COMMUNITY RESOURCECOMMUNITY RESOURCECONNECTIONS FOR AGINGCONNECTIONS FOR AGING

& DISABILITIES& DISABILITIES

Streamlining Consumer AccessStreamlining Consumer Accessto Long Term Services and Supportsto Long Term Services and Supports

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Demographic Changes

• NC in the midst ofsignificantdemographic change

• The state’s 2.3 millionbaby boomers arebeginning to retire

• NC has the highest % of seniors living inrural areas among the most populousstates

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Older Adults were 12.0%of NC population

12% orless

12.1% to 13.0%

13.1% to 14.4%

14.5% to 15.9%

More than 16%

Percent of NC Population Age65+ in 2000

Percent of Population Age 65+North Carolina projected 2030

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Older Adults projected to be17.7% of NC population

12% orless12.1% to13.0%13.1% to 14.4%

14.5% to 15.9%

More than 16%

Disability in North Carolina

• NC has a higher average rate of peoplewith disabilities*

– 7.4% of children ages 5-20 as comparedto 6.5% nationally

– 15.1% of individuals ages 21-64 ascompared to 13% nationally

– 43.5% of individuals age 65 or older ascompared to 41% nationally

*Based on 2000 census

Percent of NC Population Ages 5+ withOne or More Disabilities by County*

25.0 to 29.9%

More than 30.0%

20.0 to 24.9%

Less than 20.0%

Highest %: Northampton—32.0%Lowest %: Orange—12.9%

* Based on 2000 census data

New

Alexander

AlleghanyAshe

Avery

Buncombe

Burke

Cabarrus

Caldwell

Catawba

Cherokee

Cleveland

Davie

Gaston

Graham

Haywood

Henderson

Iredell

Jackson

McDowell

Macon

Madison

Mecklenburg

Mitchell

Polk

Rowan

Rutherford

Surry

Swain

Union

Watauga Wilkes

Yadkin

Yancey

Clay Transylvania

Lincoln

Granville

NashAlamance

Anson

Bladen

Caswell

Chatham

Columbus

Cumberland

Davidson

Durham

ForsythFranklinGuilford

Harnett

Hoke

JohnstonLee

Montgomery

Moore

Orange

Person

Randolph

Richmond

Robeson

Rockingham

Sampson

Scotland

Stanly

Stokes Vance

Wake

Warren

Beaufort

Bertie

Carteret

Chowan

Craven

Dare

Duplin

Edgecombe

Gates

Greene

Halifax

Hertford

Hyde

Jones

Lenoir

Martin

Hanover

Northampton

Onslow

Pamlico

Pasquotank

Pender

Perquimans

PittTyrrell

Brunswick

Washington

Wayne

Wilson

Camden

Currituck

6,396

6,983

2001 NC Institute of MedicineRecommendations: Entry intothe System

• North Carolina’s long-term care systemshould be accessible and understandablefor both public and private payconsumers, and uniform for all in needof long-term care services (priority).

2001 NC Institute of Medicine

• The North Carolina DHHS shoulddevelop a “uniform portal of entry”system for long-term care services inwhich confidentiality of information isensured (priority).

“Lay of the Land”

• Long-term services and supports arefunded by numerous sources,administered by multiple agencies, andhave complex, fragmented,and often duplicative intake,assessment, andeligibility functions.

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• Determining how to obtain services isdifficult both for persons who qualifyfor publicly funded support and forthose who can pay privately.

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• A uniform, coordinated system ofinformation and access for all personsseeking long-term support will minimizeconfusion, enhance individual choice, becost efficient, and support informeddecision-making.

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National Implementation:Aging and Disability Resource Centers

FY 2004 ADRC

FY 2003 ADRC FY 2005 ADRC

FY 2008 ADRC

What is objective of the ADRCInitiative?

To have Aging and Disability ResourceCenters in every community servingas highly visible and trusted placeswhere people of all incomes and agescan get information on the full rangeof long term support options and auniform point of entry for access topublic long term support programsand benefits.

History of ADRC/CRC in NC

2004 NC was awarded ADRC Grant (3yrs)Forsyth & Surry Counties served as pilots

2006 ADRC was included in thelanguage of the reauthorization ofthe Older Americans’ Act

2007 NC Systems Transformation Grant

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Access

Required Functions for NC Programs

The program Is NOT!

• Necessarily a new physical location

• A new organization or a business

• A change in program managementresponsibilities or eligibility criteria

• A replacement of existing services

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