Community Care Services Program annual progress report, state fiscal year 2001

COMMUNITY CARE SERVICES PROGRAM Annual Progress Report State Fiscal Year 2001
Georgia Department of Human Resources Division of Aging Services
"A partner in the Aging Network"
January 2002

COMMUNITY CARE SERVICES PROGRAM DIVISION OF AGING SERVICES
GEORGIA DEPARTMENT OF HUMAN RESOURCES
This Annual Report reflects State Fiscal Year 2001 activities completed by the Georgia Department of Human Resources Division of Aging Services and other agencies. It is prepared in accordance with provisions set by the Community Care and Services for the Elderly Act for the following legislators:
SPEAKER OF THE HOUSE OF REPRESENTATIVES PRESIDENT OF THE SENATE CHAIRMAN OF THE HOUSE HEALTH AND ECOLOGY COMMITTEE CHAIRMAN OF THE HOUSE HUMAN RELATIONS AND AGING COMMITTEE CHAIRMAN OF THE SENATE HEALTH AND HUMAN SERVICES COMMITTEE
The General Assembly, in enacting the Community Care and Services for the Elderly Act, indicated its intent (O.C.G.A. 49-6-60 --- 49-6-64) as follows: To assist functionally impaired elderly in living dignified and reasonably
independent lives in their homes or with their families; To establish a continuum of care for such elderly in the least restrictive
environment suitable to their needs; To maximize use of existing community social and health services to prevent
unnecessary placement of individuals in long-term care facilities; and, To develop innovative approaches to program management, staff training, and
service delivery that impact on cost avoidance, cost effectiveness and program efficiency.
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COMMUNITY CARE SERVICES PROGRAM
CLIENTS SPEAK
"I thank God for sending Community Care to me and my wife." Married clients, age 88 and 85, Brunswick
"I am really proud to know that our government is interested in helping the seniors of our state. And I'm so grateful that Community Care sends someone to check on me. Knowing that someone cares really means a lot."
Client, age 76, Moultrie
"I would have to go to a nursing home if it weren't for the support of CCSP services."
Client, age 78, Meansville
"CCSP services allow me to keep my mother at home." Caregiver- daughter, Client, age 89, Quitman
After explaining CCSP services at initial assessment, this gentleman said, "Are you sure you're not related to Santa Claus?"
Client, age 67, Acworth
"I think CCSP is a very helpful program, we need it." Client, age 73, Ringgold
"CCSP is a blessing in disguise. Without the help I would be lost." Client, age 70, Brunswick
"If it weren't for CCSP, I would be in the nursing home. My children were ready to send me because I could not take care of myself. It helps me stay in the surroundings I was raised. It's a God-sent plan for the elderly and I am so happy this program helps me and others."
Client, age 86, Cordele ii

CLIENTS SPEAK (continued)
"I am in a wheelchair. Since my wife died the only help I have is her sister, but she takes care of their other sister full time and she's getting on in years. The aide makes sure I have breakfast, then helps with my bath and cleans up. I get a hot lunch from the folks at the center. And the girl (aide) pays my bills and goes to the store for me. Guess I'd be in a home somewhere if I didn't have all this help."
Client, age 90, Baxley
"The CCSP helps me keep my parents at home and gives them the personal attention that they demand and need. If it were not for the CCSP this could not be. Also, the timely visits and help keep me aware of what's going on with them, and they have the medical attention they require and the medications they need. Therefore, if it were not for this program we would be lost- financially, healthwise and mentally."
Caregiver- daughter, Married clients, age 84 and 82, Lumber City
"Our family is appreciative for the assistance my brother is receiving. The CCSP allows us to continue to live our lives without worry- knowing he will receive the assistance he needs. We are a large family, but our ages are showing. Being the youngest, I've had to perform whatever is necessary to assist him, and before he entered CCSP I had to delay bi-lateral knee replacement several times because of fear of not being available to assist him if needed. The CCSP has helped our family have a fruitful and normal life by permitting my brother to remain at home and receive the assistance needed."
Caregiver- sister, Client, age 74, Macon
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TABLE OF CONTENTS
INTRODUCTION.....................................................................Page 1 STATISTICAL DATA...............................................................Page 2 PROGRAM STRUCTURE AND ADMINISTRATION........................Page 3 CLIENTS...........................................................................Pages 4-6 TYPES OF SERVICES PROVIDED...........................................Pages 7-8 SERVICE PROVIDERS..............................................................Page 9 PROGRAM COSTS AND SAVINGS.......................................Pages 10-11 PLANNING LIST...............................................................Pages 12-13 PROGRAM ACCOMPLISHMENTS.............................................Page 14 SERVICE DEFINITIONS.....................................................Pages 15-20
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COMMUNITY CARE SERVICES PROGRAM SFY 2001 ANNUAL REPORT
INTRODUCTION
VISION The Division of Aging Services (DAS) and the Aging Network will assist older individuals, their families, and caregivers to achieve safe, healthy, independent and self-reliant lives. Georgia's Community Care Services Program (CCSP) is a leader in community-based care options, providing support and direction to the Aging Network to ensure that Georgians eligible for nursing home care have the option of remaining in their homes or communities.
SERVICES The CCSP has successfully completed its 19th year of operation. The program provides a range of community-based services which delay or prevent more costly nursing home placement, including: telephone screening, face-to-face client assessment, care coordination, Home Delivered Services (Home Health), Adult Day Health, Alternative Living Services, Out-of-Home Respite Care, Personal Support Services, Home Delivered Meals, and Emergency Response System.*
ELIGIBILITY Clients served through the CCSP must meet the same medical, functional, and financial criteria for placement in a nursing facility. A physician certifies that the individual's needs may be met by the CCSP and available community resources. The CCSP coordinates and provides services that enable the client to be cared for in the community instead of a nursing facility.
FUNDING Under Title XIX of the Social Security Act, the Georgia Medicaid Program, funded with federal and state dollars, reimburses provider agencies for services through a federal Medicaid 1915(c) waiver for Home and Community-Based Services. Provider agencies render services in the clients' homes, licensed personal care homes, or adult day health facilities. The Department of Human Resources (DHR), Division of Aging Services (DAS) operates and manages the CCSP through an inter-agency agreement with the Georgia Department of Community Health (DCH), Division of Medical Assistance (DMA).
* Refer to page 15 for CCSP Service Definitions.
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STATISTICAL DATA for
July 1, 2000 - June 30, 2001
91% of consumers assessed chose to enter the Community Care Service Program (CCSP) instead of a nursing facility;
16,873 consumers were served by the CCSP;
$13,090 was saved by Georgia taxpayers for each consumer served by the CCSP instead of a nursing facility - a statewide savings of nearly $221 million in SFY 2001;
The cost to taxpayers to maintain a client in the CCSP is 26% of the Medicaid cost to maintain a person in a nursing facility;
83% of CCSP clients were 60 or older; 58% were 75 or older; 29% were 85 or older; and, 15% were 90 or older;
79% of CCSP clients used Personal Support Services. It was the most frequently used service.
36 months is the average length of stay for CCSP clients.
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PROGRAM STRUCTURE AND ADMINISTRATION
Consumers receive Community Care Services Program (CCSP) services through the cooperation of the following state and local agencies and private businesses:
The Division of Aging Services of the Department of Human Resources has the primary responsibility for development and administration of the CCSP. Coordination of the various entities working together to provide quality, consumer-focused services is the priority of the CCSP.
The Division of Medical Assistance of the Department of Community Health reimburses service providers and monitors services for quality and appropriateness.
The Division of Family and Children Services of the Department of Human Resources determines consumer Medicaid eligibility and cost share.
The Division of Mental Health/ Mental Retardation/ Substance Abuse of the Department of Human Resources provides consumer psychological and psychiatric evaluations and therapeutic services.
Area Agencies on Aging (AAAs) contract with the Department of Human Resource's Division of Aging Services to serve as Lead Agencies or regional managers of the CCSP. The twelve AAAs serve as the local "Gateway to Community Resources" for consumers and their families, service providers, and potential service providers. The AAAs manage service benefit allocations, assuring the CCSP does not exceed budget limitations.
Care coordinators assess consumers for CCSP eligibility, link consumers to service providers and other support services, and periodically monitor care. Care coordinators assure reliable, cost effective, consumer-focused service delivery, avoiding duplication and over-utilization of services.
Providers enrolled in the CCSP deliver services ordered by the consumer's care coordinator and physician. The Division of Aging Services approves service providers for enrollment in the CCSP.
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CLIENTS

ASSESSMENTS

Community Care Services Program (CCSP) clients must meet the same medical, functional, and financial criteria as consumers receiving nursing home care under Medicaid.

Area Agencies on Aging staff and care coordinators conduct telephone interviews to screen consumers for potential service eligibility.

Consumers are prioritized for assessment according to the results of the telephone screening. Consumers who have a higher level of impairment and unmet need are the first to enter services.
A face- to-face assessment determines the consumer's need for services. Care coordinators determine client medical eligibility. Eligibility staff at the Division of Family and Children Services
determine client financial eligibility for Medicaid.

The CCSP care coordinators re-assess clients at least annually to assure clients remain eligible for services and services are appropriate for client needs.

ASSESSMENTS COMPLETED - SFY 2001

Telephone screenings

14,660

Average number on monthly planning list

3,198

Initial assessments

6,370

Reassessments

10,192

Percent of consumers who chose CCSP services instead of

nursing home placement

91%

%

Figure 1 The CCSP is the undisputed choice over nursing facility placement for 91% of consumers assessed. However, demand for the CCSP exceeds available funding: 14,660 telephone screenings were conducted, but only 6,370 consumers were assessed because admission to the CCSP is dependent upon the availability of funding.

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CLIENTS SERVED

CLIENTS SERVED BY CCSP

18,000 16,000 14,000 12,000

16,873

12,574 13,224

13,193

12,681

14,185

15,228 14,194

14,848

10,047

10,000

8,000

6,000

4,000

2,000

0 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001

Figure 2 The above illustrates a 68% increase in the number of clients served over the past 10 years.

PROFILE OF CLIENTS - SFY 2001 Unduplicated client count Clients 90 years of age or older Clients 85 years of age or older Clients 75 years of age or older Clients 60 years of age or older Clients under 60 years of age Percentage of clients who are female Percentage of clients who are minorities (non-white)

16,873 15% 29% 58% 83% 17% 75% 40%

Figure 3 In SFY 2001, the CCSP served 16,873 clients. Seventy-five percent were female, 58% were over the age of 75, and 29% of clients were 85 or older. Seventeen percent of clients were younger than 60.

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AVERAGE LENGTH OF STAY & DISPOSITION OF CLIENT DISCHARGES
SFY 2001

Average Client Length of Stay
Disposition of Discharged Clients: - Death - Nursing facility placement - Refused Service/ Referred to Other Community
Agency/ Moved From Service Area / Other

36 months
38% 38% 24%

Figure 4 The above chart shows the average time a person remains in the CCSP. Thirty-eight percent of those discharged from the CCSP enter a nursing facility because of the need for continuous skilled care services.

CLIENTS BY PAYMENT SOURCE - SFY 2001

Clients receiving SSI Medicaid

47%

Clients receiving Medical Assistance Only (MAO)

50%

potentially Medicaid

Clients whose Cost Share covered service costs

3%

Figure 5 Because client incomes are less than the federal Supplemental Security Income (SSI) level, 47% of CCSP clients' care is paid by Medicaid. Fifty percent of the clients receive partial Medicaid payment for their services. According to their income levels Medical Assistance Only (MAO) clients pay a portion of the cost of services known as Cost Share. Services for the remaining 3% are at no cost to the Medicaid Program because the client cost share pays the entire cost of the CCSP services received.

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TYPES OF SERVICES PROVIDED

UTILIZATION AND EXPENDITURES

NUMBER OF CLIENTS SERVED AND CCSP MEDICAID FUNDS EXPENDED
BY SERVICE TYPE - SFY 2001

CCSP SERVICE

CLIENTS % TOTAL FUNDS % TOTAL SERVED* CLIENTS* EXPENDED FUNDS**

Personal Support Services (PSS, PSSX)

13,367

79% $56,461,066 72%

Emergency Response System (ERS)

7,321

43%

$1,704,780

2%

Home Health Services Medicaid Home Health (HHS)
Home Delivered Services (HDS)
Out-of-Home Respite Care (OHRC)
Alternative Living Services (ALS) - Group Model - Family Model

3,375 84 10
1,912 893

20%
less than 1%
less than 1%

State Medicaid Funded $140,762
$7,820

0%
less than 1%
less than 1%

11%

$9,759,475

12%

5 % $4,864,097

7%

Home Delivered Meals (HDM)

2,129

13%

$1,939,383

2%

Adult Day Health (ADH)

612

4%

$3,323,539

4%

* Duplicated client count. Clients may receive more than one service. ** Percentages are rounded.
Figure 6 The above shows the CCSP service types by number of clients and expenditure of CCSP Medicaid dollars provided and expenditures for each service.
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CLIENTS SERVED BY SERVICE TYPE SFY 2001

13,377*

14,000 12,000 10,000
8,000 6,000 4,000 2,000
0

PSS

7,321

3,459

2,805

2,129

612

ERS

HDS

ALS

HDM

ADH

* Number includes Out-of-Home Respite Care

Figure 7 Figure 7 displays by service type the number of CCSP clients who receive each service.

Summary
Seventy-nine percent of CCSP clients use Personal Support Services (PSS). This service accounts for 72% of total CCSP expenditures. Alternative Living Services (ALS) ranks second in expenditures (18%).
Accounting for only 2% of CCSP Medicaid expenditures, 43% of CCSP clients use the cost-effective Emergency Response System (ERS) service.

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SERVICE PROVIDERS

PROVIDERS BY SERVICE TYPE* - SFY 2001

Adult Day Health

28

Alternative Living Services - Family Model

27

Alternative Living Services - Group Model

171

Emergency Response System

12

Home Delivered Meals

27

Home Delivered Services

39

Personal Support Services

153

Out-of-Home Respite Care Services

5

* Some providers provide more than one service.

Figure 8 This chart indicates the number of providers enrolled in each CCSP Medicaid service.

The Community Care Services Program manages, coordinates, and provides services by partnering with 439 public and private licensed, CCSP enrolled businesses and agencies.

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PROGRAM COSTS AND SAVINGS
EXPENDITURES

CCSP PROGRAM EXPENDITURES SFY 1998 - SFY 2001

CATEGORY
Client Service Benefits
Care Coordination
State Administration

SFY `98 $53,067,456 $10,828,851
$672,571

SFY `99 $61,616,111 $12,126,890
$698,969

SFY 2000 $71,289,084 $13,734,959
$722,857

SFY 2001 $78,200,923 $16,471,682 $1,242,719

TOTAL

$64,568,878 $74,441,970 $85,746,900 $95,915,324

Figure 9 The above figures document that in SFY 2001 the CCSP reimbursed provider agencies over $78,200,923 million for client services provided. State administrative cost was 1% of total expenditure for the CCSP.

OTHER SERVICES

CARE COORDINATION COST - SFY 2001

DOLLARS EXPENDED

CLIENTS SERVED

COST PER CLIENT

$16,471,682

16,873

$976

Figure 10 In SFY 2001 care coordination services cost $16,471,682. Care coordination is key in providing client-focused care to CCSP clients. Care coordination assures that clients admitted to the program receive cost-effective, appropriate, and coordinated services.

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MEDICAID SAVINGS

ANNUAL SAVINGS PER CLIENT SERVED IN CCSP INSTEAD OF NURSING FACILITY

SFY

SFY

`98

`99

SFY 2000

SFY 2001

AVG. SAVINGS SFY `98 - 2001

$11,904

$12,024

$12,959

$13,090

$12,494

Figure 11 The above chart illustrates the cost effectiveness of CCSP.

EXPENDITURE OF MEDICAID DOLLARS IN NURSING FACILITIES AND CCSP

$20,000 $15,000 $10,000
$5,000 $0

$15,643

$16,070

$17,760

$17,725

$3,739 SFY '98
CCSP

$4,046 SFY '99

$4,801
SFY 2000 NURSING FACILITY

$4,635 SFY 2001

Figure 12 The graph illustrates that since SFY 1998, CCSP Medicaid client expenditure has averaged 25% of nursing facility Medicaid expenditure.

Summary
The CCSP saved the State and Federal governments approximately $221 million for SFY 2001, $13,090 per client. In SFY 2001, the average annual cost to the CCSP for a client's services was $4,635. If the client had received Medicaid reimbursed care in a nursing facility, the average annual cost to taxpayers would have increased to $17,725 per client.
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GEORGIA'S CCSP PLANNING LIST
By 2030, there will be over 70 million older persons in the United States, slightly more than twice their number in 2000. Between 2000 and 2050 the 65+ population will more than double in the United States. People 65 and older represented 12% of the population in the year 2000, and will represent 20% by the year 20301.
Georgia has the fourth fastest growing elderly population in the United States. During the 20th century, the number of Georgians ages 60 and above increased eight-fold, compared to a three-fold growth in the population overall. Figure 13 shows the projected increase in Georgia's elderly population from 1990 20102.

20.0% 10.0%
0.0%
Figure 13

Percent Increase in Population Ages 65+

12.6%

20.0%

13.5%

16.0%

1990-2000 Actual

2000-2010 Projected

United States Georgia

CCSP Planning List SFY 1995 - SFY 2001

SFY

Average Count of Clients on Planning List

1995

4,327

1996

4,291

1997

4,491

1998

4,904

1999

3,849

2000

3,435

2001

3,198

Figure 14 The above figures show the average CCSP planning list for clients in State Fiscal Years 1995-2001. NOTE: 1995- 1999 averages were calculated by using the first and last months of the fiscal year.

1 U.S. Bureau of the Census, Population Projections of the United States, by Age, Sex, Race and Hispanic Origin:

1993 to 2050, Current Population Reports, P25-1104. 2 US Bureau of the Census, Summary File 1, 1990 and 2000; Governor's Office of Planning and Budge

Projections 2010.

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Projection of CCSP Consumers

Years

2015

2020

2025

Estimated Number of CCSP Clients

84,680

102,453

120,226

Figure 15 The above projections calculate the number of consumers who may need CCSP services over the next 25 years. Projections are based on May 1997 U.S. Census Bureau population statistics: older Georgians served by Medicaid, or on planning lists for this fund source, who have chronic conditions, no spouse, and who are not in nursing facilities or considered as Mental Health Mental Retardation funding candidates.

Summary
Growth projections for seniors with chronic conditions in Georgia clearly demonstrate the growing future demand for home and community-based services. Therefore, increased funding will be needed to support client services in the CCSP.

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CCSP ACCOMPLISHMENTS IN SFY 2001
Developed Internet web page Provided access for care coordinators to statewide service referral
information for client care plan development through an electronic database Implemented Service Authorization Form (SAF) rollover to improve efficiency by relieving the care coordinator from generating client SAFs for every client on a monthly basis Designed a statewide SAF report was designed to provide each Planning and Service Area with monthly authorization information and average client costs As a second-year grant participant in the AoA Performance Outcome Measurement Project (POMP), field tested national measurement instruments for effectiveness of services and client satisfaction.
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SERVICE DEFINITIONS
Care Coordination The care coordinator screens and assesses clients' medical and social problems/needs to determine the appropriateness for Community Care and develops a specific plan of care for each client admitted to the CCSP.
The care coordinator brokers/monitors provider services for clients by planning, arranging, coordinating, and evaluating the service delivery to assure that appropriate, quality services are provided in a timely and cost effective manner.
"I was both pleased and appreciative of the employees who worked with me to acquire the services necessary for my Aunt. The knowledge and professionalism exhibited by each individual is priceless. I was not prepared for the awesome energy level and genuine concern. It was wonderful to see the efforts of a true team in action. My family is reaping the benefits of your team's good customer service skills and for that I want to say thank you."
Caregiver- niece, Client, age 73, Decatur
Adult Day Health (ADH) Provides care in a community-based day program for clients who are functionally impaired. ADH provides a variety of health, therapeutic and social service activities in a group setting. Services include nursing care, special therapeutic services, personal care services, planned therapeutic activities, dietary services, transportation, and social work services.
"I love the adult day health center. We have games, exercises, crafts, entertainment, and we eat there."
Client, Atlanta
"My grandmother was in a nursing home before coming into the CCSP. While at the nursing home, my grandmother's health failed substantially. Since coming into the CCSP, my grandmother is able to walk, has regained her memory, weight has stabilized and blood sugars stabilized. She is getting attention she would not get in a nursing home. She receives necessary medical monitoring and counseling at the day center to insure her well-being. The program is wonderful in all respects."
Caregiver- grandchild, Client, age 78, Social Circle
15

"Coming to Adult Day Care has been so beneficial to me. I recently had a stroke and it affected my vision and my ability to do lots of things for myself. But Adult Day Care has helped me to do lots of things for myself. We really do appreciate all that our government and these programs do for us."
Client, age 63, Moultrie

Alternative Living Services (ALS) Provides twenty-four hour supervision, medically-oriented personal care, periodic nursing supervision, and health-related support services in a residential setting other than the client's home. This service is provided in state licensed personal care homes.

"The CCSP keeps me out of a nursing home." Client, age 94, Savannah

"I'm so glad that y'all could help me. I could not stay at home by myself and I would not move in with one of my children. I am happy living here and I thank God everyday for people like y'all who care about people like me."
Client, age 78, Fitzgerald

"This program means so much to me and the ladies. Some of the residents would

have to go to the nursing home if it wasn't for your program. There are so many

people that can't work and take care of their loved ones, so this program is

appreciated."

Service Provider, Cochran

Emergency Response System (ERS) Provides an in-home electronic support system for two-way communication between isolated clients and a communication control center twenty-four hours a day, seven days a week.
"I wouldn't be able to stay by myself without my magic button." Client, age 97, Blairsville
"I have a heart condition and get out of breath sometimes. I live alone and have used the ERS several times to get assistance."
Client, age 76, Monroe
"My case worker noticed my unsteady gait from polio, and suggested I get the ERS. This has me more secure as I live alone."
Client, age 74, Pelham
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Home Delivered Meals (HDM) Ensures improved nutrition to enhance client health and well-being. Clients may receive home delivered meals only in conjunction with another CCSP service.
"I greatly appreciate the help I am getting from Community Care. The meals I receive are a great help. I don't have the money to buy food I am supposed to have for diabetics. I don't have means of transportation to the grocery store."
Client, age 51, Gainesville
"I'm blind and in a wheelchair. I suffer with real bad arthritis. I live with my mother who is 73 years old. I don't know what I would do without the CCSP. I couldn't afford to pay for private services."
Client, age 54, Comer
Home Delivered Services (HDS) Medicaid Home Health Services (HHS) provides traditional home health on an intermittent basis to clients in their homes. Includes skilled nursing services; physical, speech and occupational therapy; home health aide and medical social services. The State Medicaid Plan pays for the first 75 home health visits, and the CCSP pays for needed visits in excess of 75.
"My nurse writes notes about my medicine to make sure I get my dose right." Client, Atlanta
"My mother has been a homebound stroke patient for ten years and bed-bound for three of those years. With the help of Community Care, I have been able to keep my mother at home and give her the love and care she has earned."
Caregiver- daughter, Client age 84, Moultrie
"I could not stay at home without the help. I would end up in a nursing home." Client, age 72, Pembroke
"My mother is in bad health. She had open heart surgery, three strokes, broken hip, gall bladder surgery. She has ulcers, bleeding rectum, and is also a diabetic. She also has a permanent catheter bag because her kidneys are not working. With her small social security check she was trying to buy these medicines and
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pay for help she needed. Community Care is a blessing to our family. Now I have the help that I need to keep my mother happy and at home, till the Lord calls her home."
Caregiver- daughter, Client age 89, Fort Valley
Personal Support Services (PSS) Provides a range of support services for CCSP clients. Services include assistance with activities such as light housekeeping, running essential errands, and basic personal care needs.
Extended Personal Support Services (PSSX) Provides personal support services in a home setting which may include respite care for the full time caregiver over an extended period of time.
"My aides have not only been life savers, but my friends too, over the past eleven years. Due to my lung disease and severe arthritis, I cannot do anything without great difficulty. My aide does anything I need for my bath, meal preparation, and housekeeping."
Client, age 83, Columbus
"Without CCSP services, my wife would definitely be in a nursing home. Without the extended personal support aide, I would go crazy."
Caregiver- husband, Client, age 87, Savannah
"I am very grateful for CCSP services because I am not able to lift him. I can barely take care of myself."
Caregiver-sister, Client, age 70, Harlem
"It helps so much to have the girls (aides) come help me with my bath so I can go to the Club (Senior Center)."
Client, age 101, Cleveland
"I'm alone all day and I just can't wait for them to come. The aide talks to me while she is doing the floor or the dishes and she watches so I don't fall while I take a bath. I fell last year and broke my hip. If I'd have had this help last year I wouldn't have a broke hip."
Client, age 73, Baxley
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"I appreciate the services that I receive from Community Care. My aide goes to the grocery store, does the cleaning, dusting, laundry and cooking. She is a big help to me. If I didn't have these services, I would have to go to a nursing home or personal care home."
Client, age 60, Albany
"I'm disabled and mother can do very little for herself. The aide does mother's laundry, prepares her breakfast and lunch, showers her, changes her bed linen and maintains mother's area free of odors and dust. The aide relieves me to get out and to enjoy downstairs with my husband. I am so, so happy this program is out there. Without this program I do not know if I could take care of mother."
Caregiver- daughter, Client, age 82, Monticello
Out-of-Home Respite Care (OHRC) Provides a period of rest or relief for family members or other full-time caregiver(s) responsible for performing or managing the care of the functionally impaired client through temporary substitute support or living arrangements for clients.
"My grandmother was in a nursing home before coming into the CCSP. While at the nursing home, my grandmother's health failed substantially. Since coming into the CCSP, my grandmother is able to walk, has regained her memory, weight has stabilized and blood sugars stabilized. She is getting attention she would not get in a nursing home. She receives necessary medical monitoring and counseling at the day center to insure her well-being. The program is wonderful in all respects."
Caregiver- grandchild, Client, age 78, Social Circle
"Coming to adult day care has been so beneficial to me. I recently had a stroke and it affected my vision and my ability to do lots of things for myself. But adult day care has helped me to do lots of things for myself. We really do appreciate all that our government and these programs do for us."
Client, age 63, Moultrie
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Community Care Services Program
Division of Aging Services Department of Human Resources (404) 657 5307 (404) 657 5251 FAX Two Peachtree St., NW Suite 9 398 Atlanta, GA 30303 3142
www.georgiacommunitycare.org