What problems have been revealed in the Meals on Wheels Program?
Emelia coordinated a Meals on Wheels Program for the elderly, and supervised 10 volunteers who delivered the meals. One day, when Emelia filled in for a volunteer and delivered a meal to the Snyders, she found Mr. Snyder very agitated and worried because Mrs. Snyder was missing. Apparently she had wandered off before. Because it was cold outside and they lived two blocks from a busy street, Emelia was alarmed and struggled with how to respond to this unexpected situation. As she tried to prioritize her responsibilities, she began to wonder if her volunteers were communicating with her and if they were well-trained for their responsibilities.
The Meals on Wheels Program should be part of a continuum of care designed to help older persons remain in their own home as long as possible. It is possible that the program had been functioning separate from the rest of the Senior Center programs. It should be reviewed to make sure it is contributing to the overall goals of the agency. The Senior Center had provided the Meals on Wheels Program since 1968 as a local program carried out by volunteers. In the 1980s, as programs under the Older Americans Act were established throughout the country, the Senior Center applied to the Area Agency on Aging to administer a Case Management Program for Frail Elders. This program allowed state and federal funds for nursing home care to be used to pay for services in the home, so that elders who need care can remain in their own homes rather than go to a nursing home.
The Case Management Program had been approved and the Senior Center had been administering it since 1998, three years before Emelia began to work there. However, it seems there had been little integration of the two programs, the Meals on Wheels Program and the Case Management Program. Some long term strategic planning by the staff would be helpful to develop a better integrated set of services at the Senior Center.
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