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How To Help The Elderly

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RESPITE

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

(2)

RESPITE

Respite is a concept.

It can mean temporary services provided to aged, infirm or

disabled adults that allow their caregivers to take a break from caregiving.

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VIRGINIA RESPITE CARE INITIATIVE PROGRAM

 Established by the 1988 General Assembly to provide respite

for elderly (60 and older), and persons with Alzheimer’s disease or related illnesses

 Clients must have a twenty-four hour caregiver

 Respite care limited to 35 hours per month per client

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VIRGINIA RESPITE CARE INITIATIVE PROGRAM

(CONT.)

FY 2009:

FY 2009:

83,063 hours of respite provided by this program

309 clients received adult day care, personal care,

homemaker, companion care and hospice services

Program participants included 11 Area Agencies on

Aging and 3 non-profits

Participants must furnish matching funds and cost

sharing is permitted using the Virginia Department of

Health sliding fee scale

(5)

RESPITE

ADULT DAY CARE

IN-HOME

RESPITE

INSTITUTIONAL

RESPITE CARE

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Adult Care Center of Central Virginia

ADULT DAY CARE

 Social day care (providing social activities, meals,

recreation, and limited health-related services).

 Adult health day care (offering more intensive health,

therapeutic, and social services for individuals with severe medical problems). Adult day care is useful for caregivers who cannot stay home all day to provide care, supervision, and companionship.

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PERSONAL CARE SERVICES

 In-home respite care combines health care and support

services to help people with disabilities continue living at home as well as possible. Two types of home care are available:

Appalachian Agency for Senior Citizens Crater District Area Agency on Aging Non-medical home care services

include personal care, companionship, housekeeping, cooking, and other

household activities. Home health care services provide

medical care such as medication assistance, nursing services, and physical therapy.

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INSTITUTIONAL RESPITE CARE

 Institutional respite care in nursing homes, assistive living

centers, and occasionally hospitals, provide respite care for individuals with disabilities who need to be away from home

overnight or for several days. They can handle people in need of more care.

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THE NATIONAL FAMILY CAREGIVER SUPPORT

PROGRAM (NFCSP)

 A multifaceted support system that helps families sustain their

efforts to care for an older individual or child

 Area Agencies on Aging are encouraged to develop new models

of caregiver support that enhance the role of the family caregiver

 There must be both a caregiver and a care recipient to qualify

(10)

NFCSP ELIGIBLE POPULATION

Caregiver

is an adult family member, or another individual

who is an informal provider of in-home and community care

to:

 An individual who is 60 years of age or older; and for persons

receiving Respite or Supplemental Service, meets the

definition of “frail” as found in Section 102 (26) of the Older Americans Act

 A child not more than 18 years of age being cared for by a

“grandparent or older individual who is a relative caregiver” 55 years of age or older

(11)

SERVICE DELIVERY ELEMENTS

FIVE BROAD CATEGORIES

 Information to caregivers about available services

 Assistance to caregivers in gaining access to the services:

Information and Referral/Assistance

Care CoordinationTransportation

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SERVICE DELIVERY ELEMENTS

FIVE BROAD CATEGORIES (cont.)

 Individual Counseling, organization of support groups, and

training to caregivers to assist them in making decisions and solving problems related to their caregiving roles

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SERVICE DELIVERY ELEMENTS

FIVE BROAD CATEGORIES (cont.)

 Respite care to enable caregivers to be temporarily relieved

of their caregiving responsibilities

Adult Day Care

HomemakerPersonal Care

Institutional RespiteDirect Payments

(14)

SERVICE DELIVERY ELEMENTS

FIVE BROAD CATEGORIES (cont.)

 Supplemental services, on a limited basis, to complement

the care provided by caregivers

Chore

Congregate Meals

Home Delivered MealsDirect Payments

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VIRGINIA CAREGIVER COALITION

 Volunteer coalition that meets bi-monthly at VDA

 Formed after coalition training session sponsored by AARP

 Discussion centers on a variety of issues of concern to

caregivers and how to resolve these issues

 Produced new revised Taking Care A Resource Guide for

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VIRGINIA CAREGIVER COALITION

 90+ members from state, local, AAA, public and private

organizations

 Recognized in 2007, 2008, 2009 by the National Alliance for

Caregiving (NAC)

 Facilitator presented on the Coalition at the NCOA/ASA

(17)

KINSHIP CARE INITIATIVE STATEWIDE TASK FORCE

AND INFORMATION NETWORK

 Volunteer coalition that meets quarterly

 Focus on issues of interest to relatives serving as parents

 Founded on seed money from the Brookdale Foundation –

although money is exhausted, the task force still receives technical support from Brookdale

 Partnership with Kinship Care Workgroup at the Virginia

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VIRGINIA’S ALZHEIMER’S DISEASE AND RELATED

DISORDERS COMMISSION

 Advisory Committee to the Governor and Secretary of Health

and Human Resources to assist people with Alzheimer’s disease or related disorders, as well as their caregivers

 Nonlegislative citizen members appointed by the Governor,

Speaker of the House of Delegates and the Senate Committee on Privileges and Elections

 2007, 2008, 2009 Reports of this Commission advocate for

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ELECTRONIC PROGRAMS TO AID CAREGIVERS

 Developing the PeerPlace Program for easy transference of

client information

 Virginia Easy Access - information for caregivers that has a

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At the Virginia Department for the Aging, we want

all our seniors to age gracefully and comfortably

as they ride into their sunset years!

(21)

CONTACT/PROGRAM INFO

Ellen M. Nau, M.A., Human Services Program Coordinator

National Family Caregiver Support Program In-Home Services

Adult Day Care

Virginia Respite Care Grant Virginia Respite Care Initiative

Care Coordination for Elderly Virginians Kinship Care

Money Follows the Person Grant Elderly Refugee Program

Virginia Department for the Aging 804-662-9340

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