Inter-Departmental Correspondence

Health System



March 7, 2011


April 12, 2011







Honorable Board of Supervisors


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



Approval of the Submission of the 2011-12 Update for the Strategic Plan for Services for Older Adults and Adults with Disabilities


Adopt a Resolution authorizing the:



Submission of the 2011-12 Update of the 2009-12 Strategic Plan for Services for Older Adults and Adults with Disabilities; and



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



The New Beginning Coalition’s 2009-12 Strategic Plan for Services for Older Adults and Adults with Disabilities (Strategic Plan) is the long-range plan for the continuum of services intended to meet the needs of San Mateo County’s older adults and adults with disabilities. Adopted by your Board on April 28, 2009, the Strategic Plan serves as the countywide umbrella plan for all other plans regarding older adults and adults with disabilities in San Mateo County, including the Area Agency on Aging (AAA) Area Plan. The AAA Area Plan is required by the California Department of Aging (CDA) to receive funding from the Older Americans Act (OAA) and Health Insurance Counseling and Advocacy Program (HICAP).


The 2009-12 Strategic Plan is the fourth strategic plan for the AAA and was developed by the New Beginning Coalition, a broad-based group of consumers, caregivers, service providers and commissioners from the Commission on Aging (CoA) and Commission on Disabilities (CoD). It addresses current issues impacting older adults and adults with disabilities related to health, transportation, affordable/accessible housing, abuse, Americans with Disabilities Act accessibility, supportive services, food and nutrition, emergency preparedness, and the effects of language and culture on accessing information. The workplan section of the Strategic Plan contains activities that will be undertaken by the CoA, the CoD, Aging and Adult Services (AAS), and other County and community-based agencies to implement the proposed goals and objectives.



Each AAA Planning and Service Area in the State submits an Area Plan for a set period with updates in subsequent years. Although the period for Area Plans is usually four years, the current Area Plan is a three-year plan, with updates required in years two and three as a condition of receiving funding.


This 2011-12 Strategic Plan Update is the update for year three of the 2009-12 Area Plan. It reflects a comprehensive picture of the current state of San Mateo County in relation to the needs of older adults and adults with disabilities and the services provided. It also highlights the goals and objectives to be addressed, as well as the program development, advocacy, and coordination activities to be undertaken to enhance services for older adults and adults with disabilities.


Activities highlighted address the following eight goals of the Plan:

Increase volunteerism and involvement of consumers in advocacy, service planning and delivery;

Ensure cultural competence throughout the service planning and delivery system;

Create a coordinated seamless system of care for older adults and people with disabilities;

Sustain critical services in a tight economic and budgetary environment;

Improve physical and programmatic access to services and supports for adults with disabilities;

Support options for adults to live as independently and safely as possible;

Promote physical and mental health among older adults, people with disabilities and caregivers; and

Educate and increase awareness to prevent violence, abuse and neglect.


The approval of the Strategic Plan Update contributes to the Shared Vision 2025 outcome of a Healthy Community by allowing AAS to provide services which help maintain at-risk individuals in a least restrictive setting. With the assistance of services provided in accordance with the Area Plan, AAS has met this measure as a division.


County Counsel has reviewed and approved the Resolution and Amendment as to form and content


Performance Measure:


FY 2009-10

FY 2010-11

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



*The FY 2009-10 performance exceeded the division’s expectations in this measure.



There is no fiscal impact to the County General Fund associated with the submission of this Strategic Plan Update for 2011-12.