Alzheimer’s Disease Initiative (ADI)

Summary

The Alzheimer’s Disease Initiative (ADI) program provides community-based services for the special needs of individuals aged 18+ with Alzheimer’s disease and related memory disorders. There is a co-pay fee required of clients receiving services. Examples of services provided are case management, respite care and caregiver training & support.

History

In 1985, the Florida state legislature created The Alzheimer’s Disease Initiative to provide services and training to meet the special needs of individuals suffering from Alzheimer’s disease and related memory disorders. ADI also provides funding for caregiver needs.

ADI has four major components, each of which is devoted to meeting the service, research and training needs of Floridians stricken by Alzheimer’s disease and related dementia. These components are: A ten member advisory committee appointed by the Governor; eight memory disorder clinics located throughout Florida; Model Day Care programs, and Respite Care Programs.

Legislative changes made to ADI by the Florida Legislature over the years include the addition of two Memory Disorder Clinics, a requirement for providers to collect co-pay fees for service, and the provision of caregiver training as a new service. Within PSA 5, respite care is a funded service under ADI and is provided by the lead agencies in Pasco and Pinellas counties.

ADI funds are administered through the Department of Elder Affairs. Area Agencies on Aging are responsible for administering funds at the local level. Since 1985, the Area Agency on Aging has assumed responsibility for administering ADI funds for PSA 5.

Services of the ADI program focus on providing respite care for caregivers of persons suffering from Alzheimer’s disease or other related dementia, offering them some weekly relief from the constant demands of caregiving. ADI services help eligible consumers to remain in their homes or the home of a caregiver rather than relocating to an institution or nursing home because of unmet personal care needs.

Community Care for the Elderly Act (CCE)

Summary

Community Care for the Elderly provides community-based services to assist seniors aged 60+ at risk of nursing home placement to remain in their homes or the home of a caregiver rather than relocating to an institution because of unmet personal care needs. Clients must be homebound and live in the community, but require help from others to cope with the normal demands of daily living. A co-payment fee is charged for all services received based on the client’s ability to pay. A case manager is assigned to each client. Examples of services provided are adult day care, case management, emergency alert response, home delivered meals, home nursing, and nutrition counseling.

History

In 1973, the Florida Legislature demonstrated its commitment to meet the special needs of Florida’s aging citizens by passing the Community Care for the Elderly (CCE) Act. This Act was amended in 1976, authorizing the funding and implementation of demonstration projects to determine acceptable and cost-effective ways of keeping elderly persons in their own homes to prevent, postpone or reduce inappropriate or unnecessary institutional placements.

Community Care for the Elderly provides community-based services organized in a continuum of care to assist elders, aged 60+, at risk of nursing home placement to live in the least restrictive environment suitable to their needs.

In 1980, the Legislature amended the CCE Act and expanded CCE from a demonstration project to a statewide program for functionally impaired older people. The bill provided for the development of at least one community care service system in each district.

Individuals must be functionally-impaired and age 60 or older. “Functionally impaired,” according to the Community Care Act, refers to persons who are homebound and live in the community, but require help from others to cope with the normal demands of daily living.

CCE funds are administered through the Department of Elder Affairs and Area Agencies on Aging are responsible for administering funds at the local level. Since 1980, the Area Agency on Aging has assumed responsibility for administering CCE funds in Pasco and Pinellas counties.

Home Care for the Elderly (HCE)

Summary

This program provides subsidy payments to help caregivers maintain low-income seniors in their own home or in the home of a caregiver. The senior must be at risk for nursing home placement. The monthly subsidy payment is made to the caregiver for support and health maintenance and to assist with specialized health care needs.

History

Home Care for the Elderly (HCE) seeks to prevent premature or inappropriate institutionalization by helping caregivers of frail, low-income seniors. HCE provides a financial subsidy to caregivers of persons aged 60+ who are eligible for nursing home care through Medicaid, but who are receiving care in a family-type living arrangement in the community.

There are two types of HCE subsidies. Basic subsidy is a set monthly payment made to the caregiver to assist with the general cost of providing care. The payment amount is based on the income of the person receiving the care, but is generally $106 per month. Special subsidy is a flexible payment that reimburses caregivers for purchases of special supplies, equipment, or services needed to maintain the health and well-being of the elderly person. This supplement is not received by every HCE client and varies in amount per month. HCE is managed by the lead agency in each county and subsidy payments are made through the Area Agency on Aging.

Older Americans Act (OAA)

Summary

The federally funded Older Americans Act provides a variety of in-home and community-based services without cost to persons 60+. While people 60 years of age and older are eligible for Older Americans Act programs, services are funded for individuals with the greatest economic and social need who meet program guidelines. Also provides support services for family caregivers and grandparents or older individuals who are relative caregivers. Examples of Older Americans Act services are Information and assistance, Home-delivered meals, Adult Day Care, Counseling, and Transportation.

History

The Older Americans Act is generally considered to be the most significant federal recognition of the distinct needs, capabilities and privileges which are inherent in a specific group, i.e., those aged 60 and over. The activities, mandated and funded under this Act, carry no income eligibility requirement, unlike numerous other federal assistance programs, e.g., food stamps and Section 8 housing. The Older Americans Act is viewed as a direct outgrowth of the 1960 White House Conference on Aging.

The overall purpose of the Act was to establish an “aging network,” provide for the funding of local service programs, establish training and research projects, and stimulate the development of innovative and/or improved services for the elderly. Congress has continued to appropriate funds and update the law with periodic amendments under this Act for the provision of social and nutritional services, staff training, research/demonstration projects, and the operation of the Administration on Aging. In the fall of 2000, the OAA was reauthorized and amendments added for a five year period. According to the amendments of 2000, funds can be utilized as follows:

Title III-B: Supportive Services and Senior Centers
Title III-C-1: Congregate Nutrition Services
Title III-C-2: Home-Delivered Nutrition Services
Title III-D: Disease Prevention and Health Promotion Services
Title III-E: National Family Caregiver Support Program

Under the Older Americans Act, service providers must follow priorities set by the Area Agency for serving older persons with greatest economic or social need, with particular attention to low-income minority older persons and older individuals residing in rural areas, individuals with severe disabilities, and Native Americans. The Older Americans Act requires that each client be provided the opportunity to contribute to the cost of the service; however, denial of service for non-contribution is prohibited. Contributions must be used to expand services

The revised Older Americans Act added a new caregiver title to the Act. This title provides an infrastructure of program resources and assistance to family caregivers and grandparents and older individuals who are relative caregivers through state and area agencies on aging, service providers and consumer organizations.