “case managers shall emphasize using informal

resources, whenever possible, to preserve program funds for consumers with the most

critical needs.”

Council on Aging of St. Lucie (COASL) case managers will use the DoEA 701B assessment tool with the client and when appropriate with client caregiver to determine client’s need for assistance/gaps, as well as client’s strengths and resources. Case managers will emphasize that program funds are to be a last resort and that clients must use all other resources including their own financial resources, assistance from family members and friends , faith based assistance,


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Veterans programs , private insurance, Medicare and or State Medicaid prior to use of program funded services. Client care plans will reflect the use of informal resources when they are available to the client and can safely meet the needs of the client. Council on Aging of St. Lucie, Inc. will provide Dementia-specific Day Care services for respite to relieve/reduce caregiver stress. COASL has a partnership with Brevard Memory CareClinic which will offer Alzheimer’s/Dementia classes/seminars to staff and to caregivers when available. The Alzheimer’s Association will offer referrals for training and caregiver needs. Questionnaires will be periodically sent home to caregivers from ADC to identify their specific needs.

DOSS oversees the service delivery system in the Community Care Service Area by using: Informal resources to compliment CCE such as with PBC funds; the Lending Closet; Deaf Services, etc.; and DOSS conducts monthly staff meetings and in-service training to review and exchange resources and ideas to further assist clients. In Okeechobee utilize the local “COPS” organization (Citizens on Patrol) volunteers that check on shut-ins or respond to complaints, people in need, etc. Okeechobee Senior Services gets referrals from them as well;

Also in Okeechobee make use of the local Contractor’s Association and refer projects such as

small repairs, roof repairs etc. that consumers may need;

Okeechobee Senior Services has a retired “handyman” list that will do small repair jobs;

Conduct strategic funding meetings so that funding is most wisely utilized;

Case managers will focus on caregiver supports so that the consumer can be maintained in the

home.

Senior Resource Association (SRA) will continue to lead the follow-up on the Comprehensive Community Needs Assessment by working collaboratively in the community to identify strengths and gaps in services and address them in an action plan

Internally, SRA will review the needs assessment to review existing services and identify new service areas to fill gaps that are most in line with its mission

Ultimately, the assessment is expected to assist the community in: Identifying gaps and opportunities Planning Reducing duplication and fragmentation Creating partnerships Developing innovative services that meet identified needs Bringing additional resources into the community to address needs

Just Checking Caregiver Counselors will interview each client/caregiver to determine what

additional services would benefit their care recipient and/or themselves. When appropriate,

referrals will be made to adult day care centers, respite programs and other home based services.


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Counselor educates clients and explores eligibility for services such as VA Aide and Attendance

or Hospice etc. Caregivers are often referred to local support groups as well.

OUTCOMES:




into a nursing home




improved


improved

• Percent of customers who are at imminent risk of nursing home placement who are served with community based services


environment score


OUTPUTS:

• Number of people served with registered long-term care services


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family caregivers

OBJECTIVE 2.3: Provide high quality services EXPLANATION: The primary intent of this objective is for the AAA to detail quality assurance efforts in the PSA. Strategies can include evaluating service effectiveness using reliable and valid assessment instruments.


Consumer Services Consultants will continue to use the quality assurance tool which

incorporates DOEA’s interpretative guidelines and the DOEA Programs and Services

Handbook.

The Elder Helpline, with the help of Advisory Council and other volunteers, will continue to

conduct satisfaction surveys monthly with consumers who call the Elder Helpline. This will

include the new SMMCLTC satisfaction survey requirements.

The Planner will cooperate with DOEA and AOA in their customer satisfaction surveys.

Volunteer staff will assist with reviews of menus and temperature logs on a monthly basis to

enable a more timely review of compliance with nutrition program guidelines.

Consumer Services Consultants will continue to review providers’ customer satisfaction

surveys.

The Elder Helpline Director will ensure that the monthly report on REFER to DOEA is

consistent with state standards.

The Director of the Elder Helpline will continue the monthly interagency meetings to discuss

service requirements, issues and timeliness of eligibility processing for Medicaid Waiver

Managed Care consumers.

In 2014 Consumer Services Consultants will continue their review of providers’ customer

satisfaction surveys ensuring that providers follow-up to correct concerns uncovered as a result

of the survey analysis.


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OUTCOMES:




into a nursing home




improved


improved

• Percent of customers who are at imminent risk of nursing home placement who are served with community-based services


environment score

• Percent of new service recipients with high-risk nutrition scores whose nutritional status improved.

OUTPUTS:


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family caregivers

OBJECTIVE 2.4: Provide services, education, and referrals to meet specific needs of individuals with dementia EXPLANATION: This objective focuses on individuals with dementia to ensure that the specific needs of these individuals are not overshadowed by serving populations without dementia. Strategies should include the implementation of caregiver programs that adopt or expand state and federal volunteer respite program models and innovative projects that address caregiver needs and reduce their stress. Strategies should also include effective partnerships with organizations and providers who have dementia expertise, training Information & Referral Specialists and other staff to recognize possible cognitive impairment and person-centered services planning.


The Center and providers will continue to actively participate in the Silver Alert Program and

has strong relationships with the Alzheimer’s Community Care, Inc. and St. Mary's Memory

and Disorder Center.

The Elder Helpline maintains an expansive list of caregiver support groups and educational

opportunities in the PSA.

The Center will host meetings for providers to share specifics regarding the caregiver support

groups which they offer.

The Center will continue its support of and participation in the Alzheimer’s Community Care,

Inc. Educational Conferences and Fearless Caregiver Conferences ( 3 per year).

Our providers have included the following strategies as part of their service provider

applications in order to provide services, education, and referrals to meet specific needs of

individuals with dementia.

Alzheimer’s Community Care will hold an annual educational conference which offers plenary and breakout sessions with dementia experts in March of 2014.

Provide in-facility and in-home respite;

Hold annual educational conferences;

Provide dementia specific training to all staff;


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Provide dementia specific support groups;

Coordinate electronic monitoring bracelet services for patients with identified need;

Provide training to and collaboration with law enforcement agencies, the general public and

emergency response personnel to assist their staff to recognize dementia behavior and

communicate with consumers with dementia;

Implement volunteer respite and companionship programs; Continue partnerships with dementia specific organizations that provide in-house education; and training staff to recognize cognitive impairment; Council on Aging of St. Lucie case management staff have received the Alzheimer’s Level l and Level ll training through East Central Florida Memory Disorder Center in 2009 and updated training in 2012 on “Alzheimer’s and Dementia Dealing with Difficult Behaviors” through the East Central Florida Memory Disorder Center; and “Challenging Behaviors & Helpful Approaches” through the University of South Florida Byrd Alzheimer’s Institute.

Okeechobee Senior Services will continue to offer ADRD screening through the Alzheimer’s

Disease Agency;

Okeechobee Senior Services will explore the need for crisis intervention protocols for seniors in

crisis to reduce the number of people with Alzheimer’s disease or related disorders who are

subjected to Baker Act proceedings;

Improve education and communication in the Adult Day Care staff and referral and outreach

staff so that when individuals from the community visit and/or call the provider, they receive

the best information and referrals for services possible.

Senior Resource Assocation will partner with Alzheimer’s & Parkinson’s Association to

sponsor “A Day of Hope” – a morning of caregiver capacity building for those dealing with

dementia.

OUTCOMES:




into a nursing home




improved


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improved

• Percent of customers who are at imminent risk of nursing home placement who are served with community based services


environment score


OUTPUTS:


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family caregivers

OBJECTIVE 2.5: Improve caregiver supports EXPLANATION: The primary intent of this objective is to strengthen caregiver services to meet individual needs as much as possible. For example, existing caregiver support groups may not sufficiently address the differing challenges of spouse caregivers compared to adult child caregivers. Strategies may include providing education, training, and options to help caregivers make better decisions and deal with current and prepare for possible future needs. Caregiver supports can include the following: home-delivered meals, older adult companionship, socialization, transportation, homemaking, home maintenance and repair, in-home care training, and daily calls to check on an isolated older adult. Consideration should also be given to volunteer companions (retired seniors helping seniors) and older caregivers providing care for grandchildren or other relatives.


The Center will host meetings for providers to share specifics regarding their non-DOEA

funded programs which provide supports to caregivers and those programs which supplement

DOEA funds for home-delivered meals, companionship, socialization, transportation,

homemaking, home maintenance and repair, in-home care training, and daily calls to check on

isolated older adults as well programs for older caregivers providing care for grandchildren or

other relatives.

The Center will continue its support of and participation in the Fearless Caregiver Conferences,

Caregiver Appreciation Day, Alzheimer’s Community Care, Inc. Educational Conferences,

Caregiver Coalition initiatives and other community outreach events providing information and

services for caregivers.

The Elder Rights Center will identify and make available resources and educational materials

on the Center Website with information on Advanced Directives/End of Life Planning.

The Director of Strategic Initiatives will seek opportunities to engage health providers and

HCBS social service providers in developing care transition programs for high risk seniors

Our contracted providers will meet this goal through the following strategies included in

their service provider applications.


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Alzheimer’s Community Care will distribute a quarterly magazine with educational information from leading local, state and national experts.

DOSS plans to strengthen caregiver services by: Providing existing caregiver support groups; Providing education training such as “Tools for Caregivers” program; and Providing volunteer companions in both in-home and day care services. Case managers will discuss the disease process with caregiver’s to consumers with dementia and the changes that may occur in the future. Case managers will discuss long-term planning goals with caregivers. Case managers will discuss services in the community available to the caregiver and patient. Case managers will discuss support systems and the need to seek additional family support with caregivers. At Alzheimer’s Community Care, Inc. consumers enrolled in Specialized Alzheimer’s Day Service (Respite – facility based) will receive the monthly Care-a-gram which contains useful educational information; in addition a quarterly magazine is distributed with educational information from leading local, state and national experts.

In St. Lucie County the Council on Aging of St. Lucie (COASL) distributes newsletters to Adult

Day Care consumers, caregivers and families noting services that are available from

organizations such as the Alzheimer’s Association, Brevard Memory Care Clinic, Lifeline and

similar organizations which the consumer/caregiver may benefit from. Notices are always

posted at the ADC site.

When available COASL offers Health Fairs/ Health Screenings, Flu Shots, etc.

Okeechobee Senior Services makes referrals to Alzheimer’s Disease Initiative to educate

families about what to expect during care and their role in care integration.

Okeechobee Senior Services will facilitate improved coordination between health disciplines

and care settings by making referrals to “Just Checking,” Alzheimer’s Disease Association, and

the Retired Senior Volunteer Program.

Okeechobee Senior Services, DOSS, Alzheimer’s Community Care, Inc., Just Checking and

The Volen Center all offer support groups. Many are tailored to specific caregiver needs – i.e.

working caregivers, caregivers of persons with dementia, caregivers dealing with a person

having behavioral health issues.

The Volen Center will improve programming aimed at serving the caregiver and relieving


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stress, and focusing on aging with dignity combined with a strong focus on wellness.

The Volen Center will continue its signature event, held annually, which focuses on aging. It

has a strong emphasis on caregiver supports and the importance of keeping the caregiver

healthy. This event seeks to promote education and awareness on aging issues and caregiver

awareness issues. The Volen Center holds a week long program of educational lectures about

aging, ADRD, caregiver supports and stress reduction.

Just Checking will provide individual in-home counseling to caregivers addressing whatever concerns they have. Just Checking provides a variety of caregiver support groups that include specialized groups for Alzheimer’s, Parkinson, Stroke, adult children and grandparents raising grandchildren.

OUTCOMES:

• Percent of customers who are at imminent risk of nursing home placement who are served with community-based services (Standard: 90%)

• Percent of family and family-assisted caregivers who self-report they are very likely to provide care (Standard: 89%)

OUTPUTS:


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family caregivers

OBJECTIVE 2.6: Facilitate the voluntary transition of identified nursing home residents to a safe community setting EXPLANATION: The primary intent of this objective is for the AAA to detail how the PSA will accommodate clients who are transitioning out of nursing homes. Strategies can include individualized transition planning, overcoming barriers to the transition and support for a safe return to the community with services and available community support.


The Center works closely with the CARES office that identifies and assists seniors through the

Nursing Home Transition Program.

The Center will review and update, as needed, its policies and procedures for coordination of

care to help consumers transition from a nursing facility to a community care setting.

Contracted providers will carry out their role in the nursing home transition process

through the following activities.

Just Checking Caregiver Counselors work with family caregivers when they are transitioning a loved one home from a nursing facility. Counselors ensure that caregivers have access to information and resources to assure that the care recipient’s needs can be met in the home setting. This can include home health agencies, home-delivered meals, home modifications for safety, DME. In addition, Just Checking recently implemented a program which provides nursing education to family caregivers on topics such as safety, body-mechanics, personal care, infection control and medical management.

OUTCOMES:

OUTPUTS:


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GOAL 3: Empower older people and their caregivers to live active, healthy lives to

improve their mental and physical health status

OBJECTIVE 3.1: ▲Continue to increase the use of Evidence-Based (EB) programs at the community level EXPLANATION: The primary intent of this objective is for the AAA to detail how Evidenced-Based programs will be incorporated into the PSA. Strategies should include the management and coordination of programs that empower older people to control their own health through community level interventions, as well as sustaining continued funding. Consideration should be given to programs that build self confidence and reduce disease progression for people with chronic conditions. Examples include the advocacy for sustaining EB health promotion, including fall prevention, and Medication Management.


Caregiver and Depression evidence-based interventions will be added to the current curriculum.

This is dependent upon licensing and instructor training constraints and will not occur before

2014.

The Center will continue to increase services regarding Fear of Falling i.e. Matter of Balance,

Living Healthy (Chronic Disease Self Management), Tomando Control, and Asunto.

The Center will continue Tai Chi, Moving for Better Balance which aids in fall prevention. 4

Evidence-based interventions are provided as funding allows under the DOEA contract.

Additional interventions/workshops will be provided as additional funding sources are secured.

To obtain this additional funding, The Center plans to foster evidence-based health promotion

among professionals i.e. health clinics and local hospitals – partnering with them in the

underwriting of training and encouraging them to have their employees trained and certified so

they can offer the training themselves.

A cadre of volunteer trainers and coaches (lay leaders and professionals) will be established in

all five counties in our PSA. The Center will insure interventions serve our diverse PSA.

The Healthy Living Center of Excellence will develop or adopt available data collection tools to

capture consumers served, hours invested, volunteers, etc.

OUTCOMES:

OUTPUTS:


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OBJECTIVE 3.2: Promote good nutrition and physical activity to maintain healthy lifestyles EXPLANATION: The primary intent of this objective is to focus on nutrition and physical activity specifically, since they are two key components to maintaining health. Many elders are not aware of the long-term implications of a less than adequate diet and how it may exacerbate chronic health conditions. Likewise, they may be unaware of the positive impact physical activity might have on their overall health and/or chronic conditions. Strategies might include the establishment of: 1) a coordinated, comprehensive nutrition and physical activity program by engaging stakeholders and partners and 2) community programs that help build social supports, for example, by increasing the use of congregate meal sites. Another approach may be the encouragement of community programs that help build social support for physical activity by improving access to places that people can be active, such as walking or bike trails, classes at gyms or senior centers, athletic fields, etc.


The Elder Helpline will continue to educate seniors and adults with disabilities about the

eligibility and process for making applications for food stamps. We are also aware of food

pantries that provide fresh produce.

Consumer Services Consultants will support OAA providers in their efforts to increase the

number of congregate meal sites.

The Elder Helpline will promote aging network partners’ non-DOEA funded congregate meal

programs.

Consumer Services Consultants will ensure that providers’ nutrition education programs

conform to DOEA requirements.

Consumer Services Consultants will educate themselves and disseminate as appropriate to

agency staff information on contracted providers’ educational, recreational and health and

wellness programs.

Through Older Americans Act funds our contracted providers operate more than 40

congregate meal sites. Their plans to improve service delivery and/or encourage

community programs that help build social support for physical activity include:

DOSS will focus on senior nutrition and physical activity components to maintaining health through: An educational nutrition program for both in-home and congregate meal site clients; and

Encouragement of community wellness at DOSS’s senior centers.


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Just Checking Caregiver Counselors will encourage all caregivers to maintain their own good health through nutrition and physical activity. Counselors explore creative ways for client/caregivers to exercise even when they cannot leave their home due to caregiving responsibilities. Clients are referred to classes such as Surf n Turf, Tai Chi and yoga specifically designed for older populations and often offered at senior centers. Client’s are informed about home-delivered meals and senior meal sites when appropriate.

Provide information to caregivers regarding various support groups such as Alzheimer’s

Community Care, Inc., Alzheimer’s Association, Hospice, Alzheimer’s Parkinson’s

Association, The Stroke and Mended Heart Group, Macular Degeneration Group and Morselife-

Caregiver Counseling Program.

The Council on Aging of St. Lucie provides Senior Sensitivity Training to local businesses, agencies, educational institutions and caregivers to help with the understanding of the aging process and prepare for current and future needs of the older adult; The Council on Aging offers programs and activities at its Fort Pierce and Port St. Lucie Senior Centers that promote exercise and healthy living. Congregate dining is available at these locations as well as the Buell Brown Center to help with support in the areas of nutrition, companionship and socialization, along with transportation. Home delivered meals are also offered to eligible caregivers who reside with a Meals on Wheels recipient. COASL will collaborate with Alzheimer’s Association in a partnership to be a host agency for a support group at the Port St. Lucie Senior Center. This partnership will assist in identifying needs and available community resources that are available and also provide linkage to volunteers.

Okeechobee Senior Services will promote physical fitness activities through the local physical

fitness agencies. It will utilize the Senior Center, churches, and local gyms to offer activities

such as Tai Chi classes, neighborhood walks, balance classes for fall prevention, yoga, dancing

and mind exercises.

Okeechobee Senior Services will conduct an awareness campaign to publicize the availability of

physical activities and the benefits of participation;

Okeechobee Senior Services will inform consumers which insurance companies will pay for

preventive exercise programs;

Okeechobee Senior Services will coordinate an effort through Indian River State College as

well as educational Seminars promoted by Raulerson Hospital to provide education about the

connection between good nutrition and physical activity;

Okeechobee Senior Services’ plans to improve the senior dining program by:

1. Encouraging more input and feedback from the Senior Advisory Council;

2. Strengthening the linkage between good nutrition and physical activity;

3. Encouraging more diversity and flexibility in menu planning and development;


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4. Surveying meal recipients and considering the survey results;

5. Improving the quality and increase the frequency of nutrition education provided to elders

participating in the elder nutrition program.

The following steps are planned by Senior Resource Association:

1. SRA will offer nutritious congregate and home delivered meals to eligible seniors. 2. All consumers with a nutrition score 5.5 or higher will be offered nutrition counseling with

SRA’s Registered Dietician. 3. Nutrition education will be provided monthly to all congregate and home delivered meals

clients. 4. SRA case managers will arrange transportation for clients to attend a meal site or shop for

food. 5. SRA case managers can arrange for eligible clients to receive nutritional supplements. 6. SRA nutrition outreach efforts will be focused on targeting rural, low-income, minority, and

limited English speaking seniors, encouraging them to attend a meal site. 7. SRA will provide information about local soup kitchens and food pantries as appropriate.

SRA will assist homebound seniors who are unable to shop for food by matching them with

volunteers who can shop on their behalf.

OUTCOMES:

OUTPUTS:


232



OBJECTIVE 3.3: Promote the adoption of healthy behaviors EXPLANATION: The primary intent of this objective is to focus on lifestyle choices beyond nutrition and physical activity as in objective 3.2. Lifestyle choices include such activities as smoking, alcohol, and/or drug consumption, average nightly hours of sleep, amount of stress, amount of socialization, engaging in enjoyable pursuits, etc. Strategies could include conducting community-wide campaigns that combine highly visible messages to the public, community events, and support groups that encourage older people to become or remain active. Recruit older adults to participate in the promotion of healthy behaviors through advertising and marketing to community partners.


Consumer Services Consultants will participate in the quarterly conference call of the RELIEF

program and complete annual quality assurance reviews of the program.

Consumer Services Consultants will educate themselves on the Intergenerational programs contracted providers have developed with the local Boy and Girl Scouts, local schools and Head Start Program. As part of annual quality assurance review Consumer Services Consultants will review contracted providers outreach materials for congregate meals. Identify and collaborate with service providers that can provide assessments, interventions, and support. Elder Helpline and other appropriate staff will provide information and referral as appropriate for persons dealing with these issues. The Elder Helpline will stay informed about the Affordable Care Act and the new healthcare marketplace and location of Navigators. This will assist seniors and persons with a disability who have difficulty accessing healthcare due to a lack of insurance. Elder Helpline will continue to look for resources for affordable dental care. Collaborate with community health centers for affordable dental care.

OUTCOMES:

OUTPUTS:


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OBJECTIVE 3.4: Promote social connectivity, community service, and lifelong learning to maintain positive mental health EXPLANATION: The primary intent of this objective is to address the benefits to the individual and the community when elders are active and engaged in the community. Strategies could include ways to increase the use of congregate meal sites, develop comprehensive programs that include an intergenerational component, provide volunteer opportunities within aging network and external partners, and provide community service training opportunities that could lead to sustainable employment.


The Center recruits volunteers to promote social connectivity, community service and lifelong

learning through SHINE, FGP, Elder Rights, and Healthy Living COE.

The Center promotes congregate meal sites, senior centers and adult day care to encourage

engagement in the community.

Our contracted service providers have included the following activities in their service

provider applications to promote social connectivity, community service, and lifelong

learning to maintain positive mental health:

Alzheimer’s Community Care, Inc. engages elders in volunteer services and programs by:

Serving as Support Group Facilitators

Volunteering in the Adult Day Care Centers and working with patients

Serving on Advisory Councils

Serving on the Board of Directors

Offering Office Administration Assistance

Through a contract with the FL DOEA for the Senior Companion Program Alzheimer’s Community Care, Inc. brings together volunteers age 55 and over with adults in their community. Senior Companions work in the Specialized Adult Day Care Centers helping out with activities, food preparation while providing companionship to the patients in the center

COASL plans to partner with AARP SCSEP (Senior Community Service Employment Program) and United Way Volunteer St. Lucie to provide numerous volunteer opportunities to area seniors. Offer social time, crafts, games, quilting and cards several times per week at each of our senior dining centers.


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Bingo offered weekly at the Port St. Lucie Senior Center. Computer classes are offered weekly at Port. St. Lucie and Fort Pierce Senior Center Treasure Coast Bible Assembly visits the Port St. Lucie Senior Center monthly.

In Palm Beach County DOSS promotes the meal site at the senior centers, through newsletters, community outreach events, community meetings in which staff attends and by informing the ADRC; DOSS has developed intergenerational programs with the local Boy and Girl Scouts, local schools and Head Start Program; DOSS promotes volunteer program opportunities through community speaking engagements; DOSS provides community service opportunities for the Palm Beach County Courthouse; DOSS provides hands-on work experience training to elder Experience Work members;

The Volen Center provides the opportunity for seniors to go on weekly field trips which include visits to the casino, movies, restaurants, and malls;

The Volen Center also has an intergenerational program which combines the elderly population with 3-5 year olds. The child day care participants interact with independent seniors as well as seniors with cognitive and physical impairments. Programming staff is looking to improve its innovative curriculum for the intergeneration program.

The Volen Center also has numerous volunteer opportunities for seniors. The Volen Center has

a very extensive volunteer program and every year The Volen Center recognizes its volunteers

at an awards luncheon. Seniors that have been volunteering at The Volen Center for some time

have had “on the job training” and have been offered employment.

1. SRA will SRA will continue to educate the community about its senior population, and to identify and address gaps in services for seniors.

2. SRA will continue to work to ensure that the transportation needs of seniors are met. 3. SRA will encourage seniors to engage in the life of the community, publicize events as

appropriate and offer opportunities for engagement. SRA will work with Workforce Solutions and Senior Employment/Retraining programs to

support older adults who want and need to be retrained and find sustainable employment

Just Checking Caregiver Counselors will refer client/caregivers to support groups for an opportunity to interact with other caregivers and create new social connections outside the group. Clients are informed about local senior centers and adult day programs both for themselves and their loved ones when appropriate. Client’s are encouraged to seek and utilize respite services to allow them to participate in enjoyable activities and maintain friendships.

OUTCOMES:

OUTPUTS:




OBJECTIVE 3.5: Advocate for prevention and early intervention of mental health and substance abuse services for elders EXPLANATION: The primary intent of this objective is to enable the AAA to focus on advocacy specific to the need for mental health and substance abuse services. Strategies for this objective could include public awareness activities to increase the understanding of mental and substance use disorders. Improve or develop partnerships with advocates in the community. Encourage group-based activities composed of older adults accessible to the participant like those at a senior center. Attention to physical health issues such as nutrition, sleep habits, medication, and pain should be considered.


Seek out PSA 9 partners with similar concerns, make connections and establish relationships

and formal agreements identifying how we can better work together over time to address

prevention and early intervention of mental health and substance abuse including supporting

advocacy as outlined in the agreements.

Collaborate with mental health providers to increase awareness and recognition of depression in

older adults. Healthy Living’s Chronic Disease Self Management Workshop is an evidence

based program that has been shown to be effective with this population so offering workshops

in collaboration with this type of partner is being actively pursued in 2013.

Elevate knowledge and ability to address these issues among all staff. Conduct one in-service

training each of the 3 years.

Seek to recruit advisory council member with background in the mental health and/or substance

abuse field.

In order to advocate for prevention and early intervention of mental health and substance

abuse services for elders our contracted provider Okeechobee Senior Services has

included the following activities in their service provider application. To improve mental health status Okeechobee Senior Services provides training about the

warning signs of illness for the formal and informal home care support network :i.e. providing

meals –on-wheels- volunteers and home care workers with training to recognize the warning

signs of depression and mental health symptoms.

Okeechobee Senior Services has developed resources to address mental health referrals. For

example having an agreement with the local New Horizons-sharing the responsibilities for

mental health services for people age 60 and older.


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Okeechobee Senior Services has plans to emphasize and provide more tools for depression

prevention, screening, self assessment and management through the following actions:

a. Improve early symptom recognition and assessment;

b. Expand mental health screenings at senior center, health fairs, etc. and

c. Provide opportunities for persons to self assess for depression through a self

assessment on-line.

OUTCOMES:

OUTPUTS:


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GOAL 4: Ensure the legal rights of older people are protected and prevent their abuse,

neglect, and exploitation (ANE)

OBJECTIVE 4.1: Collaborate and coordinate within the community and aging network to increase accessible legal services EXPLANATION: The primary intent of this objective is to enable the AAA to detail efforts to

make legal services more accessible to seniors in greatest economic or social need, as well as to

improve the quality of legal services. Strategies should include ongoing joint planning between

the aging network and legal assistance providers to identify target groups, establish priority

legal issue areas, and develop outreach mechanisms to ensure limited legal assistance resources

are allocated in such a way as to reach those seniors who are most vulnerable and have the most

critical legal needs.


Elder Rights Center will follow-up on consumers they refer to legal service providers to

determine if their needs were met.

Planning and Elder Rights will use the data from DOEA’s legal needs assessment to identify

unmet needs of seniors in our community. Additionally, information from the Center’s Elder

Helpline and Elder Rights Center databases will assist in the identification and prioritization of

specific legal needs, as well as, identifying gaps.

The Center will seek to have input to legal services providers needs assessments.

As part of the annual SPA review process Consumer Services Consultants and Elder Rights will

assess legal service providers’ adherence to the DOEA Programs and Services Handbook legal

service priority areas and local needs for legal service delivery.

Consumer Services Consultants and Elder Rights Center will collaborate with legal service

providers to develop outreach mechanisms that reach seniors that are most vulnerable and have

the most critical legal needs.

Consumer Services Consultants will continue required semi-annual reporting of legal services

providers’ progress on planned targeting and outreach activities.

Continue on-going cross-training between the Elder Helpline, Elder Rights Center, and legal

service providers. The training will be conducted as needed.

Appropriate staff will participate in quarterly Older Floridians Legal Assistance Program

Training by DOEA.

Consumer Services Consultants and Elder Rights Center will work with IIIB legal providers to


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Implement DOEA’s best practices for developing strong, coordinated and integrated legal

programs.

Implement requirements of DOEA Programs and Services Handbook as well as Notices of

Instruction regarding the statewide standard for IIIB legal assistance.

Our contracted service providers have included the following activities in their service

provider applications to collaborate and coordinate within the community and aging

network to increase accessible legal services.

Provide informational flyers including signs of ANE Participate in raising awareness about ANE by participating in World Elder Abuse Awareness Day Prepare at least one article a year regarding ANE to raise awareness of the issue Part of the Just Checking initial assessment is to inquire about advanced directives and other legal paperwork. If client is in need of legal assistance, they are referred to Legal Aid or local elderlaw attorneys.

Case managers refer patients to legal aid services and available attorneys.

Case managers educate caregivers regarding legal options, such as; Power of Attorney, Health

Surrogate, etc.

Make legal services more accessible to consumers in greatest economic or social need by partnering with the Legal Aid Society to provide free services at Senior Centers.

Increase resources available for legal assistance (Florida Rural Legal and pro bono lawyers) by

encouraging community partnerships through leveraging of OAA funds.

Maintain established local protocols with DCF and law enforcement relating to handling of

abuse, neglect and exploitation referrals;

Establish good working relationships with DCF supervisors. Collaboration between the lead agencies and DCF has been encouraged between management at both agencies.

Raise awareness of elder rights through training, educational events, and the use of technology.

Florida Rural Legal Services will strive to be accessible to senior clients in the treasure coast by having office hours five days per week and maintaining a toll -free 800 telephone number for client use. Staff is fluent in both Spanish and Haitian Creole, so as to be accessible to persons of Limited English Proficiency. FRLS will home visits for seniors who are bed ridden or otherwise physically unable to come into their offices.


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Legal Aid Society of Palm Beach County Strategy: Increase referrals of elder caregivers of adults and minor relatives to Legal Aid from social service agencies within the community and the aging network to assist them in accessing legal services to meet their greatest economic and social needs. Alleviate feelings of isolation and aloneness that can often be felt by elder caregivers when trying to access services, particularly if they are not computer savvy or if they do not have internet access. Action Steps: � Identify and target outreach and one-on-one legal counseling to isolated and underserved

elder caregivers in the community by providing services and collaborating with staff at the following organizations/agencies:

Grandparents or elder relatives providing care to children 18 years old or younger through grandparent support groups, Vickers House, Families First of Palm Beach County, Family Central for respite care, Catholic Charities, Jewish Children and Family Services and the Department of Children and Families.

Caregivers with limited English proficiency through the Hispanic Human Resources Council, Inc., the Latin American Immigrant and Refugee Organization, Inc., the Guatemala-Maya Center and the Haitian Center for Family Services. For those caregivers of limited English speaking proficiency, Legal Aid has contracts with translation services for face-to-face and over-the-phone interpreters.

Caregivers residing in rural communities through intake/outreach at Legal Aid’s satellite office

in Belle Glade and the West County Courthouse in Belle Glade

OUTCOMES:

OUTPUTS:


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GOAL 4: Ensure the legal rights of older people are protected and prevent their

abuse, neglect, and exploitation

OBJECTIVE 4.2: ▲Facilitate the integration of Older Americans Act elder rights programs into Aging Services EXPLANATION: The primary intent of this objective is to make legal services a more visible and mainstream part of the aging network package of services. Ensure capacity to assist vulnerable and at-risk older people in understanding their rights, exercising choices, and benefiting from services and opportunities authorized by law. Strategies may include in-person and/or online cross training and the use of available technology and media outlets to inform older adults, the general public, and professionals.


Maintain established protocols with DCF and the CCE Lead Agencies relating to abuse,

neglect and exploitation referrals.

Assist elder victims referred by law enforcement, Elder Helpline and direct calls to the

Elder Rights Center in understanding rights, exercising choices and benefitting from

services and opportunities authorized by law.

Elder Rights Center will expand the provision of victim services for crime victims 60+

years of age into the 19th Judicial Circuit (counties of Martin, St. Lucie, Indian River and

Okeechobee).

Elder Rights Center of Excellence will assist seniors in identifying their legal needs and

organizing the documents needed to obtain legal services.

Elder Rights Center of Excellence will continue seeking pro bono attorneys to help reduce

gaps in legal services.

In order to assist vulnerable and at-risk older consumers in understanding their

rights, exercising choices, and benefiting from services and opportunities authorized

by law our contracted service providers have the following strategies included in their

service provider application.

DOSS plans to assist vulnerable and at-risk older clients in understanding their rights, exercising choices, and benefiting from services and opportunities authorized by law by partnering with the Legal Aid Society to provide free services at Senior Centers. Just Checking caregiver counselors will provide support and education to caregivers and assure that they are not abusing their care recipient in any way. Counselors also help clients protect themselves and their loved ones from abuse or exploitation from other family members or individuals. Counselors refer clients to the Ombudsman program to report any suspicion of abuse or ineffective care practices taking place in a care facility.


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Clients are connected to Legal aid or elderlaw attorneys as needed.

Legal Aid Society of Palm Beach County Strategy (IIIE): To educate vulnerable and at-risk elder caregivers, particularly those in social and economic need, in understanding their rights to legal assistance, exercising choices and accessing services related to issues such as income security, health care, long-term care, housing, utilities, protective services, defense of guardianship, abuse, neglect, and age discrimination. Action Steps: Provide advice and consultation, direct representation before judicial and administrative tribunals, community education seminars and outreach to elderly caregivers of minor children living in Palm Beach County, particularly those who are without family or adequate support systems..

Provide legal awareness seminars and one-one-one counseling at support group meetings for elder individuals who are raising minor relatives, such as the GRandS Project and Families First—Kinship Project. Distribute informational brochures and facilitate presentations on topics such as adoption, guardianship, custody, access to public benefits and health care, housing and educational needs of minor children.

Legal Aid Society of Palm Beach County Strategy (IIIEG): To educate vulnerable and at-risk elder caregivers, particularly those in greatest social and economic need, in understanding their rights to legal assistance, exercising choices and accessing services related to issues such as custody, guardianship and adoption; health care; day care and child care; financial entitlements; housing; utilities; and protective services. Action Steps: Provide advice and consultation, direct representation before judicial and administrative tribunals, community education seminars and outreach to elderly caregivers of minor children living in Palm Beach County, particularly those who are without family or adequate support systems..

Provide legal awareness seminars and one-one-one counseling at support group meetings for elder individuals who are raising minor relatives, such as the GRandS Project, Families First—Kinship Project and Bridges. Distribute informational brochures and facilitate presentations on topics such as adoption, guardianship, custody, access to public benefits and health care, housing and educational needs of minor children. Assist vulnerable and at-risk older adults by advocating on their behalf, assisting with referrals to Legal Aid services, and understanding choices about care.

The Volen Center currently has a substantial pool of volunteer advocates who support senior issues and elder rights.

The Volen Center also hosts a program, “Seniors against Crime” which educates at risk individuals how to protect themselves against potential threats to their safety.


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Case managers will educate seniors who have been referred as part of an Adult Protective Services Referral on their rights and the services that are available to them.

Case managers educate caregivers regarding legal options, such as; Power of Attorney, Health Surrogate, etc.

Direct service staff will have ongoing training on ANE and will attend available and

mandatory workshops and trainings on this topic.

The Council on Aging of St. Lucie provides information to at-risk older consumers regarding the Long-Term Ombudsman Program. Staff attends the monthly meetings in which they are provided the most current information and resources.

The Council on Aging of St. Lucie provides information to older adults through the Elder

Abuse, Neglect, and Exploitation Program and collaborates with the Elder Rights Center of

Excellence at the Area Agency on Aging.

M Many providers participate in the Celebration of World Elder Abuse Awareness Day.

Okeechobee Senior Services is developing an interagency network to actively address elder

rights issues through the following;

a. Partner with other agencies to develop resources and programs to strengthen

education and improve quality and accessibility of information on consumer

protection: Currently, OSS has Florida Rural Legal come into our office for

consumers once a month. We also partner with the Okeechobee Sheriff’s Dept.

Seniors Against Crime as well as their COPS (Citizens on Patrol) program that

checks on Seniors.

b. Partner with other agencies: such as the Department of Children and Families,

Okeechobee Sheriff’s Dept., Okeechobee City Police, Okeechobee News) to

develop SCAM Alerts and educate elders about fraud and scams;

c. Include elder rights services under the umbrella of multidisciplinary teams available

through the Your Aging Resource Center

d. Work with Martha’s House (shelter for Abused Women) to include all victims of

elder abuse

Senior Resource Association will refer clients as appropriate to Florida Rural Legal Services Florida Rural Legal Services intends to increase awareness of their services by making


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more outreach visits to other agencies in the Treasure Coast aging network in the coming year. Florida Rural Legal Services is developing two new flyers on topics of legal interest to seniors for distribution throughout the aging network in order to increase awareness about their services

OUTCOMES:

OUTPUTS: 3500 elder victims will be provided with advocacy services

All non crime-related elder rights assistance calls will receive pertinent information or

appropriate referral.



neglect, and exploitation

OBJECTIVE 4.3: ▲Improve the identification and utilization of measurable consumer outcomes for elder rights programs EXPLANATION: The primary intent of this objective is to

enable the AAA to document efforts to ensure targeting of elder rights programs in the PSA and

to demonstrate the value and impact of those services. Strategies should include participating in

statewide efforts to develop a uniform statewide reporting system for legal services, as well as

establishing mechanisms for utilizing data available to improve awareness of the importance of

legal assistance, increase access to legal assistance, and address the quality of legal assistance

provided.


Elder Rights Center of Excellence will create, conduct and analyze satisfaction surveys with

10% of crime victims contacting the Center.

Elder Rights Center and IT Centers of Excellence will establish guidelines to capture anecdotal

information from consumers referred to the Elder Rights COE. (who, what, where, when,

why/analyze). M. Jones

Elder Rights Center and IT Centers of Excellence will develop the ability to maintain and

modify the current data base used to capture anecdotal information

Elder Rights Center of Excellence, IT and the Director of Communications will use the Center

website to collect consumer data on:

the usefulness of the information contained on Elder Rights pages

an anonymous Financial Fitness Survey that helps the consumer to identify their risk for

financial exploitation, frauds and scams; provides the ADRC with valuable information

not currently being captured and invites the consumer to read the Financial Self-

Determination Guide and/or contact the Elder Rights COE for further assistance.

The Planner and Elder Rights COE will participate in statewide efforts to develop a uniform

statewide reporting system for legal services

OUTCOMES:

OUTPUTS:


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OBJECTIVE 4.4: Promote primary prevention of elder abuse, neglect, and exploitation EXPLANATION: The primary intent of this objective is for the AAA to expand existing education/outreach/awareness efforts such as websites, newsletters, presentations, etc., to include prevention of abuse, neglect, and exploitation. Primary prevention focuses on preventing elder abuse, neglect, and exploitation from happening at all. Strategies should be developed to educate the public about the special needs of elders and about the risk factors for abuse in vulnerable adults.


Elder Rights Center of Excellence will raise awareness of elder rights through training,

educational events and the use of the Center's website in accordance with the annual Title VII

work plan.

Elder Rights Center of Excellence will provide information/training to the 15th and 19th

Judicial Circuit Chief Judges and court personnel on elder-specific issues. The Center will

conduct at least 1 formal training during the 3 year period.

Seek funding for ongoing development of elder rights programs.

Our contracted service providers have the following strategies included in their service

provider applications in order to promote primary prevention of elder abuse, neglect, and

exploitation.

Lead agencies will educate staff about the special needs of elders and about the risk factors for abuse in vulnerable adults by on-going discussions at case manager’s staff meetings.

Legal Aid Society of Palm Beach County will represent victims of elder abuse in circuit and county court to protect them from physical abuse, neglect and financial exploitation. Lead agencies will assure that the brochure: “The Power to Prevent Elder Abuse” is provided to clients, and case managers will explain the “types of abuse” and information regarding how to “report abuse, neglect, or exploitation.”

New employees are educated at orientation regarding abuse risk factors and mandatory

reporting.

Annual in-service training is conducted with all employees regarding abuse risk factors and

reporting.


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Case managers are afforded additional opportunities to attend any training that may be offered

by the Florida Department of Elder Affairs or the Florida Department of Children and Families

or the Aging and Disability Resource Center that relates to elder abuse, neglect and exploitation.

Case managers will continue to follow the “Adult Protective Services Referrals Operations

Manual”; developed in conjunction with The Department of Elder Affairs and The Florida

Department of Children and Families re: “High Risk” APS referrals.

Case managers and CIRTS staff have received the required training through the Area Agency

on Aging of Palm Beach/Treasure Coast on the Adult Protective Services Referral Tracking

Tool (ARTT).

Lead agencies will assure that any new case managers and / or new “CIRTS” staff will receive

the required ARTT training.

Lead agencies will assure that the required abuse posters are visible in the Adult Day Care

Centers and the congregate meal site/ senior center.

Staff will be educated about the special needs of elders and about the risk factors for abuse in

vulnerable adults by training sessions, meetings, and conferences to increase knowledge; on-line

training through DOEA; and on-going discussions at case managers staff meetings.

Day Care staff are required to take mandatory training in ANE within one and three months of employment.

Lead agencies maintain a close working relationship with DCF staff and consults all cases with investigators to ensure elders within the community are removed from crisis situations.

In Okeechobee our lead agency will strengthen families through increased caregiver support,

education and access to programs. They will work with the Okeechobee Library to encourage

on-line programs through the computer Web Sites and other Internet applications to reach

families and caregivers to assist in this endeavor.

Okeechobee Senior Services plans to interface with Indian River State college to develop senior

related educational programs, such as major current events affecting seniors.

Okeechobee Senior Services will expand existing education/outreach/awareness efforts such as

websites, newsletters, presentations, etc. to include prevention of abuse, neglect, and

exploitation.

Okeechobee Senior Services will educate the public through newspaper, radio, and

presentations at the Senior Center about the risk factors for abuse in vulnerable adults.

Florida Rural Legal Services will do outreach throughout the four county service area. Some sites are in rural areas, and others are located in areas with a minority population. One important substantive focus of outreach will be the provision of legal information about preventing elder abuse, neglect and exploitation. A one-page flyer on this topic is being


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developed for distribution. The flyer will also urge readers to call FRLS with any problems they have encountered with abuse, neglect or exploitation.

OUTCOMES:

80% of victims who were served do not have a reoccurrence of a reported victimization within the next year.

OUTPUTS:


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OBJECTIVE 4.5: Reduce the rate of abuse, neglect, and exploitation recidivism through education, outreach, and the provision of services. EXPLANATION: The intent of this objective is to expand existing efforts supporting ANE interventions. Strategies to reduce the rate of recidivism should include education and outreach for caregivers and clients to help them with coping skills and services to alleviate caregiver stress and possible family strife. Establish and maintain collaborative relationships with other entities that endeavor to prevent elder abuse, neglect, and exploitation.


The Elder Rights Center will provide the leadership in developing a Palm Beach County

Financial Protection Network.

Reduce the rate of recidivism for consumers referred to the Elder Rights Program through

education and counseling.

Elder Rights Center of Excellence will identify or develop financial management tools for

seniors and their caregivers which address Medicare, Medicaid, SSI, bill paying, money

management, creditors, etc.

Elder Rights Center will identify and coordinate Financial Exploitation Prevention training for

physicians.

Elder Rights Center will contract with Medicare Managed Care Providers for the provision of

the mandated Abuse, Neglect and Exploitation training.

Consumer Services Consultants will continue to work the APS exception report.

Consumer Services Consultants will continue to include APS consumer files as part of annual

quality assurance review to ensure providers adhere to MOU and Adult Protective Services

Operations Manual requirements for serving high risk APS consumers. Where issues are found

include high risk APS consumer files as part of quarterly file reviews.

Consumer Services Consultants will provide technical assistance to lead agencies regarding

high risk APS referrals.

Consumer Services Consultants will provide training to Lead Agencies on changes to the APS


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Operations Manual.

Elder Helpline will continue to train staff regarding appropriate referrals to APS

In order to reduce the rate of abuse, neglect, and exploitation recidivism our contracted

providers have included the following strategies in their service provider applications:

Contracted providers will offer dementia-specific support groups on a weekly basis

Lead agencies will provide services, including case management, for clients designed to support family caregivers to help them with coping skills and alleviate caregiver stress and refer caregivers and clients for mental health services as appropriate to help alleviate ANE

Just Checking Caregiver Counselors will work closely with APS investigators to provide education and support to caregivers. Often relieving the caregiver’s stress, connecting them with supportive services and educating them about disease process and challenging behaviors will allow them to be able to continue their role as a caregiver in a more loving and effective way.

Palm Beach County Legal Aid Society will monitor instances of recidivism through its case management system, Legal Server. Because all clients who receive one-on-one legal assistance are entered into the case management system, staff are immediately able to recognize when individuals are contacting Legal Aid for recurrent issues and are able to more fully address the reasons for the recidivism and provide additional legal assistance and access to community services. Palm Beach County Legal Aid Society will serve as the “legal arm” of the senior human services network in Palm Beach County by supporting social service agencies that provide case management, health care, nutrition, transportation, mental health counseling, in-home care, housing assistance, emergency services and crisis intervention to elder caregivers in the community.

Case managers will learn to identify signs that a caregiver is stressed and at risk for potentially

neglecting or abusing patient; If there are signs of at-risk, the case manager will encourage the

use of supportive services; family support group, day care, etc.

Case managers will also work with local mental health providers, home health agencies,

Alzheimer’s Association. They are able to provide caregivers with appropriate information and

options such as, caregiver counseling, support groups and services that may reduce caregiver

stress, such as Adult Day Care Services and Respite Care, Elder Law seminars. When the needs

of the consumer, can no longer be met in a community setting and placement is required in

either assisted living or skilled nursing case managers are able to provide guidance and support

to the consumer and caregiver as well as making appropriate referrals on behalf of the

consumer.


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Providers will maintain collaborative relationships with other entities such as DCF and Alzheimer’s Association.

Lead agencies will ensure that all APS referrals are addressed and services are in place within

72 hours. They will make sure that the consumer is monitored for the first 30 days to ensure that

they remain out of the crisis situation. There will be a 30 day assessment and a consultation with

the API to ensure that the crisis situation has ended and that there is no threat that the consumer

will return to the previous situation. Any possible threats to the consumer, such as physical,

mental, or personal, will be addressed and resolved before the consumer is released from the

lead agency’s care.

Case Managers will provide consumers and/or family members with education and referrals regarding elder abuse and exploitation and assist the consumers in removing themselves from dangerous situations.

OUTCOMES:

• Percent of Adult Protective Services (APS) referrals who are in need of immediate services to prevent further harm who are served within 72 hours

OUTPUTS:


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OBJECTIVE 4.6: Increase the awareness of health care fraud and other elder rights issues EXPLANATION: The intent of this objective is for the AAA to use existing mechanisms to increase public awareness. Strategies can involve the use of websites, newspapers, other media outlets, etc.


Collaborate with the Senior Medicare Patrol project in the awareness of Medicare fraud.

Collaborate with FL Department of Financial Services and CFO Jeff Atwater in their Be Scam

Smart presentations.

Collaborate with officials in the provision of presentations for senior constituents (e.g.

Congressman Deutch’s Office).

Elder Rights Center of Excellence and Elder Helpline Staff will provide technical assistance to

health care system discharge planners regarding resources for safe discharge planning including

accessing the Elder Helpline.

In order to increase the awareness of health care fraud and other elder rights issues our

contracted service provider Okeechobee Senior Services has included the following

activities in their service provider application.

Continue to partner with other agencies to develop resources and programs to strengthen

education and improve quality and accessibility of information on consumer protection.

Encourage the Okeechobee News to cover crimes against the elderly.

Utilize the Okeechobee Library computer program through the websites to educate the public

on reporting suspicious activity to Adult Protective Services.

Develop and manage a Volunteer based program (i.e. COPS through the Sheriff’s Dept.) that

works with seniors to investigate complaints, obtain restitution and educate seniors.

Promote intergenerational educational opportunities through programs at the Senior Center

(Okeechobee Alternative school has had several programs through the Senior Center).

Identify a curriculum of training (with assistance of St, Mary’s Memory Disorder clinic) on the

continuum of aging, care giving, and care receiving to address this goal.( Awareness can

prevent abuse.)


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Coordinate through Raulerson Hospital an educational training seminar for their medical

community on how to recognize potentially abusive situations and where to refer the

caregiver/family for help.

OUTCOMES:

OUTPUTS:


GOAL 5: Promote planning and collaboration at the community level that recognize the

benefits and needs of its aging population.

OBJECTIVE 5.1: Foster opportunities for elders to be an active part of the community EXPLANATION: The intent of this objective is to collaborate with communities to identify opportunities for elders that benefit them and their community. Strategies can include methods of promoting volunteer services by and for older persons including the use of intergenerational activities that allow elders to “give back” while educating younger generations about the value elders bring.


FGP will work to publicize and celebrate the benefits of our senior volunteers assisting in the

schools.

Advisory Council members will be offered opportunities to assist with the FGP Center of

Excellence in program development and implementation.

Utilize the organization’s website to feature senior volunteers in action in all program areas of

the Center.

The Foster Grandparent Program will continue to increase the number of participating

elementary schools and thus the number of mentees.

As an intergenerational volunteer program providing one-to-on mentoring to children with

special needs, the FGP Center of Excellence will hold a volunteer celebratory recognition

luncheon the first week in December to promote and recognize Florida Intergenerational Week.

FGP volunteers will also receive an appreciation card and momento during Volunteer

Appreciation Week in April. April FGP in-services will incorporate a special appreciation piece.

Community outreach efforts will continue to include information on current volunteer

opportunities.

The organization will continue to recognize and celebrate the incredible contributions of senior

volunteers in our Planning and Service Area at the Prime Time Awards Breakfast now in its

22nd year during Volunteer Recognition Month or Older Americans Month. Nomination

opportunities will remain open to the entire community. The Palm Beach Post as media sponsor

will continue to promote the benefit of senior volunteers through its publication of the

nomination opportunity and its coverage of the event.


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The following strategies are included in our contracted providers service provider

applications in order to foster opportunities for elders to be an active part of the

community:

Alzheimer’s Community Care plans to provide student internships through local colleges in social work and nursing. ACC engages elders in volunteer services and programs by: Serving as Support Group Facilitators Volunteering in the Adult Day Care Centers and working with patients Servicing on Advisory Councils Serving on the Board of Directors Offering Office Administration Help

ACC has a contract for the Senior Companion Program which brings together volunteers age 55 and over with adults in their community. Senior Companions work in the Adult Day Care Centers helping out with activities, food preparation while providing companionship to the patients in the center

In St. Lucie County, the lead agency in collaboration with local schools, i.e. Port St. Lucie High School, Treasure Coast High School and Centennial High School, is giving the opportunity for elder consumers to feel that they are a part of the community. Students and elders together sharing stories, playing games, listening to music, working on craft projects and laughing together while developing a mutual respect for one another. The program also incorporates Medical Students from Indian River State College, Keiser University Nursing Program, and Florida State University, which proves to be a meaningful learning experience for all concerned. Some of our students have even returned back to Council on Aging of St. Lucie, Inc. on a volunteer basis.

Palm Beach County Division of Senior Services’ volunteer program promotes volunteer services by and for older persons in congregate meal site locations, day care locations, senior centers; as well as in-home companionship.

Also in Palm Beach County The Volen Center seniors can volunteer for many jobs from assisting in the dining site to calling Bingo. The Volen Center also has a thriving child day care program that operates as an intergenerational day care. Seniors and children are encouraged to interact and programming centers around the activities that the two generations can enjoy together. Senior Resource Association provides a number of volunteer opportunities for active older adults through its nutrition, the Silver Tones Chorus and adult day services programs. SRA engages over 150 volunteers (most of them seniors) on an annual basis.

In Okeechobee County, Okeechobee Senior Services promotes issues important to seniors and

helps ensure senior representation on State and local decision making groups. OSS will continue

to do this by presenting important issues to the Board of Okeechobee County Commissioners

and they in turn to the county’s lobbyist. Once a month Senator Tom Rooney’s representative


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comes to the Okeechobee Courthouse to hear issues.

Okeechobee Senior Services promotes and encourages lifelong learning, volunteerism and other

pursuits that help seniors to be actively engaged in their community through liaisons with the

Retired Seniors Volunteer program as well as Indian River State college.

Okeechobee Senior Services also seeks collaborative opportunities with community and faith-

based organizations to enhance the resources and services of the aging network, OSS already

has working relationships with many of the churches in this regard.

Okeechobee Senior Services promotes volunteer services by and for older persons, including

the use of intergenerational activities that allow senior to “giveback” while exposing the

younger generations to the values and wisdom seniors have to offer.

Okeechobee Senior Services facilitates efforts to create a supportive community for seniors to

remain safely in their homes and actively participate in, contribute to, and enjoy community

life.

Okeechobee Senior Services holds recognition events (Senior Volunteer Day) at the Senior

Center and pursues other approaches to increase community awareness of the contributions

Seniors make to the community.

Florida Rural Legal Services will develop a volunteer policy for use by the agency. FRLS encourages the use of both attorney and non-attorney volunteers in order to enhance the legal resources available to the community. FRLS has used the services of RSVP volunteers in their office in the past and look forward to doing so in the future.

Just Checking encourages caregivers to use respite time to participate in pleasant and fulfilling activities. If the caregiver identifies volunteering as such an activity, all efforts are made by the counselor to find such an opportunity for the client within their time constraints. Elder volunteers are utilized by the agency to assist in support group facilitation and office tasks.

OUTCOMES:

OUTPUTS:


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GOAL 5: Promote planning and collaboration at the community level that recognize the

benefits and needs of its aging population.

OBJECTIVE 5.2: Promote safe and affordable communities for elders that will benefit people of all ages EXPLANATION: The intent of this objective is to encourage communities to incorporate elements of universal design into new construction and renovations of streets, sidewalks, and other common areas that will support an elder’s ability to age in place. Strategies should include the development of comprehensive health and support service systems; provide input regarding land use and transportation planning; the expansion of educational, employment, cultural, and recreational resources; and the promotion of active, caring, and inclusive communities that respect autonomy, informed decision-making, and empowerment of older adults.

STRATEGIES/ACTION STEPS: Consumer Services Consultants will continue to participate on the Transportation Boards of all five counties in order to ensure that the needs of seniors are addressed. Consumer Services Consultants will continue participation on the Accessible Transportation Coalition Initiative to ensure that the needs of seniors are met as part of the implementation of the Veteran’s Transportation and Community Living Initiative. The Center will engage its Advisory Council in the following strategies: The Advisory Council will cultivate relationships and dialogue with at least 70% of PSA 9's municipal and county elected officials over three years regarding the needs of seniors, adults with disabilities and their caregivers with the goal of understanding local needs, gathering municipal and county resources for seniors and adults with disabilities and the role the Center can play to meet their other needs. Communications may take the form of e-mails, printed material, face-to-face meetings and public events. Advisory Council Membership will be debriefed on the legislative priorities issued each fall by the Florida Association of Area Agencies on Aging (F4A) . They will also be educated about proposed bills and budget actions that may affect services to seniors, persons with disabilities and their caregivers.

Advisory Council Members will participate in meetings of the Treasure Coast Advocates for Seniors and the Partnership for Aging to share updates on legislative priorities and proposed bills during the annual legislative session.

Advisory Council Members will be encouraged to attend Palm Beach County League of Cities meetings along with Center staff. Upon acceptance of the Center as an Associate Member of the Treasure Coast League of Cities, members will also be encouraged to participate in its regular meetings.

Advisory Council Members are encouraged to participate in the Center's professional development series," Bagels and Brains"


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The Advisory Council Committee Chairs will establish regular meeting dates throughout the year. Members will assure that work plan changes are linked to the Center's Area Plan

OUTCOMES:

OUTPUTS:


GOAL 6: Maintain effective and responsive management

OBJECTIVE 6.1: Promote and incorporate management practices that encourage greater efficiency EXPLANATION: Best practice strategies may include internal monitoring, quality assurance, and performance-based standards and outcomes.


In a culture that thrives on teamwork and rewards innovation, dedication and creative thinking,

the Center will continue to strive for superior customer service to each other and to our seniors,

individuals with disabilities and their caregivers through our Centers of Excellence.

The Center will continue to focus on four values that we believe affect not only how we work

internally as a team, but also how we relate with our community network partners and our

external customers – the seniors and caregivers we serve every day.

These values are:

• Humility

• Gratitude/Appreciation

• Respect

• Responsibility/Accountability Accepting and practicing these core values in our daily lives – in how we conduct ourselves in

the work place as well as in the community lays the foundation for teamwork which is key in

achieving excellence.

The Planning & Consumer Care Center of Excellence realizes that we and our aging network

partners have the mutual goal of responsibility/accountability to the consumers for whom we

care. We share a goal of system improvement where all parties appreciate the efforts, ideas and

suggestions of the others.

The HR center of excellence continually works with the leadership team to ensure our

performance management system incorporates not only accomplishments, but continuous

quality improvement activities and is values driven.

Update current Employee Handbook for 2013.

Fiscal and Planning and Consumer Services will continue to measure timeliness and quality of

contracts/ amendments and search for quality improvement opportunities.


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Consumer Services Consultants will continue tracking the errors on CIRTS reports to strive to

improve provider accuracy.

Volunteer Programs will endeavor to reach outcome measures developed in accordance with

funder specifications and to adhere to continual improvement methodologies.

Compliance Officer will continue to perform internal reviews of all Centers of Excellence to

ensure standards and desired outcomes are met and recommend continual improvement

strategies.

Healthy Living will develop and implement an internal monitoring tool for all evidence-based

workshops.

Healthy Living will implement a tracking system for evidence-based workshops to determine if

internal and contractual outcomes are being met.

Elder Rights will continue to maintain the accuracy of the new CRM database and implement

enhancements as they are identified.

Elder Rights will collaborate with IT in identifying and implementing enhancements to the

CRM database to increase efficiency and provide for utilization of limited resources to focus on

clients.

In 2013, a document management system was purchased to begin the process of becoming a paperless organization. Fiscal will implement first, then other centers will be identified and paperless processes will be developed. Agency-wide implementation is targeted for 12/31/2014, then work will begin to bring the service providers onboard making the whole of PSA9 paperless Sharepoint software to maximize cross communication and the sharing of information will be implemented in 2014. Upgrade Server Operating systems to Server 2012. The Directors of the Elder Helpline and of Strategic Initiatives will collaborate in implementing the 2013 - 2014 ADRC Annual Improvement Plan. IT and Fiscal will work together to minimize data entry of provider invoices by implementing a data transfer mechanism from Excel to the accounting system. In 2014 IT will develop a batch interface for Elder Rights to automate the process of loading data into their system.


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IT will work with other PSA’s on a strategy to get F4a on a unified telephony platform. In order to promote and incorporate management practices that encourage greater

efficiency our contracted service providers have included the following strategies in their

service provider applications.

Providers monitor program expenditures on a monthly basis

1. Senior Resource Association will work to minimize administrative and case management costs and Increasing funds available for core services.

2. Measure impact of services 3. Assure coordination of services provided by various agencies and individuals, and ensure

appropriate use of funding sources. 4. Provide linkage between health care and social service delivery systems. This will require

involvement with physicians, hospitals, health maintenance organizations (HMOs), nursing homes, and home health agencies.

5. Identify gaps in elder services and initiate programs to address the issues. Palm Beach County Legal Aid Society Strategy: Implement best financial and administrative practices to ensure the highest level of quality and efficiency in all operational systems. Action Steps: � Undergo annual gold level certification process through Nonprofits First of Palm Beach County. � Adhere to individual funders’ contractual agreements and respond to monitoring findings when applicable.

� Continue to maximize the percentage of the annual budget allocated for core client

services while minimizing administrative and fundraising costs and maintaining optimal

efficiency across the organization.

Case managers will complete required case management tasks as per DOEA Programs and

Services Handbook.

Case managers will continue to seek available resources appropriate for each consumer to

include use of consumer’s financial resources to support their care, informal and family support,

private pay services, VA assistance, faith based services, Medicare and Medicaid; as well as

CCE,ADI,HCE, services when funding permits.

Case managers will assist consumers by providing information or by making referrals to

appropriate resources in the community including the Aging and Disabled Resource Center,

CARES, Department of Children and Families, Veteran Affairs.

Outcome Reports will be provided to Your Aging Resource Center monthly.


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After each monthly report cycle, the Council on Aging of St. Lucie, Inc.’s Chief Operating

Officer will meet with all departments to review and discuss service delivery trends,

achievement levels, surplus/deficit reports, community outreach, projections, department issues,

etc.

DOSS will promote and incorporate management practices that encourage greater efficiency through:

1. Internal monitoring of vendors, 2. On-going quality assurance of vendors and programs through surveys, and

Performance-based standards and outcomes for staff.

Providers will monitor expenditures on a monthly basis.

Providers will perform internal monitoring of vendors. Providers will continue on-going quality assurance of vendors and programs through surveys, and performance-based standards and outcomes for staff. Providers will utilize internal monitoring, quality assurance, and performance based standards and outcomes. Providers will identify alternate resources for funding. Providers will support the use of electronic records and electronic data.

Providers will increase access to assistive devices and technology through education about

sources for assistance and developing collaborations.

Providers will advocate for and work toward increasing the quality of care.

At The Volen Center quality assurance efforts will focus on (a) accuracy of collection and entry of data in paper files and both the Center’s internal MIS system and in CIRTS, (b) timely assessment and reassessment, and (c) comprehensive record keeping. The Volen Center will maintain and improve internal reporting mechanisms designed to track and evaluate expenditure of all funds, regardless of source, but with a particular emphasis on utilizing DOEA and County-provided funds more effectively. Program related cost-benefit analyses will be conducted at The Volen Center on a regular basis to determine the appropriateness of continuing to offer programs. Additionally, the plan for any new undertaking at The Volen Center will incorporate a cost/benefit analysis that evaluates staff and materials expense, marketing costs, overhead, and other expenses versus income/funding. If a program cannot pay for itself, the decision to allow it to operate at break even or a loss must be conscious and can be made only by the President/CEO.

OUTCOMES:


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OUTPUTS:


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OBJECTIVE 6.2: Effectively manage state and federal funds to ensure consumers’ needs are met and funds are appropriately spent EXPLANATION: The intent of this objective is for all state and federal funds to be spent, as well as to identify alternate resources for funding. In addition, the intent is for the funds to be spent on those populations for which the funds were intended.


Consumer Services Consultants will continue to request and review providers’ submission

of DOEA required targeting reports.

Consumer Services Access Manager, Fiscal staff, and Consumer Services Consultants will

continue to jointly meet on the surplus/deficit reports in order to ensure timely addition of

consumers to address budget surpluses.

Planning will complete a request for proposal process for the Planning and Service Area for

General revenue funds to be effective July 2015.

Healthy Living will seek in-kind donations to support/enhance program objectives. Healthy

Living will begin implementing a nominal per class fee for those seniors able to pay for

classes on evidence-based interventions.

Elder Rights Center will continue to seek private and public funding.

Elder Rights will explore the feasibility of collaborating with PSA 10 and PSA 11 regarding

projects of common interest that will maximize current resources and generate alternate

sources of funding.

Elder Rights Center will continue to meet all funding deliverables to ensure a continuation

of current funding.

The Communications Director with Senior Management will coordinate hosting monthly

breakfasts for continuing education of staff, advisory council and board members regarding

The Center’s programs so that all can make informed decisions regarding Center programs.

Bagels & Brains was initiated as a series of informational presentations held on the 3rd

Tuesday of each month beginning in January of 2013 at Your Aging Resource Center.

It is our hope that these opportunities for professional development will enable each of

us to be more knowledgeable about Your Aging Resource Center and better equipped to

advocate for our seniors, adults with disabilities and their caregivers. Topics have


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included Statewide Medicaid Managed Care Long Term Care, the Elder Helpline,

SHINE, the LGBT Initiative and Family Asset Protection Planning with 30 – 60 people

in attendance. The last Bagels & Brains in 2013 will be held on October 15th. The

series will resume in January 2014.

In collaboration with the Center's Advisory Council and community private pay home health

providers the ADRC will seek alternate resources to serve consumers in need of limited or

short term through a pro bono program using donated in home services from community

providers.

Our contracted service providers have included the following strategies in their service

provider applications to effectively manage state and federal funds to ensure

consumers’ needs are met and funds are appropriately spent. The Council on Aging of St. Lucie will reconcile service delivery on a weekly basis. After each monthly report cycle, the Council on Aging of St. Lucie, Inc.’s Chief Operating Officer will meet with all departments to review and discuss service delivery trends, achievement levels, surplus/deficit reports, community outreach, projections, department issues, etc. Palm Beach County Legal Aid Society Strategy: Adhere to financial policies and procedures that ensure that state and federal funds are spent appropriately while meeting consumers’ needs. Continually explore new and diversified sources of funding. Action Steps: � Expend all funds provided according to contractual obligations and in a timely manner. � Submit all progress reports, billing invoices and closeout paperwork as specified in

contract agreements. � Update the agency’s Financial Policies Manual on a regular basis under the guidance of

the independent auditor. � Engage an independent auditor to perform an annual audit of Legal Aid’s financial

statements. � Prospect and cultivate new and diverse resources for funding on a continual basis

Providers hold meetings bi-weekly to monthly to monitor DOEA-funded program

expenditures; add new consumers as funding permits; and ensure that funds are spent on

those populations for which the funds were intended.

Prior to accessing funded services, case managers will explore the use of alternative funding

sources including Medicare, Medicaid, Veterans Benefits, private insurance, other

community resources and private pay.


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Prior to a home visit, new consumers are contacted by phone to review program eligibility

and requirements.

Inactive cases will be closed in a timely fashion to allow for new enrollments.

New consumers with a 701B ranking of three (3) or higher will receive services. Consumers

with a ranking of less than three (3) will be returned to the wait list to ensure that only those

individuals at the highest risk level receive services.

Providers will minimize or reduce cost of care by focusing on improving efficiency while

maintaining or improving quality.

Care managers must be specially trained to provide consumer-driven services.

At The Volen Center the Vice President and department directors continually work with staff to refine statistical reports that summarize program activities and that support The Volen Center survey efforts. These reports will include number of actions taken by category, number of consumers served by service, and so forth. Existing reports will be reviewed and refined. Quality of documentation, adherence to file structure and content requirements, timeliness of activity and documentation, and other aspects of staff performance related to accuracy of reporting of consumer issues and compliance with contractual requirements are critical to ensuring that The Volen Center meets its contractual obligations.

Quality Assurance Coordinators at The Volen Center maintain a record of monitoring results

by staff members and monitor improvement and issues that need to be addressed and may

provide feedback for training purposes. Also, when patterns of incorrect documentation are

seen across two or more staff members, the Quality Assurance Coordinators may request a

special training session for all staff, review existing training content, or recommend a

procedural change in order to improve quality management and appropriate expenditure of

funds.

OUTCOMES:





• Average time in the Community Care for the Elderly program for Medicaid Waiver

probable customers


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• Percent of co-pay goal achieved

• Percent of increase in providers participating in the Adult Care Food Program

• Percent of state and federal funds expended for consumer services (Standard: 100%)

OUTPUTS:



OBJECTIVE 6.3: Ensure that providers continue to strengthen the disaster preparedness plans to address specific needs of elders EXPLANATION: Strategies may include the development of formal agreements with local, state, and federal entities that provide disaster relief and recovery. Consideration should also be given to the planning and identification of consumer needs and the availability of special needs shelters in times of disaster.


Consumer Services Consultants will ensure that local service providers adhere to disaster preparedness requirements in the DOEA Programs and Services manual to include:

• formulating a written disaster/emergency response plan which includes a CEMP, a COOP and a Pandemic Annex which must be reviewed and revised no less than annually and must be submitted to the Center Consumer Services Consultants by May 1st of each year.

• designating an Emergency Coordinating Officer for their service area and provide their contact information (home phone, cell phone, e-mail) information to the Consumer Services Consultants by May 1st of each year.

• assisting at-risk consumers to register with the Special Needs Registry of local emergency management agencies.

• Maintaining an emergency contact list for their staff.

• maintaining an updated call down list of consumers.

• developing a procedure for receiving referrals from other service agencies; conducting outreach; and delivering services to older Floridians, other than existing consumers, needing emergency relief assistance.

Consumer Services Consultants will review annually Palm Beach County Local Service Providers assignment of staff to EOAs in order to understand their planned participation to ensure that elder residents other than their consumers receive disaster assistance as coordinated through local officials. Consumer Services Consultants will familiarize themselves with the Treasure Coast Lead

Agencies working relationships with local emergency management personnel to understand

how they ensure that elder residents other than their consumers receive disaster assistance as

coordinated through local officials.

The PSA ECO and any back-ups will assist PSA 9 providers in the coordination of efforts to outreach, initiate and maintain services to all persons 60 years of age and older after the emergency including those seniors who were not previously consumers of the service provider network and who did not require services prior to the disaster. This assistance will be rendered according to each county's own recovery plan and the procedures set forth through the local


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Emergency Support Functions. This will enable the Center to continue and expand operations after a disaster. Alzheimer’s Community Care will serve as a key participant for special needs shelters in Palm Beach County with staff volunteering to assist with Alzheimer’s families. Providers have relocation agreements in place and available, should centers of operations be compromised after a disaster. Providers conduct annual review of disaster preparedness plans of enrolled participants. The Council on Aging of St. Lucie will attend the Annual Emergency Coordinating Officers Hurricane Expo in Fort Lauderdale to keep current with latest plans for disaster relief and recovery. Providers attend monthly, county meetings to allow continued collaboration between the Emergency Coordinating Officers at the agency and the county. The Council on Aging of St. Lucie updated Disaster Manual will be submitted to, and approved by, St. Lucie County every June. Providers participate in County Comprehensive Emergency Response Plans and Concept of Operations Plans.

Providers participate in planning for emergency shelter placement and discharge Providers distribute shelf stable meals to clients. Clients are referred to register for special-needs shelters as deemed appropriate. If the client has no other supportive agencies involved, counselor or other agency staff will contact client post-storm to determine need for support or services in recovery. Providers conduct annual fire drills so that staff are able to safely evacuate not only themselves but also their clients, particularly those who are elderly and disabled. Palm Beach County Legal Aid Society will undergo an annual gold level certification process through Nonprofits First of Palm Beach County, part of which contains a review of the agency’s disaster plan.


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OUTCOMES:

OUTPUTS:


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OBJECTIVE 6.4: Accurately maintain the Client Information and Registration Tracking

System (CIRTS) data

EXPLANATION: The intent of this objective is to ensure that data is entered accurately in CIRTS and that data is updated in a timely manner as to reflect changes. Strategies may include comparisons of CIRTS data to information in client files to verify the accuracy of CIRTS data and the provision of training and ongoing technical assistance to ensure employees understand how to use CIRTS.


Consumer Services Consultants will continue quarterly consumer file reviews to evaluate

providers’ CIRTS data accuracy.

Consumer Services Consultants will provide technical assistance to providers regarding the

requirement that the CIRTS Care Plan Inquiry screen is updated annually.

Consumer Services Consultants will review with providers the DOEA findings regarding

inconsistency in CIRTS Received Services with services prescribed on the care plan.

Consumer Services Consultants will continue to work with providers to keep accurate

information using the Medicaid Waiver Clean-up Report.

Consumer Services Consultants will continue to work with providers to improve the quality of

the Medicaid Waiver Timeline Report.

Consumer Services Consultants will continue to run the APS Exception Report to identify

ARTT Referrals In CIRTS But Not ARTT and ARTT Referrals In ARTT But Not CIRTS.

Fiscal will accurately maintain the contract data (unit rates) in CIRTS.

IT will run the following monitoring reports and request providers to correct/update data.

• Vital Statistics Report – Open Enrollments

• Vital Statistics Report – Assessments after DOD

• Possible Duplicate Client Report

• CIRTS Data Clean Up Report

• ACTV NHD Clients who are ACTV or APCL in another Program

IT will perform a CIRTS/REPORTS quarterly highlight to educate providers about available


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reports and how to use them.

Our contracted providers included the following strategies in their service provider

applications to accurately maintain the Client Information and Registration Tracking

System (CIRTS) data.

Both data entry personnel and case managers compare CIRTS data to patient file to verify

CIRTS data is accurate.

Providers attend CIRTS meetings provided by Your Aging Resource Center.

The Council on Aging of St. Lucie has two members of staff trained as Program Information

Data Analyst (PIDA’s) which represents a primary and an alternate. Both positions are filled

with staff members, one of which has 8 years of hands-on CIRTS experience. They both

posses the skills and knowledge needed to accurately input all required assessment information,

care plans, enrollment data, all DOEA status and termination codes, Protective Service Referral

requirements for CIRTS and all reporting procedures for CCE, ADI, HCE, OAA along with that

of Medwaiver, the Assisted Living Waiver and EHEAP. Their training and experience also

enables them to be responsive and prompt to the Center and DOEA inquiries and directives.

The Council on Aging of St. Lucie also maintains a comprehensive and current Operations and Procedures Manual for CIRTS created by our lead Analyst that would assist in the transition to new staffing. DOSS has developed reports in database to assure the information in CIRTS is up to date. These reports are run on a daily basis by clerical the staff that updates CIRTS.

Okeechobee Senior Services will continue supervisory and peer file review processes to help

ensure data integrity, consumer satisfaction and correct implementation of program

requirements.

The Volen Center has plans to develop more specific quantitative guidelines for initial entry errors; refine the process for reviewing data entry as entered and in proof stages; track error rates by source of entry and develop specific intervention steps to address performance at the source. All providers run a variety of CIRTS reports monthly to identify any discrepancies or data variances that might indicate a problem. Providers would like to work with The Center to develop additional ad hoc CIRTS reports, as needed that will help to further identify any potential errors in CIRTS.


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OUTCOMES:

OUTPUTS:


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OBJECTIVE 6.5: Promote volunteerism by and for older people when possible EXPLANATION: The intent of this objective is twofold: 1) detail how incorporating volunteers might extend the AAA’s capacity to provide services and 2) promote the benefit of elder volunteers to other entities who also provide services. Strategies may include the collection and use of “Best Practices” volunteer programs that enhance local services. Activities to recruit elders as volunteers should also be discussed.


Healthy Living Evidence Based Prevention training will be delivered by volunteer coaches

and trainers to train seniors in the PSA. The services will be provided in English and

Spanish allowing us to serve OAA targeted communities.

Advocacy services for elder crime victims will be provided by victim advocate staff and

trained senior volunteer advocates.

Victim advocacy training will be provided for all volunteer advocates on a yearly basis and

as needed.

Volunteer advocates will be afforded the opportunity to provide community presentations

to seniors regarding elder rights.

One-on-one Medicare counseling will be provided by trained SHINE volunteers.

Community education on all Medicare-related topics will be provided by trained SHINE

volunteers.

As a Center, we are fully supportive of, and promote through the website or other means,

Florida Intergenerational Week or any of the national Volunteer Recognition or

Appreciation Months.

The signature Prime Time Awards Breakfast held in May during Older Americans Month

celebrates senior volunteers in our PSA.

The Foster Grandparent Program will continue to recruit, train and place senior volunteers

to mentor and tutor children pre-k through third grade. Foster Grandparent volunteers will

continue to help children learn to read, provide one-on-one tutoring and guide children at a

critical


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Among our providers the following strategies are included in their service provider

applications to promote volunteerism by and for older people when possible. Recruit senior volunteers through media, word of mouth, networking and through the

organization’s website.

Council on Aging of St. Lucie, Inc. will continue their initiatives to enable volunteers to

contribute time, energies and talents that help fulfill the organization’s mission. Volunteers

extend and augment the work of paid staff. Their skills, professionalism and time bring new

insights, energy and assistance to the existing workforce. Volunteers provide support in direct

services, kitchen aides, CNA’s, Receptionists, Office Support, and companions. Volunteers are

viewed as extensions of Council on Aging professional and paid staff.

Council on Aging of St. Lucie, Inc. seeks elder volunteers for their talents and experience that

engage older adults in tasks at improving their social conditions. Council on Aging currently

solicits volunteers through community support organizations i.e. United Way of St. Lucie,

Volunteer St. Lucie, Inc., and AARP. Volunteers are supported through supervision, training,

and various levels of incentives.

DOSS promotes volunteerism by and for older people when possible by incorporating volunteers in both in-facility and in-home to provide services; incorporating volunteers in Senior Centers; and recruiting elders as volunteers through the Senior Centers and Community Outreach presentations. Senior Resource Association will provide a number of volunteer opportunities for active older adults through its nutrition, the Silver Tones Chorus and adult day services programs. SRA engages over 150 volunteers (most of them seniors) on an annual basis, and relies upon them to assist with and enhance service provision.

Florida Rural Legal Services will develop a volunteer policy for use by the agency. FRLS will encourage the use of both attorney and non-attorney volunteers in order to enhance the legal resources available to the community. FRLS will use their full-time Pro Bono Coordinator to recruit and utilize volunteer attorneys from all of the counties in the Treasure Coast. Recruitment of volunteers will be done in a variety of ways, including annual recruitment correspondence, telephone calls, a recruitment application on the website, making appeals and speaking at local bar association lunches and functions, and in many other ways. Volunteers will be used to help with advice clinics and to represent senior clients with more extended types of case representation.

Just Checking will utilize volunteers to facilitate support groups when appropriate. Volunteers will also used to help with filing and other office work when available. This frees-up the agency’s professional staff to perform more clinical duties. Volunteers will primarily be recruited and trained through our parent company, MorseLife.


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Okeechobee Senior Services plans to work with the Okeechobee School Superintendent to

explore the possibility of having middle school volunteer hours count for credit toward Bright

Futures scholarship requirements.

Okeechobee Senior Services will also work with the Okeechobee School Superintendent to

implement an intergenerational program that would benefit seniors and children.

Okeechobee Senior Services plans to collaborate with RSVP to increase community

involvement through volunteer initiatives.

The Volen Center is an active member of DOV. This assists the Center in networking with different agencies to recruit volunteers to perform all different tasks for the Center.

The Volen Center offers a Volunteer Recognition Luncheon and functions throughout the year to recognize the volunteers for the work that they do to contribute to the Center’s overall functioning.

Every 6 months a mandatory volunteer educational training is held to keep the volunteers current on the Volen Center’s volunteer policies.

The Volen Center also has a volunteer advocacy program. These volunteers advocate at the

local, county, and state levels for seniors issues. This promotes senior involvement in the

community and also promotes volunteerism. The Volen Center is able to communicate issues to

local and state lawmakers and advocate for senior needs thus enhancing senior services.

OUTCOMES:


• Develop strategies for the recruitment and retention of volunteers

OUTPUTS:


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OBJECTIVE 6.6: Adhere to OAA requirements for developing and administering the Area Plan EXPLANATION: The Older Americans Act requires that the council shall advise the agency relative to: (1) Developing and administering the area plan; (2) Conducting public hearings; (3) Representing the interest of older persons; and (4) Reviewing and commenting on all community policies, programs and actions which affect older persons with the intent of assuring maximum coordination and responsiveness to older persons.


• The Advisory Council Planning Committee will review staff progress on Area Plan strategies and action steps as well as any proposed changes. The Committee will share appropriate updates with the Advisory Council.

• The Advisory Council Planning Committee will review the SCOT analysis to determine progress made and to identify potential strategies and action steps for the next cycle Area Plan.

• The Advisory Council Planning Committee will review new data regarding demographics and needs assessments on an ongoing basis to determine impact on the next cycle Area Plan and General Revenue RFP.

• Advisory Council Committee Chairs will ensure Advisory Council Committee work plans are consistent with the Area Plan and that all progress and any changes are reported for updates to the Area Plan

• The Planning Committee will review DOEA proposed revisions to the Agency’s 2013-2015 Area Plan and make recommendations to the Advisory Council regarding their acceptance/rejection

• The Advisory Council Membership Committee will continue to seek to recruit diverse and experienced community professionals, advocates and consumers that meet Council requirements contained in the Older Americans Act.

OUTCOMES:

OUTPUTS:


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