ADMINISTRATIVE REPORT

                                                        Date: June 22, 1995
                                                     Dept. File No: CC21/95


   TO:       Vancouver City Council

   FROM:     Director of Continuing Care

   SUBJECT:  Integrated Services for the Frail Elderly Program - Aids    to
   Independent Living 


   RECOMMENDATION

             THAT Council approve the allocation of $60,000 of the  start-
        up funding received from the Ministry of Health for    t    h    e
        Integrated Services for the Frail Elderly Program to   the Aids for
        Independent Living Program.

   MANAGER'S COMMENTS

        The General Manager of Community Services RECOMMENDS approval    of
   the foregoing.

   COUNCIL POLICY

   Council on February 3,  1994 approved a motion that  any recommendations
   for  increased staff  or enhanced  programs  be offset  by corresponding
   spending reductions or by increases in non-taxation revenues, subject to
   Council discretion.

   Council on March 28, 1995 approved the receipt of one  time funding from
   the Ministry of Health for the start up costs of the Integrated Services
   for Frail Elderly Program in the amount of $266,540.

   PURPOSE

   The purpose of  this report is to seek  Council's approval to distribute
   $60,000 of  the start up funding of $266,540 for the Integrated Services
   for  the  Frail  Elderly Program  to  the  Aids  for Independent  Living
   Program.

   DISCUSSION

   The   Aids  to  Independent  Living  (AIL)  Program  is  operated  as  a
   partnership  between the Vancouver  Health Department and  the Red Cross
   Society.    The operating  funds  for the  program are  provided  by the
   Ministry  of  Health through  the  Community  Partnership Program.    An
   Advisory  Committee,  which  includes representatives  from  the  Health
   Departmentand theRed Cross, providesoverall direction tothe AIL Program.

                                     - 2 -


   The main  purpose of the AIL  program is to coordinate  the provision of
   aids  to independent living to  Continuing Care clients within available
   resources, when  the appropriate equipment needs  have been established.
   In line with this mandate, the AIL program represents a key component of
   the overall enhancement of the services to the frail elderly through the
   Integrated Services  for the  Frail Elderly Program.   One  of the  main
   areas which this program addresses is the provision of increased support
   to frail elderly clients in order to allow them to remain at home, or to
   be  discharged from  the  hospital sooner.   In  order  to achieve  this
   increased support, it is important that not only is the staffing support

   available  but also basic pieces of equipment which allow the individual
   to  function at home.   Examples of the type  of equipment which will be
   provided  include  wheelchairs, commodes,  walkers  and bathtub  support
   bars.

   The  AIL program  has  been functioning  for three  years.   Rather than
   setting  up  a new  and/or  separate loan/coordinating  service,  it was
   determined  by the Frail Elderly planning group that the most economical
   and appropriate way to  provide this expanded equipment support  for the
   frail elderly is through the existing AIL program.  The  funds which are
   to  be  allocated will  enable the  AIL  program to  purchase additional
   equipment which will become part of the inventory of the AIL program.

   FINANCIAL IMPLICATIONS

   This program  is fully  funded  by the  Ministry of  Health.   Start  up
   funding  of $266,540 has been received.   Allocation of start up funding
   will not result in any net cost to the City.

   SOCIAL IMPLICATIONS

   By  enhancing services in the community, and by targeting those services
   towards segments of the population which have a considerable need and/or
   are  currently  under  serviced,  the Vancouver  Health  Department  can
   increase its ability to care for people in their "homes"  rather than in
   hospital.

   CONCLUSION

   Council should  approve  the proposal  recommended  by the  Director  of
   Continuing Care.

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