Pathways To Respecting American Indian Civil Rights August 8 & 9 Denver Colorado Presentation by Susan A Raymond, State and Tribal Liaison, Region VIII.

Pathways To Respecting American Indian Civil Rights

August 8 & 9 Denver Colorado

Presentation by Susan A Raymond, State and Tribal Liaison, Region VIII

Administration for Community Living U.S. Department of Health and Human

Services

Older Americans Act of 1965 as amended• Congress declared that in keeping with the

traditional American concept of the inherent dignity of the individual in our democratic society, the older people of our Nation are entitled to, and it is the joint duty and responsibility of the Federal, State, Tribes and local government to assist older people to obtain:

• Adequate income in retirement• Best possible physical and mental health • Obtain and maintain suitable housing at

costs they can afford

• Restorative services for those who need institutional care; comprehensive long term care services; community based services; family and caregiver support

• Employment free of discriminatory practices

• Retirement in health, honor, and dignity• Participation in meaningful activity; civic,

cultural, educational, training and recreational opportunities

• Efficient community services including transportation

• Immediate benefit from proven research which sustains and improves health

• Freedom, independence and free exercise in planning and participation in services and programs that benefit them and protect against abuse, neglect and exploitation.

Introduction of the Administration for Community Living

“For too long, too many Americans have faced the impossible choice between moving to an institution or living at home without the long-term services and supports they need. The goal of the new Administration for Community Living will be to help people with disabilities and older Americans live productive, satisfying lives.“

~ Secretary Kathleen SebeliusApril 16, 2012

Administration for Community Living Mission

To develop a comprehensive, coordinated and cost-effective

system of long-term care that helps elderly individuals to maintain their

dignity in their homes and communities. Our mission

statement also is to help society prepare for an aging population.

Administration on Aging Overview

• Better Health/Quality of Life: • Older Americans Act Title III and VII• Discretionary grants: Evidence-based Prevention Program

(CDSMP, falls, mental health, physical activity, care transitions grants )

• Senior Community Services Employment Program• Caregiver

• Better Care: • Single point of entry AAA’s and ADRCs• Participant-directed programs that support community living:

Money Follows the Person (MFP) and Veterans-Directed Home and Community-Based Services (VDHCBS)

• Lower Costs: • The Senior Medicare Patrol (SMP) • State Health Insurance Program (SHIP) and Benefit

Enrollment Centers

Organizational Structure

Office for American Indian, Alaska Native, and Native Hawaiian Programs

• The Office for American Indian, Alaska Native, and Native Hawaiian Programs was established in 1984 and is charged to serve as an advocate on behalf of Native American elders in relation to all Federal policies affecting elders. And to advocate with the States to promote the enhanced delivery of services and implementation of programs to older Native Americans.

• The Office has oversight of grants to Tribes; chairs the Interagency Task Force on Older Indians; develops research plans and conducts research on Native American aging; and collects and disseminating information on problems experienced by Native American elders. This includes elder abuse, long-term care, health, and other issues unique to Native Americans.

• Under Title VI of the OAA, AoA awards grants directly to Tribes and Tribal organizations and native organizations for nutrition services (including congregate and home delivered meals), information and assistance, transportation, and in-home supportive services. In 2000, as part of an amendment to the Older Americans Act, the Native American Caregiver Support Program was established to assist caregivers of Native American elders who are chronically ill or have disabilities.

History of Title VI

1975: Older Americans Act Amendments authorized grants under Title III to Indian Tribal organizations. Transportation, home care, legal services, and home renovation/repair were mandated as priority services.

Two events happen in 1978: 

1. Creation of Title VI2. The recognition of Tribal Sovereignty

The purpose of Title VI was to promote the delivery of supportive and nutrition services to American Indians and Alaska Natives that are comparable to service offered to other older people under the Title III program in establishing this new Title, Congress identified findings about the needs of older Indians.

Although Title VI became a part of the OAA in 1978, funding for the programs were not available until 1980.

Separate Appropriation for Title VI

In 1981, Congress Amended the OAA to establish a separate appropriation for Title VI. Congress reminded states that older Indians must be counted as part of the state’s total older population, and thus continued to be eligible for all services.  

1984 Two events happened: 

1. Tribes had to meet the 60+ eligibility to apply for Title VI funds.

2.  Tribes could decide the age for Title VI services. Most Tribes elected an age below sixty years old .

Established Part B of Title VI – 1991

In 1991 Amendments to the OAA established a new Part B for Title VI that provided programs and funding for Native Hawaiians.   

Title VI, Part A

• Federally Recognized Tribes to include American Indians and Alaska Natives

• Comparable to services provided under Title III

• Direct funding to Tribal Organizations

• Addressing nutrition and supportive services to include information and assistance

Title VI, Part B• Public or nonprofit private organization

representing Native Hawaiian elders;• Native Hawaiian means any individual any of

whose ancestors were native of the area which consists of the Hawaiian Islands prior to 1778

• Serves at least 50 individuals age 60 and over in the identified service area;

• Demonstrates the ability to deliver supportive services, including nutritional services;

• Comparable to services provided under Title III.

Part C – NA Caregiver Program• Eligible if a Title VI, Part A or B applicant

• Five Required Services:• Information• Assistance• Individual counseling, support groups,

training• Respite – elder meets the definition of frail

and services are temporary and intermittent• Supplemental services – on a limited basis

to caregivers caring for frail elders

Title VI Caregiver ProgramThe program assists caregivers through:

• A network of Community Resource Providers to help them locate resources and services

• Referrals to appropriate service providers to meet their specific needs

• Providing health information• Support groups, one-on-one counseling, and training

sessions• Providing a Resource Directory, Training Manual, and

video library for Caregiver training• Providing Respite Care to temporarily relieve

caregivers of their caregiving responsibilities• Lending libraries

Reasons for Coordination • Provides expanded program services to meet the

needs of Tribal Elders• Improves quality of life for Tribal Elders• Increases awareness and expands community support

for the Tribal Elders Program • Supports family efforts to care for loved ones at home

and in their community• Reduces duplication of services• Develops partnerships to address unmet needs• Informs community about services available to benefit

Tribal Elders• Expands resources including funding, staff training,

facilities, equipment, etc.

GOOD NEWS! Health Promotion and Disease Prevention Works

Longer life Reduced disability Improved mental health Lower health care costs

Evidence-Based Health Promotion and Disease Prevention Programs for Older Adults

• A Matter of Balance• Active Choices• Active Living Every

Day• EnhanceFitness• EnhanceWellness• Fit & Strong!• Healthy IDEAS• Healthy Moves• Medication

Management• PEARLS

• Prevention and Management of Alcohol Problems in Older Adults

• Stanford Chronic Disease Self-Management Programs

• Stepping On• Strong for Life• Tai Chi

CDSMP Participants - Chronic Conditions

Additional InformationFor further information about ACL AoA please contact:

Regional Support Centers – Title VI Lead Staff

Region I: CT, MA, ME, NH, RI, VT Gene Brown (lead for both Regions I & II)

[email protected]

John F. Kennedy Bldg., Rm. 2075 Boston, MA 02203 Phone: 617-565-1164 Fax: 617-565-4511

Regions II: NY, NJ, PR, VI, DC, DE, MD, PA, VA, WV Barry Klitsberg

[email protected]

26 Federal Plaza, Rm. 38-102 New York NY 10278 Phone: 212-264-4590Fax: 212-264-0114

Region IV: AL, FL, GA, KY, MS, NC, SC, TN Joyce Robinson-Wright

[email protected]

Atlanta Federal Center 61 Forsyth Street, SW - Suite 5M69 Atlanta, GA 30303-8909 Phone: 404-562-7594 Fax: 404-562-7598

Region V: IL, IN, MI, MN, OH, WI Sam Gabuzzi [email protected] N. Michigan Ave., Suite 790 Chicago , IL 60601-5519 Phone: 312-866-2878 Fax: 312-886-8533  Region VI: AR, LA, OK, NM, TX Larry [email protected] Young St. , Rm. 736 Dallas , TX 75201 Phone: 214-767-1841 Fax: 214-767-2951   Region VII: IA, KS, MO, NE Sam Gabuzzi [email protected] East 12th Street Kansas City, MO 64106 Phone: 312-886-2878 Fax: 312-886-8533  

Additional Information continued

Region VIII: CO, MT, UT, WY, ND, SD Susan Raymond [email protected] 18th Street, South Terrace, Ste 496 Denver CO 80202 Phone: 303-844-7818 Fax: 303-844-2943  Region IX: CA, NV, AZ, HI, GU, CNMI, AS Anna Cwirko-Godycki (shared responsibility for California Tribes) Anna [email protected](415) 437-8788Darrick Lam (shared responsibility for California Tribes) Darrick [email protected](415) 437-7872Dennis Dudley (Arizona and Nevada Tribes)Dennis [email protected](415) 437-878990 - 7th Street, T-8100 San Francisco, CA 94103 Phone: 415-437-8 Fax: 415-437-8782

Region X: AK, ID, OR, WA Terry Duffin (AK & OR)[email protected]

Jeanette Burkett (ID & WA) [email protected] Plaza , RX-33; Rm. 859 2201 Sixth Avenue Seattle , Washington 98121 Phone: 206-615-2298 Fax: 206-615-2305

Resources

• www.OlderIndians.aoa.gov• www.aoa.gov• www.hhs.gov/acl• www.nationalservice.gov• http://www.nationalservice.gov/for_organizations/

indian_communities/index.asp• http://www.americorps.gov/for_organizations/

indian_communities/index.asp• http://www.americorps.gov/for_organizations/

indian_communities/resources.asp