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A friend of mine is looking for seniors who would like room and board at her private home. How would she go about this?

— Sandra Harrison

Sandra,
 
It is difficult to determine from your short inquiry in which County your friend is located and what she is hoping to do. 

If she is looking for a shared housing type of arrangement and lives in Philadelphia , I am not aware of any shared housing program in that County.  A contact person who would be helpful is Caroline Walker at the Philadelphia   Senior   Center  at 215-546-5879 ext. 217.  Caroline would be a great resource to call and discuss what your friend wants to do and how she should proceed.

 If your friend lives In Bucks  County , there is a shared housing program run out of the YWCA.  A link to a brochure can be found at:

 http://www.ywca.org/atf/cf/{D3CA6459-BAA9-42E1-9706-33B2DE045980}/Senior%20Shared%20Housing.pdf

If she is a home owner in Philadelphia and wants to rent rooms to elderly people, I have been told a private homeowner needs to have a Business Privilege license and a House Inspection license.  She should call City Hall at 215-686-1776 and ask for Department of Licenses & Inspections to find out how to obtain these licenses and the cost.

 Good luck,  Bobbi Diamondstein

 

Answered by Bobbi Diamondstein


I am currently a joint caregiver for my 88-yr. old father. My sister is living with him now. He has limited sight, hearing and mobility--but can still walk. Cognitively, he is doing okay. What activities are available in our area to keep him active and interested in life? Are there any respite programs that might give my sister a break?

— Elder sister

Thank you for your question regarding respite care. Respite is one of the top three needs for caregivers in our country, the other two being information and access to services.

When we think of respite we need to think of two people — the caregiver and the care recipient — to determine what type of respite may be best. For example, depending upon the situation, certain types of respite may contribute to a caregiver's stress as they worry about how the care recipient is being cared for in their absence.

There are several types of respite to consider:

1) Family and friends — Sometimes a friendly visit by a family member or friend can provide a brief period of respite so a caregiver can get out to enjoy some time off or take care of personal needs.

2) Respite visitor programs — In Philadelphia there are several programs which provide visitors. One for residents of Philadelphia is the Time Out program at Temple University. More information can be found at:

Time Out or by calling 215-204-6540. There are also several volunteer visitor program such as those provided by an initiative called Faith In Action.  To learn if there is a program near you please go to:  Find a Local Program.

3) Area Agencies on Aging —Area Agencies on Aging are located in most counties across the country. Family Caregiver Support Programs are part of each Area Agency on Aging and may be able to offer services which can help provide respite. For example in Philadelphia the Area Agency on Aging is the Philadelphia Corporation on Aging. To learn more about the Family Caregiver Support Program at PCA you may go to:

Philadelphia Corporation on Aging or call the PCA Help Line at 215-765-9040 between 8:30 AM and 5:00 PM on weekdays. To find out information on other locations one can start with the Eldercare Locator at: Elder Care.

4) Faith Communities — Faith communities in the region provide an array of health and social services to people living in our communities. If a caregiver is eligible, these services also may be helpful. Check with your local faith community or denomination offices in your area.

5) Home and Community Based Services — There are home health and personal care agencies throughout our region which offer a variety of services that may be helpful by providing in-home care which can provide respite.

The Pennsylvania Department of Health provides a list of licensed home care agencies at: Pennsylvania Department of Health.

You may also want to contact a local hospital or health system which can provide information on home health or personal care services available in your region. There are also companies which provide fee for service non-medical services which can be helpful to a family.

6) Adult Day Health or Care Services — Adult Day Health or Care services provide care during the day at a location which may be near the care recipient or caregivers home. Social service departments at the local long-term care provider, hospital or health system may be aware of what programs are available in your area.

7) Respite Stays — Providers of long-term care services such as assisted living facilities or nursing homes may provide respite stay services. This would be if a caregiver wishes to go away for a longer period of time. For example a caregiver may wish to attend a social function out of town and the care recipient can be admitted to a facility providing respite care for a period of time. One would need to check with assisted living or skilled care facilities in your region to see if they provide respite stays.

These are a few examples of respite care options. I hope this information is helpful to you and your sister. Please contact us again if we can provide further information.

Brian Duke

Answered by Brian Duke


Is there a program that can pay a caregiver who is a family member who is putting in many hours a week caring for a disabled mother? Also, how can I get help with my windows and doors? I am over 50 years old and net approximately $20,000. a year.

— BEVERLY SCOTT

 Beverly,
              For many years there was talk that the state of Pennsylvania would create a program that would pay people who are caring for family members. But unfortunately this kind of program does not exist at this time. There are Waiver programs available in each county through the County’s Area office on Aging. These programs provide services at little or no cost to people who qualify financially. In Philadelphia County that would be the Philadelphia Corporation on Aging. Their phone number is 215-765-9040.  
              For contact information for other Area Agencies on Aging, please go to the  Aging Services  section of the Coming of Age website.
             Through PCA you can arrange for a social service assessment for your mother. A social worker will come out to do a full assessment, including your mother’s needs and her financial situation. If criteria are met, they will provide caregiving services and inform you of other programs for which your mother may qualify.
             As part of the assessment PCA can determine what other adjustments need to be made to your home to make it safer and more comfortable. A program called SHARP which helps people in need with devices like grab bars is available through PCA as well as Meals on Wheels. These programs often have long waiting lists. So don’t delay, contact  PCA or your local county Area Office on Aging as the first stop in getting help.       
             Good luck!
SUE and BOBBI

Answered by Bobbi Diamondstein


I've been fairly much estranged from my father. He is in terribly failing health, and I want to help care for him. Do I address our conflict or just start showing up and pitching in?

— Sam from Philly

You mention "showing up and pitching in."  That sounds like others are already there and providing care.  I think you may want to speak with them first and then integrate yourself into the plan.
 
Unless you have already dealt with them about this issue, they may harbor some resentment.  But making it clear that your good feelings towards your dad AND them are what's driving you to "pitch in" could go a long way in both healing some old wounds-- and getting your father the care he needs.
 
If problems continue, it may be helpful to seek the guidance of a geriatric care manager.
 
Good luck!  This could be a little tricky but also enormously rewarding.
 
Your guide,
Bobbi

Answered by Bobbi Diamondstein