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Pima Council on AgingArea Agency on Aging – Region IIFY 2018-2019 Year End Services Report

Funding Overview:In 1965, Lyndon B. Johnson signed into law the Older Americans Act in response to a crisis of poverty among older adults in the US. The Older Americans Act supports a range of home and community-based services, such as meals-on-wheels and other nutrition programs, in-home services, transportation, legal services, elder abuse prevention and caregiver support. These programs help older people stay as independent as possible in their homes and communities. Today, the federal Older Americans Act remains the foundation to improve the quality of life for all older Americans.

Under this Act, State Units on Aging are located in every state and territory in the United States. Most states are divided into planning and service areas so that programs can be designed to meet the locally identified needs of older people residing in those areas. Pima Council on Aging is one of 622 Area Agencies nationwide, and one of eight in Arizona. PCOA is responsible for the provision of services in Region 2, Pima County, Arizona.

Area Agencies on Aging serve as the local planning, development, and delivery system providing home and community-based services to older adults so that they may age successfully with optimal heath, independence, and dignity.

Since 1967, Pima Council on Aging has worked alongside community partners to identify the needs of older adults in Pima County and respond to those needs with innovative programs and services. PCOA provides some services directly and contracts with public and non-profit agencies for the provision of other essential services. These agencies are selected through a formal structured proposal process.

As the Area Agency on Aging, PCOA has used the Older Americans Act funding to create a solid foundation to deliver the services detailed in this report. PCOA has built upon this foundation, utilizing additional fund sources to strengthen and expand services that have proven effective throughout the years and create new services as needs are identified.

1

Major Funding for Programs and Services: Federal Older Americans Act through AZ Department of Economic

Security, Division of Aging and Adult Services Federal Social Service Block Grant through AZ Department of Economic

Security, Division of Aging and Adult Services State of Arizona through AZ Department of Economic Security, Division

of Aging & Adult Services Center for Medicare and Medicaid Services through AZ Department of

Economic Security, Division of Aging and Adult Services City of Tucson Pima County United Way of Tucson and Southern Arizona Pima Association of Governments, Regional Transit Authority Arizona Long Term Care System (ALTCS) through Mercy Care and

Banner University Health Plans National Council on Aging University of Arizona Center on Aging (GWEP) Arizona Complete Health Oasis Care 1st

Corporation for National and Community Services Individual, corporate and faith community contributions through

memberships, donations and bequests.

2

Foundations/Corporations Including:Thank you to the many individual donors and the sponsors and community organizations, listed below, who help to make PCOA’s work possible.

AARP ArizonaAdult Care Home Placement ServiceAGM Container ControlsAllied MedCor Services, Inc.Allyn Family FoundationAlzheimer's AssociationAmerigroupArizona Complete HealthArizona Daily StarAtlantis Realty & DevelopmentAtria Campana Del RioBanner - University Medical CenterBayada Home Health CareBlue Cross Blue Shield of ArizonaCarchedi Estate SalesCaregiver Training InstituteCarl and Mabel E. Shurtz FoundationCarondelet Health NetworkCasa de la Luz FoundationCasa de la Luz HospiceCatalina In-Home Services, Inc.CBIZ Benefits and Insurance Services, Inc.CODAC Health, Recovery & WellnessColby FND for Southern ArizonaConnie Hillman Family FoundationCopperPoint Insurance CompaniesCox CommunicationsCreatistaDeConcini McDonald Yetwin & Lacy, P.C.Desert Diamond Casino and EntertainmentEliot Spalding FoundationGeneral Power Inc.Georgia State UniversityGreater Green Valley Community Foundation, Inc.Health and Wellness Community Resource CenterInnovative Senior Living - The Villas

John M. Simpson FoundationL.E.S. is More Charitable FundLaw Office of Kay RichterLGBTQ+ Alliance Fund Held at the Community Foundation For Southern ArizonaMeals on Wheels of AmericaMedAvail (SpotRx Pharmacy)Medline IndustriesMercy CareMHC HealthcareMiracles Life CareQuail Park of Oro ValleyRaskob Kambourian Financial Advisors, Ltd.RBC Wealth Management, Falbaum Investment GroupRight at HomeRosemont CopperSaguaro SurgicalShaol and Evelyn Pozez Endowment FundSoreoSouthwest Gas CorporationThe William L. and Ruth T. Pendleton Memorial FundThomas and Jeanne Elmezzi FoundationTucson Housing FoundationTucson Medical CenterUSI Insurance ServicesVantage West Credit UnionVia Elegante Assisted LivingVisiting AngelsWatermark Retirement CommunitiesWells Fargo BankWhite Elephant, Inc.

3

As the Area Agency on Aging, Pima Council on Aging plans, develops, administers, funds and monitors a non-medical home and community-based delivery system of nutrition and supportive services. PCOA contracts with community agencies to deliver designated services within this delivery system as noted below:

PROVIDER PAID

FY 18-19SERVICE

Catholic Community Services of Southern Arizona $1,270,339 Congregate & Home Delivered Meals

Lutheran Social Services of the Southwest $1,241,563 Home Delivered Meals, Shopper Service, Caregiver Training, Attendant Care, Personal Care, Housekeeping, Respite, Shopper

United Cerebral Palsy of Southern Arizona $454,783 Attendant Care, Housekeeping, Respite

Arcadia Home Care & Staffing $451,428 Attendant Care, Personal Care, Housekeeping, Respite

City of Tucson Parks and Recreation $352,001 Congregate Meals, Transportation

My House In Home Care $333,914 Attendant Care, Personal Care, Housekeeping, Respite

Accent Care $315,264 Attendant Care, Personal Care, Housekeeping, Respite

Southern Arizona Family Services $314,866 Attendant Care, Housekeeping, Respite

Mosaic Senior Services/dba Soreo In-Home Support Services

$278,967 Attendant Care, Personal Care, Housekeeping, Respite

Aires LLC $266,311 Attendant Care, Personal Care, Housekeeping, Respite

Rescare Home Care $234,160 Attendant Care, Housekeeping, Respite

Community Home Repair Projects of Arizona (CHRPA)

$186,758 Home Repair

Philips Lifeline $153,951 Emergency Alert

4

PROVIDER PAID FY 18-19

SERVICE

Patient Care Advocates LLC $91,047 Attendant Care, Housekeeping, Respite

Addus HomeCare, Inc. $74,079 Attendant Care, Housekeeping, Respite

Southern Arizona Legal Aid $56,986 Legal Assistance

Arizona Children’s Association – Kare Family Center $46,562 Grandparents Raising Grandchildren Support Groups and Information & Assistance

Pima County Health Department $22,052 Nursing Clinics

La Posada at Park Centre $19,314 Transportation, Adult Day Care

TOTAL $6,326,843

5

PIMA COUNCIL ON AGING SUPPORTED SERVICES July 1, 2018 – June 30, 2019

NUMBER OF UNDUPLICATED SERVICE UNITS DELIVERED INDIVIDUALS BY SERVICE

PCOA Helpline/Intake 16,897 client contacts 9,750

Home Delivered Meals 195,250 meals 1,374Congregate Meals 71,948 meals 1,814

Nursing Clinics 1,573 client contacts 234General Transportation 16,845 one-way rides 156Minor Home Repair 198 repairs 128Major Home Repair 865 repairs 613Legal Services 345 hours 158

Family Caregiver: Information & Referral Support Groups Caregiver Training Supplemental Services (incontinent supplies/adaptive equipment) RespiteGrandparents Raising Grandchildren: Information & Assistance Support Groups

3,051 client contacts 643 sessions 18 classes 48 jobs 21,750 hours

251 client contacts 704 sessions

1,376232

5119

128

25179

Case Management 12,717 hours 1,689Housekeeping 23,794 hours 412Personal Care 155 hours 1Attendant Care 132,072 hours 732Adult Day Care 1,047 hours 4Visiting Nurse 2 hours 1Shopper Service 5,342 hours 215Emergency Alert System 6,002 hours 635

Elder Rights & Benefits 4,890 client contacts 1,956Medicare/Insurance Counseling 4,550 client contacts 3,151

Personal Budgeting Assistance 551 volunteer hours 58Long Term Care Ombudsman 1,193 complaint resolutions NA

Neighbor’s Care Alliance 120,574 volunteer hours 2,000Senior Companion 4,462 hours 64

HOPE Workshop for Hoarding Disorder 2 series (27 classes) 49Enhance Fitness 12 classes (3x week on-going) 383A Matter of Balance 19 classes 159Chronic Disease Self-Management ProgramDiabetes Self-Management Program

1 class 1 class

1312

Chronic Pain Self-Management ProgramWorkplace Chronic Disease Self-Management

1 class 1 class

99

OASIS Healthy Habits for AdultsAging Mastery Program

83 classes 2 series (20 classes)

95952

BeMedSmart 29 presentations 409

INDIVIDUALS COULD BE RECEIVING ONE OR MORE SERVICES 8/2019

6

2009-2010

2010-2011

2011-2012

2012-2013

2013-2014

2014-2015

2015-2016

2016-2017

2017-2018

2018-20190

2000400060008000

1000012000140001600018000

11486 1242011792

10050 1121011321

101489891

13368

16897PCOA HELPLINE/INTAKE

PROGRAM YEAR

CLIE

NT

CON

TACT

S

7

PIMA COUNCIL ON AGINGHELPLINE/INTAKE

FY 2018-2019

Service Description

The PCOA Helpline is usually the first point of contact when clients contact the agency. Intake staff complete an initial screening, gathering basic information about the caller and the problem or question they are calling about. After determining the primary problem, staff refer the caller to the services PCOA provides directly or to other agencies and programs in the community that can address the particular problem or need. Intake staff also serve as the central intake point for the Community Services System, which provides subsidized in-home assistance to frail elderly.

The Helpline Staff assist people with an extremely diverse range of problems and questions. The primary needs addressed include the following:

Advanced Directives ALTCS (Arizona Long Term Care) Benefits Assistance Care Planning Financial Food Assistance Health Insurance Home Repair/Adaptation/

Maintenance Housekeeping

Caregiver Respite Caregiver Support Emergency Response System Elder Rights Housing (Independent &

supportive) Legal or Quasi-Legal Personal Care Shopping Tax Assistance Transportation

Units of Service: 16,897 contacts

Client Demographic Summary: 9,750 unduplicated clients assisted

Female 68’% White 76%Male 32% Black/African American 3% Live Alone 32% Asian 1% <60 7% Other Multi-Racial 1%60-74 49% Hispanic 18%75-84 27% American Indian 1% 85+ 17%

8

2008-2009

2009-2010

2010-2011

2011-2012

2012-2013

2013-2014

2014-2015

2015-2016

2016-2017

2017-2018

2018-20190

50,000

100,000

150,000

200,000

250,000

300,000

255880

227267236830

245973

204529204198

214559

203852

185914179918

195250

9904195140

103113

97595

9049190897

88575

8675281050

73511

71948

Nutrition ServicesHome Delivered & Congregate Meals

HOME DELIVERED MEALS CONGREGATE MEALSPROGRAM YEAR

MEA

LS P

RO

VID

ED

9

PIMA COUNCIL ON AGINGHOME DELIVERED MEALS

FY 2018-2019Service Description:

Chilled meals meeting 1/3 of the Dietary Reference Intake for older adults are delivered to eligible individuals who are homebound, unable to prepare a nutritious meal because of health or physical limitations and have no one to assist them. PCOA contracts with two meal providers to prepare and deliver meals utilizing 20 routes throughout metro Tucson and Green Valley, Sahuarita, Marana and Ajo. Meal routes are delivered on either Monday/Wednesday or Tuesday/Thursday depending upon the area of town. An in-home assessment is completed to determine eligibility, need and individuals are linked to other supportive services when necessary.

Outcomes/Outcome Measures:

The Home Delivered Meals Program: (1) enhanced participants’ nutritional intake; (2) increased or maintained the participants’ self-sufficiency and independence; and (3) increased the participants’ social contacts by at least two visits a week and sense of security knowing the driver would check on them.

These outcomes were evidenced by the responses made in the evaluation questionnaires received from 879 participants inclusive of all routes.

1. 87% of clients surveyed reported that their home delivered meal was their main cooked meal of the day.

2. When asked to explain how the meal program was helpful to them, the responses were as follows:

88% stated the meals increased their daily intake of food. 91% stated the meals provided a larger variety of fruits, vegetables and meats

than they would be able to prepare for themselves. 92% stated the meals helped them stretch their financial resources as they

didn’t have to buy so much food. 72% stated the meals helped them gain or maintain weight. 90% stated the meals helped them maintain their health. 90% stated they feel more secure knowing the driver will be checking on them

at least two times per week. 75% stated they know they can ask the driver for additional services if they

need them. 91% stated the meals helped them maintain their independence.

Units of Service: 195,250 meals delivered

Client Demographic Summary: 1,374 unduplicated clients served Female 63% White 70%Male 37% Black/African American 6%Live Alone 68% Asian 0%Frail/Disabled 100% American Indian/Alaskan Native 0%< 60 2% Other Multi-Racial 4%60-74 44% Hispanic 17% 75-84 28% Unknown 3% 85+ 26%

10

PIMA MEALS ON WHEELS SERVICE AREAPROGRAM YEAR: July 1, 2018 – June 30, 2019

CATHOLIC COMMUNITY SERVICES OF SOUTHERN ARIZONA LUTHERAN SOCIAL SERVICES OF THE SOUTHWEST

624-1562 (FAX: 519-1303) 514-7642, Ext. 204 (FAX: 514-7646)

85653 (Marana) 85710 85654 (Rillito) 85711 85321 - Ajo 8571285614/85622 (Green Valley) 85629 (Sahuarita) 85714 (East of Campbell) 85701 85715 85704 85716 85705 85718 85706 85719 85713 85730*85714 (West of Campbell) 85747 (Vail/Rita Ranch)85735 85748 (Wrightstown)85736 (close to Ajo Hwy)85737* (south of Lambert Lane) 85749*85741 85750*85742* 85641* (Vail, Corona de Tucson)85743857458574685756 (north of Hughes)85757 (Robles Junction, Three Points) DA/PCOA 7/01/2918 *DENOTES LIMITED SERVICE AREA

11

PIMA COUNCIL ON AGINGCONGREGATE MEALS FY 2018-2019

Service Description:Congregate meals and social and recreational activities are offered at 13 sites throughout

Pima County. At these sites, older adults receive a daily wholesome meal designed to meet specific nutritional requirements for 1/3 of the Dietary Reference Intake for older adults. In addition, these sites serve as neighborhood focal points, providing opportunities for interaction with peers, assessment and referral to other services as needed and health promotion programs.

Outcomes/Outcome Measures:The Socialization & Nutrition Program (1) enhanced the participants nutritional status, (2)

maintained the participants mental and physical wellness, (3) reduced participants social isolation and (4) increased or maintained the participants self-sufficiency.

These outcomes were evidenced by the responses’ participants made in the evaluation questionnaire received from a sampling of 438 participants inclusive of all 13 sites.

1. 82% of surveyed respondents reported their center meal was their main hot, prepared meal of the day.

2. When asked to explain how the meal program was helpful to them, the responses were as follows: 81% stated the meals increased their daily intake of food. 79% stated the meals provided a larger variety of fruits, vegetables and meats than

they would be able to prepare for themselves. 64% stated the meals helped them stretch their financial resources as they don’t have

enough money to always buy food. 66% stated the meals helped them gain or maintain their weight. 84% stated the meals helped them maintain their health. 87% stated the center provided them with an incentive to eat as it is more enjoyable

to share a meal in the company of others. 94% stated the center helped them make friends and gave them people to talk to

each day. 91% stated they felt happier by attending the center. 72% stated the programs at the center helped them manage health conditions. 76% stated they feel a greater sense of security by knowing people at the center can

help them with problems. 68% stated they can make more healthful choices about their diet because of what

they learned at the center. 86% stated the center helped them feel less lonely. 72% stated the center helped them remain independent.

Units of Service: 71,948 meals served

Client Demographic Summary: 1,814 unduplicated clients served Female 61% <60 1% White 57% Male 39% 60-74 51% Black/African American 5% Live Alone 51% 75-84 30% Asian 1% Frail Disabled 14% 85+ 18% American Indian/Alaskan Native 4% Hispanic 30% Other 3%

12

13

1 - Ajo Community Center290 5th St – Ajo 85321 (520) 387-5040

2 - Archer Center 1665 S. La Cholla Blvd- Tucson 85713 791-4353

a* 3 - Amory Park Senior Center 220 S 5th Ave – Tucson 85701 791-4070

4 - Casa Community Center 780 S Park Centre Ave Green Valley 85614 393-6814

b. 5 - Eastside El Dorado TMC El Dorado Health Campus 1400 N. Wilmot

Tucson 85712 546-2257

a, b 6 - El Pueblo Neighborhood Center 101 W Irvington Rd – Tucson 85714 889-0928

a, b 7 - El Rio Neighborhood Center 1390 W Speedway – Tucson 85705 837-8210

a, b** 8 - Ellie Towne/Flowing Wells Community Center 1660 W Ruthrauff Rd – Tucson 85705 887-9786

a 9 - Freedom Recreation Center 5000 E 29th St – Tucson 85711 791-4969

a, 10 - Donna Liggins Center 2160 N 6th Ave – Tucson 85705 791-3247

a 11 - Quincie Douglas Senior Center 1575 E 36th St – Tucson 85713 – 791-2509

** 12 - Robles Junction Community Center 16150 W Ajo Way – Tucson 85735 578-3063

b 13 - William Clements Regional Center 791-5787 8155 E. Poincianna Dr. – Tucson 85730

Other Enhance Fitness Sites:Morris K Udall Regional Center 7200 E. Tanque Verde Rd. – Tucson 85715Picture Rocks Community Center 55615 N. Sanders Road – Tucson 85743Drexel Heights Community Center 5220 S. San Joaquin Ave. – Tucson 85741Randolph Center 200 S.. Alvernon Way – Tujcson 85711

N 7 5

N 32

4

N 6

1

9N 11

12

SENIOR LUNCH PROGRAM

Please call in advance to reserve a meal and for days and hours of operation

*Dinner Meal**Open Mon., Wed., Fri

N 10

N 8

1a = Location of Nursing Clinicsb = Location of Enhance Fitness

Funded by: Federal Older Americans Act through AZ

DES/DAAS, United Way of Tucson and Southern Arizona City of Tucson Individual Contributions

133

13

2008-2009

2009-2010

2010-2011

2011-2012

2012-2013

2013-2014

2014-2015

2015-2016

2016-2017

2017-2018

2018-20190

5000

10000

15000

20000

25000

3000026545

2244122486

1729422034

2029218682 19141

16034

1141016845

SENIOR CENTER TRANSPORTATION

PROGRAM YEAR

ON

E-W

AY

RID

ES

14

PIMA COUNCIL ON AGINGSENIOR CENTER TRANSPORTATION

FY 2018-2019

Service Description:

All the goals of the congregate nutrition program would be defeated if clients could not get to the centers for service. It is the responsibility of center managers to assist clients in making transportation arrangements. Older Americans Act funds are available to purchase this service for clients who cannot. This subsidized service is for persons age 60 and over, or spouse, who have mobility limitations that prevent them from driving or using Sun Van. Service is provided in Tucson by Sun Van, Ajo Transportation in Ajo, and Casa de Esperanza in Green Valley. Ajo Transportation pays for the rides for the seniors to the Ajo Senior Center. Clients who attend the centers in Tucson must be registered with the ADA Eligibility Office and attend the center closest to their home. PCOA also has a contract with City of Tucson Parks & Recreation to provide transportation to the El Rio and Armory Park senior centers.


These outcomes were evidenced by the response’s participants made in the evaluation questionnaire received from a sampling of 55 participants in the last quarter of the fiscal year.

100% of respondents stated the rides helped improve the quality of their lives. 100% of respondents stated the rides contributed to their overall health. 89% of respondents stated that they would not be able to attend the senior lunch

program without the transportation service.

Units of service: 16,845 one-way rides

Client Demographic Summary: 156 unduplicated clients served

Female 78% White 44%Male 22% Hispanic 46%Live Alone 69% Black/African American 5% Frail Disabled 17% Asian 2% <60 1% American Indian/ 3%60-74 42% Alaskan Native75-84 31% Other Multi-Racial 0%85+ 26%

15

*2008-2

009

2009-2010

2010-2011

2011-2012

2012-2013

2013-2014

2014-2015

2015-2016

2016-2017

2017-2018

2018-20190

200

400

600

800

1000

1200

801

680 779

259 358274

177 193315 370

198

1014

852 870

607583

461401

613 702

888865

HOME REPAIR/ADAPTATION/RENOVATION

MINOR HOME REPAIR MAJOR HOME REPAIR

PROGRAM YEAR

REP

AIR

S

*Inceases due to: Started reporting separate jobs - not number of invoices paid

16

PIMA COUNCIL ON AGINGHOME REPAIR/ADAPTATION/RENOVATION PROGRAMS

(Major & Minor Home Repair) - FY 2018-2019 Service Description:

PCOA supports two home repair, adaptation and modification programs for homeowners aged 60 and over in greatest social and economic need living in non-reservation areas of Pima County. All programs concentrate on correcting health and safety hazards, improving accessibility and performing routine maintenance services that assist clients to remain independent in their own homes.

1) PCOA contracts with Community Home Repair Projects of Arizona (CHRPA) for smaller repairs, adaptations and cooler and heater maintenance typically costing $750 and under for clients screened and referred by PCOA staff. 865 different repairs and adaptations were made, with 423 cooler and 148 furnace maintenance visits as the largest single category for 613 separate individuals.

2) PCOA provides an allocation of funds to the Community Services System case managers to be used for Minor Home Repairs for their clients, maximum $750 per person, per year. 198 different repairs were made, with cooler and furnace maintenance and disability modifications leading the repair categories, for 128 different individuals.

3) PCOA received a donation of 12 water heaters from Southwest Gas Corporation to assist individuals.

Outcomes/Outcome Measures:A satisfaction survey was sent to all participants as contractor invoices were paid and/or

clients verified receipt of service. This survey allowed recipients to comment on and evaluate their satisfaction, or lack of it, with staff, workmen or volunteers and quality of the work performed.

89% of respondents to the individual client service evaluation questionnaire reported they feel more independent in their homes because of the service.

89%% of respondents reported they feel more comfortable in their homes because of the service.

87%% of respondents reported the service met their immediate repair or adaptation need.

Many individuals indicate in their comments that without this service they would not be able to remain in their own homes and a large number indicate they cannot afford repairs they need to be safe and comfortable.

Units of Service: 1,063


Female 78% <60 1% White 47%Male 22% 60-74 53% Black/African American 6%Live Alone 61% 75-84 32% Asian 0% Frail Disabled 60% 85+ 14% American Indian 0%

Other Multi-Racial 2% Hispanic 45%

17

PIMA COUNCIL ON AGINGHOME REPAIR/ADAPTATION/RENOVATION PROGRAMS

(Major & Minor Home Repair)FY 2018-2019 Page 2

HOME REPAIR CATEGORIES

306 Cooler Maintenance - routine (pump, pads, belt, draining, cleaning, start up, shut down, etc.) 94 Cooler Repair - (New motor, cage, pulley, water line, Midwest box, stand, etc.) 19 Cooler Replacement – (New cooler and installation with water & electric lines if needed)

27 Air Conditioning Repair/Replacement

159 Furnace Maintenance – routine (Annual filter, Co2 test, cleaning, start up, shut down, etc.) 17 Furnace Repair/Replacement - (New blower, thermostat, ignition, lines, wiring, etc.)

10 Hot Water Heater Repair – (thermocouple, water or gas leaks, etc.) 14 Hot Water Heater Replacement – (New hot water heater and installation)

55 Electrical – Light (shorts, outlets, fuses, light fixtures, wiring)

118 Plumbing: General Leaks; replacement of fixtures (including drains, faucets, sinks, shower, main water lines, tubs, toilets, sewers repairs, garbage disposals)

4 Gas line repair/replacement

148 Disability modifications or equipment: (including grab bars, hand held showers, shower chair, transfer bench, toilet seat, safety frame, wheelchair ramp, steps/railings, quad cane)

101 Structural repairs: (including, doors/locks, ceiling, wall and window repairs/ replacement, steps, floors/tile, cabinets)

12 Roof repair/replacement

8 Pest Control: (bed bugs, bee removal, mice, spiders, roach)

18

2008

-200

9

2009

-201

0

2010

-201

1

2011

-201

2

2012

-201

3

2013

-201

4

2014

-201

5*2

015-

2016

2016

-201

7

2017

-201

8

2018

-201

90

100

200

300

400

500

600

700

505.1

473.1440.46 463 524 579

633

395

350 387345

LEGAL SERVICES

PROGRAM YEAR

HO

URS

OF

SERV

ICE

*Decrease in reported in-kind units

19

PIMA COUNCIL ON AGINGLEGAL SERVICES

FY 2018-2019Service Description:

Southern Arizona Legal Aid provides low income residents of Pima County with representation for civil legal problems. Service is provided for individuals referred by the Pima Council on Aging Elder Rights and Benefits Program and through its community outreach workers. Representation in certain types of cases such as fee generating and criminal cases is prohibited or restricted by regulation and statute.

NAELA Clinic: Attorneys from the Tucson Chapter of the National Academy of Elder Law Attorneys (NAELA) volunteered their time for NAELA clinics that are usually held twice a month. The clinic was established to allow persons 60 and over to see an Elder Law Attorney for thirty minutes at no charge. The attorney gives advice and information only and may be consulted about any Elder Law issue, such as making a will or Living Trust, guardianship and conservatorship, powers of attorney, and probate. In FY 2018-2019, assistance was provided to 108 individuals through 22 National Academy of Elder Law Attorneys Legal Clinics.

Outcomes/Outcome Measures:Due to low number of surveys, responses were not relevant.

Units of Service: 345 (includes 25.9 in-kind units)

Client Demographic Summary: 158 unduplicated individuals served

Female 56% White 53% Male 44% Hispanic 34%

Live Alone 71% Black/African American 7%Frail Disabled 52% Asian 1% <60 2% American Indian/Alaskan Native 2%60-74 72% Other Multi Racial 3%75-84 21%

85+ 5%

20

2009-2010

2010-2011

2011-2012

2012-2013

2013-2014

2014-2015

2015-2016

2016-2017

2017-2018

2018-20190

1000200030004000500060007000

51475329

4709

39653968 4521

3886 4868 54876002

EMERGENCY ALERT (LIFELINE)

PROGRAM YEAR

HO

UR

S O

F SE

RV

ICE

*Change in Provider

21

PIMA COUNCIL ON AGINGEMERGENCY ALERT SYSTEM

2018-2019


Lifeline is a 24-hour a day electronic emergency response and home safe wireless system that can be installed in a senior’s home. PCOA contracted with Phillips Lifeline for the provision of this service.

Outcomes/Outcome Measures: 98% of clients surveyed reported that the services made it easier for them to remain

in their home. 90% of clients surveyed stated that the service made them feel more safe and secure. 70% of clients surveyed stated that the service helped them remain independent.

Units of Service: 6,002 hours


Female 83% White 61% Male 17% Black/African American 6%

Live Alone 85% Asian 1% Frail Disabled 100% Other Multi-Racial 4% <60 5% Hispanic 25%60-74 42% America Indian 1% 75-84 27% Unknown 2% 85+ 26%

22

2009-2010

2010-2011

2011-2012

2012-2013

2013-2014

2014-2015

2015-2016

2016-2017

2017-2018

2018-20190

1,000

2,000

3,000

4,000

5,000

6,000

2507

22772146 2336 2698 2879

2559

1739

29693051

4922

4250

37974362

392 412255

196 233 251

CAREGIVER PROGRAM (INFORMATON & ASSISTANCE)

OLDER ADULTS GRANDPARENTSPROGRAM YEAR

CLIE

NT

CON

TACT

S

*In FY 2013-2014, the definition of and process for iden -tyfying client contacts was changed for grandparents

23

2008

-200

920

09-2

010

2010

-201

120

11-2

012

2012

-201

320

13-2

014

2014

-201

520

15-2

016

2016

-201

720

17-2

018

2018

-201

9

050

100150200250300350

214 3

125

35 3926 18 20 18

46 53 48 46 64

313

4434 50 44 50

CAREGIVER TRAININGSUPPLEMENTAL SERVICES

(jobs inc: incontinent supplies/adaptive equipment)

TRAINING CLASSES (Older Adults) SUPPLEMENTAL JOBS (Older Adults)

PROGRAM YEAR

UNIT

S O

F SE

RVIC

E

24

2009

-201

0

2010

-201

1

2011

-201

2

2012

-201

3

2013

-201

4

2014

-201

5

2015

-201

6

2016

-201

7

2017

-201

8

2018

-201

90

5000

10000

15000

20000

25000

1466714929

9963 1055610474

1902818809

12918

1823821750

RESPITE

PROGRAM YEAR

Hou

rs o

f Ser

vice

25

2009-2010

2010-2011

2011-2012

2012-2013

*2013-2

014

2014-2015

2015-2016

**2016-2

017

2017-2018

2018-20190

1,000

2,000

3,000

4,000

5,000

6,000

1309

677467 833

1066 1110829

121 550643

5628

43654246

3827

2134

1003

390115 208

232

CAREGIVER PROGRAM(SUPPORT GROUPS)

OLDER ADULTS GRANDPARENTSPROGRAM YEAR

SES

SIO

NS

*Tthe definition of and process for identifying client contacts was changed for Grandparent Support Groups.. **Designation of Hours of Service was changed to Sessions.

26

PIMA COUNCIL ON AGINGFAMILY CAREGIVER SUPPORT PROGRAM

FY 2018-2019


The Family Caregiver Support Program supports, supplements and enhances the role of unpaid family caregivers as they provide care for their older family members in Pima County. In addition to the PCOA direct services, two components of the program are contracted out: 1) Family Caregiver Training that builds confidence and skills for family caregivers and 2) Support to grandparents (age 55 or older) who are raising grandchildren (18 years of age and younger). The major components include:

Direct Services: Caregiver Information and Referral Support groups for family caregivers Caregiver Supplemental Services Community Outreach and Education

Contracted Services: Family Caregiver Training (Provided by Lutheran Social Services of the Southwest) Grandparents Raising Grandchildren – Information and Assistance and Caregiver

Support Groups (Provided by the K.A.R.E. Family Center). Respite Services (Provided by 13 Home Care Agencies)

Outputs PCOA Caregiver staff provided 3,051 contacts with 1376 unduplicated clients PCOA staff facilitated 643 sessions of Support Groups for 232 unduplicated unpaid

family caregivers 21,750 Respite hours were provided for 128 unduplicated individuals. 18 Family Caregiver Training classes were held with 51 unduplicated participants 251 client contacts for information and assistance were provided through the KARE

Family Center for Grandparents Raising Grandchildren with 251 being unduplicated clients through phone, office, and home visits.

704 sessions of caregiver support groups were provided through the KARE Family Center for Grandparents Raising Grandchildren to 79 unduplicated clients.

48 Supplemental Services were provided for 19 clients.

Dementia Capable Communities Grant phase two was initiated. POCA is participating in expansion of criteria related to the grant. The grant involves setting up data collection and ways to increase intervention and outreach with three new targeted populations. Working with the targeted populations include:

o People living alone with ADRD and their family caregiverso People with intellectual/developmental disabilities (IDD) who develop ADRD

as they age, as well as their family caregivers.o Latinos with moderate to severe impairment from ADRD and their family

caregivers.

27

PIMA COUNCIL ON AGINGFAMILY CAREGIVER SUPPORT PROGRAM

FY 2018-2019– Page 2

Client Demographic Summary

Female 22% <60 27% White 63%Male 65% 60-74 46% Black/African American 8% Other 13% 75-84 11% Asian 1% Lives Alone 12% 85+ 2% American Indian/ 1%Frail Disabled 6% Other 14% Alaskan Native Other Multi-Racial 3%

Hispanic 16%Units of Service

84% of the clients surveyed reported that the information and assistance they received helped them to be better caregivers.

Of the caregivers attending PCOA support groups, 100% reported that they benefitted by attending a support group.

PCOA surveyed clients receiving Respite Services. 97% of respite clients reported the service made it easier for them to remain in their home; 80% reported the service relieved their stress while 55% reported the service helped them feel more safe and secure.

K.A.R.E. Family Center surveyed clients and found that 90% of grandparents reported the assistance helped them give better care to their grandchildren.

28

2010

-201

1

2011

-201

2

2012

-201

3

2013

-201

4

2014

-210

5

2015

-201

6

2016

-201

7

2017

-201

8

2018

-201

90

5000

10000

15000

20000

25000

3000025846

1584716200

1657715274

1350012944

1338312717

CASE MANAGEMENT

PROGRAM YEAR

HO

UR

S O

F SE

RV

ICE

29

PIMA COUNCIL ON AGINGCASE MANAGEMENT

FY 2018-2019


Case Management is provided for individuals age 60 and older and for individuals with disabilities who are enrolled in the Community Services System which is the local comprehensive delivery system of in-home support services. After initial screening and determination of program eligibility by the Helpline staff, the Care Coordinators make in-home visits to complete a thorough assessment of needs, develop a service plan and authorize the services to be delivered. Care Coordinators provide information, service referrals, conduct home safety audits and monitor the service plan, amending services as needed.


The following outcomes were evidenced by the responses made in the evaluation questionnaires received from 696 clients.

97% stated they would not be able to remain living in their home if the services they received were not available.

87% stated the services improved their living situation 80% stated the services reduced their stress level 52% stated the program introduced them to other services and programs.

Units of Service: 12,717 hours delivered

Client Demographic Summary: 1,689 unduplicated individuals served

Female 74% White 64%Male 26% Black/African American 6%Live Alone 61% Asian 1%Frail Disabled 100% American Indian/Alaskan Native 1%<60 7% Hispanic 22%60-74 42% Other Multi-Racial 4%75-84 29% Unknown 2%85+ 22%

30

*2009-2010

2010-2011

2011-2012

2012-2013

2013-2014

2014-2015

2015-2016

2016-2017

2017-2018

2018-20190

20000400006000080000

100000120000140000160000180000

139788163236

154058139394

170518155998

130523 138323 147880 161364

HOME CARE SERVICE (Housekeeping, Personal Care, Attendant Care, Visiting Nurse,

Shopper Service)

PROGRAM YEAR

HO

UR

S O

F SE

RV

ICE

*In FY 09-10 PCOA started funding Attendant Care (which is a combination of Personal Care & Housekeeping) in addition to the separate Housekeeping & Personal Care Services

31

PIMA COUNCIL ON AGINGHOME CARE SERVICES

FY 2018-2019


Home care services include Housekeeping, Personal Care, Attendant Care, Visiting Nurse and Shopper Services. Housekeeping provides assistance in the performance of activities related to routine household maintenance, at an individual’s residence. Examples of tasks completed include: dusting, cleaning floors, bathroom, windows (if necessary to attain safe or sanitary living conditions); cleaning oven and refrigerator (if necessary to prepare food safely); cleaning kitchen, washing dishes, changing linens; making beds and routine maintenance of household appliances; washing, drying and folding laundry. Personal Care provides assistance with personal grooming and hygiene activities such as: bathing, shampooing hair, dressing, nail and skin care. Attendant Care provides a combination of personal care and housekeeping tasks. Shopper service provides assistance with shopping for groceries. PCOA contracts with local businesses and agencies that have trained staff to provide hands-on Personal Care, Attendant Care, Housekeeping, Shopper and Visiting Nurse Services.


The following outcomes were evidenced by the responses made in the evaluation questionnaires received from 1,329 clients.

Self-sufficiency was increased or maintained for 1,361 individuals. 84% of survey respondents stated the service helped them remain independent.

Safe and sanitary living conditions were maintained for 412 individuals through the provision of housecleaning tasks: washing and drying laundry, changing linens, making beds, washing dishes, etc.

99% of individuals who completed the satisfaction survey stated the receipt of homecare services made it easier for them to remain in their own home.

62% of survey respondents stated the service relieved their stress. 61% of survey respondents stated the service made them feel safer and more secure.

Units of Service: 161,364

Client Demographic Summary: 1,361 unduplicated individuals served

Female 78% White 67%Male 22% Black/African American 6% Live Alone 73% Asian 1% Frail Disabled 100% American Indian/Alaskan Native 1%<60 6% Hispanic 21%60-74 43% Other Multi-Racial 4% 75-84 28%85+ 23%

32

2011-2012

2012-2013

2013-2014

2014-2015

2015-2016

2016-2017

2017-2018

2018-20190

500

1,000

1,500

2,000

2,500

3,000

3,5002886

2514

1279779

566 552

979 1047

ADULT DAY CARE

PROGRAM YEAR

HO

UR

S O

F SE

RV

ICE

33

PIMA COUNCIL ON AGINGADULT DAY CARE

FY 2018-2019


Adult Day Care provides supervised social and health-related services to older adults in a group setting for a portion of a day. This service is generally for individuals sixty years of age or older who need supervised care. The service provides respite for family caregivers, a brief period of relief or rest from caregiving responsibilities. This service is authorized by a Care Coordinator as a component of the non-medical Community Services System.


100% of clients surveyed stated the service made it easier to remain in their home. 100% of clients surveyed stated the service relieved their stress.

Units of Service: 1,047 hours


Female 75% White 100% Male 25% Black/African American 0% Live Alone 0% Asian 0% Frail Disabled 100% American Indian/Alaskan Native 0%<60 0% Other Multi-Racial 0% 60-74 25% Hispanic 0%75-84 25%85+ 50%

34

2008-2009

2009-2010

2010-2011

2012-2013

2013-2014

2014-2015

2015-2016

2016-2017

2017-2018

2018-20190

500

1000

1500

2000

2500

3000

2357 27192649

2334 2441

22131982

1614 17631573

NURSING CLINICS

PROGRAM YEAR

CLI

ENT

CO

NTA

CTS

35

PIMA COUNCIL ON AGINGPIMA COUNTY HEALTH DEPARTMENT

HEALTH PROMOTION CLINICS 2018-2019(At Congregate Meal Sites)


Pima Council on Aging, in conjunction with the Pima County Health Department, operated nursing clinics for older adults (60 and above) at seven congregate meal sites. At these locations, an advanced practice registered nurse provided health assessments, referrals, and education. The nurse also serves as an advocate, often contacting social service agencies or other health care providers on behalf of the client.


Client satisfaction surveys were made available in Spanish and English in the clinical sites. Surveys were completed at the end of the program year on a voluntary basis. According to 88 survey responses:

Clients saw the clinic nurses between one to two times per month. 100% received a blood pressure assessment. 8% indicated they received education on

medicines; 15% diet; 23% exercise; 32% on health conditions and illness. 15% of respondents indicated that they had been instructed to call their primary care

providers or referred for other care. Of the 88 clients who completed the satisfaction survey, 90% reported that the nurse was

“Very Helpful” or “Helpful” in meeting their needs.

Units of Service: 1,573 client contacts


Female 60% White 40%Male 40% Black/African American 7%Live Alone NA Asian 1%Frail Disabled 100% American Indian/ 1%<60 1% Alaskan Native 1%60-74 46% Hispanic 50%75-84 36%85+ 17%

36

2010-2011

2011-2012

2012-2013

2013-2014

2014-2015

2015-2016

2016-2017

2017-2018

2018-020190

1,000

2,000

3,000

4,000

5,000

6,000

38954029

42194489

39153836

4205

3526

4890

ELDER RIGHTS & BENEFITS

PROGRAM YEAR

CLIE

NT

CO

NTA

CTS

37

PIMA COUNCIL ON AGINGELDER RIGHTS AND BENEFITS PROGRAM (ERAB)

FY 2018-2019


The Elder Rights and Benefits Program works to empower clients to help themselves whenever possible. Staff assist older adults with determining eligibility for a variety of benefits and help educate about and resolve issues around:

Taxes and property tax credit ALTCS AHCCCS Housing and Landlord/Tenant Issues Consumer Fraud Debts Guardianships and Conservatorships Reporting financial, physical and emotional abuse End of life care planning

To meet the diverse needs of low-income older adults, collaborations with legal service providers continue to be utilized and include:

Southern Arizona Legal Aid provides legal services for low-income older adults. Elder Law Attorney volunteers hold legal clinics at PCOA three times per month.

In order to make programs and services more accessible to the citizens of Pima County, PCOA maintained a staff presence in the following locations:

Main office – 8467 E. Broadway Blvd. Green Valley – Friends in Deed, 301 W. Camino Casa Verde Armory Park Center - 220 S. 5th Street Ellie Towne/Flowing Wells Community Center - 1660 West Ruthrauff Road El Rio Community Center – 1390 W. Speedway Boulevard El Pueblo Community Center - 101 West Irvington Road Quincie Douglas Center – 1576 E. 36th Street Community Food Bank of Southern Arizona, Marana Resource Center

Units of Service:

ERAB staff provided 4,890 contacts to 1956 clients Assisted 676clients in accessing legal services Provided information to 7,216 clients to allow them to remain independent and in control

of their finances. Assisted 855 clients in either maintaining stability in their housing or improving the quality

of that housing. Assisted 313 clients in resolution of utility problems.

ERAB and Caregiving staff provided twelve (12) ALTCS workshops for 200 participants

38

PIMA COUNCIL ON AGINGELDER RIGHTS AND BENEFITS PROGRAM

FY 2018-2019 – Page 2

Client Demographic Summary

Female 73% White 69%Male 27% Black/African American 4%Live Alone 42% Asian 1% Frail/Disabled 44% Other Multi-Racial 2% < 60 2% Hispanic 21%60-74 52% Unknown 3% 75-84 30%85+ 16%

OutcomesServices: 73% reported that the information and assistance received helped to resolve their

problems. 82% reported that the information received increased their access to needed services. 93% reported satisfaction with the information and assistance provided.

The satisfaction with the information and assistance and the resolution of problems was lower this fiscal year. Staff feel this is a reflection of the higher than usual volume requesting assistance with accessing community resources, especially organizations that provide emergency financial assistance or homelessness prevention assistance. These organizations have level or sometimes decreased funding for needed services and have not been able to meet the emerging and increasing need. This impacts the ERAB team’s ability to successfully connect clients to needed services. PCOA is collaborating regularly with service providers to determine ways we can work together to better meet these needs. The frustration clients feel when there just isn’t a community resource available to meet their urgent needs is understandably reflected in our follow-up survey scores and comments.

ALTCS Workshops: 98% reported satisfaction with the information presented.

39

2010-2011

2011-2012

2012-2013

2013-2014

2014-2015

*2015-2016

2016-2017

2017-2018

2018-201905000

1000015000200002500030000350004000045000

1075612180

23875 2984940549

8327

53044004

4550

MEDICARE/INSURANCE COUNSELING

PROGRAM YEAR

CLIE

NT

CON

TACT

S

Historically, this number reflects the topics discussed with clients. For FY 12-13, we began including particpants and topics discussed at our Understanding Medicare classes.

*In 2015-2016 units changed to number of Cllient Contacts.

40

PIMA COUNCIL ON AGINGMEDICARE/HEALTH INSURANCE ASSISTANCE PROGRAM

FY 2018-2019

Service Description:Pima Council on Aging’s Medicare Program is the designated SHIP (State Health Insurance Assistance Program) for Pima County. SHIP is an independent program funded by federal agencies and is not affiliated with the insurance industry; PCOA neither sells nor endorses any Medicare plans. Trained staff and volunteers provide unbiased information in the following areas:

Medicare eligibility, how and when to enroll, and how to avoid late enrollment penalties The options with original Medicare, Medicare Advantage Plans and Medicare

Supplemental Plans Medicare Prescription Drug Plan choices Programs that help pay Medicare Part B premiums and/or prescription drug costs How Medicare works with other insurance Billing, Appeals, and Complaints

Medicare Counseling: PCOA provides one-on-one Medicare counseling at its Broadway office in Tucson, Friends in Deed in Green Valley, and the Oro Valley Library in Oro Valley.

Understanding Medicare Presentations: PCOA’s Medicare Program offers a two-hour class, followed by a one-hour question and answer period, to help beneficiaries make informed decisions about their Medicare choices. Classes are held 1-2 times a month in various community locations. 601 individuals attended a total of 17 classes with 91% of respondents reporting an increase in knowledge.

Open Enrollment Presentations: Nine Open Enrollment Presentations were held between October and December 2018 in community locations around Pima County with 504 individuals attending. 95% of respondents reported that their overall knowledge of Medicare had increased.

Community Group Presentations: Ten presentations were made upon request by community groups (example: chronic illness support groups, professionals, employer groups). 388 individuals attended these presentations.

Senior Medicare Patrol (SMP) Presentations: SMPs empower and assist Medicare beneficiaries, their families, and caregivers to prevent, detect, and report Medicare fraud, errors, and abuse. SMP outreach and education is via event tabling and group presentations. When Medicare fraud or abuse is suspected, SMP staff works one-on-one with beneficiaries to make referrals to the appropriate state and federal agencies for further investigation. 473 individuals attended 36 SMP presentations this fiscal year.

Outcomes/Outcome Measures:95% of those completing the Client Service Assessment Survey reported that they were very satisfied/satisfied with the information and assistance they received.

PIMA COUNCIL ON AGING41

MEDICARE/HEALTH INSURANCE ASSISTANCE PROGRAMFY 2018-2019 – Page 2

Community PresentationsTotal Number of Presentations in Community – 72 Total Number of Attendees – 1,966Total Number of Media Events (Radio/TV/Print Activity) – 14

Medicare/Senior Medicare Patrol VolunteersNumber of Active SHIP Volunteers – 29 Number of SHIP Volunteer Hours – 2,229 Number of Active SMP Volunteers – 6Number of SMP Volunteer Hours - 81

Units of Service: 4,550 client contacts

Client Demographic Summary: 3,151 unduplicated clients servedFemale 64% White 83%Male 36% Black/African American 1%

Asian 1%Live Alone 18% Other 2%

Frail/Disabled 26% Hispanic 12%<60 8% Native American 1%60-74 66%75-84 18%85+ 8%

42

2009-2010

2010-2011

2011-2012

2012-2013

2013-2014

2014-2015

2015-2016

2016-2017

2017-2018

2018-20190

200

400

600

800

1000

1200

1400

16001447

11181314 1435

756

527 590526 562

551

PERSONAL BUDGETING ASSISTANCE

PROGRAM YEAR

VO

LUN

TEER

HO

URS

43

PIMA COUNCIL ON AGINGPERSONAL BUDGETING ASSISTANCE

FY 2018-2019

Service DescriptionPersonal Budgeting Assistance matches trained volunteers with older adults who are identified by PCOA and other agencies as needing assistance in organizing their finances, budgeting, balancing their check books, and completing forms, etc. PCOA does not advertise directly to older adults who may need assistance but does receive calls requesting assistance through the Helpline. Almost all of our current clients came through PCOA Intake and the Care Coordinators.

PCOA has a large base of volunteers to work in the program and has been accepting new clients this year.

Units of Service:

23 volunteers provided assistance totaling 550.53 direct service hours. There were an additional 287.65 hours of time given including meetings, phone calls and travel.

Client Demographic summary:

58 unduplicated individuals were served. 38 clients received assistance on a monthly or semi-monthly basis. An additional 20 clients were able to maintain their finances on their own after 1-3 visits to help them organize their finances, assist with mail and creditors, and other issues

Client Demographic Summary: Female 77% White 87%Male 23% Hispanic 6%Live Alone 60% Black 3%Frail Disabled 62% Native Am. 2%Low Income 36% Asian 2%<60 0% 60-74 45% 75-84 37%85+ 18%

Outcomes:

No surveys were completed in the FY 18-19 program year

44

2008-2009

2009-2010

2010-2011

2011-2012

2012-2013

2013-2014

2014-2015

2015-2016

2016-2017

2017-2018

2018-20190

200400600

80010001200

14001600

883

1,403

889 795722

493

877

537 603

1,0361,193

LONG TERM CARE ADVOCATES

PROGRAM YEAR

COM

PLA

INTS

RES

OLV

ED

45

2007-2008

2008-2009

2009-2010

2010-2011

2011-2012

2012-2013

2013-2014

2014-2015

2015-2016

2016-2017

2017-20180

5000

10000

15000

20000

25000

30000

35000

12813 16016

14701 1834218342

33288

1156012063

1215611471

11514

LONG TERM CARE ADVOCATES

PROGRAM YEAR

RES

IDEN

T C

ON

TAC

TS

46

PIMA COUNCIL ON AGINGLONG-TERM CARE ADVOCATES

FY 2018-2019

Service Description

Long-term care ombudsmen are trained and certified staff and volunteers who advocate for residents of nursing homes, board and care homes and assisted living facilities. Ombudsmen visit all licensed facilities in Pima County and:• Resolve complaints made by or for residents of long-term care facilities• Educate consumers and long-term care providers about residents' rights and good care practices• Provide information to the public on nursing homes and other long-term care facilities and services, residents' rights and legislative and policy issues• Advocate for residents' rights and quality care in nursing homes, personal care, residential care and other long-term care facilities• Promote the development of family councils and resident councils

Outcomes/Outcome Measures

1,193 complaints resolved

Units of Service:

1,410 visits were made to 402 Skilled Nursing, Board and Care Homes and Assisted Living Facilities

11,423 resident contacts in Skilled Nursing, Board and Care Homes and Assisted Living Facilities

5 volunteers provided services in the program with volunteer hours 236 197 resident council meetings were attended, and 2,572 residents seen 12 family council meetings attended, and 120 residents seen 536 Information and consultations to individuals (usually by phone) 359 consultations to facilities

47

2009-2010

2010-2011

2011-2012

2012-2013

2013-2014

2014-2015

2015-2016

2016-2017

2017-2018

2018-2019050

100150200250300350

2021

20 16 18 17 15 16 16 18

150140

140

300

160 200 230300 300

310

PCOA NEIGHBORS CARE ALLIANCE

Volunteer caregiver programs developed through Neighbors Care AllianceNumber of neighborhood associations and faith communities represented within these programs

PROGRAM YEAR

48

PIMA COUNCIL ON AGINGNEIGHBORS CARE ALLIANCE

FY 2018-2019

Service Description

The Neighbors Care Alliance (NCA) membership includes 18 active volunteer programs of Neighbors Helping Neighbors. Each program is unique and dedicated to helping older neighbors remain independent, safe and less isolated in their homes for as long as possible. They provide natural, neighborly services through trained volunteers at no charge to the recipients. Services might include transportation, friendly visits and phone calls, family caregiver relief, yard work, meal delivery and other errands, as well as other creative options.

NCA members and PCOA staff work with organizing neighborhoods, faith communities and community organizations to create more such service programs where they don’t already exist. Outreach is ongoing in under-served areas. Sustainability within programs is encouraged, as is creating additional services such as social and educational events, produce delivery, informal coffee gatherings, field trips, monthly luncheons, support groups for grief and/or dementia, end of life workshops, exercise/wellness activities, music concerts, delivery of incontinence and pet care supplies and information, and more.

Service Area

Individual programs are located in various Tucson city neighborhoods, as well as in outer or rural areas within Pima County including Catalina, Vail, Corona de Tucson, Green Valley, Robles Junction (Three Points) and Tucson Estates. Altogether these groups represent over 310 reported neighborhoods, faith communities and organizations.

Units of Serviceo Programs reported that at least 1141 Neighbors Care volunteers provided 93,320 individual

services to 2000 recipients. o Volunteers reported 120,574 service hours, a contribution valued at $3 million for

Tucson/Pima County, per the national average value for volunteer labor.o Transportation and errands are the most requested and provided services of Neighbors

Care programs. 854 volunteer drivers reported driving over 460,859 miles for doctor appointments, grocery shopping, meal delivery, social opportunities, exercise and more. Overall, volunteers drove at least 490,294 miles providing all services.

o PCOA’s Neighbors Care outreach coordinator provided at least 1300 training hours for new volunteer orientation, new program start-up, new coordinators for new and transitioning member programs, sharing resource information, skills, data collection and reporting processes.

49


FY 2018-2019 Page 2

Impact on Older Adultso Each year the NCA programs participate in a survey of recipients and volunteers in the

spring. This year they were surveyed using an online service. 98.6% of the responding recipients reported that Neighbors Care services help them to live more independently and remain in their homes. 79% rated the services they receive as Excellent; 15% rating service as Very Good and 6% as Good. There were no complaints listed.

o 99% of responding Volunteers report feeling useful and productive, 77% report learning and growing from the programs and recipients they serve, and 94% are happy and satisfied with their participation as a volunteer.

o 80% of NCA program coordinators responded to the survey reporting satisfaction and overwhelming gratitude for the support of PCOA and the benefits that membership and participation in the Neighbors Care Alliance provide to them. This might include volunteer recruitment and training; community resources and information regarding for older adults; and coaching in starting, sustaining, leadership transition and quality of continuing services.

o A few sample comments from the annual survey:

Recipient: “I am happy with the service and hope that other people in different areas of Tucson can get the same help.”

Recipient: “These services are a blessing for me: I cannot climb up and down a ladder. Broken bones and legal blindness prohibit driving. Daily calls and wellness checks are greatly reassuring, as I live alone.”

Volunteer: “I am taking time off, recuperating from health issues, and I'm anxious to get back to volunteering. I get much joy and pleasure from doing it! My Neighbors Care program is a great organization to be part of.”

Volunteer: “I’m so glad these community programs exist. I’m also glad to be part of one. We provide services and get satisfaction from others who need us.”

Neighbors Care Coordinator: “I’ve learned so much from the NCA meetings to help make our program better!”

Neighbors Care Coordinator: We are extremely satisfied with the services and support provided by PCOA and NCA. The resources provided and relationships built are vital to the continued care of the older adults we serve. We could not provide the level of care we do without you!”

50


FY 2018-2019 Page 3

o 168 presentations or more were given to community groups and individuals by Neighbors Care members and the PCOA Outreach Coordinator.

o Outreach and collaboration is ongoing throughout the year with neighborhood groups, faith communities, the ELDER Alliance, Pima Association of Governments, University of Arizona, Pima County, United Way, Neighborhood Associations, Adult Protective Services, Project Visibility/Sr. Pride, Elder & Caregiver Assistance & Support At-Home (ENCASA), Pima Alliance for Animal Welfare, Alzheimer’s Association, Jewish Family & Children Services, End of Life Coalition, Be Med Smart, and more.

o NCA Programs often offer their own creative services and educational events for their recipients & volunteers on end of life, dementia, medications, home safety, community resources, supported housing, etc.

o The Neighbors Care Programs continue to be featured in each edition of PCOA’s Never Too Late.

51

2009-2010

2010-2011

2011-2012

2012-2013

2013-2014

2014-2015

2015-2016

2016-2017

2017-2018

2018-2019

050

100150200250300350400450

8 9 10 8 10 10 10 10 11 12

218

289 293

226 250305 297 299 318

383

ENHANCE FITNESS

# of classes (3 times a weeek on-gong) people attending

PROGRAM YEAR

52

PIMA COUNCIL ON AGINGENHANCE FITNESS

FY 2018-2019

Service Description:Enhance Fitness is an evidence-based community exercise program for older adults. The

program is taught in hourly sessions three (3) times per week, focusing on strength, endurance, balance and flexibility exercises. The NCOA has recognized the EFit program as a fall prevention program. PCOA maintains a Project Enhance license with Senior Services of Seattle/King County. PCOA also has an in-house Master Trainer, who provides New Instructor Training workshops as requested (2-3xs a year) and is the Site Coordinator for Pima County EFit classes.

The Site Coordinator/Master Trainer communicates with site contacts and hold networking meetings and trainings to maintain integrity, enthusiasm and communication between PCOA, instructors and site staff. The promotion of classes, scheduling of fitness assessments, evaluation of instructors, changing of routines and safety overall are addressed in networking meetings. Music and new choreography ideas are provided to instructors by the Site Coordinator.

PCOA receives quarterly communication updates from Seattle at the Master Trainer conference calls regarding work being done to improve overall quality of the program. The ACE continuing education track has been implemented. The national YMCA relationship is established which has resulted in the program being offered at the local Tucson Y sites. There is not a relationship between our organizations.

Qualified instructors track attendance, teach the required format and represent the program at the sites. PCOA partners with Tucson Parks & Recreation, Pima County Parks & Recreation and Tucson Medical Center Senior Services and Tucson Estates to host the 12 classes at 10 locations throughout Tucson. EFit instructors develop and maintain both internal and external customer relationships by offering guest passes, monthly birthday pot-lucks, and other social support.

We strive to find ways to provide classes in collaborations, so the costs do not fall exclusively on PCOA. The voucher system used by El Rio Health is a good example of success in that area although we only have 8-10 clients using the voucher. El Rio pays the cost of their clients attending class. We do the tracking and the billing for this arrangement.

Outcomes/Outcome Measures:The EnhanceFitness program includes evaluation of four parameters of physical fitness

at start of the exercise program, at four-month intervals, then annually. The assessment protocol uses four of the assessments from the Senior Fitness Test Battery developed by Rikli and Jones at California State Fullerton.

383 participants attended classes in FY 18-19. This number is a slight increase from the past 3 years. 185 were new to the program this fiscal year. All participants complete baseline Fitness Assessments when they start the program, with 4 and 12 month follow-up Fitness Assessments to measure change.

53

PIMA COUNCIL ON AGINGENHANCE FITNESS

FY 2018-2019Page 2

Chair Stands: This assessment measures the number of times the participant can stand from a sitting position in 30 seconds. It is a measurement of lower body strength and lower body range of motion around the hip and knee joints.

69% of those who completed a pre and post assessment Improved or Maintained at Average or above.

This increase in lower body strength relates directly to older adult independence, balance and fall prevention, as well as tasks of daily living from walking to climbing steps to navigating over and around objects.

Arm Curls (Bicep Curl): This assessment measures the number of times the participant can move handheld weights from an extended position at the side of the body to the shoulders in 30 seconds. Women lift 5 pound weights and men lift 8 pound weights. It is a measurement of upper body strength and range of motion around the elbow as well as shoulder stability.

65% Improved or Maintained at Average or above The increase in upper body strength and efficiency relates directly to older adult ability to lift, carry, use assistive devices and perform a variety of tasks related to independent daily living.

Up and Go: This assessment measures amount of time to stand from a seated position to walk around a cone place 8 feet in front of the chair then return to the seated position. It is a measurement of dynamic balance, power and speed.

57% Improved or Maintained at Average or above Dynamic balance and speed are directly related to locomotion, gait, and ability to recover to an upright position from a loss of balance, and overall independence and well-being.

2 Minute step in place had been discontinued for the past year because of the time involved and the difficulty in accomplishing the test. Because the results are very informative, instructors do use it if they chose.Cardiovascular endurance is directly related to independence and ability to walk, travel, and perform tasks of everyday living as well as recreational activities.

Discussion:The increases documented from the EnhanceFitness Fitness Assessments provide strong evidence for the benefits of a regular exercise program that focuses on cardiovascular endurance, muscular strength and endurance, flexibility training, static and dynamic balance skills. The improvements have led directly to improved confidence, increased activity, and significant functional improvements that contribute to a lifestyle of independence and good health for older adults in Pima County. Staff continue to work to increase class enrollment to a level where contributions would cover the cost of the contracted instructor. Promotion of the program and working to retain current participants continues to be an on-going goal of the site coordinator. Instructors have been working to develop a social component of the class which is crucial to maintaining attendance.


ENHANCE FITNESSFY 2018-2019

Page 3

The coordinator has also been focused on establishing collaborations to bring EnhanceFitness classes additional people. The relationship at the Tucson Parks and Recreation Centers has been changing over the years as city staff has changed. The collaboration continues to change as different issues affect the EFit classes at the City sites, such as free offerings that compete and lack of awareness, ownership and promotion at the host center. Two NITs (new instructor trainings) were offered this year, and from the trainings, the county certified 2 new instructors and we added 2 new instructors also.

Units of Service: enrollment/average daily attendanceClements: 28/20 Tucson Estates (started Oct 2018) 20/13Randolph: 20/14 Picture Rocks 14/8Ellie Towne: 13/11 Udall 10:15 27/17El Pueblo #1:13/9 Udall 2:30 16/10El Pueblo#2: 8/6 El Dorado 20/12El Rio: 25/15 Drexel Heights (10 months) 4/3

Client Demographic Summary: 383 unduplicated individuals

Women 85% Caucasian 57% Men 12% Non Caucasian 8% <60 2% unknown 35% 60-69 20% 70-79 32% 80-89 18%Unknown 28%

Identified chronic diseases:

Arthritis 45%Diabetes 17% Hypertension/heart disease 43% Depression 13%Lung disease 11%Cancer 14%

55

2010-2011

2011-2012

2012-2013

2013-2014

2014-2015

2015-2016

2016-2017

2017-2018

2018-20190

50

100

150

200

250

16 13 16 18 20 18 22 19 19

199

142

197179 178

161201

157159

MATTER OF BALANCE

# of classes held people attendingPROGRAM YEAR

56

PIMA COUNCIL ON AGINGA MATTER OF BALANCE

FY 2018-2019

Service Description

Falls are the leading cause of injury deaths among people 65 and older. Up to half of community dwelling older adults experience fear of falling, and many respond to this fear by curtailing activity. This leads to loss of muscle strength and compromised social interaction. A Matter of Balance classes acknowledge the risk of falling but emphasize practical coping strategies. Trained facilitators conduct eight two-hour sessions designed for a group of 8 to 15 participants. Participants learn to make behavioral and environmental changes to reduce fall risks and to exercise to increase strength and balance. Pima Council on Aging provides these classes in a variety of community settings.

Outcomes/Outcome Measures

Participants were asked to fill out a survey form that contained demographic and medical information as well as questions about their levels of concern over falling and how those concerns affected their lives. During the last class session those same people were given an identical survey without the demographic and medical sections. All participants were also given a class evaluation form asking about the quality of the coaches, the materials and the class in general.

The data was entered locally at PCOA into data software for local licensees. Reports provide a statistical breakdown of the collected data; including a nation-wide breakdown.

• Nineteen classes were provided, with a 98% completion rate of the enrolled participants completing five or more of the eight classes.

Units of Service:

19 classes were held, with 159 enrolled and 156 individuals completing the classes (98%). This is 27% greater than the national average. Classes were held throughout the Tucson metro area, in Avra Valley and in Green Valley.

Other:

Classes were held in three (3) new locations in the Northwest area and one (1) location on the Eastside.

PCOA's partnership with the Veteran's Administration has been revitalized with the VA committing to hold six classes a year. El Rio Healthcare offers up to six classes a year. We are forming new relationships with Catholic Community Services, Senior Pride and IMPACT of Southern Arizona.

57


FY 2018-2019Page 2

Client Demographic Summary: 159 un-duplicated individuals

Male 25% White 83% Female 75% Hispanic 11% Lives Alone 35% Asian 1.5%<60 6% American Indian 1% 60-74 24% African American 1.5%75-84 41% Unknown 2.0%85+ 10% Unknown 19%

Fiscal year: 7/1/2018-6/30/2019159 people enrolled in the 19 classes offered in 2018-2019. Classes were held throughout Tucson, Green Valley and Oro Valley. 156 participants completed the course, attending at least 5 of the 8 classes (98%). Participants improved on ALL parameters measured by the first and last session survey. The results and survey questions follow: Baseline and 8-Week

PCOA N=1401-Get Up

2-Reduce Falls

3-Protect Self

4-Increase Strength

5-Become Steady

6-Falls Concern

7-Current Exercise

BaselineThis

Organization2.73 2.84 2.36 3.10 2.97 3.66 4.67

8-week 3.22 3.52 3.52 3.59 3.59 4.03 5.08Change 0.47 0.68 0.72 0.50 0.45 0.35 0.39

% + Change +17% +24% +30% +30% +15% +10% +8%

Change over last year -5% -24% -49% -3% +0% +4% -24%

Survey Questions: Average improvement

1. I can find a way to get up if I fall +17%

2. I can find a way to reduce falls +24%

3. I can protect myself if I fall +30%

4. I can increase my physical strength +16%

5. I can become more steady on my feet +15%

6. Concerns about falling interfered with normal social activities with family, friends, neighbors or groups in the last four weeks +10%

7. Amount of walking or exercising now +8%

58


FY 2018-2019Page 3

Discussion:

The greatest improvements documented from the participants completing the A Matter of Balance program, were in the participant’s ability to protect themselves from a fall (+30%). Also, of significance is the improved confidence demonstrated in learning to prevent a fall (+24%), have become steadier on their feet (15%).

Because the purpose of the A Matter of Balance Program is to reduce fear of falling and thereby enhance activity levels of older adults, this data supports the goal and demonstrates effectiveness in improving the function and confidence levels of older adults in Pima County.

59

2013-20142014-2015

2015-20162016-2017

2017-20182018-2019

05

101520253035404550

4 3 4 41 1

47

36

47

35

812

DIABETES SELF MANAGEMENT PROGRAM

# of classes held people attending

PROGRAM YEAR

60

*2014-2015

2015-2016

2016-2017

2017-2018

2018-2019010203040506070

4 3 4 2 1

61 58

42

11 9

CHRONIC PAIN SELF MANAGEMENT PROGRAM (CPSMP)

# of classes held people attendingPROGRAM YEAR

*First year of program

61

PIMA COUNCIL ON AGINGCHRONIC DISEASE SELF-MANAGEMENT PROGRAM (CDSMP),

WORKPLACE CHRONIC DISEASE SELF-MANAGEMENT (wCDSMP), DIABETES SELF-MANAGEMENT PROGRAM (DSMP) ANDCHRONIC PAIN SELF-MANAGEMENT PROGRAM (CPSMP)

FY 2018-2019


The Chronic Disease Self-Management Program (CDSMP), Workplace Chronic Disease Self-Management Program (wCDSMP), Diabetes Self-Management Program (DSMP) and the Chronic Pain Self-Management Program (CPSMP), are all evidenced-based programs developed and licensed by Stanford University and the Self-Management Resource Center. All workshops are two and a half hours and are delivered once a week for six weeks except for wCDSMP which is one hour, twice a week for six weeks. They are facilitated by two trained leaders.

CDSMP provides information and practical skills to assist individuals with the confidence and motivation they need to manage the daily challenges of living with a chronic health condition and/or being a caregiver for an individual with a chronic health condition. Participants learn skills needed to control their symptoms through relaxation techniques, healthy eating, managing pain and fatigue and the importance of physical activity/exercise. Also, they learn ways to deal with their difficult emotions, use medications effectively and communicate with their health care professionals.

PCOA added the wCDSMP to our health promotion offerings in June 2018. It is very similar to the CDSMP program; however, it has been adapted for delivery in a workplace setting for employees of the workplace. It meets for one hour, twice a week for 12 weeks. New curriculum topics for this adaptation include balancing work and life activities, time management and stress and mindful breathing.

DSMP provides information and practical techniques to assist individuals and their caregivers who live with the daily challenges of type 2 diabetes. They learn to manage symptoms through relaxation techniques and healthy eating and the importance of physical activity/exercise. They learn to communicate with their health care professionals, the importance of monitoring their blood sugar levels, preventing complications and using medications effectively.

CPSMP was developed for people who have a primary or secondary diagnosis of chronic pain and their caregiver. Pain is defined as being chronic or long term when it lasts for longer than 3 to 6 months, or beyond the normal healing time of an injury. The participants learn techniques to deal with problems such as frustration, fatigue, isolation, and poor sleep; appropriate exercise for maintaining and improving strength, flexibility, and endurance; appropriate use of medications; communicating effectively with family, friends, and health professionals; nutrition; pacing activity and rest, and, how to evaluate new treatments.

In CDSMP, wCDSMP, DSMP and CPSMP, goal setting and problem-solving are used to assist participants in increasing their confidence, feeling better and taking charge of their health.

62

PIMA COUNCIL ON AGINGCDSMP, wCDSMP, DSMP AND CPSMP

FY 2018-2019 – Page 2

Pima Council on Aging (PCOA) offers these four programs through the combined efforts of the PCOA Master Trainer and 7 trained volunteer leaders.

PCOA’s continued sustainability efforts included the continuation of two partnerships. They provide revenue for the Chronic Disease Self-Management Education, (CDSME) programs and further establish PCOA as a health promotion leader in the community health care network. These include:

A partnership with Blue Cross® Blue Shield® Arizona Advantage, a Medicare Advantage plan provider that promotes and referrals to the Chronic Disease Self-Management Program (CDSMP), Diabetes Self-Management Program (DSMP) and A Matter of Balance to their members. PCOA invoices and receives payment (at a pre-established amount) for each BCBS AZ Advantage program participant.

A collaborative partnership with the Pima County Health Department (Tobacco and Chronic Disease Prevention Program), to provide leader training for CDSMP, DSMP, CPSMP and wCDSMP. Each organization has two Master Trainers to facilitate the training, primarily available to agencies and service providers throughout Arizona, with an emphasis on those in Cochise, Graham, Greenlee, Pima and Santa Cruz counties. Individuals from other Arizona counties and other states have participated,

Chronic Disease Self-Management Program (CDSMP)

Units of Service: 13 unduplicated individuals

One CDSMP workshop was held with thirteen (13) participants. One hundred (100) percent of the participants attended four (4) of the six (6) classes. The workshop was held at The Highlands at Dove Mountain in north Tucson.

Client Demographic Summary:

Men 38%Women 62%American Indian 0%Asian or Asian American 0%Black or African American 13%Hawaiian Native/Pacific Islander 0%White/Caucasian 100%

Hispanic 0%Live Alone 8%Frail Disabled NA<60 0%60-74 46%75-84 54%85+ 0%

PIMA COUNCIL ON AGING

63

CDSMP, wCDSMP, DSMP AND CPSMPFY 2018-2019 – Page 3

Number of Chronic Diseases/Conditions:

None 0%One 34%

Two 27%Three or more 39%

Prevalence of Chronic Disease or Condition:

Alzheimer’s/Related Dementia 0%Arthritis 4%Breathing/Lung Disease 31%Cancer 8%Chronic Pain 15%Depression/Anxiety 15%Diabetes 31%

Heart Disease 23%High Cholesterol 4%Hypertension 38%Multiple Sclerosis 8%Osteoporosis 4%Stroke 15% Other Chronic Conditions 38%


At the beginning of a Healthy Living with Ongoing Health Conditions (CDSMP) workshop, participants are asked to complete and return a PRE Participant survey. Following the completion of the workshop, each participant is asked to complete and return a POST Participant Survey.

In both the PRE and POST Participant survey, each workshop participant is asked rate their confidence level from One (1) being Not at All Confident to Ten (10) being Totally Confident, to a series of questions. The questions are:

How confident are you that you can . . .?

Communicate with your doctor?Deal with difficult emotions? Eat healthier?

Be or stay more active? Manage your stress?Make treatment decisions?

Remember to take medications?Manage your fatigue?Manage your condition?Manage pain?

Make an action plan to help manage your condition?Use the problem-solving process to identify the problem, brainstorm solutions and try a solution?

As compared with the responses on the PRE Participant Survey, participant responses on the POST Participant Survey indicated that the participants achieved a higher level of confidence in ten (10) areas of workshop content (83%) as measured by the positive increase in their confidence level to ten (10) questions. Challenge areas were “managing your stress” and “managing your fatigue.”


64


Workplace Chronic Disease Self-Management Program (wCDSMP)


One wCDSMP workshop was held at Pima Council on Aging with nine (9) employees. Fifty-six (56) percent of the participants attended eight (8) of the twelve (12) classes.





None 0%One 48%






At the beginning of a workplace Healthy Living with Ongoing Health Conditions (wCDSMP) workshop, participants are asked to complete and return a PRE Participant survey. Following the completion of the workshop, each participant is asked to complete and return a POST Participant Survey.

In both the PRE and POST Participant survey, each workshop participant is asked rate their confidence level from One (1) being Not at All Confident to Ten (10) being Totally Confident, to a series of questions. For a list of questions please see page 3.


65


As compared with the responses on the PRE-Participant Survey, participant responses on the POST Participant Survey indicated that the participants achieved a higher level of confidence in all eleven (11) areas of workshop content (92%) as measured by the positive increase in their confidence level to eleven (11) questions. The challenge area was “making treatment decisions.”

Diabetes Self-Management Program (DSMP)


One (1) workshop was held with twelve (12) participants attending. Sixty-seven (67) percent of the participants attended four (4) of the six (6) classes. The workshop was held at Marana Healthcare in Marana. Two additional DSMP workshops were scheduled, however, the minimum number of 10 participants (per licensing requirements) was not met.





None 0%One 20%






At the beginning of a Healthy Living with Diabetes (DSMP) workshop, participants are asked to complete and return a PRE Participant survey. Following the completion of the workshop, each participant is asked to complete and return a POST Participant Survey.


66


In both the PRE and POST Participant survey, each workshop participant is asked rate their confidence level from One (1) being Not at All Confident to Ten (10) being Totally Confident, to a series of questions. For a list of questions please see page 3.

As compared with the responses on the PRE-Participant Survey, participant responses on the POST Participant Survey indicated that the participants achieved a higher level of confidence in nine (9) areas of workshop content (75%) as measured by the positive increase

in their confidence level to nine (9) questions. Challenge areas were “communicating with your doctor,” “managing your condition” and “managing your fatigue.”

Chronic Pain Self-Management (CPSMP)


One (1) workshop was held with nine (9) participants attending. Eighty-nine (89%) percent of the participants attended at least four of the six classes. The workshop was held at Christ Presbyterian Church. One additional workshop was scheduled, however, the minimum number of 10 participants (per licensing requirements) was not met.

Men 22%Women 78%American Indian 0%Asian/Asian American 0%Black or African American 0%Hawaiian Native/Pacific Islander 0%White/Caucasian 100%



None 0%One 23%






67



At the beginning of a Chronic Pain Self-Management Program (CPSMP) workshop, participants are asked to complete and return a PRE Participant survey. Following the final session of the workshop, each participant is asked to complete and return a POST Participant Survey.

In both the PRE and POST Participant survey, each workshop participant is asked to rate their confidence level from One (1) being Not at All Confident to Ten (10) being Totally Confident, to a series of questions. For a list of questions please see page 3.

As compared with the responses on the PRE Participant Survey, participant responses on the POST Participant Survey indicated that the participants achieved a higher level of confidence in eleven (11) areas of workshop content (92%) as measured by the positive increase in their confidence level to eleven of the twelve (12) questions. The challenge area was the ability to “communicate with your doctor.”

68

*2013-2014

2014-2015

2015-2016

2016-2017

2017-2018

2018-20190

100200300400500600

14 15 15 6520

195 231 282345

484

OASIS Healthy Habits

NUMBER OF CLASSES

PROGRAM YEAR

CLIE

NT

CON

TACT

S

*First year of this ser-vice

69

PIMA COUNCIL ON AGINGOasis Healthy Habits for Adults (HHA)

FY 2018-2019

Service DescriptionWith the support of the Anthem Foundation, the Oasis Institute partnered with six community-based organizations throughout the United States to offer the Oasis Healthy Habits for Adults (HHA)program.

Pima Council on Aging (PCOA) partnered with them to offer the Oasis Healthy Habits for Adults program from January 2017 – August 2017, and again for the period of January 2018 – December 2018. The program was able to offer classes in January 2019 as there were enough funds remaining in the grant for this period. The new Oasis HHA program coordinator for the final grant began her work with PCOA in March 2018 and concluded January 2019.

Healthy Habits for Adults classes focus on better health through improved nutrition behaviors and increased physical activity in older adults. Eating well and getting regular physical activity are important for adults to stay healthy and lead active, fulfilling lives.

The classes are led by trained volunteers and are offered as a stand-alone class or as a series of classes. Each of the ten classes includes a healthy snack, nutrition lesson, and safe, effective physical activity. Some of the class topics are Eating Healthy on a Budget, Protein: The Body’s Own Superman and Eating the Rainbow: Love Your Colorful Fruits and Veggies.

Participants and SitesJuly 2018 – January 2019 (and the number of participants per site) were Armory Park (16), Blanche Johnson Courtyards (93), B’nai B’rith Covenant House (39), B’nai B’rith Strauss Manor (44), Donaldson Elementary (3), Downtown Motor Apartments (26), Ellie Towne Flowing Wells (12), Estes Gardens (77), Freedom Recreation Center (176), Glenstone Village Apartments (16), Mountain Trace Terrace Apartments (64), TMC Eastside El Dorado (290), Northern AZ University Foster Grandparent Literacy Volunteers (57), So. AZ Association for the Visually Impaired (SAAVI), aka SAAVI Services for the Blind (7), The Place at Broadway East (11), William Clements Recreation Center (28). Total number of participants was 959.

VolunteersThe OASIS HHA program coordinator trains and provides ongoing support to community volunteers to facilitate the classes. The volunteer training is provided as needed. The interactive training is 3.5 hours. For January 2018 – January 2019 period, the program had six volunteers who provided a total of 98 hours.

70

PIMA COUNCIL ON AGINGOASIS Healthy Habits for Adults (HHA)

FY 2018-2019 – Page 2

Outcome MeasuresThe program participants are asked to complete post surveys to measure demographics and self-reported attitudes regarding nutrition, physical activity and knowledge gained as a result of the classes. The local Oasis HHA program coordinator registers all participants, and sends the completed class rosters and surveys to the OASIS Institute’s HHA National Coordinator. This collective information is used for reporting to the Anthem Foundation, the program’s primary funder.

Outcomes:Healthy Habits for Adults Data Report for PCOA for January – January 201983 classes and 959 participants

Demographics of Participants: (590 surveys received) Average age - 74 Gender - 82% Female and 18% Male Number in household - 68% Live alone; 32% Live with 2 or more persons, including

themselves Ethnicity - 57% not of Hispanic, Latino or Spanish origin; 30% Mexican, Mexican

American, or Chicano; 13% another Hispanic, Latino, or Spanish origin Race – 92% White; 4% Black or African American, or other Race; 3% American Indian or

Alaskan Native; 1% Asian, Indian Education – 56% More than High School, 27% High School; 17% Less than High School

Healthy Habits for Adults Class Evaluation: 99% of the participants found the class to be good or excellent overall; 99% of the participants felt that the instructor was good or excellent overall; 100% of the participants felt that the instructors’ knowledge of the material was good or

excellent overall; 99% of the participants felt that the material was presented (clear and organized) in a

good or excellent way; and 98% of the participants felt that the quality of the material (relevant and helpful) was

either good or excellent Additionally, 94% of participants felt that they learned something new in the class and

90% of participants plan on taking another Oasis class to improve their health.


OASIS Healthy Habits for Adults (HHA)FY 2018-2019 – Page 3

Participant Self-Efficacy Data: 85% of the participants were very sure or sure that they could be more physically active

after attending the Healthy Habits for Adults class. 87% of the participants were very sure or sure that they could eat healthier after

attending the class. 93% of the participants indicated that they were very sure or sure that they will

incorporate information and activities discussed in this program into their lives.

.

72

2015-2016

2016-2017

2017-2018

2018-20190

1020304050607080

20 20 20 20

76

60

3952

AGING MASTERY PROGRAM

# of classes held people attending

PROGRAM YEAR

73

PIMA COUNCIL ON AGINGAGING MASTERY PROGRAM® (AMP)

FY 2018-2019


Since the fall of 2015, Pima Council on Aging (PCOA) has offered eight (8) 10-week sessions of the Aging Mastery Program® (AMP) in partnership with the National Council on Aging, (NCOA). Three (3) of these sessions were in a Tucson Parks and Recreation location, one (1) in a Pima County Parks & Recreation site, one (1) in collaboration with Green Valley Recreation, Inc. and three (3) in faith communities in Tucson.

AMP is a comprehensive, fun and person-centered education program that empowers older adults 55 and over to make and maintain small but impactful lifestyle changes to living that celebrates the gift of longevity. The core curriculum combines evidence-informed knowledge sharing with goal-setting and feedback routines, daily practices, peer support, and small rewards. Weekly topics include Navigating Longer Lives: The Basics of Aging Mastery, Exercise and You, Healthy Eating and Hydration, Medication Management, Sleep, Financial Fitness, Advance Planning, Healthy Relationships, Fall Prevention and Community Engagement.

The goal of the 10 core classes is to provide participants with an overview of the challenges encountered while navigating life as an older adult and offer support to master new skills. Each week a community expert presents on the weekly topic and interactive activities related to the topic enable everyone to continue the learning process. Equally important, AMP encourages aging mastery – developing sustainable behaviors across many areas of life that will lead to improved health, stronger financial security and overall well-being.

Units of Service 20 classes

In partnership with NCOA, PCOA offered two 10-week sessions of the Aging Mastery Program (AMP). The fall 2018 session held at Resurrection Lutheran Church (Oro Valley) had 31 registered participants. 90% of the participants graduated (attended 7 of the 10 sessions). Udall Regional Center hosted the spring 2019 session with 21 individuals registered. 76% of the participants graduated. Of the fifty-two (52) participants, fifty-one (51) paid a full registration fee of $99 and one (1) a received full scholarship of $99.

All participants were asked to complete a Participant Information Survey and a Participant Satisfaction Questionnaire. The information collected provides useful and informative data for program planning at the local and national aging levels. Overall, 66% of the total number of AMP participants graduated.

74

PIMA COUNCIL ON AGINGAGING MASTERY PROGRAM® (AMP)

FY 2018-2019 – page 2

Client Demographic Summary:Men 24% Asian/Asian American 0% Woman 76% Black/African American 10%Average Age of Participant 73 White/Caucasian 87% Other 0% Hispanic, Latino or Spanish 3%

Prevalence of Chronic Disease or Condition

Arthritis/Rheumatic Disease 15%Hypertension (High Blood Pressure) 21%High Cholesterol 20%Other 11%None 4%

When asked how they rated the quality of the AMP, 63% of participants rated it as excellent and 53% rated it as good and 5% rated it as fair. Generally, the same percentages were seen in participant responses to the questions related to the helpfulness and enjoyment of the program. 90% of the participants referenced the high quality of the “community expert” presenters and 83% noted their satisfaction with the overall group discussion of the weekly topics.

Many AMP participants were aware of PCOA, however, they were amazed and pleasantly surprised at the scope of our programs and services. Three PCOA staff members served as “community presenters” and their presentations resulted in more individuals executing advanced directives documents and increased participation in our Enhance Fitness and A Matter of Balance (MoB) programs. Two additional MoB coaches were recruited and successfully trained.

Collectively, the 52 AMP participants expressed their gratitude to PCOA for offering this impactful and resourceful program to older adults in our community.

75

2014-2015

2015-2016

2016-2017

2017-2018

2018-20190

102030405060708090

100

14 1427 27 27

45 44

88

47 49

HOPE WORKSHOP FOR HOARDING DISORDER

# of classes people attendingPROGRAM YEAR

76

PIMA COUNCIL ON AGINGHOPE WORKSHOP

FY 2018-2019

SERVICE DESCRIPTION:

PCOA continues to partner with the University of Arizona Center on Aging and the Department of Psychiatry to provide the “HOPE workshop”- Hoarding Disorder education to learn how to Organize, Purge and End the cycle. The HOPE workshop met for two sessions of 10 classes each, each with an added registration day.

The HOPE workshop is a facilitated, self-help, workshop for people who are struggling with hoarding behaviors to help them manage their hoarding behaviors, learn skills to reduce their clutter, and most importantly, learn they are not alone. The participants are given weekly homework and are encouraged to pick a spot in their home to focus on throughout the workshop. The class sizes are not capped and anyone who is struggling with the behaviors is encouraged to go. This year there were 49 participants who signed up for either one session or both. After the spring cohort members of the workshop decided to continue meeting on Tuesdays in order to encourage each other to continue the work they started after the workshop ended.

This year PCOA and The University of Arizona were also asked to give a prestation about hoarding disorder and the HOPE workshop at the first annual DES World Elder Abuse Awareness Day conference, as well as other presentations throughout the community.

Units of Service

In FY 2018-2019, 2 series of workshops were provided for a total of 27 classes with 49 participants.

77

2018-20190

5101520253035

29

BeMed Smart

PROGRAM YEAR

Pres

enta

tion

s

78

Pima Council on AgingThe BeMedSmart Program

FY 2018-2019

In 2015, Pima Council on Aging (PCOA) was awarded a Substance Abuse Block Grant (SABG) by Cenpatico Integrated Care, the Regional Behavioral Health Authority for Southern Arizona and Pima County. The Substance Abuse Block Grant (SABG), administered statewide by the Arizona Health Care Cost Containment System (AHCCCS), supports a variety of substance abuse services.

Among these services are prevention programs such as the BeMedSmart program. Initiated in 2015, the program was developed to meet a community need for medication misuse prevention for older adults ages 65 and older in Pima County. Its primary goal is to educate older adults about the importance of safe use, safe storage and safe disposal of all medications to prevent overdose deaths in all age groups, including children and pets.

The BeMedSmart program prevention educators address this goal by convening a coalition once monthly, giving presentations and facilitating evidenced-based workshops throughout the community. These programs collect valuable data that assists in developing local and statewide prevention program activities. They are participants in other community-based prevention coalitions.

The BeMedSmart Coalition is comprised of older adults, grandparents, law enforcement agencies (TPD/CNA), schools (University of Arizona), businesses (TEP), older adult-serving organizations (AARP, Neighborhood Care Association), civic and volunteer groups (AZ Air National Guards), healthcare professionals (Soreo Hospice, Tucson Medical Center), state, local and tribal agencies (Pima County Health Dept., Pasqua Yaqui), substance abuse and mental health providers (HOPE, La Frontera, CODAC).

Coalition members engage in outreach, help raise awareness of the risks of medication misuse through presentations & workshops, dissemination of informational and promotional fliers, and using social media outlets.

As a prevention service provider, the program develops a logic model that specifies the behavioral consequences, behavioral trends, intervening variables, goals, objectives and evaluation tools. This model is a “road map for their efforts.

The program is required to administer a Sidewalk Survey to a minimum of 100 individuals per quarter. This survey is given to randomly selected individuals in community settings. This survey collects demographic information as well as attitudes about issues related to medication use and misuse in the community. A total of 465 surveys were administered in this fiscal year.

79

Pima Council on AgingThe BeMedSmart Program

FY 2018-2019 – page 2

Rx360 Surveys are administered following a presentation by BeMedSmart program educators and coalition members. It collects demographic information and measures a participant’s attitudes and issues related to medication use and misuse in the community BEFORE and AFTER the presentation. This provides a measurement related to the effectiveness of the presentation and identifies opportunities for providing additional information. A total of 369 individuals completed the survey in FY 2018-2019. Participants reported increased awareness about the importance of communicating with their providers about medications and about their knowing that medications can be as dangerous as street drugs.The WISE (Wellness Initiative for Senior Education) program is an evidence-based health and wellness program targeting older adults. Offered by trained WISE facilitators, the program promotes health through education concerning high-risk behaviors in older adults.The WISE Program is designed to help older adults celebrate healthy aging, makehealthy lifestyle choices and avoid substance abuse. The curriculum is designed to takeplace once per week over a six-week period.The effectiveness of the program is measured by the WISE post workshop survey that is administered at the conclusion of the six-week class. One workshop was offered in FY 2018-2019. Over 67% of the participants reported that they had changed their behaviors to promote a healthier lifestyle over the course of the program. Finally, the Coalition Survey is completed by coalition members 1-2 times over the fiscal year. The survey results verify the coalition’s composition, members perceived satisfaction with the coalition activities and progress toward their identified goals, their perceived feelings about the effectiveness of the coalition’s leadership. It also measures the members feelings about the coalition’s impact on the community. Ten members completed the survey and each category received better than average scores on survey areas.

OutcomesThe BeMedSmart program does not collect demographics of the individuals who benefit from them various programs.

No. of BeMedSmart Coalition Meetings – 11No. of Community Presentations – 29No. of Participants Attending Presentations – 409No. of Rx360 Surveys Collected – 369No. of Sidewalk Surveys Administered – 465No. of BeMedSmart Coalition Surveys Collected – 10No. of WISE workshops – 1, Over 67% of the program participants reported that they had changed their behaviors to promote a healthier lifestyle over the course of the program.

80

2018-20190

500100015002000250030003500400045005000

64

4462

SENIOR COMPANION

Clients served Hours of service

PROGRAM YEAR

81

PIMA COUNCIL ON AGINGSENIOR COMPANION PROGRAM

FY 2018-2019

Service Description :

Senior Companion Program is a federally funded Senior Corps program that matches trained volunteers with older adults who are identified by PCOA and 6 other community partner agencies as needing companionship, transportation, or respite. Senior Companions assist in activities of daily living to help older adults age in place longer. Some activities include shopping, errands, transportation to medical appointments, sharing a meal, sharing an activity, light exercising, writing letters, reading, and completing forms. PCOA does not advertise directly to older adults who may need assistance because Senior Companions are not a stand-alone service. Instead, PCOA matches volunteers to clients served through our community partner agencies in order to supplement existing support services.

PCOA received the grant on July 1, 2018. The program started operating under PCOA in November 2018 with the first group of volunteers and PCOA is still in the process of recruiting more volunteers to build the program to its full capacity of 37 volunteers working 20 hours a week and serving 3-5 clients each.

Service Area:

The Senior Companion Programs aims to help as many Pima County residents as possible by increasing the impact of existing community partners serving older adults in Tucson and outlying areas. Two such community partners are the Pascua Yaqui Tribe and the Tohono O’odham Nation, where older adults are geographically isolated.

Units of Service : 21 volunteers provided a total of 4,462 direct service hours Senior Companions drove 25,682 miles providing transportation assistance Senior Companions received 1151 hours of training from Senior Companion Program

Coordinator and through our community partners in areas such as: BeMedSmart, Project Visibility, Mental Health First Aid, cultural sensitivity, fall prevention, boundaries, community resources, Drexel Heights Fire Department Senior Academy, and Person-Centered Trauma-Informed Care.

Client Demographic Summary: 64 unduplicated individuals

Male 42% White 75% Female 57% Black 0%Unknown 1% Asian 0%<60 5% American Indian 5% 60-69 18% Hispanic 20% 70-79 29% Other 0%80-89 25% Unknown 0%90+ 23%

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Outcomes/Outcome Measures: 100% of clients who responded to the annual survey reported feeling less lonely 100% of clients who responded to the annual survey reported they felt they had close ties

to people 97% of clients who responded to the annual survey reported being able to do more of the

things they needed to do 91% of clients who responded to the annual survey reported being able to remain living in

their own home 97% of clients who responded to the annual survey reported being more satisfied with

their life 97% of clients who responded to the annual survey reported the Senior Companion

Program met their expectations

Outreach, Expansion, Collaboration and Community Connections: Community Partner Stations include:

o Jewish Family and Children Serviceso Lutheran Social Services of the Southwesto Pascua Yaqui Tribeo Southern Arizona Veteran’s Health Care Systemo St. Luke’s Homeo Tohono O’odham Nationo PCOA-Community Services Systemo PCOA-Family Caregiver Support Services

Training is offered continuously by our community partners listed. Additional training was also provided The Drexel Heights Fire Department, AARP, and Interfaith Community Services, and Northern Arizona University.

Senior Companion Program is looking to add more community partner stations in order to serve a more representative segment of the older adult population in Pima County.

SANDS (Southern Arizona National Days of Service) Committee - Includes fellow grantees of Senior Corps (Interfaith Community Services, University of Arizona and Northern Arizona University) and AmeriCorps. This committee is supported by the Tucson Mayor's office to combine resources and efforts for planning National Days of Service projects. We have collaborated on volunteer recognition, community service projects, training opportunities, and shared meeting space.

Senior Companion Program has joined local efforts with the Dispose-A-Med Partnership in Tucson, AZ to address medication safety and help protect our environment by promoting awareness and safe disposal of prescription medications. All SCP volunteers have received training on the use and misuse of medications by older adults in Pima County and have partnered with PCOA’s BeMedSmart program to participate in DEA’s National Take Back Day.

Outreach is continuous through community presentations at senior centers, senior housing projects, and community resource fairs. Senior Companion Program has also been featured on PCOA’s Never Too Late and on PCOA’s Facebook page.

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