Resources and Information For Working Caregivers

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Resources and Information For Working Caregivers

  1. 1. Resources and Information For Working Caregivers <ul><li>Sponsored by the </li></ul><ul><li>Sussex County </li></ul><ul><li>Board of Chosen Freeholders </li></ul>Provided by the Sussex County Division of Senior Services
  2. 2. WHAT IS A CAREGIVER? <ul><li>A caregiver is someone who provides care for the physical and emotional needs of a family member or friend at home. </li></ul><ul><li>Caregivers may devote just a few hours weekly or many hours each day. </li></ul><ul><li>It is a role for which most of us are unprepared . </li></ul>
  3. 3. CAREGIVING MAY INVOLVE: <ul><li>Helping with medical procedures and/or therapy. </li></ul><ul><li>Assisting with personal care. </li></ul><ul><li>Monitoring medications. </li></ul><ul><li>Preparing meals. </li></ul><ul><li>Providing transportation. </li></ul><ul><li>Coordinating care with physicians. </li></ul><ul><li>Providing housekeeping and managing finances. </li></ul>
  4. 4. Caring for elders affects an increasing number of families: <ul><li>In 1987 there were 7 million American caregivers. </li></ul><ul><li>In 1997 there were 22 million American caregivers. </li></ul><ul><li>In 1997 there were also 7 million long-distance caregivers. </li></ul><ul><li>47% of caregivers are employed. </li></ul><ul><li>The average care recipient is 78 years old and 64% are women. </li></ul>
  5. 5. LONG DISTANCE CAREGIVING <ul><li>Nearly 7 million Americans provide care or manage care for a relative or friend age 55 or older who lives at least one hour away. </li></ul><ul><li>The number of long-distance caregivers is expected to more than double over the next 15 years. </li></ul><ul><li>Long distance care has become a growing concern for baby boomers. </li></ul><ul><li>To find local services for seniors across the nation contact the Eldercare Locator at 1-800-677-1116. </li></ul>
  6. 6. CHARACTERISTICS OF WORKING CAREGIVERS <ul><li>More than 60% of caregivers are employed full time. </li></ul><ul><li>Average age of the working caregiver is 46. </li></ul><ul><li>50% are male, 50% are female. </li></ul><ul><li>More than 1/3 have children still in the household. </li></ul>
  7. 7. The Sussex County Division of Senior Services <ul><li>In 2002, more than 6,430 requests for information and assistance were obtained by telephone or coming into the office. </li></ul><ul><li>35% of these calls were from caregivers. </li></ul><ul><li>Over 60% of these calls were for home care assistance. </li></ul>
  8. 8. Services offered thru the Sussex County Division of Senior Services <ul><li>Information & Assistance </li></ul><ul><li>Senior Meal Programs </li></ul><ul><li>SHIP Counseling </li></ul><ul><li>Case Management </li></ul><ul><li>Home Care Programs </li></ul><ul><li>Housing Information </li></ul><ul><li>Long Term Care Options </li></ul><ul><li>Prescription Program Assistance </li></ul>
  9. 9. INFORMATION & ASSISTANCE SCREENING <ul><li>I & A screening is done upon initial contact with the caregiver/client, be it walk-in or via telephone. </li></ul><ul><li>The purpose of the I & A screening is to determine what programs an individual may be qualified for. </li></ul>
  10. 10. INFORMATION NECESSARY FOR THE I&A SCREENING <ul><li>Client’s name, address and phone number. </li></ul><ul><li>Client’s date of birth. </li></ul><ul><li>Client’s social security number. </li></ul><ul><li>Medical diagnosis/disability. </li></ul><ul><li>Type of service needed. </li></ul><ul><li>Type of insurance the client has (i.e. Medicare/Medicaid, prescription coverage.) </li></ul><ul><li>Client’s (& spouse’s) monthly income and asset information . </li></ul>
  11. 11. SENIOR MEAL PROGRAMS <ul><li>These programs are for seniors 60 and older. </li></ul><ul><li>Lunches are served at 5 Congregate Nutrition Sites throughout Sussex County. </li></ul><ul><li>These programs are funded through federal, state and local funds along with client donations. </li></ul>
  12. 12. SHIP State Health Insurance Program <ul><li>SHIP provides free, objective, confidential help to NJ Medicare beneficiaries. </li></ul><ul><li>Counselors may provide help with questions about Medicare, Medigap, Medicare + HMO’s and Long Term Care Insurance. </li></ul><ul><li>Counselors may be contacted at the Division of Senior Services and by appointment at most senior centers throughout the County. </li></ul>
  13. 13. HOME CARE PROGRAMS FOR COUNTY RESIDENTS <ul><li>CAP (Community Assistance Program) </li></ul><ul><li>CCPED (Community Caregiving Program for Elderly & Disabled) </li></ul><ul><li>JACC (Jersey Assistance for Community Caregiving) </li></ul><ul><li>RESPITE </li></ul><ul><li>IN-HOME CAREGIVER EDUCATION </li></ul><ul><li>ALP (Assisted Living Program) </li></ul>
  14. 14. CAP Community Assistance Program <ul><li>Client data is provided to the Division of Social Services where each case is financially qualified & then medically assessed by a nurse from the State Medicaid Long Term Care Field Office. </li></ul><ul><li>Ongoing care management services are provided and arranged for clients thru the Division of Social Services. </li></ul><ul><li>Services include: Medical & Social Adult Day Care, meals, homemaker, chore, transportation, medical supplies, home modification, personal response systems and respite care. </li></ul>
  15. 15. CCPED WAIVER Community Caregiving Program for Elderly & Disabled <ul><li>This Medicaid waiver program provides in-home support services. </li></ul><ul><li>Cases are financially qualified by the Division of Social Services & medically assessed by a nurse from the State Medicaid Long Term Care Field Office. </li></ul><ul><li>The Division of Social Services provides ongoing care management and arranges for approved services. </li></ul><ul><li>Services include: medical and social adult day care, homemaker/home health aide, prescription, transportation and respite care. </li></ul>
  16. 16. JACC Jersey Assistance for Community Caregiving <ul><li>JACC provides a broad array of in-home services and supports to seniors at risk of placement in a nursing facility. </li></ul><ul><li>Clients work together with a care manager to develop a Plan of Care to best meet their needs. </li></ul><ul><li>Services include: case management, homemaker, respite, chore services, home modification, medical equipment and supplies, home delivered meals, caregiver training, social adult day care, transportation, personal response system. </li></ul>
  17. 17. RESPITE Statewide Respite Care Program <ul><li>Services are provided to the elderly and disabled who have UNPAID CAREGIVERS needing relief from the stress associated with caregiving. </li></ul><ul><li>Eligibility is based upon the care recipient’s not the caregiver’s income. </li></ul><ul><li>Care Managers arrange for contracted services which include: companion, homemaker/home health, social adult day care, temporary care in a licensed medical facility and private duty nursing. </li></ul><ul><li>Services are available for emergency and crisis situations as well as for routine respite care. </li></ul><ul><li>Cost share fees are based upon a sliding scale. </li></ul>
  18. 18. IN-HOME CAREGIVER EDUCATION <ul><li>This program provides individual education & support to caregivers so they can improve their ability and effectiveness as caregivers. </li></ul><ul><li>A nurse meets with the caregiver to do an initial assessment, then a teaching plan is prepared. </li></ul><ul><li>The teaching plan may include: lifting, transferring, bathing, personal care nutrition, disease education, accessing community resources and stress management. </li></ul><ul><li>The caregiver must be an unpaid primary caregiver who lives with or visits the care recipient regularly to assist with daily activities. </li></ul><ul><li>The care recipient must be over 18 and functionally impaired, requiring the assistance of the primary caregiver to perform daily activities. </li></ul>
  19. 19. ALP Assisted Living Program <ul><li>This Medicaid waiver program provides services to eligible individuals in an assisted living residence or comprehensive personal care home. </li></ul><ul><li>The Division of Senior Services financially qualifies clients who are then medically assessed by a nurse from the State Medicaid Long Term Care Field Office. </li></ul><ul><li>The Division of Senior Services provides ongoing care management services. </li></ul><ul><li>Services include all Medicaid State Plan services except nursing facility, personal care assistants. </li></ul>
  20. 20. SELECTING A HOME HEALTH AGENCY <ul><li>Determine what services are needed </li></ul><ul><ul><li>RN, LPN, therapist, home health aide, domestic services etc </li></ul></ul><ul><li>Be informed, obtain and read literature </li></ul><ul><li>describing the agencies: </li></ul><ul><ul><li>Services </li></ul></ul><ul><ul><li>Reimbursement Procedures </li></ul></ul><ul><ul><li>Patient Rights </li></ul></ul><ul><ul><li>Licenses, accreditations and insurance </li></ul></ul>
  21. 21. TYPES OF AGENCIES <ul><li>Home Health Agencies </li></ul><ul><ul><li>Licensed by the NJ Dept of Health </li></ul></ul><ul><ul><li>Aides are also licensed by the NJ Dept of Health </li></ul></ul><ul><li>Non Profit Homemaker Agencies </li></ul><ul><ul><li>Accredited by the NJ Commission on Accreditation for Home Care </li></ul></ul><ul><li>Employment Agencies/Temporary Agencies </li></ul><ul><ul><li>Licensed by the NJ Division of Consumer Affairs Bureau of Employment and Personnel Services </li></ul></ul>
  22. 22. QUESTIONS TO ASK WHEN CONTACTING AGENCIES <ul><li>Is the agency licensed by the State? </li></ul><ul><li>Does Medicare, Medicaid or other insurance plan approve the agency? </li></ul><ul><li>What is your screening process for employees? Are they bonded? Have they undergone background checks? </li></ul><ul><li>What kind of training have your employees received? Any special training regarding care of individuals with disabilities, dementia, or other special needs? </li></ul><ul><li>Do I pay the agency or the caregiver? </li></ul>
  23. 23. QUESTIONS (CONTINUED) <ul><li>Who is the supervisor? How often are supervisory visits made? </li></ul><ul><li>Who is responsible for finding an alternate when the worker is absent? </li></ul><ul><li>How soon is a worker available? </li></ul><ul><li>What is the minimum and maximum number of hours of service per day? </li></ul><ul><li>What are the fees and exactly what do they cover? </li></ul><ul><li>Are there any charges that might arise unexpectedly? </li></ul>
  24. 24. NJ EASE <ul><li>SUSSEX COUNTY </li></ul><ul><li>DIVISION OF </li></ul><ul><li>SENIOR SERVICES </li></ul><ul><li>973-579-0555 </li></ul><ul><li>For other counties in NJ </li></ul><ul><li>1-877-222-3737 </li></ul>

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