Part III:

Comparison of Older Americans Act and The Rehabilitation Act, Title VII

Clipart: Pen & ink drawing of the scales of justice (a set of weight scales with small containers hanging on opposite sides), balanced.

Relevance to Centers for Independent Living (CILs)

A comparison of the Older Americans Act (OAA) and the Rehabilitation Act, Title VII is important for CILs to review. These two Acts are very similar in their purpose and services. The OAA was established primarily to help older adults, while the Rehab Act, Title VII was established to help people of any age with a disability.

These two Acts govern their respective agencies. After reviewing the OAA, CILs will be more aware of how their programs can be used to serve the older consumer, particularly self-advocacy, assistive technology training and independent living skills. In reviewing the OAA, CILs will see areas for development of new programs, to meet the needs of older consumers with disabilities - programs that could be funded through the Area Agencies on Aging.

CILs have a strong history of providing programs that are consumer driven / consumer choice. The aging network is just beginning to understand this concept and has not been strong in promoting self-advocacy. Both have room for growth. CILs can become valuable consultants or service providers to the aging network.

Part III: Comparison of the Older Americans Act and the Rehabilitation Act, Title VII

Components of Older Americans Act

Older Americans Act (OAA)

Components of the Rehabilitation Act Title VII

Rehabilitation Act Title VII

Established

In 1965, signed into law by Pres.Lyndon B. Johnson in response to the increasing number of older Americans

Established

Signed into law by Pres. Richard Nixon in 1973 via override. In 1978, Rehab Act, Title VII marked the beginning of person-centered values as a major part of U.S. law

Purpose of OAA

Establishment of programs that offer services to older persons that are at risk of losing their independence (frail, disabled, low-income status & living alone)

Purpose of Rehab Act, Title VII:
Independent Living Services and Centers for Independent Living

To promote a philosophy of independent living, including a philosophy of consumer control, peer support, self-help, self-determination, equal access, and individual and system advocacy, in order to maximize the leadership, empowerment, independence, and productivity of persons with disabilities, and the integration and full inclusion of persons with disabilities into the mainstream of American society

Organized by Titles with Specific Objectives:
Title I - Declaration of Objective

Initiates the broad, national social policy objectives geared to improve older persons lives

Organized with Specific Objectives:

Title VII - Independent Living Services & Centers for Independent Living

Areas of Operation:
Part A: General Provisions
Part B: Independent Living Services
Part C: Network of Centers for Independent Living
Chapter 2: Independent Living Services for Older Individuals who are Blind

Title II - Administration on Aging (Assistant Secretary of Aging)

Appointed by the President
AoA is a department within the Dept. of Health and Human Services

CIL Administrator:
Chief of Independent Living

Chief of IL is appointed by the Asst. Secretary of RSA Independent Living is one of the departments within the Rehabilitation Services Administration (RSA)

Title III - Grants for State &Community Programs on Aging

Defines the types of services provided at local level

Intends to form a "network on aging" on federal, state and local levels

Rehab Act, Title VII - Section 725
Independent Living Services

Establishes the requirements for CIL structure, board, staff and management diversity, core services, consumer participation and community involvement

Title III B - Supportive Services

Three categories: access services, in-home services, community services

Title VII, CILs can offer many services but must first provide four primary core services

These core services are:

1. Self & Systems Advocacy
2. Information & Referral
3. Independent Living Skills
4. Peer Counseling

Title III C - Nutritional Services

Two parts: (C-1) Congregate Nutrition Services
(C-2) Home-Delivered Meals

Title VII, CIL Core Services: Independent Living Skills, Information & Referral, Peer Counseling and Advocacy

CIL's core services can provide instruction in meal planning and preparation.

Provides information and referral about community meal programs.

Title III D - In-home Services

Direct resources to those older persons most at risk of losing their independence (minorities & low income)

Title VII, Primary Core Services

Direct resources to those individuals with severe disabilities at risk of losing their independence
(minorities, Native Americans, urban & rural populations)

Title III F - Disease Prevention & Health Promotion Services

Resources used to increase public awareness of healthy lifestyle choices & decrease risk of chronic health conditions

Title III - Special Projects & Demonstrations

Provide academic training for skilled personnel, training to maintain & upgrade personnel basic skills, improve & expand rehab services, training for migrant or seasonal disabled farm workers

Title IV - Training, Research & Discretionary Projects/Programs

Training & research efforts in the field of aging

Rehab Act, Title II - Research & Training

Provide research, demonstration projects, training to maximize full inclusion & integration into society

Title V - Senior Community Service Employment Program

Part-time employment program for low-income, unemployed persons age 55+ and whose prospects for employment are limited

Rehab Act, Title VI
Employment Opportunities for Individuals with Disabilities

Rehab Act, Title V - Rights and Advocacy

Part A: Projects with industry
Part B: Supported Employment Services for Individuals with the most significant disabilities

Employment for persons with disabilities, architectural & transportation barriers compliance board, employment and nondiscrimination under federal grants & contracts, etc.

Title VI - Grants to Native Americans

Award grants to provide supportive and nutritional services to Native Americans and Native Hawaiians

Rehab Act, Title VII

Assists Native Americans with disabilities to move from a state of dependency to being in control of one's destiny

Title VII - Vulnerable Elder Rights Protection Activities

Strong advocacy to protect and enhance the rights of socially and economically vulnerable older people

Title VII, Core Service: Self and Systems Advocacy

Provides self-advocacy training and support for those individuals with severe disabilities, not served or under served by programs especially minority, urban and rural populations (policy priority)

References

1Older Americans Act. Retrieved November 9, 2004 at http://www.aoa.gov/about/legbudg/oaa.asp

2Rehabilitation Act, Title VII. Retrieved November 9, 2004 at http://www.rcep7org/links/rehabact/Title_VII/title_vii.html

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