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DEPARTMENT OF HUMAN SERVICES
AGING AND DISABILITY SERVICES DIVISIONAL MANAGEMENT
PROGRAM MISSION:
To provide leadership and management to divisional programs that assist seniors
and persons with disabilities to remain safely and as independently as possible
in the least restrictive setting.
The Division provides support
services to enable adults to remain in and be an integral part of the
community, and to prevent unnecessary or premature institutional
placements. Services focus on elderly
persons, persons with physical or developmental disabilities, and persons with
mental retardation who are at greatest risk of institutional placement. The community education, health promotion,
advocacy, and legal compliance activities also benefit seniors and persons with
disabilities who are able to be self-sufficient in the community.
This Division serves as the liaison for the Department of
Human Services with the Virginia Department for the Aging, which provides
funding for a variety of programs within the Agency on Aging. In addition, the Division receives funding
through the Virginia Department of Social Services (VDSS), and thus works
closely with administrative staff in the Child and Family Services Division to
ensure compliance with all federal and state funding requirements. There also is a close working relationship
with the Community Services Board, and staff in the Behavioral Healthcare
Division and the Public Health Division to coordinate on protocols and other
matters of mutual interest that pertain to Senior Adult Mental Health Services,
Mental Retardation/Developmental Disabilities Services, and Nursing Case
Management Services.
Agency on Aging, Office for Persons with Physical
Disabilities, and Nursing Case Management staff within this Division support
three County-Board appointed citizen advisory commissions: Commission on Aging,
Disability Advisory Commission and the Health Center Commission. Staff support is also provided to the Mental
Retardation/Developmental Disabilities Committee of the Community Service Board
by the Mental Retardation/Developmental Disabilities Services staff. The collaborative working relationships
between the advisory groups and the Division enable Divisional programs to
fulfill better their government role of facilitator, problem identifier and
catalyst for community action for this population group.
The following chart provides a
summary of the budget for the Aging and Disability Services Division. Expenditures are shown by program.
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AGING AND
DISABILITY SERVICES DIVISION
|
|
|
FY 2002
|
FY 2003
|
FY 2004
|
% Change:
|
|
|
Actual
|
Adopted
|
Proposed
|
'03 to '04
|
|
Divisional
Management
|
$286,944
|
$283,799
|
$310,316
|
9%
|
|
Office for Persons
with Physical Disabilities
|
125,918
|
137,274
|
150,160
|
9%
|
|
Agency on Aging
|
882,469
|
1,350,649
|
1,455,924
|
8%
|
|
Adult Day Programs
|
794,635
|
730,390
|
741,325
|
1%
|
|
Adult Protective
Services/Over Sixty Intake
|
400,331
|
325,581
|
312,805
|
-4%
|
|
Adult Social
Services
|
2,387,144
|
2,303,702
|
2,333,227
|
1%
|
|
Senior Adult
Mental Health
|
417,253
|
463,759
|
496,618
|
7%
|
|
Nursing Case
Management
|
606,304
|
691,643
|
738,157
|
7%
|
|
Mental Retardation
|
4,078,734
|
4,891,000
|
4,860,409
|
-1%
|
|
Total Expenditures
|
9,979,732
|
11,177,797
|
11,398,941
|
2%
|
|
|
|
|
|
|
|
Fees
|
296,519
|
527,163
|
512,109
|
-3%
|
|
State Share
|
1,947,572
|
1,668,687
|
1,617,356
|
-3%
|
|
Federal Grants
|
248,255
|
316,732
|
379,976
|
20%
|
|
Medicaid
|
32,583
|
27,092
|
28,720
|
6%
|
|
Medicare
|
18,337
|
22,500
|
18,000
|
-20%
|
|
Medicaid State
Plan Option
|
98,399
|
157,979
|
157,979
|
-
|
|
Medicaid Waiver
|
186,749
|
237,994
|
32,430
|
-86%
|
|
Contract Sales
|
9,827
|
15,000
|
15,000
|
-
|
|
Other Grants
|
189,753
|
190,606
|
250,352
|
31%
|
|
LPACAP
|
-
|
28,049
|
28,049
|
-
|
|
Purchase of
Service
|
305,361
|
293,535
|
293,535
|
-
|
|
Total Revenues
|
3,333,355
|
3,485,337
|
3,333,506
|
-4%
|
|
Net Tax Support
|
$6,646,377
|
$7,692,460
|
$8,065,435
|
5%
|
|
|
|
|
|
|
|
Authorized FTEs
|
83.4
|
83.7
|
81.9
|
|
|
Funded FTEs
|
83.4
|
83.7
|
81.9
|
|
The budget for Divisional
Management consists of a Division Chief and Administrative Officer for the
Division. All program related
expenditures except utility charges and a portion of the telephone charge are
budgeted within the Division's individual programs.
SIGNIFICANT BUDGET HIGHLIGHTS:
-
The increase in non-personnel expenses reflects actual
costs of telephone usage ($21,803) and the increase in the cost of building
rent ($507).
PERFORMANCE MEASURES:
|
FY
2001
|
FY
2002
|
FY
2003
|
FY
2004
|
FY
2004
|
|
Actual
|
Actual
|
Estimate
|
Estimate
|
Target
|
|
Mission Outcome Measures
|
|
|
|
|
|
|
Percent of approved net tax support expended
|
N/A
|
N/A
|
95%
|
95%
|
100%
|
|
Percent of employees achieving required
computer related competencies
|
N/A
|
N/A
|
95%
|
95%
|
100%
|
|
Percent of division staff attending at least 16
hours of training per year
|
N/A
|
N/A
|
100%
|
100%
|
100%
|
|
Percent of budgeted third party revenues
collected
|
N/A
|
N/A
|
80%
|
85%
|
100%
|
-
New systems are being implemented to improve third
party collections.
FUTURE BUDGET CONSIDERATIONS:
-
An analysis of in-home and personal care services
provided by staff, by self-employed personnel, and under contract within the
Division was completed in FY 2002. The
purpose of this review was to examine the way in which services are provided
and to use that information to ensure that resources are used to meet the needs
in our community in the most effective, efficient manner. Upon completion of the study, a pilot
project began for clients who are "clustered" in a senior residential building. A contractor provided home based services to
those clients, which resulted in high efficiency and high satisfaction with
services. In FY 2003, the pilot
was expanded, within the current budget, to include a second senior residential
building in which clients are "clustered".
Further expansion of the pilot programs will require additional
funding. Work continues to identify
options for additional funding.
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