Central Boston Elder Services

In 1974, following the tireless efforts of community leaders and elder activists from nine Boston neighborhoods, Area II Home Care for Senior Citizens was incorporated as a private, non-profit organization. Ten years later (1984), the agency was renamed Central Boston Elders Services, Inc. (CBES), and presently is one of twenty-seven home care corporations also known as Aging Services Access Points (ASAPs) affiliated with the Massachusetts Executive Office of Elder Affairs. It operates with a 501(c)(3) non-profit status.

Central Boston Elder Services is one of the largest home care corporations in Massachusetts and the only one recognized by the Commonwealth as a Minority Business Enterprise (MBE). The organization enables elders to live independently in the community through collaborative and contracted arrangements with hospitals, nursing homes, home health and homemaker agencies, churches, community-based social service agencies and other formal and informal supports.

The corporate mission of Central Boston Elder Services is to provide services to low income, frail elders, which allow them to remain at home and delay or avoid institutionalization. Central Boston Elder Services staff assesses client needs, arrange and monitors appropriate care and advocate for clients as needed.

Currently, over 6,186 elders each month from Roxbury, Dorchester, Jamaica Plain, South End, Back Bay, Fenway, Mission Hill, Allston and Brighton neighborhoods of Boston rely upon Central Boston Elder Services for an array of home care services. Direct services are provided through contractual arrangements with a network of over sixty-nine (69) not-for-profit and for- profit agencies. Services currently provided include:

Adaptive Housing provides minor housing adjustments or home modifications.

Adult Day Health provides an organized program of health care and supervision, restorative services and social activities.

Boston Elderlnfo assists elders, disabled adults and their families in accessing a comprehensive range of services that address age-related needs.

Boston Money Management offers assistance with management of funds.

Caregiver Support Program provides outreach support and education to caregivers.

Case Management provides services whereby there is an assessment of the needs of the client; and when eligible for services, the Case Manager arranges, coordinates, monitors, evaluates and advocates for a package of multiple services to meet the client’s needs.

Chore Services provides household duties such as vacuuming, dusting, and cleaning bathrooms and heavier chores, such as washing floors, cleaning ovens, attics and basements.

Companionship Services provides company and supervision and offers temporary relief to family members who are acting as caregivers.

Coordination of Care established through an interagency service agreement with the Executive Office of Elder Affairs and the Division of Medical Assistance, provides a coordinated approach to managing long term care services to enhanced client assessment and monitoring, in the proper setting, based on the clients needs.

Dementia Day Care addresses needs of elders living with Alzheimer’s Disease related disorders and other dementia.

Emergency Shelter provides temporary overnight shelter for a client without a home.

Grocery Shopping and Delivery Services provides grocery shopping and delivery and assistance as needed.

Group Adult Foster Care offers an alternative to nursing home placement by providing daily assistance and monthly visits by a nurse or case manager.

Home Delivered Meals provides the delivery of well-balanced meals that meet nutritional and dietary standards.

Home Health provides nursing care, physical, occupational and speech therapy as well as Home Health Aide.

Homemakers perform day-to-day household tasks such as light cleaning, shopping, laundry, meal planning and preparation.

Laundry Service provides clothing cleaning by a commercial laundry company to a client with no other means of having laundry cleaned.

Personal Care assists clients with everyday needs such as bathing, dressing, grooming, shaving and medication reminders.

Personal Emergency Response System allows clients experiencing a medical emergency at home, to transmit a digital warning signal to a central monitoring station.

Private Care Management helps elders, disabled adults and their families locate and secure housing and care services, which include: evaluation of needs; housing and care planning; referrals for legal, financial, medical; home adaptations and money management; advocacy for health care, housing or care needs; benefits assistance for accessing eligible programs; monitoring of services; crisis intervention when temporary or critical care is needed; respite care coordination for families; and peace of mind for family members.

Protective and Legal Services provides clients, who may be victims of an alleged abuse, an evaluation and legal representation by an attorney, if deemed appropriate.

Respite Care provides clients temporary relief care in a nursing facility, rest home or adult Foster Care program.

Social Day Care provides individualized programs of social activity to clients who require daytime supervision at sites other than their homes. Activities include assistance with walking, grooming, and eating; provision of one meal and two snacks per day; and planned recreational activities.

Transportation offers the provision of transportation to and from medical appointments, dialysis and chemotherapy.

Volunteer Services provide friendly visits, companionship, shopping, medical escorting, or telephone reassurance.

The availability of these services allows thousands of elders who have experienced physical, emotional and psychological impairments to maintain their dignity and independence at home.

Of the population currently receiving services, 63% are over the age 75; and approximately, 38 clients are 100 years or older, 65% of the elders are women, 54% live alone and 46% live with a spouse or other family member. With the exception of private funds that are available to support emergency requests for direct assistance to elders (rental, utility payments or food), all services are supported by the Commonwealth of Massachusetts through the Executive Office of Elder Affairs.

Central Boston Elder Services serves one of the most ethnically and economically diverse geographic areas in Massachusetts; and according to statistics gathered by EOEA, provides over 50% of home care to people of color in the entire state. Currently, 66% of CBES’ clients are minorities (Black, Hispanic, Russian and Asian). Languages spoken among clients include Haitian Creole, Portuguese Creole, Spanish, Mandarin, Cantonese, Russian and English.

The delivery of quality care in a community this diverse demand a staff well acquainted with cultural and linguistic differences. Central Boston Elder Services has a diverse composition of staff. Some of the languages spoken include Spanish, Haitian Creole, Portuguese-Creole, Mandarin, Cantonese and Russian.

Central Boston Elder Services’ Board of Directors is as diverse as its staff and client population. The board consists of twenty-four members and at least 51% are over 60 years of age and reside in the communities served by the agency. The Board is composed of both community professionals and non-professional service consumers.

The Board of Directors determines policy for the agency. Additionally, in cooperation with the Executive Director, the Board is responsible for developing and implementing long-range plans and establishes an ongoing strategic plan, which serves to guide the future direction of Central Boston Elder Services.

The Executive Director is the chief executive officer and reports directly to the Board of Directors. The Executive Director is responsible for implementing the entire range of administrative, fiscal, and programmatic practices of the organization. Directly accountable to the Executive Director are the Director of Finance and Administration, the Director of Human Resources, the Director of Program Management, Director of Business Development, and the Coordinator of Volunteer Services.

Central Boston Elder Services operates from a centralized location in the Roxbury section of Boston and is easily accessible by public transportation. CBES hours of operation are Monday through Friday from 8:00 a.m. to 6:00 p.m. There is also a 24-hour on-call emergency service.

Central Boston solicits donations and grants from individuals, corporations and foundations to further support both the operating expenses of the agency as well as services for elders.

Central Boston Elder Services is a member of the Massachusetts Home Care Association, Access Community Care, and National Council on Aging, the American Society on Aging, the Massachusetts Association of Older Americans, and the Massachusetts Public Health Association.

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