Generations Michigan
Fall 2003
TM
Housing Choices for Seniors
Also in This Issue: ■ Coping with the Holidays ■ A Look at AAAs Around Michigan
Published quarterly by Michigan’s Area Agencies on Aging
Welcome to Michigan Generations Michigan is divided into 16 AAAs, each serving a different part of the state.
11
They are:
AAAs— Gateways to Community Resources
10
9
8
7 5
14
3A 3B
4
3C
4 Region IV Area Agency on Aging 5 Valley Area Agency on Aging 6 Tri-County Office on Aging 7 Region VII Area Agency on Aging 8 Area Agency on Aging of Western Michigan 9 NEMCSA Region 9 Area Agency on Aging 10 Area Agency on Aging of Northwest Michigan 11 Upper Peninsula Area Agency on Aging 14 Senior Resources of West Michigan
6 1A
The services offered by Michigan’s 16 AAAs cover a broad spectrum of needs, such as information and referral, case management, in-home services, home-delivered meals, senior centers, transportation, and special outreach. To read more about each of Michigan’s AAAs and the services available, turn to page 10 of this issue. MI
1B
2
1C
Michigan
Generations FALL 2003 Published quarterly
through a cooperative effort of Michigan’s Area Agencies on Aging. For information contact: Jenny Jarvis 248-262-9202 jjarvis@aaa1b.com
2
Editorial Project Development: JAM Communications, Atlanta, GA Design and Production: Wells-Smith Partners, Lilburn, GA
On the Cover: Residents at American House in Kalamazoo value their newly-formed friendships. For an overview on senior housing in Michigan, turn to page 4. Photography by Mike Larson.
Fall 2003, Volume 1, #2 © 2003 by the Michigan Area Agencies on Aging. The information contained herein has been obtained from sources believed to be reliable. However, the Michigan Area Agencies on Aging and JAM Communications make no warranty to the accuracy or reliability of this information. No part of this publication may be reproduced or transmitted in any form or by any means without written permission. All rights reserved.
Michigan Generations
MAP PHOTOGRAPHY COURTESY TRAVEL MICHIGAN
Whether you are an older adult yourself, a caregiver or a friend concerned about the well-being of an older adult, Area Agencies on Aging (AAAs) are ready to help. AAAs in communities across the country serve as gateways to local resources, planning efforts, and services that help older adults remain independent. AAAs were established under the Older Americans Act in 1973 to respond to the needs of Americans aged 60 and over in every community. The services available through AAA agencies fall into five general categories: information and consultation, services available in the community, services in the home, housing, and elder rights. A wide range of programs is available within each category.
1A Detroit Area Agency on Aging 1B Area Agency on Aging 1-B 1C The Senior Alliance 2 Region 2 Area Agency on Aging 3A Kalamazoo Cty.Human Services Dept.Region 3-A 3B Burnham-Brook Region IIIB Area Agency on Aging 3C Branch-St.Joseph Area Agency on Aging (IIIC)
CAREGIVINGNews&Notes Prepare for doctor’s appointments
W
e all know the feeling:You wait weeks, or even months, for a doctor appointment. But when it finally takes place, you are nervous, the doctor seems rushed, and you walk out with important questions unanswered. The key to avoiding this situation is to make a list of questions you want to discuss.Write them down and have a pen and extra paper to record the doctor’s answers. Consider these types of questions: ■ Can you explain my illness, or condition, in non-medical terms? ■ How has the situation changed since my last appointment? ■ Are more tests required? What are they? ■ What treatment options are available? What is likely to happen without any treatment? ■ What are the side effects of these treatments, or medications? ■ What is the likelihood of an emergency, and what should I do in case it occurs? ■ What are the next steps in this procedure or diagnosis? Keep a log or journal of all your visits. Be sure to date each entry and review your log before each doctor’s appointment.
Purchasing Power A
group purchasing program has been organized for caregivers who buy nutrition, bathing, mobility, incontinence, and other products.The Caregivers Marketplace provides a wide range of discounts, rebates, education and resources. Viewers can browse the Marketplace website, searching product lists by category, brand, or company. A Savings Catalog shows companies offering discounts for caregivers using a special Savings Card. The education/resources link provides a detailed list of new products being offered, including photos, descriptions, and prices. There is no cost for enrolling. For information, call 866-327-8340 or visit www.caregiversmarketplace.com
November is Family Caregiver Month “Share the Caring” is the theme of the National Family Caregivers Month in November 2003. This is sharethecaring an acknowledgement that caregiving is more than a one-person job. It’s a request for assistance. It’s a call to action to help America’s family caregivers. National Family Caregiver Month is a time to thank, support, assist, educate and celebrate our nation’s more than 50 million family caregivers. Watch for information on local events and activities.
Surfing the Web Each issue of Michigan Generations offers several websites of interest to older adults and their caregivers … right at your fingertips.
www.seniornet.org is a comprehensive site for computer-savvy older adults, which features web-based enrichment classes, bulletin-board discussions on topics such as finance, books, and travel, and online tutorials. www.careguide.net is an award-winning site offering a full range of services, articles and resources for caregivers. Look for tips and advice, plus online organizational worksheets. www.cancersource.com an interactive site dedicated to cancer resources, has information about the dying process, hospice care, side effects of chemotherapy, and much more.
How to Create an Emergency Kit The recent blackout in parts of the U.S. taught a good lesson in preparing for emergencies. One important step is to assemble a “72-hour” emergency kit, which you should keep in an easily accessible closet or storage space. Here are some items it should contain: ■ Water — one gallon per family member per day, in plastic containers. ■ Food — non-perishable goods that require no refrigeration or cooking — canned meats, fruits and vegetables, canned milk or juice, peanut butter and jelly, nuts and crackers. ■ First-aid kit with bandages, antiseptic, aspirin or pain reliever. ■ Household supplies, such as battery-operated radio, flashlight, candles and extra keys. ■ Special items, such as prescription medicine and important family documents.
Look for more helpful websites in the next issue of Michigan Generations.
Fall 2003
3
Presbyterian Village in Redford Township.
Housing
Choices forSeniors By Martha Nolan McKenzie
Finding decent and affordable housing is one of the most critical issues facing older Americans today. Although many seniors are staying in their own homes longer (or downsizing to smaller homes, townhouses or apartments), thousands will eventually need to move into a form of senior housing. And those numbers will only increase. The U.S. Census predicts that the number of people age 85 and older will grow 3 percent to 4 percent annually through the middle of this decade.
4
T
o accommodate the increasing demand for organized housing, a variety of options has sprung up in recent years — independent living, assisted living, skilled nursing care and continuing care communities. “The good news is there are a lot of choices out there in senior housing,” said Jim Bowe, spokesperson for Trinity Continuing Care Services, which is the senior housing arm of the nation’s largest Catholic hospital system, Trinity Health. “The bad news is people don’t understand what their choices are. Sorting out what kind of facility offers what kinds of services can be very confusing.” Paying for the housing is another hurdle. Medicare doesn’t cover it. Medicaid pays only for nursing homes and home care services for eligible persons. And relatively few people have long term care insurance. “Most senior housing is paid for privately,” said David Schless, president of the American Seniors Housing Association (ASHA) in Washington, D.C. “And it can be quite expensive.” There are three broad types of senior housing in Michigan — independent living, assisted living and nursing homes — which differ primarily according to the amount of assistance and care they provide for residents. Increasingly, all three types are being combined in a fourth option — continuing care retirement communities. Here’s a quick look at these housing choices: ■ INDEPENDENT LIVING Senior apartments and independent living communities fall under this heading, and Michigan Generations
both target active seniors who can care for themselves independently. Senior-only apartments generally do not provide meals, but often offer community rooms, and some social activities. Independent living communities typically offer daily meals, housekeeping and personal emergency response in addition to social activities and transportation. Both are unregulated except by local authorities. ■ ASSISTED LIVING In Michigan, the term “assisted living” can refer to any of three types of housing — unlicensed assisted living, licensed homes for the aged and licensed adult foster care. Assisted living facilities and homes for the aged offer two or three meals a day, housekeeping, transportation and social activities. They may also provide, at extra cost, help with many tasks of daily living, such as getting dressed, bathing or taking medication. Adult foster care homes, which house from one to 20 residents, are much smaller than homes for the aged and their services vary widely. There are over 4,700 adult foster care homes in Michigan, and about 150 homes for the aged. Since it’s not apparent by the name of the facility whether it is licensed or not, it’s important to ask. Or you can call the Michigan Department of Consumer and Industry Services at (517) 334-8408 (for homes for the aged) or (517) 373-8580 (for adult foster care homes). “Unlicensed isn’t bad — many people do quite well in an unlicensed facility,” said Chris Kenzie, information and assistance supervisor at The Senior Alliance, Area Agency on Aging 1-C, in Wayne. “The primary difference is in an unlicensed facility, you are in a tenant/landlord relationship. So if you have a problem or dispute, you can turn only to the operators of the facility or the court. In a licensed facility, there are state ombudsmen to handle complaints.” ■ NURSING HOMES Designed for individuals who cannot function on their own, nursing homes offer extensive skilled nursing care and assistance with activities of daily living. They are licensed by the state. There are about 450 nursing homes in Michigan housing some 50,000 residents. ■ CONTINUING CARE RETIREMENT COMMUNITIES Generally, CCRCs make independent living, Fall 2003
assisted living and skilled nursing facilities available all on one campus. The goal is to allow a resident to remain in the same location, even as his or her lifestyle preferences and health care needs change. Knowing she could stay in one place even if she needed additional care was what sold Rachel McMaster on Presbyterian Village Redford, a continuing care facility in Redford Township, just outside of Detroit. The now 91-year-old woman was living with her daughter and son-in-law when her husband passed away in 2000. Since her daughter and son-in-law both worked, and their children had left home, McMaster was alone during the day. “I didn’t want to be alone,” said McMaster. “I talked to my doctor and he recommended some facilities. The main reason I liked Presbyterian Village was it wasn’t only assisted living. It has a nursing home too. That way I could stay here and not have to move if I needed the nursing home.” Indeed, Presbyterian Village Redford also has independent living duplexes and senior apartments. Many residents, like McMaster, are attracted by the range of services offered. “Once you come here, you don’t have to keep making a lot of decisions about housing and care,” said Mariellen Sutton, executive director of the community. “You’ve made an all-encompassing decision. A lot of our residents see this as a gift to their children. Many of them have been caught in the sandwich generation, and they don’t want to saddle their children with that. They want to make those choices now and spare their children from having to make them later.” CCRCs often have a unit for Alzheimer’s care. Amber Way, for example, is a 20room Alzheimer’s facility that is part of a nonprofit CCRC called The Heritage Community in Kalamazoo. Security is the main concern of family members considering Amber Way for their loved one. With alarmed doors and a tall fence surrounding the grounds, the facility is designed so its residents can’t wander off and get lost. But the staff is just
Senior living around Michigan.
5
as concerned about making the residents feel valued and useful. “Caregivers sit with residents at meal times to talk and listen to them,” said Sandy DeKilder, marketing director for the community. “Residents can attend staff meetings. And anything they mention that they might have done in the past, we try to do here, whether it’s cooking, dressing dolls, waxing cars. It can help jog their memory and make them feel there are still things they can do.” As daunting as it can be to evaluate and select the most appropriate facility for yourself or your loved one, paying for it can present an even greater challenge. Independent living and assisted living facilities generally do not accept Medicaid or SSI (Supplemental Security Income), and there is no Medicare assisted living benefit. Few seniors have long term care insurance. “The biggest shock for most people is the cost of senior housing — which can be several thousand dollars a month — and the fact that it’s private pay,” said Pat MacKinnon, assisted living specialist for Citizens for Better Care, a Michigan non-profit education and advocacy organization. “The cost puts it out of the range of many seniors.” Often, the senior has lived in his or her house for decades and owns it free and clear. The house is then sold and the older adult invests the proceeds and uses the return, along with other income, such as Social Security or investments, to pay for senior housing. But if the money runs out, he or she may be forced to leave the facility. And for seniors who don’t own their homes, the challenge can be even greater. Limited government assistance is available for residents who meet strict eligibility standards — generally very low income, disabled or mentally ill. For example, the government sets aside money to build affordable apartment complexes for very low income seniors and helps subsidize their rents. Michigan also has a Medicaid waiver program called “MI Choice,” which allows Medicaid money to be applied towards receiving long term care services in the home. Senior Resources (AAA Region 14) in Muskegon Heights helped Steve Martin take advantage of both programs. At 18, Martin was in a car accident that eventually cost him 6
both legs. He lived — unhappily — in various nursing homes since then. But two years ago Waldo Kauffman, social work supervisor at Senior Resources talked to Martin about the possibility of moving out of the nursing home and into his own apartment. Kauffman found Martin a subsidized apartment in Muskegon and arranged for twice daily visits from a nurse and meal delivery, both of which are paid for through the MI Choice Medicaid waiver. Martin, now 49, is much happier these days.
The biggest shock for most people is the cost of senior housing. That puts it out of the range of many seniors. “I love it out here,” said Martin. “I’ve got much more freedom. I go to bed when I want to, not when someone tells me to. I eat when I want to. I’ve got a motorized wheelchair, so I’ll go to K-mart on my own, and I spend a lot of time visiting with other people in the apartment building. This is the first time I’ve lived by myself since I was hurt, but I’m doing well.” The programs worked well for Martin, but the waiting lists for subsidized housing and MI Choice Medicaid waivers are long and eligibility requirements are strict, according to David Kimball, director of housing and assisted living services for the Michigan Association of Homes and Services for the Aging (MASHA). “The HUD subsidized housing is only for very low and extremely low income seniors,” said Kimball. “The waiting list for vouchers in most jurisdictions is quite lengthy. Affordability of housing is the single biggest concern we see right now.” The greater a senior’s ability to pay privately for senior housing, the greater the Michigan Generations
options available to them. “We know a high percentage of seniors will have some long term care need,” said Schless. “The more able you are to pay privately, the more choices and the better the quality will be available to you.” Just as they have transformed the national landscape at every stage along the way, Baby Boomers are set to reshape senior housing to fit their unique needs and demands in the years ahead. Already, facilities are beginning to feel the “Boomer” influence. “We are definitely noticing a change in the interests of the younger seniors coming in,” said Robert W. Gillette, vice president of American House, which operates 30 assisted living and continuing care facilities in southeast Michigan. “These seniors are interested in physical fitness, travel, technology and computers. They want more and larger rooms — we’re seeing more demand for two-bedroom, two-bath units. And they want to decide what sorts of things are offered. So we don’t have regimented activities and programs — we arrange things to follow their wishes.” American House is not alone. In Bay City, Colonnades Assisted Living opened last year prepared for vibrant seniors. It boasts an exercise room with a treadmill, stair stepper, stationary bike and light weights. Residents can reserve a large private
dining room for private family gatherings, and every room is equipped for computer access. “Our residents want to remain independent and active, and we try to do everything we can to make sure they can,” said Sherry Wachowski, director of the center. The next couple of decades will see increasing demand by boomers. “The generation currently using assisted living is from the depression era,” said Bowe of Trinity Health. “Their expectations and priorities are very different from the boomers. They don’t want to see their money wasted, and they are looking for value, not posh environments. “Boomers, on the other hand, are going to demand service. And we’re going to see senior housing taking niche positions — some might emphasize fitness, others technology, still others continued learning. Around 2015 to 2020 it will really take off, as boomers flood into the senior housing market.” MI
For a list of questions to ask when visiting a senior facility, turn to page 20.
MI Choice Helps Make a Dream Come True
D
ick Desotell II’s father had been living in a nursing home since he suffered a stroke in 1995, yet he still cried and mouthed, “Go home!” every time his son came to visit. “He was very, very unhappy there, and although he knew he couldn’t go back to the home where he had lived, he wanted out of the nursing home and back to his hometown,” said Desotell, whose father is also named Dick Desotell. On August 2, his father’s wish came true. He moved from the nursing home in Lapeer to an assisted living facility in Rochester Hills, three miles from the house in which he grew up.When the senior Desotell was wheeled into his new room he cried again, but this time it was for happiness. Desotell’s good fortune came thanks to an innovative program by the Area Agency on Aging 1-B and American House, an operator of assisted living and continuing care facilities in southeast Michigan. “It’s a joint project to pilot a way to make assisted living more affordable and accessible,” said Jim McGuire, director of planning and advocacy for AAA 1-B. “It is being called the Michigan model.” The project combines a state Medicaid waiver program (called MI Choice), which allows people who qualify for Medicaid to receive supportive care services in their home, and HUD section 8 rental assistance voucher, which subsidizes rent for low income seniors. “There are a lot of seniors in nursing homes who don’t need that level of care, but they are there because it’s the only thing Medicaid will pay for,” said Robert W. Gillette, vice president of American House. “The idea is to take these seniors and put them in a more Fall 2003
appropriate, home-like and less-expensive setting. So we can move a senior to an American House and use the MI Choice waiver to pay for the resident’s meals, housekeeping and services. The section 8 HUD voucher can be used to help subsidize the rent portion of the fee.” Desotell is one of the 54 seniors who have been helped by this program.When he had his stroke, the older Desotell, now 64, had been laid off from his construction job and had no health insurance. “I had to liquidate all his assets to get him on Medicaid, and Medicaid would only pay for a nursing home,” said the younger Desotell. “Then the AAA told us about this new program. Now we pay American House $900 a month, which comes out of his $1,074 Social Security check. Pop is left with an extra $100 or so to spend on things and different agencies take care of the rest.” The move has made a world of difference. In the nursing home, Desotell’s father shared a room with two other men.The only furnishings were three single beds and three night stands. Now he has his own living space, with a bedroom, living room, kitchenette and bathroom. He can come and go as he pleases, yet he has all the help he needs. Experts laud the AAA 1-B/American House project. “It is definitely a unique program, and it’s addressing one of the real unmet needs nationally,” said ASHA president David Schless. “I think it’s a national role model in terms of trying to provide housing and services for those who don’t need to be in skilled nursing facilities but require supportive care services.” MI 7
GUESTClose-Up
Coping with the
Holidays By Suzann Ogland-Hand, Ph.D.
F
or most people, the holidays — Thanksgiving, and Christmas or Hanukkah — are times for celebration and family. If you’ve had a death in the family, or are struggling with losses in your health or the health of a family member, your holidays may not feel exactly the same. Certainly losses are never easy. However, during holiday times, these losses can seem to cause pain “all over again.” Negative life events such as the death of a family member, changes in health, moving to a new community, job losses in family or friends, or divorce and other relationship problems can tarnish the holidays for many. Coping with the loss of a loved one — or other losses — can be a painful contrast to the series of hopeful expectations that highlight the season for many. It appears that everybody is joyful, yet you may feel grief and sorrow. The contrast is remarkable. Many factors influence how a person experiences grief. How recently the loss occurred is significant. The first year after the death of a loved one is full of many “firsts” without them. “Firsts” include not only holidays, but birthdays and anniversaries as well. In addition, very ordinary “firsts” also occur: the first meal alone, the first time attending church/synagogue alone; and if you’ve lost a spouse, spending evenings alone or climbing into bed without your partner there. The first year after a significant loss is full of reminders and chances to grieve over the loss of someone dear. Certainly sadness and grief are natural feelings accompanying your loss. To make it through the holidays and even enjoy them again, helping professionals and those who’ve survived the loss of a loved one suggest the following: ■ First, let go of any expectations and try to be kind to yourself. ■ Think through the events in which you’ve usually partici8
pated, and decide what you can handle comfortably. Then let your family and friends know your wishes. ■ Pick the people you want to be with. ■ Remember and freely discuss the person who is no longer present. ■ Start a ritual as a way of letting go. For example, light a candle in memory of your loved one, or think of a special way you’d like to remember this person year after year. ■ Set aside some time to remember. Don’t pretend it didn’t happen. Give yourself time and room to grieve, as this actually gives you time and room to live. ■ While it may be tempting to stay home alone, getting out with friends can help. ■ It’s OK to laugh and be happy sometimes too. ■ Check out the book, The Empty Chair: Handling Grief on Holidays and Special Occasions, by Michigan authors Susan Zonnebelt-Smeenge & Robert DeVries. ■ Many churches and synagogues offer services for those who are grieving. ■ If you are feeling overwhelming sadness or having thoughts of hurting yourself, seek professional help immediately. For those who want to support friends and family after a loss, try these suggestions: ■ Drop a note, send a card, or call to let a friend know you are thinking of them and are aware that the holidays may be difficult. ■ Go ahead and initiate a conversation and help open the door for them. For those going through the grief process during the holiday time, remember that sadness and pain are part of the process of giving honor to the memory of the person you’ve lost. As you experience the holidays, may the memories you have, coupled with the hope and expectation of healing, offer you comfort during this painful time. MI DR. OGLAND-HAND is the Director of Senior Care & Clinical Geropsychologist for Pine Rest Christian Mental Health Services, Grand Rapids, MI. Michigan Generations
ASKtheExpert
Jim Schuster
A Close Look at
Elderlaw
Does a caregiver need legal advice? YES . A CAREGIVER MAY BE MAKING
decisions for the care receiver. These decisions may be medical, financial or others that affect the legal rights of the care recipient. The caregiver needs legal authority to make these decisions.
I am a caregiver for my spouse. Do I still need legal authority? YES, EACH PERSON HAS HIS OR HER OWN
legal rights and interests. For example, you could not substitute for your spouse on his or her job, nor could you call the doctor and make an appointment for your spouse to have surgery because you decided it would be a good idea. If a legal, medical or financial decision must be made and the spouse cannot make it, the caregiver spouse will need to have authority to make the decision.
Isn’t it enough to be joint on a bank account? NO. BEING A JOINT TENANT on a bank account does not give authority to sign a legal document or make a medical decision. For example, there could be a dispute over insurance coverage or questions over a recommended course of medical treatment. A
Do you have a caregiving question? Write or email your question to our “Expert” at: Jenny Jarvis,Area Agency on Aging 1-B, 29100 Northwestern Highway, Suite 400, Southfield, MI 48034; jjarvis@aaa1b.com.We will make every effort to answer your question in an upcoming issue of Michigan Generations.
Fall 2003
joint tenant has no authority to act in these situations.
supervision of the probate court and report to the court.
How does one get legal authority to act?
What reports must a guardian or conservator make?
THE CAREGIVER MAY RECEIVE AUTHORITY
A GUARDIAN MUST FILE ANNUAL REPORTS
from the recipient or the probate court. The recipient may grant power of attorney for financial and healthcare matters. The probate court may appoint a guardian if it finds the care recipient to be legally incapacitated, or a conservator if it finds the person is under a disability and unable to manage property effectively.
on the status of the “ward.” The conservator must find all the property, put it in a conservator account, file an inventory and thereafter file an annual account. The conservator must be prudent with the handling of the property and protect it for the incapacitated person. If a home is to be sold, the conservator must petition the court for permission to sell.
When is a power of attorney the best option? A POWER OF ATTORNEY REQUIRES the
grantor to have “sound mind.” That means that the person has the mental capacity to know what they are doing. If the person is not of sound mind then appointment as the guardian or conservator must be sought from the probate court. The powers of attorney only work where there is trust and confidence in the agent. We would not entrust our life savings with a person who has an addiction to drugs or gambling. If there is no trustworthy person then appointment of a guardian or conservator would be the best option. That way there is ongoing supervision by the probate court. Between the two methods the powers of attorney cost less, unless the person is indigent in which case the cost of probate court proceedings will be paid by the county.
How can I be appointed guardian or conservator? A PETITION MUST BE PRESENTED to the county probate court. The court will hold a hearing to determine whether a person is so incapacitated that a guardian or conservator should be appointed. If you are appointed then you will receive “letters of authority” and thereafter will be under the
Can a caregiver be compensated? THAT DEPENDS. If the caregiver is a family member then the law presumes that services are rendered gratuitously. This presumption may be overcome with proof of an agreement to pay. This agreement would have to be in place at the onset of services that are to be compensated. A caregiver who is a guardian or conservator will be compensated for those roles, not for being a caregiver per se.
Is the caregiver compensation subject to income tax? YES, THE “NANNY TAX” APPLIES to care-
givers who are paid. They fall in the class of domestic household employees. The care recipient is the employer and the caregiver the employee. The employer must withhold income and social security tax and pay the employer’s share of social security tax as well as unemployment taxes. MI JIM SCHUSTER has been licensed as an attorney since 1978 and practices Elder Law. He is Chair of the Elder Law and Advocacy Section of the Michigan State Bar and is a member of the National Academy of Elder Law Attorneys. 9
REGIONALNews In communities across the U.S.,
11
Area Agencies on Aging (AAAs) serve as gateways to local resources, planning efforts and services that help older adults remain independent. Here are the programs and services offered by Michigan’s AAAs.
1A Detroit Area Agency on Aging 1B Area Agency on Aging 1-B 1C The Senior Alliance 2 Region 2 Area Agency on Aging 3A Kalamazoo Cty.Human Services Dept.Region 3-A 3B Burnham-Brook Region IIIB 3C Branch-St.Joseph Area Agency on Aging (IIIC) 4 Region IV Area Agency on Aging 5 Valley Area Agency on Aging
9
10
7
8
6 Tri-County Office on Aging 7 Region VII Area Agency on Aging 8 Area Agency on Aging of Western Michigan 9 NEMCSA Region 9 Area Agency on Aging 10 Area Agency on Aging of Northwest Michigan 11 Upper Peninsula Area Agency on Aging 14 Senior Resources of West Michigan
5
14 6 4
1B
3A 3B 3C
2
1A 1C
S POTLIGHT O N …
The Senior Alliance Serving caregivers and seniors in the 34 communities of southern and western Wayne County
Senior Days with the Tigers!
“T
he sun’s out, it’s another beautiful Michigan day . . . let’s hop in the car and go see the Tigers!” Unfortunately, for the older fan, it’s not always that easy. Transportation can be an issue, and cost can be a problem too. In reaching out to their older fans, the Tigers thought about all of this, plus a little bit extra. Working with The Senior Alliance, along with the support of DTE Energy, the Tigers created the Senior Day Series — five afternoon game dates where seat locaMike Simowski, Executive Director,The Senior Alliance, tossing the ceremonial frst pitch at the inaugural Senior Day.
tion, cost and transportation were thought through specifically to accommodate the more experienced Tiger fan. “We recognize that there are a number of longtime fans who would love to come to a Tiger game if we just made it a little easier for them,” said Dwain Lewis, Group Sales Manager of the Detroit Tigers. For only a $12 ticket, the Senior Day program offered seniors 60 and over a lower-deck box seat (priced normally at $25) and a voucher for
a complimentary hot dog or pizza slice and a small Pepsi. “The Tigers have been extremely flexible by setting aside seats in the shade and accommodating those who may have lost a step since the last time the Tigers were in the World Series,” stated The Senior Alliance Executive Director Mike Simowski. The Tigers have won four times and lost only once on Senior Day, a fact that is not lost on the fans sitting in the senior seats. “I think the Tigers know that we’re here and they play hard for us,” stated Georgia Bradford, longtime fan. For information, call Jordan Field with the Detroit Tigers at 313-471-2052 or Bill Campbell with The Senior Alliance at 734-727-2050. Michigan Generations
Detroit Area Agency on Aging Serving Detroit, Highland Park, Hamtramck, Harper Woods and the five Grosse Pointes in Wayne County
Grandparents Raising Grandchildren Provides Resources and Advice ore and more grandparents are finding themselves in the role of primary caregiver to their grandchildren. According to the 2000 Census, in Detroit alone over 17,000 grandparents are raising their children’s children. Unfortunately many of the grandparents who are taking care of their grandchildren are unprepared for this huge responsibility. Most of them take in their grandchildren because they love them and want to provide stabilContest winners of Grandparents Raising Grandchildren celebration. ity in their lives. However, in doing so, many of these grandparents are using their retirement savings or their Grandparents Day. Children raised by support of the community as they take income from social security to support their grandparents were invited to on this huge task. their grandchildren. participate in an essay contest Says Grandparents Raising GrandBut there is help for these nonchildren Committee Chair, Juanita describing why their grandparents traditional families. The Detroit Area should be honored. This year’s second Bridgewater, “As a grandmother who Agency on Aging has spearheaded the annual Grandparents Celebration was is also the legal guardian of my grand“Grandparents Raising Grandchildren” held on September 13 at the Charles son, I know firsthand the issues that Committee — which includes the A. Wright African American Museum. grandparents who raise their grandDetroit Area Agency on Aging, Detroit The Grandparents Raising Grandchildren must combat on a daily basis. Senior Citizens Departchildren Committee also kicked off its ment, Adult Well Being, first annual “Going Beyond ExpectaNeighborhood Services tions” forum in the summer of 2003. Organization, The This forum gave grandparents the Family Independence opportunity to meet with representaAgency, The Family tives from state agencies and local Place, Catholic Social organizations that offer programs and Services and grandparservices for family caregivers who are ents who are raising responsible for minors. their grandchildren. The Detroit Area Agency on Aging The Grandparents also funds Grandparents Raising Raising Grandchildren Grandchildren programs at two local Annual event honors grandparents who are raising their grandchildren. Committee’s objective agencies, Adult Well Being and The is to provide custodial Neighborhood Services Organization. grandparents with Utilizing state funds allocated to supinformation on the resources available port caregivers, these agencies offer Becoming a parent again can stress a to help them as they provide for their support and services for custodial grandparent’s emotional, financial and families. The committee also raises grandparents. social well-being.” awareness among the overall commuFor more information on Grandparents Last year the Grandparents Raising nity — informing them that we have a Raising Grandchildren, call the Detroit Grandchildren Committee held its large number of these “non-tradiArea Agency on Aging at 313-446-4444. first annual “Grandparents Celebrational” families and that they need the tion” in recognition of National Fall 2003
11
PHOTOS BY WYOMAN MITCHELL.
M
Area Agency on Aging 1-B Serving the counties of Livingston, Macomb, Monroe, Oakland, St. Clair and Washtenaw
Her Favorite Gift This Holiday Was . . . a Home-Delivered Meal
C
atherine lives alone in a small one-bedroom apartment. She is healthy and content, although she won’t leave her apartment by herself for fear she may fall or forget how to get home. Catherine’s husband died many years ago, and she has lived alone for as long as she can remember. Catherine will not be spending the holidays with family or friends. She does know, however, that a volunteer will come by this holiday season and bring her a warm, nutritious meal. This special visit means she won’t be alone on Thanksgiving or Christmas, and she won’t have to worry about being hungry. Like Catherine, thousands of older adults in southeast Michigan are homebound and will be alone this holiday season. Many of these men and women do not have families to share special holiday traditions with or the ability to leave their own homes or cook their own meals. The Area Agency on Aging 1-B is dedicated to being there for homebound older adults during the holidays.Traditional government funding
for Meals On Wheels does not cover meals delivered on the holidays. For the past 10 years the AAA 1-B has responded to the need of lonely, homebound elders by providing a warm, nutritious Catherine receiving a home-delivered meal. meal through the Holiday Meals On perhaps turn their holiday from one of Wheels (HMOW) program. Thanks to loneliness and hunger into one of the generosity of private citizens and comfort and happiness. Donations in corporations that provide financial consupport of HMOW can be sent to the tributions each year, the AAA 1-B is Area Agency on Aging 1-B, 29100 able to bring hope, compassion and joy Northwestern Highway, Suite 400, to thousands of isolated older adults Southfield, MI 48034. during the holidays. For more information on how an You have the opportunity to give older adult can receive a holiday homethe best gift that a homebound older delivered meal, call the Area Agency on adult will receive this holiday season. Aging 1-B at 800-852-7795. Your donation will provide a frail senior with a warm, nutritious meal, and
You Decide: Senior Driving Awareness Program
T
he nationally recognized Senior Driving Awareness Program (SDAP) developed by the Area Agency on Aging 1-B is designed to empower older adults, ages 60–95 years, to continue to drive safely for as long as possible — by offering safe driving information through monthly participant programs. Each monthly program features an expert speaker on mobility-related topics, followed by a group discussion that allows participants to talk about driving challenges and related issues. The program also provides information to older adults about local transportation alternatives when participants feel they can no longer drive. The SDAP meetings are participant-driven, and topics are 12
Michigan Generations
largely determined by the interests of the attendees. The SDAP has presented information on a variety of The Area Agency on Aging 1-B is the first resource for older adults, caretopics related to safe mobility, givers and persons with disabilities to call when looking to resolve problems including: medications and driving, or locate the resources they need to improve the quality of their life. auto insurance, field trips on public When individuals call the toll-free Information and Assistance (I&A) servtransit and a driving skills refresher ice at 800-852-7795, they speak with a certified Information and Referral training. The program also offers Specialist to determine what their confidential phone counseling, and needs are and the services and program coordinators are available assistance available to address to work with individuals who have those needs. Once the needs are determined, the specialist accesses the I&A special transportation needs. Older database of over 2,000 community agencies and mails the individual a comadults, family members and friends plete listing of relevant services and providers in their local community. are invited to attend. There is no Call us. We can help. cost to the public. “We find that seniors who attend they have become focused when they are behind the wheel.” our monthly programs leave feeling that they have learned For more information something about the program, fact valuable,” says The SDAP has presented information on a variety of topics sheets on signs of declining Roberta related to safe mobility, including: medications and driving, driver performance or a list Habowski, of questions to ask your Project Coor- auto insurance, field trips on public transit and a driving doctor about medications dinator at the skills refresher training. and driving, contact the Area Agency Area Agency on Aging 1-B at 800-852-7795 or visit our website on Aging 1-B. “Some participants begin to plan their routes at www.aaa1b.com. in advance, reconsider driving at night if necessary, or say
Help is a Phone Call Away
1-800-852-7795
Tri-County Office on Aging A consortium of Clinton, Eaton, Ingham counties and the cities of Lansing and East Lansing
Business Leaders, Volunteers Support Fundraising Efforts
I
n 1984 the Tri-County Office on Aging (TCOA) experienced a higher number of seniors needing Meals On Wheels (MOW) while having less funding and buying power, which resulted in waiting lists for the service. The Friends For Life (FFL) Coordinating Council was formed, acting as the fundraising arm of TCOA. This group of business leaders and community volunteers came together to advise and actively work in Clinton, Eaton and Ingham counties to raise the money needed to support MOW and other in-home services. A gross revenue of $13,000 was raised in 1984. In 1997 all funds raised were desigFall 2003
nated for a Capital Campaign to fund TCOA’s new building, kitchen equipment and the beginning of an Endowment Fund. The goal of the TCOA Capital Campaign that year was $1.5 million. Due to the very hard work of FFL, staff and consultants, the goal was surpassed and over $1.6 million was raised. The Eyde Company was the lead donor, and the MOW kitchen was named in memory of their parents: The Sam and Eva Eyde Kitchen for Independence. Debra Nicolay, a Trust Officer from Citizens Bank,Wealth Management, is
Chair of FFL Coordination Council this year. Her involvement began because her mother was on a waiting list for MOW and passed away before she ever received a meal. Deb wanted to help to make sure others did not have to wait for the meals they desperately needed. Each year FFL organizes three main fundraising activities: a June golf outing, sponsored by Delta Dental Plan of Michigan; a fall dinner and auction, with GM as the major sponsor, and a directmail solicitation letter in December. Last year FFL was able to allocate over $156,000 for services. For further information, contact Tri-County Office of Aging at 517-887-1440 or 1-800-405-9141. 13
Region 2 Area Agency on Aging Serving Hillsdale, Jackson and Lenawee counties
Family Caregiver Expo 2003 Slated for October
W
atch for the excitement at the Holiday Inn in Jackson as
caregivers and their families join together for a day of education, fun,
Region 2 Area Agency on Aging staff, front row, left to right: Marcie Wright, Brenda Lang, Dawn Benz, Gail Denkins, Lee Gibb, Linda Hinesman and Mary Lou Munger. Back row, left to right: Melissa Goings, Ginny Wood-Bailey, Anita Lindhard, Stefanie Parks, Jill Clouser, Alice Suchman, Linda Powelke, Lynn Merrell, Sandy Camron, Marti Hatz and Marcie Kerr.
food and relaxation. October 23, 2003 is the date, and the time is from 10:00 a.m. until 4:00 p.m. with a full day of recognition for the caregivers in Jackson, Lenawee and Hillsdale counties. The day will start with a continental breakfast and continue with educational speakers, music, dancers, massage, vendors, prizes, caregiver information and referral, and a wonderful lunch. Adult and child day care will be provided for caregivers as needed. For more information on the Family Caregiver Expo, call Ginny Wood-Bailey at 517-467-1903. For more information on programs and services, contact Region 2 at 1-800-335-7881.
Kalamazoo Cty. Human Services Dept. Region 3A Covering Kalamazoo County and its 24 municipalities
Ombudsman Program Promotes Quality Care
T
hed ent as
he long-term care ombudsman program, serving Barry, Branch, Calhoun, Kalamazoo and St. Joseph counties, helps residents of licensed long-term care facilities and their families resolve concerns about care and services, rights and safety, admission procedures, and billing problems. Our local ombudsman, John Weir, has spent 15 years in this position, also promoting community education and awareness of the needs of long-term care consumers. Promotion of the use of best practices in long-term care is an important part of the program. John, who is a certified Eden Alternative™ Associate, 14
there is a reduction in staff turnover, use of certain medications, such as sleeping pills, and decrease in pressure sores, which are all indicators of improved quality of care and life for residents. Long-term care options can be confusing to the consumer, and the ombudsman program can help in understanding the various options and financing available, including in-home services for persons at a skilled care level, adult foster care, and homes for the aged. For more information, call the numbers listed below.
coordinates a group that is learning to implement principles of KEY #7 the Eden Alternative,™ John Weir, Ombudsman. a concept that celebrates the importance of teamwork, staff empowerment, and a living, human habitat that includes plants, animals, birds and children. Homes that are Information and Assistance. . . . . . . . . . . . 269-373-5147 implementing the Long-Term Care Ombudsman Program . . 269-373-5157 Eden Alternative™ or 800-332-4802 have found that
Michigan Generations
Burnham Brook Region IIIB Serving Barry and Calhoun counties in Southwest Michigan
Resource Library for Caregivers
I
f you are struggling with the responsibilities of caring for a loved one, Region IIIB AAA can help. A Caregiver Resource Library is now open at Burnham Brook Center in Battle Creek. The library is funded by the National Family Caregiver Support Program and managed by Senior Health Partners, a community partnership of Battle Creek Health System, Burnham Brook and Summit Pointe. It is available to caregivers in Calhoun and Barry counties. The resource library is designed to offer caregivers of adults, as well as older relatives raising children, a relaxing area to read books, view videos or research information on health, financial, legal and emotional issues of caregiving. Available multimedia resources
home use. “The Caregiver Resource Library provides caregivers with an easily include books, magazines, videos, casaccessible area to learn skills and sette tapes and a computer with strategies for taking care of themselves and their loved ones,” says Linda Grap, Director of Program Development at Burnham Brook. The library is located at 200 West Michigan Avenue, Battle Creek, and is open during business hours Monday through Friday and on Saturdays A resource library for caregivers in Calhoun and Barry counties is open at Burnham Brook Center in Battle Creek. from 9:00 a.m. to noon. For information on the Caregiver Resource Library and other Internet connection for on-line supservices provided by the Burnham Brook port and information. All materials Region IIIB, call 269-966-2450 or visit will be available to view in the library, their website at www.burnhambrook.com. and most may be checked out for
Branch–St.Joseph Area Agency on Aging IIIC Serving a two-county area surrounding Sturgis, Three Rivers, Coldwater and Quincy
What’s New in our Region?
N
ew services and new service providers to assist older adults and their families! With the start of a new fiscal year on October1, 2003, we are glad to offer additional opportunities to serve older adults and families in Branch and St. Joseph counties so that they can remain healthy and independent. New services: ■ Counseling Services ■ Caregiver Education, Support & Training ■ Caregiver Supplemental Services These services will be offered to address the broad range of unique On the path: Hunter Trine, Calista Davis and Helena Nodel.
Fall 2003
needs and challenges that older adults and caregivers so frequently encounter. New service providers: ■ St. Joseph County Family Independence Agency ■ New Dawn Senior Day Services
We are happy to introduce two new service providers in the region! The St. Joseph County Family Independence Agency will offer supplemental services to families who are faced with a number of financial, physical and emotional challenges along with their caregiving role. New Dawn Senior Day Services will provide daytime care for adults through structured programming incorporating children, service projects and special activities. Purpose, usefulness and fulfillment are a part of each day at this unique intergenerational program. For more information about services and providers, contact the Branch-St. Joseph AAA at 517-279-9561 (ext. 137) or toll-free 888-615-8009, or visit our website at www.bhsj.org. 15
Region IV Area Agency on Aging Covering Michigan’s Great Southwest including Berrien, Cass and Van Buren counties
Volunteering Leads To Health Benefits
N
umerous medical studies on volunteering indicate that spending time helping others provides many of the same benefits as a good workout. The activity of volunteering produces increased levels of endorphins, leading to many health benefits A senior volunteer enjoys bonding with children. such as stress and pain relief, lowered blood volunteer helping people we don’t know. pressure and increased immunity from For 20 hours each week, Senior colds and stomach ailments. Companion, Foster Grandparent or Research on volunteering has Family Friend volunteers with the revealed another fascinating phenomeRegion IV Area Agency on Aging leave non: Health benefits multiply when we their realm of comfort and actually
build relationships with children and other seniors from different social and economic backgrounds with a variety of cultural and life experiences. This situation can be like swimming out beyond the buoys or leaping off a cliff before checking out what’s below. Yet confronting the unknown, taking a chance and facing the possibility of rejection or failure are precisely the risks that stir up endorphins. This healthy risk-taking helps volunteers to sharpen their skills, gain insight, change themselves and the world for the better… and improve their health. For more information about becoming a Senior Companion, Foster Grandparent or Family Friend, contact the Region IV Area Agency on Aging’s Senior Volunteer Program at 800-660-2725 or visit the website at www.areaagencyonaging.org.
ValleyArea Agency on Aging Serving Genesee, Lapeer and Shiawassee counties
Move? Don’t Move? What’s the Answer?
T
o move, or not to move, that is the question.The reasons to move are varied and sometimes hard to identify: ■ The neighborhood has deteriorated and safety is a concern ■ To be near children (70% of those 65+ live within 1 hour of a child) ■ Home is too large or costly to maintain ■ Homeowner doesn’t drive and transportation is not available ■ Home many not meet needs, physical or otherwise ■ Assets are tied up in the home and cash is needed ■ Homeowner is retired and look16
ing for a new lifestyle Today’s options for senior housing are as varied as the reasons for moving. The trend is toward senior communities, which offer multiple services giving seniors the choice of being totally independent, graduating services from meals to housekeeping to full care. Many complexes offer hair salons and convenience stores, as well as transportation to shopping centers and doctor’s offices.
Region 5 offers many types of housing for seniors, such as senior retirement communities, age restricted apartments, subsidized housing, assisted living, modular home communities and continuing care retirement communities, to name a few. Valley Area Agency on Aging (VAAA) staff is available to help seniors and their families with this difficult decision. For information and assistance, contact Valley Area Agency on Aging, 711 N. Saginaw Street, Suite 207, Flint MI 48503; 810-239-7671 or toll-free 1-800-978-6275. Michigan Generations
Region VII Area Agency on Aging Serving Bay, Clare, Gladwin, Gratiot, Huron, Isabella, Midland, Saginaw, Sanilac & Tuscola counties
Successful Employment Training Program Meets Goal
A
re you 55 or older? Is your income low? Do you need onthe-job training to compete for permanent employment? The Title V Senior Community Services Employment Program (or SCSEP) may be the answer. Funding from the Older American Act under Title V promotes useful part-time employment and training for those 55 and older with low income. Eligibility can be determined with a phone call. If you are eligible, a program representative will follow up with an assessment of your skills, experience and employment interests to develop an Individual Employment and Training Plan. Then training assign-
has exceeded its goal by placing more than one quarter of enrollees in jobs over the last four years. Joanne Marquez, Employment and Training Coordinator, says, “It is rewarding to assist older persons as they transition to employment in the community. Most important is seeing persons build skills that enhance their employability potential. We know the older worker Joanne Marquez (right), Employment and Training Coordinator, has the soft skills. We conworks on a resume with SCSEP enrollee Lois Bowers. centrate on the job skills.” For further information, contact Region ment with a host agency begins. VII at 1615 South Euclid Avenue, Bay Resume preparation, interview-techCity, MI 48706 or call us toll-free at nique classes, and job-search assistance 800-858-1637. A brief overview of the help a job seeker reach the goal of Title V SCSEP is available on our website permanent, unsubsidized employment. at region7aaa.org. Region VII’s SCSEP training program
Area Agency on Aging of Western Michigan Serving Allegan, Ionia, Kent, Lake, Mason, Mecosta, Montcalm, Newaygo, & Osceola counties
Study Shows Lifelines Save Lives
F
or someone who’s had a stroke or another major illness, a Lifeline, also known as Personal Emergency Response System (PERS), can help maintain independence. It can also be a lifesaver. Those findings were confirmed in a research project that may help professional and personal caregivers who are using or are planning to use PERS for older adults. PERS units can be worn around the neck or as a bracelet and have a button that is pushed when there’s a medical emergency. A first responder will then be called to assist. Completed by five students at Calvin College in Grand Rapids, the Fall 2003
study found a correlation between increased hospitalizations and use of the emergency buttons. “That confirms PERS units are serving the right people and are doing what they are supposed to do — save lives,” said Jackie O’Connor, assistant director of the Area Agency on Aging of Western Michigan. Connie Kellerman of Grand Rapids is a good example. She says she’s been “near death” several times, saved by the help she received after pushing her PERS button. Kellerman, 62, a retired nurse who lives alone, suffers from a number of maladies, including arthritis, COPD, allergies, and sensitivities to medication. Kellerman admits she’d have to move to supervised living without PERS. Economic realities mean that not
everyone who would like a PERS unit may receive one. The researchers recommended that selection for PERS should be based on prior hospitalizations, whether someone lives alone, and functional abilities. For more information, call the Area Agency on Aging of Western Michigan at 1-888-456-5664. Connie Kellerman.
NEMCSA Region 9 Area Agency on Aging Covering 12 counties of Northeast Michigan
Medicare Medicaid Assistance Counselor Receives Award
T
■ Understand Medicare/Medicaid eligibility, enrollment, coverage, claims and appeals. ■ Enroll in Medicare Savings Programs. ■ Review your Medicare supplemental insurance needs. ■ Identify resources for prescription drug
he sixth annual Medicare Medicaid Assistance Program (MMAP) Recognition Conference was held earlier this year in Battle Creek. Sharon Buck, counselor from MMAP Recognition honorees, from left to right: (front row) Dawn Jacobs, Ogemaw County, was preSharon Buck and Paula Schoening; (back row) Lynn Hinojosa, Stacy Carroll, Karen Slade, Sandra Russell and Loretta Miller. sented the award for outstanding reporting for the MMAP MMAP (pronounced “map”) is a program in the state of Michigan. assistance. free counseling service for Medicare/ Sharon had contact with 420 benefici■ Explore long-term care financing Medicaid beneficiaries and caregivers. aries and saved them $11,716. This is options, including long-term care To get help, contact MMAP at the second year that the state MMAP insurance. 800-803-7174. You will be linked with office has presented Region 9 with the ■ Identify and report Medicare/ a local MMAP counselor who can help reporting award; Karen Slade from Medicaid fraud and abuse. you to: Roscommon was last year’s recipient For information on Northeast Michi■ Understand doctor bills, hospital and just happened to be Sharon’s gan Community Service Agency, Region 9 bills and Medicare Summary Notices. mentor. Area Agency on Aging, call 989-356-3474.
Area Agency on Aging of Northwest Michigan Offering information and funding senior services in the 10-county area of Northwest Lower Michigan
Shared Housing...a Viable Senior Living Alternative
I
n 1990, the Agency developed three homes to address the housing needs of the local senior population. The intent of these homes was to offer an option to those individuals who felt that they could not, or did not want to, live at home alone anymore, but weren’t ready for an assisted living home, nursing home, or even adult foster care. The people who would choose to live in the AAANM senior “shared housing” homes, for $350 per month, simply wanted other people Four-bedroom senior "shared housing" unit offers all the comforts of home.
18
around for socialization, safety, and a sense of peace of mind. The idea was to have four seniors living together in the same household, sharing the home as a family would share a home. For the most part, the idea is a success. Various residents successfully enjoy the benefits of “shared housing.” However, it didn’t take long to learn that it takes a large pool of seniors to find four who would live together
sharing a house. Familiar comments by potential tenants have been, “It sounds like a great idea, but I really need to have my own place.” But whenever a “mix” is found, and the discussions about blending lifestyles are over, the living begins. More than once, the AAANM homes have proved to be a safety net for the individuals living there. The homes have provided that “next step” of living these individual tenants sought. For information on programs and services, call AAANM at 1-800-442-1713 or visit our website www.aaanm.org. Michigan Generations
Upper Peninsula Area Agency on Aging Serving all 15 counties of Michigan’s Upper Peninsula
Working to Improve Housing Options
A
ffordable housing is a critical issue for seniors who desire to remain independent in their communities. This is particularly a critical issue in a large rural area such as the Upper Peninsula. The UPAAA has, as part of its organizational mission, developed a goal to increase affordable housing options, to develop an infrastructure to assure better utilization of available state and Federal resources for in-home services, and in so doing, to promote a continuum of community-based care short of actual institutional placement. The UPAAA has addressed the housing issue in its current multi-year plan. Under the plan, the AAA will work closely with each U.P. county to identify housing needs and, where
applicable, provide assistance in addressing these needs. The AAA also plans to conduct a region-wide assessment of the level of supportive services offered by local providers to existing housing facilities and to work with providers in those areas where needs are being under-served. The AAA sees a need to expand supportive services programs at senior housing facilities to assure that home and community-based LTC options extend to residents of congregate housing facilities in addition to those individuals living in their own homes. The AAA plan will also provide training to both staff and residents of senior housing facilities to address issues such as elder abuse, death and dying, or prob-
lems associated with chronic diseases processes. The UPAAA maintains a comprehensive database of senior housing options for the entire region. Currently, the UPAAA is in the process of securing funding for a comprehensive housing development in Escanaba, MI. This development will contain both multi-family and senior housing units to provide for an overall community setting for residents. The development will also contain a community center and an inter-generational day care center. Ground- breaking for the project is expected this fall with completion of the senior portion of the complex slated for the summer of 2004. For further information, contact the Upper Peninsula Area Agency on Aging at 906-786-4701 or toll free at 1-800-338-7227.
Senior Resources of West Michigan Located on the shores of Lake Michigan, serving the three counties of Muskegon, Oceana and Ottawa
Need Assistance Staying Independent?
I
nformation and Assistance is a great point of entry into aging services, but often families who call need additional assistance and counsel. They are looking for some formal support in order to keep their loved ones in their own homes, and they are emotionally drained from spending hours caring for someone in addition to making countless phone calls seeking help. What they want is someone who knows the availability of resources, someone who can visit with their loved one and assess his or her specific needs. This person would recomFall 2003
Case Coordinator Jim Arringdale (left) gets information from client Dan Meyer.
mend the most appropriate resources to meet the needs of that individual and the family. Case Coordination and Support offers that assistance and is one of the services available in Muskegon, Oceana
and Ottawa counties. Case coordinators work in their communities and have knowledge of local agencies and available resources. A case coordinator makes a home visit and conducts an assessment of need. The individual is questioned about what activities they can and cannot perform. Based on the identified needs, the case coordinator helps to locate appropriate service providers and assists in the arrangement of services. The case coordinator works with the individual on an ongoing basis, making monthly calls and periodic home visits. For information on case coordination in your area, call Senior Resources at 231-739-5858 or toll-free 800-442-0054. 19
Housing Questions to Ask
“M
aking the move to senior housing is a big move,” said David Schless, president of the American Seniors Housing Association. (ASHA) in Washington, D.C. “Visit different facilities.Talk to residents and to staff. Read the contract and the materials.” Here is ASHA’s list of questions to consider when evaluating a housing facility:
Services/Care ■ What is the entire range of services (i.e. meals, housekeeping, personal assistance with day-today activities, wellness programs, medication management, recreational opportunities, etc.) that this residence routinely provides? ■ Which services are included in my base monthly fee, and which additional services must I pay extra for?
■ How are the supportive care services (i.e. assistance with bathing, dressing, eating, etc.) that I need identified? ■ How frequently will my health care status be evaluated to determine if my supportive care needs have changed? ■ Who will conduct my evaluation and can my personal physician participate in this process? ■ What is your policy concerning the use of services provided by organizations that are not affiliated with the housing facility, such as Area Agencies on Aging, home health care agencies, pharmacies, private duty personnel, etc?
Payment/Pricing ■ Are there any financial deposits that I am responsible for, and if so, are they refundable or partially refundable?
■ What payment options are available? ■ How are additional services priced that are not included in the monthly fee? ■ How much advance notice will I be given if my fees must be raised because my needs have increased? ■ Will my fees be reduced if my service needs decline? ■ What happens if I encounter financial difficulty and am no longer able to pay my monthly fee?
Other Considerations ■ How long has management been involved in assisted living? Is this residence licensed by the state; if so, what are the licensure requirements? ■ What are the admissions policies? ■ Is this an age-restricted community? ■ Does this building meet all the applicable fire and safety standards?
■ Does the residency agreement specify which apartment I will reside in, as well as policies on decorating and furnishing the unit? ■ What is your policy regarding resident rights? ■ Is there a residents’ council or other forum for residents to provide input on management issues? ■ What is your policy concerning visitors, as well as overnight guests? ■ Describe your discharge policy. Under what circumstances might I be required to move and how much advance notice is provided? ■ Does your private long term care insurance policy require residence in a licensed facility in order to qualify for benefit payments? For more information on senior housing in Michigan, turn to the article “Housing Choices for Seniors,” beginning on page 4.
SPONSORS Gentiva Health Services
Visiting Physicians
Serving clients in Lansing, Jackson, Flint, Saginaw, Grand Rapids, Kalamazoo, Muskegon and Southfield. Call today to set up your personalized homecare services. 1-800-322-7111.
Providing compassionate, high quality medical care in the home. We serve communities across Michigan, Ohio, Chicago, Atlanta and Milwaukee. Services are covered by Medicare and most other insurances. Call 1-877-HOUSE-CALL or visit www.visitingphysicians.com.
Home & Health Services Unlimited, Inc. Care, companionship and peace of mind. In-home or wherever your residence may be! We specialize in meeting your needs — from personal care to home maintenance. Insured and bonded. 1-800-314-8718.
Thanks to these companies and organizations for their generous support. For more information on becoming a sponsor of Michigan Generations please call Jenny Jarvis at 248-262-9202 .