The SAIL & ENRICH Projects ROSS Elderly/Disabled Grants Grants serve five properties in Annapolis, MD The U.S. Department of Housing and Urban Development The Housing Authority of the City of Annapolis (HACA) Anne Arundel County Department of Aging Anne Arundel Medical Center – Lifeline Program - 4 Family properties (557 total units – 162 elderly/ disabled units) - 1 Elderly/Disabled property (Glenwood units) Partners:

Assisted Living Facilities Models in Public Housing 2 BACKGROUND Background: HACA was aware of the need for additional services before applying for ROSS grants The ROSS application process helped delineate the extent of the need The ROSS application process helped HACA prioritize funding Environment: The elderly/disabled residents of HACA’s properties faced a number of issues, including: poor health, lack of access to needed services, poverty, lack of transportation, isolation and insufficient state resources Project Goals: To enhance the comfort, safety, health and wellness resources of 100 or more elderly/disabled residents THE HA OF THE CITY OF ANNAPOLISANNAPOLIS, MD

Assisted Living Facilities Models in Public Housing 3 BACKGROUND (Continued) THE HA OF THE CITY OF ANNAPOLISANNAPOLIS, MD Resident Opportunities and Self-Sufficiency Program: Links public housing residents with supportive services Resident empowerment activities Assistance in becoming economically self-sufficient ROSS Has 4 Funding Categories: Resident Service Delivery Models – Family Resident Service Delivery Models – Elderly/Persons with Disabilities Homeownership Supportive Services Neighborhood Networks

ROSS FUNDING BY STATE FOR FISCAL YEAR 2002 RSDM - FAMILY & RSDM - ELDERLY/DISABILITIES < $500K $500K – $1M $1M – $2M > $2M * Guam and DC both also received < $500K

ROSS FUNDING BY STATE FOR FISCAL YEAR 2002 TOTAL ROSS FUNDING < $500K $500K – $1M $1M – $2M > $2M * Guam and DC both also received < $500K

Assisted Living Facilities Models in Public Housing 6 DESIGN / STAFFING THE HA OF THE CITY OF ANNAPOLISANNAPOLIS, MD

Assisted Living Facilities Models in Public Housing 7 PROCESS HACA learned of the ROSS grants through the HUD web site and participated in a satellite training broadcast HACA applied for ROSS grants in order to fulfill needs of elderly/disabled residents that were going unmet In 2000, HACA received a three-year $54,250 ROSS grant. This allowed for the delivery of three major services to the Glenwood property: A case manager for residents Emergency response services for people with limited mobility Subsidies for disabled people to join congregate housing THE HA OF THE CITY OF ANNAPOLISANNAPOLIS, MD

Assisted Living Facilities Models in Public Housing 8 PROCESS (Continued) In 2001, HACA received a $200,000 ROSS grant also for three years. This funding provides the following: A case manager for elderly/disabled people in the four family communities Provision of breakfast for people in congregate housing (at Glenwood) A variety of wellness activities Nursing checks (blood pressure/blood sugar) A "safety net fund" to provide one-time-only assistance for people who do not yet have access to subsidized services Further subsidies to enable disabled non-elderly people to enter congregate housing within HACA’s existing capacity THE HA OF THE CITY OF ANNAPOLISANNAPOLIS, MD

Assisted Living Facilities Models in Public Housing 9 PROCESS (Continued) FUNDING SOURCES AND USES ROSS 2001 GRANT $200,000 60% ROSS 2000 Grant items plus: Breakfast, Wellness activities and Nursing checks HACA$76,000 22% Staff Administration and Evaluation ROSS 2000 GRANT $54,250 16% Case Manager, Emergency Response and Subsidies for congregate housing AA Medical Center $2,955 + services 1% Installation and maintenance of Lifeline AA Department of Aging $2,282 + services 1% Classes at HACA’s developments, Transportation, Nursing services and more TOTAL:$335,487 THE HA OF THE CITY OF ANNAPOLISANNAPOLIS, MD

Assisted Living Facilities Models in Public Housing 10 MANAGEMENT / MARKETING Management: ROSS grants are managed by existing HACA staff ROSS finances a part-time (20 hours) case manager who reports to HACA’s Director of Senior Services HACA will be expanding the case manager’s hours from 20 to 30 hours a week due to the demand for her services Marketing: Monthly newsletter Door-to-door marketing by case manager is most effective approach Case manager visits not only elderly, but also younger family members/neighbors who can identify needs and encourage elderly residents to make use of services Marketing involves informing residents of services available through the grants, as well as services available through other state/local programs THE HA OF THE CITY OF ANNAPOLISANNAPOLIS, MD

Assisted Living Facilities Models in Public Housing 11 CHALLENGES/FAILURES/LESSONS LEARNED Challenges: ROSS requirements can create limitations on grantees and ultimately on residents Eligible Activities. What is eligible is not always clear Lessons Learned: Project implementation differs from project proposal/design. Therefore, some readjustment of resources is necessary during grant implementation The partnerships formed (required by ROSS) will be sustained after ROSS funding expires thereby ensuring continuation of state and local services The grant is doing a tremendous amount of good. Grant has alleviated crises situations thus preventing institutionalization of individuals THE HA OF THE CITY OF ANNAPOLISANNAPOLIS, MD

Assisted Living Facilities Models in Public Housing 12 ACCOMPLISHMENTS/SUCCESSES/HIGHLIGHTS General Success: Expansion of supportive services to needy elderly/disabled residents Improvement in the quality of life of elderly/disabled residents Specific Successes: HACA serves over 200 needy residents Partnership - Anne Arundel County Department of Aging has taken financial burden off HACA The partnership between the Department of Aging and HACA led to information and resource sharing--as a result the most needy residents are served, residents have access to additional services, and duplication of services is avoided THE HA OF THE CITY OF ANNAPOLISANNAPOLIS, MD

Assisted Living Facilities Models in Public Housing 13 SUMMATION Summation: Changes/refinements to the program are necessary in order to make it less confusing for users and ultimately more beneficial for residents Bottom Line: The ROSS grant program should continue In the words of a resident: "You [case manager] have helped me so much. You got me the wheelchair and eyeglasses and the girl who helps me. You help with all my medical appointments, transportation, mail, and my medication is only $1.00 because of you. I'm doing much better now." THE HA OF THE CITY OF ANNAPOLISANNAPOLIS, MD