Area Agencies on Aging

 

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What is an Area Agency on Aging?

Area Agencies on Aging (AAA) work to promote the highest level of well being of older adults, whether living at home or living in a long-term care facility, by partnering with organizations to provide a comprehensive system of opportunities, services and protective supports.

AAAs were established under the Older Americans Act (OAA) in 1973 to respond to the needs of Americans aged 60 and over. They are more important than ever as our nation responds to both the needs of aging parents and the needs of aging baby boomers.


AAAs assess the needs of older adults and their families within the communities they serve and then find ways to address those needs. They do that through a variety of ways. They offer services, either directly or through local aging agencies. They partner with other agencies and/or organizations to offer support. They educate both local aging services providers and older adults and their families. The goal is to help individuals who wish to continue to live at home to do so for as long as possible, in a safe environment. As you might imagine, this can be done in a variety of ways from offering Caregiver Specialists to In-Home Services to Senior Centers, etc. Residents of long-term care facilities such as nursing homes or assisted living facilities, and their families, are also included in the network of support and assistance through the Ombudsman Program and Caregiver Support as well as other local supports.

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What Services Do They Provide?

The National Association of Area Agencies on Aging has identified five broad service categories: information and access services, community-based services, in-home services, housing and elder rights. Within each category, a range of programs is available. Some examples are listed below. Not all the listed services will be available within the service area of every Area Agency on Aging.

Information and Access Services:

  • Information and Referral/Assistance - a source for locating services available from a AAA or from another service agency in the community.
  • Health Insurance Counseling - helps beneficiaries understand their options and rights under Medicare, Medicare+Choice and Medicaid and obtain information on Medigap and other insurance alternatives.
  • Client Assessment - a determination of the client's needs and eligibility for services.
  • Care Management - a review of an individual's social, psychological and physical health challenges, resulting in a "plan of care" for services or treatment, if appropriate.
  • Transportation - rides to critical destinations such as a doctor's office or the grocery store.
  • Caregiver Support - education and resources that enable caregivers to provide care for an older family member while maintaining their own quality of life.
  • Retirement Planning and Education - help for older adults as they prepare for their retirement, with a focus on issues such as pensions, health concerns, legal issues, and work and leisure options.

Community-Based Services:

  • Employment Services - a way to help the individual find meaningful work, including assessment, testing, job counseling, education and placement.
  • Senior Centers - a gathering place where older adults can enjoy social, physical and recreational activities. Senior Centers may serve as congregate meal sites.
  • Congregate Meals - group meals served at senior centers, schools and other sites for the purpose of providing a nutritious meal in a social environment.
  • Adult Day Care Services - a community-based group program designed to meet the needs of functionally impaired adults and provide respite for their caregivers.
  • Volunteer Opportunities - a way for healthy older adults to continue to contribute to their community.

In-Home Services:

  • Meals-on-Wheels - mid-day and evening meals delivered to individuals who cannot shop or prepare their own meals, often by a volunteer who also provides a sense of security and social contact to a homebound individual.
  • Homemakers - assistance with tasks essential to maintaining a household, such as food shopping and housekeeping.
  • Chore Services - a step beyond homemaking - includes minor home repairs, yard work and general home maintenance.
  • Telephone Reassurance - regular, pre-scheduled calls to homebound older adults to reduce isolation and provide a routine safety check.
  • Friendly Visiting - periodic neighborly visits to homebound older adults to provide social contact and reassurance.
  • Energy Assistance and Weatherization - payment of fuel bills and home weatherization for low income people.
  • Emergency Response Systems - electronic devices which allow individuals to contact a response center in the case of an emergency, such as a fall.
  • Home Health Services - a variety of services including skilled nursing care, health monitoring, dispensing of medication, physical and other forms of therapy, and instructing individuals and family members about home care.
  • Personal Care Services - assistance with bathing, feeding, walking and other daily activities.
  • Respite Care - a break for family members from caregiving responsibilities for a short period of time.

Housing:

  • Senior Housing - housing designed to accommodate the needs and preferences of independent older adults.
  • Alternative Community-Based Living Facilities - a range of housing facilities that bridge the gap between independent living and nursing homes, such as assisted living and adult foster care.

Elder Rights:

  • Legal Assistance - advice and counsel for older persons and their families faced with financial and legal concerns.
  • Elder Abuse Prevention Programs - designed to alleviate situations of abuse, neglect or self-neglect; includes programs such as adult protection and guardianship/conservatorship.
  • Ombudsmen Services for Complaint Resolution - ombudsmen investigate and, when possible, resolve complaints made by or on behalf of older adults who are residents of long-term care facilities.

 


Through the services and opportunities and programs offered by AAAs, older adults and their families have a wide variety of services to choose from. Each family situation is different. AAAs help families find the best offerings in their communities to fit those individualized needs.

Many states are working toward "one stop shopping" for services for seniors. In some, AAAs serve at the gateway to needed care. They help families assess service needs, locate available services, determine eligibility, authorize service, provide or contract for the service, and monitor for quality and cost effectiveness. In many cases, the most appropriate agency to provide the direct service is a local aging agency such as a Council on Aging or Department of Social Services. The AAA would be responsible for ensuring that the service guidelines were met and that families received a quality service that met their needs.

Since each AAA is responsible for meeting the needs in the communities they serve, services may vary. The Older American's Act provides a basic framework. States and AAAs then work with that framework to respond to local needs and to work within what is feasible at the local level of service delivery.

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Who Funds Area Agencies on Aging?

The Older Americans Act provides funding for Area Agencies on Aging. Each state also contributes. Each Area Agency is a non-profit governmental agency.

The intent of having services offered through an Area Agency on Aging is to offer low cost solutions to caregiver and senior needs and to provide the structure for quality oversight. AAAs also offer a means to provide continuing education for local aging services provider agencies that is consistent and reliable and that will help them provide quality services.

Many of the services offered through AAAs (and contracted local aging services agencies) are offered on a voluntary contribution basis.

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How Can I Find My Area Agency on Aging?

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Advocacy Efforts

AAAs are also positioned to act as advocates for older adults and their families. Many work with state groups advocating for seniors to coordinate efforts.

If you are interested in working with your local AAA to advocate for senior issues, contact them and ask how to get involved. Your state may have a "Senior Legislature" that makes recommendations to your state legislature. Or, there may be committees that you could serve on to help the seniors and caregivers in your state.

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According to the National Association of Area Agencies on Aging, the mission of AAAs - to make it easier for older persons to live independently in the comfort of their own surroundings - is not only cost effective, it is the preferred choice for millions of older adults nationwide.

 

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