Just as the CPS worker had kept a running list of the kinds of dilemmas he faced through the years, the case manager had kept a list of her dilemmas as well. In preparation for the Area Agency on Aging public hearing, she had updated the list in hopes something could be done. Excerpts from her list follow:
1. Although some of our resources can be used to serve any older person in need, most of our funding is tied to income and age eligibility. Slots for people who aren’t destitute are quickly filled, and there are long waiting lists. Disabled clients who are not yet 60 years of age do not qualify for case management, even though physically they may be as challenged as many much older adults. Focusing on the diversity within aged and disabled population groups and recognizing the needs of vulnerable subpopulations are critically important. Couldn’t we organize population groups to help each other advocate for their needs? How do we familiarize policy makers with the diverse needs of these populations and persuade them to consider changing income and age eligibility criteria?