Steven M. Neuhaus
County Executive
PUBLIC
HEARING
Ann Marie Maglione
Director
August 8, 2014
2015
ORANGE COUNTY
OFFICE FOR THE AGING
ORANGE COUNTY OFFICE
FOR THE AGING
18 Seward Avenue, 2nd Floor
Middletown, NY 10940
Contact us at
845 – 615 - 3700
Monday – Friday
9:00 am – 5:00 pm
www.orangecountygov.com
MISSION STATEMENT
The Orange County Office for the Aging is committed to
meeting the special service needs of Orange County’s
senior population, their families, and friends who care for
them. Office for the Aging offers services either directly or
through sub-contracts, designed to maintain the quality of
life of those aged 60 and over.
Promoting and maintaining the dignity, well-being and
independence of senior citizens in Orange County through
the Office’s distinctive role as advocate and community
partner.
WHO WE ARE
The Orange County Office for the Aging consists of 48
dedicated employees located throughout Orange County.
Our office is broken up into:
Administration
Fiscal Department
Programs
Senior Dining Program
Volunteers
The goal of the Orange County Office for the Aging is to:
Empower older people, their families, and other consumers to
make informed decisions about, and be able to easily access
existing health and long-term care options
Enable seniors to remain in their own homes with high quality of
life for as long as possible through the provision of home and
community-based services, including supports for family
caregivers
Encourage older people to stay active and healthy through Older
American Act services and the new prevention benefits under
Medicare
Ensure the rights of older people and prevent their abuse,
neglect, and exploitation
ADVISORY COUNCIL MEMBERS
The Advisory Council assists the Office for the Aging in fulfilling its
mission. It provides the office with guidance, advice and support
in strategic planning, program development, financial resource
expansion and advocacy. The council serves as a critical link
between the Office for the Aging and the local senior community.
The Council’s most important obligation is to help the Office for
the Aging carry out the intent and objectives of the Older
American’s Act.
Sanford Altman
Michael Amo
Katie Bonelli
Nolly Climes
Vincent Copello
Christian Farrell
Elaine Flynn
Dr. Larry Force
Donna Frazier
Flo Hannes
Mark Krohn, Esq.
Danielle LeClerc Moser
Pete Mathieu
Jonah Mandelbaum
County Executive Steven M. Neuhaus
Doris Rubinsky
Michael Russo
Greg Townsend
Dr. Joel Weintraub
DEMOGRAPHICS
POPULATION AND FUTURE GROWTH
Population Trends 2000
2008 2010 2015 2020 2025 2030
Total Population 19,000,135 19,460,969 19,566,610 19,892,438 20,266,341 20,693,354 21,195,944
Ages 60 and over 3,211,738 3,558,460 3,677,891 4,027,480 4,499,549 4,962,734 5,302,667
Ages 85 and over 314,771 403,129 417,164 442,958 454,298 486,682 566,423
Ages 60 - 74 2,030,860 2,277,001 2,418,018 2,784,903 3,167,404 3,401,082 3,486,788
Ages 75 - 84 866,107 878,330 842,709 799,619 877,847 1,074,970 1,249,456
PROGRAMS
CAREGIVER
RESOURCE
CENTER
HIICAP
NY CONNECTS
DIRECT
SUPPORT
SERVICES
HOUSING & ENERGY
RELATED INFORMATION
& ASSISTANCE
RSVP
PROGRAM
HEALTH PROMOTION,
EDUCATION &
ADVOCACY
INDIRECT SUPPORT
SERVICES
SENIOR
DINING
PROGRAM
ORANGE COUNTY NY CONNECTS
Orange County NY Connects is the central point of entry
program that provides comprehensive and objective
information and assistance on long term care supports and
services.
 Contact: 845–615–3710 or ofa@orangecountygov.com
 Long Term Care Council
 Options Counseling
 Public Education
 Referrals
 Screening for benefits
NY CONNECTS CALL SUMMARY
9016 TOTAL CALLS
595 Home visits were completed
with the majority resulting in
additions to the Home Delivered
Meal Program
CONSUMER AGE RANGE
EXPANDED IN-HOME SERVICES
FOR THE ELDERLY PROGRAM (EISEP)
EISEP enables frail, older adults to remain safely in their homes by
providing a well-planned and coordinated package of support
services.
 Ancillary Service
 Case Management
 Consumer Directed Home Services Model
 Non-medical in-home services
The average cost of staying in a Nursing Home in the Northern Metropolitan area is
$10,590 per month. With the services below from Office for the Aging the average cost
is under $2,000 per month.
 30 Home Delivered Meals
 4 hours of Case Management
 86 hours of Personal Care Level II
 Personal Emergency Response System
The 2010 National Performance Outcome Measures Project found that home based
services provided by Offices for the Aging can delay Nursing Home placement up to 3
years.
A 2011 Brown University study found that every $25.00 spent on home delivered meals
decreases the low care Nursing Home population by 1%.
SERVICES PROVIDED
Personal Care Level I & II provides non-medical assistance with
Instrumental Activities of Daily Living (IADLs) and Activities of Daily Living
(ADLs) services.
Personal Emergency Response System (PERS) is a service which utilizes
an electronic device to alert appropriate people of the need for immediate
assistance in the event of an emergency situation in an older person’s
home. The device can be worn as a necklace or wristband.
CAREGIVER SUPPORT PROGRAM
Designed to support informal Caregivers as they continue to
carry out their caregiving roles and responsibilities.
 Caregiver Resource Library
 Counseling, Support Groups and Caregiver Training
 Information, Assistance and Referral
 Relatives as Parents Program (RAPP) in partnership with
Cornell Cooperative Ext.
 Respite Service
RSVP
The Retired and Senior Volunteer Program of Orange County is part of
a nationwide volunteers program which taps the skills, talents and
experience of more than 550,000 individuals ages 55 and older to
meet a wide range of community needs.
RSVP is sponsored by the Corporation for National and Community
Service, which also oversees AmeriCorps and VISTA. Together, the
programs of the Corporation provide opportunities for people of all
ages and backgrounds to service their community and country.
The Orange County Office of the Aging is committed to maintaining
the dignity, well-being and independence of senior citizens through a
variety of programs and projects, including RSVP.
Orange County Office for the Aging currently has 522 RSVP members.
EDUCATION
Office for the Aging has continued its innovative education programs for
our consumers:
Really Smart Patient – In collaboration with Mount Saint Mary College,
this educational program was offered at the Cornwall & Highland Falls
congregate meal sites. The premise behind the program is to empower
consumers to speak up for themselves while speaking with their medical
doctors thereby making informed decisions. There were many lively
discussions between Dr. Larry Force and our consumers.
Falls Prevention – A partnership with SUNY Orange’s C.A.R.T. (Center
for Assistive Rehabilitation and Technology) provided a new program
“Tools for Living Safely and to the Fullest: Fall Prevention and Home
Safety”. This innovative program incorporates SUNY Orange’s
Occupational Therapy students with a Certified OT to provide
informational and educational presentations to our seniors throughout
the county. The program objectives are to promote fall prevention
techniques to reduce falling and fear of falling, increase activity levels,
and assess senior’s living spaces for adaptive equipment or modifications
thereby enhancing their quality of life so they may live comfortably in
their homes and stay as active as possible.
HEALTH PROMOTION/WELLNESS
HEALTHY AGING/MENTAL HEALTH
OFA recognizes that prevention and wellness programs are cost
effective methods of maintaining independence for older persons.
To assist older consumers in pursuing a healthy life style, OFA and
the Department of Health will continue to work in partnership to
encourage older citizens to participate in Healthy Orange, an
initiative to address three vital issues (healthier eating, exercise
promotion, and reduction of the effects of tobacco).
Action Steps:
 OFA will utilize the expertise of the Special Programs Assistant for
Insurance Counseling to promote the use of Medicare
preventative services screenings for chronic illnesses.
 Orange County Senior Games will continue to serve as a focus for
a healthy lifestyle by offering programs to enhance physical,
social well-being as well as mental stimulation.
 OFA has a seat on the Geriatric Mental Wellness Alliance to examine
issues related to dementia and mental health as they relate to the
growing older population and what the implications are for programs
and services.
 OFA offers educational, recreational, and health promotion
programming at its Annual Senior Forum.
 OFA will continue to provide health screening and health and
nutrition education at Dining Sites, Senior Centers, and Senior
Clubs.
 Health promotion programs will be expanded with the addition of
evidence based programs offered throughout the county.
 OFA will work with local resources to provide safe, professional
exercise classes in under-served areas.
 OFA offers an Annual Health and Fitness Day in partnership with
Orange County Department of Health.
SENIOR FOR SENIOR PET FOSTER
& PET CHOW PANTRY PROGRAM
The Orange County Office for the Aging and Pets Alive Animal Sanctuary in
Middletown have joined forces to implement this new and exciting
program.
The purpose of this program is two-fold, providing companionship to both
the senior adult and displaced senior animal. This is done by matching
individuals to appropriate animals to care for in the senior’s loving home.
Costs for veterinarian care, litter box and food are covered by the animal
shelter and at NO COST to the senior participant.
The Pet Chow pantry is available to all pet owners as a means for
obtaining food for your pet. The pet food is
dropped off at their home each month by trained
volunteers.
An assessment to determine eligibility for
both programs is conducted through the
Orange County Office for the Aging.
VOLUNTEERISM
Volunteers are always welcomed and needed for the following programs :
 HIICAP
(Health Insurance Information,
Counseling, and Assistance Program)
 Home Delivered Meals
 Intergenerational Yard Clean-Up
 RSVP
(Retired Senior Volunteer Program)
 Tax Aide Assistance
BUILDING ON OUR
ACCOMPLISHMENTS
Planning 2015-2016
SENIOR
DINING
PROGRAM
BOCES AT ARDEN HILL CAMPUS
SENIOR DINING PROGRAM
In this challenging economic environment, the requests for
meal service has increased significantly. This trend will
continue and demands more careful client needs assessment
as well as seeking alternative production/delivery programs.
This also brings a demand for serving clients with multiple
medical conditions and a variety of dietary restrictions.
Office for the Aging will be opening the Centralized Kitchen at
the Arden Hill/BOCES campus this year. We will now have
the ability to accommodate the future needs of the 60+
residents in the county and the capacity to serve 2,000
meals daily.
 In 2013 close to 1,300 clients were served amounting to
over 220,000 meals.
 Meals were delivered with the assistance of 465 volunteers
covering 64 routes.
 In addition, meals were served at congregate sites in
Montgomery, Port Jervis, Blooming Grove, Highland Falls,
Cornwall, Middletown, and Kiryas Joel.
CHRONIC DISEASE SELF-MANAGEMENT
PROGRAM (CDSMP)
The Chronic Disease Self-Management Program (CDSMP) is an evidencebased program developed by Stanford University. It utilizes peer leaders
to help people better manage chronic conditions such as arthritis,
hypertension, diabetes, cancer, and heart disease. This two hour per
week, six week program has been proven to improve quality of life by
helping people realize the value of physical activity, eating nutritiously
and interacting as an active participant in their health care choices and
with their health care providers.
Orange County Office for the Aging has successfully completed one
workshop at a senior housing complex and we look forward to completing
three more by the end of the year, one of which will be in-house for
county employees.
ALED (Active Living Every Day) - Their mission is to help people
improve their health and quality of life through moderate amounts and
intensities of physical activity. This is achieved through nonstructured activities such as gardening and walking as opposed to
going to a gym and performing cardio activities.
BALANCING INCENTIVE PROGRAM
(BIP)
Office for the Aging’s NY Connects has been recognized by
the Federal Government as the State’s Single Point of Entry
and as such, will be integral in the first structural change of
the BIP.
BIP is a result of Governor Cuomo’s Medicaid Redesign
Team established in 2011.
It contains three (3) structural changes:
 No Wrong Door/Single Point of Entry System
 Conflict –Free Case Management Services
 Core Standardized Assessment Instrument
OUTREACH
Orange County Office for the Aging has continued its outreach efforts with
the following programs:
“Fearless Caregiver” This was a successful day of caregivers coming
together to discuss their issues, receive service information, support and
meet with other caregivers. We are looking forward to our second
workshop “Partners in Caring” in September.
OFA will be collaborating with JFS on the Got an Hour Campaign which
was developed by the Aging Network Volunteer Collaborative to help local
agencies throughout the country attract volunteers to programs that work
with seniors. www.GiveitBacktoSeniors.org
AgeLink - OFA will be opening a satellite office at the Newburgh Unity
Armory Center. This innovative program, AgeLink, is a collaboration of
efforts and resources from Office for the Aging, The Center on Aging and
Policy at Mount Saint Mary’s College, SUNY Orange’s C.A.R.T. and the
Newburgh Armory Unity Center.
AgeLink will be an informational and referral center opened two days a
week and staffed by Office for the Aging, bi-lingual students from MSMC.,
and Occupational students from SUNY Orange’s C.A.R.T.
SEPTEMBER, 29, 2014
8:30 am to 3:00 pm
ORANGE COUNTY OFFICE FOR THE AGING
&
ORANGE REGIONAL MEDICAL CENTER
PRESENT
“PARTNERS IN CARING”
A day long symposium discussing the mental health
issues of the caregiver and caregivee.
ORANGE REGIONAL MEDICAL CENTER
MIDDLETOWN, NEW YORK
MORE INFORMATION TO FOLLOW
VETERAN’S/AGING FOOD PANTRY
There exists in our society a growing population of disabled and
homebound veterans unable to take advantage of what food pantries
have to offer due to their physical limitations and/or a lack of
transportation from their homes in isolated areas of the county. Once this
need was identified, the Orange County Veteran’s Food Pantry was
established in April of 2009. People are now able to receive bags of
groceries delivered to their homes.
Shop-Rite generously supplies food and monetary gifts and, above all,
donates the use of a 2,000 square foot area at their Montgomery store
location, giving the Veterans Food Pantry a desperately-needed base of
operations where food supplies can be stored and assembled for delivery
to our veterans.
Office for the Aging, seeing a need, began discussions regarding
collaborating with Veterans for the senior population. Shop Rite, a major
supporter of the Pantry was readily on board. We are in the final stages
of making this a reality.
This initiative would not be possible without the support of the County
Executive and the Orange County Veterans Coalition, and the caring
generosity of Shop-Rite.
WELCOME ORANGE
envisions
Working to
Encourage
Leadership and
Collaboration
Of
Multi-disciplinary Service Providers
Enhancing lives in Orange County
SENIORS OF THE YEAR AWARDS
Orange County Executive Steven M. Neuhaus and the Orange County
Office for the Aging have recognized the following:
Norbury “Skip” Chambers
Montgomery
Outstanding
Contribution by a
Senior
Senior Citizen
of the
Year
Frank “Uncle Buck” Pileggi
Chester
Shop Rite, a longtime supporter of the community,
made our selection process simple. We appreciate
their continual support of our many programs and
events and are fortunate to have them as our
neighbor!
Senior Friendly
Business
2014
Seniors
of the
Year
Skip Chambers
Frank Pileggi
COUNTY DEPARTMENT COLLABORATION
 Community Development
 Historian
 Consumer Affairs
 Human Rights
 County Executive
 Orange County Sheriff
 Department of Social
Services
 Parks and Recreation
 District Attorney
 Emergency Management
 Health Department
 Mental Health
 Veteran’s
 Youth Bureau
CIVIC COLLABORATION
 Alzheimer’s Association
 Mount Saint Mary’s
 Association on Aging in New
York
 NYSOFA
(New York State Office for the Aging)
 Cornell Cooperative Extension
 Orange Regional Medical Center
 Geriatric Mental Health
 Orange Ulster Boces
 Hospice
 Shoprite
 Independent Living
 SUNY Orange
 Jewish Family Service
 St. Luke’s Cornwall Hospital
 Local Police Departments
 TEAM Newburgh
 Mental Health Association
 Welcome Orange
Our Mission is to help older New Yorkers be as independent as possible
for as long as possible through advocacy, development and delivery of
person-centered, consumer-oriented, and cost-effective policies,
programs and services which support and empower older adults and
their families, in partnership with the network of public and private
organizations which serve them.
ASSOCIATION ON AGING
IN NEW YORK
The Association on Aging in New York supports and advocates for New
York's 59 mostly county-based Area Agencies on Aging (AAAs) and works
collaboratively with a network of organizations that exist to promote
independence, preserve dignity and provide support for residents of New
York State as they age.
OUR CHALLENGES
 Barriers
 Decreases in funding
 Increased population, frail and elderly, specifically 85 and
above
 Increased Demand for Services
It was once said that the
moral test of government is
how that government treats
those who are in the dawn
of life, the children; those
who are in the twilight of
life, the elderly; and those
who are in the shadows of
life, the sick, the needy and
the handicapped.
Hubert H. Humphrey