1. Affordable Assisted Living in Rural Alaska Honoring Traditions by Keeping Our Elders Close to Home

2. Definition of Assisted Living A congregate residential setting with personal and health care services, including 24-hour supervision and assistance. Helps frail and cognitively impaired Elders and people with disabilities maintain independence and dignity.

4. Goals of Assisted Living b Not Institutional b Cost-Effective b High-Quality, Safe Environment b Maximum Independence b Dignity and Respect b Involve Family and Friends

6. b Eating/Drinking b Bathing b Toileting b Dressing Core Services: Assistance with Activities of Daily Living (ADLs) b Grooming b Transfer b Mobility

8. Other Required Services in Assisted Living Homes b Meals b Housekeeping b Furnishings/Towels and Linens b Medication Assistance b Emergency Response b Health Promotion and Monitoring b Social and Recreational Activities

10. Licensing Requirements b Administrator b Staff b Physical Structure b Insurance b Business Practices

12. How is assisted living good for our families and communities? b Helps keep the family together. b Honors tradition and culture. b Elders remain in the community. b Provides a cost-effective alternative to nursing home care.

15. Economic Opportunity b Employment - construction and operation. b Keeps dollars circulating in community. b Operations are self-sustaining. b May be private or public. b May be for-profit or not-for-profit.

18. Timing is Important b Aging population is growing. b Health services are improving. b Increased interest statewide, nationwide. b Grants and loans available. b State budget crisis make cost-saving measures extremely important.

19. First Steps b Develop community interest and support. b Conduct market analysis. b Determine financial feasibility. b Obtain site control. b Develop management and business plans.

21. Development Funding Sources b AHFC GOAL Program (HOME, LIHTC, SCHDF) b Community Development Block Grant b ICDBG b NAHASDA b HUD Rural Housing and Economic Development

22. Funding Sources, Continued b Alaska Mental Health Trust Authority b Federal Home Loan Bank b USDA Community Facilities/515 b Denali Commission b Rasmuson and Other Private Foundations

23. Funds for Operations b Services: Medicaid, private pay, insurance. b Room: resident pays, may have rental assistance. b Board: resident pays.

25. Is Your Community Ready? b Demonstrated Need b Site Availability b Infrastructure b Workforce b Coordination/Cooperation

26. Is Your Community Ready? b Leadership b Planning b Strong Network of Home and Community Based Services b Strong Community Commitment and Support