Thursday, April 7, 2016

Orange County is not keeping up with its aging population, grand jury says

A lack of funding, limited resources and staff vacancies at Orange County’s senior service agency are overburdening key programs, a problem that could worsen over the next five years when the senior population is projected to grow by 100,000, according to a grand jury report released Tuesday.
Among the services feeling the strain are those providing transportation to medical appointments and meals to housebound older residents, as well as investigations of care in nursing homes, the report said.
“Services cannot be expanded to meet the need as long as the county assigns seniors a low priority in the annual budget process,” the report said.
The county can’t solve the problem through federal funding because those allocations are based on U.S. Census results from 2010, and the next measurement won’t be taken until 2020.
By then, the county’s older population will have grown by 38 percent from 2010, according to projections, increasing pressure on local agencies to pick up the slack.
The grand jury recommended that the county increase its annual funding to the Office on Aging to nearly $1.3 million from $778,000, so that it could restore staffing, hire a grant writer and improve volunteer recruitment, among other suggestions.
The Office on Aging’s annual budget is $17.3 million.
Representatives of that office did not return calls for comment Tuesday.
While the report praised many of the services and providers who aid the county’s seniors, it also highlighted that many senior programs rely upon a fluctuating group of volunteers and stopgap private donations to remain wholly functional.
For example, many of the ombudsmen who investigate complaints and abuse allegations in the county’s 1,100 long-term elder-care facilities are volunteers.
In 2013, funding shortages and other problems caused the number of ombudsmen to drop.
The result: More than 150 facilities lacked an assigned inspector, and fewer complaints from seniors were resolved.
UNANSWERED CALLS
In the office’s call center, where requests for senior services are referred to service providers, the grand jury estimated that 15 percent of calls go unanswered, partly because a paid position has gone unfilled since 2012.
A program providing 2,000 county seniors with transportation to medical appointments has leaned on nonprofits to bridge gaps by seeking out donations after demand for the service multiplied more than six-fold between 2012 and 2015.
County Supervisor Shawn Nelson agreed the county faces challenges serving the growing senior population.
But he said the issue is one of many fighting for county funding.
Orange County, he said, is shortchanged by the amount it receives from the state for property taxes.
“Everything they’re saying is true, but what you’re seeing is a microcosm of every program in Orange County,” Nelson said.
“We have to balance the specific needs that this grand jury has made with other things they haven’t said but are equally important – increased demand for animal control, homeless services, and the list goes on and on,” the supervisor said.
Darla Olson, a vice president at Community SeniorServ, which provides Meals on Wheels to central and north Orange County seniors, said the growing senior population is having funding issues with the federal government as well.
Recently, cuts in federal funding caused the program’s waiting list to grow to 200 seniors, forcing the nonprofit to raise funds and apply for more grants.
“I would say that there are more stresses now,” Olson said. “There are many adults that live with the decision of whether to pay for food or medication or the electric bill. We don’t want that.”
April 5, 2016
Orange County Register
By Jordan Graham


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