In-Home services help older adults maintain their independence at home. We want seniors to live in their homes as comfortably and independently as possible. We encourage you to reach out so we can find programs that are just right for yourself or senior in care.
Care Management
The Care Management Program provides care management services for persons 60+ years of age who need assistance managing their care. Through the program, eligible participants receive the services of a Nurse and a Social Worker (Supports Coordinators) that complete a comprehensive assessment at the person’s home. After the completion of the assessment, the Supports Coordinators along with the participant and his/her family develop a care plan to meet the needs of the participant. As a part of the care plan, the Supports Coordinators will work to assist the participant and family to meet the individual’s needs by arranging private pay services when funding is available. The Supports Coordinators will monitor service delivery and the participant needs through monthly contact and in-home reassessments every three to six months depending on the participant’s needs.
Eligibility
- Age 60+ and at risk of nursing home admission.
Program Services
- Personal Care
- PERS (Personal Emergency Response System)
- Homemaking
- Medication Management
- Respite for caregivers
- Adult day services
- Home delivered meals
- Home Injury Control
Donation
Persons determined eligible for the program are informed about the cost of the assistance provided and requested to make an appropriate contribution according to their financial ability.
Becoming a Client
All persons referred to the program receive a telephone interview to determine whether they are appropriate to receive an in-home assessment. When it appears that the person might qualify for the program, a nurse and social worker visit the client’s home for an in-depth assessment of their needs. The assessment evaluates physical and mental health, functional status, current formal and informal support being provided, home environment, financial resources, and third party insurance coverage. If the individual is eligible after assessment, a service plan is developed with the older adult and/or family. Client care is monitored and plans are revised, as client needs change. Contact Us. Funded in part by the Michigan Department of Community Health.
Care Transition Services –(hospital to home)
We work closely with hospitals and healthcare providers to coordinate services that support a smooth transition from the hospital back to the home. In partnership with each participant, we help ensure follow-up visits with their Primary Care Physician—all with the goal of reducing the risk of hospital readmissions.
Case Coordination Services
Includes the assessment and reassessment of individual needs, development and monitoring of a service plan, identification of and communication with appropriate community agencies to arrange for services, evaluation of the effectiveness and benefit of services provided, and assignment of a single individual as the caseworker for each participant.
CHAAT
Loneliness is the perception of feeling alone or isolated. You may know- or be- one of the 42.6 million adults who experience these feelings daily. Chatting Helps Aging Adults Thrive (CHAAT) is aimed to address the isolation and loneliness issues among seniors. A no-cost friendly call is placed once a week by a volunteer to check-in and chat! If you or someone you know needs to chat please call 810-249-0820 or email rsvp@valleyareaaging.org
Community Transition Services Program
Our Community Transition Services (CTS) program gives current nursing facility residents the ability to return to independent living, whether at their home, with family or in another living situation.
Eligibility
- Age 18+
- Active Medicaid
- Reside in a Nursing Home in Genesee, Lapeer or Shiawassee County
Program Services
- Assessments
- Transition Assistance Planning
- Assistance in finding housing and establishing utility hook-ups
- Assistance securing housing and utility deposits
- Securing household items needed for transition
Elder Abuse Prevention
An Elder Abuse Specialist provides public education, outreach, and referral services with respect to the prevention of abuse, neglect, and exploitation of older adults.
MDHHS Centralized Intake Department 855-444-3911 Genesee County Sheriffs Elder Abuse Unit 810-257-3522.
Home Delivered Meal Program
Provides a hot and cold meal daily to homebound seniors to reduce nutritional risk. A Home Delivered Meal Case manager will conduct an opening assessment and re-assessment to determine program eligibility, nutritional risk and resource linkage.
Eligibility
- Age 60+ years of age or older
- Homebound
- Unable to obtain food or prepare complete meals
- There is no adult living at the residence able to prepare meals
Suggested Donation
- $2.00 per meal
Home Injury Control
Home Injury Control/Assistive Devices/ Personal Emergency Response Units are programs for seniors that assess the need for devices to ensure safety and prevent falls and injuries in the homes.
Independence by Choice
This service helps individuals and families to make service and support choices for their Long-term Services and Supports that fits well with their needs, values and preferences. Working with these individuals you will be able to define their wishes and needs, and long-term goals, services, and support. This process can also help caregivers with understanding the needs of the elderly as well as their own needs.
In-Home Services
In-Home Services are designed to enable older adults to remain in their own homes. Types of services include:
- Homemaker: Assistance with light household chores, such as laundry.
- Personal Care: Assistance with daily living activities such as bathing and dressing.
- Respite: Companionship and assistance in the absence of the primary caregiver
KISS
The KISS program (Keeping Independent Seniors Safe), is a telephonic reassurance system that keeps seniors and their loved ones worry-free. Participants in the KISS program can call the KISS office or receive a telephone call every Monday through Friday between the hours of 8:00 a.m. and 12:00 p.m. to make sure that the participant is alright. Special arrangements can be made for participants that need weekend coverage.
Language Translation Services
A staff fluent in English and Spanish provides Information & Assistance, home visits, and casework services.
Genesee County:
Spanish Speaking Information Center 1202 E. Boulevard Dr., Third Floor, Flint, MI 48503 (810) 239-4417
Lapeer County
Hispanic Service Center 270 N. Cedar, Imlay City, MI 48444 (810) 724-3665
Communication Access Center
Gilbert Hall 1277 West Court Street Flint, Michigan 48503 (810) 239-3112 http://www.cacdhh.org/
Legal Services
Helping ensure the independence and dignity of seniors by protecting their legal rights through education, counseling, and advocacy. Legal assistance, counseling, and technical information are provided in the areas of public benefits, abuse and neglect, and housing.
Genesee, Lapeer and Shiawassee Counties:
Legal Services of Eastern Michigan 547 S. Saginaw Street, Flint, MI 48502 (810) 234-2621 or 1-800-339-9513
Medication Management
Provides assistance in managing the use of both prescription and over the counter (OTC) medication. Includes face-to-face review of client’s prescription, OTC, medication regime, use of herbs and dietary supplements, regular set-up of medication regimen, and monitoring of compliance with medication regimen. Also communicating with referral sources (physicians, family members, primary caregivers, etc.) regarding compliance with medication regimen, and family/caregiver/ client education and training.
Medical Nutrition Therapy
A physician referred program that allows a registered Dietitian to provide an individualized nutrition plan and education to those with specific diagnosis
