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DEPARTMENT OF HUMAN SERVICES
ADULT SOCIAL SERVICES
PROGRAM MISSION: to promote
a client's maximum level of independent functioning and self-sufficiency,
enabling them to remain in their own homes, preventing premature
institutionalization, and to assist, when necessary, with an appropriate
placement in the least restrictive environment.
The clients include frail, elderly persons and adults with
disabilities who have limitations in activities of daily living (ADLs), which
include eating, toileting, bathing, dressing, and walking, and in instrumental
activities of daily living (IADLs), which include preparing meals, shopping,
and housekeeping. When living at home
is no longer feasible, social workers assist in finding the least restrictive
residential setting that will meet the person's needs. Adult Social Services offers the following
program components:
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The Social Work
Case Management component provides periodic, comprehensive, functional
assessments of clients; development and implementation of service plans which
staff monitor and reassess periodically to ascertain goals achieved and to
establish new goals; emergency interventions; and supportive counseling. Staff assist clients in identifying and
making arrangements for the support services needed to enable them to remain in
their own homes. Staff also perform
state required screenings for nursing home and community-based waiver services.
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The In-Home
Assistant Program provides contract in-home assistants (self-employed
individuals paid by the County on an hourly basis), a human service aide
(full-time County staff), and staff of private homemaker agencies to enable
persons needing assistance with ADLs and IADLs to remain safely in their
home. Contract in-home assistants
receive skills training from County staff on the basics of providing home based
care prior to their being assigned to work with a client.
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The Community
Care Home program provides housing with support services for low-income
persons who need room and board, daily supervision, and limited assistance with
personal care. The average length of
stay is 2.6 years.
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Services for
Continuing Independence is based at Claridge House, a subsidized senior
apartment. In addition to case
management and housekeeping/personal care services, the program provides a
congregate meal on weekday evenings. Clients
pay a fee, based on their income, for the meal; approximately 40 clients
participate monthly.
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Program Budget
Summary
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FY 2002
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FY 2003
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FY 2004
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% Change:
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Actual
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Adopted
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Proposed
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'03 to '04
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Social Work Case
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Management
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$1,269,238
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$1,074,945
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$1,099,070
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2%
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In-Home Assistant
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906,253
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985,782
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985,782
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-
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Community Care
Homes
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28,672
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58,053
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58,053
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-
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Services for
Continuing
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|
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Independence
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182,981
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184,922
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190,322
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3%
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Total Expenditures
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2,387,144
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2,303,702
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2,333,227
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1%
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Total Revenue
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774,733
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690,390
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692,808
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-
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Net Tax Support
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$1,612,411
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$1,613,312
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$1,640,419
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2%
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Adult Social
Services
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FY 2002
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FY 2003
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FY 2004
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% Change:
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Actual
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Adopted
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Proposed
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'03 to '04
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Personnel
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$864,744
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$831,512
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$855,501
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3%
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Non-Personnel
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193,649
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196,604
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202,140
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3%
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Nonprofits
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200,525
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-
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-
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-
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Purchase of
Service
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1,128,226
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1,275,586
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1,275,586
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-
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Total Expenditures
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2,387,144
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2,303,702
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2,333,227
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1%
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Fees
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54,557
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23,000
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26,000
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13%
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State Share
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424,859
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383,899
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383,317
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-
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Purchase of
Service
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295,317
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283,491
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283,491
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-
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Total Revenues
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774,733
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690,390
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692,808
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-
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Net Tax Support
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$1,612,411
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$1,613,312
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$1,640,419
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2%
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Authorized FTEs
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13.5
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13.5
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13.5
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Funded FTEs
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13.5
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13.5
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13.5
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SIGNIFICANT BUDGET HIGHLIGHTS:
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Personnel expenses reflect normal step increases.
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The increase in non-personnel expenses is the result of
a price increase, required by contract, for the meals served in Services for
Continuing Independence at Claridge House ($1,547), a rent increase ($2,427),
and an increase in telephone charges ($2,952).
Psychiatric consultation funds ($1,415) were transferred to Senior Adult
Mental Health within the Division where the consultation program is
coordinated.
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Fees include a proposed rate increase for the Services
for Continuing Independence dinner program. It is proposed that the sliding fee scale be increased from
$35/month to $40/month for the minimum fee and from $100/month to $105/month as
the maximum fee.
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The Purchase of Service expense budget reflects a
proposed rate increase of $2/day or $60/month for Community Care Home
Providers. The increase was absorbed
within the overall budget for the program.
PERFORMANCE MEASURES:
Objectives:
To maintain clients in their own homes and prevent premature
institutionalization.
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FY 2001
Actual
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FY 2002
Actual
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FY 2003
Estimate
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FY 2004
Estimate
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Standard/
Benchmark
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Mission Outcome Measures
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Total number of clients served
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592
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567
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565
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565
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560
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Number/percent of all clients
maintained in own home
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562/95%
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525/92%
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508/90%
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508/90%
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90%
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Number/percent of clients requiring intensive intervention
maintained in own home for six months
or more
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279/88%
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220/84%
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220/85%
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220/85%
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85%
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Number of out-of-home placements made
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37
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42
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40
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40
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40
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Workload Measures
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Total number of clients needing
intensive intervention
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316
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262
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260
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260
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260
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Number of
clients receiving home-based services
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445
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421
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420
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420
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420
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Number of
in-home assistants (non-family companions)
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110
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75
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75
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65
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60
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Number of
nursing home and Community Based Waiver screenings
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80
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60
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80
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80
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80
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Number of
Community Care Home clients served
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7
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10
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7
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7
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7
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Number of
Services for Continuing Independence clients served
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66
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60
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61
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61
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60
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Average
caseload for Adult Services
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61
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60
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60
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60
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49
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Clients
requiring intensive intervention have difficulties with two or more ADLs or
IADLs, or a combination.
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The total number of clients served in FY 2002 decreased
by 4% because of the increased availability of Community Based Waiver services
which allow clients who meet the criteria for admission to a nursing home to
use state funds to receive services in their own home. In these instances, case management for the
client is taken over by the agency providing the home based services. Additionally, as housing becomes more
expensive, the lack of affordable housing is forcing clients to leave the
County.
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The number
of In-Home Assistants will decrease as they are transitioned to become
employees of a home care agency as a result of an expansion of the pilot
program which is intended to contract out In-Home Services.
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