This program assists frail clients with long-term, complex problems. Service includes:
- An in-depth, in-home assessment with client, family members, and support network
- Development of a written care plan with input from client and family
- Implementation of the care plan through referrals, service arrangements, meetings with client and family, and case conferencing and coordination with appropriate services
- Ongoing monitoring and reassessment to be sure client's needs continue to be met and/or to implement additional services as client's needs change
What Is the Case Management Program?
Funded by the Older Americans Act through the direction of the Area Agency on Aging, the Case Management Program at the Azusa Senior Center is designed to assist the frail, older person to live an independent lifestyle, while remaining in their own home.
How Does a Case Manager Help the Frail Elder?
After completing an assessment of the client's situation, the Case Manager will work the client to determine what services are available to assist them with a safe, happy, and healthy, independent lifestyle.
- Advocacy - The Case Manager will assist clients with translation and immigration / naturalization problems, Social Security, SSI, Medi-Cal / Medicare, and I.H.S.S. applications or problems.
- Referrals to various community agencies (i.e., Home-Delivered Meals, Dial-A-Ride and Access Services, Community Development (home repairs)
- Financial - Assist client with filing for low-income programs such as H.E.A.P., L.I.R.A. (electric company), Home-Owners Assistance (state), and Life-Line (telephone co.)
- Home Care - Refer client to registry if client needs assistance with help in their home. Such help includes housekeeping, laundry, cooking, some personal care, and other various domestic chores.
Any Azusa senior over age 60 with more than 1 complex problem.