Upgrading Portability for Individuals Transportation and Long haul Care.

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The Need More Transportation Options at the Community Level ... The customary
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Improving Mobility for People Transportation and Long-Term Care Mary A. Leary, Ph.D. Senior Director, Easter Seals Project ACTION, the National Center on Senior Transportation & Other Transportation Initiatives

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Trends Impacting Older Adult Transportation In 2000, there were 35 million Americans over age 65 making up 12.4% of the U.S. populace U.S. Evaluation Bureau extends this gathering will twofold to 70 million by 2030, speaking to 20% of the U.S. populace People more than 85+ will develop from 5.3M to 8.9M in 2030 2001 evaluated that 21% of people age 65+ don\'t drive, higher for Hispanic, African-American & Asian (all more than 40%) than Caucasians (16%) 600,000 people age 70+ quit driving every year Gap between Driving Expectancy & Life Expectancy Men __7__ yrs., Women _10___ yrs.

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Need Trends Impacting People with Disabilities Transportation 54M individuals with some incapacity (US Census, 2008) 2.7 million individuals 15 & more seasoned utilize a wheelchair 1.8 million individuals 15 & more established are visually impaired 1 million individuals 15 & more seasoned can\'t hear 14.3 million individuals 15 & more seasoned have some intellectual restrictions 26% destitution rate for individuals with an extreme inability contrasted with 8% of the non-handicapped populace 2.6 million veterans get pay for administration associated inabilities

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Transformation of Human Service Systems Philosophy-1990s Movement from Institutional Care to Community Mainstreaming & Independence Low Income – Welfare to Work Persons with Disabilities –Civil Rights (ADA & Olmstead Decision) Older Americans – Aging In Place Medical Care-Preventive Health Care/Outpatient Service

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The Need – More Transportation Options at the Community Level These patterns have lead to an exponential increment in travel requirement for individuals with portability confinements

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What is the Impact? More established Adult non-drivers less outings to doctor* But. . .65% less treks for social, family, religious, and other life-improving purposes* Caregiver time off of work Higher human services costs because of wretchedness onset through driving suspension Squaring of the populace recommends more intergenerational projects * from Aging Americans: Stranded without Options, Surface Transportation Policy Project, 2004

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Family of Services

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Categories of Transportation Service Driving continuation – numerous projects to help with safe driving for more seasoned grown-ups – AARP, Drivewell Caregiver Transportation – most states store some level of help to help parental figures, the #1 path in which individuals with portability debilitations get around when they can no more drive Volunteer Driver Programs – ITN America, STP program (Beverly Foundation)

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Categories of Transportation Service FIXED ROUTE Public Transit-incorporates backings to individuals use settled course travel, for example, transport pass, transport amigos, feeder administration, versatility preparing, afterhour administration, low wage tickets DEMAND RESPONSIVE-Can serve an extended administration region. Incorporates sharing of vehicles & rides, taxi use, bunch rides. Utilizes incorporated dispatch to facilitate. Can incorporate a more elevated amount of administration than "control to check". Social Services or Medical Transportation – specific human administrations transportation

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Human Service Transportation Social Services 62 governmentally financed programs crosswise over 8 elected divisions "Storehouse" administration conveyance approach $ billions spent every year Health Transportation Employment Education

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Confusing Array of Programs & Funding

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Need for Transportation Coordination Services are regularly outlined around the projects instead of concentrated on the client. The conventional "stovepipe" way to deal with transportation administration conveyance is costing increasingly and conveying less. Issues include: Overlapping or excess administrations, where two or more organizations give treks to the same goals Geographical ranges in which transportation administration is not as of now given Difficulty crossing geographic limits Long travel times, long holds up, and roaming courses Trip asks for must be made well ahead of time

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Federal Coordination Efforts Executive Order-Human Service Transportation Coordination. Feb. 24, 2004 Established the Coordinating Council on Access and Mobility (CCAM) Purpose: Minimize duplication of transportation administrations Facilitate savvy transportation Encourage upgraded client access Implement strategy to improve transportation administrations Monitor advancement of coordination endeavors

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SAFETEA-LU S afe, A ccountable, F lexible, E fficient T ransportation E quity A ct: A L egacy for U sers – sanctioned Summer 2005 Includes 2006-09 transportation approvals Amended existing DOT laws and directions Modified/included uncommon needs transportation necessities and financing components

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Coordinated Transportation Major Funding Sources Federal Transit Administration Elderly & Persons with Disabilities (5310) Job Access Reverse Commute (5316) New Freedom (5317) Older Americans Act Title IIIB Medicaid non-crisis Transportation

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Elderly and Persons with Disabilities - 5310 Targets more seasoned grown-ups and individuals with inabilities All stipends managed by state Capital Program Funding to bolster vehicle procurement Contracted administrations qualified

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Job Access Reverse Commute (JARC) - 5316 Targeted for people with lower salaries Access to business and related exercises Reverse drive administrations Change from national optional (reserves) to recipe gift

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New Freedom - 5317 New Formula Program Enhances Transportation for People with Disabilities "New" Public Transportation administrations Alternatives to Public Transportation "past the ADA, for example, Expanded Paratransit administration Accessible taxicabs Environmental upgrades (e.g. check cuts) Mobility Managers

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What is the Coordinated Plan? The arrangement ought to be "a brought together, thorough procedure for open transportation administration conveyance that distinguishes the transportation needs of people with handicaps, more established grown-ups, and people with restricted wages, lays out systems for addressing these requirements , and organizes administrations." - Federal Register Notice, March 15, 2006

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The Coordinated Public Transit-Human Services Transportation Plan Elements of Plan An evaluation of accessible administrations An appraisal of transportation requirements for people with inabilities, more seasoned grown-ups, and individuals with low earnings. Techniques, exercises and/or activities to address the distinguished holes. Methodologies, exercises and/or ventures to enhance efficiencies in existing human administration transportation conveyance. Needs for execution in light of assets, time, and practicality.

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The Coordinated Public Transit-Human Services Transportation Plan Stakeholders Public, Private, Non-Profit Transportation Providers Public, Private, Non-Profit Human Service Organizations Workforce, human administration, maturing, medicinal services, training, social administrations, urban engagement, lodging and so forth. Travelers & Advocates ( People with Disabilities, Older Adults, Low Income Persons ) Other Security and Emergency Management Tribal associations Economic Development Business Community State and Local Officials Faith and Community Based Organizations

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University of Illinois Summary Statistics Completed Responses: 759 – i.e., 759 lead offices and Human Services Transportation Plans half of the respondents had either finished or nearing consummation of the arranging procedure Average number of accomplices per lead office was 22 The most extreme number of accomplices was 385.

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Cross-cutting Coordination Each award program requires a "privately created , facilitated open travel/human administrations transportation arrangement" Funded tasks must be chosen through an aggressive procedure Projects to be financed must be incorporated into the State Transportation Improvement Plan or Transportation Improvement Plan Grant beneficiaries will be required to give reports on execution Each state is diverse Collaboration is key between state wellbeing, parkway, transportation, maturing, handicap, livelihood, Medicaid & engine vehicle organizations

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Employment U.S. State & Local Government Funds, Policies, and Regulations Consumer with Mobility Needs Independence Health Care Family Education Recreation One Call Funding Agencies Transportation Service Providers Simplified Access – One Vision, One Call

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Person-focused the vision is… individual focused portability administration through one call whether it\'s an excursion to work, the specialist, shopping, or a position of love, it ought to be as simple as grabbing the telephone and making one call.

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Support for fleeting administration exercises The backing of State and nearby coordination strategy bodies and boards The operation of transportation businesses Travel preparing, trip arranging, and travel guides exercises for clients The improvement and operation of one-stop transportation voyager call focuses Operational making arrangements for the procurement of wise transportation advancements Mobility Management CAPITAL EXPENSE in FTA Programs

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Mobility Management Activities Eligible FTA Funding Expense - 80/20 Non-DOT Federal Matching Funds Can Be Used for the Local Match State United We Rides Grants (Building Mobility Management Transportation Capacity in Human Service, Workforce, Aging, Health Care, Education Networks. Awards $330k) Easter Seals Strategic

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