Community Based Services

Under Title III of the Older Americans Act, Senior Resources provides funding for home and community based services.  While not all services are funded in all areas, the following is a list of the various services which may be funded with Older Americans Act funding.  

For information on the availability of the services in your area, please call Senior Resources at 860-887-3561 or 1-800-690-6998.

Assisted Transportation 

Provision of assistance, including escort, to a person who has difficulties (physical or cognitive) using regular vehicular transportation.

Benefits Counseling   
This service helps the elderly in determining their eligibility for income maintenance or public assistance, assists in processing or filling out forms such as insurance, and teaches about local, state and federal tax benefits or credits.

Benefits Education   
This category covers those educational programs designed to make the participants aware of government or non-government programs available to assist them in meeting their needs and solving their problems.  These programs address the details of the services provided, eligibility requirements, and the places where services are delivered.

Case Management   
Assistance either in the form of access or care coordination in circumstances where the older person and/or their caregivers are experiencing diminished functioning capacities, personal conditions or other characteristics which require the provision of services by formal providers.  Activities of case management include assessing needs, developing care plans, authorizing services, arranging services, coordinating the provision of services among providers, follow-up and reassessment, as required.

Chore       
Provision of assistance to persons experiencing difficulties with such activities as heavy housework, yard work, sidewalk maintenance and minor home repairs.

Chronic Disease Management   
A program designed to help people with chronic diseases to gain self-confidence in their ability to control their symptoms, take on health challenges and maintain control of their lives.

Companion   
Service intended to provide company to a participant in a protective and supervisory capacity.  It may include such home management activities as cooking and light housekeeping.

Continuing Education   
Service designed to provide the elderly with an opportunity to acquire and/or improve their knowledge and skills through a formal or informal mechanism of meetings, training sessions, seminars and workshops.

Day Care       
Provision of personal care for dependent adults in a supervised, protective, congregate setting during some portion of a twenty-four hour day.  Services offered in conjunction with adult day care frequently include social and recreational activities, training, counseling and meals for adult day care participants while at the facility.  Service such as rehabilitation, medications assistance, and personal care assistance are also provided by some adult day care programs.

Dental Clinics   
Clinic programs that offer dental screening and/or treatment.

Employment Assistance   
This service designed to help participants locate and qualify for gainful employment.

Employment Counseling   
This service assists the elderly in their adjustment to retirement through pre-retirement programs or a more crisis-oriented service for retirees.  This service may also include advice about employment and enhancement of employability.

Energy Related Assistance   
Service designed to furnish fuel and/or utilities to participants who are unable to purchase them at the market price.  Special arrangements are made with fuel and utility suppliers to reimburse them for the delivery of fuel or the provision of utilities at prices negotiated at or below the market price.  The elderly participants or their families are expected to share costs at levels determined by their economic circumstances.

Fall Prevention   
A service designed to assess fall risk factors such as balance and gait impairments, postural hypotension, medication use, vision impairment and environmental hazards including unsafe footwear or assistive devices.  Consumers are counseled on appropriate steps to take to reduce their risk for falls and are provided educational materials.  Fall prevention may also include programs that incorporate strategies to reduce the fear of falling, increase physical activity levels, increase strength and balance, and address environmental changes to reduce falls.

Family Life Education   
This category is provided to cover those education or training programs that deal with family and individual adjustment.  It provides participants with the skills required to cope with the psychological and societal problems spawned by advancing years.

Food Buying Club   
A service that provides reduced costs in purchasing food through a group buying process.  Pre-orders are taken, bulk purchase is made, packaging is performed by volunteers and distribution is made to participants.

Food Pantry   
A service that distributes contributed food to seniors at no cost to the participant.  Participants may come to the pantry or the pantry may bring food to the participant.

Foot Care   
Routine foot care provided by a licensed cosmetologist in a client’s home which includes soaking and lotioning of feet and trimming, filing and cleaning of toenails.

Foot Care - Nurse   
Routine foot care provided by a registered nurse in a client’s home which includes soaking and lotioning of feet and trimming, filing and cleaning of toenails when there is a diagnosis of diabetes, vascular disease or when the client is on a blood thinner.  A written physician’s order is obtained and renewed every six months.

Friendly Visiting    
A service in which volunteers visit on a regularly scheduled basis the homes of participants who live alone and are socially isolated and/or geographically isolated.  It provides protection and socialization for the participant.  The visitor helps the elderly participant maintain contact with the outside world by providing such service activities as letter writing and reading.

Health Assessments   
Service designed to develop an individualized profile of participants’ current health and the services required to maintain or improve their functioning.  Service may be provided by a medical doctor or a diagnostically trained nurse practitioner or physician’s assistant.

Health Counseling   
Service designed to provide individuals with an awareness of preventative, remedial and/or rehabilitative self-health care focused on the particular health needs of participating individuals.

Health Education   
Service designed to provide individuals or groups of participants with an awareness of preventative, remedial and/or rehabilitative self-health care depending on the health needs of that particular individual/group.

Health Screening/Clinic   
Service is designed to promote and maintain community health by providing testing services for the assessment of a participant's health status and the determination of need for further health care.

Home Health Aide   
Service is designed to provide personal assistance, stand-by assistance, supervision or cues for persons having difficulties with one or more of the following activities of daily living: eating, dressing, bathing, toileting, and transferring in and out of bed.

Home Repair & Renovation    
Service designed to help participants make essential repairs to their homes either to restore them to their original condition or to make them safe by removing health hazards.  Includes renovations designed to remove architectural barriers and provide structural improvements that will enable participants suffering from chronic disabling conditions to remain in their own homes.

Homemaker   
A service designed to maintain, strengthen and safeguard household functioning and independent living for participants who need either temporary assistance due to illness or long-term assistance due to chronic disabling conditions.  Homemakers perform home management functions.  These functions may include cooking, cleaning, laundry, mending and other light household chores.  Although similar to companion, the primary emphasis in homemaker service is on the performance of home management functions while the primary emphasis in companion service is on the provision of supervision and companionship.

Hospice       
This category refers to family and home-oriented palliative care which focuses on emotional and psychological support for an understanding of the 60+ incurable disease victims.  This care includes pharmaceutical services, bereavement counseling, volunteer visits, training and visits by social workers, counselors and ancillary medical personnel.

Information & Assistance   
A service for older individuals that (A) provides the individuals with current information on opportunities and services available to the individuals in their communities, including information related to assistive technology; (B) assesses the problems and capacities of the individuals; (C) links the individuals to the opportunities and services that are available; (D) to the maximum extent practicable, ensures that the individuals receive the services needed by the individuals, and are aware of the opportunities available to the individuals, by establishing adequate follow-up procedures.  Service may be reported for individual participants where possible or by using group identifiers where individual reporting is not practicable.

Legal Assistance   
Provision of legal advice, counseling, and representation by an attorney or other person acting under the supervision of an attorney.  

Medical Transportation   
Specialized service to provide participants with transportation to and from destinations that provide medical services.  May include assistive technologies for persons with mobility limitations.

Medical Visit   
Medical visits provide physician or nurse practitioner care either in the home or in a clinic setting.

Medication Management   
A group of educational and/or screening services that optimize outcomes for individuals related to their medication use in order to prevent medication errors and adverse drug reactions.  Services are based upon the responsibilities within the licensed pharmacist’s, or other qualified health care provider’s, scope of practice.

Mental Health Counseling   
This service is designed to provide psychiatric care and counseling to persons in danger of institutionalization or who may have suffered significant losses, dementia, depression, etc.  Pharmaceutical therapy is available in addition to counseling when needed.  A psychiatrist is available for home visits.

Mental Health Screening And Referral   
Depression or alcohol self-management programs facilitated by case managers, social workers, or social service providers that my include: screening and assessment, education for clients and family caregivers, referral and linkages to appropriate health professionals, and behavioral activations.  Services may also include problem-solving treatment, social and physical activation, and follow-up phone calls.

Money Management   
This service provides assistance to persons whose ability to manage their own financial affairs is restricted by either impairment or lack of previous experience. This service can be provided by professionals or volunteers working under the supervision of qualified professionals.

Nursing Visits   
Service designed to provide part-time preventative, restorative and rehabilitative nursing care, including health education and counseling to participants who can be cared for at home.

Nutrition Assessment   
Service designed to develop an individualized profile of participants’ current nutritional Status and the measures required to overcome any deficiencies uncovered.  Service must be provided by a dietitian registered with the American Dietetics Association or other health care professional with comparable training.

Nutrition Counseling   
Provision of individualized advice and guidance to individuals, who are at nutritional risk, because of their health or nutritional history, dietary intake, medications use or chronic illness, about options and methods for improving their nutritional status, performed by a health professional in accordance with state law and policy.

Outreach        
Interventions initiated by an agency or organization for the purpose of identifying individuals with unmet assistance needs and encouraging their use of existing services and benefits.  This service includes both the initial contact and any follow-up contacts required to link the participant to appropriate services.

Personal Care Worker   
Assists the client with bathing, shampooing and drying hair, dressing and dental hygiene.  A free initial assessment is included to determine the client’s needs and appropriateness for services.

Personal Emergency Response   
In home, twenty four hour electronic alarm system which enables a high risk individual to secure help in a medical, physical, emotional or environmental emergency.

Personal Reassurance   
Service provides telephone or personal contact at a prearranged time for participants who live alone.  It ensures their health and safety, assures them that help is available if and when needed, and provides community contact over a sustained period of time.  This service includes a mechanism to investigate if the participant does not answer the telephone or does not otherwise respond at the prearranged time.

Physical Activity   
Physical activity programs focus on key areas important to the health and fitness of older adults such as stretching and flexibility, low-impact aerobics, strength training, and balance.  These programs may also include components that include group-based problem solving methods and strategies that integrate physical activity into everyday living.

Public Education   
This category is included to cover activities undertaken to increase public awareness of problems or concerns facing the older populations and solutions to these problems.  These activities may include public service announcements in the media, preparation of pamphlets, reports, presentations, seminars and newsletters.  The target audience of these activities is the general population, and it is usually not possible to specify the number of participants with any degree of precision.

Recreation    
Service designed to promote health and social well-being by providing activities for social interaction and development of the participant in a group setting.

Respite       
Service designed to provide temporary care to a participant requiring personal care assistance so that his or her at-home care giver (usually a family member) can have a break.  Respite can be provided in the home, long term care facility or a day care facility.

Shopping Services   
Service helps participants to obtain food and other basic necessities in the interest of safety and convenience.  This service could involve taking the participant shopping if he/she is able to leave home, or doing the shopping for participants who are not able to get out.  Deference should be given to the participant's preferred merchants and to convenience.

Social Support Services   
Services which assist participants in adjusting to problems in their personal lives or living environment.  They include guidance and assistance in such areas as personal adjustment; marital problems; alcohol or drug dependency, family relations and adjustment counseling.  This service includes active intervention in the participant’s social environment in order to assist the participant in producing an appropriate adjustment.  This category covers generic or psycho social adjustment counseling.

Temporary Inpatient Care-Institutional       
This service provides short-term inpatient respite care in an institutional setting.  The service is usually provided in a nursing home and includes a room, meals, substantial assistance with personal care and daily living, protective supervision and recreational activities.  Nursing services may also be provided.

Therapeutic Activity       
Service designed to provide participants with organized activities intended to improve their physical or emotional health.   

Training           
Training enhances the effectiveness of those who are volunteering their service on behalf of a provider agency and ensures quality care and services.  Training includes educational programs for participants seeking paid employment.

Transportation         
Provision of a means of transportation for a person who requires help in going from one location to another, using a vehicle.  Does not include any other activity.  

Volunteer Opportunities       
This category is included to allow the system to record work done by volunteers in projects covered by the system as well as to record the efforts of those specifically developed to offer participants the chance to experience meaningful social involvement through voluntary community service.  This category can be used to record the number of hours of volunteer work contributed by Area Agency and Nutrition Project Board members.

Weatherization       
Service aids low-income participants by reducing the cost of heating or cooling their homes and/or by assuring them of adequate heat during the winter months.  It utilizes various energy-saving techniques such as insulating and installing storm windows.

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