Cochise College Center for Economic Research

SouthEastern Arizona Governments Organization (SEAGO), Area Agency on Aging – Needs

Assessment Survey Results

April 20, 2007

Prepared by:

Robert CarreiraDirector, Center for Economic ResearchCochise College901 North Colombo Avenue

Sierra Vista, Arizona 85635Table of Contents

Tables and Figures ………………………………………………………………. iii

Executive Summary……………………………………………………………… v

Introduction………………………………………………………………………. 1

About the Sample………………………………………………………………… 1Stratification……………………………………………………………… 1Age Groups………………………………………………………………. 2Other Characteristics……………………………………………………... 3

Narrative and Tabular Survey Results……………………….…………………… 7Southeast Arizona………………………………………………………… 7Cochise County…………………………………………………………… 10Graham County…………………………………………………………… 13Greenlee County………………………………………………………….. 16Santa Cruz County………………………………………………………… 19

Graphical Survey Results……………………….…………………………………. 22

Appendix A: SEAGO Survey of Older Residents…………………………………. A-1

Appendix B - Social Service Agencies Contacted, and Other (Specified) Sources of Information……………………………………………………………… B-1

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Tables and Figures

Tables

Table 1: Sample Sizes and Margins of Error at 95% Confidence Level………….. 1

Table 2: Stratification of the Sample……………………………………………… 2Table 3: Age Group Distribution: Population vs. Sample……………………….. 2Table 4: Sex Distribution of the Sample………………………………………….. 3Table 5: Proportion of the Sample Whose Primary Language Is Spanish………… 3Table 6: Issues/Potential Problems Ranked by Seriousness (Southeast Arizona)… 8Table 7: Issues Ranked by Identification as a Problem (Southeast Arizona)…….. 9Table 8: Issues/Potential Problems Ranked by Seriousness (Cochise County)…... 11Table 9: Issues Ranked By Identification as a Problem (Cochise County)……….. 12Table 10: Issues/Potential Problems Ranked by Seriousness (Graham County)….. 14Table 11: Issues Ranked By Identification as a Problem (Graham County)………. 15Table 12: Issues/Potential Problems Ranked by Seriousness (Greenlee County)…. 17Table 13: Issues Ranked By Identification as a Problem (Greenlee County)………18Table 14: Issues/Potential Problems Ranked by Seriousness (Santa Cruz County)..20Table 15: Issues Ranked By Identification as a Problem (Santa Cruz County)…… 21

Figures

Figure 1: Southeast Arizona Sample by Race/Ethnicity…………………………… 4Figure 2: Cochise County Sample by Race/Ethnicity……………………………… 4Figure 3: Graham County Sample by Race/Ethnicity……………………………… 5Figure 4: Greenlee County Sample by Race/Ethnicity…………………………….. 5Figure 5: Santa Cruz County Sample by Race/Ethnicity…………………………... 6Figure 6: Availability of health care providers (doctors, hospitals)……………….. 22Figure 7: Paying for prescription drugs……………………………………………. 22Figure 8: Affordable dental care…………………………………………………… 23Figure 9: Affordable assistive devices (hearing aids, glasses, canes, etc.)…………23Figure 10: Getting information about services…………………………………….. 24Figure 11: Having someone check on me daily…………………………………….24Figure 12: Preparing nutritious meals………………………………………………25Figure 13: Personal Care (bathing, washing hair)…………………………………. 25Figure 14: Homemaker services (shopping, housekeeping)……………………….. 26Figure 15: Getting information about disease prevention…………………………. 26Figure 16: Transportation………………………………………………………….. 27Figure 17: Maintenance and repair of home……………………………………….. 27Figure 18: Accessibility modification in my home (grab bars)……………………. 28Figure 19: Maintenance of yard…………………………………………………….28Figure 20: Recreational or social opportunities……………………………………. 29Figure 21: Counseling or mental health services………………………………….. 29

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Figure 22: Bereavement/grief counseling/hospice services……………………….. 30Figure 23: Finding legal assistance…………………………………………………30Figure 24: Getting information about health insurance (AHCCCS, Medicare,

Medigap, etc.)………………………………………………………… 31

Figure 25: Cost of housing………………………………………………………… 31Figure 26: Income (money, pensions)…………………………………………….. 32Figure 27: Cost of energy/utilities………………………………………………… 32Figure 28: Employment opportunities…………………………………………….. 33Figure 29: Age discrimination (loans, insurance, employment)………………….. 33Figure 30: Elderly abuse, exploitation……………………………………….......... 34Figure 31: Personal safety (Crime)………………………………………………… 34Figure 32: Telemarketing or In-Home Sales………………………………………. 35Figure 33: Loneliness……………………………………………………………… 35Figure 34: Loss of spouse/loved one………………………………………………. 36Figure 35: Volunteer opportunities…………………………………………………36Figure 36: Raising grandchildren………………………………………………….. 37Figure 37: Obtaining information on selecting nursing home or assisted living

facility……….………………………………………………………… 37Figure 38: Processing monthly bills and/or medical claims………………………. 38Figure 39: Providing care and supervision for an elderly family member………… 38Figure 40: Maintaining my personal independence……………………………….. 39Figure 41: Southeast Arizona Sources of Advice/Information……………………. 39Figure 42: Cochise County Sources of Advice/Information………………………. 40Figure 43: Graham County Sources of Advice/Information………………………. 40Figure 44: Greenlee County Sources of Advice/Information……………………… 41Figure 45: Santa Cruz County Sources of Advice/Information…………………….41

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Executive Summary

This report provides the results of a needs assessment survey conducted by the SouthEastern Arizona Governments Organization (SEAGO) Area Agency on Aging and the Cochise College Center for Economic Research. The survey was conducted in the final quarter of calendar year 2006 and the first quarter of calendar year 2007. The survey included a stratified random sample of 1,124 residents of Southeast Arizona (Cochise, Graham, Greenlee, and Santa Cruz counties), ages 60 and older.

The survey utilized a confidence level of 95 percent and a margin of error of plus or minus less than 3 percent for the entire population of interest (Southeast Arizona). Margins of error were larger for individual counties.

The survey indicated the most important need of the elderly in Southeast Arizona is affordable dental care. This was rated a serious problem by 37.2 percent of survey respondents across the region, and topped the list of serious problems in all four counties. In addition to being rated the top serious problem, affordable dental care was also perceived as a problem (“some problem” or “serious problem”) by 65.5 of those surveyed across Southeast Arizona. It was perceived as a problem by more respondents than any other issue in all four counties.

The second most important need of the elderly in Southeast Arizona is affordable assistive devices (e.g., hearing aids, glasses, canes). This was rated a serious problem by 27.3 percent of survey respondents across Southeast Arizona, and was on the top-5 list of serious problems in all four counties. In addition to being rated a top serious problem, affordable assistive devices was also perceived as a problem (“some problem” or “serious problem”) by 56.2 percent of those surveyed across Southeast Arizona. It was on the top-5 list of problems in all four counties.

Other important concerns at the regional level include telemarketing or in-home sales, cost of energy/utilities, and home maintenance and repair. Telemarketing or in-home sales was rated a serious problem by 25.2 percent of respondents in the region, and was on the top-3 list of serious problems in three of the four counties (Cochise, Graham, and Santa Cruz). It was less widely viewed as a problem in Greenlee County, relative to other concerns. Cost of energy/utilities was rated a serious problem by 25.1 percent of survey respondents across Southeast Arizona, and was on the top-5 list of serious problems in all four counties.

Home maintenance and repair was rated a serious problem by 21.8 percent of respondents throughout the region, and was on the top-5 list of serious problems in Cochise and Greenlee counties (it was sixth in Graham County and eighth in Santa Cruz County). Although home maintenance and repair was viewed as a serious problem less frequently in Santa Cruz County, it was fourth on the list of problems in that county (i.e., “some

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problem” or “serious problem”). Home maintenance and repair was viewed as a problem by 49.4 percent of Santa Cruz County survey respondents.

Concerns that were on the top-10 list of serious problems in all four counties, besides those mentioned above, were transportation and yard maintenance. Income was on the top-10 list of serious problems in three of the four counties (Cochise, Graham, and Greenlee). Cost of housing was on the top-10 list of serious problems in Cochise, Graham, and Santa Cruz counties.

Paying for prescription drugs was also widely regarded as a problem at the regional level, but this was more of a problem in some areas than in others. In Greenlee County, paying for prescription drugs was the fourth-ranked serious problem, identified as a serious problem by 38.5 percent of respondents in that county. In Graham County, paying for prescription drugs was the eighth-ranked serious problem. In Cochise and Santa Cruz counties, paying for prescription drugs was not perceived widely as a serious problem; nonetheless, paying for prescription drugs was on the top-10 list of problems (identified as “some problem” or “serious problem”) in all four counties. Put another way, paying for prescription drugs, although not widely viewed as a “serious problem” in Cochise and Santa Cruz counties, was widely viewed as “a problem” in those counties.

Issues that were least regarded as problems in Southeast Arizona were raising grand children, elderly abuse/exploitation, bereavement/grief counseling/hospice services, and volunteer opportunities. With regard to elderly abuse/exploitation, however, although not widely perceived as a problem throughout the region (it placed in the bottom-3 list of serious problems and bottom-2 list of problems for the region), this issue was the sixth-highest-rated serious problem in Santa Cruz County, identified as a serious problem by 17.6 percent of respondents in that county. Although the issue is one of the most frequently identified serious problems in Santa Cruz County, it was near the bottom of the list of concerns ranked by their identification as a problem (“some problem” or “serious problem”) in that county. In order words, a large number of those who perceived elderly abuse/exploitation as a problem in Santa Cruz County also viewed it as a serious problem.

There was some variation in perceptions of problems across the region. Of particular note is that issues were more widely perceived as problems among survey respondents in Greenlee County than by respondents in the other three counties. This may be a reflection of the age distribution of survey respondents. Nearly 70 percent of survey respondents in Greenlee County were ages 75 and over, substantially higher than in any other county.

Faith communities and telephone directories are the most common sources of advice and information related to health or availably of assistance programs for the elderly throughout the region. Faith communities and telephone directories were the most frequently turned-to sources in three of the four counties in the region (Cochise, Graham, and Greenlee counties). In Santa Cruz County, the most popular sources were information and referral services, telephone directories, and newspaper/radio/TV.

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INTRODUCTION

In the final quarter of calendar year 2006 and the first quarter of calendar year 2007, the SouthEastern Arizona Governments Organization (SEAGO) Area Agency on Aging conducted a survey of 1,124 residents of Southeast Arizona (Cochise, Graham, Greenlee, and Santa Cruz counties), ages 60 and older, to determine their needs for assistance. The sample size produces a 95 percent confidence level, with a margin of error of plus or minus less than 3 percent for the entire Southeastern Arizona region (margins of error are larger for individual counties; see Table 1). The surveys were distributed at various locations throughout the counties, in places where residents ages 60 and older were known to frequent. The Cochise College Center for Economic Research assisted in the survey by providing data entry and analysis, a review of the survey design, and preparation of this report. The survey instrument is at Appendix A.

TABLE 1: SAMPLE SIZES AND MARGINS OF ERROR AT 95% CONFIDENCE LEVEL

AreaEstimated

Population Aged 60 Years and Older

Sample SizeMargin of Error

(Confidence Interval)

Southeastern Arizona 40,492 1,124 ±2.88%

Cochise County 26,992 630 ±3.86%

Graham County 5,686 185 ±7.09%

Greenlee County 1,125 135 ±7.92%

Santa Cruz County 6,688 174 ±7.33%

Note: Population aged 60 years and older estimated by the Cochise College Center for Economic Research based on data from Census 2000 and population estimates for 2006 prepared by the Arizona Department of Economic Security. Margins of error are based on 50 percent of respondents selecting a particular answer to a survey question; margins narrow if the proportion of responses is higher or lower than 50 percent.

About the Sample

Stratification

The survey utilized stratification in an effort to achieve both randomness and proportional representation from each county. Greenlee County was overrepresented in the sample to ensure a sample size sufficient for sub-group comparisons. Stratification of the sample is shown in Table 2.

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TABLE 2: STRATIFICATION OF THE SAMPLE

County

Estimated Proportion of the Southeast Arizona Population

Aged 60 and Older (Population of Interest)

Proportion of Total Survey Respondents

Cochise County 66.7% 56.0%

Graham County 14.0% 16.5%

Greenlee County 2.8% 12.0%

Santa Cruz County 16.5% 15.5%

Note: Population aged 60 years and older estimated by the Cochise College Center for Economic Research based on data from Census 2000 and population estimates for 2006 prepared by the Arizona Department of Economic Security.

Age Groups

The age group distribution of survey respondents differed from the age group distribution of the population of interest (i.e., those residents aged 60 years and older). Across the region and within each county, those aged between 60 and 74 were under-represented, while those aged 75 and over were over-represented. See Table 3 for a comparison of the age group distribution for the population of interest versus the sample.

TABLE 3: AGE GROUP DISTRIBUTION: POPULATION VS. SAMPLE

Ages 60-64 Ages 65-74 Ages 75-84Ages 85

and OverSoutheastern Arizona Proportion of the Population of Interest 26.1% 43.0% 24.4% 6.6% Proportion of the Sample 14.6% 32.7% 36.7% 15.9%Cochise County Proportion of the Population of Interest 26.1% 43.3% 24.1% 6.4% Proportion of the Sample 14.3% 34.9% 35.2% 15.6%Graham County Proportion of the Population of Interest 23.9% 41.8% 26.1% 8.2% Proportion of the Sample 13.5% 32.4% 37.3% 16.8%Greenlee County Proportion of the Population of Interest 26.7% 43.6% 23.3% 6.4% Proportion of the Sample 11.9% 19.3% 45.2% 23.7%Santa Cruz County Proportion of the Population of Interest 27.5% 42.3% 24.0% 6.2% Proportion of the Sample 19.0% 35.6% 35.1% 10.3%Note: The population of interest includes only that segment of the population ages 60 years and older. The proportion of the population of interest, as shown in this table, reflects data from Census 2000.

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Other Characteristics

The sample for the region was 67.6 percent female and 32.4 percent male. In the region and in each county, females were overrepresented in the survey. See Table 4 for the distribution of the sample by sex. Of total survey respondents, 12.9 percent indicated Spanish was their primary language (see Table 5). Survey respondents were 70.5 percent White (Non-Hispanic/Latino), 25.9 percent Hispanic/Latino, 2.2 percent Black or African American, 0.7 percent Asian/Pacific Islander, and 0.7 percent American Indian/Native American. See Figures 1-5 for the distribution of the sample by race/ethnicity.

TABLE 4: SEX DISTRIBUTION OF THE SAMPLESoutheastern Arizona Female 67.6% Male 32.4%Cochise County Female 70.1% Male 29.9%Graham County Female 67.6% Male 32.4%Greenlee County Female 65.6% Male 34.4%Santa Cruz County Female 60.1% Male 39.9%

TABLE 5: PROPORTION OF THE SAMPLE WHOSE PRIMARY LANGUAGE IS SPANISH

Spanish as Primary Language

Southeastern Arizona 12.9%

Cochise County 6.7%

Graham County 2.7%

Greenlee County 11.9%

Santa Cruz County 47.1%

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4

5

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Narrative and Tabular Survey Results

Southeast Arizona

Serious problems. The issues identified as a serious problem by the largest proportion of survey respondents throughout Southeast Arizona (Cochise, Graham, Greenlee, and Santa Cruz counties) were affordable dental care, identified as a serious problem by 37.2 percent of those surveyed; affordable assistive devices, identified as a serious problem by 27.3 percent; telemarketing or in-home sales, identified as a serious problem by 25.2 percent; cost of energy/utilities, identified as a serious problem by 25.1 percent; and maintenance and repair of home, identified as a serious problem by 21.8 percent of respondents.

Problems. The issues identified as a problem (either “some problem” or “serious problem”) by the largest proportion of survey respondents across Southeast Arizona were affordable dental care, identified as a problem by 65.5 percent of those surveyed; affordable assistive devices, identified as a problem by 56.2 percent; cost of energy/ utilities, identified as a problem by 54.6 percent; telemarketing or in-home sales, identified as a problem by 51.5 percent; and maintenance and repair of home, identified as a problem by 51.3 percent of respondents.

No problem. The issues identified as no problem by the largest proportion of survey respondents throughout Southeast Arizona were raising grandchildren, identified as “no problem” by 79.7 percent of those surveyed; elderly abuse/exploitation, identified as “no problem” by 78.9 percent; bereavement/grief counseling/hospice services, identified as “no problem” by 73.5 percent; volunteer opportunities, identified as “no problem” by 73.3 percent; and providing care and supervision for an elderly family member, identified as “no problem” by 72.8 percent of those surveyed.

Sources of advice/information. Survey respondents were asked to identify their sources of advice regarding their health or available assistance programs. In Southeast Arizona, faith communities and telephone directories were the most popular sources, followed by newspaper/radio/TV, information and referral services, and social service agencies. The most popular social service agencies were county services (e.g., aging and social services, county health services) and the Arizona Department of Economic Security, followed by AAA, SEAGO, senior centers, social security, and VICAP. See Appendix B for a complete list of responses regarding specific social agencies contacted, as well as other specified sources of advice identified by survey respondents.

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TABLE 6: ISSUES/POTENTIAL PROBLEMS RANKED BY SERIOUSNESS* (SOUTHEAST ARIZONA)

8

Issue/Problem% of Respondents

Indicating “Serious Problem”

Affordable dental care 37.2%Affordable assistive devices (hearing aids, glasses, canes, etc.) 27.3%Telemarketing or In-Home Sales 25.2%Cost of energy/utilities 25.1%Maintenance and repair of home 21.8%Maintenance of yard 20.1%Transportation 19.8%Income (money, pensions) 19.1%Cost of housing 18.5%Paying for prescription drugs 17.2%Accessibility modification in my home (grab bars) 16.9%Having someone check on me daily 15.5%Preparing nutritious meals 15.4%Availability of health care providers (doctors, hospitals) 15.3%Employment opportunities 15.3%Loss of spouse/loved one 15.2%Finding legal assistance 14.7%Homemaker services (shopping, housekeeping) 14.5%Getting information about services 13.9%Processing monthly bills and/or medical claims 13.6%Recreational or social opportunities 13.5%Loneliness 13.3%Providing care and supervision for an elderly family member 12.5%Getting information about health insurance (AHCCCS, Medicare, Medigap, etc.)

12.0%

Personal Care (bathing, washing hair) 11.3%Age discrimination (loans, insurance, employment) 10.5%Obtaining information on selecting nursing home or assisted living facility

10.3%

Maintaining my personal independence 9.6%Counseling or mental health services 9.3%Volunteer opportunities 9.3%Raising grandchildren 8.9%Getting information about disease prevention 8.7%Elderly abuse, exploitation 8.4%Personal safety (Crime) 8.4%Bereavement/grief counseling/hospice services 8.1%* Level of seriousness is determined by the proportion of survey respondents identifying the issue as a serious problem.

TABLE 7: ISSUES RANKED BY IDENTIFICATION AS A PROBLEM* (SOUTHEAST ARIZONA)

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Issue/Problem

% of Respondents Indicating “Some

Problem” or “Serious Problem”

Affordable dental care 65.5%Affordable assistive devices (hearing aids, glasses, canes, etc.) 56.2%Cost of energy/utilities 54.6%Telemarketing or In-Home Sales 51.5%Maintenance and repair of home 51.3%Getting information about services 49.3%Paying for prescription drugs 45.5%Maintenance of yard 45.1%Availability of health care providers (doctors, hospitals) 44.6%Income (money, pensions) 43.4%Finding legal assistance 41.8%Transportation 41.3%Cost of housing 39.9%Getting information about health insurance (AHCCCS, Medicare, Medigap, etc.)

39.7%

Loneliness 39.7%Homemaker services (shopping, housekeeping) 39.4%Preparing nutritious meals 39.3%Loss of spouse/loved one 38.7%Recreational or social opportunities 38.5%Accessibility modification in my home (grab bars) 37.9%Processing monthly bills and/or medical claims 33.1%Having someone check on me daily 32.9%Personal safety (Crime) 32.3%Getting information about disease prevention 31.9%Obtaining information on selecting nursing home or assisted living facility

31.1%

Personal Care (bathing, washing hair) 30.5%Maintaining my personal independence 30.4%Counseling or mental health services 29.8%Employment opportunities 29.8%Age discrimination (loans, insurance, employment) 29.1%Providing care and supervision for an elderly family member 27.2%Volunteer opportunities 26.7%Bereavement/grief counseling/hospice services 26.5%Elderly abuse, exploitation 21.1%Raising grandchildren 20.3%* Identification as a problem is determined by the proportion of survey respondents identifying the issue as “some problem” or “serious problem.”

Cochise County

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Serious problems. The issues identified as a serious problem by the largest proportion of survey respondents in Cochise County were affordable dental care, identified as a serious problem by 37.7 percent of those surveyed; affordable assistive devices, identified as a serious problem by 28.1 percent; telemarketing or in-home sales, identified as a serious problem by 26.5 percent; cost of energy/utilities, identified as a serious problem by 25.3 percent; and maintenance and repair of home, identified as a serious problem by 22.5 percent of respondents.

Problems. The issues identified as a problem (either “some problem” or “serious problem”) by the largest proportion of survey respondents in Cochise County were affordable dental care, identified as a problem by 65.9 percent of those surveyed; affordable assistive devices, identified as a problem by 55.3 percent; cost of energy/ utilities, identified as a problem by 55.2 percent; getting information about services, identified as a problem by 51.5 percent; and maintenance and repair of home, identified as a problem by 49.7 percent of respondents.

No problem. The issues identified as no problem by the largest proportion of survey respondents in Cochise County were raising grandchildren, identified as “no problem” by 86.4 percent of those surveyed; elderly abuse/exploitation, identified as “no problem” by 84.1 percent; bereavement/grief counseling/hospice services, identified as “no problem” by 78.9 percent; providing care and supervision for an elderly family member, identified as “no problem” by 78.4 percent; and volunteer opportunities, also identified as “no problem” by 78.4 percent of those surveyed.

Sources of advice/information. Survey respondents were asked to identify their sources of advice regarding their health or available assistance programs. In Cochise County, telephone directories and faith communities were the most popular sources, followed by information and referral services, newspaper/radio/TV, and social service agencies. The most popular social service agencies were the Arizona Department of Economic Security and county services (e.g., aging and social services, county health services), followed by AAA, SEABHS, VICAP, and AHCCCS. See Appendix B for a complete list of responses regarding specific social agencies contacted, as well as other specified sources of advice identified by survey respondents.

TABLE 8: ISSUES/POTENTIAL PROBLEMS RANKED BY SERIOUSNESS* (COCHISE COUNTY)

11

Issue/Problem% of Respondents

Indicating “Serious Problem”

Affordable dental care 37.7%Affordable assistive devices (hearing aids, glasses, canes, etc.) 28.1%Telemarketing or In-Home Sales 26.5%Cost of energy/utilities 25.3%Maintenance and repair of home 22.5%Income (money, pensions) 19.2%Cost of housing 18.7%Maintenance of yard 18.3%Transportation 18.1%Accessibility modification in my home (grab bars) 17.6%Having someone check on me daily 16.4%Homemaker services (shopping, housekeeping) 16.3%Employment opportunities 16.0%Getting information about services 15.7%Paying for prescription drugs 15.4%Finding legal assistance 15.3%Availability of health care providers (doctors, hospitals) 15.1%Loss of spouse/loved one 15.0%Preparing nutritious meals 14.7%Recreational or social opportunities 13.8%Personal Care (bathing, washing hair) 13.2%Getting information about health insurance (AHCCCS, Medicare, Medigap, etc.)

13.0%

Providing care and supervision for an elderly family member 12.7%Loneliness 12.5%Processing monthly bills and/or medical claims 12.3%Age discrimination (loans, insurance, employment) 11.9%Obtaining information on selecting nursing home or assisted living facility

10.0%

Personal safety (Crime) 9.7%Maintaining my personal independence 9.4%Getting information about disease prevention 9.2%Counseling or mental health services 8.7%Volunteer opportunities 8.2%Elderly abuse, exploitation 7.6%Raising grandchildren 7.3%Bereavement/grief counseling/hospice services 7.0%* Level of seriousness is determined by the proportion of survey respondents identifying the issue as a serious problem.

TABLE 9: ISSUES RANKED BY IDENTIFICATION AS A PROBLEM* (COCHISE COUNTY)

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Issue/Problem

% of Respondents Indicating “Some

Problem” or “Serious Problem”

Affordable dental care 65.9%Affordable assistive devices (hearing aids, glasses, canes, etc.) 55.3%Cost of energy/utilities 55.2%Getting information about services 51.5%Maintenance and repair of home 49.7%Telemarketing or In-Home Sales 48.5%Availability of health care providers (doctors, hospitals) 44.9%Income (money, pensions) 44.2%Paying for prescription drugs 44.1%Maintenance of yard 43.6%Homemaker services (shopping, housekeeping) 40.5%Transportation 40.4%Finding legal assistance 40.0%Loneliness 38.7%Cost of housing 38.3%Preparing nutritious meals 38.1%Loss of spouse/loved one 37.7%Accessibility modification in my home (grab bars) 37.5%Getting information about health insurance (AHCCCS, Medicare, Medigap, etc.)

37.2%

Recreational or social opportunities 36.8%Having someone check on me daily 31.2%Personal safety (Crime) 30.6%Personal Care (bathing, washing hair) 30.0%Getting information about disease prevention 29.6%Processing monthly bills and/or medical claims 28.5%Obtaining information on selecting nursing home or assisted living facility

27.8%

Employment opportunities 26.9%Maintaining my personal independence 26.7%Counseling or mental health services 26.0%Age discrimination (loans, insurance, employment) 25.9%Volunteer opportunities 21.6%Providing care and supervision for an elderly family member 21.6%Bereavement/grief counseling/hospice services 21.1%Elderly abuse, exploitation 15.9%Raising grandchildren 13.6%* Identification as a problem is determined by the proportion of survey respondents identifying the issue as “some problem” or “serious problem.”

Graham County

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Serious problems. The issues identified as a serious problem by the largest proportion of survey respondents in Graham County were affordable dental care, identified as a serious problem by 33.9 percent of those surveyed; telemarketing or in-home sales, identified as a serious problem by 26.9 percent; affordable assistive devices, identified as a serious problem by 26.3 percent; cost of energy/utilities, identified as a serious problem by 19.1 percent; and income, identified as a serious problem by 15.2 percent of respondents.

Problems. The issues identified as a problem (either “some problem” or “serious problem”) by the largest proportion of survey respondents in Graham County were affordable dental care, identified as a problem by 59.4 percent of those surveyed; telemarketing or in-home sales, identified as a problem by 54.3 percent; affordable assistive devices, identified as a problem by 53.1 percent; cost of energy/utilities, identified as a problem by 44.9 percent; and maintenance and repair of home, identified as a problem by 44.2 percent of respondents.

No problem. The issues identified as no problem by the largest proportion of survey respondents in Graham County were providing care and supervision for an elderly family member, identified as “no problem” by 87.1 percent of those surveyed; raising grandchildren, identified as “no problem” by 86.2 percent; elderly abuse/exploitation, identified as “no problem” by 85.5 percent; age discrimination, identified as “no problem” by 83 percent; and personal care, identified as “no problem” by 81.8 percent of those surveyed.

Sources of advice/information. Survey respondents were asked to identify their sources of advice regarding their health or available assistance programs. In Graham County, telephone directories and faith communities were the most popular sources, followed by information and referral services, newspaper/radio/TV, and social service agencies. The most popular social service agencies were SEACUS, senior center, and the Arizona Department of Economic Security. See Appendix B for a complete list of responses regarding specific social agencies contacted, as well as other specified sources of advice identified by survey respondents.

TABLE 10: ISSUES/POTENTIAL PROBLEMS RANKED BY SERIOUSNESS* (GRAHAM COUNTY)

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Issue/Problem% of Respondents

Indicating “Serious Problem”

Affordable dental care 33.9%Telemarketing or In-Home Sales 26.9%Affordable assistive devices (hearing aids, glasses, canes, etc.) 26.3%Cost of energy/utilities 19.1%Income (money, pensions) 15.2%Maintenance and repair of home 14.9%Maintenance of yard 14.9%Paying for prescription drugs 14.8%Transportation 14.4%Cost of housing 13.2%Finding legal assistance 12.5%Loss of spouse/loved one 12.1%Availability of health care providers (doctors, hospitals) 11.5%Employment opportunities 11.3%Recreational or social opportunities 10.7%Getting information about health insurance (AHCCCS, Medicare, Medigap, etc.)

10.1%

Preparing nutritious meals 9.9%Counseling or mental health services 9.2%Processing monthly bills and/or medical claims 9.1%Getting information about services 8.9%Personal Care (bathing, washing hair) 8.3%Homemaker services (shopping, housekeeping) 8.3%Getting information about disease prevention 7.8%Accessibility modification in my home (grab bars) 7.8%Having someone check on me daily 7.4%Loneliness 7.3%Age discrimination (loans, insurance, employment) 7.0%Obtaining information on selecting nursing home or assisted living facility

5.9%

Elderly abuse, exploitation 5.8%Volunteer opportunities 5.3%Bereavement/grief counseling/hospice services 5.2%Providing care and supervision for an elderly family member 4.7%Maintaining my personal independence 4.5%Personal safety (Crime) 4.0%Raising grandchildren 3.6%* Level of seriousness is determined by the proportion of survey respondents identifying the issue as a serious problem.

TABLE 11: ISSUES RANKED BY IDENTIFICATION AS A PROBLEM* (GRAHAM COUNTY)

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Issue/Problem

% of Respondents Indicating “Some

Problem” or “Serious Problem”

Affordable dental care 59.4%Telemarketing or In-Home Sales 54.3%Affordable assistive devices (hearing aids, glasses, canes, etc.) 53.1%Cost of energy/utilities 44.9%Maintenance and repair of home 44.2%Getting information about services 42.8%Availability of health care providers (doctors, hospitals) 39.0%Finding legal assistance 38.6%Paying for prescription drugs 37.9%Getting information about health insurance (AHCCCS, Medicare, Medigap, etc.)

36.0%

Income (money, pensions) 35.4%Maintenance of yard 34.3%Loneliness 33.5%Preparing nutritious meals 31.3%Homemaker services (shopping, housekeeping) 31.1%Cost of housing 31.0%Transportation 29.3%Recreational or social opportunities 28.7%Loss of spouse/loved one 28.7%Accessibility modification in my home (grab bars) 27.8%Getting information about disease prevention 27.2%Obtaining information on selecting nursing home or assisted living facility

25.9%

Maintaining my personal independence 25.1%Personal safety (Crime) 24.7%Processing monthly bills and/or medical claims 24.4%Counseling or mental health services 23.6%Employment opportunities 22.6%Having someone check on me daily 21.1%Volunteer opportunities 19.5%Bereavement/grief counseling/hospice services 19.0%Personal Care (bathing, washing hair) 18.2%Age discrimination (loans, insurance, employment) 17.0%Elderly abuse, exploitation 14.5%Raising grandchildren 13.8%Providing care and supervision for an elderly family member 12.9%* Identification as a problem is determined by the proportion of survey respondents identifying the issue as “some problem” or “serious problem.”

Greenlee County

16

Serious problems. The issues identified as a serious problem by the largest proportion of survey respondents in Greenlee County were affordable dental care, identified as a serious problem by 45.9 percent of those surveyed; maintenance of yard, identified as a serious problem by 39.4 percent; cost of energy/utilities, identified as a serious problem by 39.1 percent; paying for prescription drugs, identified as a serious problem by 38.5 percent; affordable assistive devices, identified as a serious problem by 34.8 percent; and maintenance and repair of home, also identified as a serious problem by 34.8 percent of respondents.

Problems. The issues identified as a problem (either “some problem” or “serious problem”) by the largest proportion of survey respondents in Greenlee County were affordable dental care, identified as a problem by 76.7 percent of those surveyed; maintenance and repair of home, identified as a problem by 71.2 percent; maintenance of yard, also identified as a problem by 71.2 percent; affordable assistive devices, identified as a problem by 70.5 percent; and availability of healthcare providers, identified as a problem by 69.6 percent of respondents.

No problem. The issues identified as no problem by the largest proportion of survey respondents in Greenlee County were elderly abuse/exploitation, identified as “no problem” by 55.6 percent of those surveyed; raising grandchildren, identified as “no problem” by 52.9 percent; personal safety, identified as “no problem” by 51.5 percent; cost of housing, identified as “no problem” by 50.8 percent; and getting information about disease prevention, identified as “no problem” by 50.4 percent of those surveyed.

Sources of advice/information. Survey respondents were asked to identify their sources of advice regarding their health or available assistance programs. In Greenlee County, faith communities were the most popular source, followed by newspaper/radio/ TV, telephone directories, social service agencies, and information and referral services. The most popular social service agencies were the county health department and SEAGO. See Appendix B for a complete list of responses regarding specific social agencies contacted, as well as other specified sources of advice identified by survey respondents.

TABLE 12: ISSUES/POTENTIAL PROBLEMS RANKED BY SERIOUSNESS* (GREENLEE COUNTY)

17

Issue/Problem% of Respondents

Indicating “Serious Problem”

Affordable dental care 45.9%Maintenance of yard 39.4%Cost of energy/utilities 39.1%Paying for prescription drugs 38.5%Affordable assistive devices (hearing aids, glasses, canes, etc.) 34.8%Maintenance and repair of home 34.8%Accessibility modification in my home (grab bars) 31.5%Transportation 29.6%Income (money, pensions) 29.5%Loneliness 28.0%Availability of health care providers (doctors, hospitals) 26.7%Preparing nutritious meals 26.7%Cost of housing 26.2%Having someone check on me daily 25.8%Loss of spouse/loved one 25.2%Processing monthly bills and/or medical claims 23.7%Raising grandchildren 20.7%Providing care and supervision for an elderly family member 20.2%Telemarketing or In-Home Sales 19.2%Maintaining my personal independence 18.9%Homemaker services (shopping, housekeeping) 18.3%Finding legal assistance 17.4%Obtaining information on selecting nursing home or assisted living facility

17.2%

Employment opportunities 16.4%Personal Care (bathing, washing hair) 15.9%Volunteer opportunities 14.6%Recreational or social opportunities 13.6%Counseling or mental health services 12.4%Getting information about services 11.9%Bereavement/grief counseling/hospice services 11.2%Age discrimination (loans, insurance, employment) 10.6%Getting information about disease prevention 9.9%Getting information about health insurance (AHCCCS, Medicare, Medigap, etc.)

8.4%

Elderly abuse, exploitation 4.8%Personal safety (Crime) 4.6%* Level of seriousness is determined by the proportion of survey respondents identifying the issue as a serious problem.

TABLE 13: ISSUES RANKED BY IDENTIFICATION AS A PROBLEM* (GREENLEE COUNTY)

18

Issue/Problem

% of Respondents Indicating “Some

Problem” or “Serious Problem”

Affordable dental care 76.7%Maintenance and repair of home 71.2%Maintenance of yard 71.2%Affordable assistive devices (hearing aids, glasses, canes, etc.) 70.5%Availability of health care providers (doctors, hospitals) 69.6%Cost of energy/utilities 69.2%Paying for prescription drugs 66.7%Telemarketing or In-Home Sales 63.8%Loneliness 63.6%Getting information about services 62.7%Finding legal assistance 62.1%Transportation 61.5%Accessibility modification in my home (grab bars) 61.5%Recreational or social opportunities 59.1%Maintaining my personal independence 58.3%Providing care and supervision for an elderly family member 58.1%Preparing nutritious meals 58.0%Income (money, pensions) 57.6%Loss of spouse/loved one 57.5%Homemaker services (shopping, housekeeping) 57.3%Processing monthly bills and/or medical claims 56.5%Age discrimination (loans, insurance, employment) 56.1%Having someone check on me daily 55.5%Counseling or mental health services 55.0%Bereavement/grief counseling/hospice services 54.4%Obtaining information on selecting nursing home or assisted living facility

53.9%

Getting information about health insurance (AHCCCS, Medicare, Medigap, etc.)

53.4%

Employment opportunities 52.5%Personal Care (bathing, washing hair) 52.3%Volunteer opportunities 50.0%Getting information about disease prevention 49.6%Cost of housing 49.2%Personal safety (Crime) 48.5%Raising grandchildren 47.1%Elderly abuse, exploitation 44.4%* Identification as a problem is determined by the proportion of survey respondents identifying the issue as “some problem” or “serious problem.”

Santa Cruz County

19

Serious problems. The issues identified as a serious problem by the largest proportion of survey respondents in Santa Cruz County were affordable dental care, identified as a serious problem by 31.6 percent of those surveyed; transportation, identified as a serious problem by 24 percent; telemarketing or in-home sales, identified as a serious problem by 23.4 percent; cost of energy/utilities, identified as a serious problem by 19.3 percent; and affordable assistive devices, identified as a serious problem by 19 percent of respondents.

Problems. The issues identified as a problem (either “some problem” or “serious problem”) by the largest proportion of survey respondents in Santa Cruz County were affordable dental care, identified as a problem by 61.4 percent of those surveyed; affordable assistive devices, identified as a problem by 51.5 percent; cost of energy/utilities, identified as a problem by 51.2 percent; maintenance and repair of home, identified as a problem by 49.4 percent; maintenance of yard, also identified as a problem by 49.4 percent of respondents; and telemarketing or in-home sales, identified as a problem by 49.4 percent of respondents, as well.

No problem. The issues identified as no problem by the largest proportion of survey respondents in Santa Cruz County were maintaining personal independence, identified as “no problem” by 72.2 percent of those surveyed; personal care, identified as “no problem” by 72 percent; elderly abuse/exploitation, identified as “no problem” by 70.6 percent; availability of healthcare providers, also identified as “no problem” by 70.6 percent; employment opportunities, identified as “no problem” by 69.9 percent; and counseling or mental health services, also identified as “no problem” by 69.9 percent of those surveyed.

Sources of advice/information. Survey respondents were asked to identify their sources of advice regarding their health or available assistance programs. In Santa Cruz County, information and referral services, telephone directories, and newspaper/radio/TV were the most popular sources, followed by faith communities and social service agencies. See Appendix B for a complete list of responses regarding specific social agencies contacted, as well as other specified sources of advice identified by survey respondents.

TABLE 14: ISSUES/POTENTIAL PROBLEMS RANKED BY SERIOUSNESS* (SANTA CRUZ COUNTY)

20

Issue/Problem% of Respondents

Indicating “Serious Problem”

Affordable dental care 31.6%Transportation 24.0%Telemarketing or In-Home Sales 23.4%Cost of energy/utilities 19.3%Affordable assistive devices (hearing aids, glasses, canes, etc.) 19.0%Elderly abuse, exploitation 17.6%Cost of housing 17.4%Maintenance and repair of home 16.5%Maintenance of yard 16.5%Employment opportunities 16.4%Recreational or social opportunities 15.2%Preparing nutritious meals 15.1%Income (money, pensions) 15.0%Processing monthly bills and/or medical claims 15.0%Providing care and supervision for an elderly family member 14.3%Getting information about services 13.9%Volunteer opportunities 13.7%Bereavement/grief counseling/hospice services 13.3%Getting information about health insurance (AHCCCS, Medicare, Medigap, etc.)

13.1%

Accessibility modification in my home (grab bars) 12.9%Having someone check on me daily 12.6%Finding legal assistance 12.6%Homemaker services (shopping, housekeeping) 11.4%Loss of spouse/loved one 11.3%Availability of health care providers (doctors, hospitals) 11.2%Loneliness 11.1%Raising grandchildren 11.1%Personal safety (Crime) 11.0%Obtaining information on selecting nursing home or assisted living facility

10.6%

Paying for prescription drugs 9.6%Counseling or mental health services 9.0%Age discrimination (loans, insurance, employment) 9.0%Maintaining my personal independence 8.6%Getting information about disease prevention 7.4%Personal Care (bathing, washing hair) 3.6%* Level of seriousness is determined by the proportion of survey respondents identifying the issue as a serious problem.

TABLE 15: ISSUES RANKED BY IDENTIFICATION AS A PROBLEM* (SANTA CRUZ COUNTY)

21

Issue/Problem

% of Respondents Indicating “Some

Problem” or “Serious Problem”

Affordable dental care 61.4%Affordable assistive devices (hearing aids, glasses, canes, etc.) 51.5%Cost of energy/utilities 51.2%Maintenance and repair of home 49.4%Maintenance of yard 49.4%Telemarketing or In-Home Sales 49.4%Cost of housing 47.8%Paying for prescription drugs 41.9%Getting information about health insurance (AHCCCS, Medicare, Medigap, etc.)

41.7%

Transportation 41.3%Processing monthly bills and/or medical claims 41.2%Providing care and supervision for an elderly family member 39.5%Recreational or social opportunities 39.2%Loss of spouse/loved one 38.7%Income (money, pensions) 37.7%Getting information about services 37.6%Preparing nutritious meals 37.3%Finding legal assistance 35.1%Having someone check on me daily 34.0%Volunteer opportunities 34.0%Personal safety (Crime) 33.8%Age discrimination (loans, insurance, employment) 33.5%Bereavement/grief counseling/hospice services 33.3%Accessibility modification in my home (grab bars) 31.6%Getting information about disease prevention 31.3%Raising grandchildren 31.2%Loneliness 30.9%Homemaker services (shopping, housekeeping) 30.7%Obtaining information on selecting nursing home or assisted living facility

30.5%

Counseling or mental health services 30.1%Employment opportunities 30.1%Availability of health care providers (doctors, hospitals) 29.4%Elderly abuse, exploitation 29.4%Personal Care (bathing, washing hair) 28.0%Maintaining my personal independence 27.8%* Identification as a problem is determined by the proportion of survey respondents identifying the issue as “some problem” or “serious problem.”

Graphical Survey Results

22

Survey respondents were asked to indicate the degree to which each of the following items is a problem for them personally. Discrepancies between the data in the following charts and the tables in the previous section are due to rounding.

Figure 6: Availability of health care providers (doctors, hospitals)

Figure 7: Paying for prescription drugs

Figure 8: Affordable dental care

23

Figure 9: Affordable assistive devices (hearing aids, glasses, canes, etc.)

Figure 10: Getting information about services

24

Figure 11: Having someone check on me daily

Figure 12: Preparing nutritious meals

25

Figure 13: Personal care (bathing, washing hair)

Figure 14: Homemaker services (shopping, housekeeping)

26

Figure 15: Getting information about disease prevention

Figure 16: Transportation

27

Figure 17: Maintenance and repair of home

Figure 18: Accessibility modification in my home (grab bars)

28

Figure 19: Maintenance of yard

Figure 20: Recreational or social opportunities

29

Figure 21: Counseling or mental health services

Figure 22: Bereavement/grief counseling/hospice services

30

Figure 23: Finding legal assistance

31

Figure 24: Getting information about health insurance (AHCCCS, Medicare, Medigap, etc.)

Figure 25: Cost of housing

32

Figure 26: Income (money, pensions)

Figure 27: Cost of energy/utilities

33

Figure 28: Employment opportunities

Figure 29: Age discrimination (loans, insurance, employment)

34

Figure 30: Elderly abuse, exploitation

Figure 31: Personal safety (Crime)

35

Figure 32: Telemarketing or in-home sales

Figure 33: Loneliness

36

Figure 34: Loss of spouse/loved one

Figure 35: Volunteer opportunities

37

Figure 36: Raising grandchildren

Figure 37: Obtaining information on selecting nursing home or assisted living facility

38

Figure 38: Processing monthly bills and/or medical claims

Figure 39: Providing care and supervision for an elderly family member

39

Figure 40: Maintaining my personal independence

Survey respondents were asked, “What person(s) or place(s) do you usually go to when you need advice about your health or about programs that might help you or a loved one?”

Figure 41: Southeast Arizona Sources of Advice/Information

Note. See Appendix B for specification of social service agencies contacted, and other (specified) sources of advice/information.

40

Figure 42: Cochise County Sources of Advice/Information

Note. See Appendix B for specification of social service agencies contacted, and other (specified) sources of advice/information.

Figure 43: Graham County Sources of Advice/Information

Note. See Appendix B for specification of social service agencies contacted, and other (specified) sources of advice/information.

41

Figure 44: Greenlee County Sources of Advice/Information

Note. See Appendix B for specification of social service agencies contacted, and other (specified) sources of information.

Figure 45: Santa Cruz County Sources of Advice/Information

Note. See Appendix B for specification of social service agencies contacted, and other (specified) sources of information.

42

Appendix ASEAGO SURVEY OF OLDER RESIDENTS

Here is a list of issues or activities that some people say are problems for older Americans. To what degree is each of these items a problem for you personally? Please

circle one number for the most appropriate response to each item.

No Problem

Some Problem

Serious Problem

1. Availability of health care providers (doctors, hospitals) 1 2 32. Paying for prescription drugs 1 2 33. Affordable dental care 1 2 34. Affordable assistive devices (hearing aids, glasses,

canes, etc.)1 2 3

5. Getting information about services 1 2 36. Having someone check on me daily 1 2 37. Preparing nutritious meals 1 2 38. Personal Care (bathing, washing hair) 1 2 39. Homemaker services (shopping, housekeeping) 1 2 310. Getting information about disease prevention 1 2 311. Transportation 1 2 312. Maintenance and repair of home 1 2 313. Accessibility modification in my home (grab bars) 1 2 314. Maintenance of yard 1 2 315. Recreational or social opportunities 1 2 316. Counseling or mental health services 1 2 317. Bereavement/grief counseling/hospice services 1 2 318. Finding legal assistance 1 2 319. Getting information about health insurance (AHCCCS,

Medicare, Medigap, etc.)1 2 3

20. Cost of housing 1 2 321. Income (money, pensions) 1 2 322. Cost of energy/utilities 1 2 323. Employment opportunities 1 2 324. Age discrimination (loans, insurance, employment) 1 2 325. Elderly abuse, exploitation 1 2 326. Personal safety (Crime) 1 2 327. Telemarketing or In-Home Sales 1 2 328. Loneliness 1 2 329. Loss of spouse/loved one 1 2 330. Volunteer opportunities 1 2 331. Raising grandchildren 1 2 332. Obtaining information on selecting nursing home or

assisted living facility1 2 3

33. Processing monthly bills and/or medical claims 1 2 3

A-1

34. Providing care and supervision for an elderly family member

1 2 3

35. Maintaining my personal independence 1 2 3

1. What person(s) or place(s) do you usually go to when you need advice about your health or about programs that might help you or a loved one? (Circle as many as apply):

a. Faith Communities (churches, synagogues, etc.)b. Information & Referral Servicesc. Telephone Directoryd. Social Service Agency (Please specify):_______________________________e. Newspaper/Radio/TVf. Other (Please specify):g. Have never called any place for information or referrals

2. Circle the group that contains your age.

Under 60 65 - 69 75 - 79 85 - 8960 - 64 70 - 74 80 - 84 Over 90

3. Are you: Male Female

4. What is your racial/ethnic origin?

a. White (Non-Hispanic) d. Asian/Pacific Islanderb. Hispanic (Latino) e. Indian (Native American)c. Black (African-American)

5. Primary language spoken: _______________________

6. In what community do you live? ________________ Zip Code: _______

PLEASE RETURN NO LATER THAN: January 31, 2007TO EITHER THE SENIOR CENTER OR YOUR SERVICE PROVIDER

OR MAIL TO

Area Agency on Aging, Region VI118 Arizona Street

(520) 432-5301aging@seago.org

A-2

B-1

Appendix B - Social Service Agencies Contacted, and Other (Specified) Sources of Information

Southeast Arizona (Social Service Agencies Contacted)AAAAAAAAAAAA AAA Case ManagerAccent careAdult Protective Services Adult protective services-Debra MansgerAHCCCSAHCCCS, Vicap, APIPA Personal Care PlusAHCCSAny place that will helpArea Agency on AgingArea Agency on Aging/ CarondeletAriana SanchezAZ DESBisbee Senior CenterCall Marla, SEAGOCase ManagerCase Worker, Marla ThomasCatholicCatholicCatholicCatholic Community ServicesCCHSCochise Aging and Social ServicesCochise Council on AgingCochise CountyCochise County HealthCochise County HealthCochise HealthCochise Health case workerCochise Health SystemsCochise Health SystemsCouncil on AgingDaughter takes care of allDESDESDESDESDESDESDESDESDESDESDES DES or Chamber of CommerceDES, AHCCSDirector of Elder resources, SEAGODoctorDr. CaplanFamily AssistanceFamily doctorGreenlee County Health

Greenlee Health DepartmentHealth Dept.Health Dept.Health Dept.Health Dept.Home HealthHome healthcareHuman resourcesI will call Cochise Health or SEACUSInfoMargaret HartnettMarlaMarla TamezMedicareMy doctorNARFE, EBCNARFE, Ethel Berger CenterNCCH Social Service AdminOffice of the agingPharmacyPrimary Doctor, Human Resources, VICAPPublic Fudiciary officeSaint Vincent de PaulSaint Vincent de PaulSEABHSSEABHSSEABHSSEABHSSEACAPSEACUSSEACUSSEACUSSEACUSSEACUS caregiverSEACUS/Medicare InfoSEAGOSEAGOSEAGOSEAGOSembarndo SaludSenior CenterSenior CenterSenior CenterSenior Citizen CenterSocial SecuritySocial Security Office/AHCCSSocial Service AgencySSSteveSteve AdersonVAVICAPVICAPVICAPVICAP

B-2

Southeast Arizona (Other [Specified] Sources of Information)24 hour on-call nurse with insuranceAARPACCESS, APIPAAcquaintances, friends, relativesAcquaintances/friendsAF Inf.Call Dorothy MancadoCancerCarnegie library in TucsonCase ManagerChamber of CommerceChildrenChildrenChildren help with thisChiricahua ClinicChiricahua Community HealthClinicClinicCommunity CenterCommunity ClinicCommunity service, Kiwanis Club of BisbeeCounty Health Dept.-AARPDaughterDaughterDaughterDaughterDaughterDaughter or sonDaughter, 911Daughter, friendsDoctorDoctorDoctorDoctorDoctorDoctorDoctorDoctorDoctorDoctorDoctorDoctorDoctorDoctorDoctorDoctorDoctorDoctorDoctorDoctor

DoctorDoctorDoctor Doctor and familyDoctor and nurseDoctor for health Doctor or AttorneyDoctor or familyDoctor, InternetDoctor; friends; my brotherDoctorsDoctor'sDr.Dr.Dr.Dr.Dr.Dr.Dr. ( Physician)Dr. HartleyDr. Kartchner-Gr. County Nutrition CenterDr. OfficeDr. office and nurse on AARP phoneDr. or CMDr. Patel for health reasonsDr. WuDr., family, and friendsDr., family, and friendsDr., nurses, hospitalDr., VFWE.B. Center, Medical DoctorFamilyFamilyFamilyFamilyFamilyFamilyFamilyFamilyFamilyFamilyFamilyFamilyFamilyFamilyFamilyFamilyFamilyFamilyFamilyFamilyFamily

FamilyFamilyFamilyFamilyFamilyFamilyFamilyFamilyFamilyFamilyFamilyFamilyFamilyFamilyFamilyFamilyFamilyFamily Family Family Family membersFamily (Son)Family and friendsFamily caregiversFamily doctorFamily doctorFamily doctorFamily doctorFamily member Family membersFamily membersFamily MembersFamily membersFamily or friendsFamily, sometimes Dr.Family-friendsFamily-friendsFriendFriendFriendFriendFriendFriend FriendsFriendsFriendsFriendsFriendsFriendsFriendsFriendsFriendsFriendsFriends

B-3

FriendsFriendsFriendsSoutheast Arizona (Other [Specified] Sources of Information) (Cont’d)FriendsFriendsFriendsFriends and Case ManagerFriends and doctorFriends and familyFriends and neighborsFriends and neighborsFriends and sisterFriends in communityFriends might mention somethingFriends, computerFriends, familyFudiciary NoraGo to doctorGovernor'sGranddaughterGranddaughterGranddaughterHave children look into health programsHave children look into health programsHealth clinic in ElfridaHealth DepartmentHealth DepartmentHealth DepartmentHealth DepartmentHealth DepartmentHealth Department-Jerry EvansHealth Dept.Health Dept.Health Dept. Health Dept. for advice of flu shotsHealth, courthouseHospitalHospital Housing communityHusband, DoctorI rely solely on myselfI'm an RN

InternetInternetInternetInternetInternetInternetInternet, friendsJanet LorettJerry at Health Dept., at CourthouseLegal AidLeisa CottonLibraryLTC programManagerMariposa clinic, Dr. PereiraMayo clinic and son, Howard NettlesMDMDMDMed. Personnel, DoctorsMedical providerMy daughter and my caregiverMy doctorMy doctorMy doctorMy Dr., my friendsMy familyMy son My son takes care of needsMy son, Dennis CooperMy sonsNaturopathyNeed to contact American LegionNeighborNeighborNeighborNetworking or WWWNieceNoneNurse friendPeople older and worker hard and wiser, Non Conformist, know the Real WorldPersonal care workerPhysician and exercise support groupsPhysician office or local hospital

Physician, support groupsPOAPOTRelations distance Kinson familyRelativeRelativesRelativesRelativesSeacus has been great, friends and familySeahttSelfSenior Citizens CenterSierra Vista Senior CenterSocial Security if given transportationSocial workers, doctors offices, hospitalsSonSonSonSon-In-Law, DaughterState Assessor's OfficeState retirementSulphur Springs Medical ClinicSupport groupTalk to friends and relativesTucson SS office-no helpUnited health careVAVAVAVAVAVA HospitalVA Mental Health Care ServicesVA, DAUVeterans admin, My son, DAV, Apt. Complex Mgr.Veterans AdministrationVeterans hospitalVICAPVisiting NurseWord of mouthWord of mouthWord of mouthWord of mouth

B-4

Cochise County (Social Service Agencies Contacted)AAAAAAAAAAAA AAA Case ManagerAccent careAdult Protective Services Adult protective services-Debra MansgerAHCCCSAHCCCS, Vicap, APIPA Personal Care PlusAHCCSAny place that will helpArea Agency on AgingArea Agency on Aging/ CarondeletAriana SanchezBisbee Senior CenterCall Marla, SEAGOCase ManagerCase Worker, Marla ThomasCatholicCatholicCatholicCatholic Community ServicesCCHSCochise Aging and Social ServicesCochise Council on AgingCochise CountyCochise County HealthCochise County HealthCochise Health SystemsCochise Health SystemsCouncil on AgingDaughter takes care of allDESDESDESDESDES

DESDESDESDESDES DES, AHCCSDirector of Elder resources, SEAGODoctorDr. CaplanHome healthcareHuman resourcesMargaret HartnettMarlaMarla TamezMy doctorNARFE, EBCNARFE, Ethel Berger CenterNCCH Social Service AdminOffice of the agingPharmacyPrimary Doctor, Human Resources, VICAPSaint Vincent de PaulSaint Vincent de PaulSEABHSSEABHSSEABHSSEABHSSEACAPSembarndo SaludSenior CenterSocial Security Office/AHCCSSocial Service AgencySSSteveSteve AdersonVICAPVICAPVICAPVICAP

B-5

Cochise County (Other [Specified] Sources of Information)24 hour on-call nurse with insuranceAARPACCESS, APIPAAF Inf.Call Dorothy MancadoCancerCarnegie library in TucsonCase ManagerChildrenChildrenChiricahua ClinicChiricahua Community HealthClinicCommunity CenterCommunity ClinicCommunity service, Kiwanis Club of BisbeeCounty Health Dept.-AARPDaughterDaughterDaughterDaughter or sonDoctorDoctorDoctorDoctorDoctorDoctorDoctorDoctorDoctorDoctorDoctorDoctorDoctorDoctorDoctorDoctorDoctorDoctorDoctor Doctor and familyDoctor for health Doctor; friends; my brotherDoctorsDoctor'sDr.Dr.Dr.Dr.Dr. HartleyDr. office and nurse on AARP phoneDr. or CMDr. Patel for health reasonsDr. WuDr., family, and friendsDr., family, and friendsDr., nurses, hospitalE.B. Center, Medical DoctorFamilyFamily

FamilyFamilyFamilyFamilyFamilyFamilyFamilyFamilyFamilyFamilyFamily Family Family membersFamily (Son)Family doctorFamily doctorFamily doctorFamily member Family membersFamily membersFamily MembersFamily or friendsFriendFriendFriendFriendFriendFriend FriendsFriendsFriendsFriendsFriendsFriendsFriendsFriendsFriendsFriendsFriends and Case ManagerFriends and doctorFriends and familyFriends and neighborsFriends and neighborsFriends and sisterFriends in communityFriends might mention somethingFriends, computerGo to doctorGovernor'sGranddaughterHave children look into health programsHave children look into health programsHealth clinic in ElfridaHealth Dept. Health Dept. for advice of flu shotsHospital Housing communityHusband, DoctorI rely solely on myself

InternetInternetInternetInternetInternetInternetInternet, friendsLegal AidLeisa CottonMayo clinic and son, Howard NettlesMDMedical providerMy daughter and my caregiverMy doctorMy doctorMy son My son, Dennis CooperNeighborNeighborNeighborNurse friendPeople older and worker hard and wiser, Non Conformist, know the Real WorldPhysician and exercise support groupsPhysician office or local hospitalPhysician, support groupsPOAPOTRelativeRelativesSeahttSelfSierra Vista Senior CenterSocial Security if given transportationSocial workers, doctors offices, hospitalsSonSon-In-Law, DaughterState Assessor's OfficeState retirementSulphur Springs Medical ClinicSupport groupUnited health careVAVAVAVA HospitalVA Mental Health Care ServicesVA, DAUVeterans admin, My son, DAV, Apt. Complex Mgr.Veterans AdministrationVeterans hospitalVICAPWord of mouthWord of mouthWord of mouthWord of mouth

B-6

Graham County (Social Service Agencies Contacted)AZ DESCochise HealthCochise Health case workerDESDES or Chamber of CommerceI will call Cochise Health or SEACUSSEACUSSEACUSSEACUSSEACUSSEACUS caregiverSEACUS/Medicare InfoSenior CenterSenior CenterSenior Citizen CenterSocial SecurityVA

Graham County (Other [Specified] Sources of Information)Acquaintances, friends, relativesAcquaintances/friendsChamber of CommerceChildren help with thisClinicDaughterDaughter, 911DoctorDoctorDoctorDoctor and nurseDoctor, InternetDr.Dr.Dr. Kartchner-Gr. County Nutrition CenterDr. OfficeDr., VFWFamilyFamilyFamilyFamilyFamilyFamilyFamily Family caregiversFamily doctorFamily, sometimes Dr.Friends

FriendsFriendsFriends, familyGranddaughterHealth DepartmentHealth DepartmentHospitalI'm an RNInternetLibraryLTC programMDMy doctorMy Dr., my friendsMy familyMy son takes care of needsNeed to contact American LegionNiecePersonal care workerRelations distance Kinson familySeacus has been great, friends and familySenior Citizens CenterSonSonSon & daughterTalk to friends and relativesTucson SS office-no helpVA

B-7

Greenlee County (Social Service Agencies Contacted)Family AssistanceGreenlee County HealthGreenlee Health DepartmentHealth Dept.Health Dept.Health Dept.Health Dept.

Home HealthInfoSEAGOSEAGOSEAGOSEAGO

Greenlee County (Other [Specified] Sources of Information)DaughterDaughter, friendsDoctorFamilyFamilyFamilyFamilyFamilyFamilyFamilyFamilyFamilyFamilyFamilyFamily

FamilyFamilyFamilyFamilyFamilyFamily and friendsFamily membersFamily-friendsFamily-friendsFriendsFriendsFriendsFriendsFudiciary NoraGranddaughter

Health DepartmentHealth DepartmentHealth DepartmentHealth Department-Jerry EvansHealth Dept.Health Dept.Health, courthouseJanet LorettJerry at Health Dept., at CourthouseManagerMy sonsNoneVisiting Nurse

Santa Cruz County (Social Service Agencies Contacted)Family doctorMedicarePublic Fiduciary office

Santa Cruz County (Other [Specified] Sources of Information)Mariposa clinic, Dr. Pereira NaturopathyDoctor or AttorneyDoctor or familyDr. ( Physician)FamilyFamilyFamilyMDMed. Personnel, DoctorsMy doctorNetworking or WWWRelatives

RelativesVA