COUNTY OF SAN MATEO

Inter-Departmental Correspondence

HEALTH SYSTEM

 

DATE:

September 23, 2009

BOARD MEETING DATE:

October 6, 2009

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Majority

 

TO:

Honorable Board of Supervisors

FROM:

Jean S. Fraser, Chief, Health System
Lisa Mancini, Director, Aging and Adult Services

   

SUBJECT:

Approval of the Submission of the FY 2008-09 Year-End Report for the Strategic Plan for Services for Older Adults and Adults with Disabilities to the California Department of Aging

 

RECOMMENDATION:

Adopt a Resolution:

1.

Approving the submission of the FY 2008-09 Year-End Report for the Strategic Plan for Services for Older Adults and Adults with Disabilities; and

   

2.

Authorizing the President of the Board to execute the transmittal letter as required by the California Department of Aging.

 

BACKGROUND:

The New Beginning Coalition’s (NBC) Strategic Plan for Services for Older Adults and Adults with Disabilities for FY 2005-09 (Strategic Plan) is the long-range plan for the continuum of services to meet the needs of San Mateo County’s older adults and adults with disabilities. The Strategic Plan serves as a countywide blueprint for all services regarding older adults and adults with disabilities, including the Area Agency on Aging Plan (Area Plan), which is required by the California Department of Aging (CDA) to receive Older Americans Act (OAA) and Community-Based Services Program (CBSP) funding. On July 12, 2005, by Resolution number 67443, your Board officially adopted the Strategic Plan for 2005-09.

 

DISCUSSION:

Each year San Mateo County submits a Year-End Report on the status of the objectives identified in its Area Plan/Area Plan Update, as required for final approval of OAA and CBSP funding to provide senior services. The work plan portion of the Strategic Plan serves as the County’s Year-End Report. Its inclusive format enables Aging and Adult Services (AAS) to provide a comprehensive picture of the services provided, as well as program development, advocacy, and coordination efforts undertaken by San Mateo County’s coordinated network of services and supports for older adults and adults with disabilities. This section also incorporates the work of the Commission on Aging (CoA) and Commission on Disabilities (CoD). The CoA has approved the submission of the Year-End Report to CDA. A transmittal letter signed by the President of the Board of Supervisors is required to complete the process.

 

A major accomplishment in FY 2008-09, which is reflected in the Year-End Report, is the completion of a number of focus groups in the community by the NBC to explore the cultural competence of services provided to older adults and adults with disabilities, to identify issues, and to provide information as needed. The NBC is comprised of members of the CoA and CoD, service providers, AAS staff and other Health System staff. Focus groups included targeting clients with mental health issues; clients who are Chinese, Filipino, Russian and Burmese; Lesbian, Gay, Bisexual, Transgender (LGBT) clients and caregiver communities, as well as consumers with disabilities. The data from these focus groups will be used in planning for and improving services in the community, as well as for possibly planning more focus group work in the future.

 

The Year-End Report is contained within the Strategic Plan for Services for Older Adults and Adults with Disabilities, which contributes to the Shared Vision 2025 outcome of a Healthy Community by providing a Countywide blueprint for a coordinated system of care.

 

AAS strives to provide a continuum of services necessary to allow at-risk seniors and adults with disabilities to remain in a least restrictive setting. The accomplishments identified in the Strategic Plan contribute to the continuum that helps maintain individuals in the most independent setting possible. The number of individuals served in FY 2008-09 decreased due to reductions in State funding and reevaluations of eligibility for programs. It is anticipated that 95% of at-risk individuals will be maintained in a least restrictive setting through case management.

 

The Resolution has been reviewed and approved by County Counsel.

 

Performance Measures:

Measure

FY 2008-09
Actual

FY 2009-10
Projected

Number of people served through Area Agency on Aging funds

13,267

15,000

Percent of at-risk individuals maintained in a least restrictive setting through case management

94%

95%

 

FISCAL IMPACT:

There is no fiscal impact associated with the submission of the Year-End Report.