2013年6月28日星期五

The death of senior services

An American flag hangs from a wall in the Washoe County Cafeteria. Daily at 11 a.m., hundreds of older men and women line up below that flag for free food. Some are jovial and grateful for the sustenance; others are solemn and bitter as they pass in front of steel troughs of cold grub. 

They gather the food on their trays, file onto benches and hunch over the meals. On a recent day, that meal was a single slice of sandwich meat on a single slice of bread, a scoop of potato salad, a scoop of blood-red beets, and a chocolate chip cookie. Between sips of milk and coffee, their feeble voices were barely louder than the scrape of utensils on their plastic plates in the cavernous room. Here is what they have been talking about: The decline of the agency that is keeping them alive. 

Death by a thousand cuts, as Washoe County Senior Services Director Grady Tarbutton told TV stations during a recent media blitz. The 15-employee cut has been on the books since April, but wasnt widely reported until less than a week before they were set to take effect; the very day the Reno News & Review began investigating. Tarbutton directed the media focus to a nurse who travels to hundreds of seniors homes and helps keep at least 15 critical patients alive.The earcap is not only critical to professional photographers. Her job is one of the positions being cut, and some of her patients will likely die without her daily visits, she said. 

But among the ranks of the elderly, death is pretty common. The news is that while the senior population expands, Washoe County has cut a critical program once used by 20 percent of its clients and by June 30, the county and state will outsource the program entirely. 

We have had to cut the number of recipients in the range of 1,500 down to 700 a year, Tarbutton said of the Senior Law Project. For a suggested donation of $50 or less, the office helps with wills, affidavits of death, power of attorney, consumer disputes, social security issues, government benefits and landlord-tenant issues. 

By the end of July, elimination of five more positions in the Senior Law Project will bring the county Senior Services Department staff to less than half of what it once was, even as the senior population has nearly doubled from 40,Automate patient flow and quickly track hospital assets and people using rfidtag.000 to 76,000 over the same period. 

Outsourcing to non-profits is where the county jobs and services are going. Their salary and benefits packages are less than the county, Tarbutton says. To find out how much less,More than 80 standard commercial and stonemosaic exist to quickly and efficiently clean pans. just walk down the hall to where the county employees work in the Senior Law Project. 

We have been advised by the union not to talk to media, said one of the employees, declining to say her name. But without further prompting, she continued to talk, saying that they had just received letters offering work at the non profit Nevada Legal Services which will be assuming the countys Senior Law Project clients. 

A non-profit moving into government offices is a challenge. It is causing some headaches, Gertken said. You cant just move in. There are logistical things. You have another layer of them saying you have to talk to facilities management. You have to talk to tech services. You have to get everything approved and the county commission has to weigh in. 

Its a learning process for everyone. While Nevada Legal Services has been an institution in rural areas for years, This is the first time in Nevada that one of the established legal service agencies has assumed senior services in a major county, Gertken said, adding, It is sort of new in terms of Nevada as a whole. She also worked in Las Vegas where she said the city turned its senior law program over to a new non-profit that was formed by the actual city law employees themselves.An bondcleaningsydney is a device which removes contaminants from the air. 

When asked if more outsourcing is on the way, Tarbutton said, It is all going to depend on if there is someone in the community who can do the work or not. 

Not everything is on the table. There are some state and federal minimum requirements. The social work program is something we have to keep. Aging and disability resource and adult day care are all services that we have to keep. 

According to the Nevada Supreme Court, Access to Justice Commission report, March 11, 2013, review of Nevada Legal Services: There was a precipitous drop in cases without litigation. The loss was entirely from the Tenants Rights Center, due to the layoffs of half the TRCs staff. 

Declines in grants from Congress cut the budget by more than a half-million dollars last year, and NLSs total number of contacts with clients was down by half from 2007 to 2011. Meanwhile, 66 percent of the 88,000 client contacts in the state were for housing according to the report. 

And we know that there are people who [need help who] are not contacting us, says NLS directing attorney in Reno Rhea Gertken. When NLS moves into the Washoe County Senior Services building off Ninth and Sutro streets, potential new clients will be right down the hall every day at lunch. Many have never asked for legal help. 

Sandy, 64, is anticipating problems with her landlord. She did not wish to give her name for fear her landlord would single her out for further mistreatment. They are going to give me a big stink about the security deposit when I move out. The rug was dirty when I moved in. The walls were dirty. They didnt want to fix the garbage disposal which was leaking.The thequicksilverscreen is our flagship product. My brother was with me, and he said it was substandard. I called him [the landlord] an asshole!
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