Generations Michigan
Summer 2011
The
REAL Face of
Elder Abuse Signs Tell the Story at Older Michiganians Day
Also in This Issue: n Ask the Expert n Caregiving News & Notes Published quarterly by Michigan’s Area Agencies on Aging
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Welcome to Michigan Generations Michigan is divided into 16 AAAs, each serving a different part of the state.
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They are:
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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.
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7 5
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3A 3B
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4 Region I V 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 Visit the AAA’s state website at www.mi-seniors.net
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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 8 of this issue. MI
1B
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1C
Generations Michigan
SUMMER 2011 Published quarterly
through a cooperative effort of Michigan’s Area Agencies on Aging. For information contact: Mary Ablan Executive Director Michigan Area Agencies on Aging Association ablan@iserv.net
Editorial Project Development: JAM Communications, Atlanta, GA Design and Production: Wells-Smith Partners, Lilburn, GA
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On the Cover: As many as five-million older Americans may be victims of abuse, neglect or exploitation every year. Yet it’s estimated that only one out of every five or six instances is ever reported. Why is this devastating problem continuing? And how can it be stopped? See story, page 4.
Summer 2011 Volume 9, #1 © 2011 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.
map photography courtesy travel michigan
AAAs —‑Gateways to Community Resources
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 Co. Health & Community Services Dept. Region 3A 3B Region IIIB Area Agency on Aging 3C Branch-St. Joseph Area Agency on Aging IIIC
CAREGIVINGNews&Notes
Annual Rally at the Capitol
lmost 800 older persons and advocates from across the state convened on the State Capitol on June 15 to celebrate A Michigan’s growing senior population and urge elected officials to make policies and budget decisions that are senior-friendly. The theme for this fourth annual “Older Michiganians Day 2011” was The Senior WAVE — We Advocate, Vote and Enrich Communities. “The rally was held to celebrate the wisdom, experience, volunteer contributions and other resources
MMAP MONITOR
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re you looking for a worthwhile volunteer job? MMAP (Medicare/ Medicaid Assistance Program) is seeking individuals who like to solve problems, enjoy working with people, who love a challenge, are familiar with computers and are interested in helping others. MMAP is a free, volunteer-staffed service which assists Medicare beneficiaries who have problems or questions about Medicare, Medicaid, Medicare Supplemental Insurance, Medicare Part D enrollment, long-term care insurance and related issues. Once a volunteer attends the initial six-day training, he or she is eligible to become a certified MMAP counselor. MMAP counselors talk to seniors over the phone, at locations in their community, such as community centers, senior centers, churches, etc., or in home visits. A MMAP volunteer may help seniors by answering questions, explaining eligibility requirements, assisting in filling out forms and resolving billing problems, among other issues. If you are interested in learning more about becoming a MMAP counselor, give us a ring at 1-800-803-7174.
Summer 2011
that Michigan’s seniors bring to the state,” said Mary Ablan, executive director of the Area Agencies on Aging Association of Michigan. Delegates met with their representatives and senators to discuss strategies that will help Michigan and its senior citizens get through this tough economic time, she added. For more information, call 517-886-1029 or go to www.oldermichiganiansday.com.
Retiring in the [RED] A growing number of seniors are falling into credit card debt and are spending their golden years in the red. The main causes: unexpected medical expenses, funeral costs and insufficient savings. Over the past decade, that’s led to more bankruptcies among older Americans. According to a recent study by University of Michigan law professor, John Pottow, people ages 55 and older now account for more than 20% of all bankruptcies in the United States, compared to only 12% in 2001.
Part of the problem: More older adults are retiring before they pay off their debt, compared to prior generations that retired debt-free. One recent study found that 56% of retirees still had outstanding debts when they left the workforce. Yet few respondents said they would be willing to cash in their 401(k)s or IRAs to pay down their debt. And those who had a choice whether or not to retire still decided to leave the workforce, rather than delay retirement to pay down their debts.
Surfing the Net Each issue of Michigan Generations offers several websites devoted to caregiving information and resources: www.helpguide.org is an ad-free online resource that offers easy-to-understand information on seniors and aging, mental and emotional health, family relationships and healthy living. www.napfa.org offers tips on finding a financial advisor and tools for smart financial planning — all from The National Assn. of Personal Financial Advisors. 3
REAL Face of
Elder Abuse By Martha Nolan McKenzie
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n March, actor Mickey Rooney appeared in the spotlight once more. The 90-year-old child star was not reprising his role as Andy Hardy; rather he was testifying before the U.S. Congress about the abuse he has suffered at the hands of his stepson. Rooney told the legislators that his stepson withheld food and medicine and took his money. He testified that he was “stripped of the ability to make even the most basic decisions about my life” and that he felt “trapped, scared, used and frustrated.” If such a beloved Hollywood legend could fall victim to abuse, what does that mean for the average senior? It means any senior, even those in fair mental, physical and financial health, could fall victim. Indeed, elder abuse is a vast and growing problem. In Michigan, Adult Protective Services fielded almost 19,000 calls reporting abuse in 2010, up from nearly 12,000 in 2000. But those numbers are just the barest tip of the iceberg, since it’s estimated that only one out of every five or six instances of abuse is ever reported. Given that degree of underreporting, Elder Law of Michigan estimates about 80,000 Michigan elders fall victim to some form of abuse each year. And the Senate Special Committee on Aging estimated that as many as five million older Americans may be victims of abuse, neglect, and/or exploitation every year. Behind the numbers is a devastating legacy. The personal losses associated with abuse include the loss of independence, homes, savings, health, dignity and security. Victims of abuse have shorter life expectancies than nonabused older people.
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According to Michigan law, elder abuse is any knowing, intentional or negligent act by a caregiver or any other person that causes harm or a serious risk of harm to a vulnerable adult. It can take many forms, including: Physical abuse Use of force to threaten or physically injure a vulnerable elder. Emotional abuse Verbal attacks, threats, rejection, isolation, or belittling acts that cause or could cause mental anguish, pain, or distress to a senior. Sexual abuse Sexual contact that is forced, tricked, threatened or otherwise coerced upon a vulnerable elder, including anyone who is unable to grant consent. Exploitation Theft, fraud, misuse or neglect of authority, and use of undue influence as a lever to gain control over an older person’s money or property. Neglect A caregiver’s failure or refusal to provide for a vulnerable elder’s safety, physical or emotional needs. Abandonment Desertion of a frail or vulnerable elder by anyone with a duty of care. Self-neglect An inability to understand the consequences of one’s own actions or inaction, which leads to, or may lead to harm or endangerment. “The first thing to note is that it is rare that there is only one form of abuse occurring at a given time,” says Ron Tatro, Director of Elder Abuse Prevention Services for Elder Law of Michigan. “We normally see multiple forms with the same victim. If it’s a case of someone taking their money, for example, they might also be using some form of physical intimidation or neglect. They might say, ‘If you don’t sign this check, I’m not going to give you your medications or the help you need to get dressed.’ ” Michigan Generations
Photo credit (Mickey rooney: ROD LAMKEY JR/AFP/Getty Images
The
Some factors can put seniors at even higher risk for being abused. The older frail seniors — those 80 years old and older — are more likely to fall victim. Women and elders with dementia are also at higher risk. But with that said, no senior is immune. “Abuse and neglect to do not distinguish between gender, ethnicity or socioeconomic status,” says Cynthia Farrell, departmental manager for Michigan’s Adult Protective Services. “They cut across the board indiscriminately.” And who are the perpetrators? Not who you might think. “Most people think abusers are strangers, but we know that about 70 percent of abusers are persons we call ‘trusted ones,’ ” says Tatro. “They are spouses, children, grandchildren or trusted friends.” And like the victims, the perpetrators of elder abuse come from all walks of life, both genders, and varied ethnic backgrounds. One common ground, however, might be substance abuse. People with alcohol or substance abuse problems can view older family members as easy targets for financial exploitation. They may need the money to support their drug habit and/or because they are unable to hold a job. “We often see substance abuse play a role,” says Bettye Mitchell, president of the National Committee for the Prevention of Elder Abuse (NCPEA) in Washington, D.C. “They may start out taking money and escalate to physical or sexual abuse. Death can result from some of these cases.” The fact that the perpetrators are often family members explains in part why so few cases of abuse are reported. Parents are understandably reluctant to report a child or grandchild to the authorities. “But we can’t let people use that as an out,” says Tatro. “Sometimes intervention by law enforcement is required to break the pattern of abuse and force an evaluation of the situation.” They may also fear retaliation. “The victims are frequently dependent on the abuser, perhaps for medical needs, for housing, for transportation” says Tatro. “They have a great fear about jeopardizing that relationship. If something disrupts the pattern, where will they go and who will take care of them?” And finally, the generation that is currently falling victim are members of the Greatest Generation and the Silent
Generation who lived through the Depression and two world wars. They grew up with a spirit of self-sacrifice and independence. “The generation of people we are talking about are proud, private people,” says Farrell. “They have always managed the best way they can and are reluctant to reach out for help.” Some victims may find it difficult to reach out even if they want to. That’s because a hallmark of abuse is isolation. Abusers often cut the victim off from family and friends,
“ I felt trapped, scared, used and frustrated. Above all, I felt helpless.” —Actor Mickey Rooney
Summer 2011
increasing the victim’s helplessness and decreasing the abuser’s chance of getting caught. “Isolation is a red flag — it should be a warning sign that this person might be abused,” says Tatro. “That’s one reason programs such as Meals on Wheels are so important. The person who delivers the meals might be the only one to come in contact with that senior other than the abuser.” Among the most frequent forms of abuse, depending on whom you talk to, are neglect and financial exploitation. Some 36% of referrals to Adult Protective Services last year were neglect. “Neglect can be intentional or unintentional,” says Farrell. “The person responsible for providing care might not be providing it — withholding meals, medications, shelter, clean clothing. Or that person might just be overwhelmed and forget to give medication or keep a doctor’s appointment.” Neglect can also be a matter of funding, particularly in a nursing home or assisted living setting . “Lack of staffing is the biggest issue we face,” says Sharon Greenhoe, the local long-term care ombudsman in the Region 9 AAA based in Alpena. “That results in residents putting on call lights for assistance and waiting a long time for someone to come and help them. The state public health code has not increased the number of staff required per resident in a nursing home since 1979, yet people in nursing homes today have a higher acuity. Residents today are older and more frail, their
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dementia and care needs are increased, and their medical conditions are more complex that they were 30 years ago.” Interestingly, self-neglect is considered a serious problem. In fact, Adult Protective Services reports that 62% of its cases in 2010 were for self-neglect. “The legal system doesn’t count self-neglect as abuse, but it is actually the largest form of abuse,” says NCPEA’s Mitchell. “We consider it a form of abuse because it leads to other forms of abuse. If someone neglects themselves, they become isolated and are no longer able to take care of themselves, making themselves more vulnerable to those who might prey on them.” Financial exploitation is the top complaint received by Elder Law of Michigan. And according to a 2009 study of elder abuse, “Broken Trust: Elders, Family and Finances” by the MetLife Mature Market Institute, elder financial abuse is estimated to cost seniors at least $2.6 billion. Perpetrators can be family members or strangers who have gained the senior’s trust. “In many cases, the senior is the only one in the household with a steady income stream — Social Security, pension and retirement funds,” says Tatro. “Seniors have the assets. They spent their lifetime building them up, and it’s tempting for family members or others who have fallen on hard times to help themselves.” Seniors have other qualities that make them attractive to those who would prey on them. “When I make presentations to seniors about financial exploitation and scams, I like to put up a slide that asks, ‘Who are seniors to a scam artist?’ ”
says Detective Sgt. John Wybraniec in Roscommon. “The answer: a senior is someone who has money and assets, who has trouble remembering things and who might be socially isolated. A senior also often has strong values about politeness, kindness and patience — they’ll take the time to listen to the pitch. And they are giving, both emotionally and financially. This is especially true with grandparents and parents, who sometimes give so much away to their offspring that they are left with nothing.” Financial abuse can range from a visiting aide “borrowing” first $10 and then hundreds of dollars from the senior’s wallet to a caregiver obtaining power of attorney and then emptying the senior’s accounts. It often starts out slow and small and then escalates, particularly if the perpetrator is a family member. Many times it’s adult children who come in to help the senior manage the finances, adding their name to the bank accounts, using their credit cards. The perpetrators often feel entitled to whatever they take. “They think, ‘I’m spending my time taking care of you so I’m entitled to this,’ or ‘You don’t need it, and I’m going to get it after you pass away anyway, so I may as well take it now,’ ” says Tatro. “Other family members may not even be aware there is a problem until the utilities are cut off, or until the senior has passed away.” Wybraniec has been investigating just such a case. The physician of an elderly woman told her three sons that she needed 24/7 medical care, but the sons did not want to put her in a nursing home since that would consume her assets.
Warning Signs of Elder Abuse Frequent arguments or tension between the caregiver and the elderly person; Changes in personality or behavior in the elder.
If you suspect elderly abuse, but aren’t sure, look for clusters of the following physical and behavioral signs: Physical abuse
Unexplained signs of injury such as bruises, welts, or
scars, especially if they appear symmetrically on two side of the body; Broken bones, sprains, or dislocations; Report of drug overdose or apparent failure to take medication regularly (a prescription has more remaining than it should); Broken eyeglasses or frames; Signs of being restrained, such as rope marks on wrists; Caregiver’s refusal to allow you to see the elder alone; Emotional abuse
Threatening, belittling or controlling caregiver behavior that you witness; Behavior from the elder that mimics dementia, such as rocking, sucking or mumbling to oneself; Sexual abuse
Bruises around breasts or genitals; Unexplained venereal disease or genital infections; Unexplained vaginal or anal bleeding;
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Torn, stained or bloody underclothing; Neglect by caregivers or self-neglect
Unusual weight loss, malnutrition, dehydration; Untreated physical problems, such as bed sores; Unsanitary living conditions: dirt, bugs, soiled bedding and clothes;
Being left dirty or unbathed; Unsuitable clothing or covering for the weather; Unsafe living conditions (no heat or running water; faulty electrical wiring, other fire hazards);
Desertion of the elder at a public place; Financial exploitation
Significant withdrawals from the elder’s accounts; Sudden changes in the elder’s financial condition; Items or cash missing from the senior’s household; Suspicious changes in wills, power of attorney, titles and policies;
Addition of names to the senior’s signature card; Unpaid bills or lack of medical care, although the elder has enough money to pay for them;
Financial activity the senior couldn’t have done, such as an ATM withdrawal when the account holder is bedridden; Unnecessary services, goods or subscriptions. Source: Helpguide.org
Michigan Generations
So one son moved in with his mother and proceeded to isolate her from her other two sons. He convinced her to give him durable power of attorney, and later to take out a reverse mortgage. Soon he was buying a new car, a new snowmobile and other luxuries. In short order, the mother’s assets were used up and the house in foreclosure. The woman ended up in the Medicaid ward of a nursing home. “And this is just an example I could think of off the top of my head, but there are so many examples out there,” says Wybraniec. “Each case is unique but the end result is all too often the same. It’s very sad.” As the incidence of elder abuse grows, so does awareness of the problem and prevention efforts. “A number of initiatives are underway or have been functioning for some period of time to curb elder abuse,” says Tatro. “In some parts of the state there are active elder abuse coalitions. The AAAs are very much involved in elder abuse prevention through educational outreach.” The AAA in Region 9 is focusing on reaching out to the faith-based community. In September, the AAA is hosting conferences on elder abuse for clergy, church leaders and interested community members. “We believe they are at the forefront of seeing families in crisis,” says Greenhoe. “Church leaders may hear and see things in their congregation and not know what to do with it. That’s why we are offering the conferences. We believe the faith-based community holds a key for preventing elder abuse.” In Oakland County, aging network providers and adult protective services have teamed up to form the S.A.V.E. Task Force (Serving Adults who are Vulnerable and/or Elderly) to train individuals and professionals in identifying and reporting elder abuse. The task force offers a booklet, “Help is Out There,” that details warning signs of elder abuse and prevention tips. Elder Law of Michigan is offering training on recognizing signs of abuse for first responders — law enforcement, medical and mental health workers and others who provide direct services to older adults. The state’s Attorney General’s office has an active component called the Senior Brigade which includes a web site and outreach efforts. And several elder abuse bills that languished in the state legislature last year have been reintroduced this year, including a bill that would prevent a family member who has been convicted of abusing an elder from inheriting the victim’s assets. Another bill would require bank employees to report suspected instances of financial abuse. And another would require people who work in nursing homes to report observed abuse directly to the state. “With the new administration, we think we will see more bipartisan support of these bills,” says Farrell. Individuals can also go a long way toward preventing elder abuse. Here’s what you can do to help stem the problem: Report suspected mistreatment to your local adult protective services agency or law enforcement. Although a situation may have already been investigated, if you believe circumstances are getting worse, continue to speak out. And remember, most cases of elder abuse go undetected, so
Where to Report Suspected Elder Abuse You do not need to prove that abuse is occurring. It is up to the professionals to investigate the suspicions. E lder Law of Michigan’s Vulnerable Adult Abuse Hotline; 1-800-996-6228 L ong Term Care Ombudsman’s line to report abuse in nursing homes and residential care facilities; 1-800-99NOABUSE M ichigan Protection and Advocacy Service’s hotlines: Developmental Disabilities; 1-800-288-5923 Mental Illness: 1-800-288-5923 A ttorney General Health Care Fraud Hotline; 1-800-24-ABUSE / 1-800-242-2873
don’t assume that someone has already reported a suspicious situation. Keep in contact. Talk with your older friends, neighbors and relatives. Maintaining communication will help decrease isolation, a risk factor for mistreatment. It will also give them a chance to talk about any problems they may be experiencing. Be aware of the possibility of abuse. Look around and take note of what may be happening with your older neighbors and acquaintances. Do they seem lately to be withdrawn, nervous, fearful, sad or anxious, especially around certain people, when they have not seemed so in the past? Volunteer. There are many local opportunities to become involved in programs that provide assistance and support for seniors. “All of us in society really have an obligation to be looking out for our seniors and not always just take things at face value,” says Tatro. “We encourage medical practitioners to really listen to what elderly patients are trying to say. We encourage financial institutions to ask why a senior is
“ The AAAs are very much involved in elder abuse prevention through educational outreach.”
Summer 2011
conducting a rather unusual transaction. We encourage people to pay attention to the seniors in their lives — do they seem to be cared for? Do they come in contact with other people? Do they seem to have adequate supplies? Are they clean and well groomed? We all really need to pay attention to these kinds of things. It can make all the difference to identifying and stopping elder abuse.” But perhaps the most promising factor is the aging of the baby boomers. “Boomers have no problem asking for help when they need it, and they are very assertive about their rights,” says Tatro. “As Boomers move into their elder years, I’m really hopeful we can reduce elder abuse.” n 7
Regional News Reg 3-A / Kalamazoo Cty. Human Services Dept. (Region 3)
Reg 3-B / Bur
In communities across the U.S., Area Agencies on Aging (AAAs) serve as gateways to local resources, planning efforts and services that help caregivers and older adults. In this section, you will find timely information on the services offered by the Michigan AAAs that co-sponsor this magazine: Detroit Area Agency on Aging, Region IV Area Agency on Aging, Tri-County Office on Aging, Region VII Area Agency on Aging, NEMCSA Region 9 Area Agency on Aging and Upper Peninsula Area Agency on Aging. Reg 5 / Valley AAA
Reg 6 / Tri-Co
Reg 9 / NEMSCA Reg 9 AAA
Reg 10 / AAA
S potlight O n …
NEMCSA Region 9 Area Agency on Aging Covering 12 counties of Northeast Michigan
Elder Abuse Conferences Planned for Fall
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lder abuse is a growing problem, and only education and awareness will help combat it. Region 9 Area Agency on Aging and the LTC Ombudsman Program will be hosting two Elder Abuse Neglect & Financial Exploitation Conferences in September. The conferences will be held in Indian River on September 13 and in Roscommon on September 14. Admission is free. It’s believed that as few as one in five abused elders ever report the situation. Therefore, it’s important that educational opportunities such as this conference take place. “The need to get information into the hands of members of each community is essential to not only help recognize abuse, but also recognize the different types of abuse and how it should be reported,” says Sharon Greenhoe, LTC Ombudsman for Region 9. The conferences will provide information on community resources available to assist elders, caregivers and others. The topics are timely, pertinent and useful, says Greenhoe. There will be several different breakout sessions offered, and participants 8
Financial Exploitation of Seniors: Learn the signals and latest scams, as well as how to help elders protect their assets; Resident Rights in LongTerm Care Facilities — LTC
Sharon Greenhoe, Region 9 LTC Ombudsman, plans the upcoming conferences.
will be able to choose three. Some of the topics include: Neglect and Abuse (physical, mental, emotional, and sexual):
Learn the different types of abuse, how to recognize the signs and how to enable elders to protect themselves; Medicare/Medicaid Fraud: There are different types of fraud with both Medicare and Medicaid. Learn how to help elders recognize fraud and abuse as well as report it;
Ombudsman Program: Learn about resident rights within nursing homes and how to empower residents to protect their own rights. Other sessions may include Creating Confident Caregivers; Aging in Place: Options and Choices; Planning for the Loss of Decision-Making Ability; Understanding Dementia and Dealing with Difficult Behaviors. Although the conferences were initially developed for the clergy and church leaders, they have become events open to all community members interested in protecting some of the most vulnerable citizens. This is the second year an elder abuse prevention conference is being sponsored by the AAA. For more information, or to register, call Sharon Greenhoe at 989-358-4630. For more information about the Region 9 Area Agency on Aging, call 1-800-219-2273. Michigan Generations
Detroit Area Agency on Aging Serving Detroit, Highland Park, Hamtramck, Harper Woods and the five Grosse Pointes in Wayne County
Resources for Detroit Seniors to Increase Income, Reduce Expenses
Reg 1-A / Detroit AAA
Reg 1-B / AAA
Reg 3-A / Kalamazoo Cty. Human Services Dept. (Region 3)
Reg 3-B / Burn
Helping Older Adults to Thrive Financially
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magine a brief, confidential consultation that puts you on the road to economic security, and that’s what the Detroit Area Agency on Aging delivers with the Detroit Economic Security Service Center. Through the new Detroit Economic Security Collaborative Network, some 30 organizations are providing financial security casework to Detroit residents age 55 and over who meet income guidelines. This initiative includes a comprehensive assessment of all financial, health, housing and employment needs. Best of all, the centers assist seniors in finding and applying for public and private services and benefits to help them survive and thrive in these tough economic times. At the heart of this collaboration are two online tools that can assess economic security — Benefits CheckUp and the Economic CheckUp. Benefits CheckUp is a screening service of the National Council on Aging (NCOA) to help seniors with limited income find assistance with prescription drug costs, energy assistance, food stamps, Alzheimer’s Care and more. Interested persons
Summer 2011
The Detroit Economic Security Collaborative Network held its first Pathways to Financial Security Fair in May, focusing on the 100-plus participants in DAAA’s Senior Community Service Employment Program. At the fair, partner organizations offered help with utility budget plans, emergency relief, money management counseling, Reg 5 / Valley AAA food vouchers and fitness training. The event was organized by DAAA’s Anne Holmes Davis and Carl Herrell.
can start the screening process at www.BenefitsCheckUp.org. The Economic CheckUp can assess an individual’s current financial security based on the Elder Economic Index — an estimate of the amount of money required to meet his/her basic financial needs, including food and housing expenses. For both, participants simply provide the necessary
Save the Date! Detroit Area Agency on Aging
income documentation, and in a short time, they can be on the road to better financial health. The Detroit Economic Security Collaborative Network is funded by NCOA, Bank of America Charitable Reg 9 / NEMSCA Reg 9 AAA Foundation and the Community Foundation for Southeast Michigan. For information, call the Detroit Area Agency on Aging at 313-446-4444.
Reg 10 / AAA
September 15 & 16, 2011 8:30 a.m.–1:30 p.m. Greater Grace Temple 23500 W. Seven Mile Road Detroit, Michigan 48219
Fourth Annual
Michigan Kinship Care Conference and
Grandfamily Reunion
Reg 6 / Tri-Cou
This conference is intended to help sensitize professionals to the issues, needs and concerns of relative caregivers. Caregivers will discover resources available to help them successfully raise their relative children, and will be made aware of policies and problems that impact many grandfamilies. For information on the committee, or on Bridging Generations, a support group for kinship caregivers, call Veronica Padmos at 313- 446 - 4444, ext. 5828, or email padmosv@daaa1a.org.
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Region IV Area Agency on Aging Covering Michigan’s Great Southwest including Berrien, Cass and Van Buren counties
A New Approach to Spring Cleaning Reg 3-A / Kalamazoo Cty. Human Services Dept. (Region 3)
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eniors got a jump start on their spring cleaning by attending the Area Agency on Aging’s (AAA) Senior Expo in May. The AAA arranged for a shredding company, Metro Business Achieves (MBA), which provided the service free for seniors. Expo attendees were reminded that shredding old papers can help prevent identity theft. Thieves use a variety of methods to steal personal information, including rummaging through trash. Items that were disposed of
Reg 3-B / Burnham-Brook Reg IIIB
included expired credit cards, receipts, statements and pre-approved credit card offers. After seven years, banking information such cancelled Reg 5 / Valley AAA Reg as 6 / Tri-County Office on Aging checks and savings account statements can be destroyed. Old phone and utility bills, wage and earnings statements, medical bills, tax returns and insurance information were also shredded. People using the service just pulled up next to the truck located in the parking lot, and the company Reg 9 shredding / NEMSCA Reg 9 AAA Reg 10took / AAA ofover. Northwest MI While cleaning house, attendees were encouraged to go through
Reg 3-C / Branch-St. Joseph AAA (IIIC)
Reg 4 / Reg IV AAA
medicine cabinets and get rid of expired prescription and over-thecounter drugs. According to the Food and Drug Administration, unused and expired drugs can cause an environmental hazard if disposed of improperly. At the Senior Expo, CountyRegSheriff’s DepartRegthe 7 / RegBerrien VII AAA 8 / AAA of Western Michigan Reg 1-A / Detroit AAA Reg 1-B / AAA 1-B ment’s officers collected the medications for safe disposal by incineration. More than 20 pounds of old medicine were collected, and the oldest medication was from 1987. And as for documents, MBA shredded 13 containers, collecting a total of 2,500 pounds of paper. call Resources of Reg 11 /For Upper more Peninsula information, AAA Reg 14 / Senior West Michigan Reg 3-A / Kalamazoo Cty. Humanor Reg / Burnham-Brook Reg IIIB 1-800-654-2810 log3-Bon to Services Dept. (Region 3) www.AreaAgencyOnAging.org.
Reg 1-C / The
Reg 3-C / Bran (IIIC)
Tri-County Office on Aging A consortium of Clinton, Eaton and Ingham counties and the cities of Lansing and East Lansing
Volunteers Make It Happen at TCOA
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t Tri-County Office on Aging, volunteers are at the heart of our work. Many of our services simply would not happen without the dedication of community members who give so generously of their time, talents and resources. Meals on Wheels — Our kitchen produces about 1,600 meals each day. All of those meals, whether they are home-delivered or served at a dining site, are served by volunteers. There are currently about 2,250 volunteers serving for an hour or more each month. These devoted community members enjoy the time they spend delivering meals. “I have the blessing of meeting so many wonderful people, and we’re saving taxpayer 10
money.” says Diana Vanorsdol, who has volunteered for 35 years. Medicare Medicaid Assistance Program (MMAP) — Volunteers are
“ It allows me… to give back to my community.” instrumental in assisting older adults in understanding their benefits. Community members can meet one-on-one with a trained counselor to help them navigate the maze of public health benefits. MMAP volunteer Patricia Tope had to retire from her nursing career sooner than she wanted to, but “volunteering with MMAP allows
Reg 5 / Valley AAA
Reg 6 / Tri-County Office on Aging
me to use my skills and talents to give back to my community.” Other Opportunities — There are numerous other volunteer opportunities at TCOA. You can advocate by contacting legislators on issues affecting older adults. You can help Reg 9 / NEMSCA Reg 9 AAA Reg 10 / AAA of Northwest MI plan or participate in events such as the annual Golf Outing or the annual Dinner and Auction. You can serve on a committee, help raise funds…the opportunities are endless. There are many opportunities to serve at TCOA. Do you have time, talent or resources to give? If so, please contact us. For more information, please call 517-887-1440 or 1-800-405-9141, or visit our website at www.tcoa.org. Michigan Generations
Reg 7 / Reg VI
Reg 11 / Uppe
Services Dept. (Region 3)
(IIIC)
Region VII Area Agency on Aging Serving Bay, Clare, Gladwin, Gratiot, Huron, Isabella, Midland, Saginaw, Sanilac and Tuscola counties
Local Ombudsmen Serve Vital Role
Reg 5 / Valley AAA Reg 1-A / Detroit AAA
W
hen you live in a licensed setting, knowing there will be someone to turn to, if you have a problem, can be comforting. It is estimated that seven of every 10 people living in nursing homes have arrived there unexpectedly, often as a result of illness or injury that required a hospital stay, or increasingly as a result of memory loss. Even with good planning and the best intentions, individuals may find themselves in uncharted territory as they navigate a sophisticated aging network. In Michigan, the Office of Services to the Aging provides funds to Region VII AAA. The agency, in turn, contracts with Lakeshore Legal Aid staff Toni Wilson and April Crumby
Reg 9 / NEMSCA Reg 9 AAA
April Crumby
Reg 3-A / Kalamazoo Cty. Human Toni Wilson Services Dept. (Region 3)
who, along with nearly a dozen volunteers, visit and resolve resident issues. Toni and April emphasize that it’s okay to ask for help if you are having a problem! Services offered by the long-term care ombudsman are FREE. In addition to regular Reg 5visits / Valley AAA by a local ombudsman, 22 of the
Reg 6 / Tri-County Office on Aging Reg 1-B / AAA 1-B
Reg 7 / Reg VII AAA Reg 1-C / The Senior Alliance, Inc.
45 nursing homes in mid-Michigan have a volunteer advocate visiting once or twice a month. This helps reduce the risk of abuse and neglect and gives residents an extra connection to the community. Nursing home residents and their advocates can MIcall Michigan’s long-AAA Reg 10 / AAA of Northwest Reg 11 / Upper Peninsula term care ombudsman program at AAA Reg 3-B / Burnham-Brook Reg IIIB Reg 3-C / Branch-St. Joseph (IIIC) 1-866-485-9393. Callers are routed to a local ombudsman who will help them solve a problem, answer a question or address a complaint. Or to learn more about the volunteer ombudsman program, call the number above. For further information, please contact Region VII at 1615 S. Euclid Ave., Bay City, MI 48706, 1-800-858-1637, Reg 6 / Tri-County Office on Aging Reg 7 / Reg VII AAA or visit www.region7aaa.org.
Reg 8 / AAA Reg 2 / Reg
Reg 14 / Seni West Michiga Reg 4 / Reg
Reg 8 / AAA
Upper Peninsula Area Agency on Aging Serving all 15 counties of Michigan’s Upper Peninsula
Successful Partnership with VA Means Good Things for U.P. Vets
Reg 9 / NEMSCA Reg 9 AAA
T
he population of veterans over the age of 85 is expected to increase by 124% in the next 10 years. The UPAAA is partnering with the Veterans Administration to ensure that the services older veterans need are available to them throughout the Upper Peninsula. The goal of the partnership is to offer more services, choices and control over long-term care decisions to veterans. In turn, this will help save limited VA resources. According to Mark Bomberg, Director of UPCAP’s Long Term Care Programs, “The Veterans Administration recognizes the AAA network as the leaders in home and community-based care. Rather than
Summer 2011
re-creating another system, the VA is working with existing programs developed by the aging network to adequately meet the long-term care needs of all veterans.” One of the successful programs specific to veterans that is now offered by the UPAAA is the Veterans Self-Directed Home and Community-Based Care Program. This program addresses long-term care needs of veterans and their families, ensuring that veterans have the chance to age in place, where they choose. To date, care managers have assisted 54 veterans in 13 counties within the U.P. with services such as respite, adaptive equipment and other
Reg 10 / AAA of Northwest MI
Reg 11 / Upper Peninsula AAA
assistance that helps them remain in their own homes for as long as possible. It is estimated that this program has saved the Veteran’s Administration over $53,000 per veteran needing long-term care services. Another successful venture is Creating Confident Caregivers (CCC) for Veterans, a dementia care training program designed to provide caregivers with the skills they need to create a more positive care-giving experience. The veterans’ specific CCC program includes resources and caregiver techniques that address issues pertinent to veterans. Workshops are now being offered in many areas within the U.P. For more information about veterans programs offered by the UPAAA, call 1-800-338-7227 or dial 2-1-1. 11
Reg 14 / Sen West Michig
People Making a Difference Detroit Area Agency on Aging
Jerutha Kennedy
S
ometimes all you need is a little push. Just ask Jerutha Kennedy, the chair of the Michigan Commission on Services to the Aging. When she started out her career some 35 years ago at the Neighborhood Service Organization, she was quite content as a junior secretary. Her supervisors at the private nonprofit agency, however, saw something in her that she didn’t and insisted that she stretch herself. She did. During the course of her 30-year career at NSO — she retired in 2007 because of arthritis — Kennedy went on to rise to unit director for a multiservice center and launch a program for grandparents raising grandchildren — her introduction into the issues of seniors. Her NSO supervisor wasn’t finished pushing. She asked Kennedy to let her submit her name for her current post. To her surprise, she was appointed to the post in 2003, and reappointed in 2006 and in 2009. In this role, she leads the group that is charged with advising the Governor and Legislature on aging priorities and advocates on behalf of seniors. Though Kennedy prefers to stay in the background, her lifetime of service has drawn attention. She was recently given the Vanguard Award for Contributions in Law and Aging by Elder Law of Michigan. A former advisory board member of the Detroit AAA, Kennedy is a member of many boards, including the Michigan League of Human Services. n
Region IV Area Agency on Aging
Mike Todd
F
or more than 30 years Mike Todd had a career in the film and television industry in Toronto, Canada. So when he and his wife Linda relocated to Southwest Michigan, it was a natural fit for him to gravitate toward doing volunteer work that made use of his professional skills. At the same time, the Region IV AAA was dreaming about media projects to tell its story through the eyes of those who have benefited from AAA programs and services. It was definitely a win-win for Mike to partner with the AAA, lending his considerable talent and expertise. Mike explains that volunteering not only keeps him connected to his ongoing interest in film, television and digital media, but also connects him to so many people who find all manner of volunteering a worthy and enlightening experience. Volunteer work is addictive. Not only does Mike work on media projects for the AAA, he recently took over the reigns as SeniorNet Volunteer Coordinator in Benton Harbor, where he also teaches classes. He says he loves it, and it’s such a reward to see seniors who have never used a computer gain confidence and enthusiasm, diving right into word processing, search engines and e-mail. n 12
Tri-County Office on Aging
Diana Vanorsdol
D
iana began delivering meals for Meals on Wheels in 1976. Over the past 35 years, Diana has had many rewarding experiences. She has seen first-hand the benefits of a daily check-in. She once rescued a client on her route from a fall that left her at the bottom of her basement steps. She recalls a day when she helped rescue a cat from under a bed. She giggles when she tells the story of the time she walked into the wrong home. Diana says her work is “pleasing to the Lord.” At 70 years old, she enjoys reaching out to others, and especially enjoys teaching the children in life about the importance of volunteering. She often brings her nieces, neighbor kids and grandchildren along with her. It is clear that Diana has immensely enjoyed the past 35 years of volunteering for Meals on Wheels, and we have been fortunate to work with her. Congratulations, and thank you for your service Diana! MI Michigan Generations
Caregivers, volunteers, professionals — they are the “unsung heroes” around our state. And they share one common goal: to improve the lives of others.
Region VII Area Agency on Aging
Yog Dhingra
F
or the past 10 years, retired scientist Yog Dhingra has applied research techniques and his sincere, patient nature to a voluntary, encore career with Michigan’s state health insurance program known as MMAP (Medicare/ Medicaid Assistance Program). Dhingra spends several afternoons each week at Senior Services Midland County Council on Aging as a MMAP
Region 9 Area Agency on Aging
Sarah Ridpath
H
ard work is nothing new to Sarah Ridpath of Curran. After raising five children, a couple of grandchildren, farming and gardening, she now devotes much of her time to the Together We Can food pantry of Mio. Celebrating its tenth year of existence this summer, the food pantry has become a passion for Ridpath, who serves as president of the nonprofit organization. She helped the organization obtain nonprofit status, organizes fundraisers and pursues grants. She oversees about 50 volunteers who assist in packing food boxes for monthly distribution. “Everyone seems to feel so much better when they go home at night because they’ve helped so many,” she says. Monthly packages weigh about 60 pounds and are given to 275–300 people each month. It’s a lot of work, but Ridpath says it’s far more rewarding than anything she’s ever done. “I remember a girl who called and asked for help,” she says. “When she got there and saw what we had for her, she just came into my arms and cried. She was so thankful for the help.” MI
Upper Peninsula Area Agency on Aging
Mary Romitti
L consultant, often providing information to those approaching their 65th birthdays, and assisting others who may qualify for low-income subsidies or Medicaid. Also on the team are three other MMAP volunteers and paid staff. Prior to working with MMAP, Dhingra volunteered with a senior tax preparation program, doing field work for a Medicaid program. Helping those in need, says Dhingra, is a way to connect and give back to his community of 40+ years. Dhingra and his wife have three grown children and reside in Midland. MI Summer 2011
ike many of us, Mary Romitti would rather go to the dentist for a root canal than stand up in front of a large audience and speak. The experience of caring for her 96-year-old mother who suffered with dementia changed that. Romitti, a 60-year-old retired Avon district coordinator, moved her mother and father into her Iron Mountain home, when her father’s health started to fail. When her father passed away in 2009, her mother descended swiftly into the confusion of Alzheimer’s, and Romitti fell into the role of caregiver. She took two classes from UPCAP Services — Creating Confident Caregivers and PATH (Personal Action Towards Healthy Living). “Both those classes helped me significantly,” says Romitti. “They gave me a toolbox I could carry around and draw from when I needed. They gave me a way to move forward.” She became so passionate about her experience that she agreed to speak about the Confident Caregivers class at the national Alzheimer’s conference at Northern Michigan University in Marquette. She also became credentialed and began teaching PATH classes. “I never thought I could stand up in front of a bunch of people and speak,” admits Romitti. “It’s my dedication to my mother and my passion for helping others who have her disease that have given me the courage to do it.” MI 13
ASK the Expert
Michael Dickinson, M.D.
Understanding
Heart Failure
What is heart failure, and how does it differ from a heart attack? h e a r t fa i lu r e , a l so c a lle d congestive heart failure, is a condition in which the heart does not pump enough blood to the rest of the body. A heart attack is when the heart is damaged by a blocked artery. While heart attacks can cause heart failure, heart failure can also be caused by viruses, longstanding high blood pressure and a variety of other causes.
How prevalent is heart failure among older adults? according to the american heart
Association, about 5 million people in the U.S. live with heart failure, the majority being older adults. Heart failure is the most common reason for people 65 or older to be admitted to the hospital.
What are the symptoms? The most common symptoms are shortness of breath, edema (swelling of the legs) and fatigue. Heart failure symptoms can develop gradually over time or become evident suddenly (such as after a heart attack or other heart problem.) Other symptoms can include cough, swelling of the abdomen, weight gain, irregular or rapid pulse; sensation of feeling the heart beat (palpitations); difficulty sleeping; fatigue, weakness, faintness; loss of appetite and/or indigestion.
How is it diagnosed? you should contact your physician
if you develop symptoms like those described above. A physical examination may reveal findings to suggest fluid on the lungs, in the abdomen or in the legs. Laboratory tests such as the BNP (or B-type natriuretic peptide level) can suggest that heart failure is present. There also are tests that can be used 14
to diagnose or monitor heart failure, such as: chest x-ray; ECG; echocardiogram; cardiac stress tests; and heart catheterizations.
What is the treatment? the primary treatment of heart
failure is with medications. These medications can include diuretics (water pills), ACE inhibitors, beta blockers, digoxin, and a variety of other medications. If you have heart failure, it’s very important that your doctor monitor you closely. You should have followup appointments at least every 3 to 6 months and periodic tests to check your heart function. For example, an ultrasound of your heart (echocardiogram) should be done once in awhile to see how well your heart pumps blood with each beat. You also will need to carefully monitor yourself and help manage your condition. One important way to do this is to track your weight on a daily basis. Weigh yourself at the same time each day and on the same scale, with little to no clothes on. Weight gain can be a sign that your body is holding onto extra fluid and your heart failure is worsening. Talk to your doctor about what you should do if your weight goes up or if you develop more symptoms. Restricting your salt intake is one of the most important parts of keeping heart failure controlled. This means not adding salt to your foods and learning to count the sodium (salt) content in the foods that you eat. You should stay active and get enough rest. You should lose weight if you are overweight. Heart valve surgery, coronary bypass surgery (CABG), and angioplasty may help some people with heart failure. A biventricular pacemaker can help both sides of your heart contract at the same
time and can help patients with electrical delays in the hearts contraction pattern. An implantable cardioverter-defibrillator that recognizes life-threatening, abnormal heart rhythms and sends an electrical pulse to stop them is often implanted. Most patients respond well to the measures described above but unfortunately some will have persistent or progressive symptoms. These severe heart failure patients may require advanced treatments such as a mechanical heart pump (called a left ventricular assist device or LVAD) or a heart transplant.
How does having heart failure affect a person’s lifestyle? heart failure is a serious disorder. It is usually a chronic illness, which may get worse with infection or other physical stress. However, many forms of heart failure can be controlled with medication, lifestyle changes and treatment of any underlying disorder. Many people maintain a good quality of life with heart failure but it requires commitment by the patient and close cooperation with their physician. You can learn more about heart failure by going to the Spectrum Health Frederik Meijer Heart & Vascular web pages at www.spectrumhealth.org/ heart. n
Michael Dickinson, MD, is medical director of the heart failure program, Spectrum Health Frederik Meijer Heart & Vascular Institute. He also is the lead transplant cardiologist in Spectrum Health’s heart transplant program. Dr. Dickinson is a graduate of the University of Michigan Medical School. Michigan Generations
RESOURCE GUIDE
for Michigan Caregivers and Seniors Clip and Save this list of important statewide and regional resources and services. STATEWIDE / NATIONAL RESOURCES
Meals-On-Wheels
Alzheimer’s Association — Greater Michigan Chapter . . . . 1-800-272-3900 American Cancer Society . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-800-227-2345 American Diabetes Association — Michigan Office . . . . . . . 248-433-3830 American Heart Association . . . . . . . . . . . . . . . . . . . . . . . . . . 1-800-242-8721 Arthritis Foundation — Michigan Chapter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 248-649-2891 or 1-800-968-3030 Bureau of Health Service (nursing home complaints) . . . . . 1-800-882-6006 Department of Consumer Industries (adult foster care complaints) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-866-685-0006 Medicare/Medicaid Assistance Program (MMAP) . . . . . . . . 1-800-803-7174 Michigan Hospice & Palliative Care Organization . . . . . . . . . . 517-886-6667 Michigan Office of the Attorney General . . . . . . . www.seniorbrigade.com Michigan Office of Services to the Aging . . . . . . . . . . . www.miseniors.net Michigan Parkinson’s Foundation . . . . . . . . . . . . . . . . . . . . . . . 248-433-1011 National Multiple Sclerosis Society — Michigan Chapter . . 1-800-344-4867
Regional Resources detroit area agency on aging (1a):
Information and Assistance . . . . . . . . . . . . . . . . . . . . . 313-446-4444 Outreach & Assistance
Bridging Communities — Detroit . . . . . . . . . . . . . . . . . . . . . . . Detroit Senior Citizens Department — Detroit . . . . . . . . . . . Neighborhood Legal Services Michigan — Redford . . . . . . . Services for Older Citizens — Grosse Pointe . . . . . . . . . . . .
313-361-6377 313-224-1000 313-937-8291 313-882-9600
Senior Centers
Association of Chinese Americans, Inc. . . . . . . . . . . . . . . . . . Delray United Action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Latino Family Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . North American Indian Assn. of Detroit . . . . . . . . . . . . . . . . . St. Patrick Senior Center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . St. Rose Senior Citizen Center . . . . . . . . . . . . . . . . . . . . . . . . . Virginia Park Citizens Service Corp. . . . . . . . . . . . . . . . . . . . . . Reuther Older Adult & Wellness Services . . . . . . . . . . . . . . . .
313-831-1790 313-297-7921 313-841-7380 313-535-2966 313-833-7080 313-921-9277 313-894-2830 313-831-8650
region iv area agency on aging:
AAA Info-Line . . . . . . . . 1-800-654-2810; www.AreaAgencyOnAging.org Custom Care — Care Connections of Southwest Michigan . . . . . . . . . . . . . . . . . 1-800-442-2803; www.AreaAgencyOnAging.org Elder Care Locator . . . . . . . . . . . . . . . 1 -800-677-1666; www.eldercare.gov Senior Nutrition Services . 1-800-722-5392; www.seniornutritionregiv.org Senior Volunteer and Intergeneration Programs . . . . . . . . . . . . . . . . . 1-877-660-2725; www.AreaAgencyOnAging.org tri-county office on aging (region 6):
Information and Assistance — Clinton, Eaton and Ingham Counties . . . . . . . . . . . . . . . . 1-800-405-9141 or 517-887-1440; www.tcoa.org Project Choices . . . . . . . . . . . . . . . . . . . . 1-800-405-9141 or 517-887-1440 For in-home service assistance and the Medicaid home/ community-based services waiver (MI Choice) Summer 2011
Greater Lansing . . . . . . . . . . . . . . . . . . . . . . . . 517-887-1460 or 1-800-405-9141 Clinton County . . . . . . . . . . . . . . . . . . . . . . . . . 989-224-3600 or 1-888-224-3030 Eaton County . . . . . . . . . . . . . . . . . . . . . . . . . . 517-541-2330 or 1-866-541-5444 Rural Ingham County . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 517-676-2775 Senior Dining Site Information . . . . . . . . . . . 517-887-1393 or 1-800-405-9141 AARP Tax Assistance . . . . . . . . . . . . . . . . . 517-887-1440 or 1-800-405-9141 region vii area agency on aging:
Information and Assistance . . . . . . . . . . . . . . . . . . . . . 1-800-858-1637 Alzheimer’s Association of Mid-Michigan . . . . . . . . . . . . . . . 1-800-337-3827 Lakeshore Legal Aid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-866-552-2889 MI Choice Medicaid Waiver Program . . . . . . . . . . . . . . . . . . 1-800-858-1637 Bay Co. Division on Aging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 989-895-4100 Clare County Council on Aging . . . . . . . . . . . . . . . . . . . . . . . . 1-800-952-3160 Gladwin County Council on Aging . . . . . . . . . . . . . . . . . . . . . . 1-800-952-0056 Gratiot County Commission on Aging . . . . . . . . . . . . . . . . . . . 989-875-5246 Human Development Commission (Huron, Tuscola and Sanilac counties) . . . . . . . . . . . 989-673-4121 or 1-800-843-6394 Isabella County Commission on Aging . . . . . . . . . . . . . . . . . 1-800-878-0726 Midland County Council on Aging . . . . . . . . . . . . . . . . . . . . . . 1-800-638-2058 Saginaw County Commission on Aging . . . . . . . . . . . . . . . . . 1-866-763-6336 nemcsa region 9 area agency on aging:
Information and Assistance . . . . . . . . . . . . . . . . . . . . . . 989-356-3474 Long-Term Care Ombudsman . . . . . . . . . . . . . . . . . . . . . . . . 1-866-485-9393 Multi-purpose Senior Centers
Alcona County Commission on Aging . . . . . . . . . . . . . . . . . . . . Alpena Area Senior Citizens Council . . . . . . . . . . . . . . . . . . . . Arenac County Council on Aging . . . . . . . . . . . . . . . . . . . . . . . . Cheboygan County Council on Aging . . . . . . . . . . . . . . . . . . . . Crawford County Commission on Aging . . . . . . . . . . . . . . . . . Iosco County Commission on Aging . . . . . . . . . . . . . . . . . . . . . Montmorency County Commission on Aging . . . . . . . . . . . . . . Ogemaw County Commission on Aging . . . . . . . . . . . . . . . . . . Oscoda County Council on Aging . . . . . . . . . . . . . . . . . . . . . . . Otsego County Commission on Aging . . . . . . . . . . . . . . . . . . . Presque Isle County Council on Aging . . . . . . . . . . . . . . . . . . . Roscommon County Commission on Aging . . . . . . . . . . . . . . .
989-736-8879 989-356-3585 989-653-2692 231-627-7234 989-348-7123 989-728-6484 989-785-2580 989-345-5300 989-826-3025 989-732-1122 989-766-8191 989-366-0205
upper peninsula area agency on aging/upcap:
Information & Assistance . . . . . . . . . . . . . . Dial 2-1-1 or 906-786-4701 Outside the U.P. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-800-338-7227 U.P. Long Term Care Ombudsman . . . . . . . . . . . . . . . . . . . . . 1-866-485-9393 UPCAP Care Management/Field Offices
Escanaba . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Houghton . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Iron Mountain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Marquette . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Sault Ste. Marie . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
906-786-4701 906-482-0982 906-774-9918 906-228-6169 906-632-9835 15
Important Upcoming Dates & Events Detroit Area Agency on Aging 4th Annual Summer Cruise Meals on Wheels Fundraiser Tuesday, Aug. 16 Ovation Yacht Individual tickets, $125. For more information, call Detroit AAA at 313-446-4444.
Annual RiverRun and Walk for Neighborhood Service Organization Saturday, Sept. 10 For information, visit www.nso-mi.org
Michigan Kinship Care Conference and Grandfamily Reunion Thursday and Friday, Sept. 15–16 Greater Grace Temple, Detroit, MI (See details on page 9)
For Your Health... Helpful evidence-based workshops for the fall season are being scheduled. If you are interested in Creating Confident Caregivers, PATH (Personal Action Toward Health), EnhanceFitness, or A Matter of Balance, dates and locations are available from Anita Kanakaris, Healthy Aging Manager, Detroit AAA, 313-446-4444 ext. 5841.
Region Iv Area Agency on Aging Powerful Tools for Caregivers • Mondays and Thursdays, Aug. 1–18 12:30 –3 p.m. Berrien County Cancer Service, 7301 Red Arrow Hwy., Stevensville, MI • Tuesdays and Thursdays, Sept. 6–22 1–3:30 p.m. Woodland Terrance, 3152 Fairway Lane, Bridgman, MI A three-week program, 2-1/2 hour sessions twice each week, for relatives or friends who care for an older adult with a chronic medical condition. Classes are co-facilitated by two specially-trained experts at no charge, though donations are gratefully accepted. Respite care and transportation are available as needed. For more information or to register, call 1-800-717-3811.
Region 9 Area Agency on Aging
Creating Confident Caregivers Tuesdays, July 12–Aug. 16; 5:30–7:30 p.m. Lakeland Hospital — Niles 31 North St. Joseph Ave., Niles, MI People who care for someone with Alzheimer’s or dementia are encouraged to attend a 12-hour training course. Respite care is available as needed. Call 1-800-442-2803 to register.
Tri-County Office on Aging Enhance Fitness Enhance Fitness is an evidence-based exercise class for older adults. Registration is required. Classes are one hour long with three sessions per week. Class content includes aerobic exercise, strength training with ankle weights, balance and flexibility exercises. Call today for a class location in your area! For more information, contact Jane Braatz at 517-6691864 or jsbraatz@comcast.com.
Elder Abuse, Neglect and Financial Exploitation Prevention Awareness Conference The day-long conference is offered in two separate venues: • Tuesday, Sept. 13; 8:30 a.m.–4 p.m. Indian River United Methodist Church 956 Eagles Nest Road, Indian River, MI • Wednesday, Sept. 14; 8:30 a.m.–4 p.m. Good Shepherd United Methodist Church 149 W. Robinson Lake Rd., Roscommon, MI Admission is free. Call Sharon Greenhoe at 800-219-2273, ext. 230 for more information or to register.
Upper Peninsula Area Agency on Aging
Creating Confident Caregivers
August/September Classes
Based on the university-tested Savvy Caregiver program, Creating Confident Caregivers is a six- week series that provides participants with knowledge and skills needed to manage stress and improve caregiving skills. FREE RESPITE CARE PROVIDED. Call today for a class in your area. 517-887-1447 or burleyj@tcoa.org.
• PATH (Personal Action Towards Health) in Delta, Mackinac, Gogebic and Marquette counties • Diabetes PATH (specifically for those with Diabetes or Pre-Diabetes) in Delta, Dickinson and Menominee counties • Healthy Eating Class in Alger County • Creating Confident Caregivers (CCC) Classes in Marquette, Dickinson and Houghton counties • CCC classes for veterans’ caregivers in Dickinson and Marquette counties
Region Vii Area Agency on Aging The Saginaw Chippewa Indian Tribe of Michigan At-Large Program Wednesday, July 6; 10 a.m.–2 p.m. Soaring Eagle Casino and Resort Mt. Pleasant, MI
Bay/Midland Kinship (Grand parents Raising Grandchildren) Back-to-School Day Tuesday, Aug. 16 Valley Plaza Resort Midland, MI Call for information: 1-800-858-1637.
43rd Annual U.P. Senior Convention & Expo Thursday, Sept. 22 9:30 a.m.–3 p.m. U.P. Fairgrounds Ruth Butler Building Escanaba, MI Sponsored by UPCAP, Inc. and Marquette General Health Systems. Fun, Food, Prizes and Education! Please call 2-1-1 by Sept. 16 to register. For more information about any of these programs/ events, call 1-800-338-7227, or dial 2-1-1.
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