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Family and Social Services Administration

Aging Home > Title III (Support Services and Senior Center Programs) Title III (Support Services and Senior Center Programs)

Title III - B Supportive Services and Senior Center Programs

Title III - C1 & Title III C2 Senior Nutrition Programs

Title III - D Disease Prevention and Health Promotion

Title III - E National Family Caregiver Support Program

Title III - B Supportive Services and Senior Center Programs

Title III-B Supportive Services and Senior Center Programs are provided through Indiana’s 16 Area Agencies on Aging. The services, under the Older Americans Act, as amended, organize, coordinate and provide community-based services and opportunities for older individuals and their families.

The following are services available under Title III-B:

Adult Day Service - Adult Day Services are community-based group programs designed to meet the needs of adults with impairments through individual plans of care. These structured, comprehensive, non-residential programs provide health, social, recreational, and therapeutic activities, supervision, support services, and personal care.

Attendant Care - Attendant Care is hands on assistance for older adults and persons with disabilities who have physical needs and is provided to allow the client to remain in their own home and carry out functions of daily living, self-care, and mobility. Assistance can include help with bathing, oral hygiene, hair care, shaving, dressing, applying cosmetics, transfer between bed and chair, meal planning, meal preparation and cleanup, toileting assistance, escorting client to medical appointments and other day-to-day activities. It should be noted that an attendant has to be a hired third party and can not be a loved one.  

Handy Chore - Handy Chore are minor home maintenance activities that are planned and monitored and are essential to an individual’s health and safety. They can include plumbing, heating, storm door maintenance, window and screen repairs, gutter and roof patching, heavy cleaning, broken step repair, installation of health and safety equipment such as handrails, ramps, deadbolts, fire extinguishers, smoke detectors, locks.  Ground maintenance is also included and can be lawn moving, snow removal, and minimal hard cleanup to assure safe entrance and departure from premises.  

Homemaker - Homemaker services are direct and practical assistance with household tasks and related activities. Homemaker services assist clients who have lost the ability to perform instrumental activities of daily living that allow them to live in a clean, safe, and healthy home environment. The service is available when the client is unable to meet daily needs and there is no informal caregiver who could meet those needs.  Activities can include dusting, vacuuming, cleaning the kitchen and bathroom, doing dishes,  laundry, making beds, disposing of trash, yard clean up and mowing, snow removal, grocery shopping, preparing meals, running errands and other household services as needed. 

Home Health Aide - Home Health Aide services include the provision of hands-on personal care, performance of simple procedures as an extension of therapy or nursing services, assistance in ambulation or exercises, and assistance in administering medications that are ordinarily self-administered. Home Health Aide services are offered by a Home Health Agency and must be performed by a qualified Home Health Aide.

Individual Counseling Support Group - Individual Counseling services are provided by either a licensed psychologist with an endorsement as a health service provider in psychology, a licensed marriage and family therapist, a licensed clinical social worker, or a licensed mental health counselor. 

Information Assistance - Information Assistance ensures that adults and disabled individuals have access to all available benefits and services. This includes providing answers to questions, assisting clients to receive needed service, and follow up to make sure that referred services are appropriate.

Legal Assistance - Legal Assistance ensures older adults understand and maintain their rights, exercise their choices, help them benefit from available services and resolve disputes. The program also promotes the need for lifetime planning through the understanding and the use of advance directives. 

Licensed Practical Nurse - The Licensed Practical Nurse furnishes services in accordance with agency policies, prepares clinical and progress notes, assists the physician and registered nurse in performing specialized procedures, prepares equipment and materials for treatments observing aseptic technique as required, and assists the patient in learning appropriate self-care.

Nutrition Counseling - Nutrition Counseling helps individuals who are at nutritional risk because of their health or nutritional history, dietary intake, medication use or chronic illnesses, by providing them with options and methods for improving their nutritional status. The service is performed one on one by a health professional in accordance with state law and policy.

Ombudsman - An ombudsman receives and resolves complaints made by, or on behalf of, individual residents in long term care facilities. They provide information and referral about facility selection and quality of care, assist residents and family councils, and promote a resident’s needs and interests to the public and elected officials. Long term care facilities are defined as nursing home and facilities that provide housing with services.

Outreach - Outreach services assist with identifying potential clients or their caregivers and encouraging their use of existing services and benefits.

Pest Control - Pest Control services are designed to prevent, suppress, or eradicate anything that competes with humans for food and water, injures humans, spreads disease and/or annoys humans and is causing, or is expected to cause, more harm than is reasonable to accept. Pests include insects such as roaches, mosquitoes, and fleas; insect-like organisms, such as mites and ticks; and vertebrates, such as rats and mice.

Personal Emergency Response System (PERS) - PERS is an electronic device which enables certain high risk individuals to secure help in an emergency. The individual may also wear a portable help button to allow for mobility. The system is connected to the person’s phone and programmed to signal a response center once a “help” button is activated. The response center is staffed by trained professionals.  PERS is limited to those individuals who live alone, or who are alone for significant parts of the day, and have no regular caregiver for extended periods of time, and who would otherwise require extensive supervision by health professionals.

Specialized Medical Equipment and Supplies - Specialized Medical Equipment and Supplies are medically prescribed items required by the individual’s Plan of Care/Cost Comparison Budget which are necessary to assure the health, welfare and safety of the individual, and allow an individual to function with greater independence in the home. Items include but are not limited to direct selection communicators, alphanumeric communicators, scanning communicators, speech amplifier, electronic speech aids/devices, standing boards/frames, adaptive switches/devices, specially adaptive locks.

Transportation - Transportation services allow individuals to gain access to waiver and other community services, activities and resources, specified by their Plan of Care. There are two levels of transportation: Level 1 in which the individual does not need medical assistance to travel and Level 2 in which the individual does need medical assistance to travel.

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Title III C1 & Title III C2 Senior Nutrition Programs

Nutrition Counseling - Nutrition Counseling helps individuals who are at nutritional risk because of their health or nutritional history, dietary intake, medication use or chronic illnesses, by providing them with options and methods for improving their nutritional status. The service is performed one on one by a health professional in accordance with state law and policy.

Nutrition Education - Nutrition Education is a program that promotes better health by providing accurate and culturally sensitive nutrition, physical fitness, or health (as it relates to nutrition) information and instruction to participants and caregivers in a group or individual setting. The program is overseen by a dietitian or individual of comparable expertise.

Home Delivered Meals - Home Delivered Meals are meals brought to the client’s home. Each meal complies with the Dietary Guidelines for Americans published by the Secretaries of the Department of Health and Human Services and the United States Department of Agriculture.

Congregate Meals - Congregate meals are meals which comply with the Dietary Guidelines for Americans published by the Secretaries of the Department of Health and Human Services and the United States Department of Agriculture and are available to eligible clients or other eligible participants at a nutrition site, senior center or another congregate setting.

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Title III - D Disease Prevention and Health Promotion

Title III-D or Disease Prevention and Health Promotion services are provided through Indiana’s 16 Area Agencies on Aging.  Services provide information and support to older individuals with the intent to assist them in avoiding illness and improving health status.  Services are provided at multipurpose senior community centers, congregate meal sites, home-delivered meals programs, senior high-rises, retirement communities or other appropriate sites. 

The following are services available under Title III - D:

Education Programs - Education Programs are designed to promote well-being, educate clients on chronic disease prevention and maintenance, and other health and living topics. They also include how to manage conditions or diseases due to aging. 

Gerontology Counseling - Gerontology Counseling is the process of helping older individuals to overcome losses, to establish new goals while in the process of discovering that living may be limited in years but not necessarily in quality, and to reach decisions based on the importance of being in the present as well as looking for future opportunities.

Health Promotion - Health Promotion provides information and support to older individuals with the intent to assist them in avoiding illness and improving their health status. Activities include:  health screening, physical fitness programs, exercise classes and informational programs on diagnosis, prevention, treatment, rehabilitation of age-related and chronic conditions.

Health Risk Assessment - A health risk assessment is a tool designed to identify potential health risks that a client may develop as they age.  This includes the propensity of developing chronic disease or increasing the severity of existing health conditions.

Health Screening - Health Screenings such as cholesterol, blood sugar, blood pressure, weight, depression, hemoglobin, etc. help indicate the risk or existence of chronic disease or potential health threats to the client.

Injury Control - Injury Control are education materials, sessions, or activities aimed at helping clients prevent falls and injury. These can include fall prevention exercise classes and methods of "fall proofing" the client's home. 

Medication Management - Medication Management provides medication screening, education, and management for a client.  

Physical Fitness - Physical Fitness education or programs are designed to keep elderly clients active by promoting stretching and other activities that keep muscles, bones, and joints engaged and not sedentary.

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Title III - E National Family Caregiver Support Program

Title III-E, the National Family Caregiver Support Program and the Older Americans Act, as amended, addresses the need to acknowledge and encourage the role caregivers play in the country’s home and community-based services system.  These services are provided through Indiana’s 16 Area Agencies on Aging. 

The following are services available under Title III - E:

Counseling Support Groups - Counseling Support Groups are services or activities that assist the caregiver in the areas of health, nutrition, financial literacy, decision making and problem solving. This includes counseling provided by a licensed professional or support groups that allow caregivers to discuss their attitudes, feelings, and problems with other individual(s) to achieve greater understanding of their situation, role, and problems that arise with caregiving. This also includes training and education for the caregiver to assist them in acquiring knowledge and skills that allow them to provide better care.

Respite - Respite Care are temporary substitute supports or living arrangements for care recipients in order to provide a brief period of relief or rest for caregivers. This can include in-home respite (personal care, homemaker, and others), respite provided by attendance of the client at a senior center or other non-residential program, and institutional respite, which is provided by placing the resident in a non-institutional setting such as a nursing facility for a short period of time as a respite service for the caregiver, or a summer camp in the case grandparents caring for children.

Supplemental Services - Supplemental Services are provided, on a limited basis, to complement the care provided by caregivers and include home modifications, assistive technologies, emergency response systems, and incontinence supplies.

Family Care Assistance - Family Care Assistance helps caregivers in obtaining access to the services and resources that are available within their communities.

Family Care Information - Family Care Information is a service for caregivers that provides the public and individuals with information on resources and services available to individuals in their communities.

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