Annual Report

Client Demographics:  In 2016, SSP has provided direct services for 26,314 individuals and participated in indirect services for 9,380 individuals. Of the total, 26,314, 12,894 were served through community outreach programming and duplicated a variety of programs, of the remaining, 13,103, 11,390 were aged 55 plus, 38 individuals with disabilities, and 279 individuals were age 16 to 55 through the Wellness Center. There were 4,697 children served indirectly through the Foster Grandparents, Nutrition and Transportation program. SSP provides direct services for over 3,000 on a daily basis through all of our programs.

The following are program results for SSP services:

Care Transitions: The Care Transitions program was started in October 2014 to support seniors with successful transition services from the hospital to home. SSP Care Transitions staff is in 4 major hospitals in Madison and St. Clair counties assisting in discharge planning for seniors as they transition home from medical procedures and treatment.

Outcomes: In 2016 the Care Transitions staff provided services for 354 seniors providing follow up transportation for 333 individuals.

Community Care Program: The CCP program provides individuals assistance and support with activities of daily living and personal assistance that will enable them to remain living independently in their own homes. The CCP program receives referrals from The Illinois Department of Aging who funds the majority of individuals or 99% of individuals served due to their medical condition and assets and the remaining 1% is private pay. Individuals are referred for services and receive an in home assessment to determine their level of care and within two days of a referral being made SSP schedules a homemaker staff for care. Seniors have a right to interview and choose their staff and quality assurance calls and visits are made by the CCP coordinator to monitor the quality of services.

Outcomes: SSP has two CCP offices and is licensed in Illinois with the Veteran's Administration, Illinois Department of Public Health, Illinois Department on Aging, and the two State of Illinois Managed Care providers, Molina and Meridian Health Care. One is located in Madison County and in St. Clair County.  In 2016, the CCP program provided 335,477 hours of services for a total of 959 seniors, 825 were funded through IDOA, 54 private pay, 3 DORS clients, 22 VA clients, and 55 MCOs. The CCP program continued to grow, it was 15% over 2014 and 12% or 34,000 hours over our projected FY 15 total of 283,200 hours. Of the total number of seniors served, 95% are living at or below a low income or poverty level, 52% are above the age of 75 and 65% are women. It is self-reported that 60% of the seniors we serve in the Homemaker services are living alone with no family in the immediate area.

Community Outreach: SSP provides seniors with educational and recreational opportunities in a group setting to promote better health and to reduce isolation. The program is an essential component in encouraging companionship and easing loneliness through a variety of recreational and social activities. Programs include education and health services provided by guest speakers and area health and fitness agencies. The SSP newsletter is a huge component in recruiting individuals for programs, trips, and wellness prevention activities; it goes out to over 6,000 individuals every two months. Many of the Community Outreach programs are funded by direct private pay for services, and the fees are very affordable for those seniors who are on limited income.

Outcomes: In 2016, SSP provided a multitude of activities including trips, health and education classes, educational seminars, guest speakers, and craft clubs for over 7,634 individuals, and participated in indirect activities for 6,631 individuals. SSP participates in a variety of senior fairs, informational and an ongoing schedule of clubs and events at our facility. Many of the individuals served in the Community Outreach program are duplicate numbers of individuals from other programs.

Congregate Meal Program: Senior Services Plus provides nutrition services for individuals who are low income and at risk due to their inability to afford daily, well balanced meals. The Congregate Meal Program provides 120 meals daily through three dining sites throughout Madison and St. Clair Counties. Seniors are able to access 33% and one third percent of their daily nutritional requirements through the dining sites by coming to four centers for lunch. The indicators for success for this program is for Senior Services Plus, Inc. to provide 90% of the projected number of congregate meals, 31,900 to individuals age 60 + who are at risk for poor nutrition due to economic status and limited mobility; a nutritious meal in a group setting to promote better health and to reduce isolation. This is accomplished by providing meals for a suggested donation of $3.00. If a senior comes to a dining site without means to purchase a meal they can still receive a meal regardless of their ability to make a donation. The average suggested donation for the Congregate Dining Program is still less than the request. In 2016 the suggested donation was $2.16 or 62% of the total requested donation. The increase in the number of individuals using services and the lower donation is an indicator of the economic conditions of our community.

Outcomes: The projected outcome for this program is SSP will provide meals at community based dining sites meals to individuals age 60 + who are at risk for poor nutrition due to economic status and limited mobility, to promote better health and to reduce isolation.

Indicator of success is that SSP will provide 90% of the projected number of congregate meals, or 28,710 of the total number of 31,900 meals.

In 2016, the SSP Congregate Meal program has provided 24,920 meals for 1,277 persons who rely on SSP dining services for a daily nutritious meal.  In 2016 the funding reductions to the Meals On Wheels program cause reductions in services due to the close closure of the Granite City CGM site.  This was due to the MOW staff being reduced who also serve CGM meals, the Granite City Township picked up the staffing required to operate the program and it has continued throughout 2016 and 17.  The Granite City CGM site has been in operation for over 22 years.  In 2016 there were four senior centers that closed in our service region.  In the past three years SSP was the only provider south of the Chicago land region that increased CGM usage, all other nutrition providers actually decreased. SSP continues to serve the general public off our School House Grill in Alton and in 2016 we had an estimated 5,800 individuals of all ages eat breakfast or lunch. SSP also continues to operate a robust catering program for local business to supplement revenue for the Meals On Wheels program.  SSP serves a large number of individuals through the following catering sites:

* Riverbend Head Start 495 Children -- 182,374 breakfast, lunch, and snacks provided in throughout the school year.

* St. Johns Community Adult Day Care, Collinsville and Edwardsville 39 individuals -- 10,080 lunches

* YMCA Early Childhood Center 55 Children -- 55,000

Foster Grandparent Program: Seniors in the Foster Grandparent Program, (FGP) give their experience and talent to improve the lives of children in need. Seniors, 60 and over, are given the opportunity to volunteer as tutors, mentors, or caregivers for children through a variety of community organizations including schools, Head Start programs, libraries and daycare centers. The FGP volunteers receive an hourly stipend of $2.65 and mileage for participating in the program. The SSP FGP program is the second largest program in the State of Illinois after Cook County in Chicago.

Outcomes: In 2016, 105 seniors, 60 and over, in the Foster Grandparent Program provided over 96,174 hours of volunteer service annually and acted as tutors, mentors, or caregivers to improve the lives of over children in 13 school districts, Head Start and a variety of after school programs. In 2016 FGP volunteers provided individual tutoring for 4,697 children. All Foster Grandparent volunteers are classified as living at or below low income, and 100% live at 200% of the poverty level.

Information & Assistance: I&A Specialists advocate for seniors and people with disabilities with limited incomes by providing information and referral services for individuals to effectively access resources provided by Federal, State, and private and community organizations. In 2015, I&A services were provided for five days a week at our Alton headquarters, once a month at the Glen Carbon Community Center and at two Senior Housing Facilities in Alton and East Alton. The indictors for success for this program is that Senior Services Plus, Inc. projects providing 3,782 units of I&A services to individuals age 60+ with the greatest economic and social needs to effectively access resources to make informed decisions concerning available services that impact the quality of their lives.

Outcomes: The projected outcome for this program is that Senior Services Plus, Inc. projects providing 3,784 units of I&A services to individuals age 60+ with the greatest economic and social needs to effectively access resources to make informed decisions concerning available services that impact the quality of their lives. The indicator for success is that SSP will provide 95% of the projected number of 3,784 I & A units. In 2016 I & A has provided 4,676 seniors with 6,800 units of services.  FY 2016 continued to be a difficult year for SSP due to the State of Illinois Budget impasse.  I&A is contracted to provide only 3,784 units of I&A and we have surpassed our number. This is due to reduction in services by the State of Illinois and other municipal and governmental entities reducing services.  The need for I & A services will only continue to grow as there are a projected 1,700 individuals turning 60 and aging into services each year for the next 20 years.  People are living longer; with this comes chronic conditions requiring more access to nutritional, physical, emotional, medical, financial, in-home care, housing, legal  information, etc.  There is a growing number of the aging population living at or below the poverty and they are making choices on basic needs and will need advocacy and support in maximizing their limited resources.  Of the total number of seniors served, 75% are living at or below 200% of the poverty level.

Meals On Wheels: Senior Services Plus Meals on Wheels program (MOW) provides nutrition services for individuals who are low income and at risk due to their inability to afford daily, well balanced meals. The Meals on Wheels Program provides 575 meals daily for seniors throughout 22 townships, and an average of 80 meals daily for individuals with disabilities in the same service area. The indictors for success for this program is that the MOW Program will provide 95% of the projected number of Meals On Wheels, 126,000 quality nutritious meals to individuals 60 years of age or older that are homebound due to a medical condition and are categorized as low-income having the greatest economic and social needs. Individuals are referred through the Visiting Nurses Association for an assessment and then a contact is made to SSP MOW staff to start services. Individuals are asked for a suggested donation of $3.50 but no senior is turned down regardless of their ability to make a donation. Currently the MOW program is averaging $.43 or 20% of the requested donation which is the second year of the lowest donation rate in five years.

Outcomes: The projected outcome for this program is that the Senior Services Plus, Inc. will provide Meals On Wheels to homebound individuals age 60 + with the greatest economic and social needs, in an effort to promote independence and to prevent institutionalization. The indicator of success is that SSP will provide 95% of the total projected number of 126,000 MOWs to delivered to homebound individuals age 60 +.  In 2016, SSP has provided 76% or a total of 85,214 MOW's, for 966 seniors, and 12,287 home delivered meals for 108 individuals with disabilities. The reason SSP did not meet our targeted goals is that we were reduced in the middle of the fiscal year due to the State of Illinois budget crisis.  Fiscal Years 2015 through 2016 have been the most challenging years for the program in our agencies history.  In July 2015 SSP was forced to reduce MOWs deliveries from 5 hot per week to two hot and three frozen meals and asked to start a waiting list for services due to program reductions. The cuts in the program were based on a projected 2.2% reduction in federal funds and unknown reductions in the State of Illinois Aging budget. SSP was forced to layoff two fulltime nutrition staff.  In December of 2015 at the end of the first quarter of 2016 SSP was again notified that they would be reduced 7,000 meals and go to a four meal per week delivery.  This lasted approximately six weeks and meals delivery was restored to five per week, but as a result of the ongoing reductions SSP is currently delivering five frozen meals only once per week.  SSP has reduced over 13 staff over the past two fiscal years as a result of the budget impasse and reduced the daily five day a week hot meal delivery schedule to one delivery day with five frozen meals. The reductions in the program have been the most severe in our 44 year history, in a two year period we have went from 130,000 MOWs to 109,000.  These reductions come at a time when the demand for the MOW program is experiencing historic usage as a result of the increase of individuals aging in our region, an estimated 2,700 individuals turning 60 annually for the next 20 years Of the total, 90% are classified as living at or below 200% of the poverty level, 62% are women, 60% are living alone, 60% are over the age of 75 and 90% are classified as being frail due to their age and medical condition.

Transportation Program: Senior Services Plus provides transportation for individuals in the greater Alton area of Madison County to maintain independence to accomplish day-to-day activities. The transportation component is essential in supporting seniors who have lost their ability to drive to remain living independently in their homes. Individuals are referred through the Visiting Nurses Association for an assessment and they then can receive services. Transportation services are available in the Riverbend area for a suggested donation of $3.50 per ride, SSP is averaging YTD $2.14 of the total requested donation.

Outcomes:   In 2016, 522 seniors have been driven 91,670 miles. They were as follows, 230 seniors were funded through Area Agency, 188 seniors were funded by Medicaid, Logisticare the Managed Care provider for the State of Illinois, and 104 were private pay seniors. This is a significant decrease in our services over 2015 due to a stop in services for six months in 2016, SSP was asked to stop providing Transportation services due to our funder Age Smart not being paid.  This disrupted Transportation for three months.  SSP also terminated or contract with  Medicaid management and the Managed Care system with the State of Illinois due to non payment.  SSP was funded for 2017 by Age Smart at 4,821 units, this is a 75% reduction over the past five years.  Transportation services continue to be costly and beyond our scope but a growing need due to the increase in the aging population.

Wellness Center: The SSP Wellness Program continues to offer a fully outfitted fitness center with classes based on our agency values that all individuals aged 55+ should have access to an affordable wellness programming. The wellness center is fully equipped with 24 pieces of cardio equipment, 24 weight resistance stations, and 14 different fitness classes offered 32 different times throughout the week.

Outcomes: In, 2016, the SSP Wellness Center had over 1,111 members who utilized a variety of cardio, weight equipment, and fitness classes to improve their overall health and fitness. Over 73% of our current membership is 55 and above. There is an average of 3,000 individuals monthly who use the Wellness Center equipment or attend classes and the membership renewal rate was 51% of rejoining members from 2014. SSP has also started a low cost personal training program which currently has over 55 active members.