Annual Report

Client Demographics: In 2017, SSP has provided direct services for 12,114 individuals and participated in indirect services for 12,601 individuals. Of the total, 12,114, 11,537 were aged 55 plus, 31 individuals with disabilities, and 613 individuals were age 4 to 55 through the Wellness Center. There were 5,397 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 2017 the Care Transitions staff provided services for 14 seniors. The Care Transitions program was funded by a joint grant with Phizer and SIUE School of Pharmacy which ended in May of 2017 and the program ended. The State of Illinois has started a similar program which is not structured with the same intensity of services. SSP could not continue the program due to the lack of funding and the State of Illinois budget impasse which caused funding uncertainty.

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 2017, the CCP program provided 294,459 hours of services for a total of 868 seniors, 741 were funded through IDOA, 18 private pay, 35 DORS clients, 18 VA clients, and 56 MCOs. Of the total number of seniors served, 85% are living at or below a low income or poverty level, 50% are above the age of 75 and 69% 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 2017, SSP provided a multitude of activities including trips, health and education classes, educational seminars, guest speakers, and craft clubs for over 3,330 individuals, and participated in indirect activities for 2,661 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 2017 the suggested donation was $2.42 or 69% 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 24,624 of the total number of 27,360 meals. In 2017, the SSP Congregate Meal program has provided 19,464 meals for 879 persons who rely on SSP dining services for a daily nutritious meal. SSP serves a large number of individuals through the following catering sites:

* Riverbend Head Start 476 Children -- 182,374 breakfast, lunch, and snacks provided in throughout the school year.

* St. Johns Community Adult Day Care, Collinsville and Edwardsville 45 individuals -- 11,340 lunches

* YMCA Early Childhood Center 65 Children -- 65,000

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 2017, 99 seniors, 60 and over, in the Foster Grandparent Program provided over 90,651 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 2017 FGP volunteers provided individual tutoring for 4,790 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 2017, 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, once at the Mascoutah Senior Center, Millstadt, and five days a week at PSOP in Belleville. The indictors for success for this program is that Senior Services Plus, Inc. projects providing 6,800 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 6,800 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 2017 I & A has provided 4,840 seniors with 7,615 units of services. I&A is contracted to provide only 6800 units of I&A and we have surpassed our number for the 10th year in a row. 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, 109,000 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 $.41 or 10% 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 109,000 MOWs to delivered to homebound individuals age 60 +. In 2017, SSP has provided 118% or a total of 128,539 MOW's, for 654 seniors, and 13,340 home delivered meals for 131 individuals with disabilities, veterans and participants from MCOs. The reason 2017 MOW delivery was more than projected was SSP was asked to serve weekend frozen meals after being reduced 17,000 meals from FY 2016 and reducing staff and drivers hours. Of the total, 90% are classified as living at or below 200% of the poverty level, 60% are women, 60% are living alone, 51% are over the age of 75 and 90% are classified as being frail due to their age and medical condition.

Ombudsman: The SSP Long-Term Care Ombudsman Program is located in Area 8 in Illinois and we provide service to a seven county area that includes Madison, Clinton, Monroe, Randolph, Washington, and St. Clair counties. Over these seven counties there are 132 long-term care facilities that together could house up to 9,313 residents aged18 and above. In Madison County there are 60 different facilities that have the capacity to hold over 4,000 residents. The Long-Term Care Ombudsman Program is mandated by the Federal Older Americans Act and the Illinois Act on Aging.

Outcomes: The Ombudsman program started in January 2017 after SSP applied for and was granted the grant contract for region 8. In 2017, SSP served 889 individuals and had 286 successful case closures of consultations that were opened.

Senior Emergency Fund: The SSP Senior Emergency Fund (SEF) is one of many services offered by our Information & Assistance Department (I & A) that was developed to provide emergency financial assistance to low income seniors living in Madison County so that they may remain independent in their homes. All of the funds for the program are used to provide direct cash payment (once per year) for the consumer in one of the following expense categories: housing, utilities, or medical. The two main goals of SEF are to provide a safety net for the consumer and to enable the consumer to access resources and learn how to make informed decisions about their personal finances and budgeting. There is a high concentration of seniors living at or below the poverty level in the Riverbend region. Many of these seniors are males, living alone with very little social support. There is no program like SEF offered in Madison County that provides this type of assistance to senior men. The target population for SEF are seniors 60 or older who are living alone and at or below 150% of the Federal Poverty Level and reside in Madison County.

Outcomes: SSP provided support for 40 seniors mainly men through the SEF program, each case varied in the amount of individual funding; the average was $150.00 to address emergency situations that threatened community placement. 94% of all participants indicated that the services help maintain their independence and quality of life and 94% felt services improved their overall wellbeing The survey results were very positive and indicted a high level of satisfaction with SSP services, 100% of all participants indicated that they felt our services enabled them to meet basic needs.

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 $9.00 per ride, SSP is averaging YTD $9.00 of the total requested donation.

Outcomes: In 2017, 137 seniors have been driven 73,860 miles. They were as follows, 113 seniors were funded through Area Agency, and 18 seniors were private pay seniors. Transportation has been greatly reduced over the past 10 years, form Age Smart, and form 18,000 trips in 2006 to 3,221 in 2018. SSP only provides a small amount of private pay transportation as the need increases our ability to provide staff are limited.

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, 2017, the SSP Wellness Center had over 1,136 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 2016. SSP has also started a low cost personal training program which currently has over 60 active members.