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1994-05-12 Work Session e e e ""'Il MINUTES OF WORK SESSION WITH'THE DEPARTMENT OF AGING, MAY 12, 1994 PAGE 59 ASSEMBLY The New Hanover County Board of .Commissioners held 'a Work Session with the Department of Aging on Thursday, May 12, 1994, at 1~:15 A.M. in the. Conference Room of the Senior Center, 222 South College Road, Wilmington, N. C. Members present were: Commissioners Sandra Barone; William A. Caster;. William E. Sisson, Jr.; Vice-Chairman E. L. Mathews, Jr.; Chairman Robert G. Greer; County Manager, Allen 0' Neal; County Attorney, Wanda M. .Copley; and Clerk to the Board, LucIe F. Harrell. Chairman Greer called the Work Session to order and welcomed everyone present. OVERVIEW OF THE DEPARTMENT OF AGING Deputy County Manager, Andrew J: Atkinson, reported several months ago, the Department of Aging decided to reduce the number of hours the Senior Center would remain open at night. This action was taken because of problems being created for the housekeeping staff and the department's inability to provide personnel at night to ensure the safety and security of the building. Numerous calls were received about the reduction in hours and a survey was conducted to see if the various groups would be willing to pay a rental fee for use of the facility during the evening hours. The results of the survey indicated that people were not willing to pay a fee. As a result of these complaints, staff felt that a Work Session should be scheduled for a complete overview of the Senior Center and the programs administered since moving into the new facili~y. Director of Aging, Annette Crumpton, reported on the number of changes that have occurred in the programs and the number of elderly adults now being served by the Department of Aging. The Department of Aging' is structured through the Administration divided into three divisions: (1) In-Home Services; (2) Retired Senior Volunteer Program; and (3) Senior Center Activities. The mission statement of the Department of Aging is to act as the Focal Point for Aging Services in New 'Hanover County by providing servic~s which promote wellness, encourage independence, and enhance the quality of life for all persons sixty years and older. Based on the 1990 census, there are approximately 23,500 older adults over the age 60 (the age stipulated for older adults in federal grant programs). Of the 23,500 older adults, 1,175 are in Nursing Homes; 2,350 are frail and home bound; and 19,975 are healthy and active. From 1990 to 1994, the general population in New Hanover County has increased approximately 8% (120,284 to 129,900) and the 60+ population has increased 15% (20,532 to 23,500). IN-HOME SERVICES Congregate: The same number of 'persons are being served congregate meals; however, in 1990 there were six nutrition sites providing this service. . Today, there are four nutrition sites"providing these meals for approximately the same number of persons. Home Delivered Meals Program: During the past year, the number of home delivered meals has experienced a growth rate of 34%. In 1990, the number of persons receiving home delivered meals was 171 and today, 250 persons are receiving home delivered meals. .... MINUTES OF WORK SESSION WITH THE DEPARTMENT OF AGING, MAY 12, 1994 PAGE 60 Transportation: Over a period of one year, transportation services have increased 95%. In 1990, transportation services were being provided to 50 persons and today 96 persons are receiving these services. This increase is due to the following factors: (1) the older adult, frail and elderly population of 75 and older is growing faster than the 60+ population; (2) the consolidated County Transportation System now has 11 vehicles and is expecting another vehicle; and (3) medical transportation services have increased for elderly adults, particularly for dialysis and radiation treatments. The Transportation System has become a well. coordinated system, and the County should be proud of this service which is a cooperative spirit among all the agencies involved. o County Manager O'Neal complimented the Director of Aging, the Assistant to the County Manager, Pat Melvin, and all the agencies involved with the Transportation System for the excellent manner in which this system has been developed. Case Assisted Information and Referral: Under this program, a staff person is sent into the home of the older adult to assess that individual's needs. A care plan is developed and this individual is then linked to the appropriate service, whether a service provided by the Department of Aging or another agency. Over the past year, there has been a 34% increase in the case load. , . Commissioner Barone inquired as to whether there is a duplication of services with the Department of Social Services? Director Crumpton reported the Department of Aging renders services to older adults that are 60+ in age regardless o~ thei~ income; whereas, the Department of Social Services has to meet certain income criteria in order to provide services. In her opinion, there is no duplication of services. ., o Chairman Greer inquired as to what would happen to these elderly adults if the Department of Aging did not exist? Would the Department of Social Services then provide these services? '. Director Crumpton reported the Department of Social Services would provide some of these services; however, most counties have some form of an Information and Referral Service on a limited basis. Some personal care agencies wou+d also be able to provide seJ::vices. Discussion was held on the increase of persons being served in the Home Delivered Meals Program. County Manager O'Neal reported due to the. dramatic growth in the number of home delivered ,meals al)d, transportation services rendered, this was ,the reason he r~commended transferring the $15,000 allocated to the Food Bank to the Department of Aging. It was felt that these funds would feed more people and provide badly needed medical transportation services to the older adults. Both programs have a list of persons waiting to receive services. ' . Chairman Greer reported he is opposed to transferring the $15,000 from the Food Bank; however, he is most supportive of the Home Delivered Meals Program. 'In his opinion, it is more important to feed people than to transport people; therefore, he would like to see more funds used for home delivered meals than for transportation. o RETIRED SENIOR VOLUNTEER PROGRAM There are 1,200 volunteers worklng in the community, which is an increase of 700 volunteers since 1990. It is felt that the new Senior Center has created this growth. These volunteers are working in 60 stations throughout the county and provide 10,000 hours of work each month. The major'programs'are as follows: e e e ~~.... " ......t~~ '"t,!" " "., """Ill "I.';:" ;' /~;~/l" ",t MINUTES OF WORK SESSION WITH THE DEPARTMENT OF AGING, MAY 12, 1994 PAGE 61 VITA (Volunteer Income Tax Assistance): Through the VITA Program, volunteers assisted over 2,000 older adults with 1ncome tax returns. Most of the persons were low income older adults, and by providing this service, they did not have to pay a professional to fill out tax returns. SHIP (Senior Health Insurance program): Through this program, trained volunteers assist older adults in filling out forms and deciding on the types of insurance needed. This service is provided on a one-to-one counseling basis, and the N. C. Insurance Commission trains the volunteers. Volunteers In the County Government Program: This is a new program composed of approximately 20-25 volunteers working 15 hours a week in the Emergency Management Department and the Environmental Management Department. Through this program, volunteers are working with the Emergency Management Director to develop a preparedness plan specifically designed for taking care of the elderly population during any type of disaster. Also, at WASTEC volunteers are developing a safety plan. Vice-Chairman Mathews inquired as to the number of volunteers working in County Government? Director Crumpton responded approximately 20-25 are working in these two departments. County Manager O'Neal reported very carefully before going to work. will continue to grow at a slow pace services are carried out in a proper the volunteers are screened The program began slowly and in order to be sure that all manner. SENIOR CENTER ACTIVITIES - DAYTIME The number of seniors participating in daytime activities monthly has grown to 4,700 participants. This 1S an average increase of 41% per year. There are 74 different programs provided each month. The areas of activities are Health Promotions, Educational setting, and Social Activities. statewide recognition has been received for the Health Fair held in October, and it is felt national recognition will be received for this program. The Health Fair was a community effort with participation by both hospitals, non-profit health institutions, the Health Department, and recreational groups. Under the Educational Setting, a computer program will be offered to allow older adults to learn to use computers and utilize the Senior Net Program. In summary, since 1990 there has been a 215% increase in the services provided to older adults with no increase in the number of employees. To serve 7,390 persons compared to 3,450 in 1990 with the same number of staff is becoming quite a problem. In order to continue to provide these services and reach the persons in need of services, the following new positions are needed: AREA In-Home Services POSITIONS -1 Program Assistant 1 Case Manager 1 Skills Bank Coordinator and 1 Volunteer in County Government 1 Assistant to work with full- time programmer 1 Office Assistant for reception responsibilities 6 positions ESTIMATED COST $ 40,000 RSVP 35,000 Senior Center $ 35,000 $110.000 TOTAL Less Amount Currently Budgeteg 20,000 " ADDITIONAL FUNDS NEEDED $ 90.000 ..... MINUTES OF WORK SESSION WITH THE DEPARTMENT OF AGING, MAY 12, 1994 PAGE 62 out of the six positions requested, three temporary positions will become full-time positions. The Commissioners were requested to consider approval of these positions which are badly needed in order to maintain the current level of services being,provided by the Department of Aging. commissioner sisson asked if the additional positions will adequately staff the Senior Center for the next five years or will these positions bring the Center up to its current needs? . Director Crumpton reported the additional positions will adequately staff the current needs in most areas and will allow for some expansion. DISCUSSION OF EXPANDED HOURS FOR THE SENIOR CENTER Director Crumpton reported since the hours for night time activities have been reduced, many calls have been received at the Senior Center and by the County Commissioners. After moving into the building, senior citizens were encouraged to use the facility and as a result night programs were started. After the word began to spread about the Center and its space, members of the general public desired to use the facility for night meetings. At peak loads, there would be in excess of 18 different groups using the facility during one week. This created large numbers of 'people moving in and out of the building. After a review of the groups using the Senior Center at night, it was found these groups needed a place to meet with a large percentage of these individuals not being seniors. Based on the safety of' the participants, the increased workload for housekeeping, the lack of staff, and the security of the building, the decision was made to reduce the number of hours the Senior Center would be opened at night. In order to accommodate these groups at night, a survey was prepared and mailed to these organizations to see if they were willing to pay $15 per hour to use the Senior Center at night. The results of the survey indicated the groups did not want to pay a fee. In order to accommodate groups at night, the following positions will be needed: 1 Program Assistant 1 Clerical/Receptionist $19,000 Annually $16,000 Annually Discussion was held on the need for the Board of County Commissioners to determine if the facility should be used by seniors, or if the use should be expanded to the general public. Vice-Chairman Mathews commented on the fact that all persons living in New Hanover County pay for the Senior Center and stated when the bond referendum was approved by the voters, the purpose of the new facility was for use by the seniors. He requested the Commissioners to seriously consider the Mission 'Statement when developing a policy for use of this facili ty. He suggested directing staff to prepare some options to be presented to the Board before making any type of' decision. Further discussion was held on charging a fee if the facility is to remain open at night. Deputy county Manager Atkinson stated, in his opinion, if a fee is established and the organizations know the facility is available for a certain rate, the groups will be willing to pay a reasonable fee. At the present time, these groups feel they have a choice, consequently, they have indicated they do not wish to pay a fee. Commissioner Sisson expressed concern for persons on fixed incomes having to pay an additional fee and stated this could prohibit them from using the building. o o o e e e 't'~. ',,", " ~" H~NUTES OF WORK SESS~ON W~TH THE DEPARTMENT OF AG~NG, MAY 12, 1994 PAGE 63 Director Crumpton reported when moving into the new facility, it was the long range plan of staff to become well established with day time programs and then move to night programs as an extension o~ the types of programs offered during the day. Staff feels this is the best direction for the Department of Aging. After further discussion, Chairman Greer expressed appreciation to Director Crumpton for an excellent presentation. , ADJOURNMENT Chairman Greer adjourned the Work Session at 11:45 A.M. Respectfully submitted, ~if~ Lucie F. Harrell Clerk to the Board . ., ~