State of Louisiana - Terrebonne Council on Aging
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State of Louisiana AREA AGENCY ON AGING FOUR-YEAR AREA PLAN A Comprehensive Coordinated Service System for Older persons in Louisiana Terrebonne Area Agency on Aging JULY 1, 2019 – JUNE 30, 2023 (Fiscal Year 2020 – Fiscal Year 2023) Submitted to: Office of the Governor Office of Elderly Affairs P. O. Box 61 Baton Rouge, LA 70821-0061 Phone: (225) 342-7100 Fax: (225) 342-7133 1
TABLE OF CONTENTS Section 1: Mission Statement 4 Section 2: Description of the Planning & Services Area (PSA) 5 Section 3: Description of the Area Agency on Aging (AAA) 29 Section 4: Planning Process/Establishing Priorities 32 Section 5: Methods Used to Determine Service Needs 33 Section 6: Targeted Populations 37 Section 7: Community Meetings 39 Section 8: Results of Public Hearings 54 Section 9: Identification of Priorities 56 Section 10: Area Plan Goals and Objectives 58 Section 11: Summary of Services under the Area Plan 68 Section 12: Disaster Preparedness 69 Section 13: Request for Waiver of Title III Priority Services 75 Section 14: Governing Board 76 Section 15: Advisory Council 79 Section 16: Assurances 80 Section 17: Verification of Intent 82 Section 18: Needs Assessment Survey and Tally Forms 83 2
Section 1 Mission Statement The Governor's Office of Elderly Affairs’ mission statement is “To serve as the focal point for the development, implementation, and administration of the public policy for the state of Louisiana, and address the needs of the state’s elderly citizens.” Provide the mission statement which describes the purpose and overall goal(s) of the Area Agency on Aging. TCOA is a community focal point where older persons can receive services and participate in activities which enhance their dignity, support their independence, and encourage their involvement in and with the community. TCOA provides activities that reflect the experience and skills of our elderly citizens and responds to their diverse needs and interests. As part of a comprehensive community strategy to meet the needs of older adults, TCOA not only offers services and activities, but also links participants with resources offered by other agencies. 3
Section 2 Description of the Planning and Service Area (PSA) Provide a description of the physical and demographic characteristics of the PSA and the unique resources and/or constraints. Describe the service delivery system, challenges, successes in the local system development, public and private resources. Terrebonne Parish is located in the southern part of Louisiana along the coast of the Gulf of Mexico. As of the 2010 census, the population was 111,860. The parish seat is in Houma. It is the second largest parish in Louisiana in terms of land area, and has been a center of Cajun culture since the eighteenth century. More than 10% of the residents speak French at home. The economy of Houma-Terrebonne and this region has struggled with the downturn of the Oil Industry. The current unemployment rate for the parish is 6.2% Terrebonne Parish provides world-class health care for its residents. Our community is a medical mecca. The medical community takes a proactive approach, offering cutting-edge health care that also empowers the patient. The high quality and vast range of medical facilities and personnel work together to ensure that the citizens of Terrebonne Parish have access to some of the best medical care in the state of Louisiana. In addition to the principle hospitals, Terrebonne General Medical and Chabert Medical Centers, in the region, Terrebonne Parish is the home to seven medical and surgical clinics, a regional mental health clinic and a parish health unit. Approximately 97 physicians and surgeons, 45 dentists, 13 ophthalmologists and optometrists, 11 chiropractors and five psychiatrists have practices in our parish. Houma has four nursing homes with a total of 557 beds and three assisted living facilities with a total of 140 units. Terrebonne has several senior low-income housing facilities located in the Houma area. • Bayou Towers, an 11-story, 300 apartment facility that is operated by the Houma-Terrebonne Housing Authority • Bonne Terre Village I & 2, each building is 2-story with a combined total of 100 apartments, operated by Historical Restorations Inc. • Shady Lane Apartments, a two-story facility with 49 apartments and operated by Terrebonne Council on Aging. • Terrebonne Parish Consolidated Government operates the HUD Section 8 housing assistance program. • Academy Place, a three-building facility for seniors 62+ with 103 apartments operated by Volunteers of America. 6 apartments are set aside for low-income tenants, 55 are offered through low-income housing credits and 41 are market rates rentals. Terrebonne AAA/COA has been successful in providing services to a small isolated pocket of Lafourche residents that live just beyond Terrebonne Parish in the isolated settlement of Isle De Jean Charles. With the designation of “Louisiana’s Bayou Country”, traveling throughout the parish presents challenges that are uniquely ours. The bayous finger out across the parish ultimately flowing into the Gulf of Mexico. The unique topography makes mapping for service delivery a challenge. Some routes are 40 miles one-way. 4
This topography requires a large fleet of vehicles to accomplish service delivery. We work closely with the Department of Transportation and Development to obtain the needed equipment to continue our mission to provide service to every qualifying senior regardless of where they reside in the parish. Terrebonne Parish’s leading constraint is flooding. Our clients experience flooding due to most of the parish being below sea-level. The state loses 25-35 square miles, or 25,000 acres, per year, the equivalent of one football field every 15 minutes. Years ago, the barrier islands were the buffer for towns like Chauvin, Montegut, Dulac, and Dularge. But today, these towns are the buffer for the city of Houma. Terrebonne Parish’s position to the coast makes the area vulnerable to hurricanes. In the past, Terrebonne has been described as being in Hurricane Alley. The parish has experienced the two most costly storms in history, Andrew in 1992 and Katrina in 2005. We have also experienced Hurricanes Betsy 1965, Juan 1985, and Lili in 2002. Two very damaging years were in 2005, when we experienced Katrina & Rita within three weeks, and in 2008 we were hit with Gustav & Ike within a two week period. 5
Area Profile 1. Identify cities/towns designated as rural in the PSA. Describe population using the 2010 Census Data. (Include chart showing population data) Terrebonne PSA is classified as an Urban area. 2. Identify cities/towns designated as urban in the planning and service area. Describe population using the 2010 Census Data. (Include chart showing population data) Terrebonne PSA consist of the following towns with their population tabulations: Census Data 2010 Population by Town by Age Group Bourg Chauvin 85+ 26 85+ 34 80 - 84 25 80 - 84 59 75 - 79 44 75 - 79 74 70 - 74 98 70 - 74 105 65 - 69 109 65 - 69 130 60 - 64 146 60 - 64 131 60+ TOTAL 448 60+ TOTAL 533 TOTAL POPULATION 2,579 TOTAL POPULATION 2,912 0 500 1,000 1,500 2,000 2,500 3,000 0 500 1,000 1,500 2,000 2,500 3,000 3,500 6
Donner Dulac 85+ 3 80 - 84 10 85+ 16 75 - 79 6 80 - 84 28 70 - 74 9 75 - 79 25 70 - 74 53 65 - 69 13 65 - 69 66 60 - 64 9 60 - 64 101 60+ TOTAL 50 60+ TOTAL 289 TOTAL POPULATION 205 TOTAL… 1,463 0 100 200 300 0 500 1,000 1,500 2,000 Dularge/Theriot Gibson 85+ 9 85+ 20 80 - 84 17 80 - 84 32 75 - 79 26 75 - 79 63 70 - 74 33 70 - 74 84 65 - 69 74 65 - 69 112 60 - 64 101 60 - 64 158 60+ TOTAL 260 60+ TOTAL 469 TOTAL POPULATION 1,365 TOTAL POPULATION 2,484 0 500 1,000 1,500 0 500 1,000 1,500 2,000 2,500 3,000 Gray Montegut 85+ 41 85+ 14 80 - 84 39 80 - 84 13 75 - 79 75 75 - 79 39 70 - 74 37 70 - 74 132 65 - 69 69 65 - 69 200 60 - 64 87 60 - 64 251 60+ TOTAL 259 60+ TOTAL 738 TOTAL POPULATION 1,540 TOTAL POPULATION 5,584 0 500 1,000 1,500 2,000 0 2,000 4,000 6,000 7
Schriever Houma 85+ 1,060 85+ 104 80 - 84 1,271 80 - 84 169 75 - 79 234 75 - 79 1,651 70 - 74 351 70 - 74 2,254 65 - 69 411 65 - 69 2,999 60 - 64 519 60 - 64 4,130 60+ TOTAL 1,788 60+ TOTAL 13,365 TOTAL POPULATION 10,283 TOTAL POPULATION 83,445 0 2,000 4,000 6,000 8,000 10,00012,000 0 20,000 40,000 60,000 80,000 100,000 Terrebonne Parish Population of 111,860 of which 16% or 81%
Census Data 2010 Population by Age and by Race Age by Race Age by Race 60 to 64 65 to 69 5000 4585 4000 3460 4000 3000 3000 2000 2000 71 1000 68 1000 21 45 0 65 14 0 0 35 0 0 WHITE BLACK INDIAN ASIAN HAWAIIAN OTHER WHITE BLACK INDIAN ASIAN HAWAIIAN OTHER Age by Race Age by Race 70 to 74 75 to 84 3000 3500 3245 2465 2500 3000 2500 2000 2000 1500 1500 1000 1000 37 39 500 500 70 30 15 0 30 15 0 40 0 0 WHITE BLACK INDIAN ASIAN HAWAIIAN OTHER WHITE BLACK INDIAN ASIAN HAWAIIAN OTHER Age by Race 85+ 1400 1160 1200 1000 800 600 400 13 200 45 0 0 0 0 WHITE BLACK INDIAN ASIAN HAWAIIAN OTHER 9
Total 60+ Population by Race 14915 2290 51 17 75 0 WHITE BLACK INDIAN ASIAN HAWAIIAN OTHER Census Data 2010 By Age and By Sex Age and Sex Age and Sex 60 to 64 65 to 69 Male Male Female Female 48% 52% 47% 53% 10
Age and Sex Age and Sex 70 to 74 75 to 79 Male 47% 48% Female Male 52% Female 53% Age and Sex Age and Sex 80 to 84 85+ 32% 34% Male Male Female 66% Female 68% 11
Age and Sex 60+ 47% 53% Male Female Census Data 2010 Disability by Age and Sex Disability by Disability by Age and Sex Age and Sex 65 to 69 60 to 64 FEMALE 2400 FEMALE 2510 MALE 2710 MALE 2140 2400 2500 2600 2700 2800 2000 2100 2200 2300 2400 2500 12
Disability by Age Disability by Age and Sex and Sex 70 to 74 75 to 79 FEMALE 1700 FEMALE 1125 MALE 1235 MALE 1210 1050 1100 1150 1200 1250 0 500 1000 1500 2000 Disability by Age Disability by Age and Sex and Sex 80 to 84 85+ FEMALE 755 FEMALE 915 MALE 455 MALE 345 0 200 400 600 800 1000 0 200 400 600 800 13
Disability by Age and Sex 60+ FEMALE 9405 MALE 8095 7000 7500 8000 8500 9000 9500 10000 Census Data 2010 Males with Disabilities Males with Disabilities Males with Disabilities 60 to 64 65 to 74 Hearing Difficulty Hearing Difficulty 11% 5% 20% Vision Difficulty Vision Difficulty 15% 34% Cognitive Difficulty 14% Cognitive Difficulty 8% Ambulatory Difficulty Ambulatory Difficulty Independent Living Independent Living 25% Difficulty 12% Difficulty Self-Care Difficulty Self-Care Difficulty 13% 35% 8% 14
Males with Disabilities Males with Disabilities 10% 75 to 84 Hearing Difficulty 85 90 85+ Hearing Difficulty 27% Vision Difficulty Vision Difficulty 165 18% 345 Cognitive Cognitive Difficulty Difficulty Ambulatory Ambulatory Difficulty Difficulty Independent Living Independent 11% Difficulty Living Difficulty Self-Care 220 Self-Care Difficulty 75 Difficulty 23% 11% Males with Disabilities 8% 60+ 25% Hearing Difficulty 16% Vision Difficulty Cognitive Difficulty Ambulatory Difficulty 15% 26% Independent Living Difficulty 10% Self-Care Difficulty 15
Census Data 2010 Females with Disabilities Females with Disabilities Females with Disabilities 60 to 64 65 to 74 Hearing Difficulty 10% 3% Hearing Difficulty 6% 13% 13% Vision Difficulty Vision Difficulty 20% 6% 15% Cognitive Difficulty 15% Cognitive Difficulty 6% Ambulatory Difficulty Ambulatory Difficulty Independent Living Independent Living Difficulty Difficulty Self-Care Difficulty Self-Care Difficulty 44% 49% Females with Disabilities Females with Disabilities 75 to 84 85+ Hearing Difficulty Hearing Difficulty 11% 11% 12% 17% Vision Difficulty Vision Difficulty 24% 10% 9% Cognitive Difficulty Cognitive Difficulty Ambulatory Ambulatory Difficulty Difficulty Independent Living Independent Living 14% Difficulty 14% Difficulty Self-Care Difficulty 25% Self-Care Difficulty 30% 23% 16
11% 11% Females with Disabilities 60+ 9% Hearing Difficulty 22% Vision Difficulty 12% Cognitive Difficulty Ambulatory Difficulty Independent Living Difficulty Self-Care Difficulty 35% 17
Census Data 2010 Total with Disabilities by Age Group Disability of Disability of Males & Females Males & Females 60 to 64 65 to 74 950 1000 2000 1705 295 245 315 350 255 1500 0 990 1000 790 Hearing Difficulty 405 500 320 225 Vision Difficulty Cognitive Difficulty 0 Ambulatory Difficulty Hearing Difficulty Vision Difficulty Independent Living Difficulty Cognitive Difficulty Ambulatory Difficulty Independent Living Difficulty Self-Care Difficulty Disability of Disability of Males & Females Males & Females 75 to 84 85+ 2000 1375 1075 1000 755 765 865 375 550 395 475 535 640 520 0 0 Hearing Difficulty Hearing Difficulty Vision Difficulty Vision Difficulty Cognitive Difficulty Cognitive Difficulty Ambulatory Difficulty Ambulatory Difficulty 18
Disabilities 60+ 6000 4785 5000 4000 2980 3000 2525 2000 1735 1670 1475 1000 0 Hearing Difficulty Vision Difficulty Cognitive Difficulty Ambulatory Difficulty Independent Living Difficulty Self-Care Difficulty 19
Census Data 2010 Disabled with Health Care Coverage Disabled with Health Care Coverage 60 to 64 No Health Insurance 75 Coverage Medicare and Medicaid 170 Two or 580 More Types Other 425 Types VA Health Care Only 0 185 Medicaid Only 130 Medicare Only 0 100 200 300 400 500 600 700 Disabled with Health Care Coverage 65+ No Health Insurance Coverage 95 Medicare and Medicaid 865 Two or More Types 4065 Other Types 0 VA Health Care Only 0 Medicaid Only 0 Medicare Only 1580 0 500 1000 1500 2000 2500 3000 3500 4000 4500 20
3. Describe significant differences among cities/towns/communities in the PSA as relates to availability of services, resources, populations, economy, etc. Our small bayou communities that encompass Terrebonne Parish have diverse cultures and varied populations. These communities have minimal commerce such as: small grocery/convenient stores, drug stores, and banks. The city limits of Houma and a 10 mile radius is the hub for all commerce such as: medical facilities, shopping centers, five (5) high schools, a community college, nine (9) art exhibits and/or museums, a bowling alley, a 10- screen movie theater, a local playhouse theater, a 100,000 sq. ft. civic center, and numerous parks including TCOA’s Park and Gardens built for the elderly’s exclusive use. Terrebonne AAA/COA provides life-sustaining services to all residents of the parish including the rural communities of Gibson, Dulac, and Dularge which contains a high concentration of the low-income minority population. TCOA is currently the provider of the Department of Transportation and Development’s 5311 Rural Transportation Grant for Terrebonne Parish. Although the parish is considered urban, it has 700 streets that are designated rural. The program allows residents of the above communities to ride the rural transit bus for $1.00 per one-way trip. The “$1.00 bus” as it is called, connects many disadvantaged residents to the Houma hub for all of their shopping, entertainment, education and job access needs. The passengers can also connect to the Terrebonne Urban Transit System to get to other important destinations while in the city. 21
Focal Points 1. For the purpose of assuring access to information and services for older persons, the area agency shall work with the community agencies and officials in the PSA to ensure that focal points are available in each community. Define “community” for the purposes of focal point designation. Terrebonne AAA provides services to the entire parish including the following communities: Bourg, Chauvin, Donner, Dulac, Dularge/Theriot, Gibson, Gray, Montegut, Schriever, and Houma. Terrebonne AAA/COA has entered into cooperative endeavors involving partnerships with many other agencies and entities to meet its goal of serving the needs of the older citizens of Terrebonne Parish: • Terrebonne Parish Consolidated Government for (central kitchen facilities and quarterly commodity distribution). • The Terrebonne Sheriff’s Office, labor by the Inmate to Work Program, (hurricane assistance, central kitchen, fence installations, park cleanup, pressure washing buildings). • The Archdiocese of New Orleans (Food for Seniors) • The Terrebonne Parish School Board (for the land use that houses the Schriever Senior Center). • The Montegut Lions Club (for the use of their building which houses the Neal Ransonet Senior Center and TCOA provided transportation for their local Thanksgiving and Christmas Dinners for Montegut and Chauvin residents). • The Krewe of Hercules (for annual Thanksgiving and Christmas Dinners for seniors and needy families of Terrebonne Parish, annual Mardi Gras Social for Seniors and for the TCOA’s Unmet Needs Program). • Bayou Area Regional Recovery Committee (BARR) working together to assist individuals and families affected by disasters with goods and supplies donated to the group and housed in TCOA’s warehouse. • Terrebonne Readiness and Assistance Coalition (TRAC) to facilitate disaster preparedness, assistance, and recovery and case management for the elderly of Terrebonne Parish. • The Terrebonne Parish Office of Emergency Preparedness for Transportation and the compiling of data for residents that need evacuation assistance during a declared disaster. This allows TCOA to have a presence at the table during declared disasters. • The local HAM operators to activate their systems in TCOA’s Emergency Command Center (16 phone lines installed and Wireless Internet Capabilities) for the purpose of additional communication in the event of complete communication outage. • Area Lion’s Clubs • The Terrebonne Parish Interoperability Committee for better communication during disasters Terrebonne AAA/COA is involved in a variety of efforts to help coordinate and maximize available community resources for the benefit of the elderly population - social, cultural, economic, medical, mental and recreational services. Community Focal Points operated by Terrebonne AAA/COA - a community-based agency - throughout the planning and service area offering home delivered and congregate meals, transportation, homemaker, outreach, information and assistance, visiting, telephoning, recreation, wellness, nutrition education, material aid, public education, utility assistance, SenioRx, and ADRC services. As a community-based agency, Terrebonne AAA/COA operates five (5) lunch sites, five (5) multi-purpose senior centers, and one (1) activity centers reaching over 4,400 unduplicated older adults during fiscal year 2018. 22
2. List community focal points within the PSA (include addresses) as reported on the NAPIS State Program Report. Attach maps of the PSA and indicate all Focal Points. Services Community Name and address of Services Provided Coordinated with Served Focal Point other Agencies All of TCOA Operations Transportation Terrebonne Center Home Delivered Meals TPCG/ TPSO Parish 995 West Tunnel Blvd. Homemaker Contractor P. O. Box 8036 Personal Care Contractor Houma, La 70361 Aging & Disability Resource Center (ADRC) TPCG/ TPSO Congregate Meals Information & Assistance Contractor Legal Services Archdiocese of New Material Aid/Food For Seniors Orleans NFCP Information & Assistance NFCP Material Aid NFCP Respite Contractor Nutrition Education Outreach Parish-wide Social Interaction Krewe of Hercules Programs Public Education Recreation SenioRx Telephoning Krewe of Hercules Unmet Needs Utility Assistance Visiting Wellness Houma Bayou Towers Information & Assistance 7491 Park Ave, Legal Services Houma, La 70364 Material Aid/FFS Public Education Recreation Lions Club Transportation Wellness Chauvin Chauvin Senior Center Congregate Meals 113 Linda St Information & Assistance Chauvin, La 70344 Legal Services Material Aid/FFS Nutrition Education Public Education Recreation Lions Club Telephoning Transportation Visiting Wellness 23
Houma East Park Lunch Site Congregate Meals 107 Roberts Street, Information & Assistance Houma, La 70363 Legal Services Material Aid/FFS Nutrition Education Transportation Montegut Neal Ransonet Senior Congregate Meals Center Information & Assistance 1133 Cross Street, Legal Services Montegut, La 70377 Material Aid/FFS Nutrition Education Public Education Recreation Lions Club Telephoning Transportation Visiting Wellness Schriever Schriever Senior Center Congregate Meals 168 Hwy 311 Information & Assistance Schriever, La 70395 Legal Services Material Aid/FFS Nutrition Education Public Education Recreation Telephoning Transportation Visiting Wellness Houma Shady Acres Senior Congregate Meals Center Information & Assistance 6512 West Main Street, Legal Services Houma, La 70360 Material Aid/FFS Nutrition Education Public Education Recreation Telephoning Transportation Visiting Wellness Houma Shady Lane Apts. Information & Assistance 6516 West Main Street, Legal Services Houma, La 70360 Material Aid/FFS Public Education Recreation Transportation Wellness 24
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Summary of the Needs Assessment Provide an explanation of the needs assessment process and results. Describe how the survey was distributed and to whom. Did specific groups have similar responses? What were some comments received from respondents? Describe some conclusions determined from survey results. The needs surveys were distributed to participants of the following programs: home delivered meals, transportation, senior center, lunch site, and the activity center. Community Agency Needs Assessment Surveys were mailed to home health agencies and other medical service providers. Surveys were brought to the management of local apartment complexes for distribution to their tenants. The Outreach Department completed surveys with all of the clients that were due for reassessment or requesting services during the survey period. 2,000 surveys were distribute parish-wide. 679 were returned for a 34% completion rate. Description of Priority Groups Provide a clear and concise description of target groups in your PSA. How will the needs assessment impact elderly persons: with greatest Economic and Social need, at risk for institutional placement, with limited English proficiency, with cognitive disorders, residing in rural areas, Minorities, Native Americans, and other vulnerable populations? Elderly with greatest economic and social needs, with particular attention to the low-income minority and Native Americans were our target groups. Priority Needs based on the Louisiana Senior Needs Survey 1 Respite Care Services which offer temporary, substitute supports or living arrangements for care recipients in order to provide a brief period of relief or rest for caregivers. TCOA currently provides Respite Care through the Title III-E National Family Caregiver Support (NFCSP) and our Local Funded program. In FY18, TCOA provided 21,894 Units of service to 98 unduplicated participants. 2 Homemaker Provide assistance to persons with the inability to perform one or more of the following Service instrumental activities of daily living: preparing meals, shopping for personal items, managing money, using the telephone or doing light housework. In FY18, TCOA provided 13,388 Units of service to 217 unduplicated participants. 3 Home A meal provided to a qualified individual who is homebound. A meal which: Delivered Meals Complies with the Dietary Guidelines for Americans (published by the Secretaries of the Department of Health and Human Services and the United States Department of Agriculture and provides, a minimum of 33 and 1/3 percent of the current daily Recommended Dietary Allowances (RDA) as established by the Food and Nutrition Board of the National Research Council of the National Academy of Sciences. 26
The AAA/COA provides this service. The AAA/COA continues to provide this need to 650+ clients a day. This was accomplished by opening our own Central Kitchen and the passing of a 7.5 mil tax. The tax was passed in 2000. The tax currently provides $6 million in funding has been approved through the year 2029. The Central Kitchen was a vision of the Terrebonne AAA/COA director and Sheriff Jerry Larpentier with the assistance of the Terrebonne Parish Consolidated Government. In March of 1998, this dream became a reality and began operations by providing meals that met the rigid dietary guidelines, but had a Cajun flare that our clients prefer.. In FY18, TCOA provided 153,398 Units of service to 1,147 unduplicated participants. 4 Information A service for older individuals that: and Assistance Provides the individuals with current information on opportunities and services available to the individuals within their communities, including information relating to assistive technology; assesses the problems and capacities of the individuals; links the individuals to the opportunities and services that are available; and, to the maximum extent practicable, ensures that the individuals receive the services needed by the individuals, and are aware of the opportunities available to the individuals, establishing adequate follow-up procedures. In FY18, TCOA provided 3,872 Units of service to 3,431 unduplicated participants. 5 Congregate Provision, to an eligible client or other eligible participant at a nutrition site, senior center or Meals some other congregate setting, a meal which: Complies with the Dietary Guidelines for Americans (published by the Secretaries of the Department of Health and Human Services and the United States Department of Agriculture and provides, if one meal is served, a minimum of 33 and 1/3 percent of the current daily Recommended Dietary Allowances (RDA) as established by the Food and Nutrition Board of the National Research Council of the National Academy of Sciences. In FY18, TCOA provided 37,850 Units of service to 578 unduplicated participants. 27
Section 3 Description of the Area Agency on Aging 1. Describe how the Area Agency, on behalf of all older individuals, will carry out its role as the leader on aging issues in the PSA. Explain the community-based system of services and how it will promote independence, protect, and preserve the quality of life for seniors and caregivers. Terrebonne AAA/COA carries out its mission by providing Home Delivered and Congregate Meals, Transportation, Outreach, Information and Assistance, Visiting, Telephoning, Recreation, Wellness, Nutrition Education, Material Aid, Utility Assistance, Public Education, Medication Management (SenioRx), and the Aging and Disability Resource Center (ADRC). The agency also subcontracts with other service providers to offer its clients Legal Assistance, Personal Care, Homemaker, Respite/Family Caregiver Services and Health Promotion and Disease Prevention. Daily, the AAA/COA touches 1300 to 1500 unduplicated participants and annually, serving 4,400 unduplicated participants with its services and programs. To better serve its constituents, Terrebonne AAA/COA has renewed its commitment to improve its ability to outreach, plan and implement services collaboratively with consumers, subcontractors and other service providers. 2. Describe how the agency coordinates and delivers services, the connection it has to local agencies/providers, strengths and weaknesses and how the agency ensures service system delivery. The Area Agency subcontracts with the Terrebonne COA for all services except Legal Assistance, Personal Care, Homemaker, Respite/Family Caregiver Services and Health Promotion and Disease Prevention. Those services are sub-contracted and procured during our Service Procurement process. 3. Explain leadership efforts and involvement with the community to help persons with disabilities and their caregivers. Terrebonne AAA continues to develop the ADRC to position it as the Single Point of Entry (SPOE) for services for the elderly and disabled in our service area of Terrebonne and Lafourche. TCOA currently provides Respite Care through the Title III-E National Family Caregiver Support (NFCSP) and our Local Funded program. In FY18, TCOA provided 21,894 Units of service to 98 unduplicated participants. Those participants receive services through both programs due to NFCSP funding restrictions. NFCSP allows for 120 hours annually or 10 hours a month. TCOA’s Local program provides up to 22 additional hours a month. 28
4. Describe the administrative functions of the Area Agency, the organizational structure, the effectiveness of services, any expansion efforts, planned changes and attach the organizational chart (clearly define lines of authority). Terrebonne AAA/COA’s Director reports to the Board of Directors and serves as the administrative officer of the agency, and is responsible for its day-to-day operation. The Director oversees the operational aspects, the planning, the development, and the contractual management of the registered agencies and supportive services programs. Terrebonne AAA/COA employs a total of 75+ employees; eight (8) of whom manage and administer subcontracted community services. The other employees provide direct delivery of services such as: Home Delivered and Congregate Meals, Transportation, Homemaker, Outreach, Information and Assistance, Visiting, Telephoning, Recreation, Wellness, Nutrition Education, Material Aid, Public Education, Utility Assistance and the ADRC. The AAA oversees all aspects of agency day-to-day operations. The Director is responsible for the agency’s contracting process, coordinating the development of the budget and service objectives, program development, community relations, marketing, research, government and legislative relations and the evaluation of programs and operations of the agency. ROLE OF THE BOARD OF DIRECTORS Terrebonne AAA/COA strives to reflect the diversity of the people it serves. The Board of Directors is the governing body of the Terrebonne AAA/COA responsible for the management and direction of the agency. Board members establish policies governing all aspects of the agency’s operations and are responsible for enforcement of such policies. The Board shall also control all assets, and are responsible for finances, including the annual audit. ROLE OF THE ADVISORY COUNCIL In addition to the eleven-member Board of Directors, the agency is guided by an Advisory Council. The Council is composed of seven members, at least two-thirds of whom must be older persons. The Council includes members who are service recipients, older community residents, members of the general public, and elected officials. One purpose of the Council is to review, approve and update the area plan. The Council reviews and comments on other agencies’ programs and activities throughout the year. 29
Section 4 Planning Process/Establishing Priorities 1. Give an overview of the steps utilized by the Area Agency during the planning process. Explain how the agency established planning priorities. During weekly administration meetings, Director meets with managers to discuss the needs and challenges that were discovered the prior week. The group strategizes how to best assist clients with their needs. Due to living in an active Hurricane area, we are always in the disaster readiness and preparation planning mode. 2. Explain how the Area Agency provides opportunities for public involvement in the planning process, specifically using public agencies, governmental entities, local business, and current/past program participants. Terrebonne AAA/COA provides public involvement in the planning process through Community Meetings, Board Meetings, Health Fairs, Bayou Area Regional Recovery Committee (BARR), Senior Network Organization (SNO), Terrebonne Parish Community Services Block Grant Committee (CSBG), and parish-wide social interaction programs. The Agency Director knows the “Heartbeat of our Community” and works very closely with the Parish President of Terrebonne Parish and the Consolidated Government, Council Members, Sheriff’s Office, City Police, District Attorney Office, the local Chamber of Commerce, and area legislators for the betterment of the elderly of the parish. 30
Section 5 Methods Used to Determine Service Needs 1. Describe below how the Area Agency assessed the needs of older persons and adults with disabilities residing in the planning and service area. Give details of the process and methods used (tools or instruments used). AAA/TCOA used the Louisiana Senior Needs Survey, Client Assessment Data, and information gathered through years of experience working in the field. We have addressed the top five (5) needs identified in the Needs Survey and developed additional goals based on ongoing monitoring of services and needs identified in the PSA. 1. Respite Care 2. Homemaker Service 3. Home Delivered Meals 4. Information and Assistance 5. Congregate Meals GOEA Comprehensive Assessment — GOEA approved 24-page scored assessment tool, used in its entirety, by Terrebonne AAA/COA’s outreach staff, along with the agency’s own in-house tool, the In-Home Services & Senior Center Participant Determination Form, to gather pertinent information in identifying clients’ needs. The information gathered from this tool is transferred into the SAMS Client Tracking Software for statistical reports that are vital in the monitoring and evaluation process of the agency’s programs and services. The assessment tools help to identify and places special emphasis on older individuals with greatest economic and social need, severe disabilities, and individuals with Alzheimer's disease or related disorders with neurological and organic brain dysfunctions, TCOA gives priority to the homebound/isolated elderly. 2. Which home and community-based services have a waiting list? Detail your plan to reduce or eliminate these waiting lists. Terrebonne AAA/COA has waiting lists for the following services: Home Delivered Meals, Homemaker Service, Personal Care, Respite, Congregate Meals, and III-E Material Aid. Each waiting list is reviewed, at a minimum, monthly. As client are removed from these services due to death, ineligibly or inactivity, additional clients are placed on these services from the waiting lists. Some waiting list participants have relatively low scores and will not receive services unless their score increases. When clients request services, they are placed on the appropriate waiting list to insure that they are reassessed in a timely manner. Clients are also informed verbally and by letter that if their condition worsens, changes, or they are hospitalized, to immediately contact the agency to be reevaluated for services. Terrebonne AAA/COA operates an Emergency Home Delivered Meals Program. The program allows for a maximum of 12 weeks of home meals in the event that a senior and/or their caregiver is temporarily incapacitated, due to hospitalized, broken bones, heart attack, stroke, etc. If a site participant become ill or incapacitated they can qualify for up to two (2) weeks of emergency home delivered meals until, at such time, they can be assessed. 31
Service Needs 1. Based on the information and methods used to determine service needs, list the prevalent service needs of older persons and adults with disabilities in the PSA. Include discussion regarding whether information was received from organizations or agencies that specifically serve persons with disabilities and whether such information was incorporated into the Area Plan. (Office of Aging and Adult Services, Alzheimer’s Association, Office of Behavioral Health, Long Term Care Units, Office of Disability Affairs, etc.) Terrebonne AAA/COA receives referrals from home health agencies, hospice agencies, hospitals, the ADRC, and numerous service providers that offer services to the elderly. These providers refer their clients to our agency for services such as: Home Delivered Meals, Homemaker Services, Personal Care, Respite, and Transportation. The prevalent services collected thorough the needs survey are as follows: 1. Do you have a caregiver providing personal assistance? (Respite Care) 2. Do you have help keeping your home clean? (Homemaker Services) 3. Do you have someone to cook or bring a meal to your home every day? (Home Delivered Meals) 4. Do you know what services are available in Terrebonne Parish and how to get them? (Information & Assistance) 5. Do you have meals with friends and/or family? (Congregate Meals) Terrebonne AAA/COA encourages all service providers to offer in-service education about their services. The service providers present information to our senior center’s managers and outreach staff at the Operations Center. Terrebonne AAA/COA began educational in-services several years ago to assist our staff to become knowledgeable of the availability of services that our clients may require. Based on the needs survey, 56% of the respondents stated “Knowing what services are available and how to get them” was important to help keep them where they are right now. 2. Give a brief overview of how the Area Agency will address the top five (5) needs identified. (Specific details of goals and objectives are required in Section 10: Goals and Objectives.) Needs Identified through the Louisiana Senior Needs Survey 1 Respite Care a Assist caregivers of frail older adults, including those individuals with Alzheimer’s disease by providing In-Home Services, Community Services, and Family Caregiver Services. 2 Homemaker Service a Assist in providing a safe and sanitary home environment, which will allow the elderly individuals to continue to live independently, and alleviate premature institutionalization. 3 Home Delivered Meals a Provide Long-term Home Delivered Meals to 650+ elderly participants in Terrebonne Parish. b Provides Emergency Meals for maximum of three (3) months, and Site Emergency meals a maximum of two (2) weeks. 4 Information and Assistance a Provide in-service staff training on all available services in the PSA. 5 Congregate Meals a Provides nutritional congregate meals, daily to 150+ elderly in the PSA. 32
Service to Most-in-Need Identify and explain how the Area Agency will address vulnerable and most-in-need citizens of the PSA. Through the completion of our GOEA approved 24-page scored assessment tool, that identifies the needs and appropriate community-based services, which allows them to remain in their homes. Terrebonne AAA/COA has developed a website for residents to find needed services. Needs Identified Describe the existing and potential needs of older adults, adults with disabilities, and their caregivers in the PSA. The need for Home and Community Based Services has grown rapidly. The needs survey has shown that caregivers have a great requirement for assistance with respite care. Terrebonne AAA/COA will work to improve its system that connects older persons, their family members and/or other caregivers with needed services; providing Caregiver Education Materials to enhance their ability to continue to care for their frail senior; provide caregivers information on services to maximize their awareness of available programs; and to advocate for additional respite hours due to the older individuals taking care of the very old. (ex. 70+ year old residents taking care of their 90+ year old relatives) Resources 1. Determine existing services and resources within the PSA currently available for addressing the needs identified. Terrebonne AAA/COA currently provides the following services: SERVICES Personal Care Homemaker Home Delivered Meals Congregate Meals Transportation Legal Assistance Nutrition Education Information & Assistance Outreach Material Aid Public Education Medication Management(SenioRx) Recreation Telephoning Utility Assistance Visiting Wellness Aging & Disability Resource Center(ADRC) NFCSP Respite NFCSP Material Aid NFCSP Information & Assistance 2. Explain the association between the Aging Agency and the local Aging and Disability Resource Center. Terrebonne AAA is the ADRC provider for Terrebonne and Lafourche parishes. The ADRC employees work within our Operations Center in Houma. 33
Service Gaps and Barriers Provide a description of unmet needs, under-utilized services, gaps, and barriers that prevent access to services. Terrebonne is a high income area and some positions demand pay beyond our current pay scale. Terrebonne AAA/COA has recently adjusted the pay scale to allow the agency to be more competitive in hopes of hiring and retaining needed personnel. Budget Impact Explain how the AAA budget will be impacted by the Area Plan. Briefly describe possible funding sources. How will additional funding be obtained to close service gaps? Funding needed to adequately address the needs identified through the survey will come from the good people of Terrebonne Parish through a renewed ad-valorem tax. Currently at 7.5 mills, the tax period covered started in year 2013 and ends in 2029. When available, grant applications are submitted to non-governmental organizations and foundations for additional funding. Donations are solicited for services such as; Home Delivered Meals, Homemaker Services, Transportation, and Congregate Meals. We also, receive in-kind donations. 34
Section 6 Targeted Populations Describe how the AAA’s policies meet the need of the targeted populations. Include a review of the targeting priorities established in the OAA. Explain how the Area Agency will target specific goals as outlined in the GOEA State Plan (See GOEA Website; Documents). Identify existing target populations in the PSA and methods used to identify them. Expound on their characteristics, locations, and needs. How will they be addressed in the current Area Plan? How has this changed from the previous plan? Discuss barriers that may exist for providing services to those targeted populations, and how the AAA plans to overcome those barriers. Terrebonne AAA/COA meets the needs of targeted population by the organization and delivery of social, nutritional, and in-home services such as; Transportation, Home Delivered Meals, Personal Care, Homemaker, Information & Assistance, Outreach, NFCSP Respite, NFCSP Material Aid, NFCSP Information & Assistance, Congregate Meals, Nutrition Education, Recreation, Wellness, Visiting, Telephoning, Public Education, Material Aid, Legal Assistance, Utility Assistance, Medication Management (SenioRx), Aging & Disability Resource Center (ADRC). The ADRC serves both Terrebonne and Lafourche Parishes. It provides services to both parishes, offering Medicare Part D and MIPPA enrollment along with Elderly and Disability Benefits Counselling. Brochures/handouts are distributed to residents of both parishes to assist seniors with information about services offered by the ADRC. ADRCs help adults understand their needs and the full range of options in order to preserve their personal resources and avoid the need for the state long-term support benefit. This is done by providing unbiased information on services available throughout the community. ADRCs serve people without regard to income or assets. The Terrebonne ADRC distributes brochures/handouts throughout its service area so that seniors are made aware that the ADRC is available to them. We work closely with the local parishes to develop needed resources to enhance the program. The ADRC, is here to help residents find the answers and information they need to improve their health, independence and quality of life. The ADRC serves senior citizens, adults living with disabilities, caregivers, or anyone concerned about an adult who may need assistance. The ADRC adds local resources to the resource database as provided by the Terrebonne and Lafourche Area Agencies on Aging or any other agency or organization in the parish. As established in the OAA, TCOA provides effective community services, including access to donation only transportation. Providing a choice in supported living arrangements and social assistance in a coordinated manner, this service is readily available when needed, with emphasis on maintaining a continuum of care for vulnerable older individuals. Specific goals as outlined in the GOEA State Plan; to provide facilities where older individuals can meet and receive a variety of services; in Terrebonne Parish there are five (5) Multi-purpose Senior Centers, providing 35
activities, and information on other services available. The centers are located in Montegut, Chauvin, Schriever, and two in Houma, Shady Acres and Bayou Towers. Also, five (5) lunch sites providing nutritional services to older individuals to enable them to live dignified, independent, and productive lives. The lunch sites are located in Montegut, Chauvin, Schriever, and two in Houma, Shady Acres and East Park. Terrebonne AAA/COA remains committed to providing a continuum of services. The Terrebonne AAA/COA will maintain services in proximity to the targeted areas of Mechanicville/Daigleville, Schriever/Gray, Gibson, Dulac, and Montegut/Point-aux-chene. Data was derived from the 2010 Census. There were no significant differences, in reference, to populations, locations, or needs of the targeted population from the prior census. Terrebonne AAA/COA will continue to survey the community, with special emphasis on the low-income minority communities as listed above. This process will be completed during reassessment of current clients by asking, if they are aware of other elderly that may need services. Contacting the individual to inform them of the services available and to determine their need for services that are currently provided and to assist through the ADRC for services needed but not provided by the AAA/COA. Terrebonne AAA/COA’s mission is to provide service to every qualifying senior regardless of where they reside in the parish. Terrebonne is a unique parish, an area of 2,080 square miles of which 825 square miles is water. This geography can be very challenging to provide services. The bayous finger out across the parish skirting the communities of Chauvin, Dulac, Dularge, Montegut/Point Au Chene, and Gibson. This Parish Service Area (PSA) requires a large fleet of vehicles to accomplish our mission. Our goal is to plan a comprehensive system of programs to improve and increase services in the PSA to persons with greatest economic and social needs, with particular attention to the low-income minority and Native Americans. 36
Section 7 Community Meetings Terrebonne Area Agency on Aging Area Plan Needs Assessment Community Meeting Record Fiscal Years 2010-2023 Date of Meeting: September 17, 2018 Location of Meeting: Schriever Senior Center 1. Describe the format and attach copies of the agenda for the meeting. TCOA reviewed the Top Five (5) Priority Needs Identified through the Louisiana Senior Needs Assessment Process with 20 participants of the Schriever Senior Center. 2. Briefly summarize comments of those in attendance at the meeting. There was a complaint made about the Air Conditioner. We looked at the thermostat and reprogrammed it so the building would not be as cold. 3. Indicate revisions made due to comments, if applicable. None 4. Attach a copy of the attendance list indicating attendee’s name, organization or group representing minority elderly person, rural elderly person, caregiver, and/or grandparent raising grandchild, etc. Mark as: Needs Assessment Community Meeting Record Note: A separate Community Meeting Form is required for each meeting held. Schriever Senior Center Community Meeting Agenda Date: September 17, 2018 I Inform the public of the Needs Identified for the Parish Service Area (PSA) for the next four (4) years. Needs Identified through Louisiana Senior Needs Survey 1 Respite Care a. Proposed Solutions 2 Homemaker Service a. Proposed Solutions 3 Home Delivered Meals a. Proposed Solutions 4 Information & Assistance a. Proposed Solutions 5 Congregate Meals a. Proposed Solutions II Other Areas of Concern 37
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Community Meetings Terrebonne Area Agency on Aging Area Plan Needs Assessment Community Meeting Record Fiscal Years 2020-2023 Date of Meeting: September 18, 2018 Location of Meeting: Bayou Towers Senior Center 1. Describe the format and attach copies of the agenda for the meeting. TCOA reviewed the Top Five (5) Priority Needs Identified through the Louisiana Senior Needs Assessment Process with 42 participants of the Bayou Towers Senior Center. 2. Briefly summarize comments of those in attendance at the meeting. A few questions were asked on how to obtain Respite and Homemaker service. 3. Indicate revisions made due to comments, if applicable. None 4. Attach a copy of the attendance list indicating attendee’s name, organization or group representing minority elderly person, rural elderly person, caregiver, and/or grandparent raising grandchild, etc. Mark as: Needs Assessment Community Meeting Record Note: A separate Community Meeting Form is required for each meeting held. Bayou Towers Senior Center Community Meeting Agenda Date: September 18, 2018 I. Inform the public of the Needs Identified for the Parish Service Area (PSA) for the next four (4) years. Needs Identified through Louisiana Senior Needs Survey 1 Respite Care a. Proposed Solutions 2 Homemaker Service a. Proposed Solutions 3 Home Delivered Meals a. Proposed Solutions 4 Information & Assistance a. Proposed Solutions 5 Congregate Meals a. Proposed Solutions II Other Areas of Concern 39
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Community Meetings Terrebonne Area Agency on Aging Area Plan Needs Assessment Community Meeting Record Fiscal Years 2020-2023 Date of Meeting: September 25, 2018 Location of Meeting: East Park Lunch Site 1. Describe the format and attach copies of the agenda for the meeting. TCOA reviewed the Top Five (5) Priority Needs Identified through the Louisiana Senior Needs Assessment Process with 20 participants of the East Park Lunch Site. 2. Briefly summarize comments of those in attendance at the meeting. The clients thanks the agency’s director and staff for all we do for them and told us how much they really appreciated the meals. 3. Indicate revisions made due to comments, if applicable. None 4. Attach a copy of the attendance list indicating attendee’s name, organization or group representing minority elderly person, rural elderly person, caregiver, and/or grandparent raising grandchild, etc. Mark as: Needs Assessment Community Meeting Record Note: A separate Community Meeting Form is required for each meeting held. East Park Community Meeting Agenda Date: September 25, 2018 I Inform the public of the Needs Identified for the Parish Service Area (PSA) for the next four (4) years. Needs Identified through Louisiana Senior Needs Survey 1 Respite Care a. Proposed Solutions 2 Homemaker Service a. Proposed Solutions 3 Home Delivered Meals a. Proposed Solutions 4 Information & Assistance a. Proposed Solutions 5 Congregate Meals a. Proposed Solutions II Other Areas of Concern 41
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Community Meetings Terrebonne Area Agency on Aging Area Plan Needs Assessment Community Meeting Record Fiscal Years 2020-2023 Date of Meeting: September 27, 2018 Location of Meeting: Neal Ransonet Senior Center 1. Describe the format and attach copies of the agenda for the meeting. TCOA reviewed the Top Five (5) Priority Needs Identified through the Louisiana Senior Needs Assessment Process with 19 participants of the Neal Ransonet Senior Center. 2. Briefly summarize comments of those in attendance at the meeting. No Comments 3. Indicate revisions made due to comments, if applicable. None 4. Attach a copy of the attendance list indicating attendee’s name, organization or group representing minority elderly person, rural elderly person, caregiver, and/or grandparent raising grandchild, etc. Mark as: Needs Assessment Community Meeting Record Note: A separate Community Meeting Form is required for each meeting held. Neal Ransonet Community Meeting Agenda Date: September 27, 2018 I Inform the public of the Needs Identified for the Parish Service Area (PSA) for the next four (4) years. Needs Identified through Louisiana Senior Needs Survey 2 Respite Care a. Proposed Solutions 3 Homemaker Service a. Proposed Solutions 4 Home Delivered Meals a. Proposed Solutions 5 Information & Assistance a. Proposed Solutions 6 Congregate Meals a. Proposed Solutions II Other Areas of Concern 43
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Community Meetings Terrebonne Area Agency on Aging Area Plan Needs Assessment Community Meeting Record Fiscal Years 2020-2023 Date of Meeting: September 27, 2018 Location of Meeting: Chauvin Senior Center 1. Describe the format and attach copies of the agenda for the meeting. TCOA reviewed the Top Five (5) Priority Needs Identified through the Louisiana Senior Needs Assessment Process with 23 participants of the Chauvin Senior Center. 2. Briefly summarize comments of those in attendance at the meeting. Clients asked how to request In-Home services from the Operations Center? Explained that the Manager is their point of contact. A service request (I&A) will be sent to the In-Home Services Department to schedule an assessment. 3. Indicate revisions made due to comments, if applicable. None 4. Attach a copy of the attendance list indicating attendee’s name, organization or group representing minority elderly person, rural elderly person, caregiver, and/or grandparent raising grandchild, etc. Mark as: Needs Assessment Community Meeting Record Note: A separate Community Meeting Form is required for each meeting held. Chauvin Senior Center Community Meeting Agenda Date: September 27, 2018 I. Inform the public of the Needs Identified for the Parish Service Area (PSA) for the next four (4) years. Needs Identified through Louisiana Senior Needs Survey 1 Respite Care a. Proposed Solutions 2 Homemaker Service a. Proposed Solutions 3 Home Delivered Meals a. Proposed Solutions 4 Information & Assistance a. Proposed Solutions 5 Congregate Meals a. Proposed Solutions II. Other Areas of Concern 45
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Community Meetings Terrebonne Area Agency on Aging Area Plan Needs Assessment Community Meeting Record Fiscal Years 2020-2023 Date of Meeting: October 2, 2018 Location of Meeting: Shady Lane Apartments 1. Describe the format and attach copies of the agenda for the meeting. TCOA reviewed the Top Five (5) Priority Needs Identified through the Louisiana Senior Needs Assessment Process with 22 participants of the Shady Lane Apartment Complex. 2. Briefly summarize comments of those in attendance at the meeting. A question was asked on how to get Transportations Services. Explained that the Manager is their point of contact. A service request (I&A) will be sent to the Operations Center to schedule an assessment. 3. Indicate revisions made due to comments, if applicable. None 4. Attach a copy of the attendance list indicating attendee’s name, organization or group representing minority elderly person, rural elderly person, caregiver, and/or grandparent raising grandchild, etc. Mark as: Needs Assessment Community Meeting Record Note: A separate Community Meeting Form is required for each meeting held. Shady Lane Apartments Community Meeting Agenda Date: October 2, 2018 I Inform the public of the Needs Identified for the Parish Service Area (PSA) for the next four (4) years. Needs Identified through Louisiana Senior Needs Survey 1 Respite Care a. Proposed Solutions 2 Homemaker Service a. Proposed Solutions 3 Home Delivered Meals a. Proposed Solutions 4 Information & Assistance a. Proposed Solutions 5 Congregate Meals b. Proposed Solutions II Other Areas of Concern 47
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Community Meetings Terrebonne Area Agency on Aging Area Plan Needs Assessment Community Meeting Record Fiscal Years 2020-2023 Date of Meeting: October 2, 2018 Location of Meeting: Shady Acres Senior Center 1. Describe the format and attach copies of the agenda for the meeting. TCOA reviewed the Top Five (5) Priority Needs Identified through the Louisiana Senior Needs Assessment Process with 54 participants of the Shady Acres Senior Center. 2. Briefly summarize comments of those in attendance at the meeting. No Comments 3. Indicate revisions made due to comments, if applicable. None 4. Attach a copy of the attendance list indicating attendee’s name, organization or group representing minority elderly person, rural elderly person, caregiver, and/or grandparent raising grandchild, etc. Mark as: Needs Assessment Community Meeting Record Note: A separate Community Meeting Form is required for each meeting held. Shady Acres Senior Center Community Meeting Agenda Date: October 2, 2018 I. Inform the public of the Needs Identified for the Parish Service Area (PSA) for the next four (4) years. Needs Identified through Louisiana Senior Needs Survey 1 Respite Care a. Proposed Solutions 2 Homemaker Service a. Proposed Solutions 3 Home Delivered Meals a. Proposed Solutions 4 Information & Assistance a. Proposed Solutions 5 Congregate Meals a. Proposed Solutions II. Other Areas of Concern 49
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