2. Strong Partnerships II: Aging Community Engagement
April 4, 2019
Strong Partnerships II: Aging Community Engagement

3. Lucinda Shannon TwoTech, Inc.

4. How Important Are Partnerships
Partnerships are just okay
They are very important to the success of our program
Not important at all

5. Jesse Moore Amy Gotwals
Aging Services Program Specialist
Administration for Community Living
Amy Gotwals
Chief, Public Policy & External Affairs
National Association of Area Agencies on Aging (n4a)

6. Our aging community partners discuss strategies to ensure our SCSEP project is coordinating efforts and resources with other OAA programs to provide an enhanced holistic approach to services for participants.

7. ACL is part of what agency?
U.S. Department of Agriculture
U.S. Department of Labor
U.S. Department of Health and Human Services
U.S. Department of Education

8. Administration for Community Living (ACL) Overview1
Administration for Community Living (ACL) Overview

9. How ACL Was Created
Principal agency in HHS to lead aging and disability programs
Created in 2012, bringing together:
Administration on Aging
HHS Office on Disability
ACF Administration for Developmental Disabilities
Reduce fragmentation and promote consistency in federal programs and policy addressing community living
Enhance access to quality health care and long-term services and supports for older adults and people with disabilities
Complement community infrastructure as supported by Medicaid and other federal programs

10. Aging and Disability: Stronger Together
Great deal of similarities in the services and supports that these two populations need in order to live independently
As one agency, we can leverage learnings and best practices for both populations
Together, the disability and aging communities have a larger voice and more influence for promoting community living

12. ACL Growth Since 2013 FY 2014 and FY 2015 appropriations transfers:
State Health Insurance Assistance Program (SHIP)
Paralysis Resource Center
Limb Loss Resource Center
The Workforce Innovation and Opportunity Act of 2014, transferred the following programs to ACL from Department of Education:
Independent Living Programs
Assistive Technology Program
National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR)
HHS Secretary transferred HRSA’s Traumatic Brain Injury programs to ACL in October 2015

13. Public Health Services Act (PHSA)
ACL’s Current Authorizing Legislation
Older Americans Act
Elder Justice Act
Public Health Services Act (PHSA)
Grants for State and Community Programs on Aging
Activities for Health, Independence and Longevity
Grants for Native Americans
Vulnerable Elder Rights Protection
Adult Protective Services
Alzheimer's Disease Supportive Services
Lifespan Respite Care
Chronic Disease Self- Management Education
Paralysis Resource Center
Limb Loss Resource Center
Traumatic Brain Injury

14. Medicare Improvements for Patients and Providers Act (MIPPA)
ACL’s Current Authorizing Legislation cont.
Medicare Improvements for Patients and Providers Act (MIPPA)
Developmental Disabilities Assistance and Bill of Rights Act (Developmental Disabilities Act):
Rehabilitation Act
Grants to Aging and Disability Resource Centers
Grants to Area Agencies on Aging
Grants to State Health Insurance Assistance Programs
National Center for Benefits Outreach and Enrollment
State Councils on Developmental Disabilities
Developmental Disabilities Protection & Advocacy
University Centers for Excellence in Developmental Disabilities
Projects of National Significance
Independent Living State Grants
Centers for Independent Living
National Institute on Disability, Independent Living, and Rehabilitation Research

15. ACL’s Current Authorizing Legislation cont.
Assistive Technology Act (AT Act)
Help America Vote Act
Omnibus Budget and Reconciliation Act (OBRA):
Assistive Technology State Grants
Protection & Advocacy for Assistive Technology
Assistive Technology National Activities
Protection & Advocacy Systems
State Health Insurance Assistance Programs

16. Under the OAA what title is SCSEP
Title II
Title VII
Title V

17. The Older Americans Act (OAA)
Title I — Objectives
Title II — Administration on Aging
Title III — Grants for State & Community Programs
Title IV – Training, Research and Discretionary
Title V – Senior Community Service Employment
Title VI – Grants for Native Americans
Title VII – Elder Rights Protection

18. OAA Title III
Supportive Services (Title III-B): (Adult Day Service, Transportation, Case Management, Legal Assistance, Chore, Homemaker, Personal Care, etc.)
Nutrition (Title III-C): (Congregate & Home-delivered Meals)
Disease Prevention and Health Promotion(Title III-D): Evidence-based programs
Family Caregiver Support (Title III-E): (Counseling, Information, Assistance, Support, Education, Respite, Supplemental Services, etc.)
Eligibility for Title III-B, III-C & III-D, generally 60+;
Title III-E, eligibility is:
person 18+ who is caring for person who is 60+ or person with dementia of any age
grandparent or other non-parent relative 55+ who is caring for child who is not more than 18 or Adult with a disability

19. OAA Title V Section 501 – Community Service Senior Opportunities Act
Section 502 – Older American Community Service Employment Program
To foster individual economic self-sufficiency and promote useful opportunities in community service activities for unemployed low- income persons who are age 55 or older, persons who have poor employment prospects, and to increase the number of persons wo may enjoy the benefits of unsubsidized employment in both the public and private sectors.
Senior Community Service Employment Program – Title V is the only OAA program administered by Department of Labor.
SCSEP has been in existence for 53 years
2016 Reauthorization of OAA – Aligned SCSEP with WIOA

20. OAA Title VII Long-Term Care Ombudsman Program
Prevention of Elder Abuse, Neglect and Exploitation
State Legal Assistance Development Program

21. Person-Centered Approach
ACL believes that every person has the right to make choices and to control decisions about their life.
We further believe that the preferences and needs of older adults and people with disabilities who need assistance should be at the center of the system of services and supports to enable them to live how they choose.

22. Provides Services and Supports to 1 in 5 Seniors
How The Aging Network Helps 11 Million Seniors And Their Caregivers Remain At Home Through Community Based-Services
ACL
56 State Units, 622 Area Agencies, 263 Tribal Organizations, & 1 Native Hawaiian Organization
20,000 Service Providers & 500,000 Volunteers
Provides Services and Supports to 1 in 5 Seniors
241 million meals
28 million rides
29 million hours of personal care
69,000 caregivers trained
4 million hours of case management
855,000 caregivers assisted
6.4 million hours of respite care
483,000 ombudsman consultations

23. Area Agencies on Aging 4 1 10 6 13 16 33 8 7 11 28 3 15 9 12 36 25 17
MD - 19
DE - 1 52
NJ - 21
VT - 5
RI 1 5
NH - 1 59
CT - 5
DC 1
MA23

24. ACL Administrator's Five Pillars
Connecting people to resources
Protecting rights and preventing abuse
Supporting families and caregivers
Strengthening our networks
Expanding employment opportunities

26. Aging Services Program Specialist Administration for Community Living
Jesse Moore
Aging Services Program Specialist
Administration for Community Living

27. What is N4A?
National Four Association
National Association of Collegiate Director of Athletics
National Association of Area Agencies on Aging
I don’t know

28. Area Agencies on Aging Local Leaders in Aging and Community Living2
Area Agencies on Aging Local Leaders in Aging and Community Living

31. Older Americans Act of 1965, P.L. 89-73, July 14, 1965
Lyndon Johnson signing the OAA, July 14, 1965. 31

32. Older Americans Act (OAA)
Summer of 1965, alongside Medicare and Medicaid
Created the National Aging Network (AAAs designated in 1973)
Remains the foundational core of the Network’s work today
Most of Act applies to those age 60 and older; also targets services to most frail and vulnerable, as well as special populations: veterans, minority, low-income, limited English proficiency

33. Timeline of Major Amendments
1965
1972 – Nutrition program
1973 – AAAs created; multipurpose senior centers and community service employment authorized
1978 – Home –delivered meals authorized and ombudsman services required
1992 – Elder rights recognized
2000 – National family caregiver support program
2006 – HCBS systems thru ADRCs; evidence-based health promotion services
2016 – Small changes to definitions, specific authorization levels
Present (Preparing for 2019 OAA Reauthorization)

34. Older Americans Act, Title I
Declaration of Objectives, to assist older adults to secure:
An adequate income
Best possible physical and mental health
Suitable housing
Comprehensive long-term care services
Employment opportunities
Retirement in health, honor and dignity
Opportunity for meaningful participation in community life
Continuum of care, especially for vulnerable elderly
Benefits from research
Freedom, independence and individual initiative in planning and managing one’s own life; protection from abuse

35. Are you familiar with AAAs?
Yes - they work with older persons to address their needs and concerns regionally and locally and provide great resources for our participants
Not sure which AAA are you talking about
Yes- I call them when I need a tow
Yes – they are host agencies for our program
No – I never heard of a AAA

36. All AAAs play a key role in

37. Funding and Coordination of the Aging Network

38. Nationwide Network with a Local Flavor
In 2018, there are 622 AAAs serving older adults in virtually every community in the nation.
In a few small or sparsely populated states, the state serves the AAA function.
The OAA is foundational for all AAAs, but because the law calls for local control and decision-making, AAAs adapt to the unique demands of their communities to provide innovative programs that support the health and independence of older adults.

40. AAAs vary widely in size as each state determines how many service areas to establish, which then determines the number of operating AAAs. For example, Wisconsin has 3 AAAs, but New York has 59.

43. Leveraging
AAAs leverage federal dollars, building on modest OAA funding to expand the economic support for HCBS through additional state, local and private dollars.
The U.S. Administration on Aging estimates that for every $1 of federal OAA investment, an additional $3 is leveraged.

46. Outreach
A core role of AAAs is to create local information and referral/assistance (I&R/A) hotlines to help consumers find aging and other HCBS programs.
With these resources and a portfolio of other outreach tools including public education, staff and volunteers, ADRCs and SHIPs, AAAs are able to assist clients match services and solutions to their individual needs, enabling consumers to age in place with increased health, safety and independence.

49. A Network on the Move

50. A Network on the Move

51. Many Names, Many Partners One Mission
While only designated AAAs can use the Area Agency on Aging title, not all AAAs include “Area Agency on Aging” in their operating name.
For example, a nonprofit AAA may be called “Senior Resources Alliance” or a county-based AAA may use “ABC County Office on Aging.”

52. Many Names, Many Partners One Mission
There are many other well-known programs and services that are administered by AAAs directly or in partnership with other agencies and entities.
But no matter what program or service a AAA offers—such as serving as a State Health Insurance Assistance Program (SHIP) or an Aging and Disability Resource Center (ADRC)—it remains a AAA.

53. Many Names, Many Partners One Mission

54. Reaching YOUR AAA Look it up via n4a.org or eldercare.acl.gov
Make sure you know all that your local AAA can offer to you and members of your community (e.g., meals, rides, home modification, home health, caregiver respite, etc.)
Check their website or just call!
Reach out to their public education/advocacy staff contact to schedule a walk-thru for a larger group interested in what the AAA can offer consumers
Many programs won’t be branded with AAA or OAA, but the AAA should know about all aging programs in their area
Advocacy opportunity: Advisory Councils

55. Examples of AAA-SCSEP Partnerships
Placement of workers in AAA or AAA-funded sites (formal)
Cross-training and cross-referral. (Staff to staff)
Informal referrals and communication to better support clients/workers. (Staff to staff)
Presentations to enrollees on what’s available to them through the AAA. (AAA to workers)
What other employment support do some AAAs offer?
Technology training
Relationships with vocational rehab, workforce development boards; connections to civil service (county-based)

57. Amy Gotwals Chief, Public Policy & External Affairs
National Association of Area Agencies on Aging (n4a)
1730 Rhode Island Ave., NW
Washington, DC 20036