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Published quarterly by Georgia’s Area Agencies on Aging Georgia Generations TM Winter 2008 Also in This Issue: Caregiving News & Notes A Look at Georgia’s AAAs Grandparents Raising Grandchildren
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GaGen 2008 Winter

Feb 05, 2016

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Georgia Also in This Issue: ■ Caregiving News & Notes ■ A Look at Georgia’s AAAs Published quarterly by Georgia’s Area Agencies on Aging Winter 2008 TM
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Page 1: GaGen 2008 Winter

Published quarterly by Georgia’s Area Agencies on Aging

GeorgiaGenerationsTMWinter 2008

Also in This Issue: ■ Caregiving News & Notes■ A Look at Georgia’s AAAs

Grandparents Raising Grandchildren

Page 2: GaGen 2008 Winter

�� Georgia Generations

Area Agencies on Aging – Gateways to Community Resources

Northwest GeorgiaLegacy Link Atlanta Regional

CommissionSouthern CrescentNortheast GeorgiaLower ChattahoocheeMiddle GeorgiaCentral Savannah RiverHeart of Georgia

AltamahaSouthwest GeorgiaSoutheast GeorgiaCoastal Georgia

123

54

78

6

9

12

1011

Georgia is divided into 12 AAAs, each serving a different part of the state. They are:

1

10

2

35

4

7

8

69

12

11

WINTER 2008  Published quarterly through a cooperative effort of Georgia’s Area Agencies on Aging.

For information contact:Atlanta Regional CommissionAging Services Division40 Courtland St., NE, Atlanta, GA [email protected]

Editorial Project Development:JAM Communications, Atlanta, GA

Design and Production:Wells-Smith Partners, Lilburn, GA

Georgia Generations is a:

On the Cover:Dorothy Stinson of Rome puts endless love into raising Althea, the grand-daughter of Stinson’s first cousin. For grandparents raising grandchildren and other seniors who are raising relative children, the challenges are many —  but so are the joys. See story, page 4.

Cover photography by Ben Brown.

GenerationsGeorgia

Winter 2008, Volume 7, #2 © 2008 by the Atlanta Regional Commission. The information contained herein has been obtained from sources believed to be reliable. However, the Atlanta Regional Commission and JAM Communications make no warranty to the accuracy or reliability of this information. No part of this publication may be reproduced or transmitted in any form or by any means without written permission. All rights reserved.

Area Agencies on Aging (AAAs) were established under the Older Americans Act in 1973 to respond to the needs of older adults age 60 and over in every community. To read more about each of Georgia’s AAAs and the services available, turn to a statewide map and news from each agency, beginning on page 9.

Page 3: GaGen 2008 Winter

caRegiVingneWs&notes

Protect Medicare andMedicaid Benefi ts

report suspected fraud and errors.Call your Senior Medicare Fraud Project

for details and to request a presentation.

metro Atlanta: 404-463-0763Outside metro Atlanta:GeorgiaCares 1-800-669-8387

Do you want to know more about the prescription drugs you or your family members are taking? Go to

Consumer Reports’ new Web site www.CRBestBuy-Drugs.org to learn more about the cost, effectiveness and safety of prescription drugs. This Web site is available at no cost to the consumer.

surfi ng the NetEach issue of Georgia Generat­ions offers

several Web sites devoted to caregiving information and resources:

www.plwc.org stands for People Living with Cancer. It lists clinical

trials, coping tips and side effects, plus a database of oncologists.

www.aseniorhaven.com offers reader-friendly articles on

fi nances, health, travel, hobbies and more.

SAVE THE DATE

Did you know that a very small percentage

of eligible patients enroll in clinical trials?

According to a survey by Thomson CenterWatch, which was reported in BusinessWeek magazine, less than 10% of eligible patients take advantage of these tri-als. Some medical observers believe this slows down the development of new drugs and procedures.

Only 14% of trial partici-pants learned of their study through their own doctors;

most, in fact, found out through the media or the Internet.

You can learn about avail-able clinical trials by visiting www.clinicaltrials.gov. This Web site offers information about federally and privately supported clinical research needing human volunteers. It explains a trial’s purpose, who may participate, loca-tions and phone numbers. This information should be used in conjunction with advice from your own health care professionals.

STATSAbout Clinical Trials

I f living on their own is not an option for your elderly parents, you may consider following a path that many caregivers have

taken — have Mom and Dad move into your home.This arrangement is much less expensive and eliminates

many of the complications surrounding caregiving. But be pre-pared for a trade-off; such an arrangement takes careful plan-ning. Here are important steps to follow:

✔ COmpAre the cost of your parents moving to an assisted living facility with the cost of moving into your home, includ-ing renovations to your house, as well as furnishings or medical equipment.

✔ CheCK the county and local rules on mother-in-law apart-ments, granny flats, etc.

✔ TAlK through expectations about privacy, caretaking, meals, grocery shopping, transportation and other potential issues.

✔ DeTermiNe the financial arrangement. Will parents pay rent or part of expenses? How will the living setup affect the parents’ estate plan?

✔ plAN how you will handle health challenges that will inevi-tably occur, even acknowledging the end-of-life situations that you will face.

When Mom & Dad

MOVE IN“ Sharing in the Caring”7th Annual Caregiver ConferenceSaturday, Feb. 2, 2008, 8 a.m.–4 p.m.Are you caring for an aging family member or someone who needs help due to chronic health problems or a devel-opmental disability? Do you need information and support services?

Location: Dunwoody United Methodist Church, 1548 Mt. Vernon Rd., Dunwoody, GA 30338.

Cost is $15 per person, which includes breakfast and lunch.

Call 404-778-7710 for information and registration, or visit www.emoryhealthcare.org and click on “events.”

Page 4: GaGen 2008 Winter

Emma and Leon Carr were looking forward to their retirement. “We planned to travel a lot because we didn’t while we were working,” says Emma, 64. 

“We’re both in good health and we saved during our working years, so we were going to enjoy ourselves.”

That’s not the way it worked out. Instead, in March 2006 — four months after Emma retired from her job as a program technician for the USDA in Claxton — the Carrs became the legal guardians of three of their grandchildren. The children’s father — the Carrs’ son — had been in and out of jail on drug-related charges since the children were born. Their mother had moved in with a new boyfriend, forming a household marked by domestic violence and substance abuse. As a result, the children — now age 17, 15 and 9 — had lived with the Carrs off and on throughout their lives. But in late 2005, Emma discovered that the local Department of Family and Children’s Services (DFCS) office was about to put the children in the foster care system.

“That’s when I went and got guardianship,” says Emma. “I wanted to adopt them, but their mother won’t let me.”

So instead of traveling, Emma spends her days help-ing with homework, shuttling between piano and football practices and cooking family dinners. “I’m having to do every-thing a parent should have done, so I’m not able to do the things that grandparents should be able to do,” says Emma. 

Though Emma often feels as if she’s alone, she is in very good company. Across the U.S., 5.7 million grandparents live with grandchildren in their homes, and 2.4 million of these grandparents are the primary caregivers for their grand children, according to a 2005 American Communities Survey. In Georgia, more than 193,000 grandparents have grand children in their homes, with more than 93,000 acting as primary caregivers. And this trend, which cuts across all socioeconomic, racial and ethnic boundaries, is growing.

“The census just began to track the number of grand-parents raising grandchildren in 2000,” says Deborah Whitley, director of the National Center on Grandparents Raising Grandchildren at Georgia State University. “That’s when there began to be an awareness of the impact this has had on the nation and on family systems. And since 2000, we’ve seen a steady increase in the numbers.”

The reasons behind this trend are many. Incarceration, AIDS, mental disorders, poverty, teen pregnancy and, recently, military deployment leave many parents unable to care for their children, compelling grandparents to step in. But the big-gest driving force, according to experts, is substance abuse. 

“I would say that at least 70% of the cases we see are the result of substance abuse,” says Susan Kelley, founder of Project Healthy Grandparents, also at Georgia State. “Drug use can lead to other problems, like jail, teen pregnancy, transmission of AIDS, poverty and death, so it can be a vicious cycle.” 

However they came to this place, grandparents who find themselves in this role are pulled by strong and opposing forces. On one hand, these grandparents are motivated by love, and they reap the emotional benefits of doing the right thing and of being supremely needed and useful. On the other, they must navigate a difficult and often confusing road blocked with legal, financial, housing and emotional issues. 

4 Georgia Generations

ing with homework, shuttling between piano and football practices and cooking family dinners. “I’m having to do every-thing a parent should have done, so I’m not able to do the things that grandparents should be able to do,” says Emma. 

good company. Across the U.S., 5.7 million grandparents live with grandchildren in their homes, and 2.4 million of these grandparents are the primary caregivers for their grand children, according to a 2005 American Communities Survey. In Georgia, more than 193,000 grandparents have grand children in their homes, with more than 93,000 acting as primary caregivers. And this trend, which cuts across all socioeconomic, racial and ethnic boundaries, is growing.

parents raising grandchildren in 2000,” says Deborah Whitley, director of the National Center on Grandparents Raising Grandchildren at Georgia State University. “That’s when there began to be an awareness of the impact this has 

Grandparentsraising

GrandchildrenBy Mart­ha Nolan McKenzie

Page 5: GaGen 2008 Winter

legal cHallenges

G randchildren often arrive in a grandparent’s home abruptly, many times as the result of a crisis, and the arrangement is completely informal and believed 

to be short-term. However, as days stretch into weeks and weeks into months, the grandparents are forced to confront the dilemma of their legal relationship with their grandchild. Should they try to obtain guardianship? Should they adopt the child?

In fact, legal status is often the “key to the kingdom.” Without that, the grandparent may have difficulty enrolling a child in school, getting medical treatment or obtaining finan-cial assistance. For grandparents who do pursue a degree of legal status, there are various options available:

■  POWER OF ATTORNEY. A quick, easily obtained and inexpensive legal arrangement, a power of attorney lasts for as long as the parent wants, and the parent retains his parental rights. “A power of attorney is easy to get, but it is not recognized by everyone,” says Bill Broker, the managing attorney for the Savannah office of the Georgia Legal Services Program (GLSP). “Schools, for example, are accepting it less than they used to.”

■  TEMPORARY GUARDIANSHIP. Parents and grand-parents may work together to craft a temporary legal arrange-ment for the child. “Parents are often willing to go along with a temporary guardianship because they are easy to dissolve,” says Wendy A. Jerkins, kinship care project attorney for the GLSP. “But it gives grandparents more authority than a power of attorney.”

■  FULL OR PERMANENT GUARDIANSHIP. A grand-parent can be awarded full guardianship if he or she has informally raised the grandchild for a period of time or if the parents can no longer care for the child. If the parent opposes guardianship, the grandparent must file a petition in court. As a legal guardian, the grandparent can act as the child’s parent, although parental rights are not terminated, and the parents can go back to court to have the guardian-ship revoked. 

■  CUSTODY. Legal custody is like guardianship, but it has different rules. A grandparent can gain legal custody of their grandchild if the parents consent or, sometimes, even if the parents object. Among other things, the court will look at the “best interests of the child.” Grandparents may gain cus-tody during a court hearing. “Custody is harder to dissolve than guardianship,” says Kimbley Puckett, supervising attor-ney in GLSP’s Piedmont regional office. “So if a grandparent is worried about the parent coming back and trying to get the child, custody would be the way to go.”

■  FOSTER CARE. A child enters the foster care system when a court removes him from his parents’ home as a result of abuse, neglect or deprivation. The grandparent can apply to become a licensed foster care parent for the child. The good news is that the grandparent will receive aid from the state  — up to about $425 a month (although the amounts may 

vary). The bad news is that DFCS retains legal custody of the child and the grandparent is subject to a lot of oversight. 

■  ADOPTION. Adoption severs all of the parents’ rights and responsibilities and bestows them on the grandparent. Before a grandparent can adopt his or her grandchild, the parents must have given their consent or a court must have terminated their parental rights. 

financial Questions

T aking on additional mouths to feed and bodies to clothe presents a financial challenge, particularly for grandparents who may be living on a fixed income. 

If a grandparent becomes a foster parent, she is eligible to receive up to $425 per month. The majority of grandparents, however, do not enter the foster care system. For these grandparents, other forms of assistance, though limited, are available. 

One source of such assistance is the federal cash benefit program, known as Temporary Assistance for Needy Families, or TANF. Grandparents and other relatives can apply to the state for TANF benefits one of two ways — a child-only grant or a family grant. 

A grandparent raising a grandchild may also be eligible for Supplemental Security Income (SSI) if they are low-income and over age 65. 

Low-income grandparents can also get help with food costs through the Women, Infants and Children (WIC) program, which is administered through local health depart-ments. They may qualify for food stamps, even if they do not have legal custody or guardianship of their grandchildren. 

In Georgia, grandparents may be eligible for additional funds, thanks to initiatives implemented by the state’s Department of Human Resources last year. Specifically, eli-gible grandparent-headed households can receive monthly subsidy payments of an additional $50 per child through the TANF program. They can also apply through Emergency/ Crisis Intervention Services for funds to help pay for the cost of emergency needs such as rent, utilities, moving expenses, school expenses or furniture. And child support payments can be redirected from an absent parent to the grandparent.

meDical insuRance

A bout one-third of all children who live in grand parent-headed households do not have health insurance, according to the Children’s Defense Fund. If the 

grandparent is still working, their employer’s insurance generally will not cover a grandchild, unless that grandchild is adopted. Medicare won’t cover a grandchild even if he is adopted. Private insurance for the children is out of reach for most. 

 Many children in low-income households may be eligible for Medicaid, even if the grandparent is not the legal guard-ian. In Georgia, children through the age of 18 who do not 

Winter 2008 5

Grandparentsraising

Grandchildren

Page 6: GaGen 2008 Winter

qualify for Medicaid but live in households with incomes at or below 235% of the federal poverty level can qualify for medical coverage through PeachCare for Kids. For more infor-mation, call 1-877-GA-PEACH. 

Housing issues

T he house or apartment that was perfect for the empty-nester may suddenly become too small when a grandchild or two moves in. And space isn’t the only 

problem. The grandparent may be living in a senior housing facility that does not allow children. Or they may be in public housing where rules limit the number of occupants. 

Federal law does not require grandparents to have legal custody or guardianship of the children they are raising to qualify for federal housing programs. These programs include public housing, housing choice vouchers (formerly Section 8 vouchers) and Section 202 senior housing. 

In the Atlanta area, ACHOR Center, which provides sup-port and services for homeless women, is partnering with Noel Khalil, a developer of senior housing, to provide housing 

and support services for grandmothers raising grandchildren. The project is housed in a newly constructed apartment complex in downtown Atlanta called Park Common. About 41 of the total 332 units will be set aside for ACHOR clients. To qualify, however, the grandmother must be homeless. “The term ‘homeless’ can range from women living in shelters to women who sleep on a sofa in a relative’s home,” says Sandra Muckle, director of permit housing for the ACHOR Center. 

Sometimes the house itself isn’t the only problem. Two years ago Dorothy Stinson, 70, moved with her now-10-year-old adopted daughter from the Bronx in New York to Rome, GA. Stinson had been raising Althea — who is the grand-daughter of Stinson’s first cousin — since the child was eight months old. She formally adopted Althea when she was two.

“I’ve seen the changes in the Bronx and I didn’t want Althea growing up there,” says Stinson. “I couldn’t let her 

go outside by herself because it was too dangerous. I moved down here to give her a better life.” 

These days, when Althea gets home from school — where she is an honor roll student — she heads outside to the cul-de-sac where her duplex is and plays games of kickball and tag with neighborhood friends. “I couldn’t be happier,” says Stinson. “This is exactly the kind of life I envisioned for her.”

emotional conflicts

F or all the legal, medical and financial issues that grandparents-turned-parents face, the emotional issues can be the greatest — and the most conflicted. 

Undeniably, there are emotional rewards that come with being a grandparent head-of-household. On the flip side, some grandparents are plagued with guilt, feeling somehow responsible for their child’s inability to parent. “Such nega-tive feelings can prevent grandparents from reaching out to access community resources and services,” says Mary Lou Vergara, caregiver program coordinator with the Atlanta Regional Commission (ARC). 

And many grandparents find that the task of parenting is complicated by the condition of their grandchildren. “These children usually come to their grandparents with a very diffi-cult history,” says Irma Garcia Rose, caregiver support coor-dinator with Mercy Senior Care in Rome. “Many of these kids have special needs as a result of a parent’s drug use.”

Mary Colton (not her real name) has already raised five children and two grandchildren. The 64-year-old Atlanta woman is now raising two more grandchildren — a 15-year-old girl and an 11-year-old boy. It’s the latter who causes her the most sleepless nights. As a result of his mother’s drug use, the boy has fetal alcohol syndrome, learning disabilities and ADHD. “He always had a lot of problems in school,” says Colton. “The school kept telling me he was doing fine, but he was never progressing.”

Colton was able to get help through Project GRANDD (Grandparents Rearing and Nurturing Dependents with Disabil-ities). The program provided an advocate to accompany Colton to the school to develop an IEP (Individual Education Program) for her grandson. She was able to get him into a different school and class to meet his needs, and now his schoolwork and atti-tude have improved dramatically. While Colton is happy with those results, she still feels the burden she is shouldering.

“I’ve already raised all my kids and I thought I’d get to visit with my grandkids and take them to movies and such,” says Colton. “My daughter will drop over to see the kids, but she doesn’t have any of the responsibility. I have all of it.”

getting Help

Help is available for grandparents who are raising their grandchildren, especially in Georgia. “Georgia is a model for the nation for services addressing the needs 

of grandparents raising grandchildren,” says Whitley of the National Center on Grandparents Raising Grandchildren.  

6 Georgia Generations

Linda Curtis (left, with her family) is a grandmother raising grand­children with special needs. Atlanta­based Project GRANDD has given her much­needed support.

Page 7: GaGen 2008 Winter

Governor Sonny Perdue brought the issue to the forefront in 2005, when he allocated funds to Georgia’s 12 Area Agen-cies on Aging (AAAs) to create Kinship Care programs across the state. The goal is to develop a one-stop shop in each region, where grandparents who are raising grandchildren can get information about community services to meet their needs. In addition, the new Georgia Kinship Navigator  Program, initiated by the Georgia Department of Family and Children Services (DFCS), helps grandparents navigate the public service system. A “Navigator” is available in county DFCS offices to serve grandparents and make sure they get all the benefits to which they are entitled. 

More help may be on the way. Legislation sponsored by State Sen. Renee Unterman (R-45) would make it easier for grandparents to get power of attorney for their minor grand-children as well as provide a subsidy equal to 80% of the foster parent rate for low-income grandparents. Supporters hope Senate Bill 88 — “Care of a Grandchild Act” — will pass when the General Assembly reconvenes in January.

Three Atlanta metro counties — Fulton, DeKalb and Clayton — have the highest concentration of grandparent caregivers in the state. Fortunately, the metro area offers additional resources. ARC has partnered with AARP Georgia and the Brookdale Foundation to produce an extensive resource guide, ”Grandparents Raising Grandchildren Resource Guide for the Atlanta Region.“

Georgia State University’s Project Healthy Grandparents offers a unique home-based program serving families in DeKalb, Atlanta and South Fulton. “We make monthly home visits with a nurse and a social worker and assess the health of the grandparent and grandchild and the living situation,” says Kelley, the project’s founder. “Then we’ll make referrals to legal aid, housing services, early intervention and educa-tional services — whatever is needed.”

Project GRANDD provides support and services to Atlanta-area grandparents raising grandchildren who have a developmental disability, chronic illness, learning dis-ability or behavior disorder. “Our program is unique in the state because we focus specifically on this population,” says Janice Nodvin, project director of Project GRANDD. “A lot of caregivers don’t realize a child may have an identifiable dis-ability that will qualify them for waivers through the state. We have nurses, social workers and family therapists who work with the families on an individual basis to determine their needs and get them the support they need.”

In addition to helping grandparents get an IEP for their grandchild, as it did for Mary Colton (above), Project GRANDD can help families find a primary care physician, legal assistance and educational support. 

Perhaps the most helpful resource available to any grand-parent is a support group of other grandparents in the same situation. The meetings provide a brief respite from their parenting duties, understanding shoulders to cry on, les-sons learned by others who have traveled the same road and a break from isolation. All around the state, support groups 

with names such as “Grandparents Raising Grandchildren,” “Grands Who Care” and “Grandparents as Parents” give grandparents a much-needed framework of support. 

Helping Hands in Covington is typical of such groups. Anywhere from 10 to 15 grandparents meet at the Newton County Senior Center for an hour or two on the last Monday of every month. Experts are often brought in to speak about topics ranging from navigating the juvenile justice system to accessing available benefits, and from parenting issues to advocating for your grandchild in the school system. The heart of each meeting, however, is the free exchange of con-cerns, support and ideas between the participants. 

“A lot of our grandparents feel like they are all alone out there,” says Josephine Brown, executive director, Newton County Senior Services. “But then they come to a support group and discover there are a lot of other people in the same situation, dealing with a lot of the same issues they are. It can make all the difference in the world.” (To locate a sup-port group in your area, contact your local AAA.)

Gladys Perkins, 71, is raising three grandchildren and two great-grandchildren ranging in age from 4 to 17 in her River-dale home. She’s not sure what she would do without the help and support of the Kinship Care Resource Center in Jones-boro and its support group.

“After so many years not having any children, you have to reach back and try to remember what to do and how to do it,” says Perkins. “I had forgotten chicken pox. I had forgotten teacher conferences. I never dreamed I’d be doing that again.”

But after her son became paralyzed and his daugh-ter passed away, Perkins and her husband, James, found themselves raising their son’s three children and that son’s deceased daughter’s two children. “I happened to see some-one who was wearing a T-shirt that said ‘Grandparents Raising Grandchildren.’ I approached them, and they gave me the number for the Kinship Care center, so I called. They helped me get all the kids on Medicaid. They gave me infor-mation about housing, doctors, financial assistance.

“But the support group is what is really amazing,” Per-kins continues. “I’ll get down about my situation and say to myself, ‘Why me? Why am I stuck with this?’ Then I hear someone else’s story, and I say, ‘I don’t have a problem! My situation is not so bad!’ The love and concern and sharing that comes out in the support group is really something that keeps your spirits up and lets you keep going.” GG

Winter 2008 7

Perhaps the most helpful resource available

to any grandparent is a support group

of other grandparents in the same situation.

Page 8: GaGen 2008 Winter

GUEST CLOSE-UP

8 Georgia Generations

By Jennie Deese, Direct­or of Communit­y Out­reach, Sout­heast­ Region, Care Improvement­ Plus

The number of Americans with chronic conditions such as diabetes and heart failure is reaching epidemic propor-tions. In fact, studies show that an estimated 125 million 

Americans — a large number of whom are age 65 and older —  suffer from one or more chronic illnesses.1 Because these condi-tions account for 75% of all health care expenditures,2 the Cen-ters for Medicare & Medicaid Services (CMS) is taking a hard look at disease management, an innovative treatment program that can cut costs while improving the health and quality of life of participating benefi ciaries. 

Disease management is a program or approach that helps people with chronic illnesses manage their health with the support of their doctors and special nurses. The goal is to help those with chronic illnesses live a more active and comfortable life and to help prevent, reduce or delay complications that may result in hospitalization or institutional care. 

For example, people with diabetes often see multiple doc-tors and have numerous prescriptions, complicated medication schedules and added concerns about diet and exercise. Disease management supports them by providing services such as medication reviews, proper foot care education and/or assis-tance with blood sugar monitoring devices to reduce the risk of complications such as amputation or blindness. 

F or those with heart failure, disease management can help catch problems before they worsen and require hospitaliza-

tion. Some programs offer access to a local nurse for health-related questions between doctor’s visits or blood pressure cuffs to help monitor cardiovascular health.     

While health plans have traditionally focused their efforts on helping members with health problems as they arise, new Medicare options such as Chronic Condition Special Needs Plans take a more preventive approach — using disease man-agement and other services to avoid further health problems. 

These plans typically offer a number of supplemental services designed to educate members about their conditions and identify problems before they worsen. For instance, one 

plan has all new members assessed by a nurse who performs a comprehensive checkup and a thorough medication review, and instructs the patient on the proper use of health monitoring equipment such as glucose meters. The nurse works with mem-bers to educate them about their conditions, medications and ways to enhance their quality of life, and develops an individual-ized plan that outlines steps to prevent future complications and hospitalizations. 

Research has shown that disease management can help to improve health outcomes.3 For example:

■  A reduction in blood pressure can reduce heart attacks, strokes and deaths from cardiovascular disease.

■  Improved blood sugar control in people with diabetes reduces their risk of developing complications such as eye, kidney and nerve disease.

■  Regular foot examinations and monitoring can prevent diabetes-related amputations.

Managing a chronic illness can be overwhelming at times. However, disease management can help by providing patients with the day-to-day support needed to take control of their health. GG  

Care Improvement Plus is a Medicare Advantage Special Needs Plan that provides chronically ill members with a comprehensive disease management program. For more information, call 1­866­727­6646 or visit www.careimprovementplus.com.

1. Anderson, Gerard, Ph.D., et al.; “Chronic Conditions: Making the Case for Ongoing Care.” Johns Hopkins University.

2. Lorig, Kate, Dr. P.H. and Holman, Halsted, M.D.; “Self-Management Education: Context, Defi nition and Outcomes and Mechanisms.” Stanford Patient Educa-tion Research Center.

3. “The Power of Prevention,” a report by the U.S. Dept. of Health and Human Services (2003) from the CDC Web site, www.healthierus.gov/steps/summit/prevportfolio/power/index.html.

Providing Services

The goal of disease management is to help those with chronic illnesses live a more active, comfortable life and take control of their health.

Providing�Services�to

Disease Management:

Medicare Benefi ciaries

Page 9: GaGen 2008 Winter

Seniors from the Bremen Senior Center in Haralson County presented

a Christmas play last year that was so popular, the new play they did this year sold out two nights in a row! Written and directed by Kathy Rayl, last year’s play, “A Holiday Jingle,” involved a group of older women who were facing the holi-days alone. Their grown children were too busy to come visit, or were going far away to vacation spots and the women were unable to join them.

As the women complained to each other, things began to change. Angels ap-peared in disguise and taught them how to be happy even when alone — and, more importantly, how to share their happiness with others who were alone. They sang

and danced, and even did a quiet scene with the song “The Old Lamplighter.” The costumes, storyline, acting and musical talent were all extremely well done, and the audience of 600 friends and family thoroughly enjoyed the two evening per-formances at the First Methodist Church.

This year’s play, “Hot Flashes,” was

again written and directed by Rayl and performed at the Bremen Senior Center. The two sold-out shows raised money to benefit the senior center. Plans are already afoot for another original, perhaps next summer.

For informa­tion, contact the AAA of Northwest Georgia, P.O. Box 1798, Rome, GA 30162­1798; 706­802­5506 or toll­free 1­800­759­2963.

NOrThwesT GeOrGiA eNCOmpAsses These COuNTies: Bartow, Catoosa, Chattooga, Dade, Fannin, Floyd, Gilmer, Gordon, Haralson, Murray, Paulding, Pickens, Polk, Walker, Whitfield

Northwest�Georgia

Winter 2008 9

Families come together as seniors perform

A Look at Area Agencieson Aging Around GeorgiaIn communities across the country, Area

Agencies on Aging (AAAs) serve as gateways to

local resources, planning efforts and services

that help older adults remain independent.

On the following pages are the programs and

services offered by Georgia’s AAAs.

NorthwestGeorgia

AtlantaregionalCommission

southernCrescent

legacylink

NortheastGeorgia

Centralsavannahriver

middleGeorgia

southwestGeorgia southeast

Georgia

heart ofGeorgiaAltamaha Coastal

Georgia

lowerChattahoochee

NorthwestGeorgia

AtlantaregionalCommission

southernCrescent

legacylink

NortheastGeorgia

Centralsavannahriver

middleGeorgia

lowerChattahoochee

southwestGeorgia southeast

Georgia

heart ofGeorgiaAltamaha Coastal

Georgia

Talented seniors in Bremen bring the community together for a night of entertainment and fun.

Covers a 15-county area surrounding rome, Dallas, Dalton, Cartersville

Page 10: GaGen 2008 Winter

As the Atlanta region experiences growth in

different ethnic populations, the most significant growth within those groups is that of persons over the age of 60. The numbers of the 60-plus Asian, Vietnamese, Korean, Hispanic, Russian and other ethnic groups is increasing at a much faster rate than their overall population. In recognition of these growing numbers, the Atlanta Regional Commission (ARC), Area Agency on Aging for the 10-county region, has expanded its outreach efforts to provide information about services for older adults in order to better serve these diverse populations.

Through con-tractual agree-ments with ARC, the Center for Pan-Asian Com-munity Services, Clarkston Community Center and Jewish Family & Career Ser-vices, information and assistance services and outreach services are extending to a

wider array of ethnically diverse communi-ties. Information and assistance specialists at each of these agencies are providing telephone and face-to-face consultations and information about programs and

services to help older adults live healthy, independent lives. A unique aspect of these efforts is the added component of translation and interpretation services. In some circumstances, translators are

available to accompany non-English-speak-ing older adults to medical visits and other appointments.

In order to link the older adults to appropriate services, each agency uses the Aging & Disabilities database, which contains information about more than 20,000 resources for older adults and caregivers in the state of Georgia. An important benefit of ARC’s collaboration with agencies who serve ethnically diverse older adults is that they can provide input on services that may not be in the Aging & Disabilities database.

Almaz Akalewold from the Clarkston Community Center notes, “Working with the ARC in providing this expanded ser-vice is adding an important component to our efforts to assist older refugees in their adjustments to living in the United States and their local communities.”

To learn more about information and assistance for ethnically diverse older adults, contact Jan Kauffman, Atlanta Regional Commission, at 404­463­3239.

ATlANTA reGiONAl COmmissiON eNCOmpAsses These COuNTies: Cherokee, Clayton, Cobb, DeKalb, Douglas, Fayette, Fulton, Gwinnett, Henry, Rockdale

10 Georgia Generations

Atlanta�Regional�CommissionCovers a 10-county area surrounding Atlanta

information and assistance are increasing for ethnically diverse older adults

Cherokee County Cherokee County Senior Services, 770-345-5312

Clayton County Clayton County Aging Program, 770-603-4050

Cobb County Cobb Senior Services, 770-528-5364

DeKalb County Office of Senior Affairs, 770-322-2950

Douglas County Douglas Senior Services, 770-489-3100

Fayette County Fayette Senior Services, 770-461-0813

Fulton County Fulton County Aging Program, 404-730-6000

Gwinnett County Gwinnett County Senior Services, 678-377-4150

henry County Henry County Senior Services, 770-288-7001

rockdale County Rockdale County Senior Services, 770-922-4633

if you need caregiving information, contact an Agewise Connection partner:

Atlanta regional Commission, 404-463-3333 www.agewiseconnection.com

Almaz Akalewold (left), director of the senior program at the Clarkston Community Center, and former Russian refugee Yuliya Nemteva.

“ Working with the ARC…is adding an important component to our efforts to assist older refugees in their adjustments to living in the United States and their communities.”

Participants at the Clarkston Community Center.

Page 11: GaGen 2008 Winter

The Lower Chattahoochee Area Agency on Aging (AAA) has been

mobilized! Gateway staff, along with representatives from other services such as GeorgiaCares and Lifelong Planning, have been setting up shop at spots around the region. Staff from the AAA visit each of the 12 senior cen-ters in the 16-county region once a month and bring information as well as wireless laptops that have a database of services and referral forms.

Months in advance of the road show, a schedule of AAA visits is published in the

local newspaper of each senior center’s county. AAA staff also go to libraries,

community centers and courthouses. These visits have increased interest and knowledge in aging services, and a host of information has been provided, including a focus on the developmentally disabled population. The service database has over 55 resources specifically for the developmentally disabled.

Recently, the AAA

received a grant from a pharmaceutical company to pay for a kiosk station in Peachtree Mall in Columbus — so the same Lower Chattahoochee AAA/ADRC representatives and resources are now available to the mall walkers and shoppers twice a week. Through these efforts and the local CARE-NET, working relation-ships with developmental disability provid-ers and consumers have been established. The Aging and Disability Resource Con-nection has provided the road map, and the AAA is well down the highway in mak-ing this a successful, truly one-stop shop.

For more information, contact the Lower Chattahoochee AAA, P.O. Box 1908, Columbus, GA 31902­1908; 706­256­2910 or 1­800­615­4379.

lOwer ChATTAhOOChee eNCOmpAsses These COuNTies: Chattahoochee, Clay, Crisp, Dooly, Harris, Macon, Marion, Muscogee, Quitman, Randolph, Schley, Stewart, Sumter, Talbot, Taylor, Webster

Lower�ChattahoocheeCovers a 16-county area surrounding Columbus, Americus, Butler, montezuma, Cuthbert

Gateway joins Aging and Disability resource Connection to “go mobile”

Winter 2008 11

Northeast�GeorgiaCovers a 12-county area surrounding Athens, winder, monroe, Covington, madison

“Other things can change us, but we start and end with family.”

— Anthony Brandt

Family Ties means providing full-time nurturing and protection to children

by adults — other than parents — who have a family-relationship bond with the children (Child Welfare League of America, 1994). Most of the time, this nurturing and protection is provided by grandpar-ents or relatives when original families are torn apart by substance abuse, incarceration, death, mental and physi-cal illness, AIDS, child abuse or neglect. There are three types of Family Ties care arrangements: informal care, formal care and foster care.

The Morgan County Senior Center

provides once-monthly information sessions and support groups for those raising relative chil-dren. Sessions and support groups provide valuable information and understanding from Family Ties peers. What makes this program unique is that the families share suppertime and then supervision and activities are provided for the children, allowing caregivers to attend meetings with ease and peace of mind.

Through material aid money from the

Northeast Georgia Area Agency on Ag-ing (AAA) and grant money received from the Central Georgia EMC — Operation Round Up, it has been a great pleasure this year to assist fami-lies in the purchase of book bags and school supplies for “Our Kids,” as well

as a Wal-Mart shopping trip for an outfit, shoes, socks or undergarments.

For more information on this program, contact the AAA at 706­583­2546 or 1­800­474­7540.

NOrTheAsT GeOrGiA eNCOmpAsses These COuNTies: Barrow, Clarke, Elbert, Greene, Jackson, Jasper, Madison, Morgan, Newton, Oconee, Oglethorpe, Walton

seniors raising relative children

“Our Kids” on a Wal­Mart shopping trip.

Tracey Watts, GeorgiaCares coordinator, and Aleisha Elliot, Lifelong Planning coordinator — Lower Chattahoochee Area Agency on Aging.

Page 12: GaGen 2008 Winter

Southeast�GeorgiaCovers an 18-county area surrounding waycross, Valdosta, Tifton, Douglas, Folkston

1� Georgia Generations

Seniors in four Southeast Georgia counties are extending their activities

beyond normal senior center hours — in fact, they are dancing the night away! This vivacious ensemble of seniors has created a group called S.E.L.F. (Singles Enjoying Lively Fellowship), and each Friday night they host a dance for seniors looking to make new friends and have a good time. This weekly event has also resulted in marital bliss for a few. “Several people have met and found mates at our dances,” says Betty Ellis, Tift County S.E.L.F. presi-dent. “We have a good time.”

Currently, four counties participate in hosting the “Friday Night Fever” S.E.L.F. events. Each week, the dance is held at the

senior center or a nearby facility in one of the participating counties of Tift, Coffee, Ben Hill or Berrien, drawing seniors from

throughout Southeast Georgia. Often, the dances are associated with a certain theme, such as Patriotic Night or Hal-loween Costume Night. In addition to the social benefits of the Friday night dances, the weekly activity provides the seniors an outlet for physical activity. “People who dance on a regular basis have been known to experience less stress, less depression and decreased loneliness,” says Lisa Whit-ley, Southeast Georgia’s AAA wellness coordinator.

For more information, call the Southeast Georgia AAA at 1725 South Georgia Parkway West, Waycross, GA 31503; 912­285­6097 or toll­free 1­888­732­4464.

sOuTheAsT GeOrGiA eNCOmpAsses These COuNTies: Atkinson, Bacon, Ben Hill, Berrien, Brantley, Brooks, Charlton, Clinch, Coffee, Cook, Echols, Irwin, Lanier, Lowndes, Pierce, Tift, Turner, Ware

s.e.l.F. seniors enjoy dancing the night away!

Heart�of�Georgia�Altamaha

On November 5, regional caregiver awards were given to three out-

standing caregivers — among a crowd of 200 people attending the 4th Annual Caregiver Conference at the Heart of Georgia Technical College in Dublin.

Vian Glosson — a pastor’s wife, a grandparent raising her granddaughter, and a caregiver for her mother-in-law — was awarded a Rosalynn Carter embossed medallion in recognition of her contributions as a family caregiver. Glosson had been nominated by women of the Southside Baptist Church in Hazlehurst, Georgia, who said, “There

is no job too small or too dirty for Vian Glosson when it comes to caring for others. She has a true servant’s heart.”

Also receiving an embossed medallion,

Lucille Brock-Thomas, founder of Care-givers Resource and Support Systems, Inc., was recognized as a volunteer caregiver

and an exceptional advocate for caregivers and care receivers. Brock-Thomas works with more than 25 churches and com-munity coalitions, advocating on behalf of caregivers.

Nominated by Altamaha Home Health and awarded a bronze medallion, Lee Green was recognized for 18 years of service as a para-professional caregiver or certified nurses assistant. Co-worker Pauline Carter said that Green “is loved by all of her clients because of the kindness she shows to each.”

For further information, contact Heart of Georgia Altamaha RDC, 331 W. Park­er St., Baxley, GA 31513; 912­367­3648 or toll­free 1­888­367­9913.

heArT OF GeOrGiA eNCOmpAsses These COuNTies: Appling, Bleckley, Candler, Dodge, Emanuel, Evans, Jeff Davis, Johnson, Laurens, Montgomery, Tattnall, Telfair, Toombs, Treutlen, Wayne, Wheeler, Wilcox

Rosalynn Carter recognizes outstanding caregivers.

CAre-NeT and rosalynn Carter institute recognize regional winners

Covers a 17-county area surrounding Baxley, Dublin, Vidalia, Jesup, swainsboro

Page 13: GaGen 2008 Winter

Southern�CrescentCovers a 10-county area surrounding Franklin, Newnan, laGrange, Griffin, Carrollton

For 61 years, Herschel Andrews has been in

Georgia’s workforce, having driven more than three mil-lion miles as a truck driver. At the age of 79, he serves as coordinator for the truck-driving program at Griffin Technical College, and in the month of May, Older Ameri-cans Month, he was named Southern Crescent’s Older Employee of the Year.

As coordinator for the CDL-B/Forklift Programs, Andrews is constantly devising new ideas to better serve the truck-driving industry. Labor Commissioner Michael Thurmond

has congratu-lated him for his leadership role in training and assisting 160 displaced work-ers from Ford Motor Company.

Art Durden, store manager of the Publix supermarket in Newnan, was selected as the Older Employer

of the Year. The Publix supermarket can boast that 29% of their staff is over the age of 55. Of those older workers, 21%

have been with Publix for more than six years. These older workers are utilized in all departments of the store and have received training in their specialized areas.

Durden has partnered with local agencies and companies for fundraisers for the local senior center. He is willing to help with any local charity event and always says, “Let me see what I can do.”

Andrews, Durden and the Publix at Coweta Crossing were honored at the 19th Annual Older Workers Conference luncheon at the King and Prince Beach and Golf Resort in St. Simon Island.

For additional information, con­tact the Southern Crescent AAA, P.O. Box 1600, Franklin, GA 30217­1600; 706­675­6721, 770­854­6026 or toll­free 1­866­854­5652.

sOuTherN CresCeNT eNCOmpAsses These COuNTies: Butts, Carroll, Coweta, Heard, Lamar, Meriwether, Pike, Spalding, Troup, Upson

southern Crescent’s Older employee and Older employer of the Year

Winter 2008 13

Legacy�LinkCovers a 13-county area surrounding Gainesville, Cumming, Clarkesville, Toccoa, hiawassee

In 2006, Congress modified the regula-tions applying to the SCSEP (Senior

Community Service Employment Pro-gram). SCSEP has been and continues to be a valuable resource for individuals 55 and over. It offers qualified applicants the opportunity to receive training and work experience in preparation for perma-nent full- or part-time employment. Faye Christopher, director and program gradu-ate, enthusiastically champions SCSEP. For her, the program performed exactly as advertised, providing a pathway to full employment.

The modification has shifted the program’s focus from job placement to job training. The goal is still to help place mature workers in a part-time position at a nonprofit or governmental organization.

However, the emphasis now is on training workers to learn and gain new skills, which prepare them to move into regular employment. Trainees, with the help of counselors, develop Individual Employment Plans. By applying self-improvement methods that they have learned and new skills that they have acquired, trainees will find employment that matches their talents and utilizes those skills. Each trainee also receives a Benefits Checkup, a helpful evaluation tool that identifies benefits for

which the trainee might be eligible.Job developers promote cur-

rent and new employer contacts for job placements, and they recruit trainees to the program as well. Legacy Link has been contracted by SCSEP to provide services in the following counties: Banks, Bartow, Catoosa, Chat-tooga, Cherokee, Dawson, Fannin, Floyd, Forsyth, Franklin, Gilmer, Habersham, Hall, Hart, Lumpkin, Murray, Rabun, Stephens, Towns,

Union, Walker, White and Whitfield.For information, contact Legacy

Link, P.O. Box 2534, Gainesville, GA 30503­2534; 770­538­2650 or toll­free 1­800­845­LINK.

leGACY liNK eNCOmpAsses These COuNTies: Banks, Dawson, Forsyth, Franklin, Habersham, Hall, Hart, Lumpkin, Rabun, Stephens, Towns, Union, White

sCsep modifies focus at legacy link

Herschel Andrews, Older Employee of the Year.

Faye Christopher, SCSEP director for Legacy Link.

Page 14: GaGen 2008 Winter

Central�Savannah�RiverCovers a 14-county area surrounding Augusta, Thomson, martinez/evans, waynesboro, sandersville

14 Georgia Generations

Cooler weather and changing leaves means just one thing: Fall is here

and school is back in session. As a participant in community educa-tion and a gateway to community resources, it is only natural for the CSRA Area Agency on Aging to be partnering with local institutions to educate tomorrow’s lead-ers. Twelve of those leaders are dietetic interns who are enrolled in the University Hospital Dietetic Internship program. These 12 individuals hail from all parts of the nation and were selected on the basis of academic standing, letters of recommendation, work experi-ence and community activities. Each intern must successfully complete a 44-week

accredited post-baccalaureate program and a national examination to become a registered dietitian.

The dietetic interns will spend one of their 44 weeks learning about com-

munity nutrition through a rotation with Cindy Elia, RD, the CSRA Area Agency on

Aging’s new nutrition services specialist. During their rotation, the dietetic interns will have an opportunity to provide nutrition screening and education at the community senior centers, in addition to participating in the development and evaluation of the congregate and home-delivered meals.

Elia is also mentoring a Lakeside High School student with his senior project on the study of factors that influence eating preference. Until the bell rings, we will be hard at work studying in the Central Savannah River Area.

For more information, contact the Area Agency on Aging at 706­210­2000, 1­888­922­4464 or www.areaagency onaging.com.

CeNTrAl sAVANNAh riVer eNCOmpAsses These COuNTies: Burke, Columbia, Glascock, Hancock, Jefferson, Jenkins, Lincoln, McDuffie, Richmond, Screven, Taliaferro, Warren, Washington, Wilkes

Back to school!

Middle�GeorgiaCovers an 11-county area surrounding macon, warner robins, milledgeville

This summer, the “Kinship Care/Relatives as Parents Program,”

through the Middle Georgia Regional De-velopment Center/Area Agency on Aging, participated in several projects for grand-parents/relatives raising grandchildren in the Middle Georgia area. One particular project gave Kinship Care families an opportunity to receive several hours of respite each day for the entire summer. Through the Kinship Care Program, the Area Agency on Aging sponsored summer camp participation for 22 children under the age of 18 who are being raised by a grandparent or relative.

The summer camp lasted nine weeks, Monday through Friday, 8:30 a.m.–5:30 p.m. The camp offered several learning oppor-

tunities and activities for kids, includ-ing academ-ics, drama, technology, art, music, swimming, computer literacy, soc-cer camp, public speaking and mannerism, basketball camp, cheerleading camp and field trips.

Also this summer, the Kinship Care Program donated school supplies to four grandparent-headed households and to three Middle Georgia Board of Education sites. The Bibb Board of Education, Peach

County Board of Education and Twiggs Board of Education were all excited about receiving assis-tance. Their staff distributed the school supplies to grandparents or relatives raising children in their counties.

For further information on the Kinship Care Program, contact Natalie Brown at the Middle Georgia Area Agency on Aging, 175­C Emery Highway, Macon, or call 478­751­6409.

miDDle GeOrGiA eNCOmpAsses These COuNTies: Baldwin, Bibb, Crawford, Houston, Jones, Monroe, Peach, Pulaski, Putnam, Twiggs, Wilkinson

middle Georgia children benefit from summer camp and school supplies

Natalie Brown (center), Kinship Care specialist for the Middle Georgia Regional Development Center/Area Agency on Aging, with two members of the Twiggs County Board of Education staff.

University Hospital Dietetic Internship class.

Page 15: GaGen 2008 Winter

Coastal�GeorgiaCovers a 9-county area surrounding Brunswick and savannah

In November, the Coastal Georgia Area Agency on Aging (AAA) and the Council

of Advocates for Georgia’s Elderly (CO-AGE) jointly sponsored a day of advocacy training for area seniors and caregivers wanting to learn more about becoming effective advocates on issues that impact older Georgians.

The day-long training brought more than 100 seniors from across the region to the Brunswick Multi-Purpose Center, where they learned basic advocacy skills, discussed critical issues and participated in interactive exercises designed to sharpen

communication and advocacy techniques.Seniors and other advocates in the field

of aging services were able to put their new skills to the test the following day, when they attended a special Legisla-tive Luncheon at the Stellar Conference Center, also in Brunswick. Elected officials from across the region, including county commis-sioners, mayors and city council representatives as well as state and federal legislators, were invited to participate in discussions and to hear concerns from seniors about the issues most important to them.

Rev. Lloyd Dees, chairman of the Coastal AAA Advisory Council, partici-pated in the training and the luncheon, and spoke enthusiastically about his experience: “It’s good to learn new things and to share important issues with the men and women who represent us. I’m so glad we had this opportunity to make our voices heard.”

Seniors will be able to put their new skills to the test when they participate in the next Senior Week at the Capitol, scheduled for February 2008. More than 50 advocates plan to make the trip to Atlanta to voice their concerns about crit-ical programs for the elderly in Georgia.

To learn more about advocacy in Coastal Georgia, contact Monica Couch at the Area Agency on Aging at 1­800­580­6860, ext. 226.

COAsTAl GeOrGiA eNCOmpAsses These COuNTies: Bryan, Bulloch, Camden, Chatham, Effingham, Glynn, Liberty, Long, McIntosh

Coastal advocates meet with elected officials

Winter 2008 15

Southwest�GeorgiaCovers a 14-county area surrounding Albany, Bainbridge, moultrie, Thomasville

The Southwest Georgia CARE-NET and SOWEGA Council on Aging

sponsored a “Breakfast with Your State Legislators” in late September. This event brought together legislators and approximately 50 family and professional caregivers to discuss pending legislation and issues of concern to caregivers for the elderly, physically and mentally disabled adults and children and those with devel-opmental disabilities.

The 2008 Georgia General Assembly will be in session for the next several weeks to pass legislation that affects us all. Caregivers can help to bring about changes in laws and public policies by letting their legislators know that they are interested and concerned. Below are two bills affecting caregivers that will be

decided during this legislative session:House Bill 188 — Jury Exemption for

Caregivers: This would allow caregivers for care-dependent children and adults to be relieved from serving on jury duty.

Senate Bill 88 — Care of a Grand-child Act: This would create a power of attorney that biological parents could give

to grandparents raising their grandchildren, authorizing them to obtain services for the child. It also would create a new means of financial support for some grandparents raising grandchildren.

To advocate for yourself and other caregivers, call your Representative and Senator to request that they support the bills you favor. Everyone has the power to make a difference if they take the time and speak up! For more information about these and other bills, as well as how to contact your legislators, go to www.legis.state.ga.us.

For further information, contact the Southwest Georgia Area Agency on Aging at 1105 Palmyra Road, Albany, GA 31701­2508; 229­432­1124 or toll­free 1­800­282­6612.

sOuThwesT GeOrGiA eNCOmpAsses These COuNTies: Baker, Calhoun, Colquitt, Decatur, Dougherty, Early, Grady, Lee, Miller, Mitchell, Seminole, Terrell, Thomas, Worth

Caregivers as advocates

Rev. Lloyd Dees, chair­man of the Coastal AAA Advisory Council, at the November Legislative Luncheon. More than 100 senior advocates, along with elected officials, participated in the event held in Brunswick.

Senator John Bulloch, District 11, discusses issues with constituents who attended the “Breakfast with Your State Legislators” on September 29, 2007, for the CARE­NET/SOWEGA Council on Aging.

Page 16: GaGen 2008 Winter

Jean Karr saw an ad in her local newspaper in Hudson soliciting “secret shoppers” — people who are paid to pretend to be patrons in order to report on the service they receive. She thought it would be a fun way to earn a few extra bucks, so she responded by email.

Soon afterward, she received a letter saying she had been accepted into the secret shopper program, along with a check for $4,700. Her assignment — to test the Western Union capabilities of a local Wal-Mart by wiring $4,000 to an address in Canada. She could keep the extra $700 for her trouble. First, of course, she would need to deposit the $4,700 into her bank account and then write one of her own checks to wire.

“I thought to myself, ‘No one pays $700 for five minutes’ worth of work’,” says Karr, 59. So she took the letter and check to the local sheriff ’s department, and sure enough, the

check was a phony. If Karr had deposited it and then wired $4,000 of her money, she would have been liable for the amount.

And what has Karr learned? “If it sounds too good to be true, it probably is,” she says.Karr is one of the lucky ones. Across the country, seniors are being parted from their savings

by unscrupulous telemarketers, fraudulent investment advisors and even sticky-fingered family members at ever-increasing rates. The National Center on Elder Abuse, a Washington, D.C., clear-inghouse for elder rights advocates, estimates there might be as many as five million victims a year. In 2005, reported losses to fraud victims of all ages nationwide exceeded $680 million — an increase of almost 49% from 2003. Losses to Michigan victims surpassed $12.7 million — an increase of 72% over 2003, according to a report put out by the Area Agency on Aging 1-B.

4

SCAMSSCAMSSCAMSSCAMSSCAMSSCAMSSCAMSSCAMSSCAMSSCAMS

By Martha Nolan McKenzie

SCAMSSCAMSTHAT TARGET

Page 17: GaGen 2008 Winter

A disproportionate number of those fraud victims are seniors. Though adults age 60 and older comprise

15% of the population, they account for nearly 30% of fraud victims, according to the AAA 1-B report.

A recent FBI investigation discovered that fraudulent telemarketers direct nearly 80% of their calls to older

adults. Yet, experts acknowledge that these fraud statistics are

the barest tip of the iceberg. The vast majority of cases of senior financial fraud — perhaps as much as 75% — go unre-ported. “It’s embarrassing for anybody to admit they’ve been scammed, but older adults have an extra fear that others may view it as a sign they are incompetent,” says Tom Wyllie, com-munity planner/health specialist with the AAA 1-B. “They fear they may lose their independence, perhaps be institutionalized, so they hide it — even from family members.”

Scammers target seniors because they perceive them to be more vulnerable to their pitches, and this may be true, particu-larly for elders who suffer from dementia and/or who are socially isolated. But more importantly, seniors have the green stuff.

“We know that older investors are much more targeted by con artists than younger investors,” says John Gannon, senior vice president for investor education for the Financial Industry Regulatory Authority (FINRA). “That’s largely because they have been saving and investing for a long time, so they have the money. Scammers are targeting this group with increasingly sophisticated cons and they are customiz-ing their pitches — for example, they might target a married, college-educated male for investment fraud and a widow liv-ing alone for a sweepstakes fraud.”

And so seniors fall prey to scams and frauds in dispro-portionate numbers, and their losses are disproportionately

devastating. Unlike younger victims, seniors who are bilked out of their life savings have no hope of recoup-

ing their losses. “They don’t have an income stream to make up their losses,” says Anita Salustro, associ-

ate state director of AARP Michigan in Lansing. “They may have to tap into their home equity to

make ends meet if they lose their savings to scammers.”

SEVEN DEADLY SCAMSLike a virulent strain of the flu,

scams can opportunistically morph into endless forms. “There is

literally nothing that has not been thought of,” says Jody

Schlaufman, an adult ser-

vice worker with the Department of Human Services (DHS) in Otsego County. “There are scams on every corner, and they are always changing and adapting with the times.”

That said, here’s a look at some of the common scams targeting seniors:

Investment fraud.

Often called a “free lunch seminar,” these scams typically lure seniors with the promise of a free meal and some invest-ment education. Many times the con artist follows up with a visit to the senior’s home, using high-pressure tactics to convince him to invest in an either inappropriate or entirely bogus investment.

“A lot of people think that the average victim of invest-ment fraud is a woman who is widowed and living alone,” says Gannon. “However, our research (a 2006 study titled Off the Hook Again: Understanding Why the Elderly Are Victimized by Economic Fraud Crimes) showed that the typ-ical investment fraud victim is a white male, married, college educated, fairly well-off and with above-average financial literacy. They also tended to be optimistic and self-directed — unlikely to seek a second opinion about an investment.”

The most common tactics used in investment fraud pitches, according to the report, were phantom riches (“Double your money in two years”), social consensus (“Hundreds of people have already invested in this”) and scarcity (“Hurry! There are only three investment units left!”).

Prizes, lotteries and sweepstakes.

Seemingly, it’s a dream come true. You get a letter in the mail saying you have won a big sweepstakes or a foreign lot-tery. Typically, the “winner” is asked to send some money to cover foreign taxes before he can claim his prize. Later he is hit up for processing fees, lawyer fees and other bogus charges.

Like most scams, there are several variations on the theme. “Prize and sweepstake scams are huge right now,” says Susan Grant, director of National Consumers League (NCL) Fraud Center in Washington, D.C. “And 53% of the people who reported them to us last year were age 60 or older. There are lots of variations of this scam, and a relatively new twist we’ve seen is combining it with a fake check scam.”

An Otsego County man fell prey to such a scam. According to DHS’ Schlaufman, the man received a letter

A disproportionate number of those fraud victims are seniors. Though adults age 60 and older comprise

15% of the population, they account for nearly 30% of fraud victims, according to the AAA 1-B report.

A recent FBI investigation discovered that fraudulent telemarketers direct nearly 80% of their calls to older

adults. Yet, experts acknowledge that these fraud statistics are

the barest tip of the iceberg. The vast majority of cases of senior financial fraud — perhaps as much as 75% — go unre-ported. “It’s embarrassing for anybody to admit they’ve been scammed, but older adults have an extra fear that others may view it as a sign they are incompetent,” says Tom Wyllie, com-munity planner/health specialist with the AAA 1-B. “They fear they may lose their independence, perhaps be institutionalized, so they hide it — even from family members.”

Scammers target seniors because they perceive them to be more vulnerable to their pitches, and this may be true, particu-larly for elders who suffer from dementia and/or who are socially isolated. But more importantly, seniors have the green stuff.

“We know that older investors are much more targeted by con artists than younger investors,” says John Gannon, senior vice president for investor education for the Financial Industry Regulatory Authority (FINRA). “That’s largely because they have been saving and investing for a long time, so they have the money. Scammers are targeting this group with increasingly sophisticated cons and they are customiz-ing their pitches — for example, they might target a married, college-educated male for investment fraud and a widow liv-ing alone for a sweepstakes fraud.”

And so seniors fall prey to scams and frauds in dispro-portionate numbers, and their losses are disproportionately

devastating. Unlike younger victims, seniors who are bilked out of their life savings have no hope of recoup-

ing their losses. “They don’t have an income stream to make up their losses,” says Anita Salustro, associ-

ate state director of AARP Michigan in Lansing. “They may have to tap into their home equity to

make ends meet if they lose their savings to scammers.”

SEVEN DEADLY SCAMSLike a virulent strain of the flu,

scams can opportunistically morph into endless forms. “There is

literally nothing that has not been thought of,” says Jody

Schlaufman, an adult ser-

5

SENIORSSENIORSTHAT TARGET

Often called a “free lunch seminar,” these scams typically

Investment fraud.

Investment fraud

Prizes, lotteries and sweepstakes.

Prizes, lotteries and sweepstakes

Seemingly, it’s a dream come true. You get a letter in the

Prizes, lotteries and sweepstakes.

Prizes, lotteries

Page 18: GaGen 2008 Winter

informing him that he had won $100,000 from some sort of Indonesian lottery or sweepstakes. The letter also contained a check for $4,000 and instructions for him to keep $500 as an advance and send $3,500 back to cover foreign taxes and fees so he could claim his winnings.

“Of course, the check was no good, and he ended up being liable for $4,000,” says Schlaufman. “We only discovered it because the bank teller reported it. This was a well-educated man who had been a plant manager for Ford Motor for 34 years, so he would not be considered vulner-able by most standards. I asked him why he did it, and why he didn’t report it when he realized it was a scam. He said he thought it was just a quick $500, and he didn’t report it because he was too embarrassed.”

A simple rule of thumb can help protect seniors. “If you haven’t entered a sweepstakes or lottery, you couldn’t have won,” says Grant. “And it’s against the law for a sweepstakes or lottery to ask you to pay anything to claim your winnings.”

Nigerian money offer scams. Closely related to the foreign lottery scams, the Nigerian money offer typically arrives via email offering a once-in-a-lifetime opportunity. The writer, stressing privacy, wants your help to move a large sum of money out of his country. All you have to do is allow him to transfer millions of dollars into your bank account. He promises you’ll get a large part of that money after the transfer. To accept, you need to send your bank information, business letterhead, telephone and fax numbers. Sounds like an easy way to make millions. And if you do send that information? Then you get another letter asking you to pay a series of fees for taxes, bribes, attorney expenses or transac-tion costs before the money can be released. And on and on. In the end, you lose your money, never receive the money you were promised, and stop hearing from the “official.”

Home improvement scams.

“I hear about this one all the time,” says Sharon Gire, director of the Michigan Office of Services for the Aging. “Someone knocks on your door and says, ‘I’m in the neigh-borhood repairing your neighbor’s roof and I noticed yours needs repair too.’ Or ‘I have half a batch of concrete left from a nearby job and I can give you a good price on a new driveway.’ Then they either take money in advance and never come back, or do a shoddy job and disappear.”

Seniors who live alone seem to be particularly vulner-able. “Con artists actually go through the obits to find recent widows and target them with these kinds of scams,” says Edward Hutchison, program director of the National Association of Triads, Inc., which is part of the National Sheriffs’ Association. “Or they’ll go through the phone book and look for antiquated names. One guy charged an older woman $7,000 to plant new trees in her yard, and instead he took a bunch of branches he had trimmed

from other trees, stuck them in the ground and put mulch around them.”

Phishing.

In this type of scam, seniors receive a call or an email from someone claming to represent a bank or other reputable governmental or financial institution. They’re warned that their financial information or credit card has been compro-mised, and are asked to verify their bank account number or call an 800 number where they’re asked for their per-sonal financial information. The latest version of this scam, according to the FBI, involves jury service. Con artists identifying themselves as court employees call citizens and tell them that they have been selected for jury duty. They then ask for the person to verify his name, Social Security number and credit card numbers. If he refuses, the caller threatens him with fines.

The information that con artists glean from phishing allows them to move on to the next scam.

Identity theft.

A thief who has your Social Security number, birth date and other personal information can take out loans, run up credit card charges, drain your bank accounts and destroy your credit. In this case, an ounce of prevention is worth several pounds of cure. Deter identity thieves by safeguarding your personal information. That means you should shred financial documents and paperwork, don’t give out your Social Security number or carry your Social Security card in your wallet, don’t click on links in an unsolicited email and keep your personal information in a secure place at home, especially if you have roommates or employ outside help.

Friends and family.

The person taking the senior’s money is not always a stranger. In many cases, a family member, friend or care-giver is helping himself to the senior’s savings. This can range from a visiting aide “borrowing” first $10, then hun-dreds of dollars, from the senior’s wallet to a caregiver obtaining power of attorney and then emptying the senior’s accounts.

“Often it starts out slow and small and then escalates, particularly if the perpetrator is a family member,” says Schlaufman. “Many times it’s adult children who come in to help the senior manage the finances, adding their name to the bank accounts, using their credit cards. We’ve seen pro-fessional guardians and caregivers do it as well. Other family members may not be aware that there is a problem until the utilities are cut off, or until the senior has passed away. We stress that family members need to be as aware and involved

6 Michigan Generations

Nigerian money offer scams. Nigerian money offer scams

Home improvement scams.

Home improvement scamsFriends and family

Identity theft

Phishing

or lottery to ask you to pay anything to claim your winnings.”

Nigerian money offer scams. Closely related to the foreign lottery scams, the Nigerian

Nigerian money offer scams. Nigerian money offer scams

were promised, and stop hearing from the “official.”

“I hear about this one all the time,” says Sharon Gire,

Home improvement scams.

Home improvement scams

Identity theft.

Identity theft

roommates or employ outside help.

The person taking the senior’s money is not always a

Friends and family.

Friends and family

Phishing.

Phishing

Page 19: GaGen 2008 Winter

Fall 2007 7Winter 2008 7

in the senior’s life as possible. Know who is befriending your mother, who is coming in to take care of your father.”

MICHIGAN FIGHTS BACKAs the incidence of elder abuse and fraud grows, so does

awareness of the problem. “In the 1980s, MADD (Mothers Against Drunk Driving) made us much more aware of the drunk driving problem,” says Oakland County Circuit Court Judge Edward Sosnick. “In the ’90s, we had the movement to curb domestic violence. I think in this decade, the focus is on elder abuse.”

Indeed, statewide and local efforts to combat senior fraud and exploitation are proliferating, including one led by Sosnick. Along with Lynn Alexander, former senior advocate for Oakland County, Sosnick founded the SAVE Task Force (Serving Adults Who Are Vulnerable and/or Elderly). The task force brings together representatives from the AAA, home care agencies, senior residences, financial institutions, local law enforcement and government entities to do educa-tional outreach symposiums and to develop systems to spot financial exploitation. “We want to teach banks, businesses and senior care facilities to recognize signs of potential financial exploitation,” says Sosnick. “Things like unusual bank activity, sudden withdrawals of funds from CDs and pensions, the use of an ATM where account holder is immobile. We also want to come up with best practices — what is the ideal way for a finan-cial institution to respond if they spot these signs? How do we get all these different organizations working together in a coordinated response?”

In Otsego County, Schlaufman is working to establish a local triad that would be composed of representatives from the county sheriff ’s office, local chiefs of police and senior citizen leadership. “The focus is working together to reduce the criminal victimization of older citizens,” says Schlaufman. “We want to identify safety and security issues in a particular area and develop services and programs to address those.”

In Macomb County, the prosecutor’s office has developed a program called S.C.A.M.S. (Stop Crime Against Macomb Seniors). The program features a series of workshops that address fraud and identity theft. In Calhoun County, the AAA Region 3-B is teaming with Senior Health Partners to create an elder abuse coalition. “The coalition, in turn, will educate the public about financial exploitation,” says Carrie Taft, program coordinator for Senior Health Partners. “We are looking at all kinds of fraud, including telemarket-ing scams, home repair fraud, funeral and cemetery fraud, counterfeit prescription drugs and Medicare fraud.”

Across the state, senior centers and AAAs offer “shred-ding days,” when seniors can bring their documents and paperwork in to be shredded. The Michigan Attorney General’s office started a program aimed at nursing home residents called MI Identity. “As part of that program,

people went around to nursing homes and did free credit checks for residents,” says Lynne McCollum, legal services developer for the Michigan Office of Services for the Aging. “The concern was that residents of nursing homes were not likely to be applying for credit, so they might never find out if their identity and credit had been compromised.”

TIPS FOR AVOIDING SCAMSCaregivers and family members can help safeguard

seniors from fraud. Begin by putting him or her on the national Do Not Call Registry (see sidebar). Buy your loved one a shredder or make arrangements to have financial documents shredded. Educate your loved one about the “red flags” of fraud: a promise that you can win money, make money or borrow money easily; a demand that you act immediately or else miss out on this great opportunity; a refusal to send you written information before you buy or donate; an attempt to scare you into buying something; insistence that you wire money or have a courier pick up your payment, and a refusal to stop calling.

Caregivers need to be alert to signs that a senior might have fallen prey to a scam. Seniors may be in trouble if they: receive lots of mail for prizes, sweepstakes, contests and free

trips; get frequent calls offering great deals or asking for charitable contributions; make repeated or large payments to companies in other states or countries; have difficulty buying groceries or paying utility or other bills; or subscribe to more magazines than anyone would normally read.

Above all, seniors need to be encouraged to come forward if they have been a victim of fraud or attempted fraud. “We had a case of a 93-year-old woman who was living in an assisted-living facility,” says Schlaufman. “She had no living family members, and while she was men-tally still very sharp, she had mobility problems. So she gave power of attorney to a long-time friend and business associate to help her with the logistics of her finances. After a while, she stopped getting her bank statements. She noticed immediately, and she started telling anyone who would listen — her hair dresser, her aide at the facility, her Avon lady — that she was concerned about her finances. One of those people reported it, and sure enough, her “friend” was funneling money out of her account. We were able to recover the money in this instance.”

The lesson, says Schlaufman, is to speak up. “This woman was embarrassed and hurt, but she didn’t hide it,” says Schlaufman. “So you can be 93 years old and weigh 80 pounds and still stand up for yourself.” MI

State and local efforts tocombat senior fraud andexploitation are proliferating.

Page 20: GaGen 2008 Winter

Smart Anti-Scam Resources

American House

Adult Communities with Services Unlike Any OtherStop by any of our 31 locations in Oakland,

Wayne, Macomb, Washtenaw and Genesee counties or visit us online at www.americanhouse.com

Chalgian & Tripp Law Offices PLLC

• Elder Law• Estate Planning • Special Needs Planning Offices in East Lansing, Jackson and Ithaca. 1-888-956-9600

J & B Medical Supply• Diabetes Supplies• Incontinence Supplies• Home Delivery & Quality You Can Trust

We are your solution for all your medical supply needs. Call 1-800-737-0045 or visit our website www.jandbmedical.com

Presbyterian Villages of Michigan Senior Living Communities

Serving seniors of all faiths since 1945. To find out more, visit our website, www.pvm.org, or call 248-281-2020 for a brochure describing the variety of housing and services

Presbyterian Villages of Michigan offers.

SPONSORS

For more information on becoming a sponsor of Michigan Generations, please call Jenny Jarvis at 248-262-9202 .

NatioNalFraudiNFormatioNCeNter. You can report actual or attempted fraud at 1-800-876-7060 or www.fraud.org. The website also maintains a list of the top Internet and telemarket-ing scams and tips for avoiding fraud.

miChigaNattorNeygeNeral’soFFiCe. The office posts a list of fraud alerts at www.michigan.gov/ag. At the site, click on “Consumer Alerts.”

theFederalBureauoFiNvestigatioN. The FBI maintains a list of common fraud schemes and tips on how to avoid them. Go to www.fbi.gov/majcases/fraud/fraudschemes.htm.

regulatoryageNCies. A legitimate securities salesperson must be properly licensed, and his or her firm must be registered with FINRA, the Securities and Exchange Commission, or a state securities regulator. To check a broker, contact FINRA at 1-800-289-9999 or www.finra.org. For an investment advisor, go to the SEC’s Investment Advisor Public Disclosure website at www.adviserinfo.sec.gov/IAPD/Content/IapdMain/iapd_SiteMap.aspx. For an insurance agent, check with the Michigan Office of Financial and Insurance Services at 1-877-999-6442.

CoNsumerreportiNgCompaNies. To check your credit for activity that could be linked to identity theft, request a free copy of your credit report at 1-877-322-8228 or www.AnnualCreditReport.com. You are entitled to one free report per year.

optout. You can register to opt out of getting solicitations for new credit cards, mortgages and other loans by calling the credit bureau’s dedicated line at 1-888-567-8688 from your home telephone or registering at www.optoutprescreen.com.

doNotCall. You can bar telemarketers from calling you (with the exception of charities, political groups and surveys) by registering your phone number with the National Do Not Call Registry maintained by the Federal Trade Commission at 888-382-1222 or www.donotcall.gov.

FtC’sideNtitytheFtsite. At www.ftc.gov/idtheft you can learn how to avoid identity theft — and learn what to do if your identity is stolen.