Common Senior Scam Tricks What You Need to Know and How You Can Avoid Them

Home , Grass Fight, Texoma Medical Center

SENIORsourcebook 2013-2014

What PROVIDING Seniors LIFELONG Get From INDEPENDENCE Giving (by utilizing valuable services) Back the benefits of volunteering common senior scam tricks what you need to know and how you can avoid them

2013-2014 tcog.com

TEXOMA

SENIORsourcebook 2013-2014 Dear Texomans, TCOG’s Area Agency population in Texas is expected on Aging (AAA) is pleased to increase by nearly 50 percent The AAA, and the Texoma 2-1-1 to introduce the 2013-2014 Senior between 2010 and 2040, with a Access and Information Center are Sourcebook, a handy directory of greater than 50 percent increase in located in the TCOG Building at important services, programs, those aged 85 and older by 2020. 1117 Gallagher Drive in Sherman. resources and opportunities Being one of the highest per We are open Monday –Friday from available to seniors, family capita elderly populations in the 8:00 a.m. to 5:00 p.m. Dial 2-1-1 and caregivers and persons with state of Texas, Texoma reached a talk to an information specialist disabilities throughout the Tri- rate of 20.3% in 2012, significantly that will give you a list of contact County area. This is also a great higher than the state average of resources specific to your present resource for health care and social 14%. What are the implications need; or call (903) 813-3505 for service professionals. for the Texoma region based on your one-stop senior information Adult, active-adult, age- these demographics? As our aging phone line and resource center. You restricted, 55+ — no matter what population grows faster than state can also read more about our you call them — communities and national projections, our area services and programs by visiting for “people of a certain age” is dealing with the realities much our website at www.tcog.com. are booming in Texoma. Here, sooner than other parts of Texas and We want to express our residents find friendship, lead rich the nation. There are increasing gratitude to the Texoma Health lives, and feel safe and protected. demands for financial, health and Foundation for making this Plus, thanks to the Senior social supports that are necessary publication possible to the citizens Sourcebook, they stay connected to ensure good quality of life for of the Texoma Region. We would with their communities’ events, senior Texomans. also like to thank the service and goings-on. Are you a senior with questions providers who placed ads in the Did you know that in the USA about your benefits, or a caregiver Sourcebook, whose products and alone, someone turns 50 every seven searching for services to help your services enhance the continuum of seconds? Yes, the baby-boomer parents or other relatives and care available in the community. generation is alive and kicking and friends? Created by the Federal 100% of net ad revenue goes directly the senior population reaching Older Americans Act, TCOG’s back to the community for services 65 and up will double from 35 AAA represents a network of for Texoma Seniors. Million to well over 70 Million in senior programs. Services include the next two decades. According information and referral, case to the U.S. Census Bureau in 2010 management, nutrition, in-home Respectfully, there were an estimated 3.7 million services, counseling, legal service Texans over the age of 60. This referral, home repair, and day figure represents about 14% of health care with an emphasis on Texas’ total population.The senior ease of access and a “no wrong door” referral system. Karen Bray Aging Services Director

texoma senior sourcebook 3 2013-2014 Texoma Council of Governments Aging Services Department

The Area Agency on Aging of Texoma is Area Agency on Aging Service responsible for the development and Definitions coordination of a comprehensive system adult day care A protective setting to dependent older individuals who of services for citizens need supervision but do not require institutionalization over the age of 60 and for citizens with a caregiver Support and temporary relief for caregivers of older adults disability residing in programs and some services for grandparents raising grandchildren Cooke, Fannin, and Grayson Counties in Assistance for families in assessing the needs of older North Texas. case coordination adults and making arrangements for services to help them remain independent The overall goal of the Area Agency on elder abuse Aging is to promote Investigation into allegations of abuse, neglect and Older Texans lifelong prevention exploitation and interventions in substantiated cases independence, programs providing alternatives in long-term care In-home 24-hour electronic alarm systems that enable options through a wide emergency homebound persons to summon emergency help variety of services. All response systems programs are partially funded in part by Texas Practical methods to reduce fear of falling and increase Department of Aging evidence based activity levels. Participants learn to view fallas and fear and Disability Services, falls prevention of falling as controllable, set realistic goals to increase Health and Human activity, change their environment to reduce fall risk Services Commission, factors, and exercise to increase strength and balance local contributions from individuals and employment Opportunities for older adults to explore employment options businesses, foundations services support, and funding received from the health Assistance in acquiring glasses, dentures, hearing aids, Older Americans Act and other devices necessary to promote or maintain and a variety of other maintenance the health and/or safety of the older individual federal grants. services 2013-2014 4 texoma senior sourcebook Programs that help keep housing in good repair, such home repair/home as roofing, plumbing and insulation, in order to avoid modification major problems. Renovations to increase the ease-of- use, safety, security and independence in the home DIRECT SERVICES PROVIDED AREA AGENCY ON information & Specialists provide assistance and links to AGING OF TEXOMA referral/assistance available services and resources caregiver Advice and representation for certain legal support legal assistance matters such as government program benefits, program tenant rights and consumer problems -alzheimer’s support Congregate meals at a senior center and Home- nutrition services delivered meals (Meals on Wheels) for the homebound -parkinson’s disease or other site where older adults can enjoy a meal and support socialize with others -grandparents as parents public benefits Counseling on financial management, prescription counseling drug programs, Social Security benefits, food information, stamps, energy assistance and other benefits referral and A break for caregivers who provide ongoing supervision assistance respite care and care of a person with a functional impairment program benefits senior housing Includes assisted living, retirement communities, nursing facilities, government-assisted housing counseling options and shared housing program -money senior center A variety of recreational and educational management programs for older adults programs -benefits counseling -medication telephone Regular contact and safety checks to homebound assistance reassurance seniors and disabled persons by trained volunteers (tele-pal) -legal awareness

Services for older adults or persons with disabilities -nursing home transportation who lack private transportation or who are ombudsman unable to utilize public transportation care Opportunities for older adults to provide coordination volunteer services telephone reassurance, friendly visits, program insurance counseling and more -nutrition services senior corps program -foster Texoma Council of Governments is located at 1117 Gallagher grandparents Where Drive in Sherman, Texas. We are open Monday-Friday from 8:00 a.m. to 5:00 p.m. The phone number for the Area Agency on -texoma rsvp We Are Aging of Texoma is 903-813-3505. -faith in action

texoma senior sourcebook 5 2013-2014 TEXOMA table of SENIORsourcebook 2013-2014

contents} 13 area agency on aging 26 state services 26 texas health and human services commission 27 texas department of aging and 13 disability services (DADS) common reactions to 34 texas department of assistive and rehabilitive services (DARS) alzheimer’s diagnosis 36 texas department of family and protective services (DFPS) 36 texas department of public safety 15 38 texas workforce commission parkinson’s disease 39 federal services 39 social security administration 39 medicare 17 39 united states department of beware of these common veterans affairs senior scam tricks 40 other services 43 education 44 emergency assistance 18 NO DISRESPECT: How employment 45 Family Caregivers can 46 financial counseling Improve Care Transitions 44 food and nutrition 46 associations & societies 46 clinics & rehabilitation 20 47 home care agencies sexuality in 48 home repair/renovations 48 housing options for seniors later life 49 legal assistance 50 transportation 24 50 volunteer opportunities what seniors get 51 helpful senior links from giving back

DISCLAIMER The Area Agency On Aging And Disability Services Of Texoma Is Not Responsible For The Reliability Of Advertisers. The Area Agency On Aging And Disability Services Of Texoma Neither Endorses Nor Guarantees Any Of The Products Or Services Listed In This Resource Guide. All Readers Are Strongly Encouraged To Always Research Products Services Prior To Purchasing Or Making A Final Choice Of Provider.

2013-2014 6 texoma senior sourcebook eba McEntire brought Rher first benefit concert to Texoma in 1987, and in 1992, she cut the ribbon to } open Reba’s Ranch House. The House is a nonprofit charity created to serve as a home away from home for families traveling from all across the US and overseas to be close to loved ones hospitalized here in Texoma.

In 2010 a new and expanded Reba’s Reba’s Ranch House is a home-away-from-home for families traveling to be Ranch House opened its doors to the close to a loved one in an area hospital. Rooms are limited to one room per community. The new House continues a patient family. Guests must be medically stable to care for themselves while 20-year legacy of offering a safe haven staying at the Ranch House and must be referred by a partnering area and a place of comfort to over 29,000 hospital. Donations are requested in replace of a nightly fee and help to assure the House continues to be here for families for generations to come. guests who have found refuge in times The House offers private bedrooms with bath, phone, wifi and a television, in of crisis through its doors. addition to shared living areas including a kitchen, dining area, library, laundry facilities and children’s playroom.

Hospital staff may call 903-463-REBA to check availability. 5036 Reba Drive | Denison, Texas 75020 | www.texomahealth.org

texoma senior sourcebook 7 2013-2014 Caregiver Support Alzheimer’s Cooke code in this three county region, Program 903-813-3575 1st Wednesday of each month you may simply call 2-1-1 and ask to speak to the Information An ongoing process to include 9:00 a.m. - 10:00 a.m. Stanford House Specialist. assessing the needs of a caregiver Benefits Counseling and care recipient, effectively 4101 W. Garnett St. planning, arranging, Gainesville, TX Program coordinating and following- Kincare (Grandparents & Texoma Money Management aging services up on services Relatives as Parents) Grayson 903-813-3572 which most 2nd Tuesday of each month The Texoma Money Management directory Program provides bill payer and appropriately 12:00 p.m. - 1:00 p.m. representative payee services to meet the Pecan Point Assisted Living persons who are at risk of losing Facility identified their independence because of 1011 E. Pecan Grove Rd. needs as their inability to manage their mutually Sherman, TX finances. defined by the Parkinson’s Disease Benefits Counseling caregiver, the care recipient, and 1st Wednesday of each month 903-813-3581 the access and assistance staff. 1:30 p.m. - 2:30 p.m. Advice or representation by an Services Include: Pecan Point Assisted Living attorney, including assistance by 1) Alzheimer’s/Dimentia Facility a paralegal or law student under Support 1011 E. Pecan Grove Rd. the supervision of an attorney, Services specifically designed to Sherman, TX or counseling or representation by a non-lawyer such as a assist families caring for a loved one Related Services Available: certified Benefits Counselor, with Alzheimer’s disease or other • Family Consultation related dementias where permitted by law, to older • Educational Training & individuals with economic and 2) Parkinson’s Disease Materials social needs. Legal assistance Support • Caregiver Respite activities include the following: Services specifically designed to • Caregiver Support Groups Advice/Counseling assist families caring for a loved one Information, with Parkinson’s disease A recommendation made to Referral and an older individual regarding 3) Grandparents/Relatives as Assistance Program a course of conduct, or how to Parents proceed in a matter, given either Services specifically designed to 903-813-3505 Consists of activities such as: on a brief or one-time basis, or assist Grandparents/Relatives acting • assessing the needs of the on an ongoing basis. May be as Parents to grandchildren or other inquirer given by telephone or in person. relative children. • evaluating appropriate resources Document Preparation 4) Support Groups: • assessing appropriate response Personal assistance given to Alzheimer’s Grayson modes an older individual who helps • indicating organizations capable 3rd Wednesday of each the preparation of necessary of meeting those needs month documents relating to public • providing enough information entitlements, health care/long 12:30 p.m. - 1:30 p.m. about each organization to help term care, individual rights, TCOG Professional Building inquirers make an informed planning/protection options, and 1117 Gallagher Drive choice housing and consumer needs. Sherman, TX • helping inquirers for whom Representation Texoma Room (2nd Floor) services are unavailable by Advocacy on behalf of an older locating alternative resources Alzheimer’s Grayson (Eve.) individual in protesting or • when necessary, actively 3rd Wednesday of each complaining about a procedure, participating in linking the month or seeking special considerations inquirer to needed services, 7:00 p.m. - 8:00 p.m. by appealing an administrative and following up on referrals to decision, or representation by an TMC Hospital ensure the service was provided. attorney of an older individual 5016 S. Hwy 75 If you are a resident of Cooke, or class of older individuals in Denison, TX Grayson, or Fannin County and either the state or federal court Conference Room 1 you are calling from an area systems. 2013-2014 8 texoma senior sourcebook

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Over 600 Superheroes volunteer their time to fight senior hunger by delivering meals to homebound senior citizens in Cooke, Fannin and Grayson Counties. Would you like us to help you channel your inner-Superhero? All you need is a car (and a big heart) - we provide the rest, including gasoline assistance! To learn more, please 877-900-3351 or visit us on the web at www.mowot.org

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texoma senior sourcebook 9 2013-2014 Benefits Screening Certified staff and trained volunteers Nutrition Services Counselors will assist in completing a will identify, investigate, and resolve • Congregate Meals A hot or thorough and individualized Benefits complaints made by, or on behalf other appropriate meal served to an CheckUp Report, which pre-screens of, residents of nursing facilities and eligible older individual which meets potential eligibility for numerous state assisted living facilities, and which 33⅓ percent of the dietary intake. The and federal benefits. relate to action, inaction, or decisions, objective is to reduce food insecurity Services identified as “Legal that may adversely affect the health, and promote socialization of older individuals. These meals are provided Assistance Services” are: safety, welfare, or rights of the at your local senior center and are Benefits Counseling, Money Management, residents, providers, or representatives prepared by Meals on Wheels of Representative Payee, and Certified of providers, of long-term care Texoma. Anyone 60 years old or older Benefits Counselors assist persons get services, public agencies, or health and can attend senior centers and receive connected to the array of benefits available social service agencies. a meal for lunch. There is no charge to them, including: The regional managing ombudsman for the meal, but donations are always • Medicaid maintains comprehensive information welcome. • Long-Term Care Insurance about each of the nursing homes, • Home Delivered Meals Hot, • Medicare personal care homes, and assisted cold, frozen, dried, canned, fresh • Powers of Attorney living facilities in the region. which provides a minimum of 33⅓ • Medicare Savings Programs Consultation can be provided percent of the dietary intake. The • (QMB, SLMB, QI1) regarding long-term care alternatives objective is to reduce food insecurity; • Elderly Victims of Abuse, and the costs and methods of help the recipient sustain independent • Exploitation, and Neglect financing for the array of long term living in a safe and healthful • Supplemental Security Income care living options available. To report environment. To qualify to receive • Qualifying Income Trust nursing home complaints, you may a Home Delivered Meal you have to • Veteran’s Benefits also call the Complaint Hotline of be over the age of 60, homebound, • Money Management the Texas Department of Aging and have no one to help you prepare a • Community Based Alternative Disability Services at 1-800-458-9858. meal, unable to leave your home, and/ • Insurance Fraud Volunteers complete 36 hours of or in poor nutritional health. For • Advance Directives training and a three-month internship more information, contact the Care • Administrative Appeals to receive certification from the Texas Department of Aging and Disability Coordination program. Medication Assistance Program Services. Volunteer ombudsmen Senior Corps Program 903-813-3517 dedicate a minimum of 2 hours a Volunteers work with low-income Texoma RSVP week to visit nursing home residents, persons to obtain non-narcotic 903-813-3587 promote quality of life and quality prescription drugs at no cost or reduced The program offers opportunities to of care, and participate in complaint cost from pharmaceutical companies. persons 55 years of age or older, who resolution in order to protect the Applicants must apply in person and wish to remain an active and productive rights of our most vulnerable older furnish proof of income and a physician’s member of their community by Texans. prescription for the medications needed. contributing time and experience to local community non-profit organizations. Legal Awareness Seminars 903-813-3581 Care Coordination Faith in Action Program The dissemination of accurate, timely, Program Community volunteers are recruited and and relevant information, eligibility 903-813-3505 trained to meet the physical and social criteria, requirements, and procedures An ongoing process to include assessing needs of homebound persons living to older individuals about public the needs of an older individual with aging complications or disabilities entitlements, health/long-term care and effectively planning, arranging, with limited or no caregiver support. services, individual rights, planning/ coordinating and following-up on Assistance provided by recruited protection options, and housing and services which most appropriately meet volunteer caregivers includes grocery consumer needs. Educational programs the identified needs as mutually defined shopping assistance, transportation, on a variety of legal topics are offered by the older individual, the access and escort to doctors’ offices, and friendly annually. These events are advertised assistance staff, and where appropriate, a visiting. Program staff provides training in local newspapers and are free to the family member(s) or other caregiver(s). to volunteers to serve as caregiver public. Services include: coordinators and conduct caregiver Minor Residential Repair, Ramps, Hearing classes on topics related to legal, Nursing Home Ombudsman aids, Dentures, Eye glasses, Durable health, financial planning, and effective 903-813-3569 Medical Equipment, Homemaker Services, communication with health professionals Complaint Hotline Transportation (For going to the doctor, to members who serve as caregivers. 1-800-458-9858 rehab, or any other medical related)

2013-2014 10 texoma senior sourcebook Foster Grandparent Program as Mentors for children in public settings, purchasing hearing aids and other assistive 903-813-3574 such as schools, libraries or hospitals. devices, etc. The meetings are held at A program for persons 55 years of age or Hearing-Impaired Support Group TCOG on the first Thursday of the month older who meet certain income eligibility Call 2-1-1 or 1-877-541-7905 from 9:30-10:30, with plenty of time after the meeting to talk with the experts about and who wish to provide 15 to 40 hours Monthly meetings for persons with hearing your personal situation. per week of love and wisdom to an at-risk loss and their families focusing on coping child. Foster Grandparents receive a tax- strategies, technology, consumer tips for free stipend. Foster Grandparents serve

brand NEW event

Conductor Sponsor: Texoma Neurology Associates, P.A. featuring the gainesville swing orchestra

Join us for an evening of dinner and dancing! All proceeds will benefit TCOG’s Caregiver Program NOVEMBER 2, 2013 - 6:30 PM Sid Richardson Center - Austin College 900 N. Grand Avenue, Sherman

For additional information or to register, call Judy Conner at 903-813-3575 texoma senior sourcebook 11 2013-2014 Common Reactions to Alzheimer’s Diagnosis Tam Cummings, MS Gerontologist www.tamcummings.com

2013-2014 12 texoma senior sourcebook diagnosis of any terminal cial affect (emotion), an inability to be in- illness, especially demen- dependent in movement, a person without tia, is devastating. You speech or comprehension, a person totally and your loved one will reliant upon others for survival. likely experience significant emotional changes You may find yourself one of the lucky few as well following the diagnosis. She may whose mother quietly and efficiently turns Abecome fearful or paranoid of what is over all her medical and financial care and ahead. You may feel grief, fear, guilt or even decisions. Or you may discover your moth- anger. She may take a carefree attitude and er’s dementia has progressed to a point of appear unfazed by the news or she may be- fear and distrust and paranoia. You may come depressed or saddened. even have to seek legal means to force her to have care under a guardianship. You may find your reaction is much more emotional. Fear, horror, sorrow, anger, These are common scenarios for families pity, terror, are just a few of the adjectives and persons facing dementia. Although families use to describe their own reaction. dementia follows a fairly predictable path, each affected person and family is differ- She may ask for your help, she may refuse ent. What works for one family may not care or assistance, or she may become hos- work for yours. There are no easy solutions. tile or suspicious when she doesn’t The decisions you will have remember that she I firmly believe if to make are going to be dif- doesn’t remember. ficult. Remember each of us Because demen- you understand is human, but each of us is tia destroys the unique in our own develop- brain and because what the disease ment, our own aging pro- the brain runs the cess and how we approach body, in time your is doing to her challenges. Knowing you loved one will un- will need to provide care dergo the physical brain, you are for your loved one over the changes of demen- better prepared as coming months or years tia. These changes can be overwhelming. are typically only a caregiver. seen near the end But by learning what de- of the disease and mentia is, you will be better include a dramatic loss of body weight, a prepared for the challenges ahead. If you withering of the facial features, a loss of fa- and your family can understand what de-

texoma senior sourcebook 13 2013-2014 mentia is doing to your loved one’s behavioral disease, nor is teaching advocates for their loved one. You brain and how damage to the brain a patient about the disease a part of will be more prepared to distin- turns into physical and emotion- a physician’s training or expertise. guish your loved one’s behaviors al behaviors during the different Unfortunately, this means entire from your emotions. You will be stages of the disease, that knowl- families are woefully unprepared able to separate and recognize edge will change how you respond for the emotional and physical those behaviors as disease driven. to the disease. changes that will accompany the You will be ready to successfully diagnosis as dementia progresses. face the years ahead. I firmly believe if you understand what the disease is doing to her Being told dementia will cause Granted, knowing about the pro- brain, you are better prepared as a your loved one to have memory cess of dementia won’t change the caregiver. problems is just the tip of the ice- facts of the disease. But you may berg. Dementia is not just a “mem- be able to change your approach In decades of working as a geriatric ory problem”. Dementia is a dev- as you face what at first may seem social worker and then as a geron- astating and terminal disease. Yes, to be a seemingly unending series tologist, I have yet to meet a family unfortunately, it gets worse. of uncharacteristic or bizarre be- who completely understood what a haviors over the next months and diagnosis of dementia would mean Should a person live to the end of years. to them and their loved one. It is the disease process, she will expe- rare for a physician to explain the rience the total loss of her abilities, Being able to connect your loved dementia process and what the dis- talents and personality. She will one’s behavior to the damage in ease will do to the person’s brain lose all or most of her physical, specific areas of the brain probably and how a damaged brain func- mental and emotional traits. The won’t lessen your pain. It should tions. disease process of dementia causes however give you a better under- the loss of those complex behaviors standing of why your loved one This is not because the doctor is not that make each individual differ- is behaving the way she is. It will competent, but because dementia ent; each one of us is unique. allow you to provide better care is a complicated disease and the at home and clear oversight when explanation of the disease process Caregivers with a better under- your loved one requires placement is not the physician’s job. Doctors standing of the cause of the behav- in a facility. don’t have the hours of time needed iors exhibited by their loved one to explain a complex medical and will automatically become better

Five Points to Remember: 1. Dementia is now seen as an umbrella term for four dozen (or more, possibly 100) types of brain disease. 2. Memory is everything you and I are able to do. 3. The process of memory is very complex. 4. Being devastated by your loved one’s dementia diagnosis is normal. 5. Understanding what dementia is and what it will do to your loved one’s brain will make your job as a caregiver easier.

2013-2014 14 texoma senior sourcebook CAREGIVER CONFERENCE FRIDAY APRIL 18 Parkinson’s Disease 2014 Bharathy Sundaram, M.D. Grayson College 6101 Grayson Drive ames Parkinson, a London Physi- was identified. The mutation gene of Denison, TX 75020 cian, first described Parkinsons Parkinsons gene is autosomal reces- Jdisease in 1817, using the term sive gene is identified in juvenile Par- paralysis agitans. He had described kinsonism. the disease with distinctive features of tremor, rigidity and gait diffi- The primary focus of the disease it in culty. Over 50 years later, the world themed brain called the substantia Designed with renowned French neurologist Jean- nigra. There is a marked depigmen- you, the caregiver, tation and neuronal loss which leads Martin Charcot, was more thorough in mind. in describing the features including to the disease. It has been described Enhance your understanding of the hallmark of bradykinesia. Even to that by the time patients developed the role of caregiving and earn this date all of the above four clinical the early signs of Parkinsons disease, skills and expertise that will make your job easier and more symptoms are essential to diagnose a about 70% of these neurons have al- beneficial for you and those you patient with Parkinsons Disease. ready degenerated. care for. Lunch Provided In the Unites States, at least 500,000 Apart from Idiopathic (unknown Enjoy a full day of enlightening people are affected by this disease and cause) Parkinsons Disease, there are seminars that cover a range of topics - whether you are a family about 50,000 new cases are reported also other types of this disease. Drug member caring for a loved one or annually. The average age is usually 50 induced Parkinsonism is a well known if you are a professional who cares years of age and approximately 1% of entity and it is very commonly seen in for many over the course of a day. this age group has this disorder. There patients taking medications for other is modest male gender predominance. ailments. Some of the offending agents Keynote Speaker are antipsychotic medications called Tam Cummings, MS The onset of the disease is usually in- Haloperidol, Chorproamazine, Thio- A master’s graduate of Baylor sidious, unilateral progressing to bi- ridizine, Perphenazine, Risperidone, University’s Institute lateral presentation. The diagnosis of and Olanzepine. One of the widely of Gerontological Studies, Tam is the disease requires 2 of the following used antiemetic called Reglan or dedicated and 3 symptoms: Bradykinesia, Rigidity, Metoclopramide can be the offending passionate about helping care partners learn the skills needed to Resting tremor. The other signs slow- agent as well. Once the medications provide care. She provides private ly evolve with the progression of the are discontinued there is resolution of consultation and education services to families, extensive education disease. Parkinson’s patients develop the disease. It is also been speculated courses for nurses, social workers, masked faces, hypovolcanic speech, that patient who have been prone for andministrators and activity micrographia, swallowing difficulty, the disease can manifest symptoms directors, and keynote addresses for caregivier stress, dementia and flexed posture of the body, shuffling when they are exposed to the above the aging process for national, state gait, hesitancy and freezing type of medications. In this group of patients, and regional conferences. gait pattern. the disease continues to evolve. El- derly people should be cautiously be Call Judy Conner The causes or etiology of Parkinsons treated with these medications. disease is unknown in most cases. at 903-813-3575 for Some of the times there is genetic in- more information fluence causing the disease. Autosomal work it: Tai-Chi, Yoga and dance are unique dominance is very rare and mutation exercises proven effective in helping is unknown. There is a description of mobility in patients with Parkinson’s. mutation called alpha-synuclein gene

1117 GALLAGHER DRIVE, SUITE 200 texoma senior sourcebook 2013-2014 SHERMAN, TX 75090 - 903-893-2161 15 WWW.TCOG.COM Parkinson’s Disease

As far as the therapy is con- There are ongoing research Free Medical cerned, there is no neuro- studies where genetically en- Alert Means protective therapy available. gineered stem cell therapies There with dopaminergicare being used to reverse the New agents should begin depend- disease process. There are non Medicare ing on the disease of the func- pharmacological treatments Scam tional impairment and life- which are very essential for style of the patient. There are the Parkinsons disease pa- different agents available. The tients. Physical therapy and most commonly used are Le- exercise help with patients vodopa which is the precur- mobility. Some of the unique Seniors all over Texas are receiving phone sor of dopamine. Dopamine exercises proved to help are calls from individuals who want to make Agonist, MAO-B inhibitors, Tai-Chi, Yoga and dance. All an appointment to come to your home and COMT inhibtors. For drool- of these types of exercises are deliver a new Medical Alert that is all paid ing or otherwise called (Sial- helpful in improving motor for by Medicare. But the truth is, Medicare orrhea) and dystonia, Botu- movements. Speech and lan- does not pay for medical alert systems and linum toxin is available. This guage therapies are essential this item is not free! This is merely a trick is injected into the respective along with psychosocial inter- for you to give out personal information muscles every three months ventions. Dietary recommen- over the phone to strangers. to help improve motor func- dations include appropriate tions. calorie intake, adequate fiber Once these scammers get your Medicare intake and fluids. Vitamin D number, which is also your Social Security During the progression of and calcium along with re- number, they will bill Medicare for items the disease patients develop ducing protein to minimum and services you never receive. Protect dyskinesia in response to the daily allowance are all helpful. yourself from potential identity theft and medications which can be protect the Medicare system from crooks bothersome to the patients. The last but not least is the pa- stealing taxpayer dollars by hanging up! To the other extreme, they tient and caregiver education can have constant “freezing” through newsletters, and web You should never give out your Medicare and falls as well. Apart from resources. Support groups number to anyone who calls on the adjusting the medications, help both patient and caregiv- telephone. No one from Medicare or Social patients have to be evaluated ers. Counseling is sometimes Security will ever call you on the phone to for Deep Brain Stimulation© required for both patient and verify personal information such as a bank which is achieved surgically caregiver to overcome anxi- account or your Social Security Number. by placing deep electrodes ety, grief, guilt, isolation, de- And never give out your Medicare number in the sub thalamic nucleus pression and anger associated in exchange for free items. or Globus Pallidus Interna with patients having Parkin- regions of the brain. This is sons disease. Some of the If you are get a phone call or an offer placed stereotactically in the patients resources can be ac- for "free" items or services paid for by target nucleus and can be acti- cessed through the following: Medicare, get the name and number of vated or deactivated by an ex- the company then hang up. Then call the ternal programming device. parkinson.org/patients.aspx Texas Senior Medicare Patrol and report parkinsonsresource.org the information. Protect, detect and report Medicare fraud to 1-888-341-6187. Bharathy Sundaram, M.D. - Board Certified Neurologist Dr. Sundaram is a highly dedicated physician practicing neurology in the Texoma Region Contact Person: since 1994. She specializes in Movement Disorders, including management of Deep Brain Stimulation therapies and Botulinum therapeutic therapies. Barbara McGinity 2013-2014 16 texoma senior sourcebook 713-341-6184 Beware Of These Common Senior Scam Tricks Although today's senior citizens may be mentally sharper than ever, they still make a prime target for con artists because they generally have more disposable income — cash nest eggs they don't need for any specific purpose — and because they're usually more trusting. Some common senior scam tricks are: • The grandparent diabetes, that are either unnecessary or ignore all those phony warnings. scam is possibly the unreliable. Senior scam artists also exploit • There are several things to remember most widespread se- health concerns of older folks by bombard- when working and advising the senior nior scam, where the ing them with spam offering virility, anti- citizen population on the subject of fraud: victim receives a call supposedly from a aging and memory improvement products • People who grew up in the 1930s, grandchild in trouble abroad and needing or services whose effectiveness has no sci- 1940s, and 1950s were generally raised to money urgently. Usually the excuse is that entific basis of proof. Remember to always be polite and trusting. Con artists exploit the cash is needed to post bail and money work with your doctor or other reputable these traits, knowing that it is difficult or has to be sent by a wire payment. health professional for any medications or impossible for these individuals to say “no” • In a new and particularly nasty varia- equipment you think you might need. or just hang up the telephone. tion, victims were told their grandchild • Bogus contractors who claim you need • Older Americans are less likely to re- had been kidnapped and that they had to major structural repairs on your home -- port a fraud because they don’t know who pay a ransom. In some cases, the crooks usually the roof -- or offer to do a cut-price to report it to, are too ashamed at having knew something about the grandchild and driveway repaving. Never agree to on-the- been scammed, or don’t know they have used an accomplice to impersonate their spot “repairs” on the say-so from someone been scammed. Elderly victims may not voice. Even more cunningly, they earlier you don’t know. Always check the claim report crimes, for example, because they phoned the genuine grandchild, pretend- with a licensed contractor recommended are concerned that relatives may think the ing to be from a cell phone company, by a friend or relative. victims no longer have the mental capacity telling them to switch off their phone for a • Telemarketers sometimes use high- to take care of their own financial affairs. maintenance project, thus preventing the pressure techniques to sell you things you • Senior citizens are more interested in grandparent from checking the story. don’t want. Get your name on the Do-Not- and susceptible to products promising in- • Most Medicare cons actually target Call Registry and if you feel under pressure creased cognitive function, virility, physical Medicare rather than individuals, though on a call just hang up. If the caller persists, conditioning, anti-cancer properties, and they do rely on duping seniors into becom- tell them you’re calling the police -- and so on. In a country where new cures and ing unwitting accomplices. But sometimes then do that. vaccinations they aim directly at seniors, the most • Bogus lottery win- Senior scam victims in the for old diseas- recent example being the bogus Medicare nings. Sadly, news re- es have given refund scam, in which the crook asks for ports are littered with United States lose at least $2.6 every Ameri- personal information, including Medicare stories about seniors billion to crooks every year, can hope for card details, supposedly so a $250 check who believed they’d a long and can be issued to cover the gap in covered won a fortune on a according to recent newspaper fruitful life, prescription charges. lottery then paid a real reports, with as many as one in it is not so • In fact, they want the details for fortune on supposed every five seniors losing money. unbelievable identity theft. Never provide confidential fees to try to collect that the con information over the phone unless you’re their winnings. Never artists’ prod- 100% sure the caller is genuine. The $250 pay a cent to collect “winnings.” ucts can do what they claim.There are check, by the way, is mailed out automati- • Scareware -- those pop-ups on your many con artists who prey on the senior cally to those who are entitled. No phone computer screen that tell you your com- citizens of our country. We need to share calls or information are needed. puter is infected with a virus, then invite any information we have to arm everyone • Other health-related scams not directly you to download a program to get rid to be aware of these predators. Forewarned linked to Medicare include offers of “free” of the virus (which you either pay for or is forearmed. equipment or supplies, with charges hid- which really is a virus). Install Internet www.scambusters.org/senior_scam.html den in the fine print of a document you security software from one of the big name www.fbi.gov/scams-safety/fraud/seniors/ must sign, and tests, including ones for providers and keep it up to date, then seniors#target texoma senior sourcebook 17 2013-2014 NO DISRESPECT: How Family Caregivers can Improve Care Transitions By Anne Montgomery eaning into the podium at the venous fluids and injections, preparation that it is precisely the lack of “anticipatory Graduate Center of the City Uni- of foods for individuals on special diets guidance,” or training, which individu- versity of New York on May 14, who have trouble chewing or swallowing, als who choose to make major changes to JudyL Feder, professor of public policy at and management of ventilators and tube their lives in order to assist a seriously ill Georgetown University, is poised and in- feeding systems. The net outcome, Feder or disabled loved one find most difficult tent. She is speaking to a room full of re- observed, is that family caregivers find of all. “Specific conversations are needed,” searchers, advocates and academics who themselves under increasing pressure to she said. “Not just a list of websites or a are hoping to ignite a national conversa- “turn their homes into hospitals.” Chang- stack of brochures.” tion about why now is the right moment ing this dynamic, she added, will require UHF’s David Gould and Carol Levine for family caregivers to underscore their serious work. In a call to action, Feder de- urged researchers and policymakers to importance to the U.S. health and long- clared: “The support of caregivers should join together to support caregiver assess- term care system. not be merely “assumed,” but rather it must be “thoughtfully considered….We need to ments that include documentation of both But first, Feder administers a reality the needs and limitations of caregivers as check: Despite ”overwhelming evidence” turn this around and get past the lip service.” part of the routine delivery of health and that caregivers are “the essential glue” in long-term care services. Also needed, they our health care system, they are often met Others at the UHF conference, titled said, are regular surveys of both the patient with “disregard” or “disrespect” by large “Transitions in Care 2.0,” (which culmi- and the family caregiver’s experience with institutions and individual practitioners, nated in the release of a ten-step action services, as well as a more sophisticated she said. Moreover, the very fact that fam- agenda) were in full agreement. Susan Re- and systematic approach to identifying the ily caregivers are the “dominant source” of inhard, Senior Vice President of AARP’s networks of family, friends and neighbors help for 80% of ill, frail and disabled in- Public Policy Institute, observed that the who come together to form a “caregiver dividuals living at home and in the com- recent AARP-UHF survey documents that corps,” or circle of support, that can be as- munity contributes to concerns about more than two-thirds of respondents re- sembled to collectively provide the right so-called “crowd-out” costs: The “fear of port significant difficulty with certain tasks level of help at the right time. replacing” unpaid family caregiver labor, — notably wound care, assisting with the she said, has led policymakers and provid- use of incontinence equipment and prepa- Making the necessary adaptations to our ers to count on their support as a “fiscal ration of special diets. Helping a family rapidly evolving health and long-term care convenience.” member or friend cope with a colostomy services systems in order to cost-effective- A classic example of this overreliance is not a traditional ADL,” [Activity of Daily ly train large numbers of people who may on family caregivers, according to Feder, is Living] Reinhard said. The ADL assess- be willing to volunteer some of their time the massive (though rarely discussed) shift ment instrument, which focuses on basic, to assist those who wish to age in place is of responsibility that occurred following non-medical assistance with eating, dress- not a simple matter. Perhaps one way to implementation of Medicare’s prospective ing, toileting, bathing and transferring, move a conversation forward is to consid- payment system (PPS) for hospitals dur- was originally developed in the 1950’s as er whether the Center for Elder Care and ing the 1980’s. As hospitals realized that it a way of measuring the help that patients Advanced Illness concept of a Caregiver was in their financial interest to discharge recovering from hip fractures needed. Corps of trained volunteers can be created patients more rapidly (often referred to as Mary Naylor, a professor and researcher to help teams of health care practitioners “quicker and sicker”) under a PPS system, at the University of Pennsylvania School and direct care workers deliver a more the result for family caregivers was that of Nursing, argued that in the era of the seamless array of services and supports – they were asked to take on much more – “age wave,” providers should reframe their while also giving families the confidence often without any discussion, and with no professional perspective to see themselves that they will be able to sustain assistance preparatory training or sustained support. in part as “enablers of patients and family for the millions of frail elders and individ- “All of this happened with no thought,” caregivers.” Both Eric Coleman, professor uals with disabilities who want to remain Feder said. of medicine at the University of Colorado a vital part of the community right up Concurrently, a growing body of evi- and Luke Hansen, professor of medicine at until the ends of their lives. Such a Corps, dence — including a recent survey con- Chicago’s Northwestern University, noted which would recruit volunteers young and ducted by AARP and United Hospital that it is still uncommon for physicians old, would be a step toward addressing Fund (UHF) – has established that family and hospitals to collect any data on family workforce shortage issues, and might give caregivers are routinely undertaking ever- caregivers — and even rarer to train them. communities ideas and strategies they can more complex medical and nursing tasks. This presents problems, they acknowl- adapt to solve pressing concerns. Now is For example, it is now common for care- edged, in making various improvements the right time for family caregivers and givers to be expected to assist with ostomy in the care system “stick.” Feminist author their many allies to work together to and wound care, administration of intra- and caregiver Alix Shulman suggested think through the possibilities. www.medicaring.org 2013-2014 18 texoma senior sourcebook We bring healthcare home to you

TMC Home Health provides customized care in the comfort of your own home with a wide range of services. We work closely with patients, families and physicians to ensure the continuity of your recovery and wellbeing.

• Specialty-Trained Nurses • Physical Therapists • Occupational Therapists AvailableAvailable • Speech Therapists • Medical Social Workers 2424/7/7 Accredited cAre • Home Health Aides TMC Home Health is one of only two local agencies that have passed rigorous evaluation and are accredited by The Joint Commission, certified by Medicare and Medicaid as well as being licensed by the state of Texas.

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Physicians are on the medical staff of Texoma Medical Center, but, with limited exceptions, are independent practitioners who are not employees or agents of Texoma Medical Center. The hospital shall not be liable for actions or treatments provided by physicians. texoma senior sourcebook 19 2013-2014 Sexuality in Later Life

Many people want and need to be close to others as they grow older. This includes the desire to continue an active, satisfying sex life as they grow older. But, with aging, there may be changes that can cause problems.

2013-2014 20 texoma senior sourcebook Sexuality in Later Life

with severe dementia may not recognize their spouse, but What Are Normal still seek sexual contact. This can be a confusing problem for the spouse. A doctor, nurse, or social worker with train- Changes? ing in dementia care may be helpful. ormal aging brings physical changes in both men Diabetes This is one of the illnesses that can cause ED and women. These changes sometimes affect the in some men. In most cases, medical treatment can help. Nability to have and enjoy sex. A woman may notice Less is known about how diabetes affects sexuality in older changes in her vagina. As a woman ages, her vagina can women. Women with diabetes are more likely to have vagi- shorten and narrow. Her vaginal walls can become thinner nal yeast infections, which can cause itching and irritation and also a little stiffer. Most women will have less vaginal and make sex uncomfortable or undesirable. lubrication. These changes could affect sexual function Heart disease Narrowing and hardening of the arter- and/or pleasure. Talk with your doctor about these prob- ies can change blood vessels so that blood does not flow lems. freely. As a result, men and women may have problems As men get older, impotence (also called erectile dys- with orgasms, and men may have trouble with erections. function—ED) becomes more common. ED is the loss of People who have had a heart attack, or their partners, may ability to have and keep an erection for sexual intercourse. be afraid that having sex will cause another attack. Sexual ED may cause a man to take longer to have an erection. His activity is often safe. Always follow your doctor's advice. erection may not be as firm or as large as it used to be. The Incontinence Loss of bladder control or leaking of urine loss of erection after orgasm may happen more quickly, or is more common as we grow older, especially in women. it may take longer before another erection is possible. ED Extra pressure on the belly during sex can cause loss of is not a problem if it happens every now and then, but if it urine, which may result in some people avoiding sex. This occurs often, talk with your doctor. can be helped by a change in positions. The good news is that incontinence can usually be treated. Stroke The ability to have sex is sometimes affected by a What Causes Sexual stroke. A change in positions or medical devices may help people with ongoing weakness or paralysis to have sex. Problems? Some people with paralysis from the waist down are still able to experience orgasm and pleasure. Some illnesses, disabilities, medicines, and surgeries can affect your ability to have and enjoy sex. Problems in your relationship can also affect your ability to enjoy sex. Arthritis Joint pain due to arthritis can make sexual What Else May Cause contact uncomfortable. Joint replacement surgery and drugs may relieve this pain. Exercise, rest, warm baths, and Sexuality Problems? changing the position or timing of sexual activity can be Surgery Many of us worry about having any kind of sur- helpful. gery—it may be even more troubling when the breasts or Chronic pain Any constant pain can interfere with genital area are involved. Most people do return to the kind intimacy between older people. Chronic pain does not of sex life they enjoyed before surgery. have to be part of growing older and can often be treated. Hysterectomy is surgery to remove a woman's uterus. But, some pain medicines can interfere with sexual func- Often, when an older woman has a hysterectomy, the ova- tion. You should always talk with your doctor if you have ries are also removed. The surgery can leave both men and unwanted side effects from any medication. women worried about their sex lives. If you're afraid that Dementia Some people with dementia show increased a hysterectomy will change your sex life, talk with your interest in sex and physical closeness, but they may not be gynecologist or surgeon. able to judge what is appropriate sexual behavior. Those texoma senior sourcebook 21 2013-2014 Mastectomy is surgery to remove all or part of a woman's breast. This surgery may cause some women to lose their sexual desire or their sense of being desired or feeling feminine. In addition to talking with your doctor, sometimes it is useful to talk with other women who have had this surgery. Programs like the American Cancer Society's (ACS) "Reach to Recovery" can be helpful for both women and men. If you want your breast rebuilt (reconstruction), talk to your cancer doctor or surgeon. Prostatectomy is surgery that removes all or part of a man's prostate because of cancer or an enlarged prostate. It may cause urinary incontinence or ED. If removal of the prostate gland (radical prostatectomy) is needed, talk to your doctor before surgery about your concerns. Medications Some drugs can cause sexual problems. These include some blood pressure medicines, antihistamines, For women with vaginal dryness, lubri- much about that happening, you can cause antidepressants, tranquilizers, appetite cated condoms or a water-based lubri- enough stress to trigger ED. suppressants, drugs for mental problems, cating jelly with condoms may be more Older couples face the same daily and ulcer drugs. Some can lead to ED or comfortable. A man needs to have a full stresses that affect people of any age. They make it hard for men to ejaculate. Some erection before putting on a condom. Talk may also have the added concerns of age, drugs can reduce a woman's sexual desire with your doctor about ways to protect illness, retirement, and other lifestyle or cause vaginal dryness or difficulty with yourself from all sexually transmitted changes, all of which may lead to sexual arousal and orgasm. Check with your diseases. Go for regular check-ups and difficulties. Try not to blame yourself or doctor. She or he may prescribe a different testing. Talk with your partner. You are your partner. You may find it helpful to drug without this side effect. never too old to be at risk. talk to a therapist. Some therapists have Alcohol Too much alcohol can cause special training in helping with sexual erection problems in men and delay or- problems. If your male partner is troubled gasm in women. Can Emotions by ED or your female partner seems less interested in sex, don't assume he or she is Play a Part? no longer interested in you or in sex. Many of the things that cause these problems can Am I Too Old To Sexuality is often a delicate balance of be helped. emotional and physical issues. How you Worry About Safe feel may affect what you are able to do. Many older couples find greater satisfac- Sex? tion in their sex life than they did when What Can I Do? they were younger. They have fewer Age does not protect you from sexually There are things you can do on your own distractions, more time and privacy, no for an active sexual life. Make your partner transmitted diseases. Older people who are worries about getting pregnant, and sexually active may be at risk for diseases a high priority. Take time to enjoy each intimacy with a lifelong partner. Some other and to understand the changes you such as syphilis, gonorrhea, chlamydial older people are concerned about sex as infection, genital herpes, hepatitis B, both are facing. Try different positions and they age. A woman who is unhappy about new times, like having sex in the morning genital warts, and trichomoniasis. Almost how her looks are changing as she ages anyone who is sexually active is also at risk when you both may be well rested. Don't may think her partner will no longer find hurry—you or your partner may need to of being infected with HIV, the virus that her attractive. This focus on youthful causes AIDS. The number of older people spend more time touching to become fully physical beauty may get in the way of her aroused. Masturbation is a sexual activity with HIV/AIDS is growing. To protect enjoyment of sex. Men may fear that ED yourself, always use a condom during sex. that many older people, with and without a will become a more common problem as partner, find satisfying. You are at risk for HIV/AIDS if you or your they age. Most men have a problem with partner has more than one sexual partner ED once in awhile. But, if you worry too or if you are having unprotected sex. 2013-2014 22 texoma senior sourcebook Some older people, especially women, may have trouble find- ing a romantic or sexual partner. That's because women tend to live longer than men. To meet new people, try activities that other seniors enjoy. Some ideas include mall walking, volunteer jobs, adult education classes at a community college, or day trips sponsored by your city or county recreation department. Don't be afraid to talk with your doctor if you have a problem that affects your sex life. He or she may be able to suggest a treatment. For example, the most common sexual difficulty of older women is painful intercourse caused by vaginal dryness. Your doctor or a pharmacist can suggest over-the-counter vaginal lubricants or moisturizers to use. Waterbased lubricants are helpful when needed to make sex more comfortable. Mois- turizers are used on a regular basis, every 2 or 3 days. Or, your doctor might suggest a form of vaginal estrogen. If ED is the problem, it can often be managed and perhaps even reversed. There are pills that can help. They should not be used by men taking medicines containing nitrates, such as nitroglycerin. The pills do have possible side effects. Other available treatments include vacuum devices, self-injection of a drug, or penile implants. Physical problems can change your sex life as you get older. But, you and your partner may discover you have a new closeness. Talk to your partner about your needs. You may find that affection—hugging, kissing, touching, and spending time together—can make a good beginning.

For More Information Here are some helpful resources: American Cancer Society For more information on 1-800-227-2345 health and aging, contact: (toll-free/24 hours) National Institute on Aging 1-800-735-2991 Information Center (TTY/toll-free) www.cancer.org P.O. Box 8057 Gaithersburg, MD 20898-8057 American Urological Association Foundation 1-800-222-2225 (toll-free) 1000 Corporate Boulevard 1-800-222-4225 (TTY/toll-free) Linthicum, MD 21090 www.nia.nih.gov www.nia.nih.gov/espanol 1-866-746-4282 (toll-free) www.urologyhealth.org To sign up for regular email alerts about new publications and other National Library of information from the NIA, go to Medicine www.nia.nih.gov/health. MedlinePlus Visit NIHSeniorHealth (www.nih- www.medlineplus.gov seniorhealth.gov), a senior-friendly National Kidney and website from the National Institute Urologic Diseases on Aging and the National Library of Medicine. This website has health Information Clearinghouse information for older adults. Special National Institute of Diabetes features make it simple to use. For and Digestive and Kidney example, you can click on a button Diseases to have the text read out loud or to 3 Information Way make the type larger. Bethesda, MD 20892 National Institute on Aging 1-800-891-5390 (toll-free) National Institutes of Health www.niddk.nih.gov U.S. Department of Health and Human Services

Source URL: http://www.nia.nih.gov/health/publication/sexuality-later-life texoma senior sourcebook 23 2013-2014 Satisfaction & Emotional Well-Being

2013-2014 24 texoma senior sourcebook what seniors get from Giving Back Think volunteering’s just a nice thing you do for others? Think again. A growing body of research has pointed to the social, emotional, and even physical health benefits of volunteering. By Bernie Wong

esearch shows how older volunteers can get the benefits” they thought they’d gotten out of volunteering, Rmost out of their service. including their self-esteem, personal growth, and social Think volunteering’s just a nice thing you do for activity. others? Think again. A growing body of research has Tang and her colleagues found that the volunteers pointed to the social, emotional, and even physical reported significant improvements in their mental health benefits of volunteering. health, along with other socioemotional benefits Now a recent study, published in the journal The ranging from a greater feeling of productivity to Gerontologist, zeroes in on the particular benefits increased social activity to an overall sense that their life volunteering offers older adults, and reveals how had improved. Importantly, the researchers found that organizations can help their older volunteers best volunteers were far more likely to enjoy these benefits reap those rewards. The study, led by University of when the volunteer organization gave them adequate Pittsburgh researcher Fengyan Tang, surveyed more than 200 volunteers ages 50 or older. The volunteers training, ongoing support, and greater flexibility in were from varied socioeconomic backgrounds and had choosing activities and schedules. What’s more, the contributed an average of six hours a week to nonprofit researchers found that volunteers of low socioeconomic or government programs with services ranging from status reported more socioemotional benefits than did legal consultation to meal preparation to helping with volunteers of higher socioeconomic status. computer skills. Tang and her colleagues argue that, on a society-wide Tang and her colleagues didn’t only look at how the level, their study highlights the importance of offering volunteers were helping others; they also evaluated emotionally meaningful volunteer opportunities for the kind of support volunteers received from the older adults, and for giving these volunteers adequate organizations for which they were volunteering. They support and freedom. In this way, older adults are able asked the volunteers the extent to which they were to find purpose, satisfaction, and good health later in given a choice of volunteer activities, whether they had received adequate training, and whether they received life at the same time that they give back to society. ongoing support. “With the support from host organizations,” they The researchers then followed up with the volunteers write, “older volunteers are able to continue their efforts a year later, asking participants about their physical and contributions and derive satisfaction and emotional and mental health as well as the “socioemotional well-being from their volunteer experience.”

texoma senior sourcebook 25 2013-2014 State Services Available in the Texoma Region

HHSC oversees the operations of the health and human services system, provides administrative oversight of Texas health and human services programs, and provides direct administration of some programs. HHSC operates with an annual budget of $16 billion and 9,300 employees.

HHSC oversees the Texas health and human services system, which is composed of five agencies: 1. Health and Human Services Commission (HHSC) 2. Department of Aging and Disability Services (DADS) 3. Department of State Health Services (DSHS) 4. Department of Assistive and Rehabilitative Services (DARS) 5. Department of Family and Protective Services (DFPS)

Programs Administered by HHSC HHSC Functions • Medicaid • Eligibility Determination • Children’s Health Insurance Program (CHIP) • System Planning and Evaluation • Temporary Assistance for Needy Families • Policy Development and Rule-making • Food Stamps and Nutritional Programs • Fraud and Abuse Prevention and Detection • Family Violence Services • Border Affairs • Refugee Services • Early Childhood Coordination • Disaster Assistance • Ombudsman Services

More information about HHSC’s services, principles, and the process for filing complaints and requesting information is outlined in the Compact with Texans.

The mission of HHSC is to maintain and improve the health and human services About system in Texas and to administer its programs in accordance with the highest HHSC standards of customer service and accountability for the effective use of funds.

2013-2014 26 texoma senior sourcebook Local Information 2001 Loy Lake Road Sherman, TX 75090 903-892-0581 Phone 903-870-5301 Fax 903-870-5303 TDD Complaints 800-458-9858 Texas Department of Aging and Dis- Key Responsibilities to Texoma Citizens ability Services 1. Working in partnership with consumers, caregivers, service providers and other stakeholders. 2. Developing and improving service options that are responsive to individual needs and preferences. General 3. Ensuring and protecting self-determination, consumer rights and safety. Information 1-800-252-9240 DADS Services • Adult Day Care/Day Activity and • Consolidated Waiver Program • Hospice State Nursing Health Services (ADC/DAHS) • Consumer Directed Services (CDS) • In-Home and Family Support Ser- Home Ombudsman • Adult Foster Care (AFC) • Day Activity and Health Services vices (IHFS) Program Hotline • Area Agencies on Aging (AAA) (DAHS) • Intermediate Care Facilities for 1-800-252-2412 • Assisted Living Facilities (ALF) • Deaf Blind with Multiple Disabili- Persons with Intellectual Disability Website • Assisted Living and Residential ties (DBMD) (IFC/ID) www.dads.state.tx.us Care (ALRC) • Emergency Response Services (ERS) • Medically Dependent Children • Community Attendant Services • Family Care (FC) Program (MDCP) The Texas Depart- (CAS) • Home and Community Based Ser- • Nursing Home Facilities ment of Aging and • Community Based Alternatives vices (HCS) • Primary Home Care (PHC) Disability Services (CBA) • Home and Community Support • Texas Home Living Program (DADS) was created • Community Living Assistance and Services Agencies (HCSSA) (TxHmL) Program to administer long- Support Services (CLASS) • Home Delivered Meals (HDM) • Transition Assistance Services term services and support for people who are aging as well as for people Adult Day Care/Day Activity Adult Foster Care Assisted Living Facilities with intellectual and and Health Services www.dads.state.tx.us/providers/ www.dads.state.tx.us/providers/ physical disabilities. www.dads.state.tx.us/providers/ afc/index.cfm alf/index.cfm DADS also licenses adc/index.cfm Adult Foster Care provides a Assisted living facilities provide in- and regulates provid- dividualized health and personal care ers of these services, Licensed Day Activity and Health 24-hour living arrangement with supervision in an adult foster home for assistance in a homelike setting with and administers the Services facilities provide daytime services, up to 10 hours per day, people who are unable to continue an emphasis on personal dignity, au- State’s Guardian- Monday through Friday, to people living independently in their own tonomy, independence and privacy. ship program. DADS residing in the community. Services homes because of physical, mental or Facilities can be large apartment- began formal opera- address physical, mental, medical emotional limitations. like settings or private residences. tions Sep. 1, 2004. Services include meals, bathing, and social needs. Individuals may AFC providers and residents must attend up to five days per week, dressing, toileting and administering Aging Texans and in- live in the same household and share or supervising medication. dividuals with disabil- depending on their eligibility. a common living area. With the ex- Texas licenses assisted living facili- ities are supported Services include: Nursing and ception of family members, no more ties based on residents’ physical and by a comprehensive than three adults may live in the Personal Care; Physical Rehabilita- mental ability to evacuate the facility and cost-effective foster home unless it is licensed by tion; Noon Meal and Snacks; Social, in an emergency and whether night- service delivery Educational and Recreational Activities; the state. The client pays the provider for room and board. time attendance is necessary. system that pro- Transportation. motes and enhances A Type A Facility cares for residents To qualify for this program you Services include: Minimal Help individual well-being, with Personal Care Tasks, Help with who do not require routine attendance must be Medicaid eligible for Title during sleeping hours and are capable of dignity & choice. XIX-funded DAHS services. Finan- Activities of Daily Living, Providing or following directions in an emergency. The DADS mission is cial eligibility is determined by the Arranging for Transportation. to provide a compre- Department of Aging and Disability Financial eligibility is determined A Type B Facility is for residents who hensive array of ag- Services for Title XX-funded DAHS. by the Texas Department of Aging require staff assistance to evacuate, are ing and disability ser- This service is available statewide, but and Disability Services. not capable of following directions in vices, supports and not in every county. Services are available statewide; an emergency and require nighttime opportunities that are however, they may not be available in attendance. easily accessed in lo- all counties. cal communities. texoma senior sourcebook 27 2013-2014 Texas Department of Aging and Disability Services

Assisted living and Eligibility requirements for both. Additional time may Services include: Adaptive Aids residential care Community Based Alternatives not be allocated for escort And Medical Supplies, Adult Foster Assisted Living/Residential Care: www.dads.state.tx.us/ services for other purposes. Care, Assisted Living/Residential providers/alrc/index.cfm • Be 21 years of age or older. This service does not include Care Services, Emergency Response • Meet the medical necessity for the direct transportation of Services, Home Delivered Meals, Assisted Living and Residential nursing facility admission. the client by the attendant. Minor Home Modifications, Nurs- Care (ALRC) provide a 24-hour • Have an individual plan of • Home Management: As- ing Services, Occupational Therapy living arrangement in licensed sistance with housekeeping care that does not exceed the Services, Personal Assistance Ser- assisted living facilities in which activities that support the nursing facility payment rate. vices, Respite Care Services, Speech personal care, home manage- client’s health and safety ment, escort, social and recre- • Financial eligibility is deter- And /Or Language Pathology mined by the Texas Health • Personal Care: Assistance ational activities, 24-hour super- with activities related to the Services, Dental Services, Prescrip- vision, supervision of/assistance and Human Services Com- care of the client’s physical tion Drugs (If Not Covered Through with or direct administration of mission. health. Medicare), Transition Assistance medication, and transportation Community Attendant Financial eligibility is deter- Services are provided. Services mined the Texas Health and Hu- Financial eligibility is deter- Eligibility requirements for www.dads.state.tx.us/ man Services Commission. mined the Texas Health and Hu- Community Care for Aging providers/cas/index.cfm Services are available statewide man Services Commission. and Disabled Residential Care in every county. Services: CAS is a non-technical, medi- Community Living cally related personal care service • Be 18 years of age or older. Community Based  Assistance and that is available to eligible adults • Meet the medical necessity for  Alternatives Support Services (Class) and children whose health 877-438-5658 nursing facility admission. problems cause them to be func- www.dads.state.tx.us/ • Meet the functional assess- tionally limited in performing providers/cba/index.cfm www.dads.state.tx.us/ ment score requirements of providers/class/index.cfm activities of daily living accord- CBA allows eligible people to the specific service. ing to a practitioner’s statement • Financial eligibility is deter- receive services in their own CLASS provides home- and of medical need. Services are community-based services to mined the Texas Health and homes, foster homes or assisted provided by an attendant. people with related conditions Human Services Commis- living settings. The CBA program Available services: as a cost-effective alternative to sion. For more information, is the last payer of services when other third-party resources, such placement in an intermediate please visit their website: • Escort: Accompanying the as Medicare and Medicaid, are care facility for persons with www.hhsc.state.tx.us/medic- client on trips to obtain medical diagnosis, treatment, or available. mental retardation or a related aid/med_info.html condition (ICF-MR/RC). Service may not be available right away. Your name may be placed on an interest list. You will be contacted when services are available

TAKE YOUR KNOWLEDGE TO THE NEXT DEGREE GRAYSON COLLEGE Completing a degree or certificate is the key to opening new doors. Going back to school and earning your college degree or certificate paves the way to opportunities for new jobs and career advancement. Visit us at www.grayson.edu 2013-2014 28 texoma senior sourcebook A related condition is a disability, Consumer Directed to people residing in the commu- Speak other than mental retardation, Services nity. Services address physical, that originated before age 22 and mental, medical and social needs. www.dads.state.tx.us/ that affects the ability to function Individuals may attend up to five providers/cds/index.cfm for those in daily life. days per week, depending on Services include: Adaptive Consumer Directed Services their eligibility. allows DADS consumers to hire who can’t Aids And Medical Supplies, Case Services include: Nursing And and manage the persons who Personal Care, Physical Rehabilita- Management, Consumer Directed provide their services. (CDS was Services, Habilitation, Minor Home formerly called the Vendor Fiscal tion, Noon Meal And Snacks, So- speak for Modifications, Nursing Services, Intermediary Option.) cial, Educational And Recreational Activities, Transportation Occupational Therapy, Physical The program is the result of themselves Therapy, Psychological And Be- Senate Bill 1586, 76th Texas Leg- Clients must be Medicaid eli- havioral Support Services, Respite islature, which allows a voucher gible for Title XIX-funded DAHS Care, Specialized Therapies, Speech payment option that empowers services. Financial eligibility is Pathology consumers to make personal determined by the Department of Aging and Disability Services for Financial eligibility is deter- decisions related to the delivery Title XX-funded DAHS. mined the Texas Health and Hu- of personal assistance and respite man Services Commission. services within their current This service is available statewide, home and community-based but not in every county. Consolidated Waiver program.  Deaf Blind with Multiple Program Services that can be self-direct- BECOME A Disabilities www.dads.state.tx.us/ ed through CDS: providers/cwp/index.cfm Community Based Alterna- www.dads.state.tx.us/ tives Personal assistance services, providers/dbmd/index.cfm The Consolidated Waiver CERTIFIED respite, nursing, physical therapy, Program provides home and DBMD provides home and occupational therapy and speech/ community-based services to community-based services to hearing therapy people who are eligible for care people who are deaf-blind with OMBUDSMAN in a nursing facility or intermedi- Community Living Assistance multiple disabilities as a cost-ef- ate care facility for persons with and Support Services Habita- fective alternative to institutional mental retardation or a related tion services, respite services, placement. The program focuses Free Training! condition (ICF/MR-RC). nursing, physical therapy, oc- on increasing opportunities for cupational therapy and speech/ consumers to communicate and Services include: Adaptive Aids hearing therapy interact with their environment. And Medical Supplies, Adult Foster Consolidated Waiver Care, Assisted Living/Residential Services include: Adaptive Aids Program Personal assistance Care, Audiology, Child Support And Medical Supplies , Assisted services, respite, habilitation and Living (Licensed Up To Six Beds) , Services, Day Habilitation, Dental, support consultation Dietary Services, Emergency Behavior Support Services, Case Consumer Managed Person- Response Services, Employment Management, Chore Provider, Con- al Attendant Services Personal sumer Directed Services, Employ- Assistance, Home-Delivered Meals, assistance services Independent Advocacy, Intervener ment Assistance, Environmental Deaf-Blind with Multiple Dis- Accessibility/Minor Home Modi- Contact: Services, Minor Home Modifica- abilities Residential habitation tions, Nursing Services, Orientation fications, Habilitation, Intervenor, (less than 24 hours), intervenor, Nursing Services, Occupational INA MILLER And Mobility Services, Personal respite services and support Therapy, Orientation And Mobility, Assistance Services (See Note Below), consultation Managing Local Prescription Drugs (If Not Covered Physical Therapy, Prescription Home and Community- Drugs (If Not Covered Through Through Medicare,) Residential Ha- Based Services Supported home Medicare), Respite Care, Specialized Ombudsman bilitation (See Note Below), Respite living, respite services and support consultation Nursing Services, Speech, Hearing 903-813-3569 Care, In- And Out-Of-Home (See And Language Therapy, Supported Medically Dependent Note Below), Social Work, Sup- Employment, Transition Assistance Children Program Adjunct and ported Employment, Supports For Services Participant Direction : Financial respite services provided by an attendant or a nurse Financial eligibility is deter- Management Services & Support mined the Texas Health and Hu- Consultation, Therapies (Physical, Day Activity and Health man Services Commission. Occupational And Speech/Lan- Services This service is available statewide; guage), Transportation, 24-Hour www.dads.state.tx.us/ however, as this is a low-incidence Residential Habilitation providers/dahs/index.cfm population, there are only 41 Financial eligibility is deter- counties in which individuals are Licensed Day Activity and mined the Texas Health and Hu- served. Services may not be avail- Health Services facilities provide man Services Commission. able right away. Your name may daytime services, up to 10 hours be placed on an interest list. per day, Monday through Friday,

This service is available using the Consumer Directed Services (CDS) option. The CDS option allows participants who live in their own private residences or the home of a family member to choose to self-direct certain services. By choosing to self-direct these services, participants will assume and retain responsibility to: recruit their service providers; conduct criminal history checks; determine the competency of service providers; and hire, train, manage and fire their service providers. A program of Texoma Council of texoma senior sourcebook 2013-2014 29 Governments Texas Department of Aging and Disability Services

Emergency Response Home and Services (ERS)  Community-Based www.dads.state.tx.us/ Services providers/ers/index.cfm www.dads.state.tx.us/ providers/hcs/index.cfm Round-the-clock emergency response services are provided HCS provides individualized through an electronic monitoring services and supports to persons system that is used by functional- with intellectual and develop- ly impaired adults who live alone mental disabilities who are living or who are socially isolated in the with their family, in their own community. In an emergency, home or in other community set- the client can press a call button tings, such as small group homes. to signal for help. The electronic Services include: Case Man- monitoring system helps to en- agement, Adaptive Aids, Minor sure that the appropriate person or service agency responds to an Home Modifications, Counseling alarm call. And Therapies (Includes Audiol- ogy; Speech/Language Pathology, Financial eligibility is determined the Texas Department of Occupational Or Physical Therapy; Aging and Disability Services. Dietary Services; Social Work; And Psychology), Dental Treatment, Services are available statewide. Nursing, Residential Assistance, Family Care Supported Home Living, Foster/ www.dads.state.tx.us/ Companion Care, Supervised Liv- providers/fc/index.cfm ing, Residential Support, Respite, Day Habilitation, Supported Family Care is a non-skilled, Employment nontechnical attendant care service for eligible adults who are Financial eligibility is deter- functionally limited in perform- mined the Texas Health and Hu- ing activities of daily living. man Services Commission. Primary Home Care provider This service is available statewide. agencies have the option of providing these services. Family Home and Community Care services are provided by an Support Services Agencies Home Delivered Meals Therapy, Physical Therapy, Physi- attendant and do not require the www.dads.state.tx.us/ www.dads.state.tx.us/ cian Services, Respite Care, Speech supervision of a registered nurse. providers/hcssa/index.cfm providers/hdm/index.cfm Language Pathology, Volunteer Services include: Services Provides services such as: This program provides a nutri- Escort Attendants accompany tious noontime meal delivered to Financial eligibility is deter- Nursing; Physical, Occupational, mined the Texas Health and Hu- clients on trips to obtain medical clients in their homes. Speech, Respiratory Or Intravenous man Services Commission. diagnosis, treatment or both. This Therapy; Social Services; Dialysis; Financial eligibility is deter- service does not include the direct mined the Texas Department of Services are available statewide Personal Assistance Services; Nutri- in every region. transportation of the client by the tional Counseling; And Terminal Aging and Disability Services. attendant And Palliative Care (Through Services are available statewide In-Home and Family Home Management As- Hospice Agencies) to individuals in every region. Support Program in a residence or independent sistance with housekeeping activities Hospice www.dads.state.tx.us/ that support the client’s health living environment. providers/ihfs/index.cfm www.dads.state.tx.us/ and safety, including changing bed Hospice agencies and hos- providers/hospice/index.cfm This program provides direct pice inpatient facilities provide linens, housekeeping, doing laundry, grant benefits to people who have intervention services that focus shopping, storing purchased items, Hospice is a program of pallia- physical disabilities and or their primarily on the reduction or washing dishes tive care consisting of medical, families to help them purchase abatement of physical, psychosocial and support services to services that enable them live in Personal Care Help with activi- logical, or spiritual symptoms of terminally ill patients, when the community. Eligible people ties related to the care of the client’s a terminal illness for consum- curative treatment is no longer choose and purchase services physical health, including bathing, ers. They also provide support possible. that help them to remain in their services for consumers and their dressing, grooming, routine hair Services include: Bereavement own homes. families. For more specific in- and skin care, preparing meals, Counseling, Counseling Services, feeding, exercising, helping with self- formation about hospice, please Services include: Attendant visit the DADS hospice website: Drugs And Biologicals, General Care, Home Health Services, Home administered medication, toileting, Inpatient Care (Short-Term), Home transferring/ambulating www.dads.state.tx.us/providers/ Health Aide Services, Homemaker Hospice/index.cfm Health Aide Services, Homemaker Services, Chore Services That Financial eligibility is deter- Services, Household Services, Provide Assistance With Training, mined the Texas Department of Medical Appliances And Supplies, Aging and Disability Services. Routine Body Functions, Dressing, Medical Social Services, Nurs- Preparing And Consuming Food, Services are available statewide. ing Care Services, Occupational And Ambulating; Counseling And

Service may not be available right away. Your name may be placed on an interest list. You will be contacted when services are available

2013-2014 30 texoma senior sourcebook Nursing Training Programs That Help Pro- to people with intellectual and nurse on a regular basis. The nursing Facilities with vide Proper Care Of An Individual developmental disabilities and/or facility must provide for the total With A Disability; Medical, Surgi- a related condition. medical, nursing, and psychosocial Alzheimer’s Units cal, Therapeutic, Diagnostic And Services include: Residential, needs of each client, to include room Other Health Services Related To A Habilitation, Medical, Skills Train- and board, social services, over-the- The Texas Department of Ag- Person’s Disability; Other Disability ing, Adjunctive Therapy counter drugs (prescription drugs are ing and Disability Services Related Services Prior-Approved By Financial eligibility is deter- covered through the Medicaid Ven- offers resources for find- Dads; Pre-Approved Transporta- mined the Texas Health and Hu- dor Drug program or Medicare Part ing long term care tion And Room And Board Cost man Services Commission. D), medical supplies and equipment, facilities licensed in Incurred By Person With Physical Services are available statewide. personal needs items, and reha- Texas that are certi- Disability Or His Family During bilitative therapies. Daily Medicare fied for care of per- Evaluation Or Treatment; Purchase Nursing Facilities skilled nursing facility co-insurance sons with Alzheimer’s Or Lease Of Special Equipment Or www.dads.state.tx.us/ payments are also paid for persons Disease and related dis- Architectural Modifications Of A providers/nf/index.cfm who are eligible for both Medicare orders. DADS Long Term Care Quality Reporting System Home To Facilitate The Care, Treat- The Nursing Facility program and Medicaid. ment Therapy Or General Living provides institutional care to Rehabilitative Services allows Internet users to search Conditions Of A Person With A Medicaid recipients whose medi- provides physical, occupational and for facilities by geographic area. Disability; Respite Care; and Trans- cal condition regularly requires speech therapy to eligible nursing fa- Users can specify Alzheimer’s portation Services the skills of licensed nurses. The cility residents who may have had an Beds under special service when Financial eligibility is deter- nursing facility must provide for acute onset of illness or an injury and performing a search. mined the Texas Department of the total medical, social and psy- are able to participate in a rehabilita- chological needs of each client, Aging and Disability Services. tive program. Rehabilitative services Certified Secured including room and board, social Services are available statewide Certification is performed by services, over-the- counter drugs, for persons outside nursing facilities in every county; however, there medical supplies and equipment, are provided by other agencies Texas Department of Aging and are long interest lists in all areas. and personal needs items. Com- Medicaid Swing Bed Disabilities Services. Secured units are separate units with Intermediate Care ponents of the nursing facility Program Permits participating Facilities for Persons with program include: rural hospitals to use their beds skilled nursing and monitored Intellectual Disability Services include: interchangeably to provide acute units. www.dads.state.tx.us/ Nursing Facility Care Provides hospital and long-term nursing facil- Clyde W. Cosper Texas State providers/icfmr/index.cfm institutional nursing care to Medic- ity care to Medicaid recipients when Veterans Home - Bonham aid recipients whose medical condi- no Medicaid beds are available in This program provides resi- skilled nursing facilities in the same 903-640-8387 dential and habilitation services tion requires the skills of a licensed geographic area Hilltop Haven Nursing Center - Hospice Services Provides Alzheimers Care - Gunter palliative care consisting of medical, 903-433-2415 8TH ANNUAL social and support services for a Honey Grove Nursing Center - period of six months to persons who Honey Grove Texoma Caregiver are terminally ill 903-378-2293 Emergency Dental Services Mullican Care Center - Savoy Celebration Provides reimbursement for emer- 903-965-0200 gency dental services to Medicaid Pecan Point Assisted Living Walk recipients residing in nursing facilities and Memory Care - Sherman Specialized Services Provides 903-892-9100 Saturday, physical, occupational and speech Stone Brook (Assisted Living therapy, as well as restorative nursing and Memory Care) - Denison nd November 2 services, to Medicaid recipients who 903-465-5051 have been determined in the Pre- Whitesboro Health & Fairview Park admission Screening and Annual Rehabilitation Center - Resident Review process to need these Whitesboro Sherman, TX services 903-564-7900 Financial eligibility is deter- Texoma Specialty Care Center mined the Texas Health and Human Services Commission. 903-465-7442 REGISTRATION BEGINS AT 8:00 A.M. The Homestead of Denison Services are available statewide in every region. 903-463-4663 100% of all donations will remain in the Texoma The Renaissance Care Center Caregiver Program serving the Alzheimer’s, - Gainesville Parkinson’s, and Relatives As Parents Programs! 940-665-5221 The Willows (Assisted Living) - Sherman Call 903-813-3575 903-891-3737 Traditions (Assisted Living and for More Info Level I/II Memory Care) 903-813-1610 texoma senior sourcebook 31 2013-2014 Texas Department of Aging and Disability Services

Primary Home Care www.dads.state.tx.us/providers/phc/index.cfm This program is a nontechnical, medically related personal care service provided to adults whose health problems cause them to be functionally limited in performing activities of daily living, according to a statement of medical need. PHC provider agencies also provide Family Care

services. This service also is a nonskilled, nontechnical service provided to eligible clients who are functionally A FAMILY OF SERVICES, GUIDED BY A TRADITION OF EXCELLENCE. limited in performing daily activities. SERVING THE TEXOMA AREA SINCE 1992. Covered Services include: • Escort: Attendants accompanying clients on trips to obtain medical diagnosis, treatment, or both. Traditional Home Care Non-Medical Care This service does not include the direct transporta- Services may include: may include: tion of the client by the attendant. • Home Management: Assistance with housekeeping  Skilled Nursing  Caregivers activities that support the client’s health and safety • Personal Care: Assistance with activities related to  Home Health Aides  Housekeepers the care of the client’s physical health.  Transportation to and • Financial eligibility is determined by the verifica-  Physical Therapy tion of the applicant’s Medicaid status by the Texas from appointments Department of Aging and Disabilty Services.  Occupational Therapy  Respite Care Other eligibility requirements:   VA Aide and Attendants • Be 21 years of age or older or be enrolled in the Speech Therapy Consumer Attendant Services program.  Wound Care  Sitters • Need help with at least one personal care task.  Other services as • Have an unmet need for services.  Disease Management • Have a practioner’s statement of medical need. arranged on an Services are available statewide in every county.  Infusion Therapy individual basis Texas Home Living Program  Rehabilitation following www.dads.state.tx.us/providers/txhml/index.cfm joint replacement or other (most non medical services are private pay, This program provides selected essential services and surgery though some long term care and specific VA supports to people with intellectual and developmental programs do have coverage for such) disabilities that live in their family homes or their own (Medicare / Advantage Plans / Private homes. Insurance /Private Pay accepted) Services include: Adaptive Aids, Minor Home Modifica- tions, Specialized Therapies (Audiology, Speech/Language Pathology, Occupational Therapy, Physical Therapy, And Dietary Services), Behavioral Support, Dental Treatment, Nursing, Community Support, Respite, Day Habilitation, Employment Assistance, Supported Employment Financial eligibility is determined the Texas Health and Human Services Commission. Services are available statewide. Transition Assistance Services www.dads.state.tx.us/providers/tas/index.cfm Transition Assistance Services (TAS) helps people who reside in a nursing facility and who are Medicaid- eligible to set up a household in the community if the person will be enrolling in one of the following Medicaid waiver programs upon discharge from the nursing facility: • Community Based Alternatives “And don’t forget to do good and to share with those in need. • Community Living Assistance and Support Ser- These are the sacrifices that please God.” (NLT) Hebrews 13:16 vices • Consolidated Waiver Program 903-564-7709 in Texas & 580-795-9992 in Oklahoma • Deaf B lind with Multiple Disabilities • Medically Dependent Children Program 401 East Main, Whitesboro, Texas 203 East Main, Madill, Oklahoma

www.whitesborohomehealth.com / www.marshallcountyhomehealth.com www.allcaretexoma.com 2013-2014 32 texoma senior sourcebook Local Information Grayson Co. Health Dept. 515 N. Walnut Sherman, TX 75090 903-893-0131 Phone 903-892-3776 Fax www.co.grayson.tx.us Texas Department of State Health DSHS serves the health needs of Texans in a number of ways Services • Prevention and preparedness ac- care, maternal and child health intervention, and treatment tivities, such as immunizations, and nutrition services, and services. General public health preparedness, health services for special popu- • Regulation of health profes- Information communicable disease surveil- lations. sionals, facilities, and consumer PO Box 149347 lance and control, and newborn • Community mental health goods and services. Austin, TX 78756 screening. services and state mental health • Vital records such as birth and Toll-Free • Family and community health hospitals. death certificates and health 1-888-963-7111 services, such as primary health • Substance abuse prevention, statistics. TDD Relay 1-800-735-2989 Website www.dshs.state.tx.us

The Compact with Texans describes the department’s services, principles, and the process for filing complaints and requesting information. For the purposes of this document, “customers” are Children with Special Health Care defined as: clients, Needs Texas Health Steps family members, CSHCN Inquiry Line: 800-252-8023 advocates, taxpay- www.dshs.state.tx.us/cshcn 1-877-THSTEPS (847-8377) Monday-Friday 8am - 8pm ers, public officials, The Children with Special Health Care service providers, Needs (CSHCN) Services Program helps Mail Code 1938 community based children with special health-care needs and PO Box 149347 organizations, media, people of any age with cystic fibrosis. Austin, TX 78756-3199 other agency repre- www.dshs.state.tx.us/thsteps The program helps clients with: Medical, Dental And Mental sentatives, and other Health Care; Drugs; Special Therapies; Case Management; Family Sup- Texas Health Steps is for chil- interested parties. dren from birth through 20 years port Services; Travel To Health Care Visits; Insurance Premiums And The Vision of DSHS of age who have Medicaid. Texas Transportation Of Deceased Clients. Health Steps provides regular is for Texans have medical and dental checkups access to effectively and case management services delivered public to babies, children, teens, and health, medical care, young adults at no cost to you. If mental health and your child’s doctor finds a health substance abuse ser- Children’s Health Insurance Program problem during a checkup, he or vices and all Texans she can make sure your child gets live and work in safe, 877-543-7669 the medical care that is necessary www.chipmedicaid.org healthy communities. to help prevent problems that Children in Texas without health insurance may be able to get could make it hard for your child The Texas Depart- low cost or free health care coverage from the Children’s Health to learn and grow. ment of State Health Insurance Program (CHIP) or Children’s Medicaid. Both programs Texas Health Steps will: Services (DSHS) pro- cover office visits, prescription drugs, dental care, eye exams, • Help you find a doctor, dentist, motes optimal health glasses, and much more. Learn more about what is covered. for individuals and or case manager communities while Families with children who get Children’s Medicaid pay nothing • Help you make an appoint- and children withCHIP pay no more than $50 a year for health providing effective ment for a checkup care coverage. Some families with CHIP may need to pay co-pays • Help you get a free ride or health, mental health for some services. money for gas and substance abuse services to Texans. texoma senior sourcebook 33 2013-2014 Texas Department of system. OIEC’s Mission: To assist, The Blind Children’s Vocational Social Security Disability Insurance Assistive and educate, and advocate on behalf Discovery and Development (SSDI) and/or Supplemental Security Rehabilitative Services of the injured employees of Texas. Program Assists children who are Income (SSI). For further information about the blind and visually impaired to develop Division for agency and the services provided Website their individual potential. Emphasis is Early Childhood please visit the OIEC website at www.dars.state.tx.us on restoring vision, reducing dependen- Intervention www.oiec.state.tx.us. cy, and preparing for vocational success. DARS is composed of four Division for 800-628-5115 divisions focused on people Blind Services Vocational Rehabilitation www.dars.state.tx.us/eci Program Designed for adults whose with disabilities and children www.dars.state.tx.us/dbs ECI is a statewide program for with developmental delays. visual condition limits their ability to families with children, birth to The department includes the The DARS Division for Blind begin or continue work. three, with disabilities and devel- Division for Rehabilitation Services (DBS) assists blind or The Transition Program Provides opmental delays. ECI supports visually impaired individuals and Services (DRS), the Division educational and career guidance for families to help their children their families. Depending upon for Blind Services (DBS), the adolescents and young adults. reach their potential through Division for Disability Deter- their goals and needs, DBS offers developmental services. Services mination Services (DDS) and services to help regain indepen- The Blindness Education, are provided by a variety of local the Division for Early Child- dence or find a job. Screening and Treatment Pro- agencies and organizations across hood Intervention (ECI). DBS staff work in partnership gram Helps Texans keep their vision Texas. with Texans who are blind or visu- healthy. Vision & Mission statement - ECI’s Division for ally impaired to get high quality The Crisis Cole Rehabilitation guiding principles; Make a refer- jobs, live independently, or help a Rehabilitation Center (CCRC) in Austin Resi- ral - Information for physicians Services child receive the training needed to be successful in school and dential program that offers intensive and other professionals; Division www.dars.state.tx.us/drs beyond. DBS envisions a Texas vocational and independent living history - How ECI came to be; How The Comprehensive Rehabilita- where people who are blind or training to Texans who are blind. babies develop - Information about tion Services program help persons visually impaired enjoy the same Division for Disability developmental milestones with spinal cord and brain injuries opportunities as other Texans to Determination Services State and federally funded through pursue independence and employ- the Individuals with Disabilities receive intensive therapies to in- 800-252-7009 ment, and our mission is to work Education Act (IDEA, P.L. 108- crease independence. Comprehen- www.dars.state.tx.us/services/ in partnership with Texans who are 446), ECI provides evaluations and sive Rehabilitation Services helps dds.shtml Texans with traumatic spinal cord blind or visually impaired to reach assessments, at no cost to families, and brain injuries receive intensive their goals. Our mission is to improve the to determine eligibility and need for therapies to increase independence. Services include: quality of life for Texans with dis- services. Families and professionals abilities who apply for or receive work as a team to plan appropriate The VR program also provides Business Enterprises of services to eligible persons with SSA disability benefits, by making services based on the unique needs Texas Program Provides employ- timely and accurate disability of the child and family. ECI asks disabilities who have been injured ment opportunities. on the job and partners with the determinations. families who can afford to do so, Office of Injured Employee Coun- The Independent Living The DARS Division for Disability to share in the cost of services. The sel (OIEC) when needed. The Of- Rehabilitation Program As- Determination Services (DDS), amount a family pays for ECI servic- fice of Injured Employee Counsel sists adults who are blind or visually funded entirely through the Social es is determined using a sliding fee (OIEC) is a state agency created by impaired to learn adaptive skills to Security Administration (SSA), scale and is based on family size and income after allowable deductions. the Texas Legislature to represent continue to live independently with makes Social Security disability No child and family will be turned the interests of injured employees vision loss. determinations for Texans with in the workers’ compensation severe disabilities who apply for away because of an inability to pay.

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2013-2014 34 texoma senior sourcebook Texas Department Adult Protective Services The major components of APS are Child Protective Services In-home Investigations and Services of Family and 24/7 Toll-Free Hotline The Child Protective Services Divi- and Facility Investigations. Protective Services 800-252-5400 sion investigates reports of abuse Note: Federal law requires govern- and neglect of children. It also: Online Reporting: ment entities receiving federal funds Website •Provides services to children and www.txabusehotline.org to provide appropriate interpreter ser- www.dfps.state.tx.us families in their own homes; APS is responsible for investigat- vices to principals (clients and alleged •Places children in foster care; The Texas Depart- ing abuse, neglect, and exploitation perpetrators) with LEP or sensory impairments. •Provides services to help youth ment of Family and of adults who are elderly or have disabilities. The mission of the Adult in foster care make the transition to Protective Services • LEP refers to the language a per- Protective Services (APS) program: adulthood; and (DFPS) was created son uses to communicate. •Places children in adoptive homes. with the passage of To protect older adults and persons • Sensory impairments may affect with disabilities from abuse, neglect how a person communicates. House Bill 2292 by and exploitation by investigating and • APS caseworkers will provide 78th Texas Legisla- providing or arranging for services interpreter services when neces- ture, Regular Session. as necessary to alleviate or prevent sary. Previously called the further maltreatment. Texas Department of Protective and Regulatory Services, DFPS is charged with protecting children, hotline number/use availability adults who are elderly or have disabil- 1-800-252-5400 ities living at home Texas Abuse/ www.txabusehotline.org 24 hours a day, 7 days a week. or in state facilities, Neglect For reporting abuse, neglect, or This number is available across and licensing group Hotline exploitation of children, the elderly, or the United States day-care homes, people with disabilities day-care centers, and registered family 1-800-233-3405 homes. Foster Care 8 a.m. to 5 p.m. Central Time, and Adoption For information on becoming a foster Monday through Friday The agency is also Inquiry Line or adoptive parent through DFPS charged with managing community- 1-800-862-5252 based programs that Child Care 8 a.m. to 5 p.m. Central Time, prevent delinquency, Information For Information about child care in Monday through Friday abuse, neglect and Texas exploitation of Texas children, elderly and Texas 1-888-580-HELP (580-4357) disabled adults. The Runaway To provide peer counseling to 24 hours a day, 7 days a week agency’s services Hotline runaways and family members. are provided through its Adult Protective 1-800-98YOUTH (989-6884) Services, Child Pro- To provide peer counseling to youth tective Services, and Texas Youth 24 hours a day, 7 days a week Child Care Licensing Hotline and family members for family divisions. Prevention conflicts, delinquency, truancy, abuse and Early Interven- and neglect, and running away tion is administered 1-800-720-7777 as part of Child Office of 8 a.m. to 5 p.m. Central Time, Protective Services. Consumer To make an inquiry or complaint Monday through Friday Every day, about Affairs Hotline about an existing DFPS case 10,000 DFPS employees in more than Abuse in 1-800-647-7418 300 offices across Mental Health/ the state protect the Mental To report abuse, neglect, or 24 hours a day, 7 days a week physical safety and exploitation in Mental Health/Mental emotional well-being Retardation Retardation Facilities of the most vulner- Facilities able citizens of Texas. texoma senior sourcebook 35 2013-2014 Additional Texas State Services Texas Department of Public Safety www.txdps.state.tx.us/ Texas Department of Insurance Relay Texas 1-800-252-3439 7-1-1 Amber, Blue, Silver, & Endangered www.tdi.state.tx.us 1-512-936-7132 TDD 1-800-676-9819 Voice Missing Persons Alerts The Texas Department of Insurance www.puc.state.tx.us/relaytexas/ provides information on insurance com- The AMBER, Blue, Silver & Endangered Missing Per- overview.aspx sons Alert Programs are housed within the Operations panies and company profiles which include financial and complaint informa- Relay Texas allows comprehensive ac- Section of the Texas Division of Emergency Manage- tion. Complaints of unfair treatment by cess to the telephone network by Texans ment. The State Operations Center (SOC) serves as insurance companies are also accepted. who are telecommunicatively challenged the state primary control point, collecting and dissem- Publications on how to purchase long (deaf, deaf blind, hard-of-hearing or inating alert information to local, state, federal, public term care or Medigap supplemental speech-disabled), and to allow hearing and private technology partners, known as the State insurance are updated annually to assist persons a way to contact persons with Network. The goal of the State Network is to mobilize Medicare beneficiaries to select the most these disabilities. Most Texans are now Texas citizens to search for abducted children, miss- appropriate and affordable insurance able to reach Relay Texas by dialing 7-1- ing senior citizens, endangered missing persons and coverage. 1 instead of the 10-digit 800 numbers. For more details and to see what other suspects involved with the death or serious injury of Texas Council for law enforcement officers. Each alert program has a feature of Relay Texas might be best for Developmental Disabilities you, please visit Relay Call Types. specific set of criteria in order to protect the integrity 1-800-262-0334 of the network. Only law enforcement can request Handicapped Parking Placard www.txddc.state.tx.us activation of the State Network. 8 a.m. - 4:45 p.m. M-Th The mission of this state organization is 8 a.m. - 4:30 p.m. Fri to create change so that all people with 903-583-7494 Fannin Amber Alert disabilities are fully included in their 940-668-5425 Cooke communities and exercise control over Amber Hagerman, of Arlington, Texas was nine 903-813-4261 Grayson their own lives. Resource materials for years old when she was kidnapped and brutally www.txdmv.gov/vehicles/drivers/ advocacy program development can be murdered. Outraged over this incident, concerned disabled.htm citizens contacted several Dallas area radio stations obtained from TCDD for local disability and urged them to broadcast future child abduction advocacy efforts. To apply for a new “permanent” (blue) placard or “temporary” (red) placard, information repeatedly, in a similar format used for Texas Crime Victim’s you must: severe weather bulletins. This idea was presented to Compensation Program the Associations of Radio Managers (ARM) of the • Ask your doctor to complete the Dallas/Fort Worth area, leading to the creation of 1-800-983-9933 Disability Statement section of the www.oag.state.tx.us application the nation’s first AMBER program. In honor of the • Complete the rest of the application The Crime Victims’ Compensation tragic death of Amber Hagerman, the letters of her • Submit the application and payment name were used to create the name of the program, Program reimburses out-of-pocket expenses to victims of violent crime to your county tax office America’s Missing: Broadcast Emergency Response. To renew a “permanent” (blue) placard, Today, each state in the U.S., along with several coun- and their families. The Crime Victims’ Compensation Fund can help eligible you must: tries have established AMBER programs within their victims pay for medical and counsel- communities, making Amber’s tragic death a lasting • Complete the Affidavit portion of a ing bills incurred because of the crime new application (not the disability legacy in the battle against serious child abductions. and can help families cover the cost statement), including the signature of The Texas AMBER Alert Network (State Program) of the funeral for a loved one who has the applicant was established by Governor Rick Perry in August been killed. You may get an applica- • Submit a copy of the original applica- 2002 through Executive Order RP-16, later codified tion directly from the Crime Victims’ tion, along with the new application by the Legislature in early 2003. The Texas De- Compensation Program in the Office of and payment to your county tax the Attorney General by calling 1-800- partment of Public Safety manages the Network, office. If you do not have a copy of 983-9933. Or you may download and fill your application, you may also sub- comprised of several federal, state, local, public and out the Online Application and mail it mit your expiring placard(s) to your private technologies. The Program provides law in. If you have been a victim of a violent county tax office. enforcement a mechanism for rapid notification of crime in the Texoma region, one of the Placards for permanent disabilities the most serious child abduction cases to the media following local agencies may be able to must be renewed every four years. Plac- help you qualify for crime victim com- and the public. ards for temporary disabilities are valid pensation or assist you in the comple- The State Network has the ability to disseminate for six months or until your disability tion of the application process. the AMBER Alert to any geographical area in Texas, ends, whichever comes first, and cannot based upon investigate recommendations. Not all Texas Public Utility Commission be renewed. You will need to apply for a activations are considered “statewide”. Once the Tex- new placard if your temporary disability 1-800-782-8477 extends beyond the six-month limit. as Department of Public Safety has confirmed that www.puc.state.tx.us a request for activation of the State Network meets criteria, the State Operations Center (SOC) immedi- The Texas Public Utility Commission ately notifies the following within the advisory area: offers assistance to persons with complaints of being slammed by telecom- Local, State And Federal Law Enforcement Agencies; munications carriers who have switched Local Primary Media Outlets; National Weather carriers without prior authorization. Service; Texas Department Of Transportation; Texas The Texas No Call List (telemarketing Lottery Commission; Independent Bankers Associa- no call list) is also maintained by the tion Of Texas; And National Center For Missing And Public Utility Commission. 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We’re here to listen—in more than 90 languages. Trained specialists will help you find answers. Quickly connecting you to helpful resources in your community. A free help line answered 24 hours a day, 7 days week. We’re here to listen—in more than 90 languages. Trained specialists will help you find answers. Quickly connecting you to helpful A free help line answered resources in your community. 24 hours a day, 7 days week. We’re here to listen—in more than 90 languages. Trained specialists will help you find answers. Quickly connecting you to helpful resources in your community. Your link to health and community services Your link to health and community services Your link to health and community services THE NUMBER TO CALL, WHEN YOU DON’T KNOW WHO TO CALL THE NUMBER TO CALL, WHEN YOU DON’T KNOW WHO THE NUMBER TO CALL TO CALL, WHEN YOU DON’T KNOW WHO TO CALL 1 1 1 A free help line answered 24 hours a day, 7 days week. We’re here to listen—in more than 90 languages. Trained specialists will help you find answers. Quickly connecting you to helpful resources in your community. A free help line answered 24 hours a day, 7 days week. We’re here to listen—in more than 90 languages. Trained specialists will help you find answers. Quickly connecting you to helpful A free help line answered resources in your community. 24 hours a day, 7 days week. We’re here to listen—in more than 90 languages. Trained specialists will help you find answers. Quickly connecting you to helpful resources in your community. - - - Your link to health and community services Your link to health and community services Your link to health and community services THE NUMBER TO CALL, WHEN YOU DON’T KNOW WHO TO CALL THE NUMBER TO CALL, WHEN YOU DON’T KNOW WHO THE NUMBER TO CALL TO CALL, WHEN YOU DON’T KNOW WHO TO CALL 1 1 1 - - - 2-1-1 Texas is a program of the Health and Human Services Commision 2-1-1 Texas is a program of the Health and Human Services Commision 2-1-1 Texas is a program of the Health and Human Services Commision 2 2 2 1 1 1 - - - 1 1 1 - - - 2-1-1 Texas is a program of the Health and Human Services Commision 2-1-1 Texas is a program of the Health and Human Services Commision 2-1-1 Texas is a program of the Health and Human Services Commision 2 2 2 Additional Texas State Services Texas Department of Public Safety www.txdps.state.tx.us/ Texas Workforce Commission Workforce Texoma provides em- 903-640-0222 Fannin ployment-related services to Business Customers, Job Seekers, and Youth in Blue Alert On August 18th, 2009, Governor Rick 940-665-1121 Cooke 903-463-9997 Grayson Cooke, Fannin and Grayson Counties. Perry signed Executive Order RP-68, implementing the www.twc.state.tx.us Business Customers receive services “Blue Alert” Program in Texas. The Blue Alert Program is to help find, train, and keep workers a means to speed in the apprehension of violent criminals The Texas Workforce Commission is through the Business Services Unit. who kill or seriously wound local, state, or federal law a state agency that is concerned with Job-Seeker Customers receive services to enforcement officers in the line of duty. Modeled after the providing employment services to both help find employment, or employment- job seekers and employers. The state AMBER and Silver Alert Programs, a Blue Alert utilizes a related training at three local Workforce agency works in partnership with the Centers. Youth Customers receive a va- vast array of public and private notification technologies local Workforce Texoma Programs. riety of services aimed at helping them (with the exception of EAS), to alert Texas citizens of the Services include unemployment insur- stay in high school, complete their GED, suspected assailant, facilitating their rapid apprehension ance information, veteran’s employment attend employment-related training, and by law enforcement. services, and classroom training to learn find employment through the three local The State Network has the ability to disseminate the necessary job skills, Experience Works Workforce Centers. Blue Alert to any geographical area in Texas, based upon and job search assistance. Child Care Management System Workforce Texoma investigate recommendations. Not all activations are Texas Workforce Commission considered “statewide”. Once the Texas Department of 8:00 a.m. - 5:00 p.m. Mon-Fri 903-463-9997 Public Safety has confirmed that a request for activation 1-800-813-1992 Toll Free of the State Network meets criteria, the State Operations Services: Loan equipment and materi- 903-640-0222 Fannin (Bonham) als to CCMS day care centers to be used Center (SOC) immediately notifies the following within 903-640-0052 Fax for a specific child to enable indepen- the advisory area: Local, state and federal law enforcement 940-665-1121 Cooke (Gainesville) dent interaction with the environment. agencies; Local primary media outlets; Texas Department 940-668-2366 Fax Eligibility: Children, birth through 18 of Transportation; Texas Lottery Commission; and Inde- 903-463-9997 Grayson (Denison) years with disabilities, and low income. pendent Bankers Association of Texas 903-463-3073 Fax www.workforcetexoma.com Silver Alert In response to legislation enacted September 1, 2007, the Texas Department of Public Safety implemented the Silver Alert Network as a means to assist law enforcement in the recovery of missing senior citizens with a documented mental impairment. Silver Alerts typically resemble those alerts issued for abducted children (AMBER Alerts), using similar notification technologies (with the exception of EAS) to alert the public. Serving residents and their families in The State Network has the ability to disseminate the Cooke, Grayson and Fannin countes since 197 Silver Alert to any geographical area in Texas, based upon investigate recommendations. Not all activations are considered “statewide”. Once the Texas Department of Area Agency on Aging of Texoma Public Safety has confirmed that a request for activation Recognizes the successful eﬀorts of our of the State Network meets criteria, the State Operations Center (SOC) immediately notifies the following within Silver-Haired legislators: the advisory area: Local, state and federal law enforcement agencies; Local primary media outlets; Texas Department of Transportation; Texas Lottery Commission; and Inde- Charlynne Elliot and aurine Gross pendent Bankers Association of Texas. Endangered Missing Persons Alert In response to legislation enacted September 1, 2011, the Texas Department of Public Safety implemented the Endan- gered Missing Persons Alert Network as a means to assist law enforcement in the recovery of missing persons with an Intellectual Disability. Endangered Missing Persons Alerts typically resemble those alerts issued for abducted children (AMBER Alerts), using similar notification technologies (with the exception of EAS) to alert the public. The State Network has the ability to disseminate the En- For more informaton dangered Missing Persons Alert to any geographical area in Texas, based upon investigate recommendations. Not -800-699-8267 or 2 all activations are considered “statewide”. Once the Texas Department of Public Safety has confirmed that a request for activation of the State Network meets criteria, the State Operations Center (SOC) immediately notifies the following within the advisory area: Local, state and federal law enforcement agencies; Local primary media outlets; Texas Department of Transportation; Texas Lottery Com- mission; and Independent Bankers Association of Texas. 2013-2014 38 texoma senior sourcebook Federal Services Available in the Texoma Region

Social Security Medicare Parts: can get this coverage that may help Administration - SSDI Part A Hospital Insurance Most lower prescription drug costs and help 1-800-772-1213 people don’t pay a premium for Part A protect against higher costs in the future. 903-870-0852 TDD/TTY because they or a spouse already paid Medicare Prescription Drug Coverage 7 a.m. - 7 p.m. Mon-Fri for it through their payroll taxes while is insurance. Private companies provide www.ssa.gov/pgm/disability.htm working. Medicare Part A (Hospital the coverage. Beneficiaries choose the Insurance) helps cover inpatient care in drug plan and pay a monthly premium. Social Security pays benefits to hospitals, including critical access hos- Like other insurance, if a beneficiary people who cannot work because decides not to enroll in a drug plan when Social Security they have a medical condition pitals, and skilled nursing facilities (not they are first eligible, they may pay a Administration that is expected to last at least one custodial or long-term care). It also helps year or result in death. Federal law cover hospice care and some home health penalty if they choose to join later. General requires this very strict definition care. Beneficiaries must meet certain Centers for Medicare & Information of disability. While some programs conditions to get these benefits. Medicaid Services 1-800-772-1213 give money to people with partial Part B Medical Insurance Most www.cms.gov TTY disability or short-term disability, Social Security does not. people pay a monthly premium for Part 1-800-325-0778 B. Medicare Part B (Medical Insurance) The Centers for Medicare & Medicaid Services (CMS) ten Field Local Medicare helps cover doctors’ services and outpa- 600 E. Peyton Street offices reorganized in February 2007 1-800-MEDICARE (633-4227) tient care. It also covers some other medi- Sherman, TX 75090 moving from a geography-based www.medicare.gov cal services that Part A doesn’t cover, structure to a Consortia structure 903-893-4654 such as some of the services of physical Medicare is a health insurance based on the Agency’s key lines of Website and occupational therapists, and some program for: business: Medicare health plans, www.ssa.gov home health care. Part B helps pay for Medicare financial management, • people age 65 or older, these covered services and supplies when Medicare fee for service operations, • people under age 65 with certain they are medically necessary. Medicaid and children’s health, disabilities, and Part D Prescription Drug Cover- survey & certification and quality people of all ages with End-Stage improvement. The intent of the new age Renal Disease (permanent kidney Most people will pay a monthly pre- structure is to improve performance failure requiring dialysis or a kid- mium for this coverage. Starting January through uniform issue management, ney transplant). 1, 2006, new Medicare prescription drug consistent communication and coverage will be available to everyone leadership focused on achieving the with Medicare. Everyone with Medicare Agency’s strategic action plan.

Health Care ans’ pension, survivors’ benefits, www.va.gov/health rehabilitation and employment as- Veterans of the United States sistance, education assistance, home VA’s health care offers a variety of armed forces may be eligible loan guaranties, and life insurance services, information, and benefits. coverage. for a broad range of programs As the nation’s largest integrated and services provided by the health care system, VA operates more Burial and Memorials VA. Eligibility for most VA ben- than 1,400 sites of care, including www.cem.va.gov efits is based upon discharge hospitals, community clinics, and Burial and memorial benefits are from active military service community living centers, domi- available for eligible service mem- ciliaries, readjustment counseling United States under other than dishonor- bers, Veterans, reservists, National centers, and various other facilities. Guard members, and eligible family able conditions, and certain Department of Benefits & Services members. Service includes inter- Veterans Affairs benefits require service during www.va.gov/vba ment, headstones and markers, and wartime. If you are new to the Presidential memorial certificates. VA administers a variety of ben- General VA operates 128 national cemeter- VA, the Federal Benefits for efits and services that provide finan- Information ies in the United States and Puerto Veterans, Dependents and cial and other forms of assistance 1-800-827-1000 Rico, together with oversight and Survivors booklet will help you to Veterans, their dependents, and Website management of 33 soldiers’ lots, survivors. Major benefits include www.va.gov get started. confederate cemeteries, and monu- Veterans’ compensation, Veter- ment sites.

texoma senior sourcebook 39 2013-2014 Other Services Available in the Texoma Region

American Association of and donations from private and And Reduction Or Denial Of operates to provide a public Retired Persons public entities. Benefits ; Discharge Planning ; service by which Texans may readily obtain legal services at an 1-888-OUR-AARP (687-2277) Legal Aid Clinics serve Cooke, Care Planning; Legal Guardianship affordable fee. 512-480-9797 Texas Office Grayson and Fannin County Issues, Advance Directives, Medical www.aarp.org residents who meet the eligibil- Powers Of Attorney, And Durable Texas Elder Exploitation ity requirements of Legal Aid Powers Of Attorney Project AARP is nonprofit, nonpartisan of Northwest Texas. Clinics are The Facility Victim Program pro- organizations with memberships staff by an attorney and paralegal 1-512-637-5417 vides free legal services to persons that helps people age 50 and over volunteers at following locations: have independence, choice and with low or moderate incomes The Texas Kincare Taskforce control in ways that are benefi- Cooke County who reside in a nursing home will endeavor to refer grandpar- cial and affordable to them and North Central Texas College Library or assisted living facility, or who ents, aunts, uncles, and older society as a whole, ways that help 1525 W. California St., Gainesville receive services from an at-home siblings who are raising minor people 50 and over improve their (4th Thursday of Each Month 5-7pm) care provider or community based children (with neither parent be- program. ing in the home), to appropriate lives. Since 1958, AARP has been Grayson County leading a revolution in the way sources of on-going assistance. Grace United Methodist Church Health Law Project people view and live life. South Central Pension 2800 Canyon Creek Dr., Sherman 1-866-979-4343 Our work reaches deep into (1st Thursday of Each Month 6pm) Rights Project members’ communities through The Health Law Project was Fannin County 1-800-443-2528 support from staffed offices in specifically created to respond all 50 states, Washington, D.C., Bonham Housing Authority to the growing need for legal The South Central Pension Puerto Rico and the U.S. Virgin 810 W. 16th St., Bonham assistance with health care issues. Rights Project (SCPRP) is a non- Islands. (Quarterly Jan/Apr/Aug/Dec 6pm) The Health Law Project provides profit legal assistance program free legal services to Texans with that helps individuals understand AARP Tax Aide Legal Hotline for Older modest incomes that have ques- and exercise their pension rights. 1-888-AARP-NOW (227-7669) Texans tions regarding healthcare issues. We provide free legal advice and www.aarp.org/taxaide 1-888-622-2520 Such issues include, but are not assistance. limited to: Medicare and Med- AARP Tax-Aide is available www.tlsc.org Services include: Answering icaid matters, FMLA, continu- free to taxpayers with low and Your Questions About Pension Texas Legal Services Center ation of healthcare after end of moderate income, with spe- Laws And How They Affect Your (TLSC) is a non-profit legal office employment, denial of treatment cial attention to those 60 and which provides assistance and and end of life planning and Retirement; Contacting Corporate, older. Through a cadre of trained training to poverty law advocates directives. Union, Government, Church, Or volunteers, AARP Tax-Aide has and their clients in the areas of Any Public Or Private Pension helped low- to moderate-income The Health Law Project provides litigation support, education and Plan On Your Behalf; Providing individuals for more than 40 free legal services to individuals communication. TLSC sponsors Legal Advice And Assistance On years in every state and the Dis- projects that assist individu- whose incomes are at or below Spousal Rights Upon Death Or trict of Columbia. als in Texas and, in some cases, 125% of the Federal Poverty Level. nationwide. Divorce; Assisting With All Types Legal Aid of North West Legal Hotline for Texans Of Plans, Including Defined Ben- Texas Facility Victims Program 1-800-622-2520 efit Pension Plans, Cash Balance, 940-383-1406 Cooke County 1-800-622-2520 ext. 127 For over 20 years, the Legal Money Purchase, Profit-Sharing, 1-800-955-1407 Toll Free 401(K), 403(B), And 457 Plans; The Facility Victim Program Hotline for Texans has given free Providing Referrals To Lawyers 972-542-9405 Grayson/Fannin offers legal advice and assistance legal advice, self-help publica- 1-800-906-3045 Toll Free to facility residents and those tions, and referrals to Texans And Actuaries, As Appropriate; who receive at-home nursing ser- over the age of 60 and Texans Tracking Down Benefits From Past Legal Aid of NorthWest Texas who receive Medicare. Employers has been proudly serving North vices on issues of abuse, neglect, and West Texas since 1951. We exploitation, residents’ rights, To receive services, you must be If you or your spouse live or are an I.R.C. Section 501(c)(3) and other matters, including but over the age of 60 or a Medicare worked in Arkansas, Louisiana, nonprofit Texas corporation, not limited to: recipient. Missouri, New Mexico, Okla- homa, or Texas, or if your pension funded primarily by the Legal Services include: Quality Of Lawyer Referral Service Services Corporation, the Texas Care; Medicaid And Medicare plan is located in any of those states, we can assist you. Our ser- Access to Justice Foundation Benefits; Fair Hearing Repre- 1-800-622-2520 and the United Way. LANWT vices are provided free of charge, sentation On Medical Necessity, The Lawyer Referral Service regardless of age or income. also accepts and receives grants Improper Discharge And Transfer, of the Legal Hotline for Texans 2013-2014 40 texoma senior sourcebook VICARS for Crime Victims Grayson County Women’s tion whose mission is to receive, 1-888-343-4414 Crisis Center comfort, counsel and support individuals and their families 4200 N. Travis St., Sherman You can receive free legal advice who find themselves in conflict from us is you are a victim of a 1-800-259-3909 Toll-Free due to emotional, physical abuse WHite House Greetings violent crime or a federal crime 903-893-5616 or sexual assault. Our mission The White House Attn: Greeting Office like ID theft or human traffick- www.graysoncrisiscenter.org is to help clients take control of ing. their lives, know what options are Washington, DC 20502-0039 The Crisis Center provides or Fax 202-395-1232 Services to: Help Victims Under- available to them and assist them emergency shelter, crisis inter- in making their own choices. stand Their Rights In The Criminal vention, counseling and support Please review these guidelines Justice System; Help Victims Fill services to women and children Texas Silver-Haired carefully before sending your Out Victim Impact Statements And who are survivors of domestic Legislature request to the White House. Requests For Restitution; Refer violence and sexual assaults, and 903-813-3580 US Citizens Only Victims To Resources In Their creates public awareness about www.txshl.org Communities; Provide Emo- the devastating consequences The White House will send tional Support And Guidance; For of domestic violence and sexual The Texas Silver-Haired Leg- greetings to US citizens only, for Victims Of Id Theft, Information assault. islature provides senior citizens special occasions as outlined: an opportunity to become About Dealing With Debt Collec- The Crisis Center is open Advance Notice Required around-the-clock for victims and directly involved in the legislative tors And Steps Necessary To Clear process. Here a forum for older Your request must be received Your Credit History;For Victims Of their children who need help. six (6) weeks in advance of the Through counseling, assists with: citizens has been established Violent Crimes And Human Traf- to debate issues and establish event date. We make every effort Understanding The Variety Of ficking, Help Applying For Crime priorities based on the result of to honor every request, but we Victims’ Compensation Lifestyle Options To Meet Different these discussions. cannot guarantee a greeting if Needs, Obtaining Legal And Medi- this guideline is not met. (Greet- Advocacy training is provided, Texas Veteran’s Legal ings are generally not sent after cal Assistance, Assistance In Locat- enabling delegates to offer in- Assistance Project ing Housing And Employment, the event date, except for wedding formed assistance on such policy congratulations and newborn 1-800-622-2520 Advocacy And Support, Engaging matters. Our advocacy training Children In Activities To Improve acknowledgments.) The Veterans’ Legal Assistance also gives support to older citi- Their Self-Esteem And Educational Anniversary GreetiNGs Project serves low to moderate zens and private sectors, boards, income Texas veterans earning Development and commissions. Anniversary greetings are ex- Our vision is that the applied tended only to those couples who up to twice the federal poverty Abigail’s Arms - Cooke wisdom, energy, and experience are celebrating their 50th (and limit, as well as their spouses, County Friends of the of aging will improve the lives subsequent) wedding anniversary. dependents, and survivors. Family - Crime Victim To receive services, you must of Texans through education, Birthday GreetiNGs Compensation knowledge, and involvement in be a Texas veteran, or the spouse, Birthday greetings will be sent dependent or survivor of a Texas 114 N. Dixon, Gainesville legislation and governmental affairs. only to individuals 80 years of age veteran, and have household 940-665-2873 and above. income at or below 200% of the 1-877-846-4751 Toll-Free Ability Connection Texas Other GreetiNGs federal poverty guidelines. 940-665-3527 Fax 1-800-999-1898 Toll-Free A limited number of special Services include: Legal assistance Non-profit crime victims’ 214-351-2500 Local occasions other than birthdays in civil legal matters, including assistance agency. Services are 214-351-2610 Fax and anniversaries exist for which family law, employment, housing, available to anyone who has www.abilityconnectiontexas. the Greetings Office will send consumer, bankruptcy, probate, VA suffered a criminal victimization. org appropriate recognition to United benefits; Referral to private attorney Survivors sexual assault, relation- States citizens. These occasions ship violence, child abuse, elderly Ability Connection Texas has or community services where ap- been providing vital care and include important events such as: propriate. abuse, kidnapping, physical as- Wedding (Send Your Request Af- sault, stalking, DWI/DUI as- support to people with disabilities for over 58 years. Today, one ter The Event), Baby’s Birth (Must Texas Law Help saults, surviving family members Be Born During The Barack H. of homicide victims, and other in five people have a disability www.texaslawhelp.org - which is why our services are Obama Administration; Send violent crimes are encouraged Request Only After Baby’s Birth), A web site dedicated to provid- to seek education and support so important. Whether advocat- ing for the rights of people with Eagle Scout Award, Girl Scout ing free, reliable legal informa- services from us. Gold Award, Bar/Bat Mitzvah Or tion to low-income Texans. It disabilities, teaching the letters Goals: Empower You, The Survi- of the alphabet to a child with Equivalent Occasion is part of a broader effort within vor; Help Reclaim Your Life; Help the national legal aid community autism, or training an adult Required Information Build Your Self-Esteem; Help Break to use technology, specifically the with a head injury to re-enter Please include the following: Internet, to enhance and expand The Cycle Of Violence the workforce with the use of Name And Home Address Of the delivery of legal aid. adaptive technology, ACT is the Honoree(S), Form Of Address Fannin County Family preeminent organization leading (Mr., Ms., Mrs., Dr., Miss, Etc.), In 2011, the website attracted Crisis Center the way for people of all ages 350,000 unique visitors with Exact Date Of Occasion (Month, 118 E. Sam Rayburn, Bonham with any type of physical or intel- Day, Year), Age (Birthdays) Or more than 2.5 million pages lectual disability. viewed.TexasLawHelp.org is 903-583-7694 Number Of Years Of Marriage, program of the Texas Legal 903-583-7000 24-Hr Hotline Your (The Requestor’s) Name Services Center. Initial funding 1-877-583-7011 Toll-Free And Daytime Phone Number, for the website was provided by 903-583-3036 Fax Wedding (Include Couple’s Mar- the Legal Services Corporation. ried Names And Current Or New Fannin County Family Crisis The web site is powered by Pro Address), Baby’s Birth (Include Center is a non-profit organiza- Bono Net. Baby’s Date Of Birth And Full Names And Address Of Baby And Parents) texoma senior sourcebook 41 2013-2014 Other Services Available in the Texoma Region

Texas Medical Foundation The ARC of Texas Coalition of Texans with stration projects in this field. It is Health Quality Institute 8001 Centre Park Drive Disabilities a program of TIRR (The Institute for Rehabilitation and Research), 1-800-725-8315 Austin, TX 78754 316 W. 12th St., Suite 405 a nationally recognized medical www.tmf.org Austin, TX 78701 1-800-252-9729 Toll-Free rehabilitation facility for persons Medicare beneficiaries have a 512-454-6694 512-478-3366 with disabilities. statutory right to appeal to TMF 512-454-4956 Fax 512-478-3370 Fax Since ILRU was established in for an expedited review of a dis- www.tmf.org www.cotwd.org 1977, it has developed a variety charge decision from a hospital, of strategies for collecting, Since its founding in 1950 by a skilled nursing facility, home Through governmental advo- synthesizing, and disseminating group of parents of children with health agency, hospice agency, cacy, public awareness activi- information related to the field of intellectual and developmental and certified outpatient rehabili- ties, and professional disability independent living. ILRU staff--a disabilities, The Arc at the local, tation facility. consulting, CTD ensures that majority of whom are people state and national level has been persons with disabilities may with disabilities--serve indepen- American Disabled for instrumental in the creation of work, live, learn, play and partici- dent living centers, statewide Attendant Programs virtually every program, service, pate fully in the community of independent living councils, state Today right, and benefit that is now their choice. and federal rehabilitation agen- available to more than half a 512-442-0252 cies, consumer organizations, million Texans with intellectual Denton County 512-442-0522 Fax educational institutions, medical and developmental disabilities. Federation of Families www.adaptoftexas.org facilities, and other organizations Today, The Arc continues to 940-381-5000 involved in the field, both nation- ADAPT is a national grass- advocate for including people 940-591-9778 Fax ally and internationally. roots community that organizes with intellectual and develop- disability rights activists to en- mental disabilities in all aspects The mission of DCFF is to National Alliance on provide leadership in the field gage in nonviolent direct action, of society. Mental Illness including civil disobedience, to of children’s mental health in assure the civil and human rights Baylor Institute for order to address the unique 1-800-950-NAMI (950-6264) of people with disabilities to live Rehabilitation needs of children and youth with 903-587-2984 Local emotional, behavioral or mental in freedom. 1-800-4Baylor (422-9567) www.nami.org disorders. We support the rights 214-820-9300 8a.m. - 4p.m. M-F American Foundation for of full citizenship, support and The nation’s largest grassroots 214-841-2622 Fax the Blind access to service based in our mental health organization dedicated to building better lives 1-800-AFB-LINE (232-5463) Our treatment teams specialize community for our children and for the millions of Americans 212-352-7222 TTY in traumatic brain injury, spinal families by providing informa- affected by mental illness. NAMI www.afb.org cord injury, stroke, and other tion and support to families orthopaedic and neurological as well as advocacy and other advocates for access to services, American Foundation for the conditions. Our mission is to services needed by children and treatment, supports and research Blind is a nonprofit that expands comfort them and let them know youth with emotional, behavioral and is steadfast in its commit- possibilities for people with vi- they couldn’t be in better hands. or mental disorders and their ment to raising awareness and sion loss in the U.S. AFB’s priori- families. building a community of hope ties include broadening access to Disability Rights Texas for all of those in need. technology; elevating the quality 1-800-252-9108 Goodwill Industries of From its inception in 1979, of information and tools for the 214-630-0916 N. Tx Office Northeast Texas NAMI has been dedicated to professionals who serve people www.disabilityrightstx.org 903-893-3145 improving the lives of individuals with vision loss; and promot- and families affected by mental Disability Rights Texas is the fed- 940-892-0764 Fax ing independent and healthy illness. Financial contributions erally designated legal protection www.goodwillnorthtexas.org living for people with vision loss allow NAMI to offer an array and advocacy agency (P&A) for by providing them and their Goodwill Industries mission is of programs, initiatives and people with disabilities in Texas. families with relevant and timely to improve the quality of life for activities in support of the NAMI Our mission is to help people resources. people with disabilities or disad- mission. with disabilities understand and vantages by providing employ- Americans with Disabilities exercise their rights under the ment opportunities, job training University of Texas at Act - Info Line law, ensuring their full and equal and employment services, as well Austin - Texas Center for participation in society. 1-800-514-0301 Toll-Free as job placement opportunities Disability Studies Our attorneys and advocates 1-800-514-0383 TTY and post-employment support. techaccess.edb.utexas.edu www.ada.gov/infoline.htm fulfill our mission in the following ways: Provide Direct Legal As- Independent Living The mission of the Texas The U.S. Department of Justice sistance To People With Disabilities Research Utilization Technology Access Program is to provides information about the increase access for people with Whose Rights Are Threatened 1-800-949-4232 Toll-Free Americans with Disabilities Act disabilities to Assistive Technol- Or Violated, Protect The Rights 713-520-0232 TDD/Voice (ADA) through a toll-free ADA ogy that provides them more Of Individuals And Groups Of 8:30 a.m. - 5 p.m. M-F Information Line. This service control over their immediate permits businesses, State and local People With Disabilities Through www.ilru.org environments and an enhanced governments, or others to call The Courts And Justice System, ability to function independently. and ask questions about general Advocate For Laws And Public Poli- A national center for information, training, research, Assistive Technology is any or specific ADA requirements in- cies That Protect And Advance The and technical assistance in item, piece of equipment, or cluding questions about the ADA Rights Of People With Disabilities, Standards for Accessible Design. independent living. Its goal is to product system, whether ac- Inform People With Disabilities expand the body of knowledge quired commercially, modified, ADA specialists available Mon And Family Members About in independent living and to or customized, that is used to - Fri 9:30 AM - 5:30 PM (Eastern Their Rights; Make Referrals To improve utilization of results of increase, maintain, or improve Time) except Thurs. when hours Programs And Services research programs and demon- the functional capabilities of are 12:30 - 5:30. individuals with disabilities. 2013-2014 42 texoma senior sourcebook Resource Centers on Texoma Area Paratransit Independent Living System, Inc. (TAPS) Education 1-800-256-0911 214-630-4796 education, industry and govern- Grayson County Literacy 214-630-5995 TTY/TDD www.tapsbus.com ment to provide world-class edu- Team 214-630-6390 Fax cation and training opportunities TAPS provides transportation 903-892-7272 www.reachcils.org throughout the Texoma region. to persons of all ages in a seven- Teaches basic reading skills to REACH which stands for Reha- county area. The majority of ve- The Center provides needs as- adults in one-on-one sessions bilitation, Education, and Advo- hicles are equipped for transport- sessment consultation (including conducted by trained volunteers cacy for Citizens with Disabilities ing persons in wheelchairs. Daily job profiling and skills assess- at the Sherman Public Library. (formerly Handicaps), is a North trips are scheduled for medical, ment) and learning-based solu- Texas based nonprofit corpora- nutrition, social service, business, tions to overcome the problems NOrth Central Texas tion with the dual mission of education, employment, and that hinder organizational or College providing services for people shopping. TAPS is a demand- individual performance. Trainees with disabilities so that they are response transportation system. can take a course to gain a skill, 940-668-7731 empowered to lead self-directed Rides should be scheduled with or earn a certificate or degree. www.nctc.edu/ lives and educating the general the dispatcher at least one day in Many of the programs offer lifelonglearning.aspx public on disability-related topics advance. TAPS provides shuttle continuing education unit (CEU) in order to promote a barrier-free service from Grayson County to credit, and some programs also Department: Contact the main community. connect with Dart Rail in Plano. prepare individuals for profes- CED office on the Gainesville Certain Medicaid recipients sional licensure exams. Services Campus at 940-668-4272 or the In order to accomplish this dual office on the Corinth Campus at mission, REACH operates the can use TAPS for medical ap- include: Job-Seeker Services, Pre- pointments; however, a service employment training, Certificates, 940-498-6270. Courses offered REACH Resource Centers on In- through the Adult & Community dependent Living in Fort Worth, authorization must be obtained Degrees, Skill training, Professional through the regional Medic- Education Department are classi- Dallas, Denton and Plano. The development, Licensure prepara- fied into two categories: centers are resource agencies, not aid office prior to scheduling a tion courses, Professional continu- residential programs. ride with TAPS. The toll-free ing education (CEU’s), Corporate Cultural/Personal Enrichment telephone number for Medicaid Services, Needs assessment consul- An array of cultural/personal enrich- Reading & Radio Resource authorization is 1-877-633-8747. tation and services, Learning-based ment courses are offered throughout 2007 Randall St. The Rehabilitation Center solutions to overcome the problems the year—ranging from art, fitness Dallas, TX 75201 Therapeutic Solutions for that hinder organizational and gardening to home decor, music, 214-871-7668 Children and Adults performance, Job Skills training, financial management and language studies, to name but a few. Other 214-871-7669 Fax 903-893-7457 Professional development courses, Certification training, and Confer- courses include Computer, Internet www.readingresource.org www.ttherehabcenter.net ence Center facilities. classes; “Senior Scholar” classes for The mission of Reading & The Rehabilitation Center treats lifelong learners 62 and older; Youth Radio Resource is to enrich the children and adults providing Education Plus Summer Programs (including College lives of children and adults who care for a wide range of prob- 940-665-5085 Cooke County for Kids); Transitional Skills for Men- because of physical, learning or lems, from minor to complicated tally & Physically Challenged. vision limitations cannot read for orthopedic conditions, neuro- Free English (as second lan- themselves. guage) and GED classes offered Professional or Mandatory logical disorders, developmental Continuing Education Reading & Radio Resource delays, and many others. Our to those who officially withdrew was founded in 1969 by Edythe complete one-on-one method of from school prior to completion. Professional development courses and Henry X. Salzberger. For therapy makes us your partner in designed for the general public with Grayson College SEnior 32 years, the agency produced rehabilitation. a significant emphasis on job-related “Talking Books” for the Library Avocational Vocational knowledge and skills. Examples of Congress. The Recorded Workplace Learning Education Program include welding, medical occupations Books Program began in 1972 Grayson College 903-463-8765 certification, and job-specific Spanish and the Radio Reading Service 903-463-8765 www.cwlgcc.org/continuing- language development. There are was established in 1976. Audio www.cwlgcc.org education/save-program also special computer-related and ad- Description Service was added vanced technology courses available. in 2010. Leisure and personal enrich- The Center for Workplace Mandated continuing education Learning offers customer-cen- ment courses are tailored to Texas Elks Children’s topics are provided for licensed/certi- tered, community-connected and suit intellectual and financial fied professionals in fields including Services, Inc. quality-driven workplace learning perspectives of adult students 830-875-2425 solutions to provide the Texoma who are age 50 years or older. childcare, nursing, food service, real region with a globally com- Examples of classes offered in- estate, accounting, criminal justice, www.texaselks.org/tecsi.html petitive workforce. They strive clude art, music, golf, computers occupational and physical therapy Texas Elks is a civic organi- to promote partnerships between and software instruction. and plumbing. zation that has championed children’s causes in Texas since the 1940’s. Their mission is to GED Classes and Test Sites focus on bringing out the best in special needs children through NOrth Central Grayson Grayson Fannin County their Prosthetic Grant Program Texas College College College TEAM CENTER and their Texas Elks Camp. 940-668-4516 (Testing) (Classes) 903-583-1264 www.nctc.edu 903-463-8274 903-463-8784 www.grayson.edu

texoma senior sourcebook 43 2013-2014 Other Services Available in the Texoma Region

American Red Cross East Sherman Baptist Education 903-465-1330 CHurch Food Pantry chisholmtrail.redcross.org 910 E. King

Sherman, TX 75090 Road SCholar Texas Agrilife Extension The American Red Cross, a humanitarian organization led 3rd Weds of the Month 1-800-454-5768 Toll-Free Cooke County by volunteers, guided by its 9 a.m. - 11:30 a.m. Mon-Fri 8 a.m. - 6 p.m. EST 940-668-5412 Congressional Charter and the cooke.agrilife.org 903-892-6171 www.roadscholar.org Fundamental Principles of the Fannin County Road Scholar is America’s first International Red Cross Move- Fairview Baptist Church 903-583-7453 and the world’s largest educational ment, will provide relief to vic- Food Pantry fannin.agrilife.org tims of disasters and help people travel organization for adults 222 W. Taylor Grayson County prevent, prepare for, and respond 55 and over. Road Scholar is a Sherman, TX 75092 not-for-profit organization that 903-813-4206 to emergencies. provides exceptional learning grayson.agrilife.org Basic Food Pantry Sun/Tue/Thur 10 a.m. - 11 a.m. adventures to nearly 160,000 The mission of AgriLife Exten- 903-892-3543 older adults each year. The 1100 W. 5th St. sion is improving the lives of Bonham, TX 75418 organization offers nearly 8,000 people, businesses, and commu- Fannin County programs a year in more than nities across Texas and beyond 2nd Tues of the Month Community Ministries, Inc. 90 countries. Participants come through high-quality, relevant 11 a.m. - 3:30 p.m. Food Pantry from every walk of life to learn education. Carrying out this together, to exchange ideas, and 903-227-0260 800 E. 2nd St. mission, however, is a massive www.basicfoodpantry.org Bonham, TX 75418 to explore the world. From Paris undertaking. It requires the to New Orleans, Delhi to Council commitment of each and every The Basic Food Pantry (BFP) Mon-Fri 9 a.m. - 2 p.m. Bluffs, Road Scholar offers unique one of the agency’s employees. operates as a 501(c)(3) non-profit (closed 11-noon to restock) educational experiences, infused Through the programs these organization. Our mission is Tues 3 p.m. - 5 p.m. by appt. with the spirit of camaraderie and employees provide, Texans are to reduce hunger by providing adventure that enrich and en- 903-583-3663 better prepared to: Eat Well, Stay emergency, no-cost food for low hance the lives of its participants. income and residency qualified Healthy, Manage Money, And Raise First Baptist Church of Expert instructors share stimulat- citizens of Fannin County. ing information through in-depth Their Children To Be Successful Tom Bean Food Pantry lectures, field trips and cultural Adults; Efficiently Help Themselves Bells-Savoy Community 307 E. Hwy. 11 excursions. For examples, Road Through Preventing Problems And Care Center Food Pantry Tom Bean, TX 75489 Scholar has offered opportunities Using Tools For Economic Stability 210 S. Broadway to learn to paint on Nantucket; to One Thurs per Month (Call) And Security; Improve Stewardship Bells, TX 75414 11:30 a.m. - 1:30 p.m. investigate hot air ballooning with Of The Environment And Of The Tues 9 a.m. - noon grandchildren; to join a student State’s Natural Resources. Thurs 1 p.m. - 5 p.m. 903-546-6231 orchestra; to study literature in London; to bike the rim of the Texoma Red Cross 903-965-7716 First Baptist Church of Grand Canyon; and, to conduct Whitewright Food Pantry 903-465-1330 The Food Pantry provides food research to help protect endan- www.redcross.org/tx/denison pantry services to the citizens of 216 W. Cedar St. gered species. Bells and Savoy school district. It Whitewright, TX 75491 Unlike tourist travel or commer- For more than a century, the is located in the old Elementary cial tours, Road Scholar programs American Red Cross has been School in Bells. Thurs 9 a.m. - 11 a.m. are all inclusive. There are no hid- saving lives with health and 214-738-9975 den expenses. In addition to ac- safety education programs. Red Calvary Baptist Church commodations, we include most Cross training ranges from first Food Pantry Grayson County aid, CPR and AED to swimming meals, lectures, field trips, cultural 900 S. Wine St. Homeless Shelter excursions, gratuities, and a travel and life-guarding; from HIV/ Gainesville, TX 76240 903-465-6041 assistance and insurance plan. We AIDS education to care-giving provide high quality experiences programs like Babysitter’s Train- Tues & Fri 9 a.m. - noon www.gcshelter.com with a high level of service at an ing. American Red Cross pro- 940-665-4082 grams help people live safer and Grayson County Homeless extraordinary value. Whether it Shelter provides 24-hour living be simplifying registration; offer- healthier lives. The Red Cross The Food Pantry provides food constantly strives to respond to pantry services to the citizens of facility for homeless families and ing comfortable accommodations individuals including men over in hotels, inns, retreat centers and the health and safety concerns Bells and Savoy school district. It of Americans at home, in school is located in the old Elementary 55, single women over 18, mar- select campuses (nearly all with ried couples, families. No single private baths); offering single and in the workplace. Today’s School in Bells. innovative programs also include men under Age 55; No minors rooms on almost 90 percent Denison Helping Hands without parent/s; No admission of U. S. and Canada programs; teaching laypersons and professionals how to use automated Food Pantry without I. D. (State Issued Photo preparing meals infused with ID-Soc. Sec.); No unregistered local flavor; or having caring external defibrillators (AEDs) to 418 W. Chestnut save victims of sudden cardiac Denison, TX 75020 guests; clear police checks; No staff, we take care of the details so illegal drug or alcohol use; No you can enjoy your program. A arrest. Last year, nearly 12 million people enrolled in American Mon/Weds/Fri 9 a.m. - 1 p.m. tobacco use inside the building; love of learning, with exceptional No violent behavior; Must follow people in engaging environments, Red Cross health and safety 903-465-5101 courses. Become an instructor written rules of the shelter. creates extraordinary experiences, Food distribution pantry for or an Authorized Provider, take which is what Road Scholar has Denison families. been providing for more than a a course, or volunteer with the quarter-century. Texoma Area Chapter.

2013-2014 44 texoma senior sourcebook Grayson County Women’s Share Ministries Food Volunteers help monitor the Gainesville Senior Center Crisis Center (Shelter) Bank health of clients and Senior Cen- 400 S. Weaver ter Managers maintain contact Gainesville, TX 76240 1-800-259-3909 Toll-Free 804 E. Lamar St. with clients, and report concerns 903-893-3909 Sherman, TX 75090 Mon-Fri 7:00 a.m. - 1:00 p.m. about their welfare to Casework- 940-665-3493 The shelter provides crisis inter- Tue/Thur/Sun 10 a.m. - 11 a.m. ers. [email protected] vention for victims of domestic 903-893-7097 or 903-892-3543 Centers include: violence and sexual assault/abuse Muenster Senior Center with a 24-hour hotline. Non-res- Bailey Senior Center 730 N. Main St. Your Neighbors House 206 N. Main St. Muenster, TX 76252 ident services available include: Food Bank peer counseling, personal and Bailey, TX 75413 M/W/F 11:00 a.m. - 1:00 p.m. legal advocacy, and support 201 S. Union M/W/F 10 a.m. - 1:00 p.m. 940-759-2922 groups. Whitesboro, TX 76273 903-583-8115 [email protected] Tues/Sat 9 a.m. - noon [email protected] Pottsboro Senior Center Harmony Baptist Church Thurs noon - 3 p.m. Bells Senior Center 104 N. Main St. Food Pantry 203 S. Broadway Pottsboro, TX 75076 903-564-4400 2111 E. Tuck Bells, TX 75414 Tues/Thurs 11:00 a.m. – 1:00 p.m. Sherman, TX 75090 Tri-County Senior M-F 7 a.m. - 1:00 p.m. 903-463-1711 2nd/4th Thurs of Month Nutrition Project, Inc. 903-583-8115 [email protected] 1 p.m. - 3 p.m. Meals on WHeels of [email protected] Sherman Senior Center 903-892-2044 Texoma Bonham Senior Center 1500 N. Broughton St. 903-786-3351 210 E. 6th St. Sherman, TX 75090 Leap Thrift Store & Food Bonham, TX 75418 Mon-Fri 7:00 a.m. – 1:00 p.m. Pantry mealsonwheelstexoma.org M-F 7 a.m. - 1:00 p.m. 903-892-3733 903-583-8573 [email protected] 116 Collins St. Meals on Wheels of Texoma is [email protected] Leonard, TX 75452 a non-profit charitable organiza- Valley View Senior Center tion serving the greater Texoma Callisburg Senior Center 101 N. Lee St. Mon-Fri 9 a.m. - 4 p.m. region, including Grayson, 100 McDaniel Valley View, TX 76272 Sat 9 a.m. - 1 p.m. Fannin, and Cooke counties in Callisburg, TX 76240 Mon-Fri 10:30 a.m. - 1:00 p.m. North Texas. Since its inception 903-587-2288 Tues/Thurs 10:30 a.m. – 1:00 p.m. 940-726-3922 in 1980, it has grown to serve 940-665-7375 [email protected] New Beginnings over 30,000 meals a month to [email protected] Van Alstyne Senior Center Fellowship Church Food seniors most at risk of food Denison Senior Center 148 S. Main Dr. Pantry insecurity. More than just a meal, their volunteers deliver tender, 531 W. Chestnut Van Alstyne, TX 75495 1201 W. Shepherd St. loving care to our homebound Denison, TX 75020 Mon-Fri 7:00 a.m. – 1:00 p.m. Denison, TX 75020 seniors every day, providing M-F 7:00 a.m. – 1:00 p.m. 903-482-6341 Mon 9 a.m. - 11 a.m. the human touch that means so 903-463-1711 [email protected] much to them. [email protected] 903-463-4110 Whitesboro Senior Center Meals provided to clients of Honey Grove Senior Center 105 Mineral St. Resale Barn the Department of Aging and 606 N. 2nd St. Whitesboro, TX 76273 Disability Services (DADS), Honey Grove, TX 75446 Mon-Fri 7:00 a.m. – 1:00 p.m. Mon-Fri 9 a.m. - 5 p.m. the Texoma Council of Gov- Sat 10 a.m. - 4 p.m. M-F 7:30 a.m. – 1:00 p.m. 903-564-6021 ernments – Area Agency on 903-378-2061 [email protected] 903-786-2402 Aging (TCOG/AAA). DADS [email protected] and TCOG/AAA qualified their Whitewright Senior Center Provides emergency financial clients based on their inability Leonard Senior Center 123 W. Grand assistance per crisis criteria to prepare a nutritious meal for 118 W. Collins St. Whitewright, TX 75491 to Grayson County residents. themselves. Their clients include Leonard, TX 75452 Mon-Fri 7:00 a.m. – 1:00 p.m. Provides food, furniture, and homebound, needy, elderly, and M/W/F 8:00 a.m. - 1:00 p.m. 903-546-6220 clothing assistance for verifiable disabled individuals. 903-587-3412 [email protected] emergency and/or crisis situa- [email protected] tion. Salvation Army Employment 903-786-2402 - Grayson Co. 903-583-2141 - Fannin Co. Goodwill Industries of Experience WOrks Experience Works is a national, 940-665-2006 - Cooke Co. Northeast Texas, Inc. (WOrkforce Texoma) charitable, community-based organization which helps low- Assistance for food, clothing, 903-893-3145 2415 S. Austin Ave. income seniors, with multiple utilities, rent, emergency shelter Denison, TX 75020 www.goodwillnorthtexas. and other needs as determined barriers to employment, get the org Mon-Fri 8 a.m. - 5 p.m. by need and the availability of training they need to find good resources to meet that need. An Goodwill provides job 903-327-8417 Local jobs in their local communities. emergency shelter is available training, job placement, and 1-800-880-5292 Experience Works has grown for those in Grayson County in employment opportunities for 1-866-412-0978 to be the nation’s leading pro- Sherman, limited to a five-night people with disabilities, or to New Screenings vider of training, employment, and community service for stay. Community dinner served those who face barriers to ob- www.experienceworks.org Mon-Fri 5:30-6:30. taining or retaining competi- low-income older people. tive employment.

texoma senior sourcebook 45 2013-2014 Other Services Available in the Texoma Region

Alzheimer’s Assocation Fannin County Indigent Low Vision Gateway support groups now coordinated 1-800-272-3900 24 Hours a Day Healthcare Program www.lowvison.org through the Area Agency on Aging and Disability Services www.alz.org 903-583-2915 Caregiver Program. For local Mon-Fri 8:00 a.m. - 4:00 p.m. Macular Degeneration American Cancer Society Foundation information call 903-813-3575. Medical bills paid for very low 1-800-227-2345 income and non-insured resi- 1-888-633-3937 Parkinson’s Disease www.cancer.org dents of Fannin County. www.eyesight.org Foundation 1-800-457-6676 American Diabetes North Texas Medical Medic Alert Foundation www.pdf.org Center Association 1-888-633-4298 Provides information about 1-888-342-2383 940-665-1751 www.medicalert.org Parkinson’s Disease, as well as www.diabetes.org www.cookehealthnet.com referrals to doctors and hospitals MHMR Services of Texoma Greater Texoma Health throughout the United States. American Foundation for Mental Retardation Clinic the Blind Community Support Services Reba McEntire Center for (Non-Emergency Only) www.afb.org 903-957-4715 Rehabilitation 903-465-2440 Grayson Mental Health 903-416-1000 American Health Mon-Thurs 7:30 a.m. - 6:30 p.m. Services Assistance Foundation One Saturday/Month (Call) 903-957-4701 Texoma Medical Cneter Behavioral Health Center 1-800-437-2423 GTHC provides access to Fannin Mental Health Services www.ahaf.org primary health care for Grayson 903-583-8583 903-416-3000 residents form non-emergency The AHAF provides financial TMC Behavioral Health health issues. Resident must Cooke Mental Health Services help for treatment of Alzheimer’s provides inpatient and outpa- not have any form of insurance, 940-665-0755 patients and caregiver education tient psychiatric and chemical including Medicare or Medicaid. on numerous health topics. www.mhmrst.org dependency treatment for adults Grayson County Health 18 years old and above. Our American Heart National Association for Department multi-disciplinary treatment Association Incontinence team is led by psychiatrists and 1-800-242-8721 903-893-0131 Sherman 1-800-BLADDER (252-3337) includes clinical social workers, www.americanheart.org 903-465-2878 Denison occupational and recreational www.co.grayson.tx.us National Health therapists and nurses. Because American Lung Information Center we are part of Texoma Medical Association Health Trends Aquatics & Center, specialist from other Fitness 1-800-336-4797 medical fields are readily avail- 1-800-586-4872 www.health.gov/nhic able for consultation. www.lung.org 903-463-2125 Serves as an information and Adult Psychiatric Inpatient HTAF provides Arthritis referral service, directing callers American Stroke aquatic exercise classes. Designed to stabilize those suffering Association to public and private organiza- from a mental health crisis, this level tions, that can provide health Carrus Speciality Hospital of care provides 24-hour nursing 1-800-553-6321 information and has free publica- www.strokeassociation.org 903-870-2600 tions on national health obser- and psychiatric care with patients www.carrushospital.com vances, federal health informa- participating in individual and group Arthritis Foundation tion centers and clearinghouses, therapies. 1-800-283-7800 Muenster Memorial and toll-free numbers for health Geriatric Psychiatric Inpa- www.arthritis.org Hospital information. tient Within the hospital, we have a 940-759-2271 Red River Regional specialized unit serving the unique Crohn’s and Colitis www.muensterhospital.com Medical Center Bonham mental health needs of older adults, Foundation of America which are frequently complicated by 903-583-8585 1-800-932-2423 North Texas Medical underlying physical and medical con- www.ccfa.org Center ditions demanding customized care. North Texas Medical Information on Inflammatory 940-665-1751 Center Dual Diagnosis Inpatient This www.ntmconline.net Bowel Disease, Crohn’s Disease, (see Gainesville Memorial comprehensive recovery program and Ulcerative Colitis. Red River Regional Hospital) serves patients suffering with concur- rent mental health and substance Glaucoma Support Hospital Parkinson’s Information use disorders. The program includes Network 903-583-8585 & Referral Center detoxification and an introduction to www.redriverregional.com 1-800-826-6693 1-800-725-2732 Toll-Free our psychiatric curriculum. www.glaucoma.org Texas Health Presbyterian 214-345-4224 Intensive Outpatient Program Aquatic Center (The Hospital Wilson N. Jones Information and referral center For patients who do not need 24-hour Rehabilitation Center) 903-870-4611 that provides support to patients supervision and care, this program www.wnj.org and their families through area allows patients to receive treatment 2009 Texoma Parkway groups and specialists who offer Sherman, TX similar to that of our inpatient Texoma Medical Center exercise, special physical and programs with the advantage of 903-893-7457 educational therapies. Organiza- returning to their homes and families 903-416-4000 tion also publishes newsletters each night. Sponsored by the American texomamedicalcenter.net and educational booklets. Local Arthritis Foundation 2013-2014 46 texoma senior sourcebook Home Health Agencies

ome health agencies are licensed public or private organizations with a staff of skilled nurses, homemakers, Hhome health aides, and therapists who provide nursing, rehabilitative, and homemaking services to homebound patients. Medicare will often cover home health care for individuals recovering from a major medical treatment, if authorized by their physician. The Texas Department of Aging and Disability Services may also pay for primary home care services for those determined eligible. It is important to know that home health services reimbursed by Medicare are limited, and will only be covered if the patient is confined to the home and requires part-time nursing care or therapy. Some agencies that provide homemaker or home health aide services (for help around the house and for personal care) may not be Medicare certified. Be specific when asking for the type of service needed, as all agencies do not perform the same array of home care services. You may also research the quality of care offered by the agencies by going to www.medicare.com and select the home health agency compare tool. This excellent tool provides you with information on how well the home health agencies in your area care for their patients. The following list also includes agencies that offer sitter services. Be sure to get references and determine if the agency is bonded.

Approved in Home Care Encompass Mays Home Health Red River Home Health 903-433-3000 903-327-8040 903-868-1516 1-800-289-6555 903-868-1589 903-465-8277 Advantx Home Care, Grace Home Health, Inc. 1-888-783-0525 Red River Regional Inc. 903-813-4988 Muenster Memorial Medical Center - 903-813-8681 Grayson County Home Hospital Home Care Bonham All Our Hearts Sitting Health 940-759-2271 903-583-3606 Service 903-891-1613 NTMC Home Health (May require minimum 4-8 1-866-220-3828 Sandy’s Adult Care hour visit) 940-668-2094 Services (may require minimum 4-8 hour visit) 940-387-2847 Heart of Texas HHS 1-800-557-9441 903-891-3648 903-891-3545 Always Better Care Home North Texas Nursing Health Heaven Sent Caregivers Service (live-ins available) Seven Sisters Services (Live-ins available, may 903-893-1036 903-868-2745 903-868-1339 require minimum 4-8 hour 1-800-895-4045 1-888-448-1339 Patients Best Choice visit) Anderson Home Health The Hospice Center Home Healthcare 1-800-461-0549 903-813-8477 903-893-6007 903-891-0800 214-592-0050 Sher Den Home Health Angels of Care Home Hospice of Cooke Pilot Point Home Health Pediatric Home Health County 903-564-7709 903-892-1000 903-532-1400 940-665-9891 Outreach Health Sunrise Home Health Services Caring Hearts Home Home Hospice of Services Health Grayson, Fannin 1-800-758-5657 903-893-1296 903-463-6700 County 903-870-0063 1-800-579-3904 903-868-9315 Changing Seasons Quality Home Health TLC Professional Care (live-ins available) Home Care Home Instead Senior Care 903-868-3648 Care 903-892-9281 903-465-7730 (Sponsor of the ‘Be a Santa 1-877-879-5697 Children’s Home Program’) Ragon’s Elder Care TMC Home Health Healthcare 903-893-1100 903-640-2241 903-482-9020 903-640-3775 1-800-436-7577 Jordan Home Health 903-416-5500 Country Style Services Ray of Sunshine Services (sitter service minimum 4-8 Victory Home Health & Healthcare 903-870-7874 hour visit) Hospice of Texas 903-892-3163 903-482-6400 1-800-289-0190 1-888-665-2992 903-771-2893 903-465-4482 – Grayson Co. First Texas Loving Hearts Sitter 940-665-2999 – Cooke Co. Zachariah Group Home Health, Inc. Service (May require 903-868-0918 minimum 4-8 hour visit) Red River Home Care 903-892-9111 903-868-0657 903-463-5858

texoma senior sourcebook 47 2013-2014 Other Services Available in the Texoma Region

Where Rehabilitation Center ing that you are a Senior Passport Retirement Communities member. Educational programs- Should 903-893-7457 Apartments designed for indi- Senior Passport’s wonderful team viduals or couples who are totally I live? Physical therapy in a warm wa- of physicians and support staff independent and who choose to ter setting. Arthritis Foundation is dedicated to the education of live in a community with other aquatic exercise classes. Senior Passport members. From While most people seniors. These facilities may classes on general wellness and prefer to live in their offer other amenities such as Substance Abuse Council more specific health issues, you own home, the day may organized social programs and will find these discussions helpful come when your circum- 903-892-9911 Grayson recreational activities. Meal and and full of relevant information. stances change and 940-668-7463 Cooke transportation services may be Senior Passport also offers vari- 903-640-4902 Fannin provided for an additional fee. your living situation ous exercise programs in which must also change. It TX Presbyterian Health one of our excellent instructors Howard Apartments - Gunter could be caused by the Hospital - WNJ Senior will lead you to a program that 903-433-2415 death of a spouse leaving Passport Program caters to your fitness needs. The Renaissance - Sherman the survivor alone in a home that 903-870-7200 Health screenings With Senior 903-868-2200 is too large and costly to main- Passport, you will have the St. Vincent’s Village - tain. It could be a debilitating Senior Passport is a compre- advantage of receiving many free hensive benefits program offered Sherman illness that limits your mobil- health screenings throughout 903-868-2818 ity and your ability to care for jointly by Wilson N. Jones Medi- the year, such as blood pressure yourself. Or it could be just your cal Center and Community Spe- check-ups, diabetes screenings The Villas of Sherman - cialty Hospital, designed to serve Sherman desire to give up some of the and more. These health screen- the needs of seniors 55-plus. ings can be extremely important 903-813-3224 responsibilities involved in living From health screenings, exercise in early detection and prevention Wesley Village - Denison in your own home. programs and wellness classes to of serious health risks. Special 903-465-6463 exciting travel opportunities, en- activities and travel opportuni- joyable social events and special ties. With many exciting travel SUBSIDIZED RETIREMENT Ask Yourself discounts at local retailers, Senior opportunities, dances, picnics COMMUNITIES Passport is the complete program and other enjoyable get-togethers for seniors. From personal atten- An apartment designed for These QUestions and outings, there’s never a dull individuals or couples who are tion to special services, we are moment with Senior Passport! 1. Will you be close committed to meeting the needs mobile and capable of self-care. and lifestyles of active seniors. TX Presbyterian Health Residents must be 62 years of to friends and/or Services include: Special privi- Wilson N. Jones Health age and meet specified income guidelines. family? leges during hospital stays-While Center on 1417 being cared for at TX Presbyte- Pecan Creek Village - 903-892-2133 2. Can you easily get rian Health Hospital -WNJ or Gainesville Housing Authority Life Center Specialty Hospital, This primary health care clinic 940-665-1747 to your place of Senior Passport ensures your is open: Monday-Friday 8 AM to worship? stay is as comfortable as possible. 5 PM. Visits by appointment and Turner Apartments - As a Senior Passport member, Walk-ins welcome. Gainesville Housing Authority 3. Can you get to you will receive one guest meal 940-665-1747 coupon per day and a newspaper Sam Rayburn Veterans Pecan Place - Bonham favorite stores and delivered to your room each day Memorial Hospital 903-583-2180 of your stay. other services you 903-583-2111 Katy Creek Retirement Senior advocate A special Apartments - Bonham are accustomed to City of Sherman - senior advocate as the coordina- 903-583-1952 visiting? tor of Senior Passport to aid you Community Development in your decisions. Our coordina- Block Grant Program Broughton Street / Scott Circle Complex - Sherman 4. How much tor is dedicated to giving you the 903-892-7227 personal attention you deserve Housing Authority privacy do you 903-893-3139 and understands the unique City of Denison - need? healthcare issues concerning Community Development Mauk Circle Complex - seniors. Our Senior Passport co- Block Grant Program Denison Housing Authority 5. Will you be able to ordinator will lend her expertise 903-463-1783 and is always available to answer 903-465-2720 have pets? your questions about Medicare, The Meadows - Denison supplemental insurance and Texoma Council 903-465-6463 6. Are you eligible billing concerns. Membership of Governments - The Villas of Sherman - for housing card with medical history and Weatherization Program Sherman discounts at local retailers-We 1-800-677-8264 903-813-3224 assistance? understand the importance 903-813-3526 of your time and that is why, ASSISTED LIVING FACILITIES A number of broad categories through computer technology, The weatherization program For additional information reduces energy loss by insulating, of facilities with care options are we are able to store your perti- contact the AAA nent registration information weather stripping, installing new Ombudsman listed on this page. Some of the windows, storm windows and terms used are general in nature, on your membership card. Your Designed for individuals who card is also quite an asset while doors, and sealing cracks and and may vary somewhat from holes for income eligible home- may require some assistance with you are out on the town. Receive personal care services such as facility to facility. discounts at many of the area’s owners or renters who obtain approval from their landlords. bathing, dressing, and medica- fine local retailers just by show- tion reminders. Assisted living 2013-2014 48 texoma senior sourcebook does not provide skilled nursing Also known as personal care Denison Nursing and Rehab Whitesboro Health and care. Generally, in exchange for homes, may offer many of the Center – Denison Rehabilitation Center a monthly fee, a resident receives same services as assisted living 903-465-2438 (Alzheimer’s certified unit) 903-564-3508 a room, meals, utilities, house- facilities, but do not have medi- Fairview Nursing and Rehab keeping, laundry, personal care, cal support services available. Center – Bonham Public Housing and regular contact with staff to Board and care homes are usually 903-583-2148 ensure that all is well Medicare privately-owned homes that Gainesville Housing Authority does not pay for this type of can house four to six residents Gainesville Health/Rehab 940-665-1747 Center - Gainesville care. However, in Texoma, some capable of independent living Texoma Housing Partners (Alzheimer’s certified unit) facilities are licensed to accept within a supportive environment. 1-800-258-1618 940-665-2826 Medicaid approved CBA clients. If they care for three or fewer 903-813-3567 Medicaid eligibility must first individuals, these homes are not Hilltop Haven Nursing 903-583-1264 be completed through the Texas required to be licensed by the Retirement Community - Farmersville Health and Human Services State of Texas. It is important to Gunter 972-782-6241 Commission. ask for references and/or check (2 Certified Alzheimer’s Units) Crawford Street Place - the home’s record with the Area 903-433-2415 Serves Bells, Bonham, Ector, Denison Agency on Aging ombudsman The Homestead of Denison – Farmersville, Honey Grove, 903-463-0400 office. Denison Howe, Ladonia, Pottsboro, Savoy, Hofmann-Mraz Care Home - NURSING HOMES 903-463-4663 Tom Bean, Trenton, Van Alstyne, Bonham For additional information Whitewright, Windom The Homestead of Sherman 903-583-8380 contact the AAA Denison Housing Authority Ombudsman – Sherman 903-465-2650 Home to You - Sherman 903-891-1730 (Medicaid certified unit) Nursing homes may also Elderly/handicapped Homestead Nursing & 903-893-7093 be identified as convalescent 903-463-1783 centers, extended care homes, or Rehabilitation of Collinsville Just Like Home - Whitesboro Grayson County Housing skilled nursing facilities. These 903-429-6426 903-564-7466 Authority facilities must be licensed by Honey Grove Nursing Center 903-892-8717 Katy House - Denison the state. Some facilities offer - Honey Grove 903-463-1323 private rooms, but most facili- (Alzheimer’s certified unit) Sherman Housing Authority 903-893-3139 Nawnaws Place – Denison ties are semi-private. Residents 903-378-2293 require skilled nursing care 24 903-337-0006 Leonard Manor-Leonard Whitesboro Housing Authority hours a day and/or rehabilitative 903-587-2282 903-564-3700 Pecan Point Assisted services. This level of care is the Living and Memory Care most expensive housing option. Meadowbrook Care Center - Texoma Council of Community-Sherman Medicaid eligibility is dependent Van Alstyne Governments 903-892-9100 upon the client’s financial and 903-482-6455 Section 8 Rental Assistance 903-893-2161 Preston House - Sherman medical need, and is obtained Mullican Care Center - (Medicaid certified unit) through the Texas Health and Savoy Human Services Commission. Cooke County Volunteers 903-892-6937 (Alzheimer’s certified unit) in Service to Others Medicare only covers limited 903-965-0200 The Renaissance Assisted skilled nursing care, and not 940-668-6403 Living - Sherman long term custodial care. Further Pecan Tree Rehab and 903-868-2200 information can be obtained on Healthcare – Gainesville Eldercare Locator Stonebrook Assisted each facility through the Area 940-668-6263 Agency on Aging Nursing Home 1-800-677-1116 Living and Memory Care Renaissance Care Center - www.eldcare.gov Community - Denison Ombudsman Program, 903-813- Gainesville (Alzheimer’s certified unit and 3500 or 1-800-677-8264. Or you (Alzheimer’s certified unit) National information and refer- adult day care) may research facility surveys on 940-665-5221 ral service helps identify com- 903-465-5051 www.medicare.gov. Select nurs- munity resources for individuals ing home compare. This excellent River Valley Health and aged 60+ throughout the United Traditions Senior Living and website allows you to review de- Rehabilitation Center – States. Provided by the National Memory Care - Sherman tailed information about the past Gainesville Association of Area Agencies on 903-813-1610 performance of every Medicare 940-665-0386 Aging and the Administration Wesley Village - Denison and Medicaid certified nursing 1-800-585-0386 on Aging. (Medicaid certified unit) home. One on one consultation Seven Oaks Nursing & 903-465-6463 about regional nursing homes, fi- Rehabilitation –Bonham Legal Hotline for Older nancing, transfer of assets, Miller 903-583-2191 Texans Wheeler House - Gainesville Trusts, spousal impoverishment, 940-668-8977 Sherman Healthcare Center 1-800-622-2520 and estate recovery is also offered www.tlsc.org The Willows- Sherman by the AAA benefits counselors. 903-893-6348 Older Texans, 60 years of age or (Medicaid certified unit) Beacon Hill St. Richard’s Villa – Muenster older, who have questions about 903-891-3737 903-327-8537 940-759-2219 rights, benefits, or other legal The Woodmore Assisted Bonham Nursing and Rehab Texoma Health Care Center matters can obtain free advice Living Community - Bonham Center – Bonham – Sherman and referrals through this legal 903-640-1200 903-583-8551 903-893-9636 hotline service sponsored by BOARD AND CARE HOMES Clyde W. Cosper Texas State Texoma Specialty Care Texas Legal Services. For additional information Veterans Home Center – Denison contact the AAA (Alzheimer’s certified unit) 903-465-7442 Ombudsman 903-640-8387 texoma senior sourcebook 49 2013-2014 Other Services Available in the Texoma Region

Legal Aid of NorthWest The object and purpose of Grief & Loss - Home Yellow Cab Texas N.A.R.V.E. organized as non- Hospice, Inc. 903-892-8294 profit corporation, shall be and is 1-800-955-7407 903-868-9315 exclusively for educational, sci- www.lnwt.org American Association of entific, literary and professional Grayson/Fannin/Cooke Retired Persons (AARP) Cooke County residents call purposes of studying, promoting, Denton office for intakes Tues- and disseminating the philoso- Multiple Sclerosis Support www.aarp.org Group days 8a.m. - 5p.m. 800-955-1407 phy and principles underlying The American Association of the legislative process in order 903-893-5141 Retired Persons offers a national Gainesville Legal Aid to further the growing interest registry to link interested AARP The Texoma Neurology Associ- Clinic in the continuance of Public members to a variety of AARP ate in Sherman helped form the 2112 E. Hwy. 82 Law #162 enacted by the 75th sponsored programs such as 55 local chapter with the National Gainesville, TX Congress of The United States of Alive, Tax Aide, and Connections MS Society three years ago. A MS America on June 24, 1937, com- for Independent Living. 972-542-9405 monly referred to as the Railroad support group meets monthly. 972-562-6001 Texoma Medical Center Retirement Act; to bring into Ostomy Chapter of Auxiliary 3rd Thurs. of Month 5 - 7 p.m. closer cooperation the railway Sherman employees, both active and re- 903-416-4056 Grayson and Fannin tired, of the country; to inculcate Texoma Cancer Center County legal Aid CLinic and uphold the general principles 903-892-9455 TX Presbyterian Health 1-800-906-3045 necessary to protect the standard Hospital - WNJ Auxiliary of living for all current and Sherman Transportation 903-870-4567 Call McKinney office for intakes former railway employees, and 903-892-1544 1st Tues. of Month 9 a.m. - 3 p.m. to lend moral aid and strength to Other Community the activities of its members, the Volunteer Workstation Metro Sherman Denison Texoma Area Paratransit Standard Railroad Labor Orga- System (TAPS) Examples 903-868-1000 nizations, senior citizens groups and other organizations, who are 1-800-256-0911 American Red Cross Legal Aid Clinic for Grayson promoting the general welfare For Rides 903-465-1330 and Fannin County residents of retired people in The United Home Hospice meets at Grace United Method- 1-800-256-0911 States of America; all within the Grayson County ist Church 1st Thursday each Where is my Ride? meaning of Section 501(c)(4) of 903-868-9315 month , 6-9:30 p.m. at 2800 the Internal Revenue Code. 1-855-331-6732 1-888-233-7455 Canyon Creek Dr. Sherman; or Complaints/Concerns Cooke County by appointment at the Glennie National Assocation of www.tapsbus.com 940-665-9891 O’Hamm Center the 2nd Tues- Retired Federal Employees day of ea month 9a.m. -12p.m. TAPS serves the mobility needs CASA (Court Appointed Clinics are held quarterly at St. Mon-Fri 8 a.m. - 4:45 p.m. EST of all persons, not just our aging Special Advocates) Elizabeth Catholic Church, 6-9 703-838-7760 population. In today’s economy, Grayson County 903-813-5400 p. m. , at 303 W. 10th Street, 703-838-7785 Fax we feel that the passenger base Fannin County 903-583-4339 Bonham. 1-800-456-8410 Member will inevitably increase primar- Child Advocacy ily due to the perpetual increase 866-583-KIDS Personal Emergency 1-800-627-3394 Recruitment & in fuel prices. Commuters are Crisis Center Response System Retention already looking for alternative 903-893-3909 PERS are emergency alert but- 703-838-7780 24-Hr Legislative means of getting to and from the ton devices that are placed in Hotline grocery store, medical appoint- Boy Scouts of America ments, education opportunities 903-893-2130 your home and can be pressed www.narfe.org to summon help from emer- and employment. Camp Fire Boys and Girls gency response centers. These The National Active and Retired Texoma Council Texas Department of signals are transmitted electroni- Federal Employees Associa- 903-465-2790 or 800-998-4119 Public Safety cally over the telephone. These tion (NARFE) is dedicated to Child Guidance Clinic of services can be arranged through protecting and enhancing the Stranded Disabled Motorist Texoma the Area Agency on Aging and earned pay, retirement and Assist Helpline 903-893-7768 Disability Services Elder Watch health care benefits of federal 1-800-525-5555 employees, retirees and their Denison Helping Hands Program, or by contacting the Dallas 903-465-5101 following providers: survivors. Founded in 1921, NARFE‘s legacy spans more than 214-320-4444 Eisenhower Birth Place Alert Response 90 years – working tirelessly in 214-512-2726 Beeper 903-465-8908 972-318-0161 support of our members before 1-888-871-2879 Metro Mon-Fri 4:30 a.m. - 10:00 p.m. Grayson Literacy Team Office of Personnel Management, Sat-Sun 9:30 a.m. - 6:00 p.m. 903-892-7272 Home Enterprises, Inc. members of Congress and the 903-796-4107 White House. Fort Worth Hagerman National Wildlife 1-800-722-3401 Toll-Free 817-370-6656 (24 Hours except Refuge Cancer Support Group Fri/Sat Midnight - 6 a.m.) 903-786-2826 National Association 903-892-9455 Texas has a free courtesy patrol Junior Achievement of Gray- of Retired and Veteran on major freeways in major cit- son County Railroad Employees Texoma Cancer Center-Heart to ies. They will change a flat tire, 903-892-8766 Heart support group for cancer (NARVE) give you gas, help start your car, Meals on Wheels/Senior Nu- patients and caregivers. 903-465-7170 or call you a tow truck. It is paid trition and Activity Programs 1-412-563-5612 Fax Diabetes Life Center for by our taxes. 903-786-3351 (Or call your lo- 903-416-4112 cal senior center)

2013-2014 50 texoma senior sourcebook Perrin Air Force Base Museum Texas Health and Human Apply for Medicaid, TANF, Add your name to a 903-893-6400 Services Commission CHIPS no-call list to limit Red River Historical Museum www.hhsc.state.tx.us www.yourtexasbenefits.com telemarketing calls of Sherman www.texasnocall.com 903-893-7623 Eldercare Nationwide Texas Department of Sherman Ex Students Mu- www.eldercare.gov Insurance Texoma Council of seum Medicare Supplements and Governments Area LTC Insurance Agency on Aging 903-893-8250 Health information www.healthfinder.gov www.tdi.state.tx.us www.tcog.com American Association of Retired Persons Services available Texas Department of Texas Legal Services www.aarp.org anywhere in Texas Aging and Disability Center Services Access to legal information www.211texas.org Administration on Aging www.dads.state.tx.us for seniors www.aoa.org Medicare information www.tlsc.org Nursing Home Compare www.medicare.gov National Council of Review quality of care in hospitals, nursing homes and Aging/Benefits Checkup Information on home health agencies Screens for federal, and state obtaining free medication benefits www.medicare.gov www.rxassist.org www.benefitscheckup.org www.needymeds.org Information on low- income housing in Texas U. S. Department of Health Social Security and Human Services texashousingcounselor.org www.ssa.gov www.dhhs.org

P.I.E. 2013 Schedule - TCOG’s Eisenhower Room 1117 Gallagher Drive - Sherman - 12 Noon - 1:00 p.m. month speaker topic January No Meeting Sponsored By: February 19 Robin McCoy Get Out of Debt March 19 Dr. Musani Hearing April 16 Dr. Bernath Talking to Your Doctor May 21 Dr. Strobel Menopause June 18 Joyce White Surviving the Summer with the Kids July 16 Tami Dobbs, FNP-C Summertime & Your Skin August 20 Joyce White Climbing Your Family Tree September 17 Dr. Jermaine Clark Acid Reflux October 15 Jim Salling Finances After Retirement November 19 Dr. McBride Geriatrics December No Meeting

TEXOMA

SENIORsourcebook 2013-2014 texoma senior sourcebook 51 2013-2014

Supporting the Health and Wellbeing of the People in Our Community.

about us The Texoma Health Foundation is the only independent, nonprofit public health foundation serving Grayson, Fannin, Bryan, and Marshall Counties. The Foundation is governed by a fifteen member Board of Directors comprised of community leaders and a representative for Reba McEntire. In addition to overseeing multiple funds and endowments, THF awards grants to area nonprofits annually, as well as owns and LEAVE YOUR LEGACY operates Reba’s Ranch House. To FOR YOUR COMMUNITY. FOR NOW. FOREVER. learn more visit www.texomahealth.org designate to existing funds make an unrestricted gift  Breast Cancer Support Group to benefit area nonprofits selected annually  Camperships for Children with Diabetes through THF’s Community Grants process. The Foundation provides a fair and objective review 5036 Reba Drive  Dialysis Care  Assistance for Breast Cancer Treatment that allows us to serve as a partner in giving and Denison, Texas 75020 and Surgeries through 500 Strong selection of strong nonprofit organizations doing 903-337-0755  Patient Assistance for Children’s Medical good work in our area. Each year, THF works to select worthy projects improving the health and 903-337-0744 (fax) Services   THF’s Room for Hope wellbeing of Texoma. [email protected]  Patient Assistance for the Uninsured  Reba’s Ranch House set up your own fund  Scholarships for Emergency Medical When setting up a fund, the foundation acts as an Technicians umbrella organization. THF’s investments are  Support of Nursing Education and expertly pooled with the goal of perpetuity which Retention allows our donors to establish a legacy of giving for generations to come.