Loading...
HomeMy WebLinkAboutCOM 0521.006 2002-2004IL It Profile of County of Hawaii's Older Populate Population Profile Demographic Trends Distribution of Hawaii's 60 years old and over population U.S. Census 2000 Total %60+ % 60+ % change Median PSA Total Pop 60+ in PSA in 1990- Age State 2000 Kauai 58,463 10,468 17.91 5.06 17.92 38.4 (PSA1) Honolulu 876,156 150,910 17.22 72.90 17.45 32.2 (PSA2) Maui 128,241 19,501 15.21 9.42 24.92 36.8 (PSA3) HAWAII 148,677 26,122 17.57 12.62 25.86 38.6 (PSA4) STATE OF 1,211,537 2071001 17.09 100 19.15 36.2 HAWAII V -% Date---'- ou"try►N �pnk Like all of the Planning and Service Areas (PSA) in Hawaii, PSA4 continues to experience growth in its aging population 60 years old and over. According to the latest US census conducted in 2000, it is estimated that there are 26,122 older individuals 60 years old and over in Hawaii County. This number of older individuals accounts for approximately 17.6% of the Big Island's total population of 148,677. Moreover, Hawaii County experienced the highest rate of increase (25.9%) in the 60+ population during the last ten years. Maui County came in second showing an increase of 24.9% and Kauai and Honolulu counties were almost tied at a rate of increase of 17.9% and 17.5% respectively. The 10 -year rate of increase of the 60+ population for the whole state was 19.2%. Hawaii County represents about 12% of the State of Hawaii's 60+ population and ranks second to City and County of Honolulu in its share of the total aging population. With the exception of Kalawao County, the Big Island had the highest median age of 38.6 in 2000 and its median age had increased from 28.1 in 1980 and 34.4 in 1990. The same data source showed that 60+ individuals are still concentrated in the South Hilo district of the Big Island representing about 39.1 % of the 60+ population on It the island. North Kona ranked next with about 4,575 (15.51%) older adults 60+ followed Comm. No.C ?,1 4 Ref. To: Ptesewted Page - 1 - of 11 Ref. aatewl2004 South Kohala had the highest growth of the older population between 1999-2000. Profile of of Hawaii's Older Population 0 by Upper Puna registering a total of 2,957 (11.32%) older adults. While North Kona showed the greatest rate of increase (117.74%) between 1980 and 1990, latest census figures showed that South Kohala held the highest rate of change of 73.20% between 1990 and 2000. In fact, of all county districts, only South Kohala surpassed the 45% rate of change. North and South Hilo districts showed the least percent change in their 60+ populations during the last ten years. According to the US Census, the proportion of 60+ individuals residing in rural areas was highest in PSA4 when compared with other PSAs. Big Island older adults accounted to approximately two-thirds (60.39%) of all 60+ individuals living in rural areas in the whole state. District Distribution of Older Individuals 60+, PSA4 District 1970 Pct 1980 Pct 10 yrs10 % chane 1990 Pct yrs % chane 2000 I Pct I 10 yrs % chane 30 yrs % chan e So. Hilo 4,296 48.50 6,526 48.01 51.91 9,223 44.44 41.33 10,213 39.10 10.73 137.73 Upper Puna 690 7.79 1,144 8.42 65.80 2,099 10.11 83.48 2,957 11.32 40.88 328.55 Lower Puna 291 3.29 588 4.33 102.06 998 4.81 69.73 1,319 5.05 32.16 353.26 Ka' u 481 5.43 637 4.69 32.43 881 4.24 38.30 1,180 4.52 1 33.94 145.32 So. Kona 681 7.69 867 6.38 27.31 1,186 5.71 36.79 1,509 5.78 27.23 121.59 No. Kona 617 6.97 1,460 10.74 136.63 3,179 15.32 117.74 4,575 17.51 43.91 641.49 So. Kohala 244 2.75 550 4.05 125.41 944 4.55 71.64 1 1,635 6.26 73.20 570.08 No. Kohala 467 5.27 583 4.29 24.84 767 3.70 31.56 1,068 4.09 39.24 128.69 Hamakua 753 8.50 919 6.76 22.05 1,122 5.41 22.09 1,285 4.92 14.53 70.65 No. Hilo 338 3.82 318 2.34 -5.92 356 1.72 11.95 381 1.46 7.02 12.72 Total 60+ 8,858 100 13,592 100 53.44 20,755 100 52.70 1 26,122 100 25.86 194.90 Total63,468 Po ulation 92,053 45.04 120,317 30.70 148,677 23.57 134.26 The 85+ age group io the fastest growing group of P5A4's older population. In previous planning cycles, the 75 years old and over age group was used as a planning marker to initiate and mobilize future interventions aimed at preventing premature or unnecessary institutionalization. Hawaii County's 75 years old and over age group represented 28% and 35% of the total older population in the 1990 and 2000 censuses respectively. Due to significant medical improvements, our older residents are living longer and healthier hence the trend pegging the 85+ age group (oldest -old) as the fastest growing group in our older population. The rate of increase of the 85+ age group in both the 1990 and 2000 censuses has been at over the 80% mark. The male to female Page -2 -of 11 e 0 Profile of County of Hawaii's Older Populati ratio for PSA4 in the 85 and over age group is 75.9 males for every 100 females, which is slightly higher than the state's ratio of 70.6 males per 100 females in the same age group. Interestingly, the number of males per 100 females is 97 in rural areas compared to 68 among those living in urban areas of Hawaii County. Although the 85+ age group represents only 8% of the total older population, service delivery challenges could be drastically more demanding than those in the younger age groups. Another bulge of the aging population is also expected to occur in 2011 when a significant number of baby boomers will reach 65 years of age. Racial and Ethnic Composition of PSA4 60+ Older Individuals, 2000 Census The racial and ethnic composition of Big Island's elderly mirrors the diversity of The Sex ratio of NO loland'o older population mirrors the national trend. the state's population, which is rooted in the development of Racial Distribution Hawaii's plantation economy and U.S. liberal immigration of PSA4 60+ policy during and after the cold war. Approximately 65 out of Arn.lndian Black/African Hispan./Latino, AI.Nat., 0.2% American, 3.7% 100 individuals 60 years old and over in PSA4 are non-white. I 0.3% There are more Asian elderly (44.3%) than any of the other While, 35.2% racial categories. The white population represents 35.2% of the aged population and distributed all over the island with Two or more races, 9.8% highest numbers in North Kona (2,885), South Hilo (2,111), some other races, 0.1 % and Puna (1,878). Kohala also shows a modest number (1,162) of white individuals sixty years old and over. The number of older Black/African American and American Indian/Alaska Native was very insignificant, thus they are grouped together with other ethnic category in the chart below. The pie chart below displays the ethnic distribution of PSA4's aging population Ethnic Distribution PSA4 60+ Individuals Korean, Others, 0.56% 14.68% Caucasian, Chinese, 36.57% 1.27% Native Hawaiians, 5.95% Japanese, Filipino, 30.32% 10.66% Page -3 -of 11 and depicts that approximately six out of ten of the Big Island's older adults are non -Caucasian. The census classification of Caucasian includes the Portuguese group. The percentage of older Caucasians and older Filipinos approximate their relative ethnic distribution in the total population Asian, 44.3% Nat Haw/Pac.lsl 6.4% 2/3 of F5A4 60+ io non- white of which 4 out of ten non -whites are of Asian background. I Japanese seniors represent over 60% of the old -old age group & mostly found in South Hilo. Profile of County of llawaii's Older Population of PSA4. Caucasians accounts for 31.55 percent of the total population and Filipinos represents 9.11 percent. If Portuguese older adults are classified as a single ethnic group, it is possible that Japanese older individuals constitute the largest ethnic group representation. The Japanese share of 30.32% among the older population is three times their representation in Hawaii County's total population of 13.55'% in 2000. Sixty three percent of Japanese older adults reside in the South Hilo district and has the highest distribution (49%) in the district. The Japanese elderly also represents about 42% of the total number of 85 years old and over in PSA4. Fifty three percent of Filipino elderly are found in South Hilo and Puna districts. Caucasian older adults are highly concentrated in North Kona accounting for 63.06% of the total 60+ population in the district. With the exception of South and North Hilo, Caucasian seniors 60+ also ranked highest in all other districts of the Big Island. Native Hawaiian older adults averaged a 5.97% representation in all Hawaii County districts with the highest number in South Hilo. The US census did not identify any older Native Hawaiian in North Hilo. Small numbers of Chinese and Korean older individuals were identified in South Hilo, Kohala, Puna and North Kona districts. Interestingly, Japanese elders represented over 60% of the oldest -old (85+ and over) age group and predominantly found in the South Hilo district of PSA4. The Hawaii County Office of Aging (fICOA) Senior Citizen information System (SCIS) database which consists of approximately 73% of the county's total elderly population confirms the census figures showing Japanese, Caucasians and Filipinos as the first, second and third respective largest ethnic aging populations on the island. Portuguese older adults are fourth in number (6.8%) in the HCOA SCIS database. Socioeconomic Characteristics of PSA4's 60 plus Sex Ratio, Marital Status and Living Arrangement The latest census data reflects that as population ages, the ratio of male to female decreases. This decrease in male to female ratio begins to become evident in the 55 to 59 age group. The male to female ratio of older individuals 60+ in Hawaii County is 88.9 and slightly higher than the 82.6 male to female ratio for the State's older population. The present lower male/female ratio is a complete reversal of the male/female ratio of PSA4 during the 1970 and 1980 censuses when male older adults outnumbered female older adults. This present low male to female ratio is an affirmation of a common stage in later adult life where females outlive males resulting to a considerable number of Page -4-ojll Profile of County of Hawaii's Older Populate widowed older adults who are either living alone or with minimum social support. Someone's marital status can strongly affect a person's emotional and economic well- being by influencing living arrangements and availability of caregivers. The U.S. Census Marital Status by Sex PSA4 60+ 100.0% 80.0% 60.0°/ i"/ „ /i iii, Mal ° / ' "%j/' % , / / a) 40.0°/ i ' o ,/ �/ , �,�i�, / ■Female 20.0% 0.0% (D > L a -92� z Czco Marital Status 2000 estimates that there are about 5,046 older individuals 60+ living alone and an estimated 3,811 non-English speaking older adults. The chart above indicates that two out of three older adults in PSA4 lacks social support as reflected by the total number of 60+ who are either never married, married but spouse absent, widowed and divorced. The same chart shows that the number of female widows is about four times as much as older male widowers. The same data source also found approximately 10% of PSA4s 60+ is foreign born. Poverty Level, Income, Employment and Education During the last ten years, PSA4 showed over a 50% decrease in the number of older individuals 60 years old and over who were living below poverty. The U.S. latest census identified two thousand sixteen older individuals 60+ living below poverty level in 1999 in PSA4 compared to 3,907 in 1989. For unrelated 65+ individuals living alone below poverty, 23.2% are females and 9.2% are males. The State of Hawaii Executive Office on Aging estimates that there are 2,349 low-income minority 60+ PSA4 older individuals in 1999. In addition, the census found that among the 15,844 households receiving Social Security incomes, their mean social security income was $ 11,546. In 1999, the mean retirement income for 10,857 households with retirement income was $18,243. There is a huge gender disparity in terms of income of older individuals Page -5 -of 11 2out of3 older adults lack Social Support, 5,046 older individuals live alone & 3,811 are non- Englioh opeakero. The number of older individuals below poverty decreaoed by 50% during the past 10 years. The median income of houoeholdero 65+ living alone i5 much higher among male houoeholdero than female houoeholdere. Profile of C of Hawaii's Older Population 0 18.0% 16.0% 14.0% 12.0% 10.0% 8.0% 6.0% 4.0% 2.0% 0.0% Household Income of Householders 60 years old and over, 1999 Hawaii County, US Census SF3 less $10K- $20K- $30K- $40K- $50K- $60K-74- $75K- $100K or than 19,999 29,999 39,999 49,999 50,999 999 99,999 more $1 OK especially among householders living alone. The median income of male householder 65+ living alone ($21,728) is sixty eight percent higher than the median income of female householders 65+ living alone ($12,893). A closer look of the same data indicates greatest gender -income disparity in the South Kohala district where the median income of male householders 65+ living alone is $69,318 compared to the median income of female householders 65+ living alone which is $17,188. While the HCOA Senior Citizen Information System shows high number of those in the database has annual income of less than $15,000, the US Census 2000 SF3 indicates that approximately 12% of 60+ householders have incomes less than $10,000 annually. Toward Healthy Hawaii 2010, published in December 2002 by the State of Hawaii Department of Health stated that the median household income for Hawaii County was nearly $10,000 lower than the State of Hawaii and United State's household median income. Employment Status of PSA4 Older Individuals 60+, U.S. Census 2000 The US Census 2000 Summary File 3(SF3) estimates that one in five (21%) of PSA4's 60+ are employed, a great majority (78%) was not in the labor force and the rest are unemployed. Possible explanation to the decrease in number of older adults living in poverty could be the gradual emergence of a more educated aging population in Hawaii County. In 2000, it was estimated that 64.6% older individuals have high school education or higher and 15.6% possess a bachelor's degree or higher. According to Toward Healthy Hawaii 2010, Hawaii County continues to have higher unemployment rate Page -6 -of 11 Profile of County u( Ha au v Older Population of 6.7% when compared with the three other counties, the State of Hawaii or the United States. In addition, the same publication reported that Hawaii County had the highest percentage of people reporting their household did not make a livable wage hence making more people qualify for some form of government help. Old -Age Dependency Ratio The graying of PSA4's population will definitely pose tremendous challenges to health care and social service providers. Likewise, the aging of baby boomers will be of major concern among economists and policy decision makers. Such a concern is rooted in the form of old -age dependency ratio and parent support ratio. In calculating old -age dependency ratio, the crucial matter is whether the number of working individuals will be sufficient to generate a considerable tax base to pay for eldercare supportive services and entitlement benefits for older retirees. Old -age dependency ratio is simply stated as the ratio of retired individuals 65+ to the total number of working individuals 20 to 64 years of age. The old -age dependency ratio for PSA4 in 2000 (.23) ranked second highest to Kauai County (24) and slightly higher than the State of Hawaii (.22) and the nation as a whole (21). In a 1997 State of Hawaii Department of Business, Economic Development and Tourism (DBEDT) publication, it was projected that the dependency ratio for Hawaii's population will likely increase in year 2020 where 33 older individuals 65+ will require 100 working individuals (20-64 years old) to insure continuity of entitlement and supportive benefits to our aging population. The parent support ratio which indicates the potential strain or burden of the old - old on their children (most of whom are still working but approaching old age) is calculated by dividing the number of older adults 85+ by the number of individuals in the 50-64 age group. The emergence of family caregivers is clearly a consequence of this phenomenon. The parent support ratio (8%) for PSA4 is the lowest in comparison to the other counties in the state but like the other PSAs, Hawaii County continues to experience steadfast growth of the old -old age group. DBEDT projected that parent support ratio for Hawaii will increase to 16% by 2020 thus potentially placing the state ahead of the nation in terms of parental support ratio and associated drastic challenges it may bring. On the brighter side, negative consequences may be reduced by continuing improvements in health and functional status of our older residents. Page -7-of11 The old age dependency ratio of P5A4 is .23 and a parent support ratio of 5%. P5A4 pareed 7 national health indicators but did not do too well on diabetes prevention and immunizations for pneumonia. Hawaii County has high prevalence of diabetes and hyperten6ion and highest number of deaths ae60- ciated with 6troke and coronary heart diceases. Profile of Counly of Hawaii's Older Population Health Status of PSA4's 60 plus According to Toward a Healthy Hawaii 2010, the County of Hawaii passed national goals on seven health indicators including coronary heart disease, lung cancer deaths, women who got mammograms, avoidable hospitalizations for pediatric asthma and hepatitis, measles and food borne disease called listeria monocytogenes. On the not - so -bright side, the same report noted that Hawaii County's rate of diabetes was more than twice as high as the Healthy People 2010 goal and the rates of those who missed immunizations for pneumonia were four times the Healthy People 2010 goal. Rates in diabetes and pneumonia are often associated with aging individuals. While educational background is often associated with health status, other factors of equal importance are presence or absence of chronic conditions, disability, lifestyle, nutrition, alcohol and tobacco use, physical activities, support system and ability to access care. In general, while older Americans will expect to live longer, their greater challenge will rest primarily on proactive measures to prevent and control the debilitating effects of chronic diseases with the expectation to increase the likelihood for healthier, more productive and more enjoyable later years. Similar to findings published by the U.S. Centers for Disease Control and Prevention in their series on Trends in Health and Aging, the leading causes of death among the elderly are chronic diseases particularly cardiovascular diseases and cancer followed by stroke (cerebrovascular disease). Compared to the other PSAs, Hawaii County has the highest prevalence of diabetes among adults and also highest in the number of deaths associated with stroke and coronary heart disease. The National Center for Chronic Disease Prevention and Health Promotion reported that 1999 Hawaii rates of death from heart disease were 76% higher among men than among women. The center also noted that rates of death from stroke and diabetes were higher among Asians/Pacific Islanders than among whites. The Department of Health's Hawaii Health Survey released on June 2002 showed that Hawaiians and Filipinos had higher prevalence of diabetes than other ethnic groups. The Chinese and Japanese ethnic groups on the other hand had higher prevalence of high blood cholesterol. Recent reports from Behavioral Risk Factor Surveillance System by the Planning and Evaluation Section, Community Health Division of the State of Hawaii's Department of Health showed that the mean number of unhealthy days in 2000 was highest among older adults in Hawaii and Kauai counties especially among Hawaiians, Whites and Page - 8 - of 77 Profile of Ctmm of llwaii'r Older Population Japanese populations, among those who never graduated from high school and to those whose annual household income was less than $15,000. The same report showed that Japanese and Hawaiian retirees had higher prevalence of hypertension. PSA4 had the highest prevalence of high cholesterol in the state. Vital statistics reports from the State of Hawaii Department of Health in 2000 showed that the number of deaths among older residents 60 years old and over has been averaging at about 870 deaths per year for the last three years (1999, 2000 and 2001). Moreover, elderly deaths in 2000 contributed to about 78.3% of all deaths in PSA4. Over 52% of all deaths in 2000 in Hawaii County were deaths of older persons 75 years old and over. Supporting the general notion that women tend to outlive men, the number of deaths among males in PSA4 outnumbered female deaths by 6 male deaths to 4 female deaths in 2000. In terms of ethnic background, forty percent of all deaths were of Caucasian background followed by the Japanese ethnic group posting twenty-five percent of all deaths in 2000 in PSA4. It is estimated that there are 8, 983 (34%) older individuals in PSA4's with disability according to the U.S. Census 2000. furthermore, the U.S. Census 2000 shows Disabled Older Individuals 60+ PSA4 - U.S. Census 2000 6,000 5,219 4,278 4,000 2,916 2,230 1 2,000 ,363 0- m Sensory Physical Mental Self-care Go -outside home Disability Type that greatest numbers of older individuals reported that they had some form of physical disability followed by those experiencing difficulty in going outside the home alone to shop or visit a doctor. The State of Hawaii Executive Office on Aging estimates that there are about 1,203 older adults in PSA4 who are frail with two or more activities of daily living (2+ ADL) impairments. The same agency further estimates there are 861 older individuals in Hawaii County who are severely disabled with 3 or more Activities of Daily Living impairments. Report and information on the mental health status and drug/substance abuse among older adults in Hawaii County is not readily available. Page- 9-of11 Over 52% of all deaths in 2000 were deaths of older pereons75 years old and over. While PSA4 has the highest of mean unhealthy days, it is eatimated that 347, of Big Island seniors suffer from some form of 5,0&0 grandparents 60+ live with one or more grandchildren 15 years old or younger and 1,546 grandparents are reeponeible for their grandchild, Prefile of County eJ'Hawae ,s Older Population However, the rate of admission for psychiatric care per 1,000 persons in PSA4 is 6.4 which is on par with the U.S. rate of 6.3 but highest of all PSAs including the state of Hawaii's rate of 5.3. The Statewide Substance and Abuse Treatment Plan published by the State of Hawaii Department of Health Alcohol and Drug Abuse Division in January 2000, estimated that there were approximately 676 adults 18 years old and over that would require drug and substance abuse treatment services. Furthermore, report from the local Hawaii County Community Mental Health Center of the State of Hawaii Department of Health showed that the center served between 548 to 659 older individuals 60 years old and over with counseling and case management services in 2002. Older Adults as Caregivers As mentioned in the Old -age Dependency Ratio section, many older adults are turning to be caregivers to their aging parents, spouse, disabled children/siblings or grandchildren. Although three caregivers' conferences have already been organized and convened during the past two years, accurate count of the number and demographic characteristics of informal family caregivers in Hawaii County is yet to be gathered and documented. However, a survey of needs of caregivers in West Hawaii in 1997 by the Hawaii Community Caregiver Network (HCCN) validated many research findings uncovered by early demonstration projects funded by the AoA's National Family Caregiver Support Program which was enacted in November 2002. The HCCN study found that majority of caregivers in the West Hawaii sample were married women age 40-69 providing care to either their parents or spouse for more than eight-hour period. Majority of them performed mostly personal care and supervision of care recipients. Caregivers' responsibilities included meal preparation, light housework, financial management, medicine management and administration, grooming, mobility outside the home, personal grooming, toileting, using the telephone and dressing. Many of the needs identified in the HCCN study such as the need for respite care, information clearinghouse, training & education, crisis line, organized group, legal assistance, financial relief and geriatric specialists are now being addressed and integral components of the many effective caregiver projects throughout the nation. Like many of caregivers in other regions of the United States, the economic value of caregiving of remarkable significance. The latest U.S. census identified 5,080 grandparents 60 years old and over who are living in households with one or more grandchildren under the age of 18. According Page -l0-of11 Profile of County ojHawaii's Older Population to the same data source, approximately 30% (1,546) grandparents in households with grandchildren were responsible for their grandchildren. Data extract from the Hawaii Behavioral Risk Factor Surveillance System 2000 estimated that there are 14,128 adult caregivers in PSA4 representing about 1 I percent of the total number of adult caregiver (126,598) for the state. REFERENCES Administration on Aging Website, Statistics on Older Adults, www/aoa.gov Center for Disease Control, Healthy Aging Data Series, 2000 County of Hawaii Data Book, 2000 Hawaii Behavioral Risk Factor Surveillance System, 2000 Hawaii County Area Plan on Aging, 1999-2003 Hawaii County Office of Aging SCIS Hawaii Health Survey, HHS 2001, June 2002 Inpatient Facilities and Home Services Utilization Report, SHPDA, 2000 Statewide Substance Abuse Treatment Plant, January 2000 The Hawaii Data Book for Older Adults, EOA, 1998 Toward a Healthy Hawaii 2010, DOH, December 2000 United States Census 2000, SFI, SF2, SF3, SF4 Page- H-ofll There are 14,128 adult informal careeivere in P5A4. Situation: Our Island's Population is Aging Rapidly The Rate Of Increase Of 60+ Individuals Living In Hawaii County Is Highest In The State During The Last Decade Big Island Seniors Account For 60.39% (2 out of 3) Of All Older Individuals In The State Residing In Rural Areas. Like The Nation, The Old -Old Age Group (85+) Is The Fastest Growing Group Among The Older Population, Hawaii County had An 80% Increase of the 85+ Population In The Last Ten Years. It Is Estimated That There Are About 14,128 Informal Caregivers In Hawaii County There Are About 1,546 Grandparents Responsible For Their Grandchild in Hawaii County It Is Estimated That 34% Of Hawaii County's Older Population Suffer Some Form Of Disability. 2,230 Older Individuals Experience Some Type Of Mental Disability. Nationally, Between 1987 and 1997, The Number of Households In The United States Caring for Family Members or Friends Over Age 50 Tripled to Over 22 Million. Caregiving Now Preoccupies One In Every Four Households. This Phenomena May Be Even Greater In Hawaii As We Have The Longest Life Expectancy in the Nation. What Does This Mean For Hawaii County? • Growth Of Older Population With Associated Demands For Services Will Place a Considerable Strain On The Current Service Delivery Network. • Public (Communities) Need To Be Informed of Trends And Implications • Service Delivery Capacity, Especially In Rural Areas Need To Be Expanded • Services In Support of Caregivers Need To Be Provided: ► Information (Available resources, Literature, Public Education through Health Fairs, Expos, Group Outreach) ► Assistance (Assessments to determine specific needs, links to services, coordination and follow-up) ► Counseling (Help make decisions or solve problems and questions through individual or group counseling sessions, i.e.) one-to-one Caregiver session, support groups, family meetings, financial counseling. ► Respite Care (Temporary, intermittent or emergency services in the home or day care or institutional setting) ► Supplemental Services (Needed incidental services unique to individual situations such as yard work or heavy housecleaning) 2 What Has Been Done To Address Needs? • Caregiver Resource Center Established in Kona Providing Resource Materials and Information & Assistance Services. • Caregiver Training is Being Provided Through Special Caregiver Conferences and Training Sessions. • Community Organization "Hawaii Community Caregiver Network" (HCCN) Established To Help Address Caregiver Needs. • Community Planning Councils (Partners in Eldercare [PiE] Councils) Established In All Districts To Identify Community Assets and Address Community Eldercare Needs. • Grants Have Been Obtained To Address Development of Community Resources To Address Service Delivery Needs At The Community Level. • National Family Caregiver Support Program Funded By Congress To Address Needs of Family Caregivers. 3 So What Is The Problem? Both Positions At Kona Resource Center Are Federally Funded Through Title III of The Older Americans Act. Why Is This A Problem? • Authorization for Title III -E Federal Funds for Implementation of National Family Caregiver Support Program Contains Prohibition Against "Supplanting." We Cannot Utilize These Funds To Cover Personnel and Administrative Costs Covered By Other Resources. As A Consequence, We Are Unable to "Free Up" Limited Title III Funding For Provision of Needed Direct Services. We Are Limited In The Amount of Funds That Can Be Used for Administration and Direct Services. • The Need and Demand for Direct Services Increases Daily and Projected Future Demands are Staggering. 4 Without Additional Resources for Provision of Direct Services, the Following Are Probable Consequences: • Diminished Availability of Support As The Anticipated Demand Increases. • Public Outcry Demanding Proportionate Share of Services. • Fragmented Services - Available Resources Will Only Provide Minimal "Band Aid" Assistance. • Increased Incidences of Caregiver Burnout. • Higher Rate of Caregiver Absenteeism From Regular Employment. • Lower Rate of Productivity at Work. • Increased Institutionalization. Unable To Keep Older Persons In Community And At Home. W, What Is Proposed Solution? County Funding For Planner and Clerical Position in West Hawaii Caregiver Resource Center What Would Be Direct Benefit To County? • County Funding Would Release Much Needed Federal Funds To Enable Full Implementation of National Family Caregiver Support Program in Hawaii County. • Provision Of Needed Additional Community Based Services For Support of Family Caregivers. • Economic Stimulus Through Increases In Contractual Services. • Stabilize and Maintain Staff Presence in West Hawaii. (Prevent loss of stable workers to more secure jobs) • Reduce Incidences of Caregiver Burnout. • Reduce Rate of Caregiver Absenteeism and Increase Productivity at Work. • Decrease Institutionalization. What Will Proposal Cost? Total Salaries and Wages Including Fringe Benefits Total $82,729.00 What Do Positions Provide? • Resource Library and Information & Assistance Center for Caregivers. • An Island -Wide Caregiver Program Aimed At Serving The Needs Of Caregivers. • Caregiver Training, Leadership, Information & Assistance, and Caregiver Care Management. • Partnerships With Private Organizations, Service Providers and Other Entities To Plan Conferences, Workshops, and Training. • Outreach To Public, Especially Seniors and Caregivers, To Advise Of Program Services, Assist Volunteer Coalitions With Appropriate Projects and Develop Marketing Strategies For Caregiver Program.