Pierce County ADRC Aging & Disability Resource Center Older adults often have disabilities.

Individuals with disabilities get older.

Pierce County ADRC Aging & Disability Resource Center

CMS & AoA VISION To have ADRC’s in every community serving as highly visible and trusted places where people of all ages and incomes can get information on the full range of long term support options and a single point of entry for access to public long term support programs and benefits.

Pierce County ADRC Aging & Disability Resource Center

ADRC PROGRAM LEADERS Ê Centers for Medicare & Medicaid Services Ê Administration on Aging Ê Aging & Disability Services Administration Ê Pierce County Aging & Long Term Care

Pierce County ADRC Aging & Disability Resource Center

Problems... 9 9 9 9 9 9 9

Confusion and frustration Over-reliance on institutional care Multiple steps for eligibility Same information over and over Bouncing around No systematic follow-up Inadequate information about options

Pierce County ADRC Aging & Disability Resource Center

Adults with Cognitive Disabilities

Older Adults

Senior I&A

Adults with Physical Disabilities

ADRC

Children & Youth with Physical Disabilities

Pierce County ADRC Aging & Disability Resource Center

Audience… 9 Older adults 9 Younger individuals with disabilities 9 Family caregivers 9 Families / Relatives / Friends 9 People planning for future long-term support needs 9 Professionals & service providers

Pierce County ADRC Aging & Disability Resource Center

Aging & Disability Resource Center

Senior Information & Assistance

Pierce County ADRC Aging & Disability Resource Center Walk-In 3580 Pacific Avenue Tacoma

Call-In (253) 798-4600 (800) 562-0332 (253) 798-2837 - TTY

Log-In www.PierceADRC.org [email protected]

Pierce County ADRC Aging & Disability Resource Center

Walk-In Human Services Bldg 1st Floor North

Call-In Jan – 1,326 Feb – 1,126 Mar – 1,251 Apr - 1,253 May - 1,084

Log-In Jan – 665 Feb – 669 Mar – 927 Apr – 822 May - 830

Pierce County ADRC Aging & Disability Resource Center

GOAL Empower individuals to make informed choices and streamline access to longterm support designed to help individuals with disabilities and older adults • In-home • Community-based • Institutional services and programs

Pierce County ADRC Aging & Disability Resource Center

GOAL 9 Consumer Focus 9 Informed Choice 9 Enhanced Access 9 Efficient 9 Effective 9 Visibility / Awareness

Options Counseling

Pierce County ADRC Aging & Disability Resource Center

GOAL 9 Support the Customer 9 After Immediate Crisis 9 Future Oriented 9 Develop an “Options Plan” 9 In-depth Information 9 Supports & Services 9 Locations, Costs, Pay 9 Preferences & Resources

Options Counseling

Pierce County ADRC Aging & Disability Resource Center

GOAL 9 Information Giving 100% 9 Referral Giving 100% 9 Explain Documentation 96% 9 Assist with Contacts 96% 9 Advocating 92% 9 Home Visits 76% 9 Short-Term Case Mgmt. 68%

Activities Included In ADRC Options Counseling

Pierce County ADRC Aging & Disability Resource Center

GOAL 9 Options Counselor is at the center of the long-term care counseling universe. 9 ADRC Options Counselor is not the “expert” in every area. 9 Coordinates own expertise with that of specialized counselors: 211, SHIBA, LTC Ombudsman, DD, MH….

Options Counseling Key to the Continuum of Supports

Pierce County ADRC Aging & Disability Resource Center

GOAL 9 Take time to understand 9 Empower customer 9 Offer right amount & depth of information 9 Help prioritize 9 Identify resources 9 Support individuals 9 Follow up

Options Counseling

Pierce County ADRC Aging & Disability Resource Center

EXPECTATIONS for ADRC 9 Seamless system for consumers 9 Streamline eligibility 9 Meaningful involvement (Consumers, other stakeholders)

9 Foster partnerships 9 Invest in IT 9 Measure performance 9 Ensure sustainability

Pierce County ADRC Aging & Disability Resource Center ESSENTIAL FUNCTIONS A. Awareness & Information: • Long Term Support Options Information • Public Education - Outreach

Pierce County ADRC Aging & Disability Resource Center ESSENTIAL FUNCTIONS B. Assistance: • Long Term Support Options Counseling • Benefits Counseling • Employment Options Counseling • Referral • Crisis Intervention • Long-Range Planning

Pierce County ADRC Aging & Disability Resource Center ESSENTIAL FUNCTIONS C. Access: • Intake • Eligibility • Assessment

Pierce County ADRC Aging & Disability Resource Center LOCALLY 9 MOU 9 Training 9 Networking 9 Collaboration 9 Bridge Building 9 Outreach

Pierce County ADRC Aging & Disability Resource Center 211

ADRC

Directory Assistance ……… Options Counseling Yellow Pages………………… Community Networks Info & Go ..…………………… Assist & Empower Immediate Problem ………… Long Term Directions Volunteers & Interns ..……… Professional Staff Broad HS Scope .…………… Aging & Disabilities Referral ……………………… Eligibility Screening MOU & Data Base ...………… Emphasize Staff Training

Pierce County ADRC Aging & Disability Resource Center LOCAL PROCESS 9 Build on a strong Senior I&A program • Staff knowledge • IT • Languages / Cultures • Reputation • Resources • Relationships

9 Introduce ADRC 9 Re-introduce ourselves 9 Work the networks (Esp. Disabilities)

Pierce County ADRC Aging & Disability Resource Center LOCAL PROCESS 9 Community Forums 9 Small task-specific work groups • Vision & Mission • MOU’s • Marketing • Web site

9 Development of MOU’s 9 Trainings 9 Permission to stumble

Pierce County ADRC Aging & Disability Resource Center Mission The Pierce County assists older adults, people with disabilities and the wider community to consider options for immediate and long-term personal care and to obtain needed services.

Vision The ADRC will be recognized as a visible, convenient and welcoming entry point where people can get comprehensive information on resources and receive appropriate assistance provided by knowledgeable staff supported by strong community partnerships.

Pierce County ADRC Aging & Disability Resource Center LOCAL PROCESS 9 Community Forums 9 Small task-specific work groups • Vision & Mission • MOU’s • Marketing • Web site

9 Development of MOU’s 9 Trainings 9 Permission to stumble

Pierce County ADRC Aging & Disability Resource Center LESSONS LEARNED 9 Uncharted Territory 9 Start with I&A Standards 9 Go Slow 9 Turf 9 Network Î Partnerships 9 Community Representation 9 Marketing / Outreach • Specialized target audiences • “Making The Link”

Pierce County ADRC Aging & Disability Resource Center

APS Hospitals

Disabled

Aging

MR/DD ADRC

Providers

State Agencies

Public

HCS Social Services

Pierce County ADRC Aging & Disability Resource Center

Infrastructure Visible

Partnerships

Understanding

Easy ADRC

Trust

Coordinate

Responsive

Communicate Integrated

Pierce County ADRC Aging & Disability Resource Center LESSONS LEARNED SART 9 Reporting Evaluation Plan Grantee Reports 9 Referral & Counseling (= Time = FTE’s = Budget)

9 Staff 9 Training 9 Trainers

Pierce County ADRC Aging & Disability Resource Center LESSONS LEARNED SART – Semi Annual Reporting Tool ‰ ‰ ‰ ‰ ‰ ‰ ‰

Evaluation Marketing IT Demographics Staffing Streamlining Critical Pathways

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Activities Events Significant Findings Problems Challenges Lessons Learned Statistics

Pierce County ADRC Aging & Disability Resource Center LESSONS LEARNED Evaluation Plan ‰ ‰ ‰ ‰ ‰ ‰ ‰

Mission Infrastructure Stakeholders IT Marketing/Outreach Location I&A/R

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Options Counseling Benefits Counseling Employment Options Referrals Crisis Intervention Streamlining Advocacy Needs Identification

Pierce County ADRC Aging & Disability Resource Center LESSONS LEARNED Grantee Reports

Challenges Opportunities Events

Local Site Partners I&A/R IT Consumer Involvement Staffing Streamlining Critical Pathways Sustainability

Pierce County ADRC Aging & Disability Resource Center LESSONS LEARNED SART 9 Reporting Evaluation Plan Grantee Reports 9 Referral & Counseling (= Time = FTE’s = Budget) 9 Staff 9 Training 9 Trainers

Pierce County ADRC Aging & Disability Resource Center LESSONS LEARNED 9 Training Center for Independence P.C. Coalition for Developmental Disabilities TACID BenefitsCheckUp Alzheimer’s Association P.C. Veterans Bureau ARC of Washington Hearing, Speech & Deafness Center 2-1-1

9 Trainers

Pierce County ADRC Aging & Disability Resource Center ADRC STAFF Barb Bauml David Bradt Paul Calta Eunice Forest Randy Ip Matt Santelli

Pierce County ADRC Aging & Disability Resource Center

ADRC (253) 798-4600 – Local (800) 562-0332 – Toll Free (253) 798-2837 – TTY [email protected] www.PierceADRC.org

Pierce County ADRC Aging & Disability Resource Center

Bob Riler - Pierce County (253) 798-7384 or [email protected] Meg Evans - ADSA (360) 725-2557 or [email protected]