Administration for Community Living
U.S. Department of Health and Human Services
Pathways To Respecting
American Indian Civil Rights
August 8 & 9
Denver Colorado
Presentation by Susan A Raymond, State and Tribal Liaison, Region VIII
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
• 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
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 Sebelius
April 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
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 CommunityBased 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
• 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:
Creation of Title VI
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 –
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:
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 Program
The 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
• 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
• 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
• 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.
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
Fit & Strong!
Healthy IDEAS
Healthy Moves
• Prevention and
Management of
Alcohol Problems in
Older Adults
• Stanford Chronic
Disease SelfManagement
• Stepping On
• Strong for Life
• Tai Chi
CDSMP Participants - Chronic Conditions
Additional Information
For 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: 212-264-4590
Fax: 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]
233 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 McClendon
[email protected]
1301 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]
601 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]
999 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) 437-8788
Darrick Lam
(shared responsibility for California Tribes)
Darrick [email protected]
(415) 437-7872
Dennis Dudley (Arizona and Nevada Tribes)
Dennis [email protected]
(415) 437-8789
90 - 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]
Blanchard Plaza , RX-33; Rm. 859
2201 Sixth Avenue
Seattle , Washington 98121
Phone: 206-615-2298
Fax: 206-615-2305

Resources for Elders (ACL)