Elderbridge Agency on Aging - PSA # 1 Area Plan on Aging SFY 2022 2025 - Effective Dates: July 1, 2022-June 30, 2025
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Elderbridge Agency on Aging
PSA # 1
Area Plan on Aging
SFY 2022 – 2025
Effective Dates: July 1, 2022-June 30, 2025CONTENTS
Executive Summary 4
Context 5
Section 1: 2022-2025 Goals and Strategies 6
Goal 1: Iowa Aging Network will work with older Iowans, Iowans with disabilities, and
caregivers as they fully engage and participate in their communities, make informed
decisions, and exercise self-determination and control about their independence, well-being,
and health. 6
Agency programs and services that address goal 1 6
Strategies to Address Service Gaps 7
Service Gap #1: 7
Service Gap #2: 7
Service Gap #3: 8
Service Gap #4: 8
Indicators, Performance Measures, & Fiscal Year Targets 9
Indicators & Targets 9
Outcome Measures 10
Goal 2: Iowa Aging Network will enable Older Iowans to remain in their own residence and
community of choice. 11
Agency programs and services that address goal 2. 11
Strategies to Address Service Gaps 12
Service Gap #1: 12
Service Gap #2: 12
Service Gap #3: 13
Service Gap #4: 13
Service Gap #5: 13
Indicators, Performance Measures & Fiscal Year Targets 14
Indicators & Targets 14
Outcome Measures 15
Goal 3: Iowa Aging Network will protect and enhance the rights; and prevent the abuse,
neglect, and exploitation of older Iowans. 16
Agency programs and services that address goal 3. 16
Strategies to Address Service Gaps 17
Service Gap #1: 17
Service Gap #2: 17Service Gap #3: 17
Service Gap #4: 17
Indicators, Performance Measures & Fiscal Year Targets 18
Indicators & Targets 18
Outcome Measures 18
Section 2: Service Projections 19
FY 2022 Projected Older Americans Act Consumers and Service Units 19
Self-Direction Service Delivery 21
Service Coverage & Wait List Information 23
Information & Service Assistance Services 23
Information & Service Assistance Services 24
Information & Service Assistance Services 25
Nutrition & Health Promotion Services 26
Nutrition & Health Promotion Services 26
Nutrition & Health Promotion Services 27
Services to Promote Independence 27
Services to Promote Independence 29
Services to Promote Independence 30
Area Plan Service Waiting List 32
Section 3: Quality Management 33
Section 4: Public Input 34
Public Hearing Information 35
Advisory Council 44
LifeLong Links Advisory Council 49
Attachments 50
Authorized Signatures 51
Grievance Procedures 52
Staffing and Volunteer Information 53
Nutrition Services, Service Providers, and Senior Center/ Focal Points 54
Nutrition Services 54
Service Providers of OAA Services 54
Senior Centers and Focal Points 54
Selecting Senior Centers & Focal Points 54
Emergency Plan and Plan Development Summary 55Executive Summary The Elderbridge Agency on Aging mission is to advocate for and empower older adults, caregivers, and individuals with disabilities to pursue independent, healthy lives. The Elderbridge strategic plan is based upon our mission, vision, core values, and overall goals. In November 2020, a Joint Planning Committee of representatives from the Advisory Council, Executive Board, and management staff met to establish priorities for services for the SFY2022 - 2025 Area Plan to begin July 1, 2021. A three-year strategic plan was also developed after a review of the mission, vision, and core values. The development of the strategic plan was focused on the required goal areas determined by the Iowa Department of Aging (IDA) Area Plan template. An unmet needs survey was also completed by staff, volunteers, and Home and Community Based Service (HCBS) providers to assist in the identification of community needs and gaps in services. To assure that our consumers receive the best information, assistance, counseling, and other services to meet their desired quality of life, we will continue to focus on the Older American Act (OAA) core services, as well as innovative initiatives as funding allows. Our core values include professionalism, integrity, and excellence. Our agency’s culture is built on these values. We are committed to training opportunities to maintain excellence in service delivery. Our focus will continue to be inclusive of attempting to provide consistent core services throughout our twenty-nine (29) county planning and service area, as well as identified underserved communities for enhancing messaging and building HCBS provider opportunities where they are lacking. Through our Aging Disability Resource Center/No Wrong Door grant, we are building stronger partnerships with disability providers through our Stakeholder Advisory Board, enhancement of the Lifelong Links website for no-wrong door access to information and services, and cross-training opportunities to better serve the aging and disability populations. Innovative initiatives Elderbridge provides include the Iowa Return to Community project, the Iowa Café initiative, volunteer recruitment and training, two dieticians on staff for nutrition counseling, foundation grants for consumer unmet needs, fundraising, GrandPads, and “Joy for All,” robotic pets. As we recover from the effects of COVID-19, we anticipate a need to rebuild infrastructure in the meal program, an ongoing focus on social isolation causing anxiety and depression, higher risk Iowans who may have ignored their health needs while sheltering in place, and hidden elder abuse situations that will need interventions. Due to the limited Elder Abuse Awareness and Prevention funds, we have one staff person to cover our service area. While seeking other funding opportunities, we plan to develop a Critical Time Intervention model. “A time-limited evidence-based practice that mobilizes support for society’s most vulnerable individuals.” https://www.criticaltime.org/cti-model/background. Three phases will be provided to include transition, try-out, and transfer. Once the situation is stabilized and supports are in place, the individual will be transitioned to case management for follow-up. While the COVID-19 pandemic has caused many challenges, it has also brought opportunities to improve efficiency and innovate in very successful ways. The Elderbridge team looks forward to continuing to advocate for and empower our target populations through our new area plan.
Context
Elderbridge Agency on Aging (Elderbridge), is a 47-year-old, community-based 501(c) 3
nonprofit, serving a 29-county region in North Central, Northwest, and Central Iowa.
Elderbridge is the largest aging organization geographically in the state of Iowa with a service
area of 16,190.5 square miles. Counties served are; Audubon Buena Vista Calhoun, Carroll,
Cerro Gordo, Clay, Crawford, Dickinson, Emmet, Floyd, Franklin, Greene, Guthrie, Hamilton,
Hancock, Humboldt, Kossuth, Lyon, Mitchell, O’Brien, Osceola, Palo Alto, Pocahontas, Sac,
Sioux, Webster, Winnebago, Worth, and Wright.
In FY20, Elderbridge served primarily white consumers with less than 1% minority in 27 of our
counties and 2% in Buena Vista and Webster County. 4,284 consumers served live alone.
Tableau. We intend to do targeted outreach to the counties where we have a high percentage
of minorities. We want to provide more of our written marketing materials in other languages
to specifically target those non-English speaking populations.
In FY20, Elderbridge served 10,213 total consumers in our region. Of those, 9616 are from rural
areas. The disability population we served accounted for 1,774 consumers. Elderbridge also
served and supported 795 caregivers who endured many challenges this past year. Caregivers
have had a very difficult task of not only taking care of themselves but also meeting the needs
of their loved ones during a pandemic. We have been able to continue support groups through
a zoom platform and continued to provide support to those needing it.
Elderbridge conducted a needs assessment with our Board of Directors, Advisory Council,
Congregate Meal sites, staff members, and Home and Community Based Service agencies.
Zoom meetings were held and surveys were emailed to participants. Iowans were asked to
prioritize direct services as well as indirect (subcontracted) services. When reviewing results of
the needs assessments, it showed that the top four priority services were home delivered
meals, information and assistance, congregate meals, and personal care. These priority needs
were used to assess our gaps and strategies and where we need to focus our time, money, and
attention to.
In FY20, Elderbridge served 159 abuse victims in the Elder Rights Program. The top four types of
abuse consumers disclosed were domestic and family violence, adults sexually abused as
children, financial crimes including identity theft and financial exploitation, and elder abuse by
others that did not meet DHS criteria. Most victims experienced more than one type of abuse.
In FY20, 55% of consumers served were 200% below the poverty level. Elderbridge provided
$180,000 in material aid for 786 low-income consumers with unmet needs within our case
management programs, options counseling, or caregiver programs. The majority of our
material aid funding is generated through grants and fundraising. Material aid helped with the
expenses of food, rent, utilities, and installation of safety bars, ramps, and more.
5From July 1, 2019, through September 15, 2020, Elderbridge helped 128 older adults
successfully transition back into the community from a hospital or nursing home facility
through our Iowa Return to Community (IRTC) program. The older adults are supported in this
program for a maximum of 90 days by addressing social, economic, and environmental barriers
that impact their health. We also anticipate that Case Management services will continue to
grow as Iowans age. Elderbridge served 141 older adults in our Case Management Program.
Our IRTC program has also helped to expand the case management program by referring IRTC
clients into long term case management. This helps to ensure that the consumer continues to
get the supports and services needed to remain independent in their own home setting.
Section 1: 2022-2025 Goals and Strategies
Goal 1: Iowa Aging Network will work with older Iowans, Iowans with
disabilities, and caregivers as they fully engage and participate in their
communities, make informed decisions, and exercise self-determination and
control about their independence, well-being, and health.
Agency programs and services that address goal 1
Elderbridge held a planning meeting in November 2020, consisting of Board, Advisory Council
members, and Management. The group reviewed direct service priorities and subcontracted
services related to goals identified in the FY22-25 Area Plan. The group completed a survey.
Elderbridge staff, meal site managers, volunteers, and Home and Community Based Service
(HCBS) providers completed the same survey. Results assisted with the development of gaps,
strategies and priorities.
Elderbridge addresses this goal by providing Lifelong Links (LLL) services to our consumers.
Services include Information and Assistance, Options Counseling, and more. Elderbridge
partnerships include HCBS providers, congregate meal sites, Iowa Department of Aging (IDA),
the National Council of Aging (NCOA), and other partners. Emerging trends affecting consumers
in our region include Iowans not aware of Elderbridge services, a decrease in HCBS providers,
transportation barriers, inactive LLL Council, and consumers at high nutrition risk.
In 2020, Elderbridge served 8,439 older adults 60+ and 1774 consumers ages 18 to 59. The total
served is 10,213. Low referrals in some of our counties suggest Iowans are unaware of our
services. (2020, Tableau, 2020, Wellsky). The Centers for Medicare and Medicaid Services (CMS)
identified the benefits and challenges of HCBS. Benefits are “that they are cost-effective:
usually less than half the cost of residential care. The patient enjoys the comfort of living in
their own home and some waivers permit family members to be paid caregivers. Some of the
challenges include; access to providers, availability of qualified caregivers, caregiver burnout,
caregiver abuse” and more. “Caregiving services for the elderly and disabled is one of the
fastest-growing jobs in the economy, but one with the lowest wages. It is essential work but it is
underpaid and undervalued.” (Dec. 2020, Caring Across Generations) It is not surprising that
6HCBS contracts in our region are decreasing. In 2017, Elderbridge had 94 contracts to help
provide services. Today we have 83. In three counties, we have no contracts to provide Chore,
Homemaker, or Transportation. Behavioral Health service providers are also decreasing. In
2020, Elderbridge hired a Volunteer Coordinator/Fundraising Specialist to assist with the
recruitment, orientation, training, and retaining of volunteers including the LLL Advisory
Council. The Coordinator will also assist with fundraising events and activities. Finally, according
to Wellsky, in FY20, Elderbridge had 1,987 older adults with a high nutrition risk score of
between 6-21. 5% of these older adults' scores were above 15.
Strategies to Address Service Gaps
SERVICE GAP #1: OLDER ADULTS, CAREGIVERS, AND INDIVIDUALS WITH DISABILITIES LIVING IN CERTAIN
COUNTIES OF OUR REGION ARE UNAWARE OF LIFELONG LINKS, AND OTHER SERVICES THAT COULD AFFECT THEIR
QUALITY OF LIFE, HEALTH, AND INDEPENDENCE.
Strategies to address service gap 1.
1. Create marketing materials, including promotional flyers, social media outlets and radio
ads for Emmet and Guthrie counties to increase referrals. We will partner with the
clinics and other social service agencies to reach the minorities in these counties along
with our other population base.
2. Emmet has a high population of Hispanics and we want to translate our materials into
Spanish and offer access to the language line for translation. Emmet’s referral rate is
3.7% and Guthrie 4.8% as compared to our target of a 8% referral rate. We want to see
the overall referral rates for these counties above 8%, which is our threshold for low
referral rate overall.
3. Collaborate with Chambers of Commerce, and food banks across our region to increase
knowledge of Elderbridge services especially targeting Emmet and Guthrie counties.
4. Present at the county resource meetings on new and ongoing services provided at
Elderbridge. Marketing specialists will target counties with low referral rates.
5. Elderbridge will launch public awareness efforts to increase referrals by 50 individuals
during the next fiscal year.
SERVICE GAP #2: OLDER ADULTS, CAREGIVERS, AND INDIVIDUALS WITH DISABILITIES, HAVE LIMITED HOME
AND COMMUNITY-BASED (HCBS) SERVICES AVAILABLE TO THEM IN CERTAIN COUNTIES INCLUDING; CHORE,
HOMEMAKER, BEHAVIORAL HEALTH SUPPORTS, AND TRANSPORTATION. ELDERBRIDGE WILL EXPLORE AND
EXPAND HCBS PARTNERSHIPS TO PROVIDE DIRECT SERVICES IN FY22.
Strategies to address service gap 2.
1. Provide contract opportunities on public websites in our region, targeting Crawford and
Kossuth Counties
2. Investigate current subcontractors in neighboring counties to help fill gaps in our more
rural and underserved counties.
73. Develop partnerships by providing outreach and offering speaking engagements to for
profit and non-profit agencies to provide information on Elderbridge and opportunities
for partnerships.
4. Elderbridge will collaborate with NIACOG transportation services to increase availability
in Hancock and Winnebago counties.
5. Develop volunteer base and partnerships with RSVP to provide transportation where
options are unavailable.
SERVICE GAP #3: OLDER ADULTS, CAREGIVERS, AND INDIVIDUALS WITH DISABILITIES ARE AT RISK OF MAKING
POOR DECISIONS WITHOUT LLL ADVOCACY AND REPRESENTATION THAT MAY AFFECT THEIR QUALITY OF LIFE.
AND HEALTH. THE LLL ADVISORY COUNCIL NEEDS TO BECOME ACTIVE AND INVOLVED IN OUR REGION TO ASSIST
ELDERBRIDGE WITH ADVOCATING AND SUPPORTING CONSUMERS.
Strategies to address service gap 3.
1. Market in Webster, Greene, and Floyd Counties to recruit volunteers for the LLL
Advisory Council.
2. During FY22, Elderbridge will recruit a volunteer from Webster, Greene, and Floyd
counties to serve on the LLL Council.
3. Train, coach, and retain LLL Advisory Council volunteers.
SERVICE GAP #4: HIGH NUTRITION RISK OLDER ADULTS, CAREGIVERS, AND INDIVIDUALS WITH DISABILITIES
ARE AT RISK OF LOSING THEIR INDEPENDENCE FROM POOR NUTRITION. THIS OFTEN LEADS TO HIGH BLOOD
PRESSURE, HIGH CHOLESTEROL, HEART DISEASE, STROKE, AND/OR OTHER CHRONIC HEALTH CONDITIONS.
CONSUMERS ARE NOT RECEIVING SERVICES THAT ADDRESS THEIR HEALTH RISKS. IN FY22, ELDERBRIDGE WILL
INCREASE NUTRITION EDUCATION TO CONSUMERS.
Strategies to address service gap 4.
1. Promote and market Nutrition Education in Audubon, Cerro Gordo, Greene, and
Webster counties. Marketing efforts will include articles in our newsletters, local
newspapers and local radio stations. We also partner with ISU extension and their
newsletter distribution.
2. Train staff to deliver Nutrition Education to at-risk consumers in order to reach more of
our PSA with this service.
3. Utilize intake assessments to identify consumers with high nutrition risk scores ofsix or
more. These scores will be identified and measured bi-annually. Our Healthy Aging
Coordinators will reach out to those individuals by phone or in person and offer
education and/or nutrition counseling to them.
4. Dietitians will provide Nutrition Counseling for consumers requesting help with diet
modifications related to chronic health conditions.
8Indicators, Performance Measures, & Fiscal Year Targets
Indicators & Targets
Progress Indicators FY22 Review
Target Frequency
1. # of Consumers received information appropriate to their request. 99% Quarterly
2. # of Consumers are given person-centered guidance to help them 300 Quarterly
make informed choices about long-term supports.
3. # of referrals from Chambers, food banks, churches, communities, and 1% Semi-annual
businesses for public awareness in Emmet and Guthrie Counties.
4. # of new subcontractor partnerships in Crawford and Kossuth willing 2 Annually
to deliver HCBS services.
5. # of subcontractors or recruited volunteers willing to deliver 2 Annually
transportation services in Hancock and Winnebago Counties.
6. # of volunteers recruited, provided orientation and training from 3 Quarterly
Webster, Greene, and Floyd Counties willing to serve on the LLL Advisory
Counsel.
7. # of at-risk consumers provided Nutrition Education. 7000 units Quarterly
26% of
individuals
with high
risk
nutrition
score
8. # of Nutrition Education presentations at select community meal sites 4 Quarterly
in Audubon, Cerro Gordo, Greene, and Webster via zoom.
9. # of Nutrition Counseling Session provided by agency Dieticians. 20 Quarterly
9Outcome Measures
Measure Purpose FY22 Review
Target Frequency
Percentage of Lifelong Links callers To assess and provide information 99% Quarterly
indicating they received the appropriate to the caller's need (from
information they were seeking. consumer's perspective).
Percentage of Options Counseling To evaluate the success of the service 96% Quarterly
consumers who indicate they were to assist individuals to make informed
provided information to make an choices about long-term services and
informed decision on goal and service supports.
need.
Of all, congregate meal consumers To determine whether consumers 80% Quarterly
identified as high nutrition risk, who are at risk for poor nutrition and
percentage receiving nutrition health status receive information so
education. that they have better health
enhancing options.
Change in consumers receiving To determine whether consumers 10 Quarterly
nutrition counseling from previous who are at risk for poor nutrition and
FY. health status receive nutrition
counseling so that they have the
opportunity to improve their health
literacy and information for optimal
nutrient intake.
10Goal 2: Iowa Aging Network will enable Older Iowans to remain in their own
residence and community of choice.
Agency programs and services that address goal 2.
Elderbridge offers several services to help older adults, caregivers, and individuals with
disabilities, remain in their homes and community. These include nutrition, caregiver support,
and more. Emerging trends related to this goal and service gaps identified through our
assessment include older adults experiencing barriers that lead to admission and re-admission
to hospitals and nursing homes. Hungry consumers, congregate meal site participation
decreasing, caregivers not getting respite support they need, an increase in consumers living in
poverty, and consumers that request case management for longer-term advocacy and support
to remain at home. Elderbridge collaborates with IDA, HCBS contractors, congregate meal sites,
foundations that provide grant funding to support unmet needs, and other partnerships.
On July 1, 2019, Elderbridge launched an Iowa Return to Community (IRTC) pilot in six counties
in our region with hopes to expand. Older adults eligible for the program are ages 60+ and are
pre-Medicaid consumers who are on Medicare or private insurance. Partners in the IRTC
include IDA, Spencer Hospital, Accura Healthcare, and more. From July 1, 2019 - September 15,
2020, Elderbridge helped 128 older adults successfully transition back into the community from
a hospital or nursing home facility for a minimum of 90 days and beyond by addressing social,
economic, and environmental barriers that impact their health. A cost/benefit analysis indicates
that if a consumer goes to a nursing home the estimated cost is $5,000 per month. Hospital
stays are even more costly. Once resources are gone, the consumer is then placed on Medicaid.
This affects the county, local economy, and the state. Our IRTC outcomes have been successful
at keeping older adults safe at home. However, there is no Older American’s Act funding to
sustain the program long-term or expand into other counties. Elderbridge is writing proposals
to maintain the IRTC in the current six-county area. One reason why older adults want to stay
in their homes is to avoid the physical stress of downsizing. Other reasons are that they fear
losing independence, have anxiety over leaving a community, fear of the unknown, money, and
emotional ties to the family home. Vytality at Home, Jan. 2019 https://www.vytality.ca. In
FY20, Elderbridge served 141 older adults in our Case Management Program. We anticipate
that Case Management services will continue to grow as Iowans age.
The Condition of Iowa’s Congregate Meal Program, (Dec. 2018, p.1) says the reasons that meal
sites are dwindling include “the aging network trying to serve two different generations who
have different expectations and goals. Low awareness of meal sites and what they offer, center
infrastructure needing updating, and lack of partnerships and volunteers.” Data reveals that in
FY10 there were 41,337 Iowans, age 60 or older participating in the program, and In FY18,
18,635 participated. This is a 45% decrease. Lastly, in FY20, 55% of Elderbridge consumers
served were 200% below the poverty level (Wellsky). Elderbridge provided $180,000 in funding
for 786 low-income consumers with unmet needs including food, rent, utilities, and installation
of safety bars, ramps, and more.
11Strategies to Address Service Gaps
SERVICE GAP #1: INDIVIDUALS 60+ WHO ARE TRANSITIONING FROM A HIGHER LEVEL OF CARE BACK HOME ARE
AT RISK OF RE-HOSPITALIZATION OR NURSING HOME PLACEMENT DUE TO BARRIERS (FOOD, HOME REPAIRS TO
PREVENT FALLING, AND MORE) THAT INTERFERE WITH THEIR ABILITY TO STAY AT HOME SAFELY. ELDERBRIDGE
WILL PROVIDE IRTC SERVICES AND CLIENT ASSISTANCE IN THE SIX-COUNTY PILOT AREA IN FY22 OR UNTIL
FUNDING IS EXHAUSTED.
Strategies to address service gap 1.
1. Provide IRTC service and client assistance with funding available in Clay, Dickinson, Palo
Alto, Buena Vista, O’Brien, and Emmet Counties.
2. Research and apply for sustainability grants to continue the pilot.
3. Collaborate with hospitals to learn if IRTC can be reimbursed by Medicare and/or
hospital support of the program.
4. Work with IDA and other AAAs to determine plans for marketing and creating
sustainability for the IRTC program.
SERVICE GAP #2: HUNGRY OLDER ADULTS, CAREGIVERS, AND INDIVIDUALS WITH DISABILITIES ARE 50% MORE
LIKELY TO DEVELOP A CHRONIC DISEASE, WHICH CAN AFFECT A PERSON’S MENTAL, PHYSICAL, AND EMOTIONAL
WELLBEING, AND THEIR ABILITY TO REMAIN AT HOME. DURING FY22, ELDERBRIDGE WILL EXPAND THE ACL’S
2020 INNOVATIONS IN NUTRITION GRANT AWARDED TO IDA( IOWA CAFÉ ) TO MEET NUTRITION NEEDS IN
RURAL COMMUNITIES AND THOSE WITH LOW PARTICIPATION AT CONGREGATE MEAL SITES.
Strategies to address service gap 2.
1. Collaborate with the ACL on the “Iowa Café” grant, and manage the award.
2. Recruit restaurants/convenience stores to collaborate with Elderbridge in areas where
there are no meal sites or where congregate participant numbers are declining.
3. Market and promote Iowa Café through social media, newspapers, and newsletters.
4. Develop surveys for participants to provided us feedback as to what they found
beneficial to the restaurant voucher program versus the previous congregate meal setting.
This survey will be used to also assess where there may be room for changes in how many
meals are offered, time of day they may be offered, etc. This will be used to increase Iowa
Café participation and provide the service that consumers are needing and wanting.
5. Elderbridge will increase meal participation by 1% in Hancock, Humboldt, Buena Vista,
and Crawford Counties resulting in reduced high risk nutrition scores by 1%
6. Evidence based program availability will be shared and offered to Iowa Café,
congregate, and home delivered meal participants, to be presented at an off-site location
either in person or by zoom.
7. Home delivered meal consumers who get 8 meals per month, will be asked to complete
the Dejong Gierveld Loneliness Scale to determine their social isolation risk. They will be
offered a Grandpad or Companion Pet to increase community engagement and decrease
isolation.
12SERVICE GAP #3: CAREGIVERS ARE AT RISK OF LOSING THEIR INDEPENDENCE, THEIR HEALTH, AND THEIR
ABILITY TO PROVIDE CARE FOR OTHERS DUE TO LACK OF ADULT DAY HEALTH, AND RESPITE PROVIDERS.
CAREGIVERS WHO LACK A BREAK MAY BECOME FRUSTRATED, STRESSED, EXHAUSTED, AND ABUSIVE.
ELDERBRIDGE WILL RESEARCH AND/OR ESTABLISH POTENTIAL SUBCONTRACTS FOR DAY HEALTH OR RESPITE
SERVICES.
Strategies to address service gap 3.
1. Promote and publicize respite care needs in select counties through social media, our
website, newspapers, public relations, caregiver outreach events.
2. Recruit one individual and/or Day Health respite provider in Buena Vista, Calhoun and
Carroll counties to provide respite services and develop purchase of service agreements.
3. Enlist three partnerships with volunteers; churches and agencies for respite care needs
especially focused in Buena Vista, Calhoun, and Carroll counties.
4. Implement a new service of Older Relative Caregiver Program within our PSA. We will
be offering I & A, Options Counseling, and supplemental services with the ORC program.
This will bring an option to caregivers who are caring for grandchildren.
SERVICE GAP #4: OLDER ADULTS, CAREGIVERS, AND INDIVIDUALS WITH DISABILITIES, WHO ARE AGE 60+
LIVING AT HOME ARE AT RISK OF LOSING THEIR INDEPENDENCE WHEN THEY HAVE PHYSICAL, PSYCHOLOGICAL,
AND/OR SOCIAL NEEDS THAT INTERFERE WITH THEIR QUALITY OF LIFE. ELDERBRIDGE WILL HELP REDUCE THE
RISK BY PROVIDING CLIENT-CENTERED CASE MANAGEMENT SERVICES INCLUDING COORDINATING AND
ADVOCATING FOR CONSUMERS IN A TIMELY AND EFFECTIVE MANNER.
Strategies to address service gap 4.
1. Elderbridge will provide follow-up at 90 days post-discharge to ensure that individuals
were able to remain at home after long-term case management was provided.
SERVICE GAP 5: OLDER ADULTS, CAREGIVERS, AND INDIVIDUALS WITH DISABILITIES WHO ARE AGE 60+ THAT
HAVE UNMET NEEDS ARE AT RISK OF LOSING THEIR INDEPENDENCE. CONSUMERS ARE EXPERIENCING
INCREASED STRESS AND ANXIETY DUE TO A CRISIS SUCH AS HOMELESSNESS, A SUDDEN ILLNESS, DEATH OF A
SPOUSE, AN ACCIDENT, AND RECENTLY THE PANDEMIC. CONSUMERS LIVING IN HIGH POVERTY COUNTIES ARE AT
RISK OF OUT-OF-HOME PLACEMENT WITHOUT HELP. ELDERBRIDGE WILL PROVIDE CLIENT ASSISTANCE WHEN
AVAILABLE.
Strategies to address service gap 5.
1. Research, write and submit proposals to support the unmet needs of older adults,
caregivers, and individuals with disabilities.
2. Encourage County Boards of Supervisors support by provision of the annual report and
number of services provided in their county.
3. Within our PSA, we will provide options for financial counseling to consumers,
budgeting and money management skills upon receiving material aid funds to ensure a
long term solution. We will refer to Iowa Legal Aid, payee programs, and public financial
counselors as needed.
134. Reduce the risk of losing independence by providing client assistance to 25 consumers in
Crawford and Audubon counties.
Indicators, Performance Measures & Fiscal Year Targets
Indicators & Targets
Progress Indicators FY22 Target Review
Frequency
1. # of case managed consumers discharged. 55 Quarterly
2. # of average months consumers are case managed. 40 Quarterly
3. # of IRTC consumers provided with client assistance. 30 Annually
4. After IDA funds are utilized within the current pilot project, # of 2 Annually
IRTC sustainability applications located, researched, and applied for.
5. Following IDA research and guidance on Medicare funded care 1 Annually
transitions, we will use that guidance to contact Spencer hospital to
determine feasibility of IRTC Medicare reimbursement program.
6. Increase meal participation in Hancock, Humboldt, Buena Vista, 10% increase Quarterly
and Crawford Counties through the Iowa Café and congregate meal or 100
promotion. consumers
7. # of respite HCBS provider contracts or volunteers recruited to 3 providers Semi-annual
provide service in Buena Vista, Calhoun, and Carrol counties. and 2%
increase of
consumers
and units
8. # of consumers with unmet needs provided client assistance. 100 Annually
14Outcome Measures
Measure Purpose FY22 Review
Target Frequency
Percentage of Case Management To determine whether Case 50% Quarterly
cases closed because case Management consumers receive
management service was no longer supports and services for as long as
needed. they need or desire them in order to
remain in their residence of choice.
Average number of months a Case To determine whether Case 40 Quarterly
Management consumer experiencing Management consumers receive months
independent living impairments is supports and services for as long as
able to remain safely at home prior they need or desire them in order to
to transitioning to facility. remain in their residence of choice.
Of congregate meal consumers To determine whether congregate 40% Quarterly
served who may be socially isolated, meal consumers who are potentially
percentage eating 4 meals at meal socially isolated have the opportunity
site in a month. to socialize in their community.
Of home delivered meal consumers To determine whether home 60% Quarterly
served who may be socially isolated, delivered meal consumers who are
percentage receiving at least 8 meals potentially socially isolated receive
in a month. regular contact with a meal delivery
person.
Percentage of caregiver consumers To determine whether case 90% Quarterly
indicating caregiver counseling management, and respite services
and/or respite care service allowed provide caregivers the supports and
them to maintain their caregiver role. services they need to continue to
provide informal care to care
recipients.
15Goal 3: Iowa Aging Network will protect and enhance the rights; and prevent
the abuse, neglect, and exploitation of older Iowans.
Agency programs and services that address goal 3.
Elderbridge addresses this goal by offering the Elder Rights Program to victims or potential
victims of abuse ages 60+. Elderbridge collaborates with DHS, law enforcement, legal aid,
family, and more depending on victim need and circumstances. According to the National
Council on Aging, 2019, Iowa is home to over 500,000 older Americans. Over 150,000 of these
Iowans live with a “disability, such as cognitive challenges, and difficulty living independently.
These factors make Iowans more vulnerable to abuse. The National Center on Law and Elder
Rights, Oct. 2018 states, “1 in 10 older adults experience financial exploitation which is the
most common form of elder abuse. Older adults living in rural areas may be at higher risk and
have less access to resources.” The Iowa Attorney General's Office, states, “Elder abuse is
underreported and under-recognized, just as it is across the nation. The 2010 National Elder
Mistreatment Study found 1 in 10 older adults being abused, neglected, or exploited in the past
twelve months. Older Iowans experiencing health concerns or disabilities are more susceptible
to exploitation and neglect. They depend on others and are often unable to adequately protect
themselves or escape from an abusive situation. In 2019, The Dependent Adult Abuse Registry
Annual Report from the Iowa Department of Human Serves (DHS) completed 4,139 Dependent
Adult Abuse assessments. Of this, only 498 were founded abuse. The data does not state what
happened or the outcome of the remaining 3,641 Iowans who reported abuse.
As the older population grows, funding from state and federal sources to help older adults stay
safe remains stagnant. This situation has a direct effect on agency capacity, which also impacts
vulnerable victims. Victims often find it hard to trust others, so establishing rapport and trust
with staff is crucial. This relationship is crucial to positive outcomes for the victim. Other
trends include Iowans not aware of the program, victims living in poverty, and victims that also
have physical and cognitive impairments. Finally, staff members are either uncomfortable or
unprepared to deal with the complexity of helping older abuse victims and need more training.
Emerging trends in our region are that the older population continues to grow, which means
the potential for elder abuse is an increasing concern. In FY20, Elderbridge served 159 abuse
victims in the Elder Rights Program. The top four types of abuse consumers disclosed were
domestic and family violence, adults sexually abused as children, financial crimes including
identity theft and financial exploitation, and elder abuse by others. Most victims experienced
more than one type of abuse. Elderbridge provided $7,052 in client assistance funding for 25
victims. Funds helped with relocation and moving costs, housing deposits, medical equipment,
supplies, and more. (FY20, Office of Victim of Crimes, VOCA). Elderbridge had four part-time
staff in the Elder Rights Program helping victims in 29 counties scattered throughout 16,190
square miles. On April 1, 2021, Elderbridge discontinued its contract with VOCA. This was due
to the amount of funding awarded and the cumbersome reporting requirements. Elderbridge
has one staff providing Elder Rights services in our region.
16Strategies to Address Service Gaps
SERVICE GAP #1 FEW REFERRALS FROM SOME COUNTIES INDICATE OLDER ADULTS, CAREGIVERS, INDIVIDUALS
WITH DISABILITIES AND THE PUBLIC ARE NOT AWARE OF THE WIDE ARRAY OF SERVICES ELDERBRIDGE OFFERS
TO BOTH PREVENT AND PROTECT AGAINST ELDER ABUSE, NEGLECT, AND FINANCIAL EXPLOITATION.
Strategies to address service gap 1.
1. Increase outreach and education on elder rights issues, and intervention strategies
that Elderbridge can provide in elder abuse cases to communities in Lyon and Sioux
Counties. We will offer presentations, virtual “lunch and learns”, and print materials on
the elder rights program in order to increase awareness.
2. Establish professional partnerships with DHS and discuss how denied referrals can be
directed to our program.
3. Bring awareness to how Iowa Legal Aid can also partner in assisting with elder abuse
cases needing further legal assistance.
4. Increase volunteer involvement of citizens to attend safety team meetings.
SERVICE GAP #2 - MANY OLDER ADULTS IN THE ELDER RIGHTS PROGRAM ARE LOW-INCOME THAT MAY HAVE
BEEN A RESULT OF A FINANCIAL CRIME. VICTIMS OF ABUSE OFTEN STAY LONGER IN AN ABUSIVE RELATIONSHIP
BECAUSE THEY FEEL TRAPPED DUE TO A LACK OF INCOME.
Strategies to address service gap 2.
1. Collaborate with community partners in Clay and Palo Alto counties to identify
funding sources or community action grants to help fund the unmet needs of victims
of abuse.
2. Fundraise and write proposals to support Elder Rights and Client Assistance
Program.
SERVICE GAP #3 –FINANCIAL EXPLOITATION CONTINUES TO BE ONE OF THE TOP REASONS FOR REFERRAL TO
THE ELDER RIGHTS PROGRAM. OLDER ADULTS WHO MEET WITH AN ELDER RIGHTS PROGRAM STAFF WILL
INCREASE THEIR KNOWLEDGE OF FINANCIAL EXPLOITATION AND DECREASE THEIR RISK OF BEING FURTHER
ABUSED.
Strategies to address service gap 3.
1. Staff will educate all Elder Rights consumers on the different types of financial
crimes including exploitation within the first 90 days of one-on-one counseling.
SERVICE GAP #4: OLDER IOWANS ARE AT RISK OF LOSING THEIR INDEPENDENCE AND DECREASING THEIR
QUALITY OF LIFE WHEN DIRECT SERVICE STAFF ARE NOT SKILLED OR ARE UNCOMFORTABLE WORKING WITH
ABUSED OLDER ADULTS. STAFF REQUIRE ONGOING TRAINING IN UNDERSTANDING THE DYNAMICS OF ABUSE,
AND THE NEEDS OF VICTIMS.
17Strategies to address service gap 4.
1. Explore training opportunities to increase wellness and manage stress in working
with abuse victims.
2. Partner with DHS, law enforcement, Iowa ACES, or other agencies to participate in
training to increase comfort and skill level in working with victims of abuse.
Indicators, Performance Measures & Fiscal Year Targets
Indicators & Targets
Progress Indicators FY22 Review
Target Frequency
1. # of consumers completing assessments, educated on financial 40 Quarterly
crimes, and meet care plan goals.
2. Market and promote the Elder Rights Program in Lyon and Sioux 1% Annually
counties to increase referrals.
3. # of volunteers recruited from Lyon and Sioux to attend safety 2 Annually
team meetings via Zoom.
4. # of consumers helped with client assistance for an unmet need 5 Annually
Clay and Palo Alto which allows them to escape the negative
situation they are in and improve their quality of life.
5. # of training workshops, and/or webinars elder rights staff attend 2 Annually
to help them in their role with abused older adults and be more
effective in assisting clients.
Outcome Measures
Measure Purpose FY22 Review
Target Frequency
Percentage of EAPA Assessment & To evaluate resolution rate for a 75% Quarterly
Intervention consumer cases closed consumer's abuse, neglect, or
with services no longer needed. exploitation situation.
Percentage of EAPA Consultation To evaluate whether consumers are 95% Quarterly
consumers whose needs are met able to use information & referrals for
through provider referrals for Self- self-advocacy in resolving abuse,
Advocacy. neglect, or exploitation situation.
18Section 2: Service Projections
FY 2022 Projected Older Americans Act Consumers and Service Units
60+
Service 60+
Consumer 60+ 60+ Minority
Service Units Below
s Served Rural Minority Below
Provided Poverty
Poverty
01A: Administration Gen. Aging
Caregiving
1: Personal Care Gen. Aging 4100 160 160 2 2 160
2: Homemaker Gen. Aging 6500 450 450 20 20 440
3: Chore Gen. Aging 550 80 80 4 2 80
4: Home Delivered Nutrition Gen. Aging 200000 2100 2100 10 5 2000
5: Adult Daycare/Health Gen. Aging
6: Case Mgmt. Gen. Aging 1100 140 140 20 20 110
7: Congregate Meals Gen. Aging 218500 4530 4530 10 2 4500
8: Nutrition Counseling Gen. Aging 20 10 10 1 1 8
9: Assist Transportation Gen. Aging
10: Transportation Gen. Aging 28000 500 500 45 45 500
11: Legal Assistance Gen. Aging 600 350 350 2 2 350
12: Nutrition Ed Gen. Aging 7000 1750 1750 3 2 1725
13: Info and Assist Gen. Aging 4100 3000 3000 30 30 2900
14: Outreach Gen. Aging 400 400 400 2 2 300
A01: Material Aid: Home
Mod. Gen. Aging
B02: Health Promo: Non-
Evidence Gen. Aging 700 350 350 25 24 340
B04: Emergency Response
System Gen. Aging 800 80 80 10 10 75
B05: Behavioral Health
Supports Gen. Aging 350 40 40 2 2 40
B07: Health Promo: Evidence
Based Gen. Aging 150 150 150 15 15 150
C07: EAPA Consultation Gen. Aging 100 100 50 10 7 145
C08: EAPA Assessment &
Intervention Gen. Aging 1000 60 60 4 2 55
CO9: EAPA Training & Ed Gen. Aging
D01: Training & Education Gen. Aging 500 5000 5000 2 1 4000
E05: Options Counseling Gen. Aging 1700 300 300 2 1 300
F06: Material Aid: AsstTech
Durable Medical Equip. Gen. Aging
F07: Mat Aid: Consum.
Supports Gen. Aging
F08: Mat. Aid Other Gen. Aging 2000 250 250 2 1 250
1960+
Service 60+
Consumer 60+ 60+ Minority
Service Units Below
s Served Rural Minority Below
Provided Poverty
Poverty
CG3: CG Counseling Caregiver 70 30 30 2 2 30
CG4: CG Info Systems Caregiver 200 10000 10000 30 30 9000
CG5: CG Respite Caregiver
CG6: CG Support Services Caregiver 60 30 30 2 2 30
CG7: Home Dlvr. Nutrition Caregiver 500 50 50 2 1 50
CG8: CG Options Counseling Caregiver 400 150 150 2 2 140
CG9: CG Case Mgmt. Caregiver 30 10 10 2 2 10
CG10: CG Info & Asst. Caregiver 400 100 100 2 2 90
CG11: CG Support Grps Caregiver 50 40 40 2 1 40
CG12: CG Training Caregiver 20 20 20 1 1 20
CG13: CG Congregate Nutri. Caregiver
CG14: Emergency Resp. Sys Caregiver 5 5 5 0 1 5
CG 23: CG Respite Care: In-
Home Caregiver 1000 50 50 1 1 45
CG 24: CG Respite Care: Out-
of-Home (Day) Caregiver 2000 20 20 1 0 20
CG 24: CG Respite Care: Out-
of-Home (Overnight) Caregiver
CG26: CG Respite: Other Caregiver
GO1: GO Access Assist Caregiver
GO2: GO Self-Dir Care Caregiver
GO3: GO Counseling Caregiver
GO4: GO Info Services Caregiver
GO5: GO Respite Caregiver
GO6: GO Support Services Caregiver 20 15 15 1 1 15
GO7: GO Home Del. Meals Caregiver
GO8: GO Options Counsel. Caregiver 50 25 25 2 1 20
GO9: GO Case Mgmt Caregiver
GO10: GO Info. & Asst. Caregiver 55 20 20 2 1 15
GO11: GO Support Groups Caregiver
GO12: GO Training Caregiver
GO13: GO Congregate Nutri. Caregiver
GO14: GO Emrg. Resp. Sys Caregiver
GO23: GO Respite Care: In-
Home Caregiver
GO24: Respite Care: Out-of-
Home (Day) Caregiver
GO25: GO Respite Care: Out-
of-Home (Overnight) Caregiver
2060+
Service 60+
Consumer 60+ 60+ Minority
Service Units Below
s Served Rural Minority Below
Provided Poverty
Poverty
GO26: GO Respite Care: Other Caregiver
Self-Direction Service Delivery
Agency does not use a self-direction service delivery approach to providing services to older
adults and/or caregivers.
OR
Agency utilizes a self-direction service delivery approach to providing services to older
adults and/or caregivers.
These services are delivered using a self-direction service delivery approach:
Services:
The following table shows the number of persons expected to be served using a self-
direction service delivery approach and the amount of funds by funding source
projected to be expended under this service delivery approach.
Item Projection
Persons Served - Older Adult #
Projected Title IIIB Expenditure - Older Adults Amount
Projected Other - State Expenditure - Older Adults Amount
Projected Other - Non-State Expenditure - Older Adults Amount
Projected Program Income Expended - Older Adults Amount
Persons Served - Caregivers of Older Adult #
Projected Title IIIE Expenditure - Caregivers Older Adult Amount
Projected Other - State Expenditure -Caregivers Older Adult Amount
Projected Other - Non-State Expenditure - Caregivers Older Amount
Adult
Projected Program Income Expended -Caregivers Older Adult Amount
Persons Served - Older Relative Caregivers #
Projected Title IIIE Expenditure - Older Relative Caregivers Amount
Projected Other - State Expenditure - Older Relative Caregivers Amount
Projected Other - Non-State Expenditure - Older Relative Amount
Caregivers
Projected Program Income Expended - Older Relative Caregivers Amount
21Caregiver Respite Voucher
Agency does not use a voucher method for caregivers to obtain respite services.
OR
Agency utilizes a voucher method for caregivers to obtain respite services.
The following table shows the number of persons expected to be served using a voucher
method for caregiver respite and which funding sources are expected to be utilized for
the vouchers.
Item Projection
Persons Served - Caregivers of Older Adults #
Does AAA intend to use the funding sources listed below to
provide respite services for Caregivers of Older Adults through
vouchers?
OAA Title III E federal funds Y or N
Other - State Expenditure Y or N
Other - Non-State Expenditure Y or N
Program Income Expended Y or N
Persons Served - Older Relative Caregivers #
Does AAA intend to use the funding sources listed below to
provide respite services for Older Relative Caregivers through
vouchers?
OAA Title III E federal funds Y or N
Other - State Expenditure Y or N
Other - Non-State Expenditure Y or N
Program Income Expended Y or N
22Service Coverage & Wait List Information
Information & Service Assistance Services
An "X" indicates the service is offered in the county listed.
Emmet
Buena Vista
Audubon
Gordo
Crawford
Floyd
Greene
Carroll
Calhoun
Cerro
Dickinson
Franklin
Clay
Mandatory Services
Case Management X X X X X X X X X X X X
EAPA Assessment & Intervention X X X X X X X X X X X X
EAPA Consultation X X X X X X X X X X X X
Information & Assistance X X X X X X X X X X X X
Legal Assistance X X X X X X X X X X X X
Options Counseling X X X X X X X X X X X X
Assistance: Information & X X X X X X X X X X X X
Assistance (Family Caregiver)
Assistance: Case Management X X X X X X X X X X X X
(Family Caregiver)
Counseling X X X X X X X X X X X X
(Family Caregiver)
Options Counseling X X X X X X X X X X X X
(Family Caregiver)
Emmet
Gordo
Carroll
Buena
Vista
Audubon
Calhoun
Cerro
Crawford
Dickinson
Floyd
Franklin
Clay
Greene
Optional Services
Assistance: Information & X X X X X X X X X X X X
Assistance
(Older Relative Caregiver)
Assistance: Case Management
(Older Relative Caregiver)
Counseling
(Older Relative Caregiver)
Options Counseling X X X X X X X X X X X X
(Older Relative Caregiver)
23Information & Service Assistance Services
An "X" indicates the service is offered in the county listed.
Humboldt
Hancock
Kossuth
Lyon
O’Brien
Osceola
Palo Alto
Sac
Guthrie
Pocahontas
Mitchell
Hamilton
Mandatory Services
Case Management X X X X X X X X X X X X
EAPA Assessment & Intervention X X X X X X X X X X X X
EAPA Consultation X X X X X X X X X X X X
Information & Assistance X X X X X X X X X X X X
Legal Assistance X X X X X X X X X X X X
Options Counseling X X X X X X X X X X X X
Assistance: Information & X X X X X X X X X X X X
Assistance (Family Caregiver)
Assistance: Case Management X X X X X X X X X X X X
(Family Caregiver)
Counseling X X X X X X X X X X X X
(Family Caregiver)
Options Counseling X X X X X X X X X X X X
(Family Caregiver)
Mitchell
Humboldt
Hancock
Hamilton
Palo Alto
Kossuth
Lyon
O’Brien
Osceola
Sac
Guthrie
Pocahontas
Optional Services
Assistance: Information & X X X X X X X X X X X X
Assistance
(Older Relative Caregiver)
Assistance: Case Management
(Older Relative Caregiver)
Counseling
(Older Relative Caregiver)
Options Counseling X X X X X X X X X X X X
(Older Relative Caregiver)
24Information & Service Assistance Services
An "X" indicates the service is offered in the county listed.
[cou [cou [cou [cou [cou [cou [cou
Wright
Winnebago
Worth
Sioux
Webster
nty] nty] nty] nty] nty] nty] nty]
Mandatory Services
Case Management X X X X X
EAPA Assessment & Intervention X X X X X
EAPA Consultation X X X X X
Information & Assistance X X X X X
Legal Assistance X X X X X
Options Counseling X X X X X
Assistance: Information & X X X X X
Assistance (Family Caregiver)
Assistance: Case Management X X X X X
(Family Caregiver)
Counseling X X X X X
(Family Caregiver)
Options Counseling X X X X X
(Family Caregiver)
[cou [cou [cou [cou [cou [cou [cou
Wright
Winnebago
Worth
Sioux
Webster
nty] nty] nty] nty] nty] nty] nty]
Optional Services
Assistance: Information & X X X X X
Assistance
(Older Relative Caregiver)
Assistance: Case Management
(Older Relative Caregiver)
Counseling
(Older Relative Caregiver)
Options Counseling X X X X X
(Older Relative Caregiver)
25Nutrition & Health Promotion Services
An "X" indicates the service is offered in the county listed.
Emmet
Buena Vista
Audubon
Cerro Gordo
Crawford
Floyd
Greene
Carroll
Calhoun
Dickinson
Franklin
Clay
Mandatory Services
Congregate Meals X X X X X X X X X X X X
Evidence-Based Health Activities X X X X X X X X X X X X
Health Promotion & Disease Prevention X X X X X X X X X X X X
Home Delivered Meals X X X X X X X X X X X X
Nutrition Counseling X X X X X X X X X X X X
Nutrition Education X X X X X X X X X X X X
Emmet
Buena Vista
Audubon
Cerro Gordo
Crawford
Floyd
Greene
Carroll
Calhoun
Dickinson
Franklin
Clay
Optional Services
Home Delivered Meal (Family X X X X X X X X X X X X
Caregiver)
Home Delivered Meal
(Older Relative Caregiver)
Nutrition & Health Promotion Services
An "X" indicates the service is offered in the county listed.
Humboldt
Hancock
Palo Alto
Kossuth
Lyon
O’Brien
Osceola
Sac
Guthrie
Pocahontas
Mitchell
Hamilton
Mandatory Services
Congregate Meals X X X X X X X X X X X X
Evidence-Based Health Activities X X X X X X X X X X X X
Health Promotion & Disease Prevention X X X X X X X X X X X X
Home Delivered Meals X X X X X X X X X X X X
Nutrition Counseling X X X X X X X X X X X X
Nutrition Education X X X X X X X X X X X X
Hancock
Osceola
Guthrie
Pocahontas
Mitchell
Humboldt
Hamilton
Palo Alto
Kossuth
Lyon
O’Brien
Sac
Optional Services
Home Delivered Meal (Family Caregiver) X X X X X X X X X X X X
Home Delivered Meal
(Older Relative Caregiver)
26Nutrition & Health Promotion Services
An "X" indicates the service is offered in the county listed.
[count [count [count [count [count [count [count
Wright
Winnebago
Worth
Sioux
Webster
y] y] y] y] y] y] y]
Mandatory Services
Congregate Meals X X X X X
Evidence-Based Health X X X X X
Activities
Health Promotion & Disease X X X X X
Prevention
Home Delivered Meals X X X X X
Nutrition Counseling X X X X X
Nutrition Education X X X X X
[coun [coun [coun [coun [coun [coun [coun
Wright
Winnebago
Worth
Sioux
Webster
ty] ty] ty] ty] ty] ty] ty]
Optional Services
X X X X X
Home Delivered Meal (Family
Caregiver)
Home Delivered Meal
(Older Relative Caregiver)
Services to Promote Independence
An "X" indicates the service is offered in the county listed.
Emmet
Vista
Audubon
Gordo
Crawford
Floyd
Greene
Carroll
Buena
Calhoun
Cerro
Dickinson
Franklin
Clay
Optional Services
Adult Day Care / Health X X X
Assisted Transportation
Behavioral Health Supports X X X X
Chore X X X X X X X X X X X X
Emergency Response System X X X X X X X X X X X X
Homemaker X X X X X X X X X X
Material Aid X X X X X X X X X X X X
Outreach X X X X X X X X X X X X
Personal Care X X X X X X X X X
Training & Education X X X X X X X X X X X X
Transportation X X X X X X X X X X X
27Emmet
Vista
Audubon
Gordo
Crawford
Floyd
Greene
Carroll
Buena
Calhoun
Cerro
Dickinson
Franklin
Clay
Optional Services
Information Services X X X X X X X X X X X X
(Family Caregiver)
Respite Care: X X X X X X X X
• In-home(day)
• Out-of-home (day)
• Out-of-home (overnight)
• Other
(Family Caregiver)
Supplemental Services: X X X X X X X X X X X X
• Assistive Technology/Durable
Equip/Emergency Response
• Consumable Supplies
• Home Modifications/Repairs
• Legal/Financial Consultation
• Homemaker/Chore/Personal
Care
• Transportation
• Nutrition Services (Congregate
Meal & HDM)
• Other
(Family Caregiver)
Support Group X X X X X X X X X X X X
(Family Caregiver)
Training
(Family Caregiver)
Information Services (Older
Relative Caregiver)
Options Counseling (Older
Relative Caregiver)
Respite Care
(Older Relative Caregiver)
Supplemental Services: X X X X X X X X X X X X
• Assistive Technology/Durable
Equip/Emergency Response
• Consumable Supplies
• Home Modifications/Repairs
• Legal/Financial Consultation
• Homemaker/Chore/Personal
Care
• Transportation
• Nutrition Services (Congregate
Meal & HDM)
• Other
(Older Relative Caregiver)
Support Group
(Older Relative Caregiver)
Training
(Older Relative Caregiver)
28Services to Promote Independence
An "X" indicates the service is offered in the county listed.
Humboldt
Hancock
Palo Alto
Kossuth
Lyon
O’Brien
Osceola
Sac
Guthrie
Pocahontas
Mitchell
Hamilton
Optional Services
Adult Day Care / Health X X
Assisted Transportation
Behavioral Health Supports X X X X
Chore X X X X X X X X X X X X
Emergency Response System X X X X X X X X X X X X
Homemaker X X X X X X X X X X
Material Aid X X X X X X X X X X X X
Outreach X X X X X X X X X X X X
Personal Care X X X X X X X X X X
Training & Education X X X X X X X X X X X X
Transportation X X X X X X X X X X X
Information Services X X X X X X X X X X X X
(Family Caregiver)
Respite Care: X X X X X X X X
• In-home(day)
• Out-of-home (day)
• Out-of-home (overnight)
• Other
(Family Caregiver)
Supplemental Services: X X X X X X X X X X X X
• Assistive Technology/Durable
Equip/Emergency Response
• Consumable Supplies
• Home Modifications/Repairs
• Legal/Financial Consultation
• Homemaker/Chore/Personal
Care
• Transportation
• Nutrition Services (Congregate
Meal & HDM)
• Other
(Family Caregiver)
Support Group X X X X X X X X X X X X
(Family Caregiver)
Training
(Family Caregiver)
Information Services (Older
Relative Caregiver)
Options Counseling (Older
Relative Caregiver)
Respite Care
(Older Relative Caregiver)
29Humboldt
Hancock
Palo Alto
Kossuth
Lyon
O’Brien
Osceola
Sac
Guthrie
Pocahontas
Mitchell
Hamilton
Optional Services
Supplemental Services: X X X X X X X X X X X X
• Assistive Technology/Durable
Equip/Emergency Response
• Consumable Supplies
• Home Modifications/Repairs
• Legal/Financial Consultation
• Homemaker/Chore/Personal
Care
• Transportation
• Nutrition Services (Congregate
Meal & HDM)
• Other
(Older Relative Caregiver)
Support Group
(Older Relative Caregiver)
Training
(Older Relative Caregiver)
Services to Promote Independence
An "X" indicates the service is offered in the county listed.
[coun [coun [cou [cou [coun [cou [cou
Wright
Winnebago
Worth
Sioux
Webster
ty] ty] nty] nty] ty] nty] nty]
Optional Services
Adult Day Care / Health X X
Assisted Transportation
Behavioral Health Supports X
Chore X X X X X
Emergency Response System X X X X X
Homemaker X X X X X
Material Aid X X X X X
Outreach X X X X X
Personal Care X X X X
Training & Education X X X X X
Transportation X X X
Information Services X X X X X
(Family Caregiver)
Respite Care: X X X
• In-home(day)
• Out-of-home (day)
• Out-of-home (overnight)
• Other
30[coun [coun [cou [cou [coun [cou [cou
Wright
Winnebago
Worth
Sioux
Webster
ty] ty] nty] nty] ty] nty] nty]
Optional Services
(Family Caregiver)
Supplemental Services: X X X X X
• Assistive Technology/Durable
Equip/Emergency Response
• Consumable Supplies
• Home Modifications/Repairs
• Legal/Financial Consultation
• Homemaker/Chore/Personal
Care
• Transportation
• Nutrition Services (Congregate
Meal & HDM)
• Other
(Family Caregiver)
Support Group X X X X X
(Family Caregiver)
Training
(Family Caregiver)
Information Services (Older
Relative Caregiver)
Options Counseling (Older
Relative Caregiver)
Respite Care
(Older Relative Caregiver)
Supplemental Services: X X X X X
• Assistive Technology/Durable
Equip/Emergency Response
• Consumable Supplies
• Home Modifications/Repairs
• Legal/Financial Consultation
• Homemaker/Chore/Personal
Care
• Transportation
• Nutrition Services (Congregate
Meal & HDM)
• Other
(Older Relative Caregiver)
Support Group
(Older Relative Caregiver)
Training
(Older Relative Caregiver)
31Area Plan Service Waiting List
Agency does not have a waiting list for any services.
OR
Agency has a waiting list for services as indicated in the following table.
Typical Number of Average
Individuals on Waiting Waiting List
Service with Waiting List Waiting List List Time Prioritization Criteria
[Describe how members of the public may obtain your agency's wait list policy.]
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