Community Care Services Program annual progress report, state fiscal year 2002

Community Care Services Program
Annual Progress Report State Fiscal Year 2002
Georgia Department of Human Resources Division of Aging Services
"A partner in the Aging Network"
ISSUED JANUARY 2003

COMMUNITY CARE SERVICES PROGRAM
(CCSP)
TABLE OF CONTENTS
Table of Contents............................................................................................................1 Provisions of The Community Care Services Act..........................................................2 CCSP 20 Years of Service to Eligible Georgians ......................................................3 Clients Speak ..............................................................................................................4-5 Introduction............................................................................................................Page 6 Statistical Data ......................................................................................................Page 7 Program Structure and Administration..................................................................Page 8 Clients ............................................................................................................Pages 9-11 Types of Services Provided ..........................................................................Pages 12-13 Service Providers ................................................................................................Page 14 Program Costs and Savings ..........................................................................Pages 15-16 Waiting List ..................................................................................................Pages 17-18 Program Accomplishments..................................................................................Page 19 Service Definitions and Client Quotes ........................................................Pages 20-23
Page 1

PROVISIONS OF THE COMUNITY CARE SERVICES ACT
This Annual Report reflects State Fiscal Year 2002 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 [et seq. 49-6-64]) as follows: s To assist functionally impaired elderly persons in living dignified and
reasonably independent lives in their homes or with their families or caregivers through the development, expansion and coordination of various community-based services; s To establish a continuum of care for functionally impaired persons in the least restrictive environment suitable to their needs; s To maximize use of existing community social and health services to prevent unnecessary placement of individuals in long-term care facilities; and, s To develop innovative approaches to program management, staff training, and service delivery that impact on cost avoidance, cost effectiveness and program efficiency.
Page 2

CCSP - 20 YEARS OF SERVICE TO ELIGIBLE GEORGIANS

The CCSP began in 1982.

Statewide 10th Year 20th Year

CCSP

Implementation CCSP

CCSP Comparison

Highlights

SFY 1986 SFY 1992 SFY 2002 SFY '86-2002

Consumers served by the Community Care Service Program (CCSP)

4,567

10,047

16,653

265% increase in clients

CCSP clients under 60 years Age 60 or older Age 75 or older Age 85 or older Age 90 or older Age 100 or older

N/A

1,507

2,831 Average age

N/A

8,540

13,822 of client is

N/A

3,014

9,825

increasing

N/A

N/A

4,829

N/A

N/A

2,498

N/A

N/A

218

Average length of stay for CCSP clients

NA

26

37

42% increase

months months

in length

of stay

Number of distinct

258

CCSP service providers

412

423 64% increase

Percentage of consumers

25%

assessed who chose to

enter the CCSP instead

of a nursing facility

34%

98%

292%

increase

in diversion

rate

Dollars saved by Georgia taxpayers for each consumer served by the CCSP instead of a nursing facility

$4,075

$9,951

$14,247

250% increase in taxpayer savings

Page 3

CCSP CLIENTS SPEAK
"My services are a lot of help to me. I live alone, am blind, and am dependent on oxygen 24 hours a day. I receive Personal Support Services, Emergency Response and Home Delivered Meals. I especially like the meals because this is the type of food my doctor wants me to eat. Since I have been receiving Home Delivered Meals, I have not had to go to the hospital as much or see my physician so often. I do not know what I would do without the help from Community Care."
Male client, age 75, HDM, PSS, ERS Gainesville (GA Mountains AAA)
"My parents have been with the CCSP since 1999. They both require lots of careskilled nursing, and personal support services to help with home chores. Community Care helps me keep my parents at home and give them the personal attention that they demand and need. The timely visits help me keep aware of what's going on more with my parents. If it were not for this program, we would not have the medical attention they require or the medication they need. Also if it was not for this program, we would be lost financial wise, health wise and mentally."
Caregiver, Married clients, age 84 and 82, HDS, PSS Lumber City (Heart of GA/Altamaha AAA)
"I could not have kept my mother at home for as long as I did without the help of CCSP services. My mother enjoyed going to the Adult Day Health center until she was no longer able to attend. Then, with Personal Support Services at home, I was able to keep her in my house and enjoy the time I was able to be with her which I might not have had otherwise. I am very grateful to the Community Care Services Program for allowing me to spend more time with my mother in my home as I could not have done it without the assistance."
Caregiver daughter, Female client, age 95, ADH, PSSX Gainesville (GA Mountains AAA)
Page 4

CCSP CLIENTS SPEAK (continued)
"Y'all do a little bit of everything for me. It keeps me independent and I don't have to go to a nursing home."
Female client, age 70, PSS, HDM, ERS, HDS Griffin (Southern Crescent AAA)
"These CCSP services are very important to me. My husband requires total care and these services help us have a somewhat normal life. I am able to get out to shop and pay bills. The aide helps me get him bathed and dressed for the doctor. Without these services, I would have to put him in a nursing home. It means a lot to us for him to be here at home with his family. I am most grateful."
Caregiver wife, Male client, age 49, PSS, PSSX, ERS Dalton (Northwest GA AAA)
Client is blind, confined to a wheelchair, lives alone. Despite her circumstances the client is always smiling. "I give thanks to God first and then to CCSP. I am fortunate to be able to participate in the program that allows me to live independently with some assistance."
Female client, age 75, HDM, ERS, PSS Lyons (Heart of GA/Altamaha AAA)
"I really am thankful for being in CCSP. If it were not for CCSP, I would not be able to live in my home with my grandson. Being in CCSP keeps me from going into a nursing home."
Female client, age 75, PSS Worth County (Southwest GA AAA)
Page 5

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 20th 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 services.*
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. Approved 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 20 for CCSP SERVICE DEFINITIONS.
Page 6

STATISTICAL DATA - SFY 2002
98% of consumers assessed chose to enter the Community Care Service Program (CCSP) instead of a nursing facility;
16,653 consumers were served by the CCSP; $14,247 was saved by Georgia taxpayers for each consumer served by the CCSP
instead of a nursing facility - a statewide savings of over $237 million in SFY 2002; The cost to taxpayers to maintain a client in the CCSP was 26% of the Medicaid cost to maintain a person in a nursing facility; 83% of CCSP clients were 60 or older; 59% were 75 or older; 29% were 85 or older, 15% were 90 or older; 1% were 100 years or older; and, 17% were under age 60; 79% of CCSP clients used Personal Support Services. It was the most frequently used service; 37 months was the average length of stay for CCSP clients.
Page 7

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, Developmental Disabilities and Addictive Diseases 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 and care coordination allocations, assuring that 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.
Page 8

CLIENTS

ASSESSMENTS Community Care Services Program (CCSP) clients must meet the same medical, functional, and financial Medicaid criteria as consumers receiving nursing home care.
Area Agencies on Aging staff and care coordinators conduct telephone assessments to identify consumers for service eligibility.
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 2002
Telephone assessments Average number on monthly waiting list Initial face-to-face assessments completed Reassessments of current clients Percent of consumers who chose CCSP services instead of nursing home placement

14,624 4,115 4,194 11,462
98%

Figure 1 The CCSP is the undisputed choice over nursing facility placement for 98% of consumers assessed. However, demand for the CCSP exceeds available funding.

Page 9

CLIENTS SERVED

CLIENTS SERVED BY CCSP

Figure 2 The above illustrates a 66% increase in the number of clients served since SFY 1992.

PROFILE OF CLIENTS - SFY 2002 Unduplicated client count Clients 100 years of age or older 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)

16,653 1%
15% 29% 59% 83% 17% 76% 42%

Figure 3 In SFY 2002, the CCSP served 16,653 clients. Seventy-six percent were female, 59% were over the age of 75, and 29% of clients were 85 or older. Seventeen percent of clients were younger than age 60. There were 218 clients age 100 or older.
Page 10

AVERAGE LENGTH OF STAY AND DISPOSITION OF CLIENT DISCHARGES - SFY 2002

Average Client Length of Stay

37 months

Disposition of Discharged Clients:

s Death

39%

s Nursing facility placement

37%

s Refused Service/Referred to Other Community

24%

Resources/Moved From Service Area/Other

Figure 4 The above chart shows the average time a person remains in the CCSP. Thirty-seven percent of those discharged from the CCSP enter a nursing facility because of the need for continuous skilled care services. Of the thirty-seven percent discharged to a nursing facility, 46% are discharged directly from a hospital.

CLIENTS BY PAYMENT SOURCE - SFY 2002

Clients receiving SSI Medicaid

46%

Clients receiving Medical Assistance Only (MAO)

potentially Medicaid

48%

Clients whose Cost Share covered service costs

6%

Figure 5 Because client incomes are less than the federal Supplemental Security Income (SSI) level, 46% of CCSP clients' care is paid by Medicaid. Forty-eight 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 6% are at no cost to the Medicaid Program because the client cost share pays the entire cost of the CCSP services received: this percentage has doubled over last year's.

Page 11

TYPES OF SERVICES PROVIDED
UTILIZATION AND EXPENDITURES

SFY 2002 - NUMBER OF CLIENTS SERVED AND CCSP MEDICAID FUNDS EXPENDED BY SERVICE TYPE

CCSP SERVICE
Personal Support Services (PSS, PSSX)
Emergency Response System (ERS)

CLIENTS SERVED*
13,093
7,372

% TOTAL CLIENTS*
79%
44%

FUNDS EXPENDED $61,655,653
$1,669,346

% TOTAL FUNDS**
73%
2%

Home Health

3,316

20%

Services

Medicaid Home

Health (HHS)

State

0%

Medicaid

Funded

Home Delivered

85

1%

Services (HDS)

Alternative Living

Services (ALS)

- Group Model

2,023

12%

- Family Model

838

5%

$110,160

less than 1%

$10,575,351

12%

$4,431,818

5%

Home Delivered

2,733

16%

$2,931,948

3%

Meals (HDM)

Adult Day Health 593 (ADH)

Out-of-Home

12

Respite Care

(OHRC)

4%
less than 1%

$3,355,640 $8,474

4%
less than 1%

* 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.

Page 12

CLIENTS SERVED BY TYPE OF SERVICE* SFY 2002
* Duplicated client count. Clients may receive more than one service. ** Number includes Out-of-Home Respite Care clients. 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 73% of total CCSP expenditures. Alternative Living Services (ALS) ranks second in expenditures (17%). Accounting for only 2% of CCSP Medicaid expenditures, 44% of CCSP clients use the cost-effective Emergency Response System (ERS) service.
Page 13

SER VICE PROVIDERS

PROVIDERS BY SERVICE TYPE* - SFY 2002

Adult Day Health

31

Alternative Living Services - Family Model

22

Alternative Living Services - Group Model

163

Emergency Response System

13

Home Delivered Meals

29

Home Delivered Services

31

Personal Support Services

141

Out-of-Home Respite Care Services

6

* 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 423 public and private licensed, CCSP enrolled businesses and agencies.

Page 14

PROGRAM COSTS AND SAVINGS

EXPENDITURES

CCSP PROGRAM EXPENDITURES SFY 1999 - SFY 2002

CATEGORY SFY 1999

SFY 2000

SFY 2001

Client Service

Benefits

$61,616,111

$71,289,084

$78,200,923

Care Coordination $12,126,890

$13,734,959

$16,471,682

State Administration

$698,969

$722,857

$1,242,719

SFY 2002 $84,738,390 $17,806,115 $1,403,005

TOTAL

$74,441,970 $85,746,900

$95,915,324 $103,947,510

Figure 9 In SFY 2002 provider agencies were reimbursed over $84 million for client services provided. State administrative cost was 1% of total expenditure for the CCSP.

OTHER SERVICES

CARE COORDINATION COST - SFY 2002

Dollars Expended

Clients Served

Cost Per Client

$17,806,115

16,653

$1,069

Figure 10 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.

Page 15

MEDICAID SAVINGS

ANNUAL SAVINGS PER CLIENT SERVED IN CCSP INSTEAD OF IN A NURSING FACILITY

SFY 1999

SFY 2000 SFY 2001

SFY 2002

AVG. SAVINGS SFY 1999 - 2002

$12,024

$12,959

$13,090

$14,247

$13,080

Figure 11

EXPENDITURE OF MEDICAID DOLLARS IN NURSING FACILITIES AND CCSP

s CCSP

s Nursing Facilities

Figure 12 Since SFY 1999, CCSP Medicaid per client expenditure has averaged 26% of nursing facility Medicaid expenditure.

SUMMARY The CCSP saved the State and Federal governments over $237 million for SFY 2002, $14,247 per client. In SFY 2002, the average annual cost to the CCSP for a client's services was $5,088. If the client had instead received Medicaid reimbursed care in a nursing facility, the average annual cost to taxpayers would have increased to $19,335 per client.

Page 16

CCSP WAITING 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 13% of
1
the population in the year 2000, and will represent 20% by the year 2030 .
Georgia had the sixth fastest growing elderly population in the United States during 1990-2000. Over the 20th century (1900-1999), the number of Georgians ages 60 and above increased ten-fold, compared to a four-fold growth in the population overall.
PERCENT INCREASE IN POPULATION AGES 65+

Figure 13 The graph shows the projected increase in Georgia's elderly population from
2
1990 2010 .

CCSP WAITING LIST SFY 1996 - SFY 2002

SFY
1996 1997 1998 1999 2000 2001 2002

Average Count of Clients on Waiting List
4,291 4,491 4,904 3,849 3,435 3,198 4,115

Figure 14
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 U.S. Bureau of the Census, Summary File 1, 1990 and 2000; Governor's Office of Planning and Budget Projections 2010.
Page 17

PROJECTION OF POTENTIAL CCSP CONSUMERS

Year
Estimated Number of Potential CCSP Clients

2015 101,261

2020 122,504

2025 143,747

Figure 15 The above projections calculate the number of consumers who may need CCSP services over the next 22 years. Projections are based on U.S. 2000 Bureau of the Census population statistics: older Georgians served by Medicaid, or on waiting lists for this fund source, who have chronic conditions, no spouse, and who are not in nursing facilities or considered as Mental Health, Developmental Disabilities and Addictive Diseases funding candidates.
SUMMARY Growth projections for seniors with chronic conditions in Georgia clearly demonstrate the growing future demand for home and community-based services.

Page 18

CCSP ACCOMPLISHMENTS IN SFY 2002
ACTIVITIES: CCSP Waiver Renewal Task Force compiled recommendations for waiver
renewal Successfully completed 5-year CCSP Waiver Renewal audit by Centers for
Medicaid and Medicare Services.
QUALITY INITIATIVES: Developed statewide client assessment/intervention protocols in client care plans Conducted successful pilot project to expedite determination of Medicaid
eligibility of potential CCSP Medicaid eligible clients Implemented statewide quarterly care coordination training Implemented provider pre-enrollment orientation training for over 81 provider
agencies Provided statewide national certification training for Information and Assistance
staff.
Page 19

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.
"The program is the very reason that I am still alive. Everything that is done for me is done through the program. My medications, my meals, my bath, my cleaning. It's turned my world around. Now it's perking like a pot of coffee. My care coordinator keeps her word, she is a go-getter. She lives up to her word."
Female client, age 73, HDM, ERS, HDS, PSSX Walton County (Northeast GA AAA)
"Community Care is my life. If I didn't have Community Care services I know I would be in a nursing home. My care coordinator goes out of her way to help me. She is a lifesaver. I lost my food stamps recently and my care coordinator arranged to have Home Delivered Meals, which have been a great help. She understands my needs and I am not afraid to ask for extra help when I am going through a bad time with health problems. The personal support I receive is professional and caring. I have had some physical set backs, but Community Care has always been there for me and I am very thankful for all the help they give me."
Female client, age 59, PSS, HDM Columbus (West Central GA AAA)
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, dietary services, transportation, and social work services.
Page 20

"My wife loves the day care center and waits for the bus to pick her up it is the best thing for her."
Caregiver husband, Female client, age 70, ADH Stone Mountain (Atlanta Regional Commission AAA)
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.
"I could not stay at home. Alternative Living Services assists me in having a better quality of life. The personal care home allows me a place to stay without concerns such as cooking and cleaning. Also, I enjoy the companionship of residents in the personal care home."
Female client, age 80, ALS Statham (Northeast GA AAA)
"My two children cannot take care of me, and I can't care for myself. The personal care home is the best thing that could happen to us. [The Certified Nursing Assistant] is so patient, and makes living in a personal care home tolerable. I would have to go to a nursing home if I didn't have the service to help me."
Female client, age 82, ALS Martinez (Central Savannah River AAA)
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 would've burned up in a fire without my ERS." Female client, age 80, ERS, PSS
Wilkes County (Central Savannah River AAA)
"The emergency button makes me feel secure. I take it with me all the time." Female client, age 79, ERS, HDM Brunswick (Coastal GA AAA)
Page 21

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.
"The meals are great. They send me fat free milk and a nutritional meal. It helps my son to not worry about preparing a noontime meal while he works."
Female client, age 79, HDM, ERS Brunswick (Coastal GA AAA)
"I can't believe the difference in my father, who weighed only 87 pounds when he entered the CCSP. He used to stay in bed and refuse to eat or bathe. No amount of coaxing could get him outside the home. Now he likes his CCSP aide so much, he will do anything she asks. He is up waiting for his bath each day. He dresses and sometimes walks to the porch and sits outside. The aide prepares breakfast and assists client with eating. My father lives too far from the senior center for daily Home Delivered Meals, however the care coordinator arranged for frozen meals to be picked up weekly. My father eats them because they are from `his program'. He has gained three pounds. CCSP has given me a few more years with Daddy."
Caregiver daughter, Male client, age 93, HDM, PSS Denton (Heart of GA/Altamaha AAA)
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.
"I like the services real well. The CCSP has helped me out on medicine. It's helpful to have a nurse to come out and help me straighten my medicines out."
Male client, age 66, HDS, ERS Dalton (Northwest GA AAA)
Page 22

Personal Support Services (PSS) Provides a range of support services for CCSP clients. Services include assistance with activities such as light housekeeping, basic personal care needs, running essential errands, and respite care for the full time caregiver.
"The CCSP has been good to my whole family. I am grateful to be able to stay in my own home with the help of `my girls'. My daughter, who is in very poor health, is unable to assist me except for daily phone calls. She is a CCSP client. My son was a CCSP client. Since his death, with the assistance of CCSP, I have lived alone. My grandson and neighbors take me to doctor visits, do errands and shop. I prefer to have my aide assist with my needs: personal care, light cleaning, meal preparation, errands, laundry and cooking."
Male client, age 102, PSS Hazlehurst (Heart of GA/Altamaha AAA)
"We have an aide that comes three times a week to bathe my mother, clean her room, to sit with my mother, and feed her when necessary. We are very pleased with everyone we have come in contact with. Everyone is so nice."
Caregiver, Female client, age 88, PSS Clarke County (Northeast GA AAA)
"There would be no way my husband and I could continue living in our home without CCSP. I'm grateful for the home services that are provided. The aide also gives our caregiver relief from her 24-hour care giving job."
Married clients, ages 80 and 94, HDM, PSSX Hiawassee (GA Mountains AAA)
"My grandson gets the best care he could receive from CCSP. The services do things for him that I can't do. I could not give him the quality of care the services give him. It gives me the hours I need to rest my body and my mind. The aide is especially good at checking his skin condition. He eats better for the aide than for anyone else. He would not be as contented or well adjusted as he is without the help of the CCSP! I would take nothing for this program. I just don't know what I'd do without it."
Caregiver grandmother, Male client, age 24, PSSX Cataula (West Central GA AAA)
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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