RESPITE

Ellen M. Nau, M.A., Human Services Program Coordinator

Virginia Department for the Aging

RESPITE

Respite is a concept.

It can mean temporary services provided to aged, infirm ordisabled adults that allow their caregivers to take a break fromcaregiving.

Jefferson Board on Aging Adult Day Health Care Center

VIRGINIA RESPITE CARE INITIATIVE PROGRAM

Established by the 1988 General Assembly to provide respitefor elderly (60 and older), and persons with Alzheimer’s diseaseor related illnesses

Clients must have a twenty-four hour caregiver

Respite care limited to 35 hours per month per client

Jefferson Board on Aging Adult Day Health Care Client

VIRGINIA RESPITE CARE INITIATIVE PROGRAM(CONT.)

FY 2009:FY 2009:

83,063 hours of respite provided by this program

309 clients received adult day care, personal care,homemaker, companion care and hospice services

Program participants included 11 Area Agencies onAging and 3 non-profits

Participants must furnish matching funds and costsharing is permitted using the Virginia Department ofHealth sliding fee scale

RESPITE

ADULT DAY CARE

IN-HOMERESPITE

INSTITUTIONALRESPITE CARE

Adult Care Center of Central Virginia

ADULT DAY CARE

Social day care (providing social activities, meals,recreation, and limited health-related services).

Adult health day care (offering more intensive health,therapeutic, and social services for individuals with severemedical problems). Adult day care is useful for caregiverswho cannot stay home all day to provide care, supervision,and companionship.

PERSONAL CARE SERVICES

In-home respite care combines health care and supportservices to help people with disabilities continue living at homeas well as possible. Two types of home care are available:

Appalachian Agency for Senior Citizens Crater District Area Agency on Aging

Non-medical home care servicesinclude personal care, companionship,housekeeping, cooking, and otherhousehold activities.

Home health care services providemedical care such as medicationassistance, nursing services, andphysical therapy.

INSTITUTIONAL RESPITE CARE

Institutional respite care in nursing homes, assistive livingcenters, and occasionally hospitals, provide respite care forindividuals with disabilities who need to be away from homeovernight or for several days. They can handle people in need ofmore care.

THE NATIONAL FAMILY CAREGIVER SUPPORTPROGRAM (NFCSP)

A multifaceted support system that helps families sustain theirefforts to care for an older individual or child

Area Agencies on Aging are encouraged to develop new modelsof caregiver support that enhance the role of the familycaregiver

There must be both a caregiver and a care recipient to qualifyfor Title III-E services

NFCSP ELIGIBLE POPULATION

Caregiver is an adult family member, or another individualwho is an informal provider of in-home and community careto:

An individual who is 60 years of age or older; and for personsreceiving Respite or Supplemental Service, meets thedefinition of “frail” as found in Section 102 (26) of the OlderAmericans Act

A child not more than 18 years of age being cared for by a“grandparent or older individual who is a relative caregiver”55 years of age or older

SERVICE DELIVERY ELEMENTSFIVE BROAD CATEGORIES

Information to caregivers about available services

Assistance to caregivers in gaining access to the services:

Information and Referral/Assistance

Care Coordination

Transportation

Assisted transportation

SERVICE DELIVERY ELEMENTSFIVE BROAD CATEGORIES (cont.)

Individual Counseling, organization of support groups, andtraining to caregivers to assist them in making decisions andsolving problems related to their caregiving roles

SERVICE DELIVERY ELEMENTSFIVE BROAD CATEGORIES (cont.)

Respite care to enable caregivers to be temporarily relievedof their caregiving responsibilities

Adult Day Care

Homemaker

Personal Care

Institutional Respite

Direct Payments

Other

SERVICE DELIVERY ELEMENTSFIVE BROAD CATEGORIES (cont.)

Supplemental services, on a limited basis, to complementthe care provided by caregivers

Chore

Congregate Meals

Home Delivered Meals

Direct Payments

Other supplemental services

VIRGINIA CAREGIVER COALITION

Volunteer coalition that meets bi-monthly at VDA

Formed after coalition training session sponsored by AARP

Discussion centers on a variety of issues of concern tocaregivers and how to resolve these issues

Produced new revised Taking Care A Resource Guide forCaregivers

VIRGINIA CAREGIVER COALITION

90+ members from state, local, AAA, public and privateorganizations

Recognized in 2007, 2008, 2009 by the National Alliance forCaregiving (NAC)

Facilitator presented on the Coalition at the NCOA/ASANational Conference in March, 2009

KINSHIP CARE INITIATIVE STATEWIDE TASK FORCEAND INFORMATION NETWORK

Volunteer coalition that meets quarterly

Focus on issues of interest to relatives serving as parents

Founded on seed money from the Brookdale Foundation –although money is exhausted, the task force still receivestechnical support from Brookdale

Partnership with Kinship Care Workgroup at the Virginia

Department of Social Services

VIRGINIA’S ALZHEIMER’S DISEASE AND RELATEDDISORDERS COMMISSION

Advisory Committee to the Governor and Secretary of Healthand Human Resources to assist people with Alzheimer’sdisease or related disorders, as well as their caregivers

Nonlegislative citizen members appointed by the Governor,Speaker of the House of Delegates and the Senate Committeeon Privileges and Elections

2007, 2008, 2009 Reports of this Commission advocate formore respite for caregivers

ELECTRONIC PROGRAMS TO AID CAREGIVERS

Developing the PeerPlace Program for easy transference ofclient information

Virginia Easy Access - information for caregivers that has aportal to more information at SeniorNavigator.com

At the Virginia Department for the Aging, we wantall our seniors to age gracefully and comfortably

as they ride into their sunset years!

www.vda.virginia.gov

CONTACT/PROGRAM INFO

Ellen M. Nau, M.A., Human Services Program Coordinator

National Family Caregiver Support Program

In-Home Services

Adult Day Care

Virginia Respite Care Grant

Virginia Respite Care Initiative

Care Coordination for Elderly Virginians

Kinship Care

Money Follows the Person Grant

Elderly Refugee Program

Virginia Department for the Aging

804-662-9340