1. Services to Maintain Independent Living The Continuum of Care

2. How to Read the Road Signs What services are needed to maintain independent living? Understanding the terminology and acronyms

3. Assessment: The First Step Information about the person’s general condition and special needs Guides the care plan development

4. Assessment (continued) Physical and cognitive abilities Social and emotional needs Financial and environmental needs Identification of available informal and formal support and resources

5. Assessment…Who To Involve Client Family and friends Personal physician Long-term care professionals currently assisting client

6. The Plan of Care Client-centered, based on assessed need Specifies who will do what and for how long

7. Home and Community-Based Services Services provided in the home or community that help frail and older people to remain independent for as long as possible Can be provided as caregiver respite

8. Home Care Services Often referred to as “in-home services” Support independent living A range of services to meet diverse needs

9. Skilled Home Care Skilled nursing Nutrition services Specific therapies

10. Home Support Services Homemaker Service Personal Care Home Delivered Meals

11. Community- Based Services Services provided outside of the home Support for independent living and family caregiving Promote socialization

12. Typical Community-Based Programs Adult day care Congregate nutrition Transportation Senior centers

13. Where to Find Home and Community-Based Services Area Agencies on Aging Other human service agencies Eldercare Locator Yellow pages

14. How to Pay for Home and Community-Based Services Medicare Medicaid Private health insurance Private pay Scholarships Area agencies on aging and local departments of social services

15. Part Two Supportive Living Options

16. Senior Apartments, ECHO Housing, and Retirement Communities Home maintenance Social programs Home safety devices Transportation

17. Adult Care Residences Licensed by DSS Private or public pay (Auxiliary Grant) Residential living or assisted living

18. Residential Living Serves adults with minor physical or cognitive limitations Provides limited assistance with activities of daily living

19. Assisted Living Serves adults with a higher level of need than residential living Provides moderate assistance with activities of daily living (ADLs)

20. Nursing Facility Nursing home, health care center, convalescent home Provision of ongoing health related services Licensed by Virginia Department of Health

21. Nursing Facility (continued) Nursing care, rehabilitative therapies, meals, activities, housekeeping, laundry, and social services Most direct care provided by Certified Nursing Assistant (CNA) Payment-private, commercial insurance, Medicare, and Medicaid

22. Continuing Care Retirement Community (CCRC) Full service community offering retirement, assisted living, and nursing facility care on one campus Promise of lifetime care in return for an entry fee/long-term agreement Typically enter while independent with access to all levels of care as needed

23. Elizabeth A. Morley, MSW Program Coordinator Virginia Department for the Aging 1600 Forest Avenue, Suite 102 Richmond, Virginia 23229 (804) 662-9333