City of Chicago

PUBLIC INFORMATION DOCUMENT (PID)

A Summary of the Fiscal Year 2011 Amendments tothe Fiscal Year 2008-2011 Area Plan on Aging

April 30, 2010

Chicago Department of Family and Support Services-Senior Services/Area Agency on Aging

1615 West Chicago AvenueChicago, Illinois 60622

(312) 744-4016TTY (312) 744-6777

Joyce Gallagher Mary Ellen Caron, Ph.D.Executive Director Commissioner

Richard M. DaleyMayor

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PROPOSED FISCAL YEAR 20112008-2011 AREA PLAN ON AGING SUMMARY

The Public Information Document provides a summary and highlights of theArea Plan on Aging Fiscal Years 2008-2011 with the spending plan forFiscal Year 2011. The Illinois Department on Aging has granted anextension of the current Area Plan for one additional year.

This document describes how the Chicago Department of Family andSupport Services-Senior Services/Area Agency on Aging proposes todeliver services to Chicagoans, aged 60 years and older, using funds fromTitle III and Title VII of the Older Americans Act and State of Illinois GeneralRevenue Funds. Fiscal Year 2011 begins on October 1, 2010 and ends onSeptember 30, 2011. The public is invited to comment on the Area Plan atany of the three Public Hearings listed below:

Friday May 21, 2010 Monday May 24, 2010Southeast Senior Center Northwest Senior Center1767 East 79th Street 3160 North Milwaukee10:00am to 12:00pm 10:00am -12:00pm

Thursday May 27, 2010Mayor Daley’s Well-Being Taskforce1615 West Chicago Ave10:00am to 12:00pm

The current Area Plan on Aging and the proposed FY 2011 Area Plan will beavailable for review during the public comment period from May 21 to May 31,2010. Written comments on the proposed Area Plan may be submitted to JoyceGallagher, Executive Director, Chicago Department of Family and SupportServices- Senior Services/Area Agency on Aging, 1615 West Chicago Avenue, 3rd

floor, Chicago, Illinois, 60622. Comments must be received by 4:00 p.m. on May31, 2010.

The Chicago Department of Family and Support Services- Senior Services/Area Agency on Agingdoes not discriminate in admission to programs or treatment of employment in programs or activitiesin compliance with the Illinois Human Rights Act; the U.S. Civil Rights Act; Section 504 of theRehabilitation Act; the Age Discrimination Act; the Age Discrimination in Employment Act; and theU.S. and Illinois Constitutions. If you feel you have been discriminated against, you have a right tofile a complaint with the Illinois Department on Aging. For information, call 1-800-252-8966 (Voice &TTY), or contact the Commission on Human Relations at 312/744-4111 or 312/744-1088 (TTY).

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CHICAGO DEPARTMENT OF FAMILY AND SUPPORT SERVICES-SENIOR SERVICES/AREA AGENCY ON AGING

HISTORY

In 1956, the Mayor’s Commission for Senior Citizens was established inChicago as the nation’s first municipal office on aging. The Commissionevolved into the Chicago Department on Aging and was later named theChicago Department of Senior Services. The department also served (andcontinues to serve) as the Area Agency on Aging for the City of Chicago,as designated by the Illinois Department on Aging through the OlderAmericans Act.

On January 1, 2009 the Chicago Department of Senior Services mergedwith other social service departments to create the new ChicagoDepartment of Family and Support Services (DFSS) that works to enhancethe lives of Chicago residents, particularly those most in need, from birththrough the senior years. As a result of this merger, the City can now moreefficiently address the complex needs of today’s multigenerational familiesand ensure that all members receive the assistance necessary to maintainhealthy, active lives within their communities.

The Chicago Department of Family and Support Services- SeniorServices/Area Agency of Aging (DFSS-SS/AAA), mission of “creatingoptions for an aging society” plays an even more important role within ournew department and with the official induction of the baby boomers into“old age.” When the clock strikes midnight on January 1, 2011, the firstbaby boomers come of age, and join other seniors within the framework wehave built.

This includes: Supporting older persons to live independently in their own

communities and homes for as long as possible; Ensuring that those who reside in institutions are treated with dignity

and care; and Ensuring that older persons have access to full and accurate

information to participate in public policy.

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THE AREA PLAN ON AGING

The Older Americans Act of 1965, as amended, is the sole federal lawdesigned exclusively for older persons (age 60 and above). This Act wascreated to help older Americans live in their homes with dignity and safetyfor as long as possible with appropriate services and support.

DFSS-SS/AAA is part of a vast national network of services and programsthat protect the rights and support the needs of the nation’s seniors. Thisnetwork includes the Administration on Aging, at the federal level, stateunits on aging at the state level, area agencies on aging at the regionallevel, and local community service providers. The Illinois Department onAging (IDoA) serves as the state agency, overseeing Illinois’ 13 AreaAgencies on Aging (AAAs).

DFSS-SS/AAA annually submits the Area Plan on Aging to IDoA to requestfederal Older Americans Act and state general revenue funds for activitiesand services for older Chicagoans. The area plan also includes a detailedsummary of the condition and needs of Chicago's senior population as wellas a delineation of the programs and services that DFSS-SS/AAA will offerto meet those needs within the proposed budget.

To determine how best to address the priority needs of Chicago's elderly,DFSS-SS/AAA, as required by IDoA, takes the following steps as part of itsplanning process:

1. Assess the needs of older persons;2. Evaluate the existing service system;3. Determine the availability of resources and alternative approaches to

meet seniors' needs;4. Establish priorities; as well as5. Modify and refine the area plan or planning process (changes or

amendments) as directed by IDoA.

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PRIORITY NEEDS OF OLDER CHICAGOANS

DFSS-SS/AAA uses several methods to obtain information on priorityneeds of older persons by conducting a survey of service participants andproviders; reviewing program reports and testimony from public forums;evaluating the effectiveness of current services; and administering formalneeds assessments.

In preparation for the Fiscal Years 2008-2011 Area Plan on Aging, studiessuch as Long Term Care in Chicago: Planning for the Year 2000; theEthnic Elderly Needs Assessment; Facing the Millennium: Chicago ElderlyNeeds Assessment; An Assessment of the Needs of Persons withDisabilities; and the City of Chicago Affordable Senior Housing Plan werereviewed to assess needs of older Chicagoans.

Through the Information and Assistance Unit (I&A), DFSS-SS/AAAreviewed the service requests and nature of calls received in 2009 to betterunderstand the service needs of Chicago’s seniors and their professionaland familial caregivers. DFSS-SS/AAA found that approximately 35percent of the callers requested in-home services such as casemanagement, home delivered meals and housing relocation assistance; 25percent needed assistance applying for their RTA senior bus card orspecial service application; and 12 percent required help applying for theCircuit Breaker/Illinois Rx program.

HIGHLIGHTS

Mayor Daley’s Well Being Task ForceEstablished in 2003, Mayor Daley's Well-Being Task Force was created tocoordinate a comprehensive network of community and faith-based partnerorganizations that identify and link isolated and at-risk seniors toneighborhood based support, social interaction and appropriate assistance.

The Task Force brings together city departments, government agencies,non-profit organizations, hospitals, faith-based communities and othersconcerned about at-risk elderly. Together, the Task Force has educated29,000 field workers and customer service representatives of publicagencies, public utilities as well as telephone and cable communicationscompanies to identify and report seniors who may be in crisis.

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The Task Force was instrumental in passing state legislation which added“Self-Neglect” as a reportable category under the current State of IllinoisElder Abuse and Neglect definition. This year, the Task Force is working tocreate a faith-based coalition of clergy and laypersons to provideassistance and support to at-risk seniors within their communities.

Elder Abuse and NeglectIn its role as the Regional Administrative Agency (RAA) for the Elder Abuseand Neglect Act, DFSS-SS/AAA established Mayor Daley’s SeniorAdvocacy in the Courthouse, to coordinate services effectively with thedomestic violence county court division, criminal justice agencies and otherservice providers.

DFSS-SS/AAA is actively working to improve the reporting of financialexploitation by endorsing legislation which will ensure that bankers andfinancial institutions are trained to identify and report incidents of financialabuse. With over 10,000 reports of financial exploitation made in Illinoislast year, less than two percent came from the bank staff who regularlywitnesses unusual activity on seniors’ accounts.

Chicago Community Trust-Unity GrantThe Department’s Benefit Eligibility program lost nearly all its funding fromthe state’s FY2010 budget. Most staff were let go, leaving seniors with lessassistance to navigate this Internet-based benefits identification program.This became an issue for seniors who had no computer skills or limitedEnglish.

DFSS-SS/AAA partnered with the Chicago Community Trust who funded50 local non-profit organizations to provide benefits check-up assistance to125,000 seniors, citywide. Many of these agencies represent underserved,non-English speaking communities. This grant has given these agencies anew tool that they can use long after the funding stream has ended.

Money Follows the PersonOmbudsmen are actively making referrals and working with nursing homeresidents who desire to move out to the community but have difficulty doingso on their own. The Money Follows the Person program providestransition coordinators who assist long-term care facility residents in findingalternative community-based housing and create a plan of care to ensuresuccessful transition. Services such as homemakers, money management,

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home health visits and supportive living are all woven together to promote amore independent living situation for residents currently in nursing homes.

Satellite Senior CentersIn addition to the six regional centers, there are now 12 Satellite SeniorCenters currently operating throughout the city. These are operated inpartnership with community-based organizations. Satellite Centers provideinformation and assessment, fitness classes, nutrition services, wellnessservices, Internet access and computer training through the department’slife enrichment programs. Cooperating host agencies are responsible forvolunteer recruitment, training and senior programming as requested byparticipants.

Veterans Independence Program (VIP)Through an agreement with the Veteran’s Administration, DFSS-SS/AAA isproviding counseling and assistance to veterans who need nursing homeplacement. This program allows veterans and their families to create theirown plan of care and access funds to purchase needed services, such aspersonal assistance, bathing assistance, adult day services, housekeepingand lawn care. Rather than choosing veteran funded long-term careassistance or traditional in-home care services with limited choices, theprogram allows veterans to remain in the community and reduce the fatigueof their familial caregiver.

Each veteran will be assessed by a specially trained options counselor whowill determine the service level and funding available for the veteran’smonthly care plan. Veterans and their families are responsible for hiringand supervising their own workers with education and guidance from theoptions counselor, thus allowing the veteran as much flexibility andindependence as possible.

American Recovery and Reinvestment Act - Nutrition ProgramThrough the American Recovery and Reinvestment Act (ARRA), Chicagoreceived additional funds for the city’s nutrition programs. These fundshelped to supplement both the Congregate Dining and Home DeliveredMeals (HDM) programs.

For the Congregate Dining program, the additional funding is providing180,000 meals to meet demand at several sites throughout the city,including the five new nutrition sites opened this year. DFSS-SS/AAA has

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enhanced the traditional lunch program by offering both breakfast andlunch at seven sites and by offering take-home boxed dinners at another 15sites. Both programs are being received well, especially the take-homemeals. This allows a senior to enjoy a hot lunch at one of the sites andprovides him/her with a lighter take-home cold meal, such as a sandwich orsalad for dinner.

Through the Home Delivered Meals (HDM) program, ARRA funding is usedto purchase 108,000 meals, thus ensuring that no eligible senior requestingHDM assistance is turned away or put on a waiting list.

Chronic Disease Self-Management ProgramFunding from ARRA has allowed DFSS-SS/AAA to expand its ChronicDisease Self Management program. Master Trainers from White CraneWellness Center and Rush University Medical Center train and supervisevolunteers to provide a six-week class on managing diseases such asdiabetes, heart disease and high blood pressure. These classes are taughtin many languages including: Spanish, Russian, Korean, Chinese, andPolish. Participants engage weekly and come away with new skills tobetter maintain their own health—reducing hospitalizations, pain,symptoms and early admission to long-term care facilities.

VolunteerChicago ProgramVolunteerChicago is an outgrowth of the Generations Serving Generationsstate initiative. The program allows seniors to use their talents and gifts tovolunteer for various opportunities, including the Nursing HomeOmbudsman Volunteer Program; Serendipity, Celebrating Seniors onStage; the Chicago Senior Clown Troupe and traditional senior centers andevents. This year includes intergenerational volunteering in the schoolsystems with a particular focus on assistance to grandparents raisinggrandchildren.

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ISSUES TO BE ADDRESSED: FY 2008-2011 AREA PLAN ON AGING

IDoA requires that each of the 13 Area Agencies on Aging (AAAs) addressone state-wide issue and one local issue that confronts the social/nutritionalservice system. The selected Statewide issue was "PreparingCommunities for a Maturing Population.” Locally, DFSS-SS/AAA selected“Improving the Safety Net for Frail and Vulnerable Older Adults.”

PREPARING FOR A MATURING POPULATION

In 2006, The National Association of Area Agencies on Aging published“The Maturing of America- Getting Communities on Track for an AgingPopulation.” This report revealed that only 46 percent of Americancommunities have started the planning process to address the needs of arapidly increasing population of aging baby boomers. In fact, it is estimatedthat by 2030, the number of persons age 65 and older in the United Stateswill rise to 71.5 million, or one in every five Americans. Based on thisnotion, IDoA, with input from AAAs, decided to determine the readiness ofIllinois communities to be deemed “elder friendly” for the next generation.

During the past year, DFSS-SS/AAA completed a needs survey of the Cityof Chicago and its preparations for an aging population. Using a toolcreated to look at infrastructure, policies, safety, services and attitudes,every AAA in Illinois surveyed the communities they were responsible for.Early results find that many parts of the city are ready for an increase inseniors. However, there are still several infrastructure issues that needadditional enhancements to ensure that older adults will encounter “seniorfriendly” environments and systems throughout the city. The final tabulationof the data gathered will be submitted to the state for compilation of thestatewide report.

DFSS-SS/AAA continues to work closely with the other city departmentsand sister agencies to coordinate city governmental actions, publicizeexisting programs and to plan initiatives. Also, the department continues toadvocate on behalf of older persons and collaborate in programming andservice delivery in all venues of public policy including but not limited to theChicago Housing Authority, State's Attorney's Office, the Circuit Courts ofCook County, Cook County Sheriff’s Office, Cook County Assessor'sOffice, County Treasurer's Office and the Regional TransportationAuthority/PACE.

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THE SAFETY NET FOR VULNERABLE POPULATIONS

DFSS-SS/AAA has expanded its efforts to ensure that the safety net forvulnerable populations is cast far and wide. This year, through CommunityDevelopment Block Grant (CDGB) funds, the department contracted with24 small non-profit organizations to provide intensive case advocacy andsupport to at-risk seniors and those suffering from self-neglect.

As an extension of the current case advocacy support team, theseorganizations spend time developing relationships and trust to assistseniors who are in the most need but are the least willing to accept suchassistance. Most self-neglectors are suspicious of outside help. Theyprefer to continue living in unhealthy and unsafe conditions. Many seniorsexperience cognitive decline and no longer have the capacity to understandthe consequences of their decisions; others are fearful of change; somesuffer from mental health issues which inhibit their ability to sustainrelationships; and others are unaware of options available to them.

Intensive case advocacy and support agencies work to help seniorsthrough difficult decisions and situations, so that homes can be restored tosafe living environments; medical or psychological issues can be treated;safeguards such as direct deposit and withdrawals can be enacted; andlong term plans of care can be accepted. This allows seniors to remain inthe community longer and safer and ensures a safety net around our mostvulnerable neighbors.

To serve the diversity of the city and the number of languages spoken byour seniors, DFSS-SS/AAA uses many different methods to reach out toolder Chicagoans. Promotional and educational materials are prepared invarious languages, including: Spanish, Chinese, Polish, Vietnamese,Russian, and Korean. DFSS-SS/AAA has contracted with ethniccommunity agencies to provide Congregate Dining where healthy mealsthat are more culture specific are prepared and served and a Chore serviceprovider that employs ethnic workers to provide services to people ofvarious cultures.

DFSS-SS/AAA facilitates the citywide Hispanic Provider Council comprisedof organizations that target Spanish-speaking clients and the Coalition of

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Limited English Speaking Elderly which works with organizations meetingthe needs of clients facing a language/cultural barrier. DFSS-SS/AAA alsoparticipates in many meetings in the various ethnic communities acrossChicago and ethnic service providers attend provider council meetings.

DFSS-SS/AAA employs a bi-lingual staff through the I&A Unit to informlimited-English speaking persons about various programs and services.Among the languages spoken by the staff are Spanish, Greek, Polish,Cantonese and Mandarin. DFSS-SS/AAA also uses the language bank ofthe City’s 311 system to access employees that speak more than 15different languages to assist our ethnic elderly.

AREA PLAN ON AGING: DIRECT SERVICES

With the approval from the Illinois Department on Aging, DFSS-SS/AAAprovides some services directly—upon proof that the services can bedelivered more efficiently and effectively rather than by contract. Under theArea Plan on Aging in Fiscal Year 2011, DFSS-SS/AAA intends to continueto provide the following direct services with Older Americans Act funds,because no other alternative providers have been identified that are ascapable of providing these services uniformly for the entire planning andservice area:

Congregate Meals: Through the Congregate Meal Program, hot, nutritiouslunches are served in communal setting at nearly 70 community locationsacross the city each weekday. In addition to meals, seniors can participatein a variety of activities, from health education and exercise classes to fieldtrips. Several sites offer weekend meals, take-home dinners or breakfast.

Information and Assessment (I&A): I & A is a one-stop access portal foradvocacy and problem solving for older Chicagoans. Information,advocacy and assessment are available by phone, e-mail or at City Halland any of our Regional Senior Centers. I&A is the gateway to all of theservices and programs offered through DFSS-SS/AAA. It is a resource forthe aging community as well as families, friends, neighbors andprofessionals working with seniors. I&A ensures seniors and theiradvocates understand all their options regarding benefits, services andprograms and assists individuals through the application process.

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Ombudsmen: Ombudsmen protect, defend and advocate for residents inlong term care facilities such as nursing homes, assisted living facilities andsupportive living facilities. Utilizing staff and volunteers, they informresidents and families of their rights; mediate and report complaints;provide information on residents needs/concerns to families, facility staffand the department; and advocate for quality individualized care for theresidents.

Case Advocacy: Teams of professionals respond to referrals for well-being checks of at-risk and isolated elderly. A comprehensive assessmentincluding medical, social, and risk/safety evaluation is performed. Ifnecessary, the senior is removed from the immediate danger and can workwith appropriate agencies, programs or service for follow-up and continuedassistance. Case Advocacy teams monitor subsequent plans of care toensure appropriate service delivery.

AREA PLAN ON AGING: CONTRACT SERVICES

DFSS-SS/AAA will also purchase the following services from communityagencies/providers with Older Americans Act and General Revenue fundsunder the FY 2008-2011 Area Plan on Aging:

Caregiving: Informal/familial caregivers are provided with a variety ofassistance and supports to aid them in caring for their older loved ones.Services such as one-on-one counseling, family mediation, support groups,newsletters, information and referrals, and education opportunities areavailable.

For seniors who have primary caregiving responsibility of children frombirth to age18, short-term, one-on-one counseling and support groups areavailable. Emergency financial assistance can be accessed for a one-timeemergency rent payment, school uniform and equipment, medication, andother basic necessities. Grandparents may be eligible for respite servicesin the form of organized activities or events for the children in their care,including after-school programs, summer day camp, and educational,recreational or athletic programs. Legal help with custody andguardianship, access to public benefits and health insurance, andinstances of child abuse, neglect or family violence is also available.

Case Advocacy: Through a referral from I&A, trained and certified care

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coordinators provide Case Advocacy and Support for at-risk, vulnerableelderly. A comprehensive assessment including medical, social, andrisk/safety evaluation is performed. These delegate agencies work with atrisk seniors by establishing relationships, assisting seniors inunderstanding issues and problems, educating seniors about alternativeservices and referrals, assisting seniors in accepting services and referrals,advocating on behalf of seniors for services and referrals, monitoring theestablishment of services and referrals for follow-up and continuedassistance.

Chore: Heavy duty chore is a one-time intensive cleaning for seniorswhose living conditions pose a threat to their health and safety. It caninclude trash removal, window cleaning, moving heavy furniture andpacking. The short-term chore program assists seniors who needtemporary assistance due to illness, recent hospitalization, or injury toassist them as they recuperate.

Due to a proposed change in the state’s Medicaid Waiver program for in-home care, a new category, “on-going chore” will be added. This programwill assist some vulnerable, frail seniors who are not eligible for the state’sCommunity Care program, but who cannot afford to pay privately for choreassistance.

Fitness: The award-winning fitness program boosts endurance, strength,balance and flexibility. Regional and Satellite Senior Centers are equippedwith senior friendly exercise equipment and staffed by experienced,certified senior fitness professionals who lead group exercise classes andone-on-one training. Exercise classes are offered at more than 40locations throughout the City.

Health Promotion: The Health Promotion program offers healthscreenings, educational programs, and individual nutrition and healthconsultations at DFSS-SS/AAA's regional and satellite centers.

Home Delivered Meals: Microwave-ready frozen or hot meals aredelivered to home-bound seniors who are unable to prepare meals forthemselves and have no other means of acquiring nutritious meals.

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Housing Assistance: The Housing Assistance program provides housingrelocation assistance to seniors who are at risk of becoming homelessand/or need more appropriate housing.

Legal Assistance: Legal Assistance services protect the legal rights andinterests of seniors in legal matters including public entitlement, housing,healthcare, guardianship, consumer fraud, employment, family law, andproperty interests. This program defends seniors from age and other formsof discrimination as well as protection from abuse, exploitation andcoercion. Legal assistance and advice includes tax counseling, financialcounseling, reverse mortgage and foreclosure counseling, and counselingregarding appropriate health and life insurance coverage. The program willnot handle fee generating cases such as personal injury or workman’scompensation.

Medication Management: Each month, seniors may consult a pharmacistat a Regional Senior Center and designated Satellite Senior Centers toaddress questions and concerns regarding possible side effects and druginteractions of the medications.

Recreation: Seniors and their informal caregivers can find a variety ofsocial, educational and recreational activities at all 18 Regional andSatellite Senior Centers throughout the city. Each center’s calendar ofactivities is tailored to the needs and interests of the local community. Allprograms aim to foster the well-being of individuals through rewardingsocial interaction.

Caregiver Respite: Respite services provide professional trained staff tocare for a frail senior, who has a familial caregiver, on a temporary basis.Respite can be used in an emergency, such as the illness of a caregiver orfor planned time away; such as a vacation, special event, appointment orjust some time for themselves. This care can be provided in home or in anursing facility.

Transportation: Interim transportation provides rides temporarily forseniors to medical treatments such as dialysis, chemotherapy andradiation, until RTA paratransit service is arranged and approved.

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FUNDING ISSUES FOR FISCAL YEAR 2011

The future of governmental funding continues to be uncertain. TheGovernor has submitted a proposed 2011 budget to the Illinois GeneralAssembly that does not include funding for the Red Tape Cutter program.This year, the DFSS-SS/AAA was able to partner with the ChicagoCommunity Trust to maintain the program by providing small grants to 50local non-profit organizations to continue the work of the Benefits Check-upprogram until January, 2011. It is uncertain if such opportunities will beavailable in the future.

The Governor’s proposed budget also includes recommendations fordecreasing senior in-home and community-based services by $140 million.The proposal calls for changing the asset/income eligibility for newapplicants beginning July 1, 2010. This proposal would make seniors withassets over $2000 and incomes over $750, ineligible for in-home andcommunity based services through the Community Care Program (CCP).

Although it is not clear exactly how many seniors will be affected by thischange, we believe that at minimum, 51,000 seniors living between 100percent and 149 percent of poverty in the city of Chicago, who would havebeen within the asset guidelines for services on June 30, will not qualify onJuly 1. DFSS-SS/AAA will look to increase funds for our Older AmericansAct Chore program, to help some of the vulnerable frail seniors, not eligiblefor CCP.

As with all government budgets, many potential cuts are being discussed.Mayor Daley has proposed that delegate agencies take a 10 percentreduction in their FY2011 contracts. This will reduce the amount ofservices available to seniors provided through our agencies and communitypartners. Exceptions will be made where such reductions will result in non-compliance with established policy on minimum percentage of OlderAmericans Act funds that must be expended for access, in-home, and legalservices.

DFSS-SS/AAA remains committed to implementing a needs basedapproach and focusing services on individuals with the greatest economicor social need as well as low-income and minority older persons, asdefined by the Older Americans Act. DFSS-SS/AAA will work to ensure

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that existing service level cuts will be as minimal as possible through strongfiscal planning and identified cost saving measures.

The department's priority has been and continues to be maintaining in-home services for older persons. Many of DFSS-SS/AAA's programs haveexperienced growth in the number of participants as well as the number ofchallenging cases that require more time and care and this is projected tocontinue into FY 2011. Some of this increased demand is being met by anincrease in City of Chicago corporate support, CDGB funds, revenue fromthe sale of the parking meters and ARRA funds for home delivered meals,programming activities at Satellite Senior Centers, Grandparent RaisingGrandchildren Services, Respite Services and Case Advocacy and Supportactivities.

While growing increasingly difficult to maintain services to seniors as costscontinue to rise and government funding does not increase accordingly, byaggressively pursuing alternative resources, creating publicprivate/partnerships and utilizing strong fiscal and programmatic planning,DFSS-SS/AAA has been able to implement innovative solutions that helpmaintain and expand the service network to meet needs of older, poorer,and frailer Chicagoans.

DFSS-SS/AAA's Home Delivered Meals (HDM) program servedapproximately 3.9 million meals to 11,648 different people during FY2009and projects serving more than 3.9 million meals by the end of FY 2010.Thanks to Mayor Richard M. Daley, (through CDBG funding and proceedsfrom the parking meter/skyway sale), DFSS-SS/AAA has not had the sameproblem of on-going waiting lists and unmet need for the HDM program,like many other communities in the United States. CDBG funding has beenmade available to ensure that our most frail and vulnerable citizens receivecare. DFSS-SS/AAA recently implemented changes in the deliveryschedule such as delivering frozen meals once a week instead of multipletimes a week which resulted in significant savings in service costs.

Administration

The Older Americans Act, as amended, limits the allowable administrativecosts to 10 percent of the base allocation of Title III-B, III-C, and III-D, III-E,and Title VII funds. A major responsibility of administrative staff is the

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managing of delegate agencies and their grants, contracts and memorandaof agreement funded through the Older Americans Act to ensure quality ofprograms, and compliance with state and federal regulations.

PROPOSED PLANS FOR FUNDING ALLOCATIONSFISCAL YEAR 2011

For FY 2011, DFSS-SS/AAA estimates that it will receive a total of$16,430,838.00 in planning allocations for the Area Plan on Aging. Chart 1of the attachments, Funding Options, shows the current budget for FY 2010and a proposed budget for FY 2011. Listed below are the actions that theDFSS-SS/AAA proposes to take with its Direct and Contracted Servicesusing the projected FY 2011 funding allocations.

The Department seeks public input on these proposed actions: Direct Services: DFSS-SS/AAA will maintain the same level of

direct service funding with a slight increase of $23,752.00. Contracted Services: DFSS-SS/AAA proposes to maintain the

same level of contracted services estimated at $9.2 million. Wepropose to move funding from Case Management to Case Advocacyand Support as we redefine the assistance these delegate agenciesare providing. We plan to increase funding for legal services andrecreation due to the increased demand for these services. We alsoplan on increasing funding for the Chore Services program to helpassist some seniors affected by the eligibility changes in the state’sCCP program.

Proposed Plans Pending Any Further Increases or Reductions in FY2011 Funds

If DFSS-SS/AAA receives an increase in its funding above the levelprojected for FY 2011, DFSS-SS/AAA would allocate additional funds toone or more of the following:

Increase funding for Chore Services. Funding Source: Title III-B Increase funding for Home Delivered Meals. Funding Source: III-C Expand DFSS-SS/AAA's Case Advocacy and Support activities for

seniors at risk. Funding Source: Title III-B.

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Expand the fitness program to include more sites and expand thenumber of days that exercise classes are offered. Funding sources:Title III-B and/or III-D.

Expand DFSS-SS/AAA's cultural opportunities for seniors. FundingSource: Title III-B.

Increase funding for Caregiver Gap Filling and Grandparents RaisingGrandchildren Respite. Funding Source III-E.

During these times of generally declining revenue projections from federal,state, and local governments, service providers need to be prepared forpotential budget reductions. If DFSS-SS/AAA receives funding allocationsthat are below the projected level for FY 2011, new sources of revenue tomaintain services would be explored.

If services cannot be sustained, the following actions would be considered:

Eliminate vacant positions from the department’s budget. Sources ofFunds: Titles III-B, III-C, III-D, III-E, VII, AAA Administration, and AAADirect Services.

Identify and reduce administrative costs relating to service reductions.Sources of Funds: Titles III-B, III-C, III-D, III-E, VII, AAAAdministration, and AAA Direct Services.

Review all programs to improve service and cost effectivenessbeginning with lower priority services. Sources of Funds: Titles III-B,III-C, III-D, III-E, VII and General Revenue Funds.

Reallocate Congregate Dining and Senior Fitness resources byclosing sites where attendance is low and opening/expandingofferings where need is evident.

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CHART 1

Column A Column B

FY2010 FY2011

Funding Proposed Funding

Older Americans Act Funds $ 11,783,343.00 $ 11,800,842.00

General Revenue funds $ 4,120,281.00 $ 4,126,969.00

AAA Carryover $ 503,027.00 $ 503,027.00

Total Funds $ 16,406,651.00 $ 16,430,838.00

Administration

Administration (FED.) $ 1,185,352.00 $ 1,185,194.00

Administration (GRF) $ 390,518.00 $ 391,114.00

Subtotal Administration: $ 1,575,870.00 $ 1,576,308.00

Direct Services

Ombudsman (FED. III-B/VII) $ 533,550.00 $ 533,550.00

Ombudsman (GRF III-B) $ 101,046.00 $ 101,046.00

Congregate Dining (FED. III-C) $ 1,571,289.00 $ 1,571,289.00

Information and Assessment (FED. III-B/III-E) $ 2,878,312.00 $ 2,917,022.00

Information and Assessment (GRF III-B/III-E) $ 549,106.00 $ 534,148.00

Case Advocacy (FED. III-B) * *

Subtotal Direct Services $ 5,633,303.00 $ 5,657,055.00

* Case Advocacy is a both a direct service and contracted services.

Contracted Services

Case Management (FED III-B) $ 481,053.00 $ -

Case Management (GRF III-B) $ 389,454.00 $ -

Case Advocacy (FED. III-B) $ 192,998.00 $ 542,998.00

Case Advocacy (GRF III-B) $ - $ 410,507.00

Chore (FED. III-B) $ 72,450.00 $ 102,450.00

Legal (FED. III-B) $ 115,579.00 $ 145,579.00

Counseling/Training/Support Groups (FED. III-E) $ 68,300.00 $ 68,300.00

Recreation (FED. III-B) $ 119,733.00 $ 169,733.00

Transportation (GRF III-B) $ 80,311.00 $ 80,311.00

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Housing and Assistance (FED. III-B) $ 88,111.00 $ 88,111.00

Physical Fitness (FED. III-D) $ 186,645.00 $ 186,645.00

Congregate Nutrition (FED.) $ 2,315,310.00 $ 2,315,310.00

Home Delivered Meals (FED.) $ 2,147,417.00 $ 2,147,417.00

Home Delivered Meals (GRF) $ 2,609,846.00 $ 2,609,843.00

Respite (FED. III-B/III-E) $ 199,118.00 $ 199,118.00

Supplemental Services (FED. III-E) $ 49,490.00 $ 49,490.00

Health Promotion (FED. III-D) $ 11,122.00 $ 11,122.00

Medication Management (FED. III-D) $ 70,541.00 $ 70,541.00

Subtotal Contracted Services $ 9,197,478.00 $ 9,197,475.00

$ 16,406,651.00 $ 16,430,838.00

Total Federal: $ 12,286,370.00 $ 12,303,869.00

Total GRF: $ 4,120,281.00 $ 4,126,969.00

Grand Total: $ 16,406,651.00 $ 16,430,838.00

Breakdown of Caregiving within the above Budget

Information and Assessment $ 1,021,135.00 $ 1,021,135.00

Counseling/Training/Support Groups $ 73,300.00 $ 73,300.00

Respite $ 120,333.00 $ 120,333.00

Supplemental Services $ 49,490.00 $ 49,490.00

Total Caregiving Funds $ 1,264,258.00 $ 1,264,258.00

NSIP

Congregate NSIP Fed $ 420,000.00 $ 420,000.00

Home Delivered Meals NSIP Fed $ 2,684,862.00 $ 2,746,101.00

$ 3,104,862.00 $ 3,166,101.00

21

CHART 2

Actual Actual Projected Projected

2009 2009 2011 2011

Service Category Clients Units Clients Units

Access Services

Case Management 36,633 155,171 0 0

Information and Assessment 108,448 171,741 108,448 171,741

Case Advocacy 1,142 5,710 17,500 87,500

In-Home Services

Chore 255 4,752 355 6,616

Home Delivered Meals 12,327 3,962,961 12,327 3,962,961

Respite 60 3,122 60 3,122

Community Services

Congregate Nutrition 13,104 722,192 13,104 722,192

Physical Fitness 7,633 10,223 7,633 10,223

Health Promotion 1,845 861 1,845 861

Housing and Assistance 281 5,532 281 5,532

Legal 935 4,755 1,035 5,264

Medication Management 1,845 861 1,845 861

Ombudsman - - - -

Recreation 17,500 1,700 17,500 1,700

Transportation 194 1,851 194 1,851

Information and Assessment (III-E Care/GRG) 4,143 14,673 4,143 14,673

Counseling/Training/ Support Groups (III-E Care/GRG) 1,007 2,998 1,007 2,998

Supplemental Services (III-E Care/GRG) 101 101 101 101