Chore Services: This program provides assistance to persons having difficulty with some instrumental activities of daily living such as heavy housework or yard work. Limited funding is available. This program is designed for one-time assistance, not for ongoing needs.

Elder Rights Programs: Programs designed to protect assist, and represent older adults in a variety of matters, pertaining to physical, mental and financial exploitation.

Family Caregiver Services: The Family Caregiver Support Program provides respite services to caregivers over 60 caring for an elderly spouse or grandchild (under 18), or an individual under 60 caring for someone over 60. Services that may be included are respite care, adult day care, support groups, and education. Limited funding may also be available for home modifications, assisted devices and medical supplies.

Health Promotion: These programs are designed to promote the health and wellness of older adults and to prevent disease and illness. Services include health education and screenings, risk assessments, nutrition and geriatric counseling and general wellness programs.

In-Home Services: Assistance with housekeeping, assistance with personal care, and other supportive services provided on an ongoing basis as long as the consumer is considered eligible for services.

Legal Assistance: Provides legal advice by an attorney to older persons, and educational programs about legal rights to older persons in the community.

Nutrition Services: These services help maintain the health of eligible consumers by serving meals in the person's home (Meals on Wheels) or at congregate sites, and by providing nutrition screening, education and counseling. Meals provide at least 1/3 of the minimum daily recommended dietary allowances. Congregate meals also provide social interaction at churches, senior centers and other sites. Ombudsman: This program addresses complaints or problems of older persons living in, or seeking access to a long term care facility such as a nursing home.

Options for Community Living Program: This program encompasses multiple funding streams and provides a range of services to enable seniors and persons with disabilities to remain in their homes and community, and avoid unnecessary institutionalization. Eligibility for the Options for Community Living is determined by a home assessment conducted by a Service Coordinator/Case Manager. If a consumer is determined eligible, then the services implemented could include not only ongoing Service Coordination/Case Management, but also in-home services, nutrition, and other supportive services as determined by the consumer's needs through the home assessment (see services listed below for more details). Funding sources for this program includes the Older Americans Act, State, and Medicaid Waiver funding (which began in Spring 2004).

Public Guardianship: People are assigned to this program by the courts. This program helps people age 60 and over who are unable to manage their own affairs and who have no one to act on their behalf.

Respite Services: Respite Care Services provide short-term supervision and/or assistance with activities of daily living for mentally or physically disabled elderly persons in order to provide a period of rest or relief to the caregiver.

Senior Centers: Senior Centers are places in each county where people can get information about all

programs and services available in the community and the region. They also provide opportunities to promote the physical, mental and social well-being of older adults by providing recreation, educational classes, health screenings, physical fitness activities, telephone reassurance and home visiting programs.

Service Coordination/Case Management: This service provides a Service Coordinator/Case Manager to assess the consumer for determination of eligibility for services, who will then continue to provide ongoing service coordination/case management. In addition, the service coordinator/case manager will coordinate the services as determined by the consumer's service plan, will monitor the quality and delivery of the services through frequent and consistent contact, will resolve problems related to the implementation of services, will advocate for the consumer's needs, and will provide information and assistance when needs are identified.

Transportation: Two funded agencies provide van transportation in the 13-county region to congregate meal sites, doctors, and for shopping and other needs. Some Senior Centers also provide transportation to and from their facilities.

Aging and Disability Resource Center: The ADRC will improve access to information and linkages to long term supports and chronic care services for seniors, adults with physical disabilities and their caregivers.