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[Senior Affairs Commission on March 17, 2025.]
SEE.IS HE PORTIA IN PERSON? VEMA IS HERE.
MARIAN IS NOT HERE, BUT SHE'S ON THE SCREEN.
IS SHE ON THE SCREEN? MIKA, SHE'S IN FACT, SHE'S ON HER WAY.
PETER, ARE YOU ON THERE? YOU THERE YOU ARE PETE THERE IN SHARING.
SO TO START OFF WITH, THAT'S, IT'S A LUCKY DAY.
THAT'S WHY WE'VE GOT A FULL HOUSES.
UM, I'M WHAT THAT MEAN? SO, UM, I WOULD LIKE TO ASK, ARE THERE ANY PUBLIC SPEAKERS EITHER ON THE PHONE OR IN PRESENT HERE? IT DOESN'T LOOK LIKE IT.
UM, THEN WHAT WE WOULD LIKE TO DO IS, UH, TO GET THE APPROVAL OF THE MINUTES FROM LAST TIME'S MEETING.
UM, DID EVERYONE HAVE A CHANCE TO TAKE A LOOK AT THAT? IS THERE ANY LIKE TO SOMEBODY LIKE TO MAKE A MOTION TO APPROVE THE MINUTES? I MOVE TO APPROVE A SECOND.
UH, I DID HAVE A QUESTION BECAUSE I LEFT EARLY, BUT ON PAGE FOUR, UH, IT WAS COVERING THE PRESENTATION THAT WAS MADE BY MR. EMERY.
IT SAYS HERE ONE WAY THE CITY CAN DO THIS BY ADVERTISING IN THE DALLAS VOICE AND THE DALLAS COALITION WOULD BE HAPPY TO FUND ADVERTISEMENT WITH THAT.
AND THEN THE OTHER THING RIGHT BELOW THAT, UM, ALSO ON PAGE FOUR, UM, IT SAID, MR. EMORY STATED THAT THE TWO LARGEST CHALLENGES FACED BY THE LGBT COMMUNITY IS HOUSING AND TRANSPORTATION TO REDUCE ISOLATION AND PROVIDE OPPORTUNITIES.
SHOULD INCLUDE REDUCED TRANSPORTATION COST REDUCED.
WHAT IS IT SUPPOSED TO BE? I WOULD CHECK IT OUT.
MINE IS SAYING COST, TRANSPORTATION COST, MAYBE COST SHOULD REDUCE.
SHOULD REDUCE COST WE WERE TALKING ABOUT, YEAH.
OR MAYBE TO REDUCE TRANSPORTATION COSTS.
UM, AND THEN THERE, I ALSO HAVE ONE OTHER COMMENT ON, UH, PAGE SEVEN.
IT'S TALKING ABOUT WHAT YOU'RE DOING IN THAT FIRST PARAGRAPH RIGHT AFTER IT INDICATES WHO THE COMMISSIONERS ARE.
IT SAYS THE COMMITTEE WILL BE PUTTING TOGETHER THIS YEAR'S FUNDING ME MEMORANDUM ALONG WITH FUNDING, WITH RECOMMENDATIONS FOR FUNDING THE NEXT FISCAL YEAR, WHICH IS WHAT THAT MEMORANDUM IS.
SO IT'S A REDUNDANT STATEMENT.
UM, SO I THINK WE JUST SHOULD PUT, THE COMMITTEE WILL BE PUTTING TOGETHER THIS YEAR'S FUNDING MEMORANDUM PERIOD.
DOES THAT WORK FOR EVERYONE? YES.
SO ARE THOSE COUPLE OF CHANGES APPROVED THEN? YES.
SO, UH, SHOULD WE HAVE THAT? I MOVED ADOPTION OF THE MINUTES WITH THE, UH, UH, INDICATED CHANGES.
DO I HAVE A SECOND ON THAT? SECOND.
UM, UH, I'M SUPPOSED TO REMIND EVERYONE THAT IF YOU ARE ATTENDING BY VIDEO, UM, THE TWO OF YOU, YOU HAVE TO BE ON CAMERA ALL THE TIME OR YOU MIGHT NOT BE COUNTED.
UM, SO OUR NEW BUSINESS TODAY, WE HAVE TWO PRESENTATIONS.
ONE IS AN OVERVIEW FROM THE SENIOR SOURCE, AND KIMBERLY KNIGHT IS GONNA DO THAT IS KIMBERLY, IS THAT YOU? THAT IS I.
AND THEN AFTER THAT, WE'RE GONNA HAVE ANOTHER PRESENTATION FROM PARKLAND CENTER, AND I BELIEVE THE PRESENTER ON THAT IS CHIFFON KENNY, IS THAT, WOULD THAT BE YOU? I'M HERE.
SO, KIMBERLY, IF YOU'RE READY, I THINK THAT WE'RE READY FOR YOU.
AND PERHAPS IS SHE OKAY TO PRESENT FROM RIGHT THERE? ONG? OKAY.
I AM THE DIRECTOR OF CAREGIVER SUPPORT AT THE SENIOR SOURCE, AND I'M HONORED TO BE HERE TODAY WITH ALL OF YOU COMMISSIONERS TO TALK ABOUT THE CAREGIVER SUPPORT PROGRAM AND TO ANSWER A FEW QUESTIONS, UM, YOU GUYS HAD FOR ME AS IT RELATES TO WHAT WE DO FOR CAREGIVERS.
UM, FIRST AND FOREMOST, I WANNA SAY, YOU KNOW, THE SENIOR SOURCE IS A NONPROFIT ORGANIZATION THAT'S BEEN SERVING THE DALLAS COMMUNITY NOW FOR ABOUT 63 YEARS.
AND OUR MISSION IS TO IMPROVE THE
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QUALITY OF LIFE FOR OLDER ADULTS HERE IN DALLAS.AND SO WE DO THAT EVERY DAY THROUGH OUR PROGRAMS AND SERVICES THAT WE OFFER.
THE CAREGIVER SUPPORT PROGRAM IN PARTICULAR, UM, IS THERE TO FOCUS ON CAREGIVERS AND WE FOCUS ON FAMILY CAREGIVERS THAT IS UNPAID, UNTRAINED PERSON WHO IS THERE TO TAKE CARE OF A FAMILY MEMBER.
CAREGIVING IS SOMETHING THAT PEOPLE ARE NOT PREPARED FOR, RIGHT? SOMETHING HAPPENS TO A LOVED ONE, THEY THINK THEY'RE GONNA MAYBE RUN TO THE DOCTOR A FEW TIMES, A FEW MEALS, MAYBE DISPENSE SOME MEDICATIONS, NOT REALIZING THAT THEY NEED MORE HELP THAN THAT, RIGHT? IN ADDITION TO THAT, WHEN THEY START TO LOOK AT HOW MUCH GETTING HELP COSTS, RIGHT? MM-HMM.
THEN THERE'S A REALIZATION THAT THAT PERSON MAY NOT BE ABLE TO AFFORD THAT ASSISTANCE.
SO WHAT DO THEY DO IN SITUATIONS LIKE THAT? AND SO THAT'S WHERE OUR PROGRAM COMES IN TO HELP THAT CAREGIVER TO GET A GAME PLAN, NUMBER ONE.
AND THEN NUMBER TWO, JUST HELP THEM TO EXECUTE THAT PLAN IN GENERAL.
SO I WANNA START WITH GIVING A QUOTE FROM, UM, ROSALYN CARTER, RECOGNIZING CAREGIVERS.
AND THIS IS A VERY FAMOUS QUOTE.
YOU'VE PROBABLY HEARD IT BEFORE.
THERE ARE FOUR TYPES OF PEOPLE IN THE WORLD, THOSE WHO HAVE BEEN CAREGIVERS, THOSE WHO ARE CURRENTLY CAREGIVERS, THOSE WHO WILL BE CAREGIVERS, AND THOSE WHO WILL NEED CAREGIVERS.
AND AT SOME POINT, IF WE'RE LUCKY, WE'RE GONNA FALL INTO ONE OF THESE FOUR CATEGORIES.
AND ESSENTIALLY WHAT THIS IS TELLING US IS THAT AT SOME POINT, WE ALL WILL BE IMPACTED BY CAREGIVING, WHETHER WE NEED SOMEONE OR WE'RE ACTUALLY DOING THE SERVICE OURSELVES.
WITH THAT BEING SAID, THERE'S TONS OF CAREGIVERS THAT ARE OUT HERE, RIGHT? UM, BECAUSE AT SOME POINT WE'RE ALL GONNA BE IMPACTED.
SO WHEN IT COMES TO HOW DO I KNOW WHEN A STEP IN OR WHY IS A CAREGIVER NEEDED, IT'S VERY SIMPLE.
THEY'RE CALLED GETTING DRESSED, FEEDING OURSELVES, BATHING, GROOMING, DRIVING, ALL OF THOSE THINGS.
THOSE ARE CALLED ACTIVITIES OF DAILY LIVING.
WHEN WE'RE TALKING ABOUT DRIVING MEDICATION MANAGEMENT, PAYING YOUR BILLS, THINGS OF THAT MAGNITUDE, COOKING, THOSE ARE CALLED INSTRUMENTAL, UM, ACTIVITIES OF DAILY LIVING.
ANYTIME YOU BEGIN TO HAVE DIFFICULTY WITH YOUR ADLS OR YOUR IADLS, THAT'S WHEN YOU NEED SOMEONE TO STEP IN TO HELP YOU.
THAT'S WHEN A CAREGIVER, UM, SHOULD FIRST ENTER INTO YOUR LIFE, WHETHER IT'S A FAMILY MEMBER OR A PAID CAREGIVER COMING INTO YOUR HOME TO PROVIDE YOU WITH THESE SERVICES.
MOST OF THE TIME, AS WE AGE, WE TRY TO HIDE THE FACT THAT WE NEED HELP.
YOU KNOW, AND SO, UM, WE, YOU KNOW, WE AS LOVED ONES KIND OF HAVE TO PICK UP ON CONTEXT TOO, RIGHT? WHAT ARE YOU DOING OR NOT DOING? THAT MAY BE THE THING TO LET ME KNOW, HEY, WE NEED TO STEP IN AND, AND PROVIDE SOME ADDITIONAL ASSISTANCE, OR AT LEAST START TO ASK SOME QUESTIONS TO ASSESS WHAT'S GOING ON.
UM, I TELL FAMILIES SOMETIMES WE GET THESE CALLS OR OFTEN WE GET THESE CALLS WHERE, UM, THEY'RE JUST CONCERNED ABOUT HOW DO I TALK TO MY MOM OR MY DAD OR ANOTHER FAMILY MEMBER ABOUT THIS? BECAUSE AS SOON AS YOU START TO HAVE THIS CONVERSATION, UM, THE PERSON IMMEDIATELY WITHDRAWS, NO, YOU CANNOT HAVE MY KEYS.
YOU KNOW, IT BECOMES A FIGHT BECAUSE OF WHAT WE ALL VALUE OUR INDEPENDENCE, RIGHT? AND SO SOMETIMES THIS REALLY GETTING THIS PERSON UNDERSTAND THAT IT'S NOT NECESSARILY ABOUT TAKING YOUR INDEPENDENCE AWAY FROM YOU, BUT HELPING YOU TO BE INDEPENDENT AS LONG AS POSSIBLE IN YOUR SPACE.
BECAUSE THE KEY THING THAT WE BEGAN TO WORRY ABOUT IS THE SAFETY OF THE INDIVIDUAL TO NAVIGATE THE SPACE THAT THEY'RE LIVING IN.
AND WHEN YOU START TO HAVE PROBLEMS WITH YOUR A DL, SOMETIMES THAT, THAT COMPROMISES YOUR SAFETY.
AND SO THAT'S WHEN A LOVED ONE MUST STEP IN TO MAKE SURE YOU ARE AWARE.
IF THEY DON'T STEP IN, THEN THAT'S WHEN WE CALL A PS ADULT PROTECTIVE SERVICES BECAUSE NOW YOU KNOW, SOMEONE HAS TO ACCOUNT FOR YOUR SAFETY AND MAKE SURE THAT EVERYTHING'S OKAY.
SO WHEN IT COMES TO CAREGIVING, UM, JUST TO GIVE YOU A PROFILE OF A CAREGIVER, THE REALITY IS THERE'S NO SPECIAL COMBINATION OF THINGS.
ANYONE CAN BE A CAREGIVER AT ANY TIME, AND IT DOESN'T MATTER HOW OLD YOU ARE.
UM, NOW OFTEN, BECAUSE WE'RE CALLED A SENIOR SOURCE, WE ARE DEFINITELY FOCUSED ON THE NEEDS OF OLDER ADULTS, BUT WE SUPPORT A CAREGIVER OF ANY AGE, AS LONG AS IT'S CARING FOR SOMEONE 50 YEARS AND OLD, OLDER.
SO THAT CAREGIVER COULD ACTUALLY BE IN THEIR TWENTIES, THEIR THIRTIES, THEIR FORTIES, IT JUST DEPENDS, RIGHT? UM, BUT MOST OF THE TIME THAT THE CAREGIVERS ARE ABOUT IN THEIR SIXTIES, THAT'S KIND OF THE, THE MEDIAN ACT.
AND MOST PEOPLE WHO ARE CAREGIVERS ARE WORKING FULL TIME AS WELL AS CARING FOR A PERSON AT LEAST 20 HOURS A WEEK.
SOMETIMES IT'S MORE THAN THAT.
UM, THE MAJORITY OF PEOPLE WHO ARE CAREGIVERS ARE WOMEN.
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THE HIGHEST NUMBER OF THOSE.AND I THINK IT'S JUST KIND OF WHERE THE NATURAL NURTURES OF THE FAMILY.
SO IT JUST AUTOMATIC KIND OF FALLS ON US.
BUT THE NUMBER OF MEN WHO ARE BECOMING CAREGIVERS, THAT NUMBER IS GROWING INCREASINGLY.
SO WHAT DOES CAREGIVING LOOK LIKE TODAY AND WHY IS THIS SOMETHING WE NEED TO BE CONCERNED ABOUT? SO JUST GIVING YOU SOME MORE NUMBERS, AS OF 2020, THERE WERE MORE THAN 53 MILLION AMERICANS THAT WERE CAREGIVERS IN THE UNITED STATES, AND THERE'S A 10 MILLION 2015.
IF YOU THINK ABOUT THAT, JUST FROM THE ECONOMIC STANDPOINT, UM, THIS IS SOMETHING THAT WE NEED TO BECOME MORE PROACTIVE ABOUT, BECAUSE CAREGIVERS ARE PLENTY, AND HOW IT IMPACTS THEM FINANCIALLY CAN BE A GREAT DEAL, AND IT DEFINITELY HAS AN IMPACT ON OUR ECONOMY.
IF THAT PERSON IS LEAVING THE WORKFORCE OR DUE TO THAT REDUCTION IN THEIR SALARY OR JUST NOT, YOU KNOW, BEING ABLE TO PAY FOR MEDS OR DO THINGS FOR THEIR LOVED ONE, IT GREATLY, GREATLY IMPACTS THEM.
AND THAT'S WHY WE NEED TO START TO LOOK AT THIS AS A HEALTH CONCERN FOR OUR COMMUNITY AND SOMETHING WE NEED TO START BEING PROACTIVE ABOUT AND HAVING A PLAN AND ENCOURAGING PEOPLE TO COME UP WITH A PLAN BEFORE THEY GET TO THE PLACE OF NEEDING A CAREGIVER, RIGHT? BECAUSE ONE THING WE ALL LIKE TO DO IS WE LIKE TO MAKE THE DECISIONS FOR OURSELVES.
SO IF WE'RE PROACTIVE, THEN YOU ARE MAKING THE DECISION ON HOW AGING LOOKS FOR YOU, WHETHER YOU'RE GONNA AGE IN PLACE AT HOME, OR IF YOU'RE GONNA AGE IN PLACE IN THE LONG-TERM CARE COMMUNITY.
YOU ALSO HAVE TO GET AN OPPORTUNITY TO LOOK AT WHAT THAT COST YOU OVERALL, RIGHT? AND SO LOOKING AT YOUR ASSETS AND SAYING, OKAY, WELL MAYBE I CAN STAY, I CAN MAINTAIN LIVING AT HOME FOR 10 YEARS, AND THEN AFTER THAT, I WOULD BE WILLING TO GO INTO ASSISTED LIVING OR SOME LONG-TERM CARE COMMUNITY IF NEED BE TO MEET MY NEEDS.
OKAY, NEXT SLIDE PLEASE, PLEASE.
SO CAREGIVER STRESS LEADS TO DECREASE MENTAL, PHYSICAL, AND FINANCIAL WELLBEING.
UM, JUST BY A SHOW OF HANDS, HOW MANY OF YOU ARE CAREGIVERS OR EVER BEEN CAREGIVER? PRETTY MUCH EVERYONE SEEN.
SO I'M, I'M AMONGST FRIENDS WHEN I SAY, YOU KNOW, FIRSTHAND CAREGIVER STRESS, RIGHT? TRUE.
AND THE ABOUT TRYING TO, TRYING TO BALANCE EVERYTHING.
AND THEN ALSO YOURSELF, CAREGIVERS, OFTENTIMES HEALTH STARTS TO DECLINE SO THAT THEY END UP NEEDING HELP AND SOMEBODY ELSE HAS TO STEP IN OR THEY PASS AWAY ALTOGETHER BEFORE THE PERSON THAT THEY'RE CARING FOR BECAUSE OF THE HIGH LEVEL OF STRESS.
THEY'RE, THEY'RE, IMAGINE WORKING A FULL-TIME JOB.
YOU DON'T GET A BREAK, A VACATION, UM, YOU'RE NOT GETTING PAID.
UM, THERE IS NO, UM, JUST THE WEAR AND TEAR THAT BEGINS TO HAPPEN TO THAT INDIVIDUAL.
UM, AND SO, UM, MAJORITY OF CAREGIVERS EXPRESS SOME TYPE OF PHYSICAL STRAIN THAT THEY EXPERIENCE DUE TO THEIR CAREGIVING NEEDS OF THEIR LOVED ONE.
UM, AND SO ANYTHING THAT WE CAN DO TO HELP REDUCE THAT STRESS IS WHAT WE AIM TO DO THROUGH THE CAREGIVER SUPPORT PROGRAM.
SO JUST TO TELL YOU OUR TWO GOALS AS CAREGIVER SUPPORT, THE FIRST GOAL IS TO PROVIDE RESOURCES AND SUPPORT FOR INDIVIDUAL OR FOR A FAMILY CARING FOR THAT LOVED ONE.
ALTHOUGH WE'RE CALLED CAREGIVER SUPPORT, WE OFTEN, UM, ALSO PROVIDE SERVICES TO INDIVIDUALS AGING IN PLACE, BECAUSE SOMETIMES WHAT THEY'RE LOOKING FOR NEEDED IS SIMILAR TO A CAREGIVER.
THEY JUST MAY NOT HAVE SOMEONE THERE TO SPEAK ON THEIR BEHALF, RIGHT? UM, SO WE'RE THERE TO PROVIDE THOSE RESOURCES AND REFERRALS.
AND THEN THE SECOND GOAL OF OURS IS TO REMIND PEOPLE TO PUT ON THEIR OXYGEN MASK.
THAT MEANS SIMPLY TO CARE FOR THEMSELVES, TO BE THAT LITTLE VOICE ON THEIR SHOULDER, JUST CONSTANT REMINDING THEM, UH, YOU NEED TO TAKE YOUR OWN MEDICATION.
WHEN HAVE YOU MADE YOUR DOCTOR'S APPOINTMENT? ARE YOU TAKING A BREAK? LET'S THINK ABOUT WHO COULD COME OVER HERE AND RELIEVE YOU.
OR WHAT ARE THE PROGRAMS IN THE COMMUNITY THAT OFFER RESPITE CARE SO THAT YOU CAN GET A LITTLE BIT OF YOUR TIME BACK.
SO, UM, THROUGH THE CAREGIVER SUPPORT PROGRAM, JUST SO YOU'RE REALLY CLEAR ON WHO WE SERVE, CAREGIVERS OF ANY AGE THAT ARE CARING FOR SOMEONE 50 YEARS AND OLDER, WE ALSO CARE FOR SOLO AGES.
THAT'S THE INDIVIDUAL WHO'S AGING IN PLACE ALONE.
THE REASON THEY'RE ALONE COULD BE MANY.
IT COULD BE MAYBE THEY'VE NEVER MARRIED, MAYBE THEY'RE WIDOWED OR DIVORCED, OR THEY'RE CHILDREN LIVE IN ANOTHER STATE AND THEY'RE HERE NAVIGATING AGING AT HOME ALONE.
ALL RIGHT? UM, WE TYPICALLY PROVIDE ASSISTANCE THROUGH CAREGIVER SUPPORT DALLAS COUNTY, AS WELL AS SOME COLLIN COUNTY.
AND THEN WE PRETTY MUCH, UM, TALK TO PEOPLE OR PROVIDE SERVICES BY TELEPHONE.
WE DO A LOT OF VIRTUAL MEETINGS.
UM, SOMETIMES PEOPLE COME INTO OUR OFFICE, BUT BECAUSE THEY'RE CAREGIVERS, MOST OF THE TIME THE VIRTUAL OPTION IS BEST.
AND BECAUSE IT'S MORE CONVENIENT, REALLY, UM, THEY CAN JUST STEP INTO THE NEXT EASIER THAN IT IS TO FIND SOMEONE TO COME OVER AND SIT WITH THAT PERSON WHILE THEY GO OUT TO AN APPOINTMENT.
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SERVICES THAT WE PROVIDE, WE, UM,WE PROVIDE INFORMATION, REFERRAL RESOURCES.
SO JUST SAY A CAREGIVER CALLS US AND, UM, MAYBE THEY ARE, UM, JUST TRYING TO FIGURE OUT, UM, MOM AND DAD TYPICALLY, MAYBE THEY'VE COME HOME FOR THE HOLIDAYS AND THEY REALIZED THAT, YOU KNOW, THEY WERE REPEATING THEMSELVES, THEY WERE JUST DOING DIFFERENT THINGS.
SO THEY INITIALLY CALL US JUST TO KIND OF HAVE A CONVERSATION AND EXPRESS THEIR CONCERN.
FROM THERE, WE DO SOMETHING WHAT WE CALL, UM, IT'S A CARE CONSULTATION, UM, THAT LASTED FROM 30 MINUTES TO AN HOUR.
AND THAT'S WHEN WE LISTEN TO THAT CAREGIVER, WE HEAR THEIR STORY, AND THEN WE PROVIDE THEM WITH RESOURCES BASED ON WHAT THAT SITUATION IS.
SO IF THEY'RE CARING FOR A LOVED ONE AND MAYBE THEY SUSPECT THEY HAVE DEMENTIA, THEN THE FIRST TWO THINGS WE'RE GONNA TELL THEM THAT, THAT WE NEED TO GET A FORMAL DIAGNOSIS.
WE NEED TO GET THAT PERSON IN TO SEE A PHYSICIAN TO SEE IF IT IS INDEED DEMENTIA OR IF IT'S SOMETHING ELSE.
IT COULD BE A-A-U-T-I, IT COULD BE ADVICE, IT COULD BE A LOT OF OTHER THINGS.
IT MIGHT NECESSARILY BE DEMENTIA.
FROM THERE, WE'RE GONNA ASK THEM ABOUT LEGAL THING, RIGHT? DO THEY HAVE A POWER OF ATTORNEY? ARE THERE TRUST AS THEIR WILL? IF YOU DON'T HAVE THOSE DOCUMENTS, THOSE DOCUMENTS WHY THAT PERSON CAN MAKE THE DECISION ON WHO'S THE BEST PERSON OR WHO THEY WOULD WANT TO BE THEIR POA, UM, AND THAT THEY'RE COGNITIVE ENOUGH TO SIGN OFF ON IT IF THEY INDEED DON'T HAVE THESE DOCUMENTS IN PLACE.
IF YOU ARE A CAREGIVER YOU'VE EVER BEEN IN THAT POSITION, YOU CANNOT CALL ANY WARRANT TO DO ANYTHING UNLESS YOU HAVE THE POWER OF ATTORNEY.
YOU CAN'T TALK TO THEIR DOCTORS IF YOU DON'T HAVE HIP BOOK DISCLOSURE.
SO THERE'S A LOT OF LEGAL FORMS THAT WE NEED TO MAKE SURE AS A CAREGIVER YOU HAVE IN PLACE, WHILE THAT PERSON CAN CONSENT, IF THE WINDOW OF CONSENT HAS PASSED, THEN IT MAY BE IMPOSSIBLE.
UM, ALL NEAR IMPOSSIBLE TO GET THESE THINGS DONE, OKAY? WHICH MEANS YOU WON'T BE ABLE TO MAKE DECISIONS ON BEHALF OF YOUR LEVEL.
AND THAT'S VERY HEARTBREAKING FOR A LOT OF FAMILIES.
SO IT'S VERY IMPORTANT THAT WE GET THESE THINGS IN PLACE SO WE CAN TALK ABOUT THOSE TYPE OF THINGS.
AND ALL THE WAY TO GETTING A WHEELCHAIR REP BUILT.
OR YOU NEED THE HEDGES THAT YOU'VE GOT, A A I,
WE ALSO PROVIDE EDUCATIONAL SEMINARS, UM, WITH DIFFERENT HEALTH TOPICS, ANYWHERE FROM DEMENTIA TO HOSPICE CARE, THE DIFFERENCE BETWEEN HOME HEALTHCARE, HOME CARE, PALLIATIVE CARE.
UM, WE'VE DONE COOKING DEMONSTRATION SLIDE WHERE PEOPLE ARE TEACHING FAMILY MEMBERS ON, YOU KNOW, WHAT DOES A A A A REDUCED SODIUM DIET LOOKS LIKE.
HOW DO I COOK IN A WAY THAT'S GOING TO BE BENEFICIAL TO THE FIRST TIME PERIOD FOR, UM, AND THE LIST GOES ON AND ON AND ON.
AS FAR AS TOPICS, WE NOW HAVE A PROGRAM CALLED CARING CALLERS.
UM, IT'S SOMETHING WE USED TO HAVE AT THE SENIOR SOURCE.
WE KIND OF REJUVENATED BECAUSE THERE ARE SO MANY OF OUR OLDER ADULTS WHO ARE LIVING ALONE AND THEY DON'T HAVE SOMEONE OUTSIDE OF THE HOME THEY SPEAK TO ON A DAILY BASIS.
SO CARING CALLERS IS A PROGRAM THAT WE TARGET, UM, OLDER ADULTS WHO ARE ISOLATED, AND WE JUST HAVE VOLUNTEERS THAT CALL THEM AT LEAST ONCE A WEEK, SOMETIMES MORE THAN THAT.
THESE VOLUNTEERS, AREER FOR VOLUNTEERS.
THEY'RE WITH NATIONAL SERVICE PROJECT.
THEY ARE, UM, GO THROUGH A NATIONAL BACKGROUND CHECK.
IT'S ANOTHER PROGRAM AT THE SENIOR SOURCE.
SO THIS IS SOMEONE WHO'S BEEN TRAINED, THEY'RE VETTED, THEY HAVE THE BOUNDARIES IN PLACE.
AND SO WE, UM, THEY MAKE THOSE PHONE CALLS PRETTY MUCH WEEKLY TO JUST CHECK IN WITH THOSE INDIVIDUALS.
THEN WE HAVE SUPPORT GROUPS OR CAREGIVERS.
WE HAVE SUPPORT GROUPS FOR, UM, SPOUSES, ADULT CHILDREN.
WE HAVE SUPPORT GROUPS FOR THE LGBTQ PLUS CAREGIVER.
AND WE HAVE, UM, SUPPORT GROUPS FOR INDIVIDUALS WHO PRIMARILY SPEAK SPANISH.
UM, THOSE ARE ALL THE SUPPORT GROUPS THAT WE HAVE AT THE SENIOR SOURCE FOR CAREGIVERS.
AND THOSE FACILITATORS, THOSE, UM, SUPPORT GROUPS, THEY ARE LICENSED THERAPISTS.
AND THEN WE HAVE CAREGIVER SUPPORT STAFF THAT ALSO ARE THERE TO PROVIDE, UM, TO BE THE EXPERT FROM THE RESOURCE END.
SO THEY'RE GETTING THIS MENTAL HEALTH COMPONENT AND GETTING RESOURCES ON THE SPOT IF THAT'S WHAT'S NEEDED.
AND THEN LAST BUT NOT LEAST, WE DO HOME SAFETY VISITS.
NOW, WHAT I'D LIKE TO TELL PEOPLE, WE CANNOT HELP ORDERS.
SO IF IT'S A BOARDING SITUATION,
WE CAN'T REALLY THINK ABOUT THAT REFERRAL TO ADULT PROTECTIVE SERVICE 'CAUSE THAT IS AN ISSUE OF SAFETY AND NEGLECT.
HOWEVER, WE, WE CAN COME INTO THE HOME AND DO A HOME SAFETY VISIT FOR SOMEONE WHO MAY, UM, JUST NEED, NEED, NEED A A, A NEUTRAL OUTSIDE PARTY TO COME IN TO HELP THEIR LOVED ONE REALIZE THEY MAYBE NEED TO GET RID OF SOME OF THE PIECES OF FURNITURE SO THEY CAN NAVIGATE THROUGH THE HOME A LITTLE BIT BETTER.
ESPECIALLY IF THEY HAVE AN ASSISTED DEVICE.
MAYBE YOUR LOVED ONE IS EXPERIENCING VERTIGO AND THEY, WHICH MEANING IF THEY LIVE THE THINGS TOO HIGH, TOO LOW, THEY GET
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A DIZZY SPELL THAT COULD POTENTIALLY CAUSE 'EM A FALL.WE CAN COME IN AND RECOMMEND KIND OF MOVING THINGS AROUND TO WHERE IT'S EASIER FOR THEM TO ACCESS TO LESSEN THAT.
UM, ALSO TO MAYBE THINGS THAT NEED TO, UM, JUST MOVE ALL TOGETHER, RUGS ON THE FLOOR, UM, SHARP OBJECTS, UM, SO THAT IN THE EVENT, ESPECIALLY IF THEY'RE FALL RISK, IF THEY WERE TO FALL, THAT THEY WOULD HURT THEMSELVES IN THAT PROCESS.
SO WE, UM, WE CAN GO OUT AND DO THOSE THINGS AND WE, WE DO THEM QUITE FREQUENT.
SO IF THERE'S EVER A NEED, PLEASE DON'T HESITATE TO REACH OUT TO US.
SO OUR IMPACT LAST YEAR, WE WERE ABLE TO SERVE 2,250 CAREGIVERS AND THOSE WHO UTILIZE OUR SERVICES, EIGHT 2% OF THEM REPORTED.
THEY EXPERIENCED LESS CAREGIVER RELATED STRESS AFTER, UM, WHATEVER RESOURCE OR INTERVENTION WE PROVIDED TO THEM.
AND THIS IS THE TEAM THAT MAKES IT HAPPEN.
I HAVE, UM, THREE CARE, TWO CAREGIVER SUPPORT SPECIALISTS, AND THEN TERRY CONTRERAS, SHE IS, UM, A CONTRACT EMPLOYEE WHO GOES OUT INTO THE HISPANIC COMMUNITY AND DOES OUTREACH.
ALRIGHT, SO THAT'S IT FOR THE CAREGIVER SUPPORT PROGRAM ITSELF.
UM, ARE THERE ANY QUESTIONS ABOUT THAT BEFORE I GO TO THE NEXT PORTION, WHICH IS JUST THE QUESTIONS YOU GUYS ASK? YES.
CAN I, AS JUST, UH, UM, A REGULAR PERSON NOT INVOLVED WITH YOUR, YOUR ORGANIZATION, CAN I MAKE A RECOMMENDATION THAT YOU GO AND DO ONE OF THESE, UM, SAFETY HOME SAFETY CHECKS? YES.
WE OFTEN GET NEIGHBORS TO CALL US ABOUT MAYBE SOME, UM, A NEIGHBOR OF THEIRS, A FRIEND.
UM, AS LONG AS WE HAVE INFORMATION ABOUT THIS PERSON, UM, THEIR NAME, A PHONE NUMBER OR SOMETHING, BECAUSE BEFORE WE GO, WE'LL CALL THEM AND JUST KIND OF EXPLAIN WHO WE ARE AND, UM, GET THEIR CONSENT COMING OUT INTO THEIR HOME.
BUT YES, ANYONE CAN MAKE A RECOMMENDATION AND CALL.
KIMBERLY, BESIDES PRESENTING TO THE SENIOR AFFAIRS COMMISSION, HAVE YOU HAD THE OPPORTUNITY TO PRESENT AT ANY OF THE DALLAS PUBLIC LIBRARIES OR REC CENTERS? I MEAN, THIS LAST YEAR WE DID A WHOLE BUNCH OF LISTENING SESSIONS WITH SENIORS.
WE DIDN'T REALLY, WE TRIED TO INCLUDE THE CAREGIVERS, BUT IT WAS REALLY MORE FOCUSED TOWARDS THE OLD PEOPLE THAN MM-HMM
BUT DO YOU DO THAT AS WELL? YES.
SO WE'VE HAD PARTNERSHIPS WITH LOTS OF THE DIFFERENT LIBRARIES.
I THINK THERE WAS AN EMPHASIS THIS LAST YEAR, A LOT MORE OLDER ADULTS.
SO WE GOT TONS OF CALLS, UM, TO COME OUT AND DO VARIOUS, UM, EDUCATION TOPICS AND PRE PRESENTATIONS BASED ON SOME OF THE THINGS THAT WE DO.
UM, I'VE DONE CAREGIVING, WHERE DO I START? ANOTHER VERY POPULAR ONE IS CALLED A TALK, AND THAT'S GEARED MORE TOWARDS ADULT CHILDREN.
UM, GETTING 'EM TO HAVE A TALK WITH THEIR PARENTS AND JUST KIND OF ENCOURAGE THEM AND GIVING THEM KIND OF SOME OF THE TOOLS TO HAVE THAT CONVERSATION WITH THEM.
SO WE'VE DONE SEVERAL PRESENTATIONS WITH, WITH LIBRARIES AND DIFFERENT THINGS.
UM, AND, AND, AND KIND OF JUST TO TOUCH ON WHAT YOU'RE SAYING, UM, CAREGIVERS KIND OF FALL INTO TWO CATEGORIES FROM THE STANDPOINT YOU HAVE ADULT CHILDREN AND THEN THEIR SPOUSES.
SO IT JUST REALLY DEPENDS ON KIND OF, UM, TIME OF DAY AND LANGUAGING WHO, WHO YOU'RE GONNA ATTRACT, ATTRACT, SO TO SPEAK.
ADULT CHILDREN ARE TYPICALLY GONNA BE AT, AT WORK DURING THE DAY.
SO A LOT OF THINGS, WHEN WE ARE, UM, SPECIFICALLY TARGETING THEM, THEY HAPPEN IN THE EVENINGS OR MAYBE LIKE A LUNCH AND LEARN THROUGH THE LUNCH HOUR MM-HMM
SO THAT IF THEY, UM, ARE AVAILABLE TO, TO LOG IN AND TAKE PLACE IN WHAT WE'RE DOING AT THOSE TIMES.
UM, MS. KNIGHT, MAYBE YOU CAN'T ANSWER THIS RIGHT NOW, BUT WE CAN TALK LATER, BUT, UH, THIS CONCERNS ME BECAUSE IT HAPPENED TO ME AND A LOT OF PEOPLE THAT I KNOW IS HAPPENING TO THEM TOO.
AS A CAREGIVER, IF YOU NEED SOME ASSISTANCE, LIKE IMMEDIATELY, LIKE MY SISTER WAS WHEN WE LIVED TOGETHER AND SHE NEEDED SOMEBODY TO HELP, LIKE, CHANGE HER BED OR KIND OF MOVE BECAUSE SHE WAS KIND OF HIP.
I COULDN'T CHANGE THE NOBODY I, I'M, SHE GOT A BROKE SHOULDER.
BUT MY POINT IS, IS THERE A NUMBER OR DO YOU ALL HAVE IN PLACE, OR DO YOU THINK IT IS A GOOD IDEA THAT YOU COULD HAVE SOME OF YOUR PEOPLE THAT'S, UH, PROVIDE SOME OF THOSE SERVICES? LIKE IF I NEED SOME ASSISTANCE, I DON'T NEED YOU TO COME EVERY DAY, BUT I NEED HELP.
LIKE RIGHT NOW, LIKE I CALL A CNA, Y'ALL HAVE A DATABASE OR SOMETHING, OR YOU THINK THAT'D BE A GOOD IDEA? I THINK IT WOULD BE MORE LIKE EMERGENCY.
I THINK WHAT YOU ARE TALKING ABOUT WOULD BE AN EXCELLENT WAY FOR US TO TALK TO A LOT OF HOME CARE AGENCIES AND MAYBE WE CAN COME UP WITH SOME TYPE OF EMERGENCY SYSTEM.
CURRENTLY THERE IS NOTHING THAT EXISTS IN PLACE.
UM, AND THAT IS ONE OF THE GAPS IN SERVICES BECAUSE OFTENTIMES, YOU KNOW, IF YOU GETTING, YOU COULD GET SOMEONE TO COME OVER IMMEDIATELY MM-HMM
SO AS LONG AS YOU HAVE THE MEANS TO PAY FOR THE ASSISTANCE, YOU COULD CALL ANY HOME CARE COMPANY AND THEY COULD COME OVER.
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UM, MOST OF THE TIME THEY DON'T OFFER THEIR SERVICES A LA CARTE.THEY WANT A MINIMUM OR RIGHT OF FOUR HOURS, AT LEAST THREE DAYS A WEEK.
AND THAT'S JUST KIND OF LIKE THE PACKAGE.
SO THEY DON'T HAVE NOTHING LIKE INSTANTANEOUSLY LIKE, I'M GONNA HELP YOU TODAY AND DON'T COME BACK.
NOW SOME OF THEM MAY BE WILLING TO, SOMETIMES, RIGHT? IT'S KIND OF HARD GETTING STARTED OR SOMETHING LIKE THAT.
BUT IT'S KIND OF AFTER THEY'RE ESTABLISHED, I THINK YOU NEED SOMETHING AFTER THEY'RE ESTABLISHED, THAT BECOMES A LOT HARDER BECAUSE THEY'RE, AGAIN, THEY'RE A BUSINESS, SO THEY'RE TRYING TO ESTABLISH A CLIENTELE, UM, VERSUS KIND OF THE ONE-OFF SERVICES.
BUT THAT IS SOMETHING I WOULD SAY IS DEFINITELY A GAP IN SERVICE BECAUSE YOU DO HAVE TO PAY OUT OF POCKET, UM, TO RECEIVE HOME CARE ASSISTANCE.
ALSO, UM, IN THAT TYPE SCENARIO, HOW ABOUT THE, UM, MEDICAL SUPPLIES? I KNOW I HAD A FRIEND WHOSE MOM COULDN'T BE LIFTED OR ANYTHING, BUT THEY BROUGHT THIS EQUIPMENT IN WHERE SHE COULD LIFT HER UP AND DOWN AND SIDEWAYS AND EVERYTHING.
SOMETIMES THOSE ARE BENEFITS THAT YOU COULD RECEIVE THROUGH MEDICARE MM-HMM
UM, IT JUST DEPENDS ON WHAT THE NEED IS.
UM, THERE WAS AN ORGANIZATION CALLED DME EXCHANGE THAT WAS IN OUR COMMUNITY, BUT UNFORTUNATELY THEY WENT OUT OF BUSINESS JUST LAST YEAR.
UM, AND SO WE'RE STARTING TO SEE SOME OF THAT WHERE, YOU KNOW, I DON'T REALLY KNOW THE REASON WHY THEY WENT OUT OF BUSINESS, BUT, YOU KNOW, THEY WERE DEFINITELY A KEY, UM, ORGANIZATION TO OLDER ADULTS WHERE YOU COULD GET A, A EQUIPMENT, UM, EVEN HOSPITAL BEDS FOR FREE AS LONG, IT WAS SOMETHING THAT WAS MEDICALLY, UM, ORDERED FROM YOUR DOCTOR, BUT YOU ALSO HAVE TO MEET A CERTAIN INCOME GUIDELINE.
UM, BUT IT WAS VERY MUCH SO NEEDED.
YOU DO HAVE OTHER ORGANIZATIONS THAT DO, UM, MAYBE SUPPLY A CANE OR SOMETHING LIKE THAT, UM, THAT EXISTS.
BUT, YOU KNOW, UM, IT REALLY DOES NEED TO BE NE NECESSARILY MEDICALLY NE NECESSARY.
I'M TRYING TO GET THAT WORD OUT.
UM, IT NEEDS TO DEFINITELY BE A MEDICAL NECESSITY AND YOU WANT YOUR DOCTOR TO, TO ADVISE YOU ON WHICH ONE IS BEST FOR YOU.
RIGHT? YOU DON'T WANNA GO TO WALGREENS AND JUST GET A CANE.
THAT MAY NOT BE WHAT YOU, WHAT'S NEEDED.
LIKE, YOU NEED A THREE PRONG, FOUR PRONG, MAYBE YOU NEED A ROLLATOR, YOU KNOW, KNOW.
SO YOU WANT TO ALWAYS ASK YOUR DOCTOR AND HAVE THEM TO WRITE A PRESCRIPTION FOR WHAT IT IS THAT YOU EXACTLY NEED.
I JUST WANNA SAY, I WORKED IN HOME HEALTHCARE FOR MANY YEARS AND SOMETIMES THOSE SITUATIONS YOU CAN GET A HOME HEALTH NURSE AND THERAPIST, EVEN AN AIDE.
I MEAN, AGAIN, IT GOES THROUGH YOUR DOCTOR AND THERE IS A MEDICAL NECESSITY.
AND THEN THEY WOULD ALSO THEN HELP YOU DETERMINE WHAT YOU NEED IN TERMS OF WHAT WE CALL DME, THE MEDICAL EQUIPMENT.
BUT I, I DON'T KNOW WHAT YOUR SITUATIONS WERE, BUT SOMETIMES YOU CAN GET, AND THAT'S A MEDICARE SERVICE THAT'S COVERED A HUNDRED PERCENT UNDER MEDICARE.
THE HOME CARE SERVICE, THE CME IS, UH, 80%, UH, COVERED.
OR THESE DVANTAGE PLANS, I DON'T KNOW HOW THEY COVER IT, BUT I THINK SOMETIMES IN SITUATIONS LIKE THAT, PEOPLE ARE KIND OF FELT LIKE THEY'RE THROWN INTO A SITUATION.
AND A LOT OF SENIORS DO NOT GO TO GERIATRIC DOCTORS BECAUSE THEY SAY, WELL, I'M NOT THAT OLD YET.
WELL, HOW OLD DO YOU THINK THEY ARE? EXCUSE ME.
YOU KNOW, IT'S TIME I A SHE KNOWS ABOUT THEM, BUT, BUT THAT'S THE THING, YOU KNOW, UM, NO ONE EVER SEES THEMSELVES AS OLDER.
I MEAN, I, YOU JUST DON'T, I MEAN, NO, NO ONE DOES.
I DON'T CARE HOW OLD WE GET, YOU KNOW, YOU ARE SAYING, WELL, THIS PERSON, IT
BUT THE REALITY IS, YOU KNOW, IT'S, IT'S US, RIGHT? WE, WE NEED IT
AND, AND SO, UM, GETTING PEOPLE TO REALIZE THAT, THAT'S WHY I'M, I'M SUCH A HUGE, HUGE, HUGE FAN.
I ALL BEEN ON MY SOAPBOX ABOUT US BECOMING MORE PROACTIVE AND HAVING THESE CONVERSATIONS.
THAT REALLY IS THE KEY BECAUSE WHEN YOU, WHEN YOU HAVE THIS CONVERSATION, YOU MAKE THESE DECISIONS WHEN YOU'RE NOT IN CRISIS.
THEN WE CAN, WE CAN COME UP WITH A GAME PLAN, WE CAN THINK ABOUT THE FINANCIAL ASPECT OF THIS, AND WE CAN PLAN AS BEST WE CAN RIGHT.
ON WHAT WE CAN DO IF THESE THINGS START TO HAPPEN TO ME.
IT IS A CRISIS AND, YOU KNOW, IT'S ONE PERSON LEFT HOLDING THE BAG TRYING TO FIGURE IT OUT MM-HMM
AND, AND, AND THEY MAY NOT HAVE THE FINANCIAL RESOURCES TO STEP IN AND PACE THE THINGS.
SO WE REALLY HAVE GOT TO THINK ABOUT THAT, UM, A BIT MORE AND PLAN AHEAD OF TIME.
DOES YOUR CAREGIVER SUPPORT TEAM HAVE ANYONE WHO'S RECEIVED SPECIALIZED TRAINING WORKING WITH THE LGBT SENIOR COMMUNITY? YES, MA'AM.
[00:30:01]
HOW CAN WE GET THAT MESSAGE OUT? WE, UM, IN THE PAST WE, WE'VE PUT PLACE ADS IN THE DALLAS VOICE.UM, WE WORK VERY CLOSELY WITH THE RESOURCE CENTER, UM, THRIVE IN PARTICULAR, THAT'S THEIR, UM, PROGRAM FOR OLDER ADULTS AT THE RESOURCE CENTER.
WE HAVE, UM, I BELIEVE THE MOU ESTABLISHED WITH THE OAKLAWN PLACE TO BE ABLE TO PROVIDE SERVICES THERE OR GO OVER AND SEE PEOPLE, UM, JUST TO TALK TO THEM.
UM, AND THEN THE COALITION OF AGING, LGBT, WE'VE WORKED CLOSELY WITH THEM IN THE PAST.
UM, THEY HAVE AN AGING SUMMIT EVERY YEAR.
AND SO THAT'S, UM, WE'VE ALWAYS PARTNERED WITH THEM TO PROVIDE THAT SUMMIT.
CAN I MAKE SOME RECOMME? ABSOLUTELY.
FOR ORGANIZATIONS, BECAUSE PRETTY MUCH OF ALL OF THAT, UM, THEY'RE, THEY'RE GEARED TOWARDS NORTH DALLAS AND MORE OF THE WHITE POPULATION MM-HMM
AND AS YOU KNOW, THERE'S A WHOLE SEGMENT OF BLACK, GAY AND LESBIAN AND TRANS INDIVIDUALS THAT DON'T RECEIVE THESE SERVICES AND THEY DON'T KNOW ANYTHING ABOUT IT.
SO I'D LIKE TO GET WITH YOU, LIKE COME IN INTO YOUR OFFICE AND HAVE A CONVERSATION.
I, I, I'M VERY OPEN TO THAT AND, AND YOU'RE ABSOLUTELY RIGHT.
I THINK JUST OVERALL, UM, SPEAKING TO WHAT YOU'RE SAYING, JUST IN THE SOUTHERN SECTOR IN GENERAL, THERE'S A LACK OF SERVICES, UM, ACROSS THE BOARD.
UM, MOST OF THE CAREGIVER DAY OUT PROGRAMS ARE NORTH, UM, CENTRAL DALLAS, INDOOR, UM, AND, AND CAREGIVER DAY OUT PROGRAMS ARE FREE RESPITE PROGRAMS THAT YOU CAN TAKE YOUR LOVED ONE TO AND GET A, A FOUR HOUR BREAK, UM, MAYBE A COUPLE OF TIMES A MONTH WHEN THEY'RE OPEN.
AND SO, UM, THE ONLY ONE THAT EXISTS IN THE SOUTHERN SECTOR, UM, IS AT THE POTTER'S HOUSE.
I THINK THEIRS IS CALLED GOLDEN DAYS.
AND IT'S NOT ALWAYS ACTIVE, YOU KNOW, FOR WHATEVER REASONS.
BUT, UM, THAT'S THE ONLY ONE THAT'S IN THE SOUTH.
AND THE POTTER'S HOUSE IS NOT EASY TO GET TO.
YOU HAVE TO HAVE TRANSPORTATION TO GET THERE.
IT'S KIND OF OFF TO THE SIDE, BUT NOTHING WITHIN COMMUNITIES.
UM, AND THEN TWO, WHEN A PERSON HAS, UM, DEMENTIA, THEY CAN'T JUST GO TO A SENIOR CENTER, YOU KNOW, THEY HAVE TO HAVE SOMEONE WITH THEM.
SO, UM, IT BECOMES VERY CHALLENGING.
THE ONLY THING THAT'S IN THE SOUTHERN SECTOR BESIDES GOLDEN DAYS, IS A PAID SERVICE AND IT'S FRIENDS PLACE, ADULT DAY SERVICES, THAT'S ANOTHER.
UM, BUT IT'S A PAY YOU HAVE TO PAY IN ORDER TO GO THERE.
BUT THOSE ARE LITERALLY THE ONLY THINGS IN THE SOUTHERN SECTOR THAT WOULD OFFER A CAREGIVER SOME TYPE OF RESPITE CARE AT THIS POINT.
HAVE YOU, UM, ADDRESSED THE ISSUE OF A REFERRAL? SO I AM, UM, NEEDING TO FIND SOMEBODY TO BE A, A PART-TIME CAREGIVER, AND I'M TRYING TO VET THIS LIST OF ALL THESE AGENCIES THAT PROMISE YOU THE MOON PLUS, RIGHT? DO YOU GUYS HAVE A REFERRAL AGENCY? DO YOU DO ANY OF THAT STUFF? WE DON'T SUPPORT ANY ONE ORGANIZATION.
WE DO PROVIDE YOU WITH REFERRALS TO ORGANIZATIONS THAT, UM, WE KNOW ABOUT MAYBE WE'VE WORKED WITH ON SOME LEVEL, BUT WE ULTIMATELY LEAVE IT UP TO THE FAMILY TO DECIDE WHICH COMPANY IS RIGHT FOR THEM.
NOW, WHAT WE WON'T DO IS GIVE YOU A LIST OF 40 COMPANIES FOR YOU TO SIFT THROUGH.
WE'RE PROBABLY GONNA GIVE YOU THREE, THREE TO FOUR.
UM, WE ALSO WILL PROVIDE YOU WITH MAYBE A LIST OF QUESTIONS TO ASK, BECAUSE ESSENTIALLY YOU'RE INTERVIEWING THEM FOR YOUR BUSINESS.
SO WE WANNA MAKE SURE THAT WHATEVER THE HEALTH CONDITION YOUR LOVED ONE IS DEALING WITH, THIS IS AN ORGANIZATION THAT HAS BEEN TRAINED AND THEY, AND THEY ARE KNOW OF, UM, THE SYMPTOMS AND THE DIAGNOSIS AND THAT THEY'RE ABLE, THEY'RE EQUIPPED TO CARE FOR YOUR LOVED ONE PROPERLY.
SO WE WILL, UM, GIVE YOU SOME QUESTIONS AND WE'LL FOLLOW UP WITH YOU TO SEE HOW THE SEARCH IS GOING, BECAUSE OFTENTIMES ONCE YOU START TALKING TO PEOPLE, OTHER QUESTIONS WILL COME UP.
SO WE'LL GIVE YOU A WEEK TO, AND THEN IN A WEEK'S TIME, WE'LL CHECK IN ON YOU TO SEE HOW IT'S GOING AND IF YOU HAVE ANY ADDITIONAL QUESTIONS FOR US, UM, AS WELL.
THIS IS JUST KIND OF A FOLLOW UP TO PORTIA ABOUT HOW ARE YOU GETTING THE MESSAGE OUT SINCE WE KNOW THAT THERE IS A DEFICIT IN THE SOUTHERN AREA, WHAT SPECIFICALLY ARE WE DOING, UH, TO CLOSE THAT DEFICIT THERE? GETTING INFORMATION OUT TO OF THE SERVICES THAT ARE NEEDED? SO THAT MAY BE PROVIDED IN OTHER PARTS OF THE CITY THAT ARE NOT PROVIDED IN THE SOUTHERN AREA.
SO FOR US AS A ORGANIZATION, ANY TIME WE HAVE PROGRAMS, WE WORK WITH OUR COMMUNITY PARTNERS.
WE HAVE LOTS OF CHURCHES THAT WE PARTNER WITH IN THE SOUTHERN SECTOR.
UM, WE PROVIDE THEM WITH OUR FLYERS.
WE GO OUT TO SPEAK AT THEIR, AT THEIR CHURCHES WHEN, UM, THEY CALL UPON US TO DO SO.
UM, WE ADVERTISE SOMETIMES DEPEND ON BUDGET
[00:35:01]
IF WE CAN ON THE RADIO OR WE'LL PUT SOMETHING INTO THE NEWSPAPER.BUT I THINK, YOU KNOW, ULTIMATELY WHAT YOU'RE GETTING AT IT IS MORE OF A SYSTEMIC ISSUE THAT WE HAVE TO LOOK AT OVERALL AS SERVICE PROVIDERS AS A CITY, UM, TO COME UP WITH A WAY OF, I THINK, REALLY, UM, INFORMING PEOPLE OF THE SERVICE.
AND I THINK THAT WAS ONE OF THE QUESTIONS IN HERE.
THAT'S WHAT I WAS JUST GONNA SAY.
I WAS GONNA SAY, YOU KNOW, SOME TYPE OF, YOU KNOW, A PUBLIC SERVICE CAMPAIGN.
UM, I THINK OVERALL, BECAUSE WE, WE HAVE THESE, AND I THINK LAST MONTH I WAS HERE TALKING ABOUT, UM, MR. ROBERT MENTIONED DURING THE LISTENING SESSION HOW A LOT OF PEOPLE DIDN'T KNOW ABOUT 2 1 1, UM, AND THAT BEING A NUMBER, UM, THAT YOU CAN CALL FOR, UM, INFORMATION FOR SOCIAL SERVICES.
SO I DO THINK IT'S, YOU KNOW, WE NEED SOME TYPE OF CAMPAIGN OF SOME SORT TO INFORM OLDER ADULTS ABOUT THE SERVICES THAT, UM, EXISTS IN THEIR COMMUNITY, IN THEIR CITY, TO WHERE 2 0 1 BECOMES JUST AS POPULAR AS 4 1 1 OR 9 1 1.
YOU KNOW, THAT IT'S, YOU KNOW, WHEN YOU THINK I NEED SOMETHING, YOU THINK 2 1 1.
LET ME, LET ME SEE IF I CAN CALL, THEY CAN CONNECT YOU WITH, THANK YOU.
ALRIGHT, SO I THINK WE CAN PROBABLY GO, UM, I'M GONNA SKIP OVER LIKE THREE SLIDES.
THEY'RE PART OF YOUR, UM, IN YOUR CAMPAIGN.
SO THEY, THEY SHOULD BE VERY FAMILIAR, JUST THE NUMBERS.
ALL RIGHT, KEEP GOING, KEEP GOING.
SO WHAT TYPE OF SUPPORT WOULD BENEFIT CAREGIVERS THE MOST? UM, NUMBER ONE IS RESPITE CARE.
YOU'VE HEARD ME SAY THAT PROBABLY THREE TIMES NOW.
UM, ALL CAREGIVERS NEED A BREAK.
IT IS, YOU KNOW, INSANE THE AMOUNT OF TIME THEY HAVE TO SPEND CARING FOR A LOVED ONE.
AND, YOU KNOW, IT'S NOT SO MUCH THAT THEY ALL, THAT THEY FEEL LIKE IT'S A BURDEN TO SPEND THIS TIME, BUT REALITY, PHYSICALLY, NO ONE CAN MAINTAIN A 60 HOUR WEEK WORK SCHEDULE, UM, 52 WEEKS OUT OF THE YEAR.
SO RESPITE CARE IS THE NUMBER ONE THING CAREGIVERS NEED TO HELP PREVENT BURNOUT.
THE SECOND THING, FINANCIAL ASSISTANCE, AGAIN, NOT ALL CAREGIVERS ARE FINANCIALLY STABLE ENOUGH TO TAKE ON THE ADDITIONAL COSTS.
IT MAY, UM, THEY MAY HAVE TO INCUR CARING FOR THEIR LOVED ONES.
SO FINANCIAL ASSISTANCE, UM, IS DEFINITELY NEEDED.
EDUCATION AND TRAINING, AGAIN, SOMETIMES WHEN YOU STEP INTO THE ROLE OF A CAREGIVER, YOU BECOME A NURSE, YOU LEARN HOW TO GIVE SHOTS, YOU, YOU BECOME, UM, A NUTRITIONALIST.
YOU HAVE TO LEARN ABOUT WHAT TO USE, WHAT INGREDIENTS, WHAT NOT TO USE.
UM, IF THEY'RE TAKING BLOOD THINNERS, WHAT DAYS THEY CANNOT HAVE CERTAIN THINGS ON.
I MEAN, YOU, YOU HAVE TO LEARN A LOT VERY QUICKLY.
SO EDUCATION AND TRAINING IS ANOTHER NEED.
HAVING PEOPLE YOU CAN JUST TALK TO THAT UNDERSTAND THE LIFE OF A CAREGIVER.
UM, BECAUSE SOMETIMES WHEN YOU'RE FRUSTRATED AND YOU VENT, IF YOU'RE TALKING TO SOMEONE WHO'S NEVER BEEN A CAREGIVER, YOU WILL SOUND LIKE A HORRIBLE HUMAN BEING.
AND NO BUTTON
SO NEXT, I THINK ANOTHER IMPORTANT POINT ON THIS SLIDE IS MANY CAREGIVERS ARE UNAWARE OF AVAILABLE SUPPORT PROGRAMS. IT'S JUST, AND THAT'S WHAT WE FACE THROUGHOUT ALL SENIOR RELATED ISSUES.
THEY'RE JUST A TON OF PEOPLE THAT AREN'T AWARE WHAT'S AVAILABLE.
I THINK I WAS ON THE WRONG SLIDE WHEN I WAS TALKING
SO, BUT, BUT ALL OF THAT TO SAY, UM, WE KNOW THE IMPORTANCE OF IT.
HOW HAS DEMAND FOR CAREGIVER SERVICES CHANGED OVER THE FA PAST FEW YEARS? THERE'S DEFINITELY AN INCREASED DEMAND BECAUSE WE HAVE MORE PEOPLE TURNING 65 EVERY SINGLE DAY.
AND SO IT IS THAT, UM, THE OLDER ADULT POPULATION IS INCREASING AND THOSE PEOPLE WHO ARE TURNING OLDER WILL NEED CARE AT SOME POINT.
UM, SO JUST THE DEMAND FOR SERVICES HAS INCREASED GREATLY.
UM, AND THEN WITH EVERYTHING THAT'S HAPPENING WITH, DUE TO JUST DIFFERENT LEGISLATION, PEOPLE ARE WORRIED, THEY'RE WORRIED ABOUT BENEFITS GOING AWAY.
AND IF AND IF THEY GO AWAY, THEN HOW WILL THEY TAKE CARE OF THEMSELVES? SO, UM, IT'S DEFINITELY AN INCREASE OVER THE DEMAND.
UM, AND THEN ALSO TOO, WE ARE LIVING LONGER THAN EVER.
SO THERE ARE LONGER PERIODS OF CAREGIVING AS TO WHERE YOU THINK YOU MIGHT BE DOING THIS FOR A FEW MONTHS.
A FEW MONTHS CAN TURN INTO 10 YEARS FROM SOME PEOPLE 15 YEARS.
UM, AND, AND THEN, AND THEY'LL TELL YOU WITH NOWHERE IN SIGHT, YOU KNOW? UM, AND SO THERE IS DEFINITELY A STRAIN ON THE INDIVIDUAL.
UH, I THINK I ALREADY SAID THAT WHEN I WAS LOOKING AT THE
[00:40:01]
OTHER ONE, SO WE'RE GONNA SKIP OVER.IT'S LIKE WHAT TYPE OF SUPPORT, ARE THERE ANY NEW INITIATIVES OR PROGRAMS BEING INTRODUCED TO SUPPORT CAREGIVERS IN THE COMMUNITY? UM, THERE'S DEFINITELY AN EXPANSION ON TECHNOLOGY BASED SUPPORT.
UM, I THINK ONE, YOU KNOW, WHAT KIND OF KICKED UP INTO THAT WAS THE PANDEMIC.
YOU KNOW, WE WERE DOING A LOT OF THINGS, UM, AT HOME AND VIRTUALLY, I THINK WITH THE INTRODUCTION TO THAT, WE REALIZED THERE MAYBE THERE WAS MORE WE COULD DO, UM, THROUGH TECHNOLOGY.
AND SO, UM, YOU, YOU SEE A LOT OF TELEHEALTH SERVICES FOR PEOPLE, UM, USING, UM, THAT VIRTUAL TECHNOLOGY TO GO TO DOCTOR'S VISITS, EVEN SUPPORT GROUPS, UM, EDUCATION CLASSES, A LOT.
A LOT OF THINGS HAVE MOVED TO A VIRTUAL SPACE VERSUS JUST BEING IN PERSON, UM, WHICH GIVES YOU THE ABILITY TO LOG IN FROM ANYWHERE ANY TIME.
YOU DON'T NECESSARILY HAVE TO STOP LIVING LIFE.
YOU JUST NEED A, A QUIET ENOUGH MOMENT, UM, TO, TO PARTICIPATE IN WHATEVER'S HAPPENING.
UM, ALSO TOO, I WOULD SAY YOU'LL SEE MORE OF A TREND, UM, AND YOU'LL START TO HEAR THIS WORD MORE SOLO AGING.
UM, YOU HAVE MORE PEOPLE IN OUR COMMUNITY WHO ARE AGING IN PLACE ALONE.
SO JUST KIND OF AN INCREASE IN SERVICES WHERE YOU WOULD HEAR THE WORD SOLO AGE OR ATTACHED TO IT, OR AGING IN PLACE ALONE ATTACHED TO IT SO THAT PEOPLE WILL REALIZE THAT, YOU KNOW, THIS IS SOMETHING FOR THEM TO PAY ATTENTION TO.
UM, AND THEN YOU SEE A BIGGER PUSH, I THINK, TOWARDS ADVOCACY FOR OLDER ADULTS WHERE THERE ARE NOW BILLS BEING INTRODUCED SPECIFICALLY TO HELP, UM, WITH RESEARCH FOR DEMENTIA, WITH ALSO THE TAX ON INCONTINENCE.
SUPPLY INCONTINENCE SUPPLY ARE EXTREMELY EXPENSIVE AND WE HAVE PEOPLE WHO CALL US WHERE THEY'RE TRYING TO DETERMINE BETWEEN BUYING AND CONDOM SUPPLIES, FOOD OR MEDICATION.
UM, AND YOU KNOW, IT, IT CAN GET VERY EXPENSIVE.
UM, HOW DO CAREGIVERS IN THE COMMUNITY TYPICALLY FIND RESOURCES OF SUPPORT AND ARE THERE ENOUGH ACCESSIBLE OPTIONS? UM, AND I JUST LISTED A FEW, THESE ARE SOME OF THE WAYS PEOPLE FIND OUT 2 1 1 DALLAS AREA AGENCY ON AGING, THE SENIOR SOURCE ONLINE SEARCHES AND WORD OF MOUTH.
UM, BUT YOU KNOW, THIS IS THE AREA I THINK WE CAN ALWAYS IMPROVE IN.
UM, YOU KNOW, THERE'S ALWAYS GONNA BE PEOPLE WHO SAY, I'VE NEVER HEARD OF THAT.
YOU KNOW, WE JUST NEED TO MAKE SURE THAT, YOU KNOW, WE HAVE FEWER PEOPLE SAYING THAT RIGHT NOW.
IT'S THE MAJORITY OF OLDER ADULTS THAT ARE SAYING IT.
SO, YOU KNOW, THAT'S WHY I THINK THE TYPE OF AWARENESS IN THIS CAMPAIGN, UM, US SHARING, SHARING MORE ABOUT, YOU KNOW, THESE ORGANIZATIONS AND WHAT WE'RE HERE TO DO, THE SERVICES THAT WE PROVIDE.
UM, IN MY EXPERIENCE, WHAT DO CAREGIVERS FEEL IS THE MOST OVERWHELMING PART OF THEIR ROLE? UM, JUST THE EMOTIONAL BURDEN.
SLOWLY HAVING TO WATCH SOMEONE THAT THEY LOVE, DETERIORATE BEFORE THEM, UM, IS EXTREMELY HARD.
UM, AND IT IS A CONSTANT RESPONSIBILITY THAT'S 24 HOURS, SEVEN DAYS A WEEK.
I DON'T CARE HOW BIG A FAMILY IS THAT CAREGIVER RESPONSIBILITY FALLS ON ONE PERSON.
UM, AND, AND, AND THE FAMILY USE THAT PERSON UNTIL THEY CAN'T USE THEM ANYMORE.
UM, AND SO, UM, IT JUST BECOMES REALLY HARD OR THAT CAREGIVER AND THEN LACK OF CONTROL, THE CAREGIVER FEELS LIKE, YOU KNOW, THEY'RE CONSTANTLY HAVING TO GIVE UP THINGS, WHETHER IT'S WORK OR THE, THEIR SOCIAL LIFE OR WHATEVER CASE MAY BE IN ORDER TO CARE FOR THAT PERSON.
SO THEY START TO FEEL LIKE THEY DON'T HAVE ANY CONTROL ON MAKING DECISIONS FOR THEMSELVES OR THEIR OWN LIFE.
UM, WHAT SERVICES OR INTERVENTIONS DO YOU BELIEVE WOULD MAKE THE MOST IMPACT ON IMPROVING OF THE QUALITY OF LIFE OF A, OF A CAREGIVER? AND THAT IS, UM, YES, EXPANDING RESPITE CARE IS DEFINITELY SOMETHING, ESPECIALLY IN THE SOUTHERN SECTOR, PROVIDING FINANCIAL SUBSIDIES WOULD DEFINITELY BE BENEFICIAL.
UM, STRENGTHENING MENTAL HEALTH SERVICES AND ALSO, UM, CREATING INTEGRATED CARE SYSTEMS. UM, AND THAT'S JUST WHERE WE, UM, SERVICE PROVIDERS IN THE COMMUNITY ALONG WITH, YOU KNOW, HOSPITALS AND WE CAN ALL HAVE SOME KIND OF SYSTEM WHERE WE ARE, ARE, MAYBE WE COULD JOIN EFFORTS AND MAYBE THE SERVICES GO A LITTLE FURTHER BECAUSE WE COULD ALL PITCH IN, IN OUR AREAS OF EXPERTISE AND MAKE SURE DIFFERENT THINGS ARE COVERED, UM, FOR THAT INDIVIDUAL.
SO I THINK THAT COULD DESPERATELY HELP, UM, A CAREGIVER OUT GREATLY.
ARE THERE ANY SPECIFIC CULTURAL SOCIAL FACTORS THAT INFLUENCE CAREGIVING IN OUR COMMUNITY? UM, ABSOLUTELY.
SO, UM, ONE, I SAID FAMILY VALUES, STRONG FAMILY VALUES OFTEN PLAYS A HIGH EMPHASIS ON FAMILY CAREGIVING.
AND SO WHAT I MEAN BY THAT IS JUST SIMPLY THIS, SOME PEOPLE HAVE REALLY STRONG VIEWS VERSUS ABOUT AGING IN PLACE AT HOME OR GOING TO A LONG-TERM CARE COMMUNITY.
UM, REALLY SOMETIMES THAT IS A DECISION MAKER FOR SOME PEOPLE.
FOR OTHER PEOPLE, THEY MAY NOT HAVE A CHOICE FOR FINANCIAL REASONS, SO THEY HAVE TO AGE IN PLACE AT HOME, WHATEVER THE REASON IS, WE WANNA MAKE SURE THAT EITHER WAY THAT THOSE CAREGIVERS AND THAT INDIVIDUAL, UM, RECEIVE THE SERVICES AND TREATMENT THAT THEY NEED.
[00:45:01]
ULTIMATELY, YOU KNOW, TYPICALLY, YOU KNOW, YOU SEE MORE MINORITY COMMUNITIES.THEY ARE CARING FOR A LOVED ONE AT HOME, UM, FROM A FAMILY VALUE STANDPOINT, BUT OFTENTIMES IT IS ALSO FROM A FINANCIAL STANDPOINT, THEY, THERE IS NO MONEY TO, UM, FOR THEM TO LIVE IN A LONG-TERM CARE COMMUNITY AND ON AVERAGE LONG-TERM CARE COSTS AT A PLACE YOU WOULD FEEL COMFORTABLE.
UM, YOU'RE LOOKING AT 5,000 AND UP, YOU'RE NOT, YOU'RE NOT REALLY GETTING MUCH FOR UNDER FOUR, 5,000 THAT YOU WOULD FEEL COMFORTABLE LEAVING.
VOTE THAT'S A MONTH, RIGHT? THAT'S, YEAH, THAT'S A MONTH.
SO, UM, SO IT, IT IS A REAL FINANCIAL COST THEN WHEN IT COMES TO CULTURAL DIVERSITY.
UM, YOU KNOW, DALLAS HAS A VERY DIVERSE POPULATION IN GENERAL.
SO WE WANNA MAKE SURE WHATEVER INFORMATION THAT WE'RE PUTTING OUT OUT ABOUT SENIOR SERVICES THAT PEOPLE THAT IS CULTURALLY COMPETENT, UM, AND THAT, UM, IT SPEAKS TO THAT CAREGIVER AND WHAT THAT CAREGIVER MAY NEED.
AND THEN ALSO TOO, I THINK LAST MONTH YOU GUYS HAD ROBERT EM MARIE HERE AND I THE HERE DURING THAT PRESENTATION.
UM, AND THERE WERE SEVERAL THINGS YOU GUYS BROUGHT UP.
IT WAS HARD FOR ME TO SIT IN MY SEAT.
I THINK, UM, I WANTED TO ANSWER SOME OF THOSE QUESTIONS, BUT, YOU KNOW, COUPLE THINGS YOU GUYS SAID, YOU KNOW, ABOUT ONE WAS THE LISTENING SESSION.
I THINK IT IS VERY IMPORTANT IF, IF, IF THERE IS OPPORTUNITY FOR YOU TO DO A LISTENING SESSION FOR LGBTQ PLUS OLDER ADULTS, UM, AND TO HAVE THAT IN A, IN SPACES THAT ARE SAFE FOR THEM.
UM, I, I DID HEAR THE SUGGESTION OF MAYBE THEM COMING TO SOME OF THE ALREADY EXISTING MEETINGS.
UM, AND, AND EVERYBODY IS DIFFERENT ON THEIR COMFORT LEVEL WITH SOMETHING LIKE THAT.
SO, BUT I DO THINK IT, IF, IF AT ALL POSSIBLE, IT WOULD BE IDEAL TO, TO HAVE THEM IN SPECIFIC SAFE PLACES FOR THEM TO HEAR ABOUT THEIR EXPERIENCE AND THEIR NEEDS STRAIGHT FROM THEM.
SO I THINK A LISTENING SECTION WOULD, WOULD BE GREAT WITH THAT ALSO TO, YOU GUYS STATED SOMETHING ABOUT HAVING LIAISONS.
UM, THE ONLY THING I WOULD SAY, I THINK THAT'S GREAT TOO BECAUSE REPRESENTATION MATTERS.
UM, YOU GUYS ARE HERE BECAUSE REPRESENTATION MATTERS.
SO, UM, I THINK LIAISONS WOULD BE IDEAL.
YOU KNOW, AGAIN, YOU FEEL COMFORTABLE TALKING TO SOMEONE THAT YOU FEEL LIKE IDENTIFIES WITH YOU OR CAN IDENTIFY WITH WHAT YOUR NEEDS ARE.
UM, AND SO, YOU KNOW, JUST BASED OFF OF WHAT YOU GUYS WERE SHARING AND TOSSED AROUND LAST TIME, I THINK, UM, IT'S VERY IMPORTANT.
AND THEN MS. MARK, MS. PORTIA ASKED ME A, A VERY IMPORTANT QUESTION JUST ABOUT THE HOW HAVE WE BEEN TRAINED, YOU KNOW, UM, MY, ME AND MY STAFF AND, AND MEETING THOSE NEEDS.
UM, AND I THINK TOO, JUST, YOU KNOW, JUST EVERYONE SHOULD HAVE JUST BASIC, UM, EDUCATION ABOUT THE PLUS COMMUNITY.
UM, AND THAT'S ALSO SOMETHING THAT, YOU KNOW, JUST AS A, AS A, AS A COUNCIL, UM, YOU GUYS WOULD ALSO BENEFIT FROM AS WELL.
UM, JUST THAT BASIC TRAINING, AGAIN, GOING BACK TO REPRESENTATION AND BEING ABLE TO, UM, SPEAK TO THAT COMMUNITY'S NEEDS OR ANY COMMUNITY'S NEEDS FOR THAT MATTER IS VERY, VERY IMPORTANT.
SO WHEN WE ALL HAVE THIS AT BASE LEVEL OF, OF INFORMATION, THEN WE CAN, UM, START TO CREATE PROGRAM AND, AND COME UP WITH IDEAS TO WORK MORE SEAMLESSLY WITHIN THESE COMMUNITIES.
AND THEN SOCIOECONOMIC DISPARITIES, LOW INCOME CARRIER SPACE, ADDITIONAL CHALLENGES AND ACCESS AND RESOURCES BECAUSE A LOT OF THE THINGS THAT ARE NEEDED FOR OLDER ADULT, ESPECIALLY IN THE WAY OF HOME CARE, HOME HEALTHCARE, UM, IT COSTS IS AN OUT OF POCKET EXPENSE THAT IS NOT COVERED BY INSURANCE UNLESS ORDERED FROM THE DOCTOR.
AND IT'S LIMITED FOR A SHORT PERIOD OF TIME.
HOW DO YOU THINK THE CURRENT SYSTEM IS MEETING OR FAILING TO MEET THE NEEDS OF CAREGIVERS IN OLDER ADULTS? UM, SO MEETING NEEDS, WHILE THERE ARE VALUABLE RESOURCES AVAILABLE CURRENT, THAT OFTEN FALLS SHORT IN MEETING THE GROWING NEEDS OF CAREGIVERS AND OLDER ADULTS, THERE'S A NEED FOR BETTER CARE COORDINATION, UM, INCREASED FUNDING AND THE GREATER AWARENESS OF CAREGIVER NEEDS JUST BASED ON EVERYTHING THAT, THAT I'VE ALREADY SAID.
UM, YOU KNOW, THAT CARE COORDINATION I THINK IS SOMETHING THAT WE COULD DO NOW AND, AND MAKE A REAL IMPACT THERE.
UM, JUST ON HOW WE COORDINATE OUR SERVICES AND WE WORK TOGETHER AS COMMUNITY PARTNERS.
UM, I THINK THAT WOULD HELP OUR DOLLARS GO FURTHER, OUR SERVICES TO GO FURTHER AND, AND MAYBE MEET THE NEEDS OF MORE PEOPLE IN OUR COMMUNITY IF WE JUST HAD BETTER COORDINATED, UM, SERVICES AND HOW WE WORK TOGETHER.
I THINK WE GOT A COUPLE OF MORE QUESTIONS.
UM, MS. AUSTIN? I DON'T HAVE A QUESTION.
I JUST WANTED TO, UH, ADD THAT I HAVE A WEBINAR COMING UP ON THE 27TH THAT I REGISTERED FOR, AND IT'S PRODUCED BY THE AREA AGENCY ON AGING WITH THE ADULT RESOURCE CENTERS MM-HMM
AND IT'S ON PROGRAMS THAT THAT CAN CONSIDER FAMILY MEMBERS
[00:50:01]
AS PAID CAREGIVERS.AND SO I'VE BEEN SHARING THAT WITH PEOPLE BECAUSE THAT THE FINANCIAL ASPECT OF BEING A A CAREGIVER IS REALLY HARD.
SOMETIMES IT'S DEVASTATING FOR FAMILIES AND I KNOW THAT MEDICARE DOESN'T PAY CAREGIVERS, BUT THERE ARE SOME PROGRAMS OUT THERE.
AND SO THE INFORMATION THAT I GET FROM THE WEBINAR, I WILL SHARE IT.
AND IF ANYBODY ON THIS PANEL WANTS IT, I WILL FORWARD IT TO YOU.
UM, YOU MENTIONED SEVERAL TIMES AGING IN PLACE AND FOR A VARIETY OF REASONS, WE ARE SEEING A REAL NEED TO FIGURE THAT'S OUT HOW WE HELP PEOPLE THAT ARE CHOOSING TO AGE IN PLACE.
UM, ARE THERE ANY INITIATIVES AFOOT NOW TO SORT OF TAKE A LOOK AT, UM, FOR ALL THE REASONS, $5,000 A MONTH MINIMALLY, RIGHT.
FOR DECENT CARE? UM, UH, SO WHAT'S HAPPENING? I MEAN, ARE YOU GUYS TAKING A GOOD LOOK AT THAT AS AN AGENCY SAYING, HOW ARE WE GONNA ADDRESS THE AGING IN PLACE? THAT'S HAPPENING NOW.
WE, WE ARE, UM, SO THE SENIOR SOURCE, VNA AND THE DALLAS AREA AGENCY, UH, ON AGING, UH, CLEANED UP LAST YEAR AND HAD THE VERY FIRST AGENT IN PLACE CONFERENCE HERE IN DALLAS.
AND WE'RE, THAT'S SOMETHING WE'RE COMMITTED TO DOING AND GONNA CONTINUE TO DO, UM, THIS YEAR AS WELL.
BUT THERE IS STARTING TO BE, UM, MORE OF A REAL EMPHASIS ON PEOPLE REALLY LOOKING, LOOKING AT THAT A BIT MORE ON HOW, YOU KNOW, HOW DO WE COME TOGETHER, WORK TOGETHER AND START TO INFORM JUST OLDER ADULTS ABOUT JUST HERE ARE SERVICES THAT EXIST AS YOU GET OLDER AND HOW TO PLUG INTO THOSE SERVICES.
UM, I THINK ALSO TOO, YOU KNOW, GOOD FRONTLINE FIRST LINE OF DEFENSE FOR A LOT OF PEOPLE IS GOING TO BE A LOT OF THESE, UM, SENIOR CENTERS, UM, SENIOR CENTERS THAT ARE IN OUR COMMUNITY, UM, REALLY KIND OF, UM, EQUIPPING THEM A BIT MORE ABOUT SERVICES AND, UM, HAVING MORE, I THINK BEING MORE PLUGGED IN BECAUSE THAT'S WHERE YOU HAVE A LOT OF YOUR ACTIVELY AGING, UM, OLDER ADULTS COMING TO.
AND THEN ALSO A LOT OF CENTERS OF FAITH, UM, REALLY EQUIPPING THEM WITH SOME OF SOME OF THIS BASE INFORMATION.
UM, BECAUSE AGAIN, IF THEY AREN'T AT A SENIOR, SENIOR, MAYBE THEY ARE GOING TO THEIR CENTER OF FAITH AT SOME POINT OR REACHING OUT WHEN, WHEN THEY START TO GET INTO CRISIS.
UM, JUST EVEN TRAINING THEM ON LIKE SIGNS OF NEGLECT, YOU KNOW, WHEN THEY SHOULD MAYBE MAKE THAT FRIENDLY PHONE CALL TO AN AGENCY, HEY, WE HAVE THIS, YOU KNOW, PERSON IN OUR, IN OUR CONGREGATION NOTICE THESE THINGS.
CAN YOU DO SOME TYPE OF CHECK ON THEM? UM, JUST KIND OF HAVING MORE OF A CONCERTED EFFORT ON KIND OF THE CHECKS AND BALANCES, UM, WHEN IT COMES TO OUR OLDER ADULTS IN THE COMMUNITY AND STEPPING IN SOONER RATHER THAN LATER.
SO, UM, I I, I WAS A CAREGIVER FOR MY DAD.
UM, I HAVE A SISTER THAT'S OLDER, AND IT'S INTERESTING, AS YOU SAID, MY SISTER DECIDED TO MOVE TO LA
UH, BUT I WAS LEFT WITH THAT RESPONSIBILITY AND AS A MAN STILL WORKING, UH, IT WAS NOT EASY TO, TO, TO DO.
UM, AND I KNOW NOW, YOU KNOW, SINCE THAT TIME, TWO OTHER MEN, UH, WHO DID THE SAME THING, WHO WORKED WITH, TOOK CARE OF THEIR FATHERS AND THEY ALL LIVED INTO THE NINETIES.
UM, AND, AND THERE WAS A STRAIN.
IT WAS, IT WAS REALLY A STRAIN TO TO, TO DO SO MAY, MAYBE IT'S BECAUSE OF THE WAY WE'RE, YOU KNOW, DRAWN AS, AS MEN, YOU KNOW, I, I THINK THAT WAS, THAT WAS A PART OF IT.
UH, I, I'VE BROUGHT THIS UP BEFORE, BUT, BUT I DON'T SEE ANY RESOURCES FOR MEN, UH, INCLUDING YOUR PROGRAM.
YOUR, YOUR CAREGIVER SUPPORT TEAM IS ALL FEMALE.
UH, YOU KNOW, SO WE TALK ABOUT POPULATIONS ALL THE TIME, BUT EVERYBODY REALLY DISMISSES BLACK MEN.
AND AS WE GET OLDER, AND IT'S NOT, NOT TO EXCLUDE OTHER MEN, BUT, YOU KNOW, I'M, I'M SEEING SOME OF THAT MYSELF NOW, YOU KNOW, AS, AS, AS, AS, AS I AGE THAT, THAT JUST AREN'T THOSE RESOURCES OUT THERE.
AND AH, YOU KNOW, THIS MIGHT SOUND CRASS, BUT I DON'T, IT DOESN'T SEEM LIKE ANYBODY WHO CARES.
WELL, IT DOESN'T SEEM LIKE IT, UH, BECAUSE I HAVEN'T SEEN IT PERSONALLY.
I HAVEN'T, I HAVEN'T SEEN, SEEN THE CARING, UM, FROM, FROM ANY COMMUNITY.
SO WHAT ARE YOU DOING ABOUT THAT? WELL, I HAD A MALE SUPPORT GROUP THAT WAS FOR MEN ONLY.
UM, THAT'S ALWAYS GOING TO BE A STRUGGLE.
IT, IT WILL ALWAYS BE A STRUGGLE.
I A HUNDRED PERCENT AGREE WITH YOU.
UH, WE ALSO HAD A EDUCATION PROGRAM WITH,
[00:55:01]
UM, GEORGE DUNHAM OF THE TICKET.AND, YOU KNOW, WE HAD SOME, SOME MEN COME OUT, UM, TO SPEAK THAT WE HAVE SOME MEN IN OUR REGULAR SUPPORT GROUP.
I WOULDN'T SAY THAT NO ONE CARES, I WOULDN'T SAY THAT, BUT I THINK WE HAVE TO FIND WAYS TO REACH MEN.
UH, WOMEN ARE GONNA ASK FOR HELP.
YOU KNOW, WE GONNA TALK, WE GONNA, WE GONNA SAY THAT'S JUST, THAT'S JUST IN OUR NATURE, YOU KNOW, EVEN IF WE NECESSARILY DON'T LEAN ON THE NEXT PERSON, WE ARE GONNA GO FIGURE OUT WHAT WE NEED AND WE ARE GONNA MAKE IT HAPPEN.
MEN ARE DIFFERENT WHEN IT COMES TO THAT.
AND SO, UM, YOU KNOW, IT IS SOMETHING, BECAUSE I AM SEEING MORE CAREGIVERS, I DEFINITELY SEE THE NEED.
BUT THE MALE SUPPORT GROUP WASN'T WELL ATTENDED.
I HAD A, I HAD A, A AFRICAN AMERICAN HOW, HOW LONG AGO WAS THIS? LAST YEAR? I JUST ENDED IT LAST YEAR.
I HAD AN AFRICAN AMERICAN THERAPIST WHO WAS THE FACILITATOR FOR THAT GROUP.
AND, YOU KNOW, WE HAD SOME PEOPLE TO COME OUT FOR THE EDUCATION CLASS, BUT THEN WHEN IT CAME TO THE, THE COMING TOGETHER AND TALKING, THAT'S WHERE THINGS JUST KIND OF FELL APART.
AND, YOU KNOW, ONCE AGAIN, ONCE AGAIN, WE TALK ABOUT KNOWING THE COMMUNICATION THAT THAT'S ASSOCIATED WITH IT.
UM, YOU KNOW, I, I'M A MEMBER OF A, OF A DIVINE NINE ORGANIZATION, ALABAMA FRATERNITY INCORPORATED.
AND WE HAVE A, WE HAVE A SENIOR BROTHERS PROGRAM WITH, WITHIN, WITHIN THE FRATERNITY THAT'S A NATIONAL PROGRAM OR PROGRAM CALLED BROTHERS KEEPER.
SO, AND, AND I'M SURE ALL OF THE OTHER DIVINE NINE ORGANIZATIONS HAVE SOMETHING VERY SIMILAR.
BUT ONCE AGAIN, I'VE NEVER HEARD OF THIS.
UH, SO SOMEHOW IT'S GOTTA BE DONE DIFFERENTLY.
AND HOW, HOW LONG HAS THE CAREGIVER SUPPORT PROGRAM BEEN IN PLACE THE SEVEN YEARS.
SO, YOU KNOW, IT, MY, MY DAD PASSED AWAY IN 2018, SO, BUT, UH, THIS FRIEND OF MINE DAD PASSED AWAY LAST YEAR.
SO THEY, THE OTHER TWO GENTLEMEN THAT I'M SPEAKING OF, FATHERS PASSED AWAY BOTH WITHIN THE LAST TWO YEARS.
WE, WE NEED TO FIND A WAY TO REACH, MAN.
I THINK SOMETIMES IT'S ALSO, YOU KNOW, THE THOUGHT FOR, FOR MEN, UM, ABOUT IF I NOT WANTING TO SHOW A SIGN OF WEAKNESS OR FEELING LIKE MAYBE IF I'M ASKING IT IS WEAK ON SOME LEVEL, UM, I THINK, YOU KNOW, MAYBE FEELING LIKE, I HAVE TO DO THIS, I SHOULD DO THIS.
I NEED TO BE ABLE TO DO THIS, OF SHOULDER THIS.
UM, AND SO TO ASK FOR THAT HELP OR TO GO OUTSIDE, YOU KNOW, IT BECOMES A LOT MORE DIFFICULT, UM, IN SOME WAYS.
BUT I AM OPEN TO ANY SUGGESTION, ANY IDEAS SURROUNDING THAT.
UM, BECAUSE THERE IS, YOU KNOW, THERE IS A NEED AND THERE'S DEFINITELY AN INCREASE OF MALE CAREGIVERS, UM, ESPECIALLY, YOU KNOW, JUST THINKING OF A CLIENT CASE.
HE'S A, A GENTLEMAN WHO'S TRYING TO CARE FOR HIS MOTHER.
AND SO EVEN THE DYNAMICS OF THAT IS, IS DIFFERENT.
UM, AS FAR AS SOME OF THE NEEDS SHE MAY HAVE AND HIM BEING A MALE CHILD, WHAT DOES HE DO WITH THAT? MM-HMM
UM, AND SO, UH, THERE IS DEFINITELY A NEED AND, AND WE ARE OPEN, I AM OPEN TO ANY SUGGESTIONS YOU HAVE IN THAT SPACE.
WELL, MY RECOMMENDATION IS, IS, IS WHAT I JUST SAID, START WITH DIVINE NINE.
IF YOU'RE FAMILIAR WITH THAT ORGANIZATION OF THE, UH, NATIONAL PANEL IN THE COUNCIL, UH, UH, DALLAS PANEL IN COUNCIL, THOSE GROUPS, UH, THAT GROUP, UM, THAT'S, THAT'S PROBABLY WHERE YOU'RE GONNA FIND YOUR MOST EDUCATED GROUP AS, AS WELL AS THE, THE GROUPS THAT MAKE AT THEIR LOCAL LEVELS HAVE SOME PROGRAMS IN PLACE ALREADY TO WORK WITH, TO WORK WITH THEIR, WITH THEIR MEMBERSHIP.
SO, UM, WHY DON'T YOU SEND HER THOSE SUGGESTIONS YOU CAN GET AND EMAIL HER, DAVID.
I'VE, I'VE ACTUALLY ALREADY MADE THAT, THOSE SUGGESTIONS TO THE, UM, INTERNALLY HERE TO, TO THE CITY.
AND I THINK ANOTHER, UM, YOU MENTIONED QUITE A FEW TIMES THE NEED FOR A PLAN.
I THINK IF YOU WANNA APPEAL TO MEN, IT'S HELP MAKE A PLAN.
YOU KNOW, WHEN YOU TALK ABOUT SOME OF THE YEAH, I LIKE THAT.
UM, I THINK, I THINK MEN WILL BE OPEN TO THAT.
BECAUSE I THINK WHEN WE ALL RAISED OUR HAND AROUND THE ROOM AND SAID, WE'VE BEEN CAREGIVERS, I'D LOVE TO KNOW, WERE YOU FOLLOWING A PLAN THAT HAD BEEN PREDETERMINED,
AND WE'RE IN THE WIL YOU KNOW, ROBBIE, WE ARE IN THE WILDERNESS WHEN YOU DO THAT.
I'VE TAKING CARE OF MY MOTHER WHO, UH, LIVED AT 96, RIGHT? AND YOU'RE LIKE, WOW.
BUT YOU KNEW IT WAS, I MEAN, EVERYONE KNOWS IT'S, IT WAS INEVITABLE.
CAN I JUST SAY SOMETHING, WHAT YOU COULD DO REAL
[01:00:01]
QUICKLY FOR THE MEN? YES.LIKE ALL THESE FRATERNITIES AND DIVINE NINE OR WHATEVER HE'S TALKING ABOUT, HAVE, UH, HAVE HIM TO GIVE YOU A CONTACT PERSON AND HAVE A FORUM JUST FOR MEN AND INVITE 'EM OUT.
LIKE YOU SAY, YOU HAVE A LOT OF PARTICIPATION, BUT IT, IF IT'S GONNA START SOMEWHERE JUST AS, UH, THE COMMISSIONER, CAN HE GET HIS GROUP TOGETHER? THEY START THERE AND THEN YOU START, UH, UH, UH, BUT YOU DON'T NEED TO TELL 'EM WHAT WE NEED TO DO.
BUT I AM GONNA SAY WE HAVE A, UM, THE, THIS IS P RICK'S.
THEY HAVE A MOTHER'S DAY DEAL.
AND THEY ALSO HAVE A FATHER'S DAY DEAL.
NOW, I DON'T KNOW IF THAT'LL BE THE PLACE FOR YOU TO ACTUALLY START TO TALK AND DO SOMETHING 'CAUSE YOU'RE NOT INVITED.
I, BUT THAT WOULD BE, WE WENT LAST YEAR.
I WAS BEFORE, AND THEY SAID THEY'RE NOT DOING THAT NO MORE.
THE WOMEN CAN'T COME, BUT THEY'RE NOT POINT I'M MAKING RIGHT NOW.
I'M TRYING TO SAY THEY'RE US JUST MEN ONLY.
SO JUST GET A FORUM TOGETHER, GET THE MEN IN THERE, WHOSOEVER WILL LET 'EM COME.
AND THEN IT CAN START OFF WITH YOU TELL TWO PEOPLE, YOU TELL TWO PEOPLE WHILE THEY DOING ALL THIS DO AND CUTE DO AND OOH HOO.
THAT WAY YOU CAN STRUGGLE WITH THE MEN.
YEAH, WE'RE OFF, WE'RE OFF OFF THE, BUT, BUT I, BUT LET TRY TO THE, I ESSENCE, I HAVE PROVIDED THAT RESOURCE INFORMATION TO THIS, TO THIS YOUNG LADY RIGHT HERE.
SHE CAN DO, I'M NOT GO A HOLD ON OTHER HOOPS.
SHE CAN PROVIDE THAT INFORMATION TO HER AS WELL.
UH, I WAS JUST GONNA SAY AS ANOTHER WAY TO GET MEN IS THAT THIS CITY HAS GOT A TON OF VERY SUCCESSFUL MEN.
AND THERE'S BOUND TO BE SOMEBODY WHO'S A HIGHLIGHT KIND OF GUY WHO'S HAD TO TAKE CARE OF HIS MOM.
AND THAT'S HOW PEOPLE LIKE, THEY CAN, YOU KNOW, HELP FIGURE THAT OUT BECAUSE THEY NEED THE ROLE MODEL.
JUST LIKE I'M PRICE, I CAN GET SOME MEN TOGETHER AND TELL YOU TO COME.
YOU, YOU KNOW, AID JUST A WAY TO DO IT.
I CAN FOLLOW PROTOCOL, JUST TRY TO GET MEN TOGETHER.
ARE THERE ANY OTHER, UH, QUESTIONS? THANK YOU SO MUCH TO SAY SOMETHING.
THE EVENT THAT YOU ALL HAD A COUPLE WEEKS AGO, THE, UH, FOR VERONICA SHANKLIN AND YOU PARTNER VERONICA IS OVER DEMENTIA CARE WARRIORS AND THEY PARTNERED AND THEY HAD A CAREGIVER PRESENTATION DONE.
THERE WERE A FEW MEN THERE, BUT NOT VERY MANY.
AND WHEN WE DO HOPE FOR TOMORROW, I DON'T REMEMBER ANY MEN BEING THERE EXCEPT THE PRESENTERS, DR.
SO THEY ARE TRYING, HE'S JUST TRYING TO BE HEARD OR SAYING.
SO, UH, IN THE INTEREST OF TIME, WE'D LIKE TO ASK OUR NEXT
YOU DID NOTICE HOW MUCH TIME GIVEN UNINTERRUPTED ABOUT THE
SHE WOULD'VE CUT ME OFF A LONG TIME AGO.
YOU KNOW, SO THAT'S WHY I STOPPED SPEAKING IN THIS.
JUST WANT YOU, IF I COULD GET YOUR, I DON'T SEE YOUR INFORMATION.
CAN I GET YOUR CONTACT INFORMATION? YES.
I'LL BE GLAD JEFF HAVE COURSE WITH YOU.
KIMBERLY AND I HAVE TALKED, REMEMBER WE ALL PLAYED PHONE TAG FOR THE LONGEST TIME, YOU AND KURT AND HERE ABOUT THE LGI DO.
AND I APPRECIATE YOU ALWAYS GIVING ME THE OPPORTUNITY ABOUT THIS BEING UNINTERRUPTED.
WE'RE READY FOR YOU TO BEGIN, MA'AM.
I'M CHIFFON KEN, UM, AN RN CASE MANAGER WITH PARKLAND IN THE DEPARTMENT OF GERIATRICS.
AND I'VE BEEN AT PARKLAND CLOSE TO 22 YEARS.
AND IT, I PREDOMINANTLY HAVE WORKED UNDER A SPECIAL GRANT, UM, IS GERIATRICS.
SO ONE OF THE THINGS WE'LL TALK ABOUT IS THE OUTREACH GRANT THAT I WORK ON.
AND, AND I'LL EXPLAIN HOW PARKLAND HELPS GERIATRICS IN OTHER WAYS, WHAT WE DO TO HELP SERVE THEM.
UM, THE PARKLAND GERIATRICS DEPARTMENT CONSISTS OF THE MAIN GERIATRIC CLINIC, WHICH IS RIGHT BEHIND PARKLAND ON BUTLER STREET, WHICH IS A TEACHING CLINIC.
SO UT SOUTHWEST HAS THEIR DOCTORS COME AND LEARN ABOUT GERIATRICS IN THAT PARTICULAR
[01:05:01]
CLINIC, AS WELL AS GERIATRIC PSYCHIATRIST.SO IT'S A, IT'S A REAL BIG NEEDED THING, BUT WE HAVE, THAT'S OUR MAIN CLINIC.
THEN THERE'S THE OUTREACH PROGRAM, SENIOR OUTREACH SERVICES, WHICH IS ME, UM, WHERE I MAKE HOME VISITS.
I CASE MANAGE THE HIGH RISK SENIORS PREDOMINANTLY IN SOUTH AND SOUTHEAST DALLAS.
UM, WE HAVE A HOUSE CALL PROGRAM AT PARKLAND, UM, WHERE WE, AS LONG AS THE PATIENT LIVES WITHIN, I THINK IT'S 22 MILES FROM PARKLAND, AND THEY ARE A PARKLAND PATIENT, UM, THEY COULD BE SWITCHED OVER TO HOUSE CALLS IF THEY'RE VERY HOME BOUND.
AND THAT PROGRAM ALSO SERVES THE INDIGENT, NOT JUST THE ONES THAT ARE INSURED.
AS LONG AS THEY'RE IN PARK AND FINANCIAL ASSISTANCE.
SO WE HAVE FIVE COMMUNITY CLINICS WITH GERIATRIC SPECIALISTS INSIDE EACH OF THOSE CLINICS.
UM, THEY'RE ALL BOARD CERTIFIED GERIATRIC DOCTORS.
UM, SO, AND THEY'RE OUT IN MAINLY THE, IT'S 2 1 6, 2 1 7 2 1 5.
YOU KNOW, THE AREA GOES IN THE, THE LIST IS UP THERE, THE SPECIFIC ONES.
SO THE MAIN GERIATRIC CLINIC, IT'S CALLED THE CENTER FOR GERIATRIC CARE AND HEALTHY AGING CHANGE THE NAME WHEN IT, WE MOVED OVER THERE A COUPLE YEARS AGO.
AND WE HAVE THE BOARD CERTIFIED GERIATRIC PHYSICIANS.
THE PHARMACIST THAT, UH, SHE'S A PHD IN GERIATRIC PHARMACY, UH, DIETICIANS, SOCIAL WORKERS, ALL SPECIALIZED.
UM, OF COURSE THERE'S THE, THE TEACHING CLINIC AS WELL.
IT'S NOT A HUGE CLINIC, SO WE CAN'T, WE DON'T HAVE PHARMACY THERE OR ANYTHING LIKE THAT.
SO THE SENIOR OUTREACH SERVICES GRANT IS ME, WE CALL IT SOS FOR SURE.
AND I ALWAYS SAID IT'S DAVE MARK SENIOR.
SO IT'S A 24-YEAR-OLD GRANT, WHICH IS VERY UNUSUAL TO HAVE A GRANT THIS LONG.
UM, IT'S FUNDED BY THE TEXAS DEPARTMENT OF HEALTH AND HUMAN SERVICES.
UM, WITH, UH, PHD MONIES YOU GET ABOUT $151,000 A YEAR.
UM, AND THAT COVERS ME AND ONE DRIVER.
SO IT WAS STARTED IN 2005 AND IT WAS SPEARHEADED ORIGINALLY BY HELEN GIDDINGS.
SHE WAS THE CONGRESSMAN THAT SHE WANTED SOMETHING DONE FOR HER ELDERS IN HER DISTRICT.
WHICH IS ONE OF THE AREAS THAT HAS THE HIGHEST DISEASE RATES.
AND FOR ACCESS TO CARE, SHE WANTED TRANSPORTATION, HEALTH, OUTREACHES, CASE MANAGEMENT, WHATEVER WE COULD DO.
SO IN THOSE DAYS WE GOT $400,000 A YEAR AND WE WERE ABLE TO PROVIDE EQUIPMENT THAT MEDICARE DIDN'T PAY FOR, LIKE THE SHOWER CHAIRS.
AND, AND WE HAD THE DRIVER AND THERE WAS A SOCIAL WORKER WITH ME AND ALL THAT.
BUT OVER THE YEARS, IT'S JUST GONE DOWN AND DOWN.
SO ABOUT THE LAST EIGHT OR NINE YEARS, IT'S ONLY BEEN 151,000.
UM, WHAT IS SOS UM, I, WHEN I SAY HOME VISITS, SOMETIMES PEOPLE THINK PARKLAND HAD THE HOME HEALTH.
SO WE DO NOT HAVE HOME HEALTH.
UM, SOS IS NOT A HOUSE FALLS PROGRAM.
I DON'T DO ANYTHING MEDICAL IN THE HOME, EVEN THOUGH I'M A REGISTERED NURSE, UNLESS THERE'S AN EMERGENCY, I CAN DO A BLOOD PRESSURE.
SO, UM, IT'S NOT AN EMERGENCY SERVICE.
I HAVE DOCTORS CALL ME ALL THE TIME WHY WE NEED GO OUT AND SEE THIS PATIENT, SEE WHAT'S GOING ON IN THE HOME.
THEY'RE FALLING, YOU KNOW, I MEAN, I CAN'T DO THAT IN AN EMERGENCY, BUT I CAN DO IT URGENTLY, EASILY WITHIN 24 HOURS, 48 HOURS IF THE DOCTORS REALLY ARE PUSHING ME ABOUT SOMETHING.
BUT GENERALLY, WITHIN ONE OR TWO WEEKS I SEE EVERY PATIENT THAT'S REFERRED TO ME.
UM, AND OF COURSE WE HAVE A VAN, VAN SERVICE.
IT'S, UH, NOT FOR EMERGENCY TRANSPORT, EVEN THOUGH THE SENIORS DIDN'T RIDE IT, THINK THEY CAN CALL AND SAY, I NEED TO GO TO THE HOSPITAL.
SO, YEAH, I MEAN, WHAT, WHAT, WHAT IS THAT TRANSPORTATION FOR? IT IS TO TAKE THEM TO THEIR MEDICAL APPOINTMENTS AND MEDICAL AND SOME NON-MEDICAL, LIKE SOCIAL SECURITY OR FOOD.
BUT APPOINTMENTS, YEAH, THANK YOU.
SO, UM, AND SOS BASICALLY, NEXT SLIDE HAS THREE PARKS.
IT'S THE HIGH RISK CASE MANAGEMENT.
SO I GO INTO THE HOME AND I DO HOME SAFETY.
I, I ASSESS EVERYTHING FROM THE OUTSIDE OF THE HOUSE TO THE INSIDE OF THE HOUSE.
'CAUSE WHEN I DO MY NOTES, I, YOU KNOW, THEY GOT THREE STEPS OF THE DOOR, NO RAILS, YOU KNOW, OR THERE'S BARS ON THE WINDOW OR WHATEVER.
WHEN I GO INSIDE, I DESCRIBE WHAT I SEE, IF IT'S DARK, IF THEY'RE A HOARDER, IF THEY'RE ALL THESE DIFFERENT THINGS.
SO I DO ALL OF THAT AND I CHECK THEIR MEDS AND, AND THEN I JUST TRY TO SEE WHAT THEY NEED.
SIMILAR, YOU KNOW, WE MAKE A LOT OF REFERRALS TO THE SENIOR SOURCE FOR SENIOR COMPANIONS AND THINGS.
I, I ACT LIKE A SOCIAL WORKER EVEN THOUGH I'M A NURSE.
BUT I CAN ADDRESS BOTH THINGS.
THE VAN TRANSPORTATION, UM, IS THE MEDICAL AND NON-MEDICAL.
WE HAVE TO DO ABOUT 800 RIDES A YEAR WITH THE ONE VAN.
[01:10:01]
TWO VANS AND ONE JUST GOT DECOMMISSIONED 'CAUSE IT'S OLD.SO WE'RE HOPING THAT PARKLAND'S GOING TO PAY FOR A NEW VAN LATER THIS YEAR BECAUSE THE VAN WE HAVE NOW ONLY HAS LIKE FOUR SEATS IN IT AND A WHEELCHAIR LIFT.
SO THAT'S GONNA BE A CHALLENGE TO GET THESE 800 RIDE IN.
UM, THE ZIP CODES FOR THE VAN ARE THOSE ZIP CODES THAT HELEN GIDDINGS ORIGINALLY WANTED IN TWO 15 THROUGH 16, 17, AND 41, WHICH IS SOUTH AND SOUTHEAST DALLAS.
UM, AND THEN THE COMMUNITY EDUCATION PART, THAT'S ME AGAIN.
I DO DEMENTIA EDUCATION IN THE HOME TO THE CAREGIVERS, OR I TEACH CLASSES IN SOME OF OUR CLINICS, UM, AS PART OF IT.
THAT'S WHAT THE VAN LOOKED LIKE.
SO THERE'S A LIFT ON THE BACK.
UM, THIS WAS THE LARGER ONE THAT JUST GOT
SO, UM, BUT THAT'S WHAT IT LOOKS LIKE ONE.
SO THE MOST COMMON REFERRALS I GET FROM FOLKS AND IT'S INTERNAL OR EXTERNAL.
I HAVE PEOPLE CALL ME THAT ARE NOT PARKLAND, THAT ARE PATIENT GOES TO BAYLOR OR THEY GO TO UT, THAT'S FINE.
AS LONG AS THEY LIVE IN CERTAIN ZIP CODES AND ARE AT LEAST 65, I CAN STILL GO OUT AND SEE 'EM.
AND THERE'S NO BILLING FOR ME, OBVIOUSLY.
SO MOST OF MY REFERRALS ARE HOME SAFETY PATIENTS FALLING, LIVING ALONE, DEMENTIA, NONCOMPLIANCE WITH WHETHER IT'S MEDICAL OR APPOINTMENTS OR MEDICINES, FREQUENT FALLS, POSSIBLE ABUSE, NEGLECT, EXPLOITATION, UM, GENERAL EYES ON THE GROUND.
YOU KNOW, THE SOCIAL WORKERS WILL CALL ME AND GO, NO, SO AND SO SHE'S SOMETHING DOESN'T SEEM QUITE RIGHT.
AND YOU KNOW, BECAUSE THEY'RE GONNA BE ON THEIR BEST BEHAVIOR IN THE CLINIC.
YOU DON'T KNOW WHAT THE PROBLEM IS REALLY AT HOME.
LACK OF TRANSPORTATION'S NUMBER ONE.
SO, UM, THE DEMENTIA'S CAREGIVER, STRESS EDUCATION FOR THEM AND REFERRALS.
UM, FOOD, HOUSING, RISK OF HOMELESSNESS, THINGS LIKE THAT.
AND I MAKE ALL THE SAME REFERRALS AND SOCIAL WORKERS DO TO TRY TO ASSIST WITH ALL THAT.
AND OF COURSE, HOARDERS ARE IN THERE.
SO WHO QUALIFIES TO SEE ME? LIKE I SAID, YOU GOTTA BE AT LEAST 65 AND OLDER IN CERTAIN ZIP CODES.
UH, YOU DON'T HAVE TO BE A PARKLAND PATIENT.
AND YOU, THE, THE STATE CHANGED THE RULES A LITTLE BIT.
NOW WE MUST MEET INCOME GUIDELINES FOR THEM TO SEE ME.
THEY CAN'T BE OVER 200% OF FEDERAL POVERTY LEVEL, WHICH IS ABOUT 2,500 A MONTH.
SO, AND THEY CAN'T HAVE DUPLICATION OF SERVICES.
SO IF THEY HAVE AN ADVANTAGE PLAN, YOU KNOW, A LOT OF 'EM NOW HAVE TRANSPORTATION.
I CAN'T GIVE 'EM MY VAN FOR FREE.
AND IT'S FRUSTRATING BECAUSE A LOT OF THOSE PROGRAMS WITH THE ADVANTAGE COM INSURANCE COMPANIES USE ARE NOT ALWAYS RELIABLE.
AND THE PATIENTS ARE GETTING LEFT OR NOT PICKED UP.
AND THEN, YOU KNOW, WHEN YOU HAVE ONE PERSON AND A DRIVER, IT'S, THAT'S WHAT THEY LIKE.
THEN THEY KNOW THE DRIVER AND THEY KNOW HE IS, HE'S COMING.
BUT I CAN'T MAKE THE EXCEPTION BECAUSE THE STATE HAS, HAS NOW SAID THAT.
UM, AND OF COURSE THEY HAVE TO, UM, GIVE CONSENT FOR THE HOME VISIT FOR ME TO COME SEE THEM.
SO THAT'S JUST, YOU KNOW, THE MAJORITY OF THE RIDES, OF COURSE ARE PARKLAND.
THEN THERE'S A PERCENTAGE TO UT SOUTHWEST AND BAYLOR METHODIST AND OTHERS.
THE DEMOGRAPHICS ARE, FOR ME, PREDOMINANTLY, THEY'RE 75 TO 85 YEARS OLD.
AND WE DO HAVE QUITE A FEW ABOVE.
THERE ARE 99 AND A HUNDRED RIGHT NOW.
SO THEN WE HAVE A HOUSE CALL PROGRAM AT PARKLAND.
UM, THE HOUSE CALL PROGRAM IS WHERE THE DOCTOR BECOMES THE PCP, THE DOCTOR, THERE'S A DOCTOR, TWO DOCTORS, A NURSE PRACTITIONER.
AND THEN THEY GET VIRTUAL VISITS WITH THE DIETICIAN AND THE PHARMACIST.
SO THEY HAVE TO BE AT LEAST 65.
UM, AND WE CAN ALSO SEE PEOPLE WITH MULTIPLE LANGUAGES.
'CAUSE WE HAVE THE LANGUAGE LINE ON OUR PHONES IF THEY HAVE TO.
OR WE CAN ALSO GET A, A LIVE INTERPRETER IF IT'S SOMETHING REALLY COMPLICATED.
UM, THEY HAVE TO LIVE WITHIN 22 MILES OF PARKLAND.
THEY DO NEED TO BE HOME BOUND.
IT CAN'T JUST BE, OH, I CAN'T GET TRANSPORTATION.
THEY REALLY HAVE TO BE A, A TOUGH THING TO GET TO THE CLINICS.
AND IT'S OKAY IF THEY'RE NON-FUNDED, UM, AS LONG AS THEY'RE ON HEARTBURN, FINANCIAL ASSISTANCE THAT WILL PAY FOR THEM TO SEE THE, UH, DOCTOR AT HOME.
SO, UM, AND WHEN THEY DO NOT ACCEPT, WE DON'T ACCEPT DIALYSIS OR THOSE ON VENTILATORS.
SO, BUT IT IS REGULAR CARE IN THE HOME BLOOD WORK AND ALL THAT.
BUT THAT'S NOT UNDER YOUR GRANT? NO, NO.
[01:15:01]
YEAH.BUT NO OFFENSE, 151 INTO THAT HUGE BAR PARKLAND BUDGET.
WHY WOULDN'T YOU ROLL YOU INTO IT? OR JUST, WELL, YOU WOULD, YOU WOULD THINK, BUT, YOU KNOW, FIGHT FOR IT.
BUT MY FAVORITE FIGURE THAT ONE OUT.
BUT, BUT AGAIN, THERE'S, IT IS NO DUPLICITY OF EFFORT FOR ANYBODY.
I MEAN, IT SOUNDS LIKE THE SECOND PART CALLS ON PEOPLE THAT YOU MIGHT CALL OR WOULD CALL YOU.
ACTUALLY WE OVERLAP QUITE OFTEN.
AND WHEN I GET CALLED OUT TO THE HOME AND THEN I'M LIKE, THIS PATIENT SHOULD BE ON SENIOR HOUSE CALLS.
YOU KNOW, SO WHILE, AND THEN I'M REFERRING TO HER, TO THEM AFTER, YOU KNOW, I STILL DO THE REFERRALS OR WHATEVER.
I HAD ONE THIS MORNING EXACTLY LIKE THAT.
THE CAREGIVER STRESS MOM IS 95 AND ADVANCED DEMENTIA.
BUT IF YOU WERE IN THE SAME, UNDER THE SAME ROOF YEP.
YOU PROBABLY COULD HANDLE MOST OF THAT YOURSELF ON THAT CALL.
AND SO OF COURSE I DO THE HOME VISIT AND I CAN SEE EYE TO EYE WHAT'S HAPPENING.
BUT YEAH, THERE IS OVERLAP WITH US.
THEY MAKE REFERRALS TO ME FROM CERTAIN THINGS.
AND YET WE AS TAXPAYERS FUND OUR YEAH.
AND THE STATE COURSE AND THE FED.
SO MICHAEL, LET'S NOT DO IT AWAY WITH HER
AND IF SHE GOT MIXED IN, SHE MIGHT GET LEFT DOWN.
NOW THERE MAY BE A LOSS OF LARGE NUMBERS.
I'M JUST DIDN'T THAT I WASN'T REPEATING.
SO BESIDES SOS AND SENIOR HOUSE CALLS, WE HAVE AN EDUCATION DEPARTMENT.
UM, AND UNDER THE EDUCATION DEPARTMENT, UM, WE DO A REACH PROGRAM THAT'S AN EVIDENCE-BASED PROGRAM TO, FOR CAREGIVER, WHERE INVOLVED NEED DEMENTIA CLASSES THROUGH THE CAREGIVER TAUGHT ONLINE OR IN SOME OF OUR CLINICS.
AND THEN FOR THREE MONTHS, EVERY TWO WEEKS WE CALL THEM BACK TO CHECK ON THE CAREGIVER.
UM, THIS WAS STARTED THROUGH THE VA, UH, THAT BASED ON PTSD FOLKS.
SO, AND, UH, PART OF THAT PROGRAM, YOU KNOW, THEY MAY GET A SHOWER CHAIR OR GRAB BARS AT LEAST UNTIL WE RUN OUT ON THAT.
UM, THERE'S A NEW GRANT INVOLVED IN THAT, UH, FOR RESPITE.
I KNOW YOU GUYS WERE ALL TALKING ABOUT THAT A MINUTE AGO.
UM, IT'S A SMALL AMOUNT OF MONEY, BUT IT'S ENOUGH TO COVER MAYBE FOUR DAYS OF RESPITE.
UM, AND WE'RE HOPING TO BE ABLE TO DO, I THINK BETWEEN 30 AND 40 CAREGIVERS.
SO WE'RE IN THE PROCESS RIGHT NOW OF, UM, COMPLETING THE CONTRACT WITH TWO HOME CARE AGENCIES THAT, THAT, THAT THE CAREGIVER CAN PICK FROM AND THEN TAKE THEIR VOUCHER AND DO WHAT THEY WANT WITH IT.
UM, OF COURSE THE CLASSES ARE TAUGHT ONLINE AND IN ENGLISH AND SPANISH LAGA, DR.
LAKA HICKS IS OUR, UM, EDUCATOR THAT DOES ALL THE ONLINE ONE.
WELL, THE HEALTH ISSUES OF ELDERS, I, YOU KNOW, I KNOW MOST OF US PROBABLY ALREADY KNOW THAT, YOU KNOW, THE DISEASE RATES ARE STILL THE HIGHEST AND THE LOWEST SOCIOECONOMIC AREAS OF DALLAS, WHICH IS A LOT OF IS SOUTH SOUTHEAST DALLAS.
UM, YOU KNOW, DEMENTIA'S ON THE RISE BECAUSE OUR FOLKS ARE LIVING LONGER.
UM, OF COURSE SAFETY'S A BIG DEAL.
FALLS FALL PREVENTION, UM, AND MANAGING MULTIPLE CHRONIC ILLNESSES.
SO WITHIN PARKLAND, THE ELDERS SEEMED LIKE PARKLAND WITH CHRONIC DISEASES BASED ON 2021, UH, DATA, UH, THE HIGHEST NUMBERS WERE IN 2006 IN 7 5 2 1 6 2 1 7 2 1 1.
AND HYPERTENSION WAS FIRST MENTAL HEALTH SECOND, DIABETES THIRD.
AND THAT COMES OUT AS A COMMUNITY HEALTH NEEDS ASSESSMENT.
YOU KNOW, IT'S STARTING RIGHT NOW, ALSO, YOU KNOW, EVERY TWO YEARS.
UM, SO WE, AND THE MENTAL HEALTH THING WAS NUMBER TWO BECAUSE WE, THEY, WE KIND OF FELT LIKE THEY HAD, IT WAS THE TAIL END OF COVID.
SO THERE WAS A LOT OF MENTAL HEALTH STUFF GOING ON.
SO THIS IS JUST A SNAPSHOT FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT.
UM, AND THIS IS WHERE IT SHOWS, YOU KNOW, BARLAND SAW 32,000 WITH HYPERTENSION, MENTAL HEALTH, DIABETES AND CANCER, ET CETERA.
UM, SO IF YOU EVER GET A CHANCE TO GO IN THERE AND LOOK AT THE COMMUNITY HEALTH ASSESSMENT, IT'S, IT'S PRETTY FASCINATING.
SO, AND IT IT DOES, IT SHOWS ALL THE ZIPS AND ALL THE DISEASES AND EVERYTHING THAT'S EVERYWHERE.
SO IS DEMENTIA A COMPONENT OF MENTAL HEALTH LAST YEAR? YEAH, IT CAN BE.
UM, SOCIAL DETERMINANTS OF HEALTH.
SO WHAT THAT IS, AND ALL THE HOSPITALS ARE DOING THIS NOW, AND YOU'VE PROBABLY EXPERIENCED IT YOURSELF WHEN YOU COME TO THE CLINIC, WE'RE GONNA ASK YOU QUESTIONS LIKE TRANSPORTATION.
DO YOU HAVE TRANSPORTATION? YOU KNOW, DO YOU HAVE ACCESS TO FOOD? ARE YOU HAVING FINANCIAL STUFF, UTILITY BILL PROBLEMS? UM, IS THERE STRESS OR PARTNER VIOLENCE? UH, ALCOHOL USE, DRUG USE, HOUSING ISSUES, HOMELESSNESS, THINGS LIKE THAT.
[01:20:01]
A ZILLION OF THESE QUESTIONS.AND IT ALL GOES INTO A DATABASE.
AND WE KNOW, BECAUSE THE SOCIAL DETERMINANTS OF HEALTH ARE A BIG DEAL.
IF YOU DON'T HAVE TRANSPORTATION, IF YOU DON'T HAVE A CAREGIVER, YOU KNOW WHAT I MEAN, YOU'RE NOT, YOUR HEALTH IS GONNA SUFFER.
YOU CAN'T GET TO APPOINTMENTS.
YOU CAN'T PAY FOR MEDICINE FOR WHATEVER.
SO WE KNOW THAT, AND MEDICARE'S KNOWN THIS FOR A VERY LONG TIME, BUT NOW IT'S BEEN IMPLEMENTED, YOU KNOW, LIKE BAYLOR, YOU'LL SEE IF YOU GO TO BAYLOR, THEY'RE GONNA ASK YOU THESE QUESTIONS AND WHATNOT.
SO THAT'S WHERE WE SPEND MOST OF OUR TIME.
THE SOCIAL WORKERS AND ME IS ADDRESSING ALL OF THESE ISSUES TO TRY TO GO STABLE.
SO WHAT DO I SEE WHEN I GO TO THE HOME THAT AFFECTS MY ELDERS? THAT I SEE? IT'S ALL THE SOCIAL DETERMINANTS OF HEALTH, RIGHT? UH, NUMBER ONE IS ALWAYS TRANSPORTATION, AND THEN IT'S FINANCIAL.
ESPECIALLY NOW THEY CAN'T AFFORD EGGS.
SO THEIR, THEIR CHECKS ARE NOT GOING FAR ENOUGH.
TECHNOLOGY IS A BIG PROBLEM FOR US.
NOW, YOU KNOW, OUR POPULATION IN PARKLAND, OKAY? SO WE HAVE VERY LOW LITERACY RATES OF OUR PATIENTS AND THEIR CAREGIVERS.
SO THE TECHNOLOGY, OUR PATIENTS, IF THEY DON'T TALK TO A HUMAN ON THE PHONE, THEY GIVE UP.
AND EVERYBODY SAYS, OH, GO ONLINE, APPLY ONLINE.
IT'S NOT HAPPENING JUST TOO MUCH.
AND SO THEY, AND THEN NOW THEY'RE ALL GETTING TEXT MESSAGES TO REMIND OF THEIR APPOINTMENTS.
WELL, THEY CAN'T OPERATE THEIR PHONES TO SEE TEXTS AND THEN NOW THEY'RE NOT GETTING THE PHONE CALL.
SO WE'RE WORKING ON THAT IN GERIATRICS TO MAKE SURE NO, OUR STILL NEED A PHONE CALL, NOT A TEXT, YOU KNOW, UM, OR EMAILS.
UM, THE PAPERWORK IS A BIG ONE, IS THEY'RE TRYING TO APPLY FOR FOOD STAMPS, QMB EXTRA HELP.
THE APPLICATION'S, FIVE, SIX PAGES.
I MEAN, I'VE SPENT HOURS AND HOURS OF SEVERAL PATIENTS HELPING THEM GET THEIR BANK STATEMENTS AND FAXING THEM TO THE STATE TO GET 'EM THEIR QMB.
AND IT'S A, IT'S MIND BOGGLING.
AND, YOU KNOW, YOU CAN'T BLAME 'EM.
I MEAN, YOU DON'T EVEN HAVE TO BE AN ELDER TO BE FRUSTRATED WITH ALL THAT PAPERWORK.
UM, OF COURSE THE LOW LITERACY ISSUE.
UH, LACK OF RELIABLE CAREGIVERS.
IF THEY HAVE A CAREGIVER FROM THE STATE, A COMMUNITY HEALTH WORK, UH, COMMUNITY ATTENDANT, THEY MAY OR MAY NOT BE TOO GOOD.
YOU KNOW WHAT I MEAN? 'CAUSE THEY'RE GETTING PAID NEXT TO NOTHING.
SO I, I WALK INTO THAT A LOT, YOU KNOW, AND WHERE I'M LIKE, WHY IS THE HOUSE SO DIRTY? OH, WELL LOOK, MY, THE CARE, THEY BECOME FRIENDS WITH THE CAREGIVER COMING IN, AND THEN NEXT THING YOU KNOW, THEY'RE OFF SOMEWHERE AND YOU'RE NOT TAKING CARE OF THE SCENES.
SO THE COURSE, POOR SOCIAL SUPPORT, ISOLATION.
I HAVE A LOT OF THOSE THAT I CAN'T GET OUT TO GO TO A SENIOR CENTER.
YOU KNOW? UM, THE OTHER THING IS, YOU KNOW, MULTIPLE PEOPLE LIVING IN THE HOUSE, BUT MOM DOESN'T HAVE HER MEDICINE.
THERE'S FIVE CARDS IN THE FRONT, BUT NO ONE CAN GET HER APPOINTMENTS.
BUT, YOU KNOW, MOM'S NOT GONNA, NOT GONNA SAY ANYTHING, YOU KNOW? SO, YOU KNOW, WE'RE BETWEEN A ROCK AND A HARD PLACE ON THAT ONE.
OR SOMETIMES I DO HAVE MEETINGS WITH CAREGIVERS AND I'LL SAY, YOU KNOW, YOUR MOM REALLY NEEDS TO GET THROUGH THESE, THIS APPOINTMENT.
AND THEN SOMETIMES THE CAREGIVERS SAY, I DIDN'T KNOW SHE HAD THE APPOINTMENT.
SHE NEVER ASKED ME FOR ANYTHING.
THEY DON'T WANNA BURDEN THE KIDS.
AND SO, WHEREAS SAY, MAYBE THEY WILL HELP, THEY DON'T KNOW TO HELP.
RIGHT? SO, YOU KNOW, IT GOES BOTH WAYS.
BUT I, I'M, I'M PRETTY CAREFUL ABOUT HOW I'M TALKING TO THE CAREGIVERS ABOUT THAT STUFF.
BUT, UM, STUBBORNNESS,
'CAUSE THEY'RE AFRAID WE'RE GONNA PUT 'EM IN A NURSING HOME.
OUR GOAL IS TO KEEP YOU INDEPENDENT AS LONG AS WE CAN, YOU KNOW, SOMEHOW.
'CAUSE EVERYBODY WANTS TO AGE IN PLACE AND WE KNOW THAT.
BUT WE WANNA SOLVE THE PROBLEM TOO.
IF YOU'RE FALLING, WHY IS IT HAPPENING? MM-HMM.
IS IT THE ENVIRONMENT? IS IT WHATEVER IT IS? YOU KNOW, CAN WE SOLVE THAT TO HELP YOU? SO THAT'S THE, THAT'S THE GOOD PART ABOUT MY JOB GOING INTO THE HOME AND BEING A NURSE.
AND WHEN I SAY, LOOK, THIS IS WHAT WE REALLY NEED TO DO TO KEEP YOU STRONGER.
YOU NEED PHYSICAL THERAPY, YOU GOTTA ACCEPT IT, YOU KNOW? AND THEN USUALLY THEY'LL DO WHAT I SAY.
NOW IF I SAY MOVE FURNITURE AROUND,
AND OF COURSE, YOU KNOW, LANGUAGE BARRIERS IS AN ISSUE.
UM, OUR HISPANICS TYPICALLY WON'T ASK FOR HELP AT ALL.
YOU KNOW, ALSO BECAUSE, YOU KNOW, BECAUSE OF THE BARRIER AND, YOU KNOW, UM, CULTURAL BELIEFS, THERE'S A LACK OF TRUST OUT THERE FOR, UM, AND OF COURSE COGNITIVE ISSUES.
DEPRESSION, I HAVE A LOT OF THAT I CAN DO.
I CAN DO MEMORY TESTS WHEN I'M IN THE HOME.
I CAN DO, UM, DEPRESSION TESTS WHEN I'M IN THE HOME.
AND OF COURSE, DRAW THE CLOCK.
ANYBODY HERE EVER DRUNK CLOCK? YEAH.
WHAT THEY CLOCK MEANS THE CLOCK AWAY.
[01:25:01]
THEY, YOU UP WHAT THEY'RE TRYING TO SAY.YOU MIGHT REMEMBER THE THREE WORDSS, THE CLOCK WILL GIVE YOU AWAY.
THERE'S A LOT OF STEPS INVOLVED.
AND GOING THE CLOCK, IS IT VISUAL? YOU HAVE TO BE ABLE TO REMEMBER WHAT IT LOOKS LIKE.
THEN YOU, IT IS THE NUMBERS AND THE HANDS.
SO THERE'S VISUAL, SPATIAL, START PRACTICING.
SO THEY'RE ACTUALLY JUDGING YOU ON WHAT YOU DRAWING.
IF THEY TELL YOU TO DRAW 1 45 AND YOU DRAW TWO THIRD, THEY KNOW SOMETHING WRONG WITH YOU.
YOU ALL DO REALIZE NONE OF THESE KIDS CAN READ THAT CLOCK.
NOW, IF THEY TAKE, DRAW A CLOCK CAN DRAW CLOCK AND DRAW A CLOCK.
AS LONG AS YOU KNOW, WE WANT, THERE'S A POINT FOR THE CIRCLE, THERE'S POINT FOR ALL THE NUMBERS IN THE RIGHT PLACE.
THERE'S A POINT FOR THE RIGHT ON 12 SIX, YOU KNOW, AND WE ALWAYS SAY LIKE 1110, BECAUSE WHEN YOU SAY 1110, IT'S ALMOST LIKE A TRICK.
BUT THEY GOTTA LISTEN 11, 10 OH, AND PUT 1110 ON THE CLOCK.
YOU CANNOT, CAN NOW BUY A CLOCK.
THAT'S TOTALLY, YOU KNOW, IT'S LIKE GIANT LETTERS.
AND GUESS WHAT? IT'S NOT A CLOCK.
AND SO THE ISSUE OF LOOKING AT A CLOCK, WE, THIS IS HIGHLY UNUSUAL THAT WE CAN LOOK.
SO THAT'S GONNA, THAT'S GONNA HAVE TO BE DIFFERENT.
YOU'RE GONNA, IS THERE ANYONE HERE THAT CAN'T READ A CLOCK THOUGH? I MEAN, REALLY SERIOUSLY IN THIS ROOM, IN THIS ROOM.
DOESN'T KNOW WHAT A REAL CLOCK LOOKS LIKE.
OH, WE GOT ANOTHER 30 YEARS TILL WE NEED TO WORRY ABOUT DIGITAL, ISN'T IT? NO, NO, NO.
THE CLOCK IS UNIVERSAL ON PUBLIC.
SO WE COULD DO IT WITH ALL THE DIFFERENT CULTURES, BUT NOT WITH THE KIDS.
WE TELL MY KIDS TODAY, THIRD GRADE, I SHOULD KNOW HOW TO READ A O'CLOCK TALK NOW.
THEY WON'T PENALIZE US IF THEY TELL YOU TO WRITE 'EM IN AR NO, NO.
AS THEY'RE ALL CORRECT, YOU KNOW, IT'S ALRIGHT.
THEY'RE GONNA BE LOOKING AT A LOT OF THINGS WITH YOU.
I KNOW WHAT TO DO WHEN I CALL HER.
SHE SAID SHE'LL BE LIKE THE SENIOR I SAW THE OTHER DAY WHEN I SAID WRITE 1110.
SHE JUST 11
BUT SHE, YOU KNOW, SHE WAS ALSO BEING SARCASTIC.
SO THE DEMAND FOR SERVICES AND TRENDS.
A LOT OF THIS, I KNOW YOU GUYS ALREADY KNOW, THE BABY BOOMERS ARE, ARE ALL AGING NOW.
AND IT IS REALLY SILVER TSUNAMI, SILVER TSUNAMI.
THEY ALL WE SITTING THERE HERE, RIGHT? YEAH.
AND YOU KNOW, THERE'S, THERE'S GONNA CONTINUE.
THE CAREGIVING GAP IS A HUGE, WHO'S TAKING CARE OF EVERYBODY, YOU KNOW? AND, AND YOU KNOW, A LOT MORE PEOPLE ARE GONNA NEED LONG-TERM CARE AND IT'S EXPENSIVE.
UM, AND THE CHILDREN, YOU KNOW, ARE LESS LIKELY TO PROVIDE THAT CARE, DOING MORE AND MORE IN THAT WAY.
UM, OF COURSE THERE'S A STRAIN ON, UH, HEALTHCARE THAT OF COURSE IT'S ACROSS THE BOARD BECAUSE, YOU KNOW, THE, THE AMOUNT OF MONEY THAT'S SPENT, UM, FOR MEDICAL CARE, IT'S THE MOST FOR A PERSON AT THE END OF THEIR LIFE.
THAT'S WHEN MOST OF THE, THE HEALTH MANAGERS ARE FINANCIAL CONCERNS.
YOU KNOW, THERE'S A LOT OF SENIORS GOING BACK TO WORK.
UM, NOW I HAVE SENIORS THAT, THAT WORK FOR, UM, THE SENIOR SOURCE AT SENIOR COMPANIONS, AND THEY GET PAID UP TO ABOUT 400 A MONTH TO VOLUNTEER AND BE A COMPANION TO, YEAH, THERE YOU GO.
AND, YOU KNOW, THAT'S A FORM OF RESPITE.
YOU KNOW, BECAUSE TO HAVE THAT COMPANION THERE, THEN THE CAREGIVER CAN LEAVE, YOU KNOW? MM-HMM
UM, ACCESSIBLE DEMENTIA EDUCATION RESOURCES.
YOU GUYS KNOW ABOUT DEMENTIA FRIENDLY YES.
UM, OF COURSE, AFFORDABLE SENIOR HOUSING.
AND EVERYTHING'S THREE OR FOUR YEARS WAIT LIST TO GET MY SENIORS INTO LOW INCOME HOUSING.
UM, NOW IN PARKLAND, UM, FROM 2019 AND 2029 EXPECTS, PARKLAND EXPECTS THE NEED FOR SPECIALTY OUTPATIENT AND AMBULATORY SURGERY CENTERS TO GO UP BY 46%.
SO, YOU KNOW, PARKLAND DID IT, AT LEAST IN 22 WHEN THEY DID THIS, UM, HAD DONE OVER A MILLION OUTPATIENT VISITS.
SO, AND THAT WAS WHAT, YEARS AGO.
SO WE'LL KNOW AFTER THIS THING LOOKS LIKE.
[01:30:01]
NEXT, SO ARE WE MEETING THE NEEDS OF THE ELDERS IN THE UNITED STATES? I DON'T THINK SO.UM, THERE'S A SHORTAGE OF GERIATRIC SPECIALISTS THAT CAN TELL YOU THAT ALL ACROSS THE BOARD, INCLUDING AT PARKLAND.
UM, THERE'S A, A HUGE, UH, SHORTAGE OF GERIATRIC SPECIAL GERIATRIC PSYCHIATRISTS.
SO KNOW ONE OF 'EM, THEY DO COME AND TRAIN.
ONE OF 'EM DOES COME AND TRAIN AT OUR CLINIC.
AND THEY'RE SO VALUABLE BECAUSE THEY CAN BE USED FOR THE DEMENTIA PATIENTS, YOU KNOW, BEHAVIORAL ISSUES AND THE, AND THE OTHER THINGS TOO, IF THEY'RE BIPOLAR, DEMENTIA, ALL THAT.
SO THEY'RE SO VALUABLE TO US, AND I CAN TAKE ONE OUT TO THE HOME ONCE IN A WHILE, PART OF THEIR TRAINING, WHICH IS KIND OF COOL.
UM, AND OF COURSE GERIATRICS IS A HIGH COST POPULATION.
UM, AND THE OTHER THING IS A LOT OF GERIATRIC CLINICS ARE CLOSED.
YOU KNOW, REMEMBER WHEN BAY USED TO HAVE A BUNCH OF 'EM? MM-HMM
I DON'T, I DON'T EVEN KNOW IF THEY HAVE ONE LEFT.
YOU KNOW, THEY STILL HAVE THE ONE ON CRUTCHER.
SO I THINK THAT MIGHT BE THE ONLY ONE THEY KEPT.
UM, AND OF COURSE, LOT LACK OF AFFORDABLE LONG TERM CARE, SENIOR HOUSING.
AND SO WHAT, WHAT DOES PARKLAND DO? I MEAN, WHOLE PARKLAND GERIATRIC PROGRAM IS THESE, ALL THESE THINGS I TALKED ABOUT.
YOU KNOW, THE PARKLAND'S OF COURSE INVOLVED WITH THE COMMUNITY HEALTH NEEDS ASSESSMENT.
SO WE'LL KNOW, YOU KNOW, AT THE END OF THE YEAR WHAT, WHAT THE NEW NUMBERS ARE GONNA BE.
UM, PARKLAND HAS OVER 30 OUTPATIENT CLINICS, AND FIVE OF THOSE ARE THE ONES THAT HAVE GERIATRICS IN THEM.
AND THEY'RE GOING TO CONTINUE AND THEY WANT TO PUT THE GERIATRICS IN MORE OF THE OUTPATIENT CLINICS.
YOU KNOW, THAT TAKES A MINUTE, YOU KNOW, PLUS YOU GOTTA FIND THE HELP.
UM, AND THE SENIOR HOUSE CALL PROGRAM, YOU KNOW, WE SERVE THE INDIGENT AND THE INSURED.
SO, UM, AND THEN WE HAVE EDUCATION SPECIFIC TO THE ELDERS AND THE CAREGIVERS IN THE COMMUNITY.
I GO OUT TO ALL THE SENIOR CENTERS AND CHURCHES AND DO ALL THESE THINGS.
UM, AND THEN WHEN YOU'RE A NEW PARKLAND EMPLOYEE, YOU HAVE TO BE PUT THROUGH AG SENSITIVITY TRAINING.
YOU KNOW, WHEN WE PUT GOD GOES ON YOU AND YOU GOTTA WALK WITH A WALKER AND TRY TO GET INTO A BATHROOM AND ALL THAT KIND OF STUFF.
AND THEN WE ALSO HAVE SIMPLIFIED EDUCATION HANDOUT, YOU KNOW.
UM, AND THEN OF COURSE THE VAN.
THE VAN IS, YOU KNOW, MY SOS PROGRAM.
BUT THERE IS A VAN ALSO AT ONE OF, AT BLUE FLOWERS.
YOU GUYS KNOW THE BLUE FLOWERS CLINIC? MM-HMM
NOW IN THEIR OWN BUDGET, THEY HAVE THEIR OWN DRIVER THAT DOES ONLY PATIENTS IN THEIR CLINIC MM-HMM.
TO GET 'EM BACK AND FORTH TO THEIR CLINIC.
BUT THEY WON'T COME ALL THE WAY TO PARKLAND.
THEY'LL ONLY GO BACK AND FORTH TO THAT CLINIC.
SO SOMEHOW THEY GOT THAT IN THEIR BUDGETS.
SO WHAT ARE THE ANSWERS? UH, THAT'S A TOUGH ONE.
YOU KNOW, DARK DARKS A BIG DEAL.
I MAKE A LOT OF REFERRALS AND GET 'EM ON DARK PERIOD.
AND I GET A LOT OF CALLS FROM PEOPLE THAT LIVING IN DESOTO AND VILLE AND DARPA DOESN'T GO THERE.
AND THEY ONLY HAVE THE STAR TRANSIT OUT THERE AND THEY JUST CAN'T GET ON.
UM, PHOENIX MOBILITY, YOU GUYS KNOW WHO THEY ARE? PHOENIX MOBILITY? NO.
SO THEY'RE AN ORGANIZATION THAT'S KIND OF LIKE A ONE STOP SHOP TO SET UP RIDES, WHETHER THEY NEED WHEELCHAIRS OR, UM, ANYTHING.
UM, AND THEY ALSO HAVE, UM, A POCKET OF VOLUNTEER DRIVERS, PEOPLE THAT JUST WANNA DRIVE OUT THERE OR WHATEVER.
SO THEY, THEY'VE EXPANDED QUITE A BIT.
THEY, THEY CAN SET UP RIDES OVER THE PHONE AND IT'S, THERE IS A SMALL COST.
I WANNA SAY IT'S LIKE 50 CENTS A MILE OR SOMETHING.
IF YOU GO, IF YOU PUT IT INTO THEIR WEBSITE, YOU'LL SEE EVERYTHING THAT THEY DO.
ENCOURAGING ELDERS FROM ALL FAMILY.
WE DO THAT ALL THE TIME IN THE CLINIC.
UM, IT WOULD BE NICE IF THERE WERE MORE SENIOR CENTERS IN SOME OF THE NEIGHBORHOODS.
YOU KNOW, A LOT OF 'EM DURING COVID, RIGHT OUT THERE IN PLEASANT GROVE, THERE'S GOT NOTHING OUT THERE.
UM, AND THE TECHNOLOGY, I, I DON'T KNOW WHAT TO DO ABOUT THAT.
YOU KNOW, OF COURSE PARKLAND'S, LIKE ALL THE OTHER HOSPITALS DOING VIRTUAL VIDEOS AND ALL THAT NOW.
UM, BUT WITH GERIATRICS IT'S JUST, IT'S REALLY GETTING MISSED.
AND SOME OF MY SENIORS, THEY DO HAVE SOME LARGER PHONES AND SOME FLIP PHONES, BUT THEY DON'T HAVE THE CAPABILITY FOR ALL THE OTHER STUFF ON IT.
UM, YOU GUYS KNOW ABOUT DEMENTIA FRIENDLY ALREADY.
A LOT OF THEM, THEY WANT TO EXERCISE.
THEY DON'T LIVE IN SAFE ENOUGH NEIGHBORHOODS TO GO OUT.
AND THEY CAN'T GET ANYWHERE TO, LIKE, TO A MALL FOOTBALL.
AND OF COURSE, MAYBE TRYING TO FIND MORE GRANTS, YOU KNOW, THAT'S, PARK WOULD HAVE THE WHOLE GRANTS DEPARTMENT AND, UM, I KEEP STICKING MY NOSE IN THE MIDDLE OF IT.
I EXPAND IT UNTIL I CAN HIRE MORE DRY.
SO LAST SLIDE IS JUST, UM, MY CONTACT IN MY BUSINESS CARDS.
[01:35:01]
I'LL PUT ON THE BACK.UM, IT'S FOR ME, DEMENTIA CLASSES, HOUSE CALLS, OR MEAN GERIATRIC CLINIC YET.
DOES ANYONE HAVE ANY QUESTIONS FOR PERSON? EXCELLENT.
WELL, WE'RE VERY CLOSE TO THE END OF OUR MEETING, BUT IF TAB AND MERKEL WANNA DO, UH, YOUR TYPICAL PRESENTATION, OUR, YOU ALL YOUR PRESENTATIONS, HAPPY TO SHARE WHAT WE HAVE, UM, REGARD OR REFER BACK TO THE, THE, UM, AGENDA AND THE INFORMATION THAT WAS EMAILED OUT.
SO MOST OF YOU SHOULD HAVE, OR ALL OF YOU SHOULD HAVE GOTTEN THE SENIOR SERVICES PROGRAM MONTHLY UPDATE, BUT I BELIEVE THAT MOST OF IT IS MISSING BECAUSE WE HAD THE MEETING SO EARLY IN THE MONTH.
SO YOU'LL CATCH US UP, UH, IN THE APRIL MEETING
UH, UH, OH, ON THE, IT, IF YOU LOOK AT THE, UH, ONE OF THE PRISM CENTER, IT'S, I DON'T BELIEVE MER I DON'T THINK IT'S MARCH 24TH.
UH, I JUST NOTICED IT WAS ON MY CALENDAR ON THE WRONG DAY AS WELL.
SO YOU NORMAN, SUPERVISOR WITH THE SENIOR SERVICES STATE AND CORRECT.
WELL, BECAUSE OF THE DATA OR THE MEETING TAKING PLACE ON THE 17TH, WE GET THE NEW NUMBERS 15.
SO IN OUR NEXT REPORT YOU'LL HAVE ALL THE UPDATED NUMBERS.
ANYONE HAVE A QUESTIONS FOR MARK? WELL, I'M SORRY, NOT FOR YOU.
YES, PETE? YEAH, I, I JUST HAD A COUPLE OF, UH, THINGS I WANTED TO ADD.
UH, ONE IS THAT THE, UH, NEEDS ASSESSMENT COMMUNITY HEALTH NEEDS ASSESSMENT IS UNDERWAY AT PARKLAND.
AND AT OUR MAY MEETING, I'VE GOT TENTATIVELY SCHEDULED, UH, A PARKLAND PERSON TO COME AND GIVE US AN UPDATE.
THE ACTUAL, THE ACTUAL REPORT WILL NOT GET ISSUED UNTIL SEPTEMBER, I THINK.
BUT, UH, A LOT OF THE INFORMATION IS AVAILABLE AND, UH, WE WILL HAVE, WE WILL HAVE AN EXTENSIVE PRESENTATION IN MAY ON THAT TOPIC.
UH, ANOTHER JUST HEADS UP, TODAY'S NEW, UH, TODAY'S, UH, DALLAS MORNING NEWS HAS A, UH, AN ARTICLE ABOUT, UH, THAT, THAT TALKS ABOUT OUR ANNUAL REPORT AND, UH, TALKS ABOUT THE POPULATION AGING AND TURNING 65 AND ALL OF THAT.
SO WE ARE GETTING A LITTLE BIT OF ATTENTION FROM THE NEWS MEDIA THAT WILL, UH, THAT WILL HELP.
UH, TABITHA? YES, TABITHA TAYLOR, AGE FRIENDLY OFFICER.
JUST WANNA REMIND EVERYONE, UM, DURING, DURING THE PORTION WHERE WE HAVE COMPLETED BOTH OUR VIRTUAL AND IN-PERSON SESSION, UM, UNFORTUNATELY WE DID HAVE LOW PARTICIPATION, ONE USE OF MENT WEATHER FOR THE IN-PERSON AND THEN VIRTUAL.
UM, AS YOU CAN IMAGINE, THERE ARE SOME OLDER ADULTS, UM, THAT LACK EXPERIENCE WORKING WITH TECHNOLOGY, WHICH WE, WE UNDER, WE DO UNDERSTAND.
WITH THAT SAID, WE STILL HAVE THE ELECTRONIC, UM, SURVEY THAT IS AVAILABLE.
UM, AND WE HAVE ALSO PROVIDED THAT BY WAY OF PAPER COPIES.
AND SO AS OF RIGHT NOW, WE DO HAVE A LITTLE BIT OVER 200 PAPER COPIES.
AND WE'RE LEADING, WELL, NOT LEADING, BUT WE DO HAVE 132 ONLINE, UM, COMPLETED, UH, AS WELL SURVEY.
SO WITH THAT SAID, I WILL SEND YOU ALL OUT AN EMAIL TODAY.
I'M ASKING THAT YOU SHARE THAT WITH YOUR NETWORKS.
UM, IF THERE'S ANY OTHER, UM, WAYS THAT WE CAN GET THAT SURVEY OVER TO YOUR RESPECTIVE GROUPS, NETWORKS, ET CETERA, PLEASE DO LET US KNOW, UM, AS WE WANNA MAKE SURE THAT WE HAVE A VERY, UH, INCLUSIVE FINDINGS FROM OUR OUTCOMES FROM OUR SURVEYS.
ANY QUESTION FROM, YEAH, SO THIS, I SEE THIS PAPER, THIS IS THE PAPER SURVEY YOU'RE GETTING.
IT'S, AND WHERE DOES IT SAY WHERE, WHERE I HAVEN'T LOOKED AT, DOES IT SAY HOW TO RETURN IT OR IT DOES NOT.
AND THEN ALSO AS WE'RE, UM, PROVIDING INDIVIDUALS WITH THAT, WE ARE COMING UP WITH A PLAN, UH, FOR THAT PARTICULAR ONE BECAUSE WE WANNA MAKE SURE WE WERE UNABLE TO DO POSTAGE FOR THIS.
UM, SO WITH THAT SAID, WE'RE WORKING VERY CLOSELY WITH OUR AGENCY.
UM, SO YOU'RE TAKING THIS TO PLACES AND
'CAUSE THERE'S NO WAY FOR PEOPLE TO KNOW HOW TO RETURN.
SO WHAT WE HAVE DONE IS IF YOU'RE GOING TO A PLACE WE COULD PROVIDE YOU WITH A MANILA ENVELOPE OR SOME TYPE OF SILK DEVICE AND THEN WE GET 'EM BACK FROM THAT.
SO I THINKING, IS THERE A WAY WE COULD HAVE SOME,
[01:40:06]
I I WANTED TO SAY THAT IT IS ALSO ON THE CITY OF DALLAS, UH, FACEBOOK PAGE BECAUSE THAT'S THE ONE THAT I, WELL, I DIDN'T TALK TO YOU ON TELEPHONE.IT'S AVAILABLE ON, BUT FOR THE TECHNOLOGIST, JUST SO LIKE THIS SENIOR PUBLIC, SENIOR AFFAIRS THAT ARE COMING UP, IT WOULD BE GREAT IF THERE WERE HARD COPIES IN PLACES TO RETURN THEM.
SO WE WORK VERY CLOSELY WITH THE ASAP PROGRAM AND WE HAVE A PROCESS IN PLACE WHERE WE'RE PICKING UP, WE'RE, WE'RE WORKING VERY CLOSELY WITH LATRICE, UM, AND THEIR TEAM TO GET THOSE BACK AND FORTH.
SO THEY HAVE BEEN DEPLOYED THE MAJORITY OF THE SENIOR, THE ACTUAL SENIOR CENTERS.
SO GIVE 'EM A DEADLINE WHEN YOU WANT 'EM.
THEY CAN ALL GIVE YOU THE SA EVERY CENTER HAVE AN SRA.
SO WE'RE WORKING WITH, I'LL MAKE SURE MY CENTER SHOWS UP AND SHOW OUT UP.
SO TABITHA, WILL THEY SOMEBODY BE THERE TOMORROW AT THE, UH, JEWISH COMMUNITY CENTER EVENT? YEAH.
WITH THE, THE QUESTIONNAIRE I'LL ASK YES.
GOT THAT COVERED? THAT WAS FINE.
UH, IF SOME WERE CARRIED TO A REC CENTER MM-HMM
COULD YOU PROVIDE AN ENVELOPE WHERE THEY COULD RETURN IT BACK TO THAT REC CENTER AND WANNA BE PICK IT UP OR
SO, UM, LATRICE, SHE IS ONE OF THE SUPERVISORS OF THE AAP PROGRAM.
THAT HAS BEEN OUR PROCESS WHERE THEY'RE TURNING IT BACK INTO THAT CENTER AND THEY'RE PUTTING INSIDE OF A SEALED ENVELOPE.
SO I PROCESS, SO I CAN ASSUME THAT SOME HAVE BEEN RECEIVED AT THURGOOD MARSHALL.
SO WE WOULD NEED TO TALK MAINLY HAVE BEEN THE SENIOR REC CENTER, RIGHT? THE SENIOR DIRECTOR? YES.
WE ALSO, UM, IF THERE'S ANY OTHER ADDITIONAL REC CENTER, THEN JUST LET ME KNOW AND WE CAN WORK THAT OUT VERY QUICKLY.
WELL, I'M, I'M GOING TO SAMUEL GRANT TONIGHT.
AND I'M GLAD WE LEAVE HIM WITH THE DIRECTOR.
IF YOU, AND I'LL BE HERE FOR A LITTLE BIT.
I'M GONNA MEET WITH SOMEBODY IN THE ROOM ACROSS THE STREET SO THEY CAN, I MEAN, ACROSS THE HALL.
SPEAKING OF THE AAP PROGRAM AND THE SENIOR SOURCE AND MOTHER'S DAY COMING UP, ARE WE GONNA BE ABLE TO ATTEND THE MOTHER'S DAY LIKE THEY DID LAST YEAR FOR THE, UH, FOR THE, UH, PEOPLE HERE? I'M, UNFORTUNATELY I WAS NOT HERE LAST YEAR FOR THAT.
I HAVE NOT HEARD OF THAT, BUT I CAN DO SOME INVESTIGATION.
UH, MR. UH, PART KNOWS ABOUT IT.
WE, THEY, MS. MIRACLE KNOW ABOUT IT.
HAVE THEY SAID ANYTHING ABOUT IT? AND THIS IS WHAT I'M GONNA SUGGEST.
IF YOU KNOW YOU NOT GOING, DON'T HAVE TO GET A WHOLE TABLE JUST TO COUNT DOWN CALLS.
THEY COULD JUST INVITE THE ONES WHO THEY KNOW COMING THE CREEK.
DON'T THE LOG LIST COMING, IT'LL BE ME.
I HAD TO, I'M SURE SHE WOULD TAB CONTACT.
ANY OTHER QUESTIONS FOR MOTHER'S DAY? YOUR MOTHER'S DAY? UM, OH, I'M SORRY.
AM I TALKING ABOUT YEAH, YOU SAID BOUNTY.
ROB, ANYTHING YOU NEED TO TALK ABOUT ON YOUR DETAILS? NO, I, I JUST MIRROR WHAT PETE SAID ABOUT THE ARTICLE.
I THINK IT'S GREAT THAT IT SAYS SHORT ARTICLE, BUT THAT THE HEADLINE SAYS DALLAS AGING FAST.
RESIDENTS AGE 65 AND OLDER ARE THE FASTEST GROWING POPULATION THAN IT.
THE FIRST LINE IS ACCORDING TO A 2024 ANNUAL REPORT FROM THE DALLAS SENIOR AFFAIRS COMMISSION, RESIDENTS AGE 65 AND OLDER ARE THE FASTEST GROWING SEGMENT OF THE CITY'S POPULATION.
I THOUGHT WHAT WAS REALLY INTERESTING, AND I THINK AGAIN IT HIGHLIGHTS SOME OF THE CHALLENGES WE HAVE FROM A COMMUNICATION AND AWARENESS PERSPECTIVE.
AT THE END OF THE ARTICLE, THE WRITER LISTS A COUPLE OF AVAILABLE RESOURCES.
NORTH TEXAS FOOD BANK, DALLAS, MEALS ON WHEELS, METRIC CREST SERVICES, BUT DIDN'T INCLUDE THE SENIOR SOURCE, DIDN'T INCLUDE THE DALLAS AREA AGING.
AND SO SOME OF THE BIG IN THE, AND THE MORE OF THE UMBRELLA TYPE ORGANIZATIONS THAT CAN TELL AN INDIVIDUAL ABOUT EVERYTHING THAT'S AVAILABLE, THEY MISS THE DALLAS MORNING NEWS, DOESN'T KNOW ABOUT 'EM.
AND SO, YOU KNOW, WE JUST NEED TO, THEY EVEN SO THE US AN ARTICLE AND YOU SEND A LETTER, THAT'S THE BEST WAY TO GET A LETTER PUBLISHED.
SO PETER, YOU'RE GONNA ADDRESS WHAT THEY MISSED.
PETE, HE'S WRITING
HE IS ALREADY WRITTEN THE LETTERS AND I MEAN, AND THEY REFER TO THE COMMISSION AS A NONPROFIT ORGANIZATION AS OPPOSED TO A, BUT I THINK IT'S A GREAT FIRST, IT'S A GREAT, IT'S GREAT SOMETHING, BUT IT JUST SHOWS BASKETBALL.
SO, UH, WE WOULD NEED TO HAVE A MOTION TO ADN THE MEETING.
[01:45:01]
SENIOR AFFAIRS COMMISSION.