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WISE Senior Services -
Case Management
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WISE SENIOR SERVICES
CARE MANAGEMENT
1. Ident1fy and discuss your target population(s) and indicate
why your services are needed? How are your services meeting
an urgent need?
The target populat~on for WISE Care Management are those
sen~ors over the age of 60 who requ~re assistance to malntaln
t~emselves In the co~un~ty. ThlS serVlce lS avallable only
to ~he 14,35l senlor =esldents of the Cl~Y of Santa Monlca.
The program serves 450 cllents per year and has an actlve
mon~tly cllent base of 240-275 cl1ents most of whom are fra~l
ar.d have one 0= more fur.ctlonal impa1rment which l~terferes
w.:..t.h thelr abl.~l~y to 11ve lndependently. Of the cl1ents
se=ved 70% are at the poverty leveli approx1mately 75% are
=eralei 32% are IT.lno~ltlesi 62% a=e 75 years and older, 47%
a~e 80 years ar.d older. Most have r.o support system avallable
:'0 :.~er..
Ca~e Managere~t 1S ~eedeG Decause the senlor may no~ have the
re50~rce~, knowledge or ~~e ITentaljphyslcal capac.:..:.y to
resolve h~sjher d1fflc~~:'.:..es.
Ca=e Y:ar:age8ent meel:S urge~t needs by put.t1ng serv~ces El
place for se~~ors wtlch e~able them to get adequate nut~lt1on,
~eal:.~ care, access :'0 er.t:l~:ements, asslstance 1n the ho~e,
~~a~spor:.a~lO~, mec~ca~~on, a::ordab:ejs~ruc~ured houslng
s l :::latlOP..S, soclal:.zat:.lor_ oppor:: '-lr~l t:.les, and other se::-Vlces
W~lC~ ena~~e ~he sen~or ~o mal~tal~ the~selves l~ the
CO~~C~lty as lo~g as ~~ ~s sa:e ~o do so.
2. How does Santa Monlca grant funding sign~f1cantly impact this
target populat1on?
Sa~~a Xon~ca g=ant:. fundl~g slgn1f1can~ly lffipacts thlS targe~
;)Qpl.:':'a-:..:.a~ because fund~:J.g :'0 support serV1ce5 to them 15
be.:.:J.~ cras-:..:..ca':'ly c~t. Santa Mon~ca grant:. fl.:nd~ng 1n ~Y92-93
re?rese,ts 46% of t:.~e D~dge~ for :.h.:.s serVlce. In the past an
add.:.. ~':"o:J.a':' 50~. has co:re fraIT th.e Los Angeles COu:1ty-i\rea
A~ency or. Aglng (L.A. Co.-&~~). W=S~ t~ro~gh its fundralslng
tas con-:'rl~uted -:.he remaln.:..ng 4%. ~hese publlc funds a:ong
w.:..-:.h -:.he mat.c~ WISE has p~ov~ded have made It posslble for
w_~.:: to develop and ope::-ate a lugtly eff1cient/e::fect:.lve
pro:esslonal care rnanageme~t program In FY93-94 the L.A.
Co.-;~~~ l5 reduclng the1~ share of fund1ng by 6.76%.
Add.:..t.:..ona: cuts w1ll be ~ade w1-:.hlTI th~s f1scal year .:..I the
Sta-:.e 0:: Ca1.1fornla does not fund the L. A. Co. -AA..n,. to the
level ~.A. Co.-AAA has proJect:.ec. The 6.76% reductlon 11:
fu~d1ng WISE care ~a:1agement lS =ece1vl~g from the County &~
forces the reduc:'lon of serVlce hours. Care Management
servlce hours wlll be reduced from 9120 to 8500. ~h~s lS a
reductlon of 30 cl:.ents served per year. Fur~her redUC~lO~ lTI
WISE Sen10r Services Care Management
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serv~ce hours wlll be needed ~= the L.A. Co.-AAA makes further
cuts ~n ltS fundlug o~ ~he gra~~ fund~ng from the Cl~Y of
Santa Monlca l5 reduced for FY93-94. Reductlon l.n serVlce
capacity comes at a tlme when census data indlcates there wlIl
be an lncreased need for care management serVlces. The
fastest growl~g segment of San~a Monl.ca senlors are the frall
very old (75+) who llve alone In need of ass~stance. The
~ral~, very old are a group a~ hlgh rlsk of
l~stl~u~~onallzatlon and elder abuse wl~hout aSslstance f=o~
co~~~r.~ty-based care managemer.t.
3.
What are the major outcomes and goals of your program?
are these measured and evaluated?
How
~he xaJor go~: of Care Manage~ent lS to aSslst 450 elderly to
rece:.ve apprOprlac.e and ~:.c;ely serVlces wh~ch wlll enable th.em
~o rera:.~ :.n the least restrlctlve enVl.ro~men~ 0: thelr chOlce
as :o~g as :.t 1S safe ~0 do so. ~aJor ou~comes are meas~red by
~ne CO~tl~~OUS del~very 0: serVlce. Thro~gh May 1, 1993, 400
Sar.c.a ~O~lca sen:.ors have recel.ved serVlce. We anClClpate by
~~r.e 30, 1993, the prograr. wlll be at 100% of goal. OG~comes
a~e eVG~~a~ed :ro~ a q~allty 0: serVlce perspec~lve lislng a
c~~~e~~ c:~en~ :~le reVlew cs~ng p=edeter~l~ed crlter~a. Of
t~e 240-275 c:~e~ts be~ng se~ved rron~jly by the care
Tc~agere~~ s~a=: a~ any o~e ~Lroe, a lO% saIT-ple lS selected for
pee~ rev le'",'. Each:::.l e 15 ~evlewed 11S :..ng t~e follow~ng
c~eS~~OLS. The reVlew :.5 pe~fOrTeG by someone other than the
se~v~ce ~~ov~der.
1 o~ t~e Care Mar.ageme~t Plan are the needs/problems
~o be worked o~ for/wltt ~he sen.:.or clearly
~de,-t:'=led? A~e they co~pre~e~slve?
2, Are ~~e aC~~Vl~les to ~eet needs/resolve probleITs
SpeCl!:'c? ~o they lcentl:y who wlll be ~espons1ble
for do~~; what? Are ~~me frar.es glven wr.en
appropr:.a-:e?
3 ~o t~e p~og~ess notes ~ef:ec~ that the probler lS
be.:..~g ......orkec. on?
~ :.s ~~e effec~~ve~ess of ~he plan evaluated?
5. :s the se~lor encouraged to par~lclpate l.n hls/her
owr. proble~ solvlng ~o the extent posslble? Is tbe
senlor I s safe:.y ar~d weL.-belng the prlI::ary
conslde::at.l.on?
?ollow:.ng
s~gses~lons
add~~lon to
:.he reVleW t~e f~ndlngs are clscussed and
:-lade. Tte st.:.perv.:.sor does the follow-Gpo ::::1
the c:len-: =l~e reVlew the W:SE Advlsory Counc~l
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WISE Senior Services Care Management
Page 3.
evaluates the program ~o see .If goals are be1.ng met. The
Councll u~lllzes a Cl1.ent Satlsfac~ion Survey Form WhlCh 1.S
c1.~culated among the sen1.ors served by Care Management. Th1.s
form lnV1.tes comments, suggestlons, crlt1.Clsms. The forms are
re~u~ned to the age~cy where the data lS analyzed by the WISE
Advlsory Councll. Based on ~helr !1.nd1.ngs, recommendatlons
are made wh1.ch are ~hen 1.mplemented.
4. As commun1ty needs and funding change, do you plan to refine
or adjust your program(s)? Please describe.
~he proposed fund':':1g cats ::rorn the County for WISE Care
~a:1ageP1ent fo:- ::<'Y93-94 neceSS1.tates a cut back 1.ll serV1.ce
hOGrs. A full-tlrre care ~anagernent pOS.ltlon has been reduced
to pa~~-~.:.r-e (66%) and (25%) suppor~ staf:: pos1.t1.on has been
e:':'~lna~ed. ~hlS reduct1.or. as sstated earl.ler w1.11 mean 30
=ewe:- clle:1ts w.:.l: rece1ve care rnanageme~t serV1ces. however,
sto~lc 2~G.ltlonal fund.lng cut backs be rrade b~ the Clty of
Sar-~a :~O:Lca for ?Y93-94, there wlll need to be further
~ec~c~':'o:1S .:.r. serVlce del.:.very. ~he poten~lal fo= substan~lal
l~crease .:.r. WISE's FY93-9~ 1.ncome f:-om prlva~e sources lS no~
a ~ea:~s~~c expec~at1oc g~ven the Califor~~a economy.
W:SE Ca:-e v.a~age~s wll1 con~~nue to proTo~e coope=a~~on ar.d
~oord_r.a~~or. w~~j o~je~ 2genC1.es ~~ a:1 e:fort to make sure
serv.:.ce ge~s de~lvered to those mos~ If. neec. In add1t1.0n,
~he ~..::: SE Care Managers w.:.: ~ con~J..nue to recrul. t and traln
vo~a~teers ~o ~arrGle ~o~-?:-ofess1onal ~asks =or ~~ose senlors
neec~~g aSslsta~ce Eowever, as Santa Monlca se~~ors
cO"-~'::-:".lec to age .:r. place, as 1.ndlcated 1i1 tee "RJ;..ND St.udy of
1.990," a::c. l~ve ~oClger, ~he need for aSS1.stance and commun1~y
oasec ca~e Ta~age~e~t w~:l o~~y ~ncrease.
WISE Senior Services
In-Home Services
"93 ['t,p:( 1 9 P 4 :.12
WISE SENIOR SERVI~1Y:: ~
IN-HOME SERVICES PROGRAM
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1. Identify and discuss your target population(s) and indicate
why your services are needed? How are your serv1ces meetlng
an urgent need?
The ta~ge~ populatlon fo~ WISE In-Horne Se=vlces lS se~lO=S
ove~ tje age of 60 who requ~re personal care and/or
housekeepJ..:J.g/hoZ1enakJ..ng 5e~Vlces to rnalntalD themselves H~ the
COT~U~~~Y The serVlce ~s avallable only ~o the :4,351 senlO~
=es~de~~s 0= the CJ..LY of Santa ~onlca. The serVlce has ~WO
co~po~e~~s, ~he WASH prosra~ ane the REGISTRY. Senlors uSlng
~he WASH p=cg=a~ 0= the ~~GISTRY have overslght 5upervlslon
=ro~ WIS~ Ca~e Manase~e~t sta==. In the WASH prog~a~, WhlCh
1.S sta:=ec by WIS~ ewployees, the basic req~lrement to recelve
serv _ce 1.5 ::eee. Indl v laua::" S recel. v ~ng thlS serVlce are
=eques-.:ec ::0 pay a sr.a=e 0: the cos-:. If ~hey can. They
=eceJ..ve ~je se=Vl.ce wje~her ~hey payor not. Sltuatlons where
ar: 1.:lClvH.::ual would recelve '::he serVlces of a WASH worke=
wo~lc ~nc::"uce post-hospJ..~a:~zatlOn; lndlvlduals wlth low-
l;;COTe w~o are ~eJ..:J.g ass~s~ed to apply O~ are ~n the process
o~ a?F~Y~~S ~o obta~~ the Cou~~y In-Home S~ppo~~lve Serv~ces
'I~SS), 1.r.dJ..v~d~a:s weo ca~:J.o~ obtaJ..~ an aloe w~:l~ng to work
:o~ W~5~ =~SS pays; a~d l~dlvlduals w~o are Just above ~he
pove=~y ~1.r.e so do not quallfy :o~ I~SS.
~je ?EG:S~~~ se~v~ce is ce:~vered by t~a~nec l~divlduals who
f-ave jee~ sc~ee~ed by t2e =~-Howe Se~v~ces Coordlnato~. These
:r.c~v~cua~s a~e se::-errp~oyed and are h~~ed dlrec~~y by the
ser._o~ ~~o ~eecs tte se~v~ce. ~o rece~ve thlS serVlce, t~e
se~~c= ~~s~ ~ot only have a ~eec but rnus~ be ab:e to pay tte
~~G=S~~: ~o~~er In-Hone serVlces 100 cller.ts per year and
jas a~ actlve con~t:y clle~t base 0: 65-75 cllents all of whore
a~e ==a~~ a~c ~ave :~~c~J..onal lmpa~r~e:J.ts whlCj lnte~fere Wl~~
t~e1.~ a~~~~~y ~o ~~ve ~~depende~tly. On a~ average, 60% of the
::: leT:S se=ved r.or;:.;; ly a:-e :Ow-lI:COme ser..:ors i mlnorl t.les
~epreser.~ 7% 0= ~te ~otal ~~j~e~ of WASH ser.~ors served; and
~o~e~ ove~ the age 0= 76 ~a~e up the ~aJo~l~y of c:~e~~s.
?or ==211jdlsabled senlors, IL-Home Se=Vlces makes the
dJ..::erer:ce bet'ween re:1.al.r..:.ng at nome or belng
.:..r:s:'~ ':.J.:tlo;:al1.zec A ::ew h01.:rs a week can wake thlS
d~: = e~en::::e. ':'0 accompllsh thls, the worker performs such
~asks as vacuu~~~g, laundry, meal p~eparat.:.on/shopp~ng,
bat.tl~g 2:1d o~he::- se:rv~ces whlch the sen~or cannot do IO=
~~emse~ves - aC:'~vltl.eS wh~ch a younge= populat1.on performs
WISE Senior Serv~ces - In Home Serv1ces Program
Page 2.
w~~h ease. =n aGdlt~OG mos~ 0: the lnd~vlduals servec by WISE
In-Horre staff look on the worker as a trusted ~~d~vld~al who
co~es ~~to thelr l~ves regularly and p~ov~des rel~e= =rom the
~sola~lon f~om W~lC~ most of them suffer.
2. How does Santa Monica grant funding sign~ficantly impact this
target population?
Santa Monlca g~a~t =U~Clr.g slgnlf~car.tly ~mpacts t~lS targe~
pop~latlo~ because fu~d~ng for thlS p~ogram wlll be reduced
:or ?Y93-94. SaLta Monlca grant funclng for FY92-93
represe~ts 39.37% 0: the ~udget for thlS se~Vlce. :r. ~he past
a~ addl~~o~a~ 46.97% has corre from the Los Ar.ge~es Coun~y-Area
Age~cy o~ Ag:r.g (~.A Co.-&~~). W:SE ~hroug~ l~S fundraislng
has cor:,:r1:lt.:.:.ed :.te rera~r.~r:g 6.58%. These publlc 710r:1es
a:o~q Wltl the na:.c~ W:SE has provlded have rrade It posslble
for W:SE :'0 deve~o~ and operate w~th~n a restrlc~lve budget a
hlg~~y e=f~c~e~t a~d effectlve ~n-hoffie serVlces program. For
FYS3-9~, ~ie L_A. Co.-~~_; ~s ~educ~ng ~he~r func~ng 8Y 6.76%.
~te~e nay 8e add~~~or.a~ c~~s wl~~l~ ~he :~sca: yea~ If ~he
S~a.-:.e 0::: Ca~~:orr:.:..a does :10-= :u:rd the L. A. Co. -AA.n.. ::0 the
level -:.~e ~ ~. Co.-.~~~ tas proJected. The reductlo~ w~lch Irr-
;';ore S e:::-'.' ~ces 'N~2.1 rece~ ve ::-or ~he I... A. Co. -AAA has been
LG~aaec by ell~l=a~~~g ~he :~-~one Wo~ke~ T~a~nlng Prograrrs
a:"'..c ::te DOS'::" ~':"'O:1 c= ~ar:'-~:.~e back-u:J wo:-ke:-. If fur~he~
- - -
~~~s~~c c~:.s are ~ade wte-:.ter by ~he L.A.Co.-~_~ or from ~he
:It; 0: Sa~ta ~o~~ca for ?~93-94, serVlce del~ve=y wl~l be
~ec~cec ~jese :~:1Clng red~ct~o~s Jeopard~ze adeq~a~e serv~ce
Gellve:-~ ~8 ~te ~.:..~t r~s~ t:::-a1: very old (75~) at a ~~De when
-:.~ey are becon.:..ng :.he :astes~ grow~~g segment 0: sen~ors l:1
~~e C~-:.y of San~a Mo~.:..ca.
3. What are the maJor outcomes and goals of your program? How are
these measured and evaluated?
~~e ra:o:- goa: 0: ~~e :n-rtome Se~v.:..ces prograrr is to ffialn~aln
-.:.je :00 ::-a::....:. and/o:- Glsablea serno:;::- tn.e~r hOLe w.:..th
d~g~_-:.y a~c safety. ~~:-o~qt May:, 1993, 90 c:le~ts have been
served ~a=or oc::corres are IToeas~red th~oug~ contlr:uo~S serv.:..ce
de::'.:..very. - ~s aT:".:lc~~a::ed ::hat 8Y "=-:.1:1e 3D, 1993, ::he
?~og~ar wlll be a:: :00% 0: goal. One 0= ::he ::0015 =or
measu:-~:1g ou::cones .:..s the asslgnrrent stee:: wh~ch the wo~ker
takes .:..n-.:.o ~he ho~e of -.:.he ser:~or each V1S~::. ThlS sheet lS
the rest:'::. of a care:"...:.':" eva~uat~on of need by both the
ser..:..or's C2~e ~anage~ a:1c ~he In-Ho~e SerVlces COOrGlnator.
3asec Oh ::he needs 0: the senlor, tasks are llstec WGlch the
worke~ lS ~o pe~fo~~. A~ the end of ~he V1Sl~1 ~he senlO~
chec~s 0:: ::ie tasks Wh1Ch have been accowpl~shed, notes the
tl~e t~e wo~k began a~c ~te tlme the worker ~s leav~ng. The
se~lor then s~g~s the sjee~ and returns It to the age~cy.
WISE Senior Services - In-Home Services Program
Page 3.
Ouccomes are evaluated t=om a qual~~y of serVlce perspect~ve.
The In-Home Servlces Coo~dLnator makes home vlsits/phone calls
as a follow-up to assess the quallty of the worker's
performance, gauge cllent satlsfactlon, and assess the
Lnteractlon between senlO= and worker. To facll~tate reachlng
the prlmary obJectlve or the program team conferences are held
between tte cl1ent care manager, In-Home Servlces Coordlnator
and the workers ~o d~scuss changes ~n cllent status/~eeds,
personallty and transfers. I~ addltlon a Cl1ent Satlsfact10n
Card ~s dls~rlb~ted to each In-Home Serv1ces cIlent. C:lent5
are e~couraged to assess the program and make s~ggeSt10ns o~
ways to ~np=ove Lt or to ne~~lOr. problems they have had wlth
~he Cards are returned to the WISE Adv1sory Councll Wh1Ch
su~~arlzes t~e data, eval~te5 whether the program 15 reetlng
ltS goals a3d rakes recomrenda~lons for correctlve aCtlOn or
ways the serVlce car. be lr.proved.
4. As communlty needs and fundlng change, do you plan to refine
or adJust your program(s) Please describe.
The L. P.. Co. -AAA cut back 1il :undlng for FY9 3-9 ~ has been
pa=t1ally absorbed by el-=-m~na~~ng a posltlon whlch had
pe~~lttec ~s to offer :~~l serv.:.ce whee the workers are on
vaca~lO~, slck O~ separa~e f~o~ W:SE employmer.t. ThlS w-=-ll no
lo~~er ~e posslble lnsteac d~r.:.ng these perlods, se~Vlce wlll
be pr-=-o~lt1zed wlth servlce gOlng only to ~he most needful.
The rest 0: the c~~ has been ha~dled by el1Rlna~lng ou~ In-
Ho~e Worke~ T~a1~1~g prosram The p~rpose 0: ~hlS tralnlng
was ~o Qevelop a cadre 0: ~ralned wo~kers who would have the
spec-=-a: Skl:~S and know:ecge needed to serve the f~all elder~y
-=-n ~helr ho,.es who can pay. ~~ was antlclpa~ed that such a
gro~? wo~~d dellve~ a more u3.:.:orr and better q~allty 0: care.
Sho~~d accltlonal fund1r.g cuts be made from the Clty 0: Santa
~on.:.ca, ?rograrr. GOdl:lcat-=-ons wll: need to be made. Th.:.s wlll
ental: a reduct.:.or. l~ staff t.:.me anc the numbe~ of cllents
served wll~ be reduced by t~e anount 0: the cut. The pote~tlal
for a 5"J..tJs~an::.:.al. .:.::crease In WISE's F'::'"93-94 lnCOJTIe froD
?~.:.vate sources lS no:: a reallstlc expecta::lon. Addltlonally,
d~e to ~os~ cllents bel:".g ~Ow-l~come or very near the S5I
~evelf cl.:.ent contrlbutlo~S a~e ~l~lma~.
The need for these serVlces contlnues to lncrease a~d more
seClors are lC neec 0: t~ese serVlces than resources allow
WISE ':0 se~V1ce _ The WISE Ca~e Managers wl.ll contlnue to
atte~pt rec~ul~~~g and t~a~nlng volunteers who a~e wllllng to
supple~ent se~Vlces b~~ ~eal1stlcally volunteers do not
p~ovlde personal care or housekeeplngjhomemaklng chores.
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WISE Senior Services
WISE Care Center
"93
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WISE SENIOR SERVICES
WISE CARE PROGRAM
1. Identify and discuss your target population(s) and indicate
why your services are needed? How are your services meeting
an urgent need?
The target populatlon for WISE Care Cente= ~s .lndlvlduals
suffe::-.lng frol1' mild to moderat..e lmpalrment as a result of
Alzhe.lIT.e~'s D.lsease or other fo=ms of dement.la. Th.ls serV.lce
lS ava.llable to res.lder:ts of t.he Wests ide but prlOr.l ty .lS
glven to resldents of the City of Santa Monica. WISE Care
Cen~er lS open 5 days a weekj 10:00 a.m. to 3:00 p.m.. There
1.S an e:1ro2.1ment of 35. Slx:.y-n~ne percent (69%) of the
a~~er:dees are wowe~ whlle 9% are m~norlt.les. The average age
~s 78 years. Most of the program partlC.lpants are physically
~ra1~ and exrlDlt roer.ory loss and confuslon lTI varYlng degrees
of seve:-lty Some requlre aS51stance H: ambulating and
to~le~~ng, w~.lle w~t~ o~hers wanderlng lS a concern. P=ogram
?a=~lc~par::.s who =eslde outslde the Clty of Santa M021ca must
pay f~:~ feej for San~a Mon~ca =es1dents fee adJustments are
rrade.
WIS~ Care Center lS :1eeded because l~ offers a~ opporunlty for
prosra~ pa~~~c~pa~~s :'0 funct~o~ wl~h dlgn~ty to the maXlmum
0: tje ab1llt~es wt~ch ~hey ~etaln. Also, WISE Care Program ~s
~je 8~~Y day ca=e p=og=a~ se=vlng lr:dlvlduals w~th moderate
A~z~e~~e='s JlSeaSe and o~~er :orms of deme~tla on the
^eS~Slce. ~je prograr g~ves ~tese lndlV1duals an opportunity,
-:'1.:"o~<;:: r.te lr.C.l Vlc.:J.a2. .:.zed asses sment.. and -:.he=apeutlc care
p:a:-.. c.e','e~oped for ~l:eP1, to s'J.cceec. as adul~s. WIS~ Care
Ce:1~er p=ov~des st1mulat~ng and c=ea~lve programm1ng geared ~o
ea~:-.. 1~d1v~cual's stren<;~hs. :n add.:.t1on each 1nd~vldual's
~ea~-:.h a~d we~1-be1~g 15 care=~lly mOTIltored. ~hlS 1S a labo=
_,--:.e~Slve prograIT- S.l3Ce l~ provldes prog=aIT~lng and persona:
ca~e ~~ a safe enVl~on~en~
~=SE Care Cen-:.er prov1des ca=eglvers wlth resp1te :rorr. 24 hour
care, a:: oppor~u:1~ty to a~~end SUDDor~ groups, resource
lr.=o=ra~.:.o~, =eferra~s :'0 o~her se=V1ces careg1versjcl.:.ents
Illgrt r:eed, ane ~nd:v1d.J.al cou:J.sellng and suppor:.. A2..2. of
~tlS w::.t the pu~pose 0: .:.nprovlug the quali-:.y of l.:.fe of the
?ar:'lc:?ar.:. and g.:.v:ng the careglver aSSls~a~ce ~n keeplng
~~el~ loved one at torr-e. Th1S =esplte not only affords the
ca=eglver emo:.~onal a~d phys1cal rei.lef bu:. also 15 a
slg~lf1can:. flnanc.lal bene:.:.t to the famlly Slnce
lustlt'J.tlonal care 1.S prot~b~~lvely expens1ve for many of the
fa~llles who use o~= serVlces.
2. How does Santa Monica grant funding significantly impact this
target population?
San~a Monlca gra~t =u~dlng slgnflcantly 1mpacts thls target
WISE Senior Services - WISE Care Program
page 2.
popula~~on. Fund~ng for t~~s program ~s ~n danger 0= De~ng
dras~~ca:ly cut. Santa ~on~ca grant fundl~g has In FY92-93
reDresented 24.35% of the budget for thlS serv~ce. In the
past 43.56% has corne from ~he State of Callfor~la, Department
of Agl~g, Alz~elmer's/Mental Hea:th 3ra~ch. WISE through lts
funcra~s~ng and fees has cor.trlbu~ed ~he remalnlng 32.08%.
Th~s CO~l~atlon of publlc monles wlth the WISE match have
made lC poss~ble for WISE ~o develop an adult soclallzatlan
progra:n :or lrH:lvlc'.:als '.oJT:.h dementla WhlCh lS recagnlzed
t::raug~au:. tje area as belng ou~stand.:.ng far l ts quaIl ty.
Overs~adowlng tilS achleve~ent ':'5 the present fundlng
Sltuatlon. At t~lS tl~e there 15 before the S:.ate leglslature
a pro?osal to el1m1na:.e fundlng grants :ar t~e Alzhel~er's
prograTs. sto~:d th1S c~:. from the S:.ate become a real.:.ty,
tje serv~ce ca?ac.:.:.y of t2e program would be red~ced alm05~ by
.__~~. =f t 1::' addltlor., t.je gra:1t :und.:.ng ::rom tje C:..::y af
Sa~ta ~o~.:.ca 15 reducec 5erv.:.ces co~ld no lo~ger be de~lvered
l~ t~el~ ~reseL~ =o~ITat~
3. What are the maJor outcomes and goals of your program? How are
these measured and evaluated?
~~e TcJor goa~ of ~he o=ocraT =0= F~92-93 has been to provlde
4C pe~~~c~?ar.~St of W~lC~ ~5 m~s~ ~e San~a Mon~ca ~es~de~~st
W~~~ a s:._~~~a~~r.q ?~ogra7 ~:1 a sa:e env~ro~~en~. Th=o~qh May
~, ~993, a~~rOxl~ate:y 4: c:1e~~s have pa=:'lclpated wlth 20
bel~g Sa~:.a ~or.lca ~eslcer.~s. Of ~he San~a ~onlca resldents
ser~ec, 50% a~e ~OW-1~co~e a~~ 20% are ~.:.nor~~y SaTI~a Monica
=es':'Ge~:'s. ~x?eC~a:'lo~s a=e ~ja~ we w~:l CO~~lr.~e ~o be l~
excess 0: ~je ~a~qe:. goals. ~je ou~cone5 of maJa~ obJect~ves
are Teas~~ed by s~~~arl2~ns =eg~~a:r:y co::ected data callec~ed
0:- e"'-c~.
Q~a~~~y eval~a:lor.s of ~te progra~ are measured by :~ncl~g
sc:..:.=ces : l e C~:.y of SaTI~a ~!o:J.~ca, State a:' Call:.orn1a,
~e?art,er.~ 0: Aglng) anc ~~e WIS2 Acv~so~y CauDcll. The baslc
da~a ~5ed ~y ~je w:s~ Acvlsory Co~ncll far tnelr evaluatlon lS
:.~e Cller.: Satls:ac~lon Card w~lch enables cl1er.ts a~d
careClvers to cov~e~t a~d ~a~e sugges~~o8S for prograr.
.:...:-:):-c \:err- e --:1 ~ .
4. As community needs and fund1ng change, do you plan to ref1ne
or adJust your program(s)? Please describe.
c.:rrer:~ 2.y, tjere ':'5 cons 1dere.ble fundlng ~ncec:.alnty as 1 ~
rela~es :'0 S-:.a~e fundlng ::or F~93-94. Ell.Inlnatlon a~d/o:r
s.:.~r:.:.f~ca~t :red~C~lon of ~he Alzhelmer's grant by the State 0::
Ca:.:.=or~la wo~:c necess.:.~ate a severe cut back ln serVlce at
~he WISE Care progra~, =ro~ servlng 40 cllen::s per year to
O"1:Y ~ 5 or : 7 . If,.:.n add~ t .:.on I the funding grant f=om tr.e
C.:.:.y of Sa~ta MOillca .:.s ~ecuced for FY93-94t consldera~lon
..
WISE Senior Services - WISE Care Program
Page 3.
wo~ld have to be glven to a complete reorganlzat1on of the
adult soclallzatlon programs WhlCh WISE operates. Thls
~eorganlza":.lon could requJxe WISE to ellm1na<::e the Alznelmer' 5
Day Care Program or merge it lnto the Ollve Stone Center
pr-ogram. The type of cl1ent wn1ch could be se~ved 1n the
resul t1ng program would need to be re-evaluated. Eleher
opt~on w1II mean a reductlon 1n the to~al number of cllents
served by 50% ~o 100%.
:n F~92-93 when cost lncreased and fundlng was reduced, W:SE
:.ncreasec 1tS fundra1slng efforts so 1t would not need 1:0
~educe se~Vlces ~o the fra~l populatlon. However, the
po~e~~la~ for a substantla: 1ncrease lD WISE's FY93-94 incowe
froIT prlva~e sources lS no~ a reallst1c expectatlor. glven the
Ca~lfo=nla economy.
1::e neec :0:" t~e Alzhe~:Ler f s :Jay Care prograD w.:..1: not
ClT1~lShf 1t lS an~lclpated that as the populatlon ages and
~lves lo~ger there wll1 be ar. lncreased lDcldence of persons
s~:=erl~g fron Alzhel~er's Dlsease and other forms of
ce~en~la. Accordl~g to the Alzhe':":Ler's ASsoc1at.:..on, as people
age l~~O thel:" 80's, the rate of dewentla could be as hlgh as
50%. 'In.:..s means t:J..l.S pOpc.latlon '....:Lll have ever: g=eate~
se-:-~J.:.ce :leeds.
,.
WISE Senior Services
Olive Stone Center
.93
p,.l~'/ 1 G
I tl ~ ~ ..,.
? 4 ,...,
~~
WISE SENIOR SERV~pCF~_ -
OLIVE STONE PROGRAM
~.
1. Identify and discuss your target population(s) and indicate
why your services are needed? How are your services meeting
an urgent need?
The ta=get popu:a~lon fo~ Ollve Stone (OSC) lS sen10rs who may
suffer :rom rn1ld ~emory loss ane conruslon along wlth
ciepress10n and lnert.:.a. The serV1ce has been aval2.able to
reS1cents who llve out of Santa Monlca b~~ resldents 0: the
C1ty 0: Sant.a ~onlca are give:: prlorlty adml.SSlOn to the
prograrr. Ollve Stone .:.s ope:! f1ve day per week, Monday
throug~ Fr:.day :::::-om 10: 00 a .m. to 3: 00 p.m. There lS an
e~:::-ollme:1t o~ 55. Seventy-seven percent (77%) of the at~endees
a~e WOT-en; 10% are ~lnor.:.~.:.es. The average age 15 76 years.
~os~ of the pa~t1clpa~ts are physlcally active. A few requlre
asslsta~ce wltt ambulatlon. Kon-Santa Mon~ca resldents must
pay f~ll fee to enroll l~ t~e program.
Tte Ollve Stone progra~ 15 meetl:1g ar. urgent need because It
o:fe:::-s a level of serVlce r..ot c.upllcated elsewhere 1n the
COtL~=lty. Careg.:.vers ~ave :requently not accepted the older
ac.'..l':"'C'S CO!lClt10:". and do no":. know how to cope wl.th ..:.t.
~~roug~ ~je Ollve Sto~e Program, ~hey are glve~ lnformat1on,
cou3selec wl~h anc prov..:.ded w.:.~h reso~rces wh~ch a5s1st them
~Q cope wl~h t~elr feel~ngs and ~ne s~tua~lon. The
~herapeu~~c progra~ ~~ oL=e~5 ":'3 a safe enVlronment ~s
spec':':lca':"':"y des..:.g~ed fo~ the r:.:.ld:y l~pal~ed a~d freq~ent~y
depressed o:der adL:~. Wlthou~ ~he WIS~ Ollve S~one prog~am,
~he ~so:a':.:.o~, lner:~a and depres Slon of ::.hese l.ndl vlduals
wo~:d con~~n~e unre:1evec. Researc~ has der.onstrated such an
e3v.:.ron~en~ contrlb~~es ~o phys~ca: and me~ta: de~erlorat.:.on
wh~ch leads to 1nstltu~.:.onal..:.za~lon.
2. How does Santa Monica grant funding sign~ficantly impact this
target populat~on?
Sa3~a M03~ca grant fund.:.r.g slgL':':lca3tly lmpacts thlS ta~get
oooL:atlon. ~he Clty 0: Santa Monlca grant fund.:.ng fo~ FY92-
9 3 represe~ ts 73.6% of ::he budget :::or th1S serVlce. WI SE
~hrough ltS :undra1sl~g ~as contrlbuted ::.he rema1nlng 26.39%.
Th.:.s cornbl~atlon of monles has made It posslble for WISE to
develop an ad~lt 50c.:.al1zat1on p~ogram for senlors who do not
flt l=to any other category of serVlce In the cornmunlty. Many
of thew are sufferlng f~om lso1atlon, depresslon and some wlld
cognl":..:.ve lmpalr~ent. Careglvers are also served by rece1vlng
=esp1::e, cour"sellng, o~:)"(:lonal pa:::-tlclpatlon lIT a support
g~OUPl and resource lnIormatlon. ThlS program l5 recognlzed
throug~ou~ the area :or .:.~s qua:lty and the~apeutlc
tr
WISE Senior Services - Olive Stone Program
Page 2.
effectlveness. Should :.he Santa Monlca gran~ ::u:1dlng be
reduced for FY93-94, the format of the program would need to
be drastlcal1y changed: the two programs WISE Care and Ollve
Sto~e, mlght need to be mergedi the serVlce days reduced; and
the number of cl~ents served reduced
3. What are the major outcomes and goals of your program? How are
these measured and evaluated?
T~e maJor goal of the Ol~ve Stone Program 15 to provide 40
part~clpar.tS wltt a therapeutlc enVlronwer.t WhlC~ enables t~eIT
~o rrax~w~ze tje cog~~tlve and physlcal abll1tles they have.
Tie outcores -of rra]or Ob]eC~lVes are Qeasured by sUF.~ar~zing
reg~~a~ly collected ccta on each.
~~rocg~ ~ay 1, 1993, 56 total part~c~pa:1ts ~ave beer. s0rved ~:1
t::e progrcffis of Wl'.lC2 41 were Sar/c.a !-~onlca res.:..der:'":.s. The
goa: :o~ :Y92-93 was to serve a total of 42 part~clpants of
......h~cj 40 were to be Santa tl;:onlca res~der.t5. Of the Santa
~o~~ca partlclpants served, 51% tave been lOw-lucorne ar-d 11%
::I':":1.or.:...-:.~es.
OctcoLes are evaluated froF a ~ual~ty of se~Vlce perspectlve
U5~::C; c. care plan fo:- eac:J. part~c:.par:t wh.:..ch ~dent~fles
saec~:~c ~eeds/prob:ems wh:.ct ~eed to be monltored or have
:-eso_ut.:..o::. The daily ac:':'v~-:y plar: 15 -:.he:: deslg:1ed and
_~?:er,e~:'ed so each ~c~:'':''clpa~:. recelves ~he ass~stance he/she
::eeds as o~t:~~ed by :.helr :'~clvld~a: care pla::. All ca~e
pla::s are :-ev~ewed and ~o::ltored by the day care teaT. u~der
si.:~e~',"':" S ':"0:'. of tl'ie Coc:-d~r:ator P:::-og:::-aD qual:. ty lS a1 so
eVc.~~c.:'ec by tie C~ty 0: Sa::ta MO::lca dur:.ng on-slte V1Sl~S by
:.r..e pro<;ram a:la:yst. It l5 also evaluated by t~e WI SE
Adv.:..so:-y Cou~c:.: ~~:.s lS dor.e ~t:-ough a Cllent Satlsfactlon
Car~ wh.:..c~ er.ab~es cl:.en:.s a~d careglvers to comment and make
s~gges:'':''o:1s :or prosra~ l~prove~er.ts.
4. As community needs and fundlng change, do you plan to refine
or adJust your program(s)? Please describe.
~; t~e :~hd~~g gra~t f~ow t~e C~ty of Santa MOL~ca for the
Ol~ve Sto;.e progra~ 15 slgnlf:.cantly reduced for ?Y93-94, a
~eorgar.:.zatlon of the program w:.~l be ~ecessary. One posslble
aC:'lon lS :'0 merge Ollve Stone and WISE Care and reduce the
nur.~e:- of days the serVlce lS ava:.lable. Th:.s merger would
wear. a reductlon 1:: :.he overal: number of cllents that wll: be
served ~y a:. least 50%.
Ir: FY92-93, when progra~s rece:.vec a fundlng reductlo~1 WISE
corr~~~:'ed ~o lncreas~ng lts =uncralslng share as no~ to reduce
....
WISE Senior Services - Olive Stone
Page 3.
serVlces. However, ~he potentlal for a substant~al ~ncrease
In WISE's FY93-94 income from prlvate sources lS not a
realls~lc expectatlon glven the Californla economy.
The Ol~ve Stone program as It lS presently set-up offers the
pa=tlclpants a means of rellevlng depression, revlvlng
feellngs of self-esteem, and holdlng on to real~ty. Merglng
the Ol:.ve Stone program wlt:.h the WISE Care prograIP would
contlnue to provlde the Ol~ve Stone partlclpan~s wltt some
benefl~s. However, the program would be much less focused on
thelr needs than the present prograIP and less beneficlal.
The need for day care for the populatlon served by Ollve Stone
':'s lncreaslr:g as the COP1..:Tlu~ity rafndly ages. Day care lS
becoF-.:.ns a necessary com?onent of commun:.ty se~v~ces.
Y..a:1Y ca::-eg:. "e::-s a~e struggllng wl th responsl.bll~ tles for thelr
c~.:.~dre~ a:1d thelr ag~ng parents; others have ralsed thelr
:a~.:.::.es a~d are ready to retlre and flnd themselves car 109
=or the.:.::- parentsi otters flnd thelr spouse becom~ng
c~s~~te~ested, dep~essed and fo~getful. Day care has helped
w.:.:..:: t::ese p::-oblerr.s. T~e:.-e a:::-e lsolated seniors vlslted
~~:reque~~ly If a~ all by ad~lt ch~ldren; older adults feellng
.:...so':"a:.ec end lonely ever! 'Lohaugh Ilvlng w~th thelr grown
cjl~cre~i there are a:so frall, but actlve senlors wantlng to
S1:.:-l..c:..ure thelr days lr: a stl;TIu::'a:::.ng enVlronment.. These
l~C':'Vlc~a~s ::ave all been ~elped :.n day care. The need for
cay care fo:." :..he populaL.lo~ O::'lve Stone serves lS lncreaslng.
...
WISE Senior Services -
Resource and Referral
"93 i iW 1 S ? ~ :-: 2
CtT'I ~= .~.'-
I I l. .. .
- ,
WISE SENIOR SERVICES
EDUCATION & RESOURCE CENTER
1. Identify and discuss your target population(s) and indicate
why your services are needed? How are your services meeting
an urgent need?
The ta~get populat~on served by the WISE Educatlon and
Resource Center, has been, and contlnues to be, the 14
tho~sanc Santa Mon~ca elderly and the fam~lles who care for
them. The people who access ou:::" Inforrnatlon and Referral
serVlces te::d to be those eve:- age 60 who are low-lncorne,
=ra~~ and wlth ~~l~lple handlcaps. They usually need multlple
serVlces In o~cer to be able to ~alnta~n the~r current status
0= llvlng lndependently.
The ~G~ge~ populatlor. for au:::" educatlonal serVlce lS two fold:
o~e lS the spouses and adult chlldren of those frall elderly,
who are themselves lTI need of support, educatlon and
~eso~~ces. The second g~oup to whom we address our educatlona:
?rog~a:rs are ":.~e aC:'l.ve and lnvolved sen::..or cltl.ZenS to
enta~ce thelr qual~~y 0: llfe.
The~e 2...5 ai. urgen~ need for educa~lon and resource serVlces
for tjese 5e~~ors and ~he~~ fak~lies. People who call us are
~s~a~~y ~~ C~lSlS and feell~g over whel~ed and at that tlIDe
are especl.al~y vulnerable to t3e stresses of ca:-eg~v~ng and 0:
q~OWl~g o~d In our soc~e~y. Nego~latlr.g the maze of publlc
ar.d p~lva~e serv~ces and reso~rces car. be ard~ous at best, a~d
a 3~gj~,are at wors~. Our ~ral~ed staff and Volun~ee~
:~for~at~o~ Counselors are avalla~le f~ve days a weeK, from
8:30 a!"", ~o 5:00 p.m" to aSSlS-::: the elderly and thelr
fa~~~_es kh art~culatl~g thel~ needs and In loca~ing
a88ro~~~a~e serVlces. ~~ese serv~ces flll a crltlcal need ~n
v~ew of the ~~c~ease In e!der abuse by the so-called gsandwlch
generatlo=d, beca~se of the s~ress and fr~stratlon l.nherent In
carl3~ :or a~ e~de~ly pe:-son at the same tlme as ca:::"l~g fo~
depe3cer.t ch~ldrer.. Muc~ of ~he ptyslcal and emotlonal abuse
l5 d_rec~~y or lr.d.:...::-ec::ly related ':.0 ~be frustratlOr. and
~e:?~ess~ess :e~~ by the :a~~ly careg.:..ver. Accorclng to Vern
- 3eng~5o~, a professor of SOClO~OSY and Dlrector of Researc~
at the ur..:..verslty of Souther~ Ca~l:orn~a/s Andrus Gerontology
Cer..:.er:
"Havlng agu:g and depender.t paren-.:s at the same tlffie as
car~ng for you~ own chlldre~ and g~andchlldren wl.ll be
~he rnaJo~ dome5tlc crlSlS for the 21s~ century."
By prov~dlng educa-':lonal programs such as aSSl.stance In
mar.galng behavlo~al problems such as wanderlng ar.d
~ncontl~e~ce; acces5~ng monetary resources avallable ~o
"P
WISE Educat~on & Resource Center
Page 2.
low-lncome senlOrSj learn~~g how ~o obta~n medical and legal
asslstanCej as well as hel?~ng people who call 0:::- come ~n for
~nfor~a~lon; we hope to markedly reduce the level of s~reSSf
anger and f~ustratlon that leads to elder abuse.
2. How does Santa Monica grant fund~ng significantly impact th~s
target population?
San~a ~onlca grap-~ fund~ng slg~lflcantly lmpacts th~s target
DODu:atlon bv a~low~nc the WISE Educatlon & Resource Center to
_ _ ..l ...J
hl~e pa~t-t~~e s~a:=, ~raln volunteers, and to provlde
t:::.-aln.:...n<; v.:...deos, a:1d handou"t-s to enhance our educatlonal
p:::.-esen~a~.:...o~s. ~ne :undl:1g al:ows ~he prograw to reach out to
the elde:::-:"y and thelr farl.llles ::0 provlde lnformatlon and
:::-efe:::-:::-al W~lGh In tu~n a:lows tien to make ~~forITed chOlces on
all aspec~s of ag.:...ng f.:...na:1c.:...al, hea~th care, houslng options
a~c :::-et.:...re~ent plans. ~he Resource Center lS funded only by
t~e Cl~V of San~a MO~lca gra2t fundlng and WISE fund
de'Jelopr'er."':. Wltholi"': t:ce mODles from the Clty of Santa
~o~lca, W=SE woald no longer be able to offer thlS valuable
se:::-Vlce ::0 se~lors and the.:...r fa~~~.:...es.
3. What are the major outcomes and goals of your program? How are
these measured and evaluated?
~2e 0ve:::-a:~ goal of ~he W=S2 ~ducatlor- & Resource Cer.~er lS to
?rov~ce l~for~a~~on and :::-e:e:::-:::-al counsellng and resource
~a~e~~als or. ag~~g and 10~g-~e~IT. ca~e ~o the frall elderly and
~ie~~ :2xllles to 2elp tte~ nake ~~formed chOlces on issues
~ja~ ~~11 ~~pac~ t~el~ 11ves, as we:: as provldlng In:orrratlon
anc ed"J.ca::~onal preser:::a::~ons :'0 aC::lve senlors or: how to
e~jc~ce t~elr 2~ves.
=n:o~~atlo~a~ and referral serVlces were orovlded to a ~otal
0: :752 telepho~e ln~~lrles and 256 walkOl:1S ~n total of WhlCi
755 Le~ep~o~e and 145 wa~k-lns we=e Santa MO~lca reslcents as
of ~a=~~ 30, :993. ~he goal was 840 te:ephone anrl 126 walk-
lES ~n "':o:.a: and 588 telephone and 88 walk-lns by June 30,
1993. Ir, educa:'lona: p:::-esentatlons, tje goal was 15
p=esen:.atlo~s se=v~ng 245 Sa~ta Mon~ca res.:...dents. To da~e 15
~:::-esen~atlo~s we=e comp:e:.ed serVlng 289 Santa Monlca
:::-esl.den::s. ::t ;.s lmpor:.ant LO note t~at the WISE Resource
Cer.~e= lS a Santa Monlca only program but many of ~he people
who aCccess tje serVlce are e~ployed lTI Santa Monlca but wlth
La access se~Vlces for thel= elderly parents and/or relatlves
who :::-eslde o~::slde t~e Clty.
A2.: pe::'"sons
cOh-o::"eted an
have been 95%
planr..lng other
who Dar~lClPated ln the educational programs
evaluat.:...on. I~forma~lon from those evaluat~ons
pos~tlve. Eval~atlon results are also used In
presen~at.:...ons. Add~tlonallYf the WISE Advisory
...
WISE Educatlon & Resource Center
Page 3.
COU~Cl: does an annual su~vey 0= serVlces by havlng cllents
complete a CIlent Satlsfactlon Card WhlC~ lS then revlewec by
~he Cour:cll.
4. As community needs and funding change, do you plan to refine
or adjust your program(s)? Please describe.
The COIT~U~lty nee6s fo~ servlces offered by the W:SE ~ducatlon
& Resource Cent~r should Cor.~lr.~e to lncrease. Accordlng to a
study by the RAND CorporatlOn, the elderly l~ Santa ~on~ca are
CO~~l~~lng to "age lC place" and therefore grow nore dependent
on o~~slde serVlces, wr.~ch wlll lead to an lncreased need for
lnfor~a~lona: and educat~ona: serVlces for ~he sen10rs and
thelr =ar~l~~s w~~t bette~ weclcal care allowl~g people to
llve longer, the "ellte e~derly" (those over age 8S)
pop'.lla t10r. lS g::'-owlng a:1G the specter of senlor C1 t.:..zens
provldl~g careglvl~g serv.:..ces =or thelr elderly parents 15
8eco~l~g a ::.-eal and dlstlnct poss.:..jlllty.
For ?Y93-9~, WISE has ellnlnated the 10 hour Dald In=o::.-mat.:..on
& ~e:erra~ sta== person and wl:l replace her w.:..th volunteers.
It 1S oer expectat.:..o~ ~o cor.t.:..r.~e the curren~ ~evel 0=
se~Vlces. Howeve~, II ~~~d~ng l5 reduced fo~ ~h~s program =roIT
~~e C~~y 0: Sa~~a ~o~~ca, WISE would be fo~ced ~o reduce ~he
c~~~e~t level of se~v~ce. ~epe~d~ng o~ the level of
::::-ec'''':'c:'lOr:, W:::SE would ~ecuce or ell:7l.:..nate the n'..lfrbe:::- of
edeca~la~al p:::-eser:ta~lOGS, a~d also ::::-ed~ce the hours of
:::~:o::::-~a~lO~ a~d Referral serv~ces :ror 8:30 a.m. ~o 5:00 p.m./
:~ve cays ?er weeK :0 posslbly 9:00 a ~. :'0 ~:OO p.m. to three
~o fo~::::- days per week. TjlS wo~ld occ~~ because cuts would
r:ecess~~a~e :.ha:. :.he part-tlTe staff perso~ (65%) who tralns
a:-:.c sl..:pe:-v::..ses ~he voll..::1"ceers a:>.c develops a1:::" eG',lCatlon
se:::-Vlces, tlme wOl..:~d be reneced. A:so, WISE does ~o:.
a~ticlpate any ::..ncrease ::..~ ltS o~tslde fundralsing efforts due
to the Call:or~la econory con:'l~ulng :'0 :ag lIT all areas. At
bes:., w:::s~ only a~t1c::..pa:.es :.hat ~~ wlll ::.-alse the same arr-ount
0: :~~ds as ?Y92-93 ior she :.o:.a: agency.
~
WISE Senior Services -
Para trans it
WISE PARATRANSIT P~OG~
1. Identify and discuss your target populationCs) and indicate
why your services are needed? How are your services meet~ng an
urgent need?
The WISE paratransit program prov~des door-to-door transportat~on
for sen~ors and adult d~sabled resldents of Santa Mon~ca. EI~gl-
bll~ty criteria require that clients res~de in the Clty of Santa
Mon~ca and are age Slxty (60) or above. Adult ReSldents (18 or
above) are eligible if they have a dlsabl~ng cond~tlon that: (1)
prevents them from using fixed route publlC transportation and!
or, (2) lf by using publlC transportation, extreme physical or
mental hardship will ]eOpardlze thelr safety and well belng.
The prof lIe of the typical WISE paratranslt cllent lS a wldowed,
anglo female, 80 years of age who lives alone in a HUD senlor
reSldentlal faclllty, or an apartment build~ng or duplex con-
structed before 1930. The cllent resldes within the area bounded
by 28th street to the east, 7th street the west, Wilshlre boule-
vard to the north, and Paclflc avenue to the south.
The cl~ent suffers from sone form of chronic walklng dlsabillty;
thereby, reqU1rlng the use of a cane or walker for stab1l1ty. The
prlnary source of Lncome 15 a soclal securlty check, WIdow's
penSIon or ret1rement penSIon. The client reports an ~ncorne of
less than $622 per month and recelves Med~care.
WISE paratrans1t IS cruclal to the needs and well be~ng of the
Santa MonIca senIor and dlsabled GOrnmunlty. The need for trans-
por~a~lon IS demonstrated by the number of on-golng requests for
transportatIon. Over the last four years, 3,128 ellglble reSl-
dents have applIed and rece1ved certIfIcatIon for WISE transpor-
ta~~oni 82% (2,565) are dlsabled to the extent that publlC
transportatIon or asslstance from neIghbors or friends has not
bee~ a vlable optIon. The remainlng 563 senlors lists themselves
as haVIng varIOUS medIcal conditlons but, do not consIder them-
selves as beIng disabled. Of the 2,565 d~sabled cllents, 377 are
adult dIsabled persons; the remaInder are frall, elderly sen10rs
who make up about 10% of Santa Mon1ca's senIor populatIon.
FraIl elderly and d1sabled res~dents depend upon WISE for thelr
prllary transportat1on needs. Paratrans1t door-to-door serV1ces
are cr~tlcal to these clIents who are unable to maneuver fIxed
route serVIces. SInce rn05~ suffer from chron1c, medIcal, deblll-
tatlr.g condltlons, transpor~atlon for medIcal purposes IS essen-
t1al for the ~aintenance of theIr health and well be1ng. Seventy
eIght percen~ (7B%) of all transportatlon tr~ps are for med~cal
purposes. Nlnety percent (90%) of our cllents travel w1th some
form of asslst~ve devlce, l.e. cane, walker, wheel chalr, hear-
Ing ald, or an at~endant. These cllents are unable to carry
grocerles, laundry, or other ltems to and from thelr resldence
wlthout the ass1stance of our service. Addltlonally, many cllents
requlre frequent and speclallzed medLcal attentlon avallable only
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Page 2.
through spec~f~c providers. Elghty seven percent (87%) of our
cllents are wlthin the low ~ncome category and cannot afford the
cost of taxis or other pr~vate transportation.
Although the demand for services exceed avallable resources, we
bel~eve that the level of service provided meets an urgent need
for the cllents that are served. The operatlonal component of
WISE transportation is prov1ded under contract with a profess~on-
al transportation serv~ce. We operate four, eleven (11) passen-
ger, wheel chalr - lift equ~pped vans, five days per week and one
van on weekends. Services are ava~lable ten (10) hours da1ly
Monday through Fr~day and flve (5) hours per day on weekends. The
vans are operated by llcensed, uniformed, and professionally
trained vehicle operators. We transport an average of 2,750
passengers each month. Cl~ents are transported to medlcal fac~l-
lt1es withln Santa Monica and surround1ng communities, grocery
stores, laundromats, soclal serVlce facllitles, work sltes,
retall stores, senior centers, and schools. Transportatlon IS
restrlcted to locatIons wlth~n the city of Santa Monlca except
trIpS for medlcal purposes. Transportation to satelllte locatIons
outSIde of Santa Monlca are as follows: deslgnated medlcal facll-
ItIes In Brentwood, the Wllshlre-Westwood corrldor, the West L.A.
V. A. Medlcal Center, Kalser, D.C.L.A., Century CIty, and Cedars
Slnal Medlcal Centers. SerVIce to satell1te locatlons IS on a
flxed route, fIxed Scheduled baSIS.
2. How does Santa Monica grant funding signlficantly impact this
target populat~on?
The FY92-9] San~a Monlca gran~ of $]84,369 (Propositlon A funds)
p~ov~ded 7]% of the funds required to operate the WISE paratrans-
l~ prog~a~. The remalnlng 27% ($128,907) funds are provided by
wISE Ser.Ior SerVIces through fund rals1ng and a TItle I1IB grant
fro~ the County of Los Angeles. Recelpt of Santa Monlca grant
funds cont:nues to be the prlmary deteroin1ng factor that enables
our agency to provlde and malntaln the paratranslt program for
SeTI10r and dlsabled resldents of thIS C1ty. Our FY93-94 fundlng
for thlS p~ogram 1S also affected by: (1) a proposed 6.76% reduc-
tion In County fundlng and, (2) a FY93-94 cost of llving lncrease
1n our transportatlon contract serVIces. A reduct10n In grant
f~nd:ng by the CIty of Santa MonIca would reduce the level of
serVlce that we are able to provlde.
3. What are the maJor outcomes and goals of your program? How are
these measured and evaluated?
The ove~all goal of the program 1S to provlde senlor and adult
dlsabled reSIdents of Santa Mon~ca WIth safe, t~mely, and profes-
SIonal door-to-door transportatIon that IS adapted to accommodate
the medlcal and phYSIcal condltions of ambulat1ng which Inhlbl~
or preclude thelr use of pub11c transportatlon. Major outcomes
are measured by the contlnuous dellvery of service. Of the 32,995
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annual one-way trips pravlded, 82% of the clients who use the
serVlce are physically dlsabled and are unable to use publlC
transportatlon; the remalnlng 18% are limlted by psychological or
other ~mpalrments which restrlct the1r ability to safely maneuver
other modes of transportatlon. Outcomes are evaluated by mea sur-
lng performance agalnst the lndustry's accepted standard for the
number of passengers per vehicle service hour (VSH) and the ac-
ceptable on-tlme performance. The acceptable standard for passen-
gers per hour for an "elder and handlcapped" service is 2.8 and
the on tlme performance 1S 20 mlnutes. WISE paratransit serVlce
contlnually exceeds each standard performlng at an average of 3.5
and i4 m1nutes respectlvely.
4. As community needs and funding change, do you plan to refine
or adjust your program? Please describe.
Proposed fund1ng char.ges for FY93-94 require signlflcant progran
rnodlflcations. Our FY92-93 County grant for the paratransit
program was $93,345. The County lS proposing a mlnimum 6.76%
reductlon across the board on all grants approved for FY93-94.
Addltlonally, the proposed reallgnment of the Los Angeles County
supervlsorlal dlstrlcts could result ln a substantlal loss of
County funds for Santa Monica senlor programs. The transportatlon
prograF- stands to loose all County fundlng after FY93-94 depend-
~ng upon how funds are allocated followlng lmplementat10n of the
A.D.A. paratrans~t plans for thls reg~on. The proposed 6.76%
reductIon for FY9J-94 wIll reduce the County grant by $6,310 for
a total grant of $87,035.
If the FY93-94 Santa Monlca grant rernalns unchanged, a reduct~on
l~ county fundIng co~blned wlth the lncrease In contract serv~ces
w~ll s~~ll requlre a reduction ln the nu~ber of VSH and an acco~-
par.Ylng reductlon ln passenger rIdes.
The potentlal for a substantIal Increase ln WISE's FY93-94 Incone
from prIvate sources 1S not a reallst1c expectatlon. Addlt1onal-
ly, we are unable to lmpose a fee for serVlce charge, therefore
clIent contrlbut1ons have been mlnImal. In order to offset the
proposed deflcIt, we are reduclng the Transportation Coord~nator
posltlon by 15% and the AdmInIstratIve AId posltlon by 25% effec-
tIve July 1, 1993. SavIngs from these two reductlons WIll con-
trIbute toward the purchase of addltlonal VSH. If the FY93-94
Santa MonIca grant IS reduced, other changes In dlrect serVlces
WIll become necessary.