Real People Real Problems An Evaluation of the Long-Term Care Ombudsman Programs of the Older Americans Act (1995) / Chapter Skim
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Appendix A: Older Americans Act: A Staff Summary (A Publication of the Select Committee on Aging)
Appendix A: Older Americans Act: A Staff Summary (A Publication of the Select Committee on Aging)
Pages 251-260
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From page 251... ...
and other services to this group. The Act authorizes a wide array of service programs through a nationwide network of 57 state agencies on aging and 665 area agencies on aging, supports the sole federal job creation program benefiting low-income older workers, and is a major source of federal Finding for an extensive grant program for training, research, and ~_~,+~ ~_~:~ 11_ 1 ~ ~ ~ _ , ..
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From page 252... ...
Over the course of the various amendments to Title III, Congress has directed that state and area agencies on aging be the major focus for planning, coordination, and advocacy for programs and services on behalf of older persons. The 1965 amendments authorized federal Title III grants to state agencies on aging to directly fund social service programs serving the elderly.
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From page 253... ...
Title III social services were funded through area agencies, Title VII nutrition services were funded through area agencies on aging or directly by state agencies on aging, and Title V senior center grants were awarded directly from the Commissioner on Aging. The consolidation of these separate titles into one title was intended to foster greater coordination among the Older Americans Act programs with area agencies on aging responsible for managing
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From page 254... ...
Although the 1987 amendments made no structural change in the organization of the Title III services program, they significantly expanded certain service components of the state and area agency on aging program to address the special needs of certain populations of the elderly, including the frail elderly living at home, residents of long-term care facilities, and persons at risk of abuse, neglect, or exploitation. The 1987 law added 6 additional distinct authorizations of appropriations for services under Title III, as follows: in-home services for frail older individuals; long-term care ombudsman services; assistance to older persons with special needs; health education and promotion services; services to prevent abuse, neglect, and exploitation of older individuals; and outreach activities for persons who may be eligible for benefits under the Supplemental Security Income (SSI)
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From page 255... ...
State agencies on aging may be either independent agencies within state government reporting directly to the governor, or units located within larger state human resources agencies. A little more than half of state agencies on aging are independent, single-purpose agencies, and the balance are located within a multipurpose agency.
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From page 256... ...
The Commissioner on Aging approves state plans, and state agencies approve plans developed by area agencies. In general, plans are to set forth goals and objectives as to how state and area agencies will implement the Title III program and coordinate service programs on behalf of the elderly.
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From page 257... ...
3As noted above under state agency on aging responsibilities, state agencies are responsible for setting a minimum percentage of Title III supportive services funds to be spent by area agencies on access, in-home, and legal assistance services
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From page 258... ...
If the private, nonprofit agency is located in a rural area, it may obtain a waiver of this prohibition, and · as part of their coordinating responsibilities for special populations, coordinate mental health services supported with Title III funds with mental health services provided by community health centers and other agencies; coordinate priority services under the area plan with activities of organizations that assist victims of Alzheimer's disease and their families; and coordinate community-based long-term care services for older persons at home or who are hospitalized and at risk of institutionalization, and older persons residing in nursing homes who could return to their homes with appropriate communitybased services. Service Programs Authorized Under Title III Title III authorizes funds to state and area agencies for a number of different service programs.
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From page 259... ...
It also requires that certain minimum Finding levels be maintained for all Title VII programs.4 State agencies on aging are given discretion as to how they distribute Title VII fimds within the state. States may implement the program directly, or through contracts or agreements with public or nonprofit private agencies or organizations, such as other state agencies, area agencies on aging, county governments, institutions of higher education, Indian tribes, or nonprofit service providers or volunteer organizations.
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