Elder Servies Worcester

Question 1

What is the hierarchy of home care service delivery?

Answer 1

• Bottom: direct service providers (700 organizations)
• Middle: Agencies on Aging, Aging Service Access Points (26 non-profits)
• Top: Executive Office of Elder Affairs (oversight of state and federal funding)

Question 2

Describe the state of elder housing

Answer 2

Shortage of affordable and accessible housing with services for older adults and individuals with disabilities (at least 2-3 yrs waitlist)

Question 3

Describe homelessness in the elderly

Answer 3

Hard to collect data, but evidence suggests increasing homelessness among 50-64 yo

Question 4

How have causes of death in the elderly changed?

Answer 4

Increasing percentage of those dying from Alzheimer’s

Question 5

What is the Elder Services of Worcester Area?

Answer 5

• 1 of 27 ASAPs designated by MA EOEA
• Established to create community alternative to nursing home care for low income, frail elders
• Now provide community based long term support services for elders and younger ppl with disabilities

Question 6

Who created ESWA? What type of organization is it?

Answer 6

State of MA

Private non-profit (designated an ASAP)

Question 7

Describe the ESWA board

Answer 7

• 50% or more must be 60 years or older

- 50% or more are appointed by municipal Councils on Aging

Question 8

What are ASAPs responsible for?

Answer 8

1. Providing info and referral services to all elders in MA
2. Conducting intake, needs assessment, clinical eligibility for elders seeking care services
3. Developing a service plan for the elder
4. Arranging for long term care services called for in the plan
5. Monitoring outcomes and making adjustments as needed

Question 9

Do ASAPs provide direct service?

Answer 9

NO - and no direct or indirect financial ownership interest

Question 10

Who is responsible for coordinating the statewide Elder Abuse Reporting and Protective Services Program?

Answer 10

The MA EOEA

Question 11

Define the Elder Abuse Law of MA

Answer 11

An act OR omission that results in serious physical or emotional injury or financial exploitation

Question 12

How does the Elder Abuse Law define an elder?

Answer 12

Any individual 60 or older

Question 13

When do ASAP staff visit nursing homes?

Answer 13

To screen elders on a post-admission basis:

• Ability to return home
• Design a care plan for transition

Question 14

Who are geriatric support service coordinators employed by?

Answer 14

Senior Care Organizations

Question 15

What model are ASAPs trained in for transitional coaching?

Answer 15

Coleman model