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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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