EXECUTIVE SUMMARY
A major objective of this Four Year Plan is to help the Montgomery County Office of Aging and Adult Services
(MCAAS) to produce quality planning that will enable MCAAS to enhance the goals set forth in Pennsylvania
Act 70 and the Older Americans Act, by providing comprehensive and coordinated services to serve older and
disabled individuals, while also seeking ways to utilize available resources more efficiently.
MCAAS - WHO WE ARE
The Montgomery County Office of Aging and Adult Services (MCAAS) serves as the designated area agency
on aging for Montgomery County, working with dozens of providers to serve over 45,000 older Montgomery
County residents each year through a variety of services and programs which assist individuals and families in
preventing premature institutionalization and supporting elderly and disabled individuals to live as
independently as possible within the community. Responding to the increased needs of our county residents
during this time of financial challenge is an ongoing concern, as Montgomery County’s aging population now
totals over 225,000 persons over age 55, and the county continues to have the highest median age within this
Southeast region of Pennsylvania.
Whether provided directly by trained MCAAS staff, or through one of over 100 agency contracts, MCAAS
offers in-home services, senior community center services, comprehensive long term care assessment, care
management, information and assistance, caregiver support programs, protective services, adult daily living
center services, ombudsman services, transportation, nursing home transition, and other important services and
programs to assist county residents and their families as part of a continuum of care across all areas of the
county.
In order to facilitate a timely response to low-income adults, families, and the elderly seeking assistance through
the Montgomery County Office of Aging and Adult Services, over 100 agency staff are located within local
offices in four areas of Montgomery County. Community offices in Willow Grove, Norristown, Pottstown, and
Lansdale provide direct access to any of the MCAAS services and programs, and links to community services
available to meet individual needs. Together with our providers, our MCAAS network provides a trained
response to over 45,000 Information and Assistance contacts received each year from consumers and their
families, assisting them with needs in a comprehensive way.
MCAAS - THE CURRENT SITUATION
Considering demographic changes related to the aging of Montgomery County (from a 28% increase in those
over age 85; to the 40% increase in those age 55-64), there is concern that existing resources will not be able to
adequately respond to the growing numbers of Montgomery County residents as they age, especially since a
waiting list of almost 200 individuals already exists for those seeking care through MCAAS.
Montgomery County has a significantly higher percentage of lower income households for those over age 65
when compared to the rest of the population, and so we can see that many of our older residents are feeling
financial pressure from living in a region with a high cost of living, with many on fixed incomes and unable to
meet increased costs for the basics required to remain at home safely in the community.
New trends, such as the needs of grandparents as caregivers, the aging of the county population led by the Baby
Boomers, and increased numbers of non-English speaking older adults (particularly in the Asian communities),
will guide MCAAS when adjusting plans for the future, ensuring inclusiveness and responsiveness within areas
of special need.
As part of the development of the 2012-2016 Four Year Plan, 852 persons provided input through a general
public survey, over 200 individuals participated in 5 public meetings, and local discussions with the
staff/Advisory Council were held to discuss the priorities and concerns older residents have as they age in their
communities. There were common themes and priorities listed from each group of participants, including:

Top Needs Identified in the Public Survey:
Financial (292); Transportation (243); Health Care (236); Senior Community Centers (210); Home Health
and Personal Care (202); Affordable Housing (192); and Nutrition / Meals (172)

Top Needs Identified by Focus Groups:
 Home Health Care (Affordable home care, for staying in own home)
 Nutrition, Home Support (Supports to assist in maintaining home and independence with age)
 Affordable, Supportive Housing Options (To assist in remaining in community)
 Transportation (Less restrictions, More availability and choice)
 Financial/ Economic issues (Cost of living issues, creating difficult choices for everyday needs)
MCAAS - THE FUTURE
In setting goals for the future within Montgomery County, five major goals have been designed to
incorporate the state's priority themes, as well as the local needs within our county. The following
goals and objectives describe a future path for the Montgomery County Office of Aging and Adult
Services (MCAAS), with unique strategies outlined to achieve the goals and objectives defined, and
leading to outcomes which will be measured in an ongoing way over the years ahead.
GOAL #1
MCAAS will work collaboratively to enhance the existing system of coordinated and comprehensive
services and programs to support stronger communities for older and disabled adults who choose to
age at home in a community setting.
GOAL #2
MCAAS will provide enhanced access to information, benefits, and programs for older and disabled
adults seeking to make informed choices regarding their options along the long term care
continuum.
Goal #3
MCAAS will support health and wellness programs for older and disabled adults to enhance each
person’s mental and physical wellbeing within their communities.
Goal #4
MCAAS will support efforts to enhance the quality of life for older residents who are most at risk.
GOAL #5
MCAAS will continue to support an individual’s right to choose home and community-based
options, despite shrinking public resources available in this current economic environment.
Although some objectives, and strategies may need to change along the way, especially as financial priorities
may shift, MCAAS will continue to collaborate whenever and wherever possible to enhance existing (and in
many cases shrinking) resources, reduce duplication of effort within the network of care that exists, and create
an even more responsive system of long term care throughout Montgomery County.
MCAAS will also continue to expand collaborative efforts within our Southeast regional aging network, and
within local collaborative networks in Montgomery County, to build a more effective advocacy presence as it
may relate to legislative and budgetary issues of concern to the aging network, and to build a stronger economic
road for the network moving forward. This work has begun and will continue to be important in shoring up
continued support for priority aging programs and services. Already partnerships exist between MCAAS and the
United Way, local community health foundations, and other foundation and grant avenues, and these avenues
will continue to be strengthened and create a stronger combined impact on the communities we all serve.
Likewise, building additional and creative collaborative funding opportunities will assist MCAAS and its
providers to respond beyond the surveyed needs and work toward the establishment of a more “Aging Friendly”
Montgomery County for all residents.
II. The Montgomery County Office of
Aging and Adult Services (MCAAS): An Overview
II-A Who We Are
The Montgomery County Office of Aging and Adult Services (MCAAS) serves as the designated area agency
on aging for Montgomery County, mandated to develop and provide a comprehensive and coordinated system of
services for older persons. As one of 52 area agencies on aging within Pennsylvania, MCAAS works with
dozens of providers to serve over 40,000 older Montgomery County residents each year through a variety of
services and programs which assist individuals and families in preventing premature institutionalization and to
support the elderly and the disabled in living as independently as possible within the community. Responding to
the increased needs of our county residents is an ongoing concern, as Montgomery County’s aging population
now totals over 225,000 persons over age 55, and the county continues to have the highest median age for this
Southeast region of Pennsylvania.
Whether provided directly by trained MCAAS staff, or through one of over 100 agency contracts, MCAAS
offers in-home services, senior community center services, comprehensive long term care assessment, care
management, Information and Assistance, caregiver support programs, protective services, adult daily living
center services, ombudsman services, transportation, nursing home transition, and other important services and
programs to assist aging county residents as part of a continuum of care across all areas of the county.
Additionally, MCAAS is an integral part of a system of services assisting low-income adults and families, as
well as many physically disabled adults, to achieve self-sufficiency in the community. The adult services
provided through the MCAAS system address individual and family needs for housing assistance, shelter
services, case management, in-home services, or other supportive programs for about 2,000 low-income county
residents each year. MCAAS also assesses and assists the disabled adult population through links with the
Aging and Disability Resource Center planning, and assessing for home and community-based waiver
programs.
In order to facilitate a timely response to low-income adults, families, and the elderly seeking assistance through
the Montgomery County Office of Aging and Adult Services, over 100 agency staff are located within local
offices in four areas of Montgomery County. Community offices in Willow Grove, Norristown, Pottstown, and
Lansdale provide direct access to any of the MCAAS services and programs, and links to community services
available to meet individual needs. Together with our providers, our aging network provides a trained response
to over 45,000 Information and Assistance contacts received each year from consumers and their families,
assisting them with all long term care needs.
Despite the fiscal challenges predicted for the next four years, and numerous mandated changes dictated by state
government, the Montgomery County Office of Aging and Adult Services staff continue to work in tandem with
a dedicated network of providers and collaborative partners, showing commitment, creativity, and perseverance
on behalf of the growing numbers of adults and families who seek quality programs and services through
Montgomery County government.
The MCAAS Organizational Structure:
Montgomery County
Commissioners
Montgomery County
Human Services Cabinet
MCAAS
Advisory
Advisory Council
Council
MCAAS
Executive
Executive Director
Director
Deputy Director for
Admin. Services
Deputy Director for
Clinical Services
Data Unit, Monitoring and
Contract Unit, ITST Support
All Clinical Programs,
Clinical Supervisors, and
Clinical Staff within 4
District Office Locations:
Central (Norristown)
Pottstown, Willow Grove,
Fiscal Administrator
Fiscal Department Staff
Office Manager
Office Support Staff
II-B. A Look at the Community We Serve
B-1. Studying the Trends and Demographics:
A major objective of this Four Year Plan is to help the Montgomery County Office of Aging and Adult Services
(MCAAS) to produce quality planning that will enable the agency to enhance the goals set forth in Pennsylvania
Act 70 and the Older Americans Act—that is to provide comprehensive and coordinated services to serve older
persons and to assist in using available resources more efficiently. At MCAAS, we recognize that a central
element to effective planning is quality assessment of local needs and trends. It is only after first taking a close
look at the community, that MCAAS can then fully understand the complex needs existing within our region,
identify future priority goals, and plan for the most efficient use of resources to address these local needs. The
following section provides a description of several major assessment efforts related to Montgomery County and
MCAAS which have assisted the agency in developing the next four year plan. When the demographic data is
analyzed in conjunction with the needs assessment information available, our goals can become more focused
and the impact measured more effectively.
As part of assessment process, these major sources have provided demographic and needs assessment
information for this plan and will be quoted throughout this next section:

U.S. Census Data available for Montgomery County: Census 2010 and data analysis provided by the
PA Department of Aging and the Montgomery County Planning Department

State Aging and Disability Agencies in Times of Change, National Association of States United for
Aging and Disabilities States Survey, 2011.

The BoomerANG (Aging’s Next Generation) Study, 2005-2007, funded by MCAAS in collaboration
with 5 county foundations to study the trends of the Baby Boomers in Montgomery County (
www.montcopa.org/mcaas )

Montgomery County Office of Aging and Adult Services Four Year Plan Survey, 2012
(www.montcopa.org/mcaas ) Series of 5 focus groups for professionals and the community; Surveys
received from 852 community, staff and professionals.
What the Numbers Show
Montgomery County Background:
Montgomery County is the third largest county within the state of Pennsylvania, occupying a 483 square mile
area north west of Philadelphia, and consisting of 24 boroughs and 38 townships. The 2010 Census reports that
the total population of Montgomery County grew 6% to 799,874 residents since 2000, yet Montgomery County
counted 220,679 persons that were 55 years of age and older, representing a significant demographic trend, as
predicted in the MCAAS BoomerANG Study in 2007.
Statistics from the U.S. Dicennial Census Data indicates that numbers of the most frail elderly (over age 85)
residents have grown by over 28%, and the newest group to age into the aging network, those from age 55 – 64,
have grown over 40% since the year 2000. Also remarkable when considering the county statistics is the number
of centenarians that reside within Montgomery County, since this amazing group of elder residents has grown
from numbering 147 to 221 since the last census was taken.
Although Philadelphia County still has a greater number of adults over age 60, Montgomery County has a
higher percentage of older adults, and the Montgomery County demographics indicate there is still a higher
median age than exists in any of the other counties within the Southeastern region of the state. The BoomerAng
Study indicated that by the year 2015, the median age for Montgomery County will be 44 years of age, and
projections show that this county should continue to remain the oldest county in the Southeastern region of
Pennsylvania over the years ahead.
Population Distribution by Area:
When compared to the state average of 283.9 persons per square mile, Montgomery County is instead populated
with close to 1,656 persons per square mile, making our county a very densely populated county. Beyond being
a Montgomery County resident, most older adults who reside within the county boundaries often identify
themselves as residents of one of the following county regions: Central Montgomery County, Eastern
Montgomery County, the Lower Merion Area, the North Penn Area, Western Montgomery County, and the
Upper Perkiomen Area. There is diversity among the various regions, with some areas in the Western and
Northwestern areas viewed as rural, while others appear more urban or suburban. MCAAS continues to provide
local offices to cover four major service areas within our county, since consumers and families prefer local
accessibility for services and cannot easily travel to the county seat when applying for services or benefits. Staff
travel time for visits to consumer homes and facilities is reduced as well, and local support and collaboration is
more easily obtained due to our local office presence.
Although the entire county is considered a metropolitan area, Eastern Montgomery County, which borders
Philadelphia County, has been developed to a greater extent and is home to the largest number of older adults
60+ and 85+, with over 43% of the aging population for the county residing in the Eastern region. Western
Montgomery County, including the rural Upper Perkiomen Area, has seen great development in recent years, yet
still contains distinctly rural areas and is home to a smaller, but growing percentage of older adults 60 and 85+,
especially as developers build more age-restricted housing in that region. The following chart from the
BoomerANG Study indicates where most of the aging population should continue to be regionally located
within Montgomery County during the years ahead.
Age 50+ Households by Region
(From Year 2000 – 2015)
60,000
E. MontCo.
50,000
N.Penn
40,000
20,000
Gtr.
Norristown
The Merions
10,000
W. MontCo.
30,000
0
Disability Issues:
The 2008-2010 American Community Survey estimates that 62 % of those over age 65 have some type of
disability to report. The physical limitations reported under this survey are different than previous surveys, and
include: hearing, vision, cognition, ambulation, self-care, and living independently. Almost 38% of the
population over age 65 reported no limitations in these areas
2010 Population Estimates for Disability
%
Population 65 Years and Over with a difficulty
With a hearing difficulty
With a vision difficulty
With a cognitive difficulty
With an ambulatory difficulty
With a self-care difficulty
With an independent living difficulty
112,684
13,248
5,322
7,938
20,766
7,395
15,587
Total civilian non-institutionalized population
780,069
Population 65 and over with no disability
11.8%
4.7%
7.0%
18.4%
6.6%
13.8%
42,428
37.7%
2010 Source: 2008-2010 American Community Survey 3 year Estimates
As we seek to better understand the needs of disabled older adults in Montgomery County, we have reviewed
areas of disability in terms of service planning for the future. The MCAAS Four Year Plan Survey and public
meeting discussions have yielded issues related to the need for residents, as they age or experience a disability,
to be able to remain within their natural communities, with access to transportation, health care, and basic
services to remain as independent as possible within their own homes. Assistance with home support tasks, basic
home care, home modifications and repairs were all cited as significant needs within the survey process and
contributed to the health and wellness issues cited as a leading area of concern.
Income:
Although Montgomery County is diverse in its socio-economic status, it is also one of the wealthiest counties in
the state. When compared to the rest of the state, Montgomery County’s median family income is $ 76,380,
substantially higher than the state average of $50,398, and only 5.6% reported as being under the poverty
guidelines in 2010. However, the situation with many of our elderly and disabled residents warrants a different
focus.
When considering the high cost of living for the Southeastern region of the state, the economic strain felt by
those over age 75 especially, must be considered. Over 21% of householders over age 65 had an annual income
of twice the poverty threshold, and the highest response from the MCAAS need surveys indicated that the
financial and economic stress was a number one priority for almost half surveyed. As indicated in the chart
below, a significantly higher percentage of lower income households exists for those over age 65, and so we can
see that our older residents are feeling financial pressure from living in a region with a high cost of living, and
many on a fixed income unable to meet increased costs for the basics needed to remain at home in the
community.
Householder Income by Age
Age Cohort
45-64
22%
31%
65+
22%
57%
26%
35%
Total 45+
0%
10%
20%
29%
30%
25%
40%
50%
9%
17%
60%
70%
9%
19%
80%
90%
100%
Gender:
In the general population, the 2010 Census showed the ratio to be 52% female to 48% male, with the percentage
of women increasing to 60% and males decreasing to 40% for those over 65 years of age. As in all other areas
of the country, the needs of older women living alone continue to be worthy of note, especially as gender relates
to poverty and abuse. Over 7,500 women are over the age of fifty and below the federal poverty guidelines in
Montgomery County, and many live alone without social supports.
Housing:
In order to meet the present and future housing needs of older adults, data from the U.S. Census, and the
Montgomery County Planning Commission was obtained to better understand the present and projected living
arrangements of older adults age 65 + in Montgomery County.
Estimated Living Arrangements of Seniors
(Persons 65 and Older)
Living Arrangement in 2010
In own home or apartment
In age restricted community or
apartments
In assisted living
In nursing home
Estimated Population
93903
Percent of Seniors – 2010 Census
77.8%
2000 Census
82.4%
19099
1607
6118
15.8%
1.3%
5.1%
8.9%
2.3%
6.4%
2010 Estimated Senior Housing Arrangements
1%
5%
16%
In own home or
apartment
In age restricted
community or
apartments
In assisted living
In nursing home
78%
As the above chart indicates, a smaller percentage of older adults resided in either a private home or an
apartment from the previous census, yet this remains the primary living arrangement for older adults in
Montgomery County. The increased number of Continuing Care Retirement Communities (CCRCs) and 55+
communities has grown significantly within Montgomery County, and the trend is noteworthy when considering
the chart above. When surveyed, older adults in Montgomery County have always reported their desire to
remain at home in the community, yet each major survey of residents has cited AFFORDABLE housing as a
major issue of concern for the future, since the economic downturn in recent years has had an effect on the
accessible and affordable retirement housing options available to the average 65+ Montgomery County resident.
There are currently 89 age-restricted housing projects / communities within Montgomery County. Many of them
are built on multiple levels, and/or located in areas away from services, transportation or medical care,
especially the newer projects being developed in Western Montgomery County. As residents age, there will
need to be additional local and county-wide planning efforts made to incorporate the numbers of older persons
in need of specialized housing, and to consider the shift from institutional (nursing home) care to more
community care options. Montgomery County continues to support the work of the Delaware Valley Regional
Planning Commission, which has set a goal to “expand and preserve the stock of accessible, affordable housing
units for seniors” through modifying planning tools which exist and create more “aging friendly” communities
in the region.
Analysis of the selected housing characteristics from the Census suggests that many older adults in Montgomery
County that are living on a more limited income, whether they are living in an owner-occupied or renteroccupied unit, are dealing with the challenge of trying to meet their monthly housing and related expenses along
with other basic expenses, such as food, transportation, prescription, and health care costs, to name a few. Since
the cost of living in Montgomery County remains above the state average, and rental costs are higher as well, it
is clear to see that older residents remain challenged in trying to make ends meet. MCAAS staff also cited
concerns over increased needs present in the current residents of subsidized senior housing complexes across the
county, especially noting increased isolation and behavioral concerns, which prompts the need for care
management and assistance within those complexes.
Although there are dozens of apartment complexes located throughout Montgomery County that offer either rent
subsidies or reduced-rate rents for older adults, it is important to note that the present waiting lists to enter
subsidized housing units range from 6 months to 5 years, with a little over 2 years as the average waiting list
length. In addition, Housing Choice Vouchers (formerly Section-8) through the Montgomery County Housing
Authority, which have also been a resource to older adults in Montgomery County related to housing costs,
generally have a waiting list and the office is currently not “open” to taking any new applications at the time of
this report. Affordable housing will continue to be a primary issue into the future for MCAAS, and collaborative
efforts to enact a new blueprint for housing will assist in responding to the demographics cited.
Ethnicity:
Similar to the data for Pennsylvania, Montgomery County is experiencing an older population that is becoming
increasingly diverse. As Montgomery County reexamines the ways in which it publicizes and delivers services
and programs, to ensure that inclusiveness for all of these diverse cultures, data from the 2010 Census for
Montgomery County demonstrates the continued increase among racial and ethnic populations for all age
groups. Also remarkable is that according to reliable sources within minority communities across Montgomery
County, the numbers of Asian and Hispanic individuals have increased beyond the following numbers reported
on the official census. The demographic chart below from the 2010 Census provides a closer look at the
changing demographics among racial and ethnic backgrounds for older adults age 60+ and 85+:
Total
Population
White
African
American
Asian/Pacific
Islander
Hispanic*
Other
Two or More
Races
Percent of
2010
Population
2000
Population
141,815
Change in
Population:
2000-2010
17.0%
89.2%
93.9%
6.4%
14,717
131,661
13,926
6,712
40.1%
12.4%
38.9%
57.6%
60+
2010
Population
165,924
85+
60+
85+
60+
20,615
148,006
19,350
10,577
85+
60+
918
6,070
4.5%
3.7%
604
2,608
52.0%
132.7%
85+
60+
85+
60+
85+
60+
270
1,856
131
407
18
713
1.3%
1.1%
0.6%
0.2%
0.1%
0.4%
126
915
61
191
8
553
114.3%
102.8%
114.8%
113.1%
125.0%
28.9%
85+
60+
52
151
0.3%
0.1%
44
90
18.2%
67.8%
American
Indian
85+
7
0.0%
9
-22.2%
*Census Bureau considers Hispanic to be an ethnicity and not a race,
so these numbers do not add to 100% total population
Similar to the data for Pennsylvania, Montgomery County has experienced an older population that is becoming
increasingly diverse. As Montgomery County reexamines the ways in which it publicizes and delivers services
and programs, to ensure that they are inclusive of all of these diverse cultures, data from the U.S. Census also
provides an indication of the number of older adults as well as adults (who may pursue services or information
on behalf of an older adult) where their ability to speak English may present a barrier:




52,152 Foreign Born Residents in Montgomery County (53% naturalized citizens)
Montgomery County has 7% foreign born residents/ PA has 4.1% foreign born residents
90.4% of residents of Montgomery County speak English at home.
2.0% of residents speak Spanish at home (63% speak English very well, 16% speak English well, 15%
speak English not well, 6% don't speak English at all).
 4.3% of residents speak other Indo-European language at home (73% speak English very well, 17% speak
English well, 8% speak English not well, 1% don't speak English at all).
 2.8% of residents speak Asian or Pacific Island language at home (49% speak English very well, 28% speak
English well, 19% speak English not well, 3% don't speak English at all).
 0.6% of residents speak other language at home (79% speak English very well, 17% speak English well, 4%
speak English not well).
As MCAAS takes steps to increase “cultural inclusion” through its outreach efforts, minority data must be
analyzed for each region of the county to assist in focusing publicity and service delivery within targeted areas
of the county.
Grandparents as Caregivers:
A trend worth noting in the consumer base being served by MCAAS and other service providers within
Montgomery County is the increase in Grandparents as Caregivers. In the 2000 census, 10,226 grandparents
were reported to be living in a household with one or more own grandchildren under 18 years of age, yet the
2010 numbers show an increase in this situation of 8%. The specialized caregiving needs for this emerging
population have been expressed within the staff discussions and public meetings held related to Montgomery
County’s Four Year Plan, and an examination of the 2010 census shows this trend to be indeed significant.
Additionally, the economic squeeze felt by those caring for grandchildren is noteworthy, since many elderly
caregivers are making choices related to self care versus their primary consideration of care for the children in
the home.
2010 Census Report – Montgomery County
Estimated
Number
Grandparents as Caregivers
# Grandparents Living w/Grandchild
(Under age 18)
2010
TOTAL
Grandparent responsible for own grandchild
(under age 18)
Grandparent NOT responsible for own grandchild
(under age 18)
2006
11,132
10,226
3,299
3,151
7,833
7,075
Montgomery County Elderly Population Trends:
Using the 2000 Census to make adjustments of the Delaware Valley Regional Planning Commission (DVRPC)
projections, the Montgomery County Planning Commission was able to provide MCAAS with the following
chart which looks at the growth in the 55-64 age cohort, the 65-74 age cohort, the 75 and over age cohort and
the over all 55 and over population between 2000 and 2025.
OVER-55 POPULATION 2000-2025
Age Cohort
55-64
65-74
75+
Total 55+
Total Population
Persons
In
2000
68,447
55,562
56,235
180,244
750,097
Percent
Of Total
9.1%
7.4%
7.5%
24.0%
-
Persons
In
2025
105,900
100,700
80,000
286,600
857,000
Percent
Of Total
12.4%
11.8%
9.3%
33.4%
-
Change
2000-2025
37,453
45,138
23,765
111,659
106,903
Absolute
Change
2000-2025
54.7%
44.8%
42.3%
61.9%
14.3%
As the chart indicates all three age groups are expected to show strong growth in the future, with the
total number of older adults 55+ in Montgomery County increasing 61.9% from 2000 to 2025!
This will be especially significant when considering the continuum of long term care services to be provided to
our county residents, from senior centers and other supportive community services through long term care
assessments and nursing home transition services, as the demands for services and programs grow in the future
years.
Conclusion of Initial Data Analysis:
Focusing on the next four years, the Area Plan will identify the steps that MCAAS will be taking to develop
greater capacities to continue providing comprehensive and coordinated services to meet these present needs.
However, in addition to assisting MCAAS with a focus for the next four years, the Montgomery County
population trends and demographics make a strong statement and point to growing needs as county residents age
into the future. New trends, such as the needs of grandparents as caregivers, the aging of the county population
led by the Baby Boomers, and increased numbers of non-English speaking older persons will lead MCAAS to
adjust plans for the future to ensure inclusiveness and responsiveness to areas of special need.
At this time, it is also essential that steps are taken now to increase partnerships and collaborative efforts,
placing the aging network throughout Montgomery County into a better position in meeting the diverse and
complex needs of a rapidly growing number of older adults over the next 25 years and beyond. Changing
preferences for services, led by the strong need to maintain the independence of individuals as they age in the
community will continue to be a priority, as well as continuing to focus on efforts to provide financial stability
moving forward.
II-B.2 A Study of Local Needs
MCAAS began its planning process for the 2012 - 2016 Four-Year Plan during the Fall of 2011. Connections
were made with MCAAS staff, Advisory Council members, and key leaders within the community to review the
goals from the previous plan, and to establish a new framework for surveys and focus groups to outline regional
and county needs related to older and disabled adults, in preparation for the next Four Year MCAAS Plan.
Collaborative discussions took place among stakeholders to discuss trends, as well as funding availability which
could affect planning services and programs within the years ahead.
In addition to understanding the demographics and analyzing the needs, almost a thousand persons with
concerns related to an older adult in Montgomery County expressed their opinions for the 2012 MCAAS Needs
Assessment through the following:


5 professional and community focus groups held in various regions of the county
852 surveys received from consumers, older adults, caregivers, advisory council members, MCAAS
staff, service providers, and aging professionals.
2A. The MCAAS Four Year Plan Survey
MCAAS Four Year Plan Surveys designed to outline future priorities were mailed and distributed from
February through April 2012 to over 1,000 residents countywide, and the survey response was the highest ever
recorded for our department. The survey had also been posted online and sent in email blasts to providers as
well, generating an increased number of online responses from our last survey in 2008. Surveys were translated
into Spanish, Korean, and Chinese, and efforts were made to present surveys to targeted populations to ensure
access by diverse groups within the county. Key leaders within the Asian, Latino, Russian, and Indian
communities were provided with surveys and offered a chance for participation with individual MCAAS focus
groups.
The MCAAS surveys asked individuals to identify concerns they face as an older adult, or as the caregiver of an
older adult. Respondents were asked to rank their top three pressing needs from a selection of 20 possible issues,
and space was also available to add additional concerns to the survey as well. Inquiries were also made as to
which (if any) programs had already assisted respondents, and basic demographic questions were asked at the
end. The survey was brief, and took an average time of just 3-4 minutes to complete.
The following chart summarizes the results of the 2012 MCAAS Survey:
Major Needs for Older Residents of Montgomery County
350
300
Number of Consumers
250
200
150
100
50
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The top needs for older residents identified in the survey responses were :
Financial (292); Transportation (243); Health Care (236); Senior Community Centers (210); Home Health and
Personal Care (202); Affordable Housing (192); and Nutrition / Meals (172)
Also important to note from the surveys was the number of persons indicating they had received help in the past
for an older adult, and when checking responses on the type of help received, the following responses were
given:
2012 MCAAS Survey
Assistance Received by the Older Adult / Family Member
Senior Center
Government
Programs
270
Family
225
189
Friends/Neighbors
166
Other Programs
174
MCAAS
165
124
Church
Assistance you
private Paid
101
Other
Professionals
Home Delivered
Meals
83
81
It is
interesting to note the numbers of individuals responding to the survey who had received formal,
government, or agency services, while large numbers of responses still indicated that informal services
were also provided to assist through family, church, or friends. As we examine services along a
continuum of care, it is often the support of those informal sources which can be a critical element in
permitting an elderly or disabled individual to be maintained safely within a community setting, as
opposed seeking an institutional setting. The importance of senior centers is also noted above, due to
their strong community presence and visibility, and also because two large focus groups were held in a
senior center setting with their participants completing surveys in large numbers.
In total, surveys were completed by 852 persons, more than twice the response rate from the last surveys
distributed by MCAAS! Of those responding to the surveys, 22% reported themselves as minority. The largest
minority group responding identified themselves as Asian-American, with a total of 96 surveys returned.
Most surveyed individuals responded that their monthly income fell between $650 – $2,000 per month, and the
majority of the respondents (389) were over age 75 years of age. The respondents were mostly women (70%),
and 55% of those completing a survey reported that they live alone.
Surveys were returned from all geographic areas within Montgomery County, and in many ways mirrored the
population of older residents outlined in the demographics as well, since more responses from the Eastern and
North Penn regions also reflect the significant numbers of older adults residing in those regions of the county.
2B. Advisory Council Input:
Additionally, our Advisory Council went through a similar process during the March of 2012 related to
our local needs and identified these top areas of concern:
Most Important:
Home Care / Support Services
Transportation
Affordable Housing
Caregiver Issues
The MCAAS Advisory Council still believes that increased advocacy and outreach efforts will be necessary to
connect older adults and families with much-needed services, and to assist them in maintaining their
independence within their own homes if they choose to do so. Together with others locally and regionally, the
MCAAS Advisory Council intends to continue to work toward increased funding and support for home and
community – based services.
2C. Listing of Needs From MCAAS Staff Discussion / Survey
Our staff were offered survey questions to outline their own priorities, based on their professional
experience. Many interesting and helpful comments were made, and program suggestions were offered
for the future as well. Similar to the responses from the general survey, the most important issues
continue to fall within many of the same major categories, all geared toward supporting individuals in
remaining independent within the community:
Most Important:
Affordable Housing
Home Maintenance
Income/Financial
Mental Health
Information and Referral/Outreach
Home Modifications
Least Important:
Volunteer Activities
Soc. / Rec. activities (sr. centers)
Meals Programs
Adult Day Care
Transportation
Assisted Living
2D. Priorities from the MCAAS Focus Groups – Spring 2012
Focus groups were held across Montgomery County during the Spring of 2012. Two were held in senior centers,
one in a Korean church, 2 in Human Services buildings located in different regions of the county. One meeting
focused on targeted input from community leaders and professionals, and it was attended by over 35 individuals
to gather community feedback related to needs and priorities.
(http://www.thereporteronline.com/article/20120222/NEWS01/120229883/montco-seeks-ideas-for-fundinginitiatives-to-help-elderly-residents ) Additional community meetings were advertised and open to the general
public, with members of the community as well as providers of aging services encouraged to attend. One
additional meeting was limited to leaders within the Asian community, to solicit input related to one of the
fastest growing segments of our elderly populations here in Montgomery County. The meetings were held in
urban, as well as rural areas of the county ensuring convenient locations for all residents, and over 200
individuals attended the various focus groups held to discuss the Four Year Plan.
Top Needs Identified by Focus Groups:
 Home Health Care (Affordable home care, for staying in own home)
 Nutrition, Home Support (Supports to assist in maintaining home and independence with age)
 Affordable, Supportive Housing Options (To assist in remaining in community)
 Transportation (Less restrictions, More availability and choice)
 Financial/ Economic issues (Cost of living issues, creating difficult choices for everyday needs)
2E MCAAS Study Results and Challenges
It should be noted that whether persons provided input through the general public survey, through participation
during a public meeting, or through discussions with the staff/Advisory Council, there were common themes
and priorities listed from each group of participants. While the Montgomery County Office of Aging and Adult
Services cannot attempt to solve larger, more universal issues like affordable housing or an improved cost of
living within the county, MCAAS can try to address some pieces related to the continuum of care which exists
to improve the life situation for older and disabled adults within this planning area. It is in this vein that we will
outline goals and priorities for the years ahead in order to attempt to respond to the major areas identified, and as
the agency is able to do so with the resources available.
The largest challenge will of course be in obtaining the necessary resources to complete the tasks outlined in this
plan. With years and years of stagnant Aging Block Grant funding, and decreased support through the
Department of Public Welfare, many of these goals may not occur in the future. MCAAS and community
agencies and programs within our Aging network are struggling to maintain existing services and programs,
further challenged when facing the increased needs and numbers of older individuals and families requesting our
assistance.
Although the state and federal support is changing for our local aging services and programs, we are fortunate at
the county level to have strong Commissioner support for the human services. However, just as with other levels
of public funding, Montgomery County is facing a large financial challenge as well, so support from all sectors,
both public and private, will be necessary in the years ahead as well in order to sustain a workable system of
support for our older Montgomery County residents.
Strengthening collaborative efforts within our Southeast regional aging network, and within local collaborative
networks in Montgomery County, will build an effective advocacy presence as it may relate to legislative and
budgetary issues of concern to the aging network, and build a stronger economic road for the network moving
forward. This work has begun and will continue to be important in shoring up continued support for priority
aging programs and services. Already partnerships exist between MCAAS and the United Way, local
community health foundations, and other foundation and grant avenues, and these avenues will continue to be
strengthened and create a stronger combined impact on the communities we all serve. Likewise, building
additional and creative collaborative funding opportunities will assist MCAAS and its providers to respond to
the surveyed needs and work toward the establishment of a more “Aging Friendly” Montgomery County for all
residents.
Section III. MCAAS Goals for the Future
The following goals and objectives describe a future path for the Montgomery County Office of Aging
and Adult Services (MCAAS). Several strategies will be utilized in achieving the goals and objectives
outlined, and will then lead to outcomes which will be measured in an ongoing way over the years
ahead. Although some goals, objectives, and strategies may need to change along the way, especially
as financial priorities may shift, MCAAS will continue to collaborate whenever and wherever possible
to enhance existing (and in many cases shrinking) resources, reduce duplication of effort within the
network of care that exists, and create a responsive system of long term care throughout Montgomery
County.
GOAL #1
MCAAS will work collaboratively to enhance the existing system of coordinated and
comprehensive services and programs to support stronger communities for older and disabled
adults who choose to age at home in a community setting.
Objective 1A. MCAAS will foster stronger collaborative relationships when planning for coordinated aging
services and programs across all regions of Montgomery County.
Strategies:
a) MCAAS will enhance existing collaborations with municipalities, foundations, county government, and
other groups to engage in planning for the aging needs of Montgomery County residents.
b) MCAAS will continue to work with the United Way on the Communities That Care project and other
projects which build strong community-based supports in targeted areas of Montgomery County to
foster aging-friendly communities.
c) MCAAS will continue to support and participate as a member of the Human Services Cabinet and with
the new model of collaboratives for human services, the Human Services Council, to ensure that aging
issues are woven into the larger human services fabric of Montgomery County.
d) MCAAS will continue to advocate for a LIFE (Living Independence for the Elderly) model of care
within the county.
Objective 1B. MCAAS will address areas of unmet need, as identified in the MCAAS Four Year Plan Survey,
to ensure a comprehensive system exists to support older residents as they try to remain in their own homes in
their community of choice.
Strategies:
a) MCAAS will continue to support transportation coordination and enhanced service delivery in
response to transportation concerns raised during the MCAAS survey and focus groups.
b) MCAAS will support efforts to strengthen the home support services available to older adults in the
community, through programs such as Project Hearth, Senior Companions, and other efforts.
c) MCAAS will continue to collaborate to address unmet housing needs for older and disabled adults,
especially in the areas of affordable and accessible housing options, nursing home transition needs,
and rehab programs available to maintain existing housing while aging in place.
Objective 1C. MCAAS will seek new ways to expand caregiver support, since caregivers are an essential
element to the provision of home care services for older and disabled adults.
Strategies:
a) MCAAS will continue to support the idea of Family Caregiver Mentoring, and will work with
volunteer opportunities to encourage experienced caregivers as mentors to new family caregivers.
b) MCAAS will examine ways to address the growing need of Grandparents as Caregivers, and will
work collaboratively on appropriate resources and training to support this expanding group of
caregivers.
GOAL #1 – Outcomes and Performance Measures
 During the next four years, MCAAS will support two new collaborative projects designed to strengthen
community resources for residents as they age in place.
 Participation in the Human Services Cabinet and the Collaborative Human Services Council will provide
increased structure and support to aging services and programs in a more collaborative way county-wide.
 Ongoing work regarding transportation service issues, while never completely addressed, will result in
improved satisfaction results from consumers surveyed.
 Collaborative grant funding will result in 10 additional tenant-based rental units available for Nursing Home
Transition consumers, and other elderly in need of accessible rental units.
 A caregiver survey during 2014 will reflect the needs of caregivers over time and the assistance to needed to
keep loved ones at home. This survey will also examine unmet needs for Grandparents as Caregivers and
other emerging caregiving groups.
GOAL #2
MCAAS will provide enhanced access to information, benefits, and programs for older and
disabled adults seeking to make informed choices regarding their options along the long term care
continuum.
Objective 2A. MCAAS will provide increased information and outreach opportunities to connect older adults
and their families within all areas of Montgomery County
Strategies:
a) MCAAS will pursue expanded partnerships for benefits outreach, with a concentration on
connecting with community watch groups, churches, and other grassroots community groups in all
areas of the county to develop a more unified plan.
b) MCAAS will support and expand efforts made through APPRISE and other volunteer efforts to
assist older adults in making choices related to benefits and insurance coverage.
c) MCAAS will work closely with the new Human Services Collaborative structure in Montgomery
County to ensure that ongoing communication and outreach on aging issues and programs is
strengthened through the collaborative partnership agencies across the county.
d) MCAAS will work with other regional area agencies on aging and their advisory councils to
strengthen advocacy efforts and improve communication to the public and to policymakers.
e) MCAAS will expand its media presence through electronic sources (website, Facebook, etc.), the
written press and newsletters regarding issues and programs of importance to older residents of
Montgomery County.
f) MCAAS will continue its work with the Human Services Cabinet (MC Human Service Directors)
to better inform and advocate on behalf of the Montgomery County residents in need of the
County’s services and programs.
Objective 2B. MCAAS will expand efforts to enhance connections with targeted minority and ethnic
populations across Montgomery County.
Strategies:
a) MCAAS will target the growing Asian and Indian populations in the county, through increased
outreach efforts to churches and community leaders.
b) MCAAS will recruit more diverse staffing and volunteers to assist in improving service access for
diverse populations.
c) MCAAS will continue development of targeted written outreach materials in additional languages
for use in outreach and advocacy efforts.
GOAL #2 – Outcomes and Performance Measures
 Annual community outreach meetings will be held to educate and inform gatekeepers related to benefits,
services, and programs for community residents as they age in place.
 Increased APPRISE volunteer activity will assist more consumers annually.
 A coordinated benefits outreach plan for Montgomery County will be developed.
 Increased number of information/outreach materials translated into additional languages, resulting in
increased participation in MCAAS programs by Limited English Proficient consumers.
 Increased number of staff and volunteers available within MCAAS programs, speaking Asian, Spanish,
Russian, and other targeted languages.
 MCAAS will improve visibility and recognition among community consumers, legislators, and other
community leaders, as measured through the next community needs survey.
Goal #3
MCAAS will support health and wellness programs for older and disabled adults to enhance each
Objective 3A- MCAAS will continue to support a system of quality senior community center programming
throughout Montgomery County.
Strategies:
a) MCAAS will support senior community center planning to form new collaborations which
strengthen local community support and enhance programming in each region of the county.
b) MCAAS will seek ways to develop new partnerships between centers which will help sustain
stronger senior center models across Montgomery County.
Objective 3B – MCAAS will promote collaborative partnerships to better serve the health and wellness needs
for older and disabled adults across the county.
Strategies:
a) MCAAS will work with Montgomery County Office of Behavioral Health to focus outreach and case
management services targeting isolated, elderly individuals with behavioral health issues, and drug and
alcohol concerns.
b) MCAAS will work with hospitals and long term care facilities to promote supportive care transitions,
reduce hospital readmissions, and strengthen health promotion efforts for those aging residents of the
county.
c) MCAAS will strengthen ties to disability groups of all types and will support the Aging and Disability
Resource Center concept, on a regional basis as well.
GOAL #3 – Outcomes and Performance Measures
 Care transitions work related to hospital and nursing home admissions will exist in 2 areas of Montgomery
County within the next 3 years, and funding applications will be completed.
 Behavioral Health and Drug and Alcohol intervention services will target senior housing complexes
throughout Montgomery County and increase the numbers of consumers assisted through partnerships with
BH/DD/D&A.
 A “senior center without walls” model will be explored through collaborative funding for one targeted area
of the county.
 At least two senior centers in Montgomery County will share resources and planning for future goals and to
strengthen community involvement.
Goal #4
MCAAS will support efforts to enhance the quality of life for older residents who are most at risk.
Objective
4A- MCAAS will collaborate in the areas of Protective Services and Ombudsman programs to protect those
most vulnerable, elderly in need.
Strategies:
a) MCAAS will continue support Protective Services in a collaborative way with partners such as the
DA’s Office, the Domestic Violence network, Consumer Affairs, and others to support a
coordinated response to vulnerable elderly in need.
b) MCAAS will continue to support an expansion of volunteer efforts related to the Ombudsman
Program to protect those with care concerns in the county.
Objective 4B- MCAAS will partner with community groups to protect older and isolated adults at risk in the
areas of homelessness, nutrition, and safety.
a) MCAAS will expand efforts to better communicate, educate, and coordinate in meeting the safety and
emergency preparedness needs of older, isolated adults who may be at risk.
b) MCAAS will collaborate with other advocates and groups to address growing food insecurity issues
among the elderly, and to ensure better nutritional outcomes for those at risk.
c) MCAAS will continue to work with those coordinating housing programs under the new Housing
Blueprint to ensure those disabled and older adults at risk of homelessness can have their needs met
effectively and in a timely manner.
GOAL #4 – Outcomes and Performance Measures
 Additional volunteer ombudsman will be trained annually to respond to care complaints in the 152 licensed
facilities within Montgomery County
 An alternative plan will be provided for the increased numbers of at-risk elderly and physically disabled
individuals seeking emergency shelter within Montgomery County.
 Annual nutritional risk surveys will show a trend toward improved nutrition for older Montgomery County
residents.
 Working with the Montgomery County Public Safety Department, registration for Ready PA will increase,
and the number of elderly residents receiving coordinated information on emergency preparedness will
increase in each region of Montgomery County.
GOAL #5
MCAAS will continue to support an individual’s right to choose home and community-based
options, despite shrinking public resources available in this current economic environment.
Objective 5A - MCAAS will partner with Bucks, Chester, and Delaware County area agencies on aging to
develop and implement a nonprofit, sustainable home care business model to support residents as they age
within the four suburban counties. This model will assist the counties in meeting growing service demands and
in addressing the growing waiting lists across the region during this time of shrinking public funding.
Strategies:
a) MCAAS will continue the development of a nonprofit model of home care, in response to market
surveys and a business plan established by the four suburban counties (Bucks, Chester, Delaware, and
Montgomery counties).
b) MCAAS plans to address growing waiting lists in Montgomery County and the surrounding suburban
counties (Chester, Bucks, Delaware counties) through this sustainable business model which will funnel
“profit” back to area agencies on aging to address their growing needs and waiting list by the third year.
Objective 5B – MCAAS will continue to support and expand advocacy efforts on a regional basis which
support home and community based services to be available to those aging in community settings across the
county and the Southeastern region.
Strategies:
a) MCAAS Advisory Council will continue to meet with the Advisory Councils from the Southeastern
region to combine advocacy and outreach efforts in support of home and community based services for
older and disabled adults.
b) The AAA directors in the Southeastern region will also continue to unite in efforts to advocate
whenever necessary on issues related to funding and programming to support older residents.
c) Legislative visits will be made with AAA staff and Advisory Council members sharing legislators
throughout the region to heighten the impact when advocating for home and community-based care
issues.
GOAL #5 – Outcomes and Performance Measures
 The new nonprofit model will assist older adults unable to benefit from traditional AAA services to remain
at home and prevent institutionalization for one year longer than would have been possible without those
services provided.
 The four suburban counties will sustain a quality service which will be able to assist local AAA’s with their
waiting list needs, thus serving additional older residents with home and community-based service options
and prevent nursing home placements.
 Coordinated efforts through the new nonprofit will assist in securing new funding necessary to assist in
supporting county agencies during the next four years.
 Advocacy efforts by the regional AAA’s will result in an increased number of shared legislative visits and
increased recognition and support from local legislators on key issues of importance to Aging and the
human services in Montgomery County.
III-B Goal Integration With the PA Department of Aging Priority Themes for 2012-2016
The PA Department of Aging’s five policy priorities for use in developing the next Four Year Plan for 20122016 are listed below, along with a few selected aligned goals, objectives, and strategies mentioned within the
MCAAS Four Year Plan:
1. Service Innovation seeks innovative solutions to improve the quality of life for older and disabled
adults.

MCAAS Advisory Council will continue to meet with the Advisory Councils from the Southeastern
region to combine advocacy and outreach efforts in support of home and community based services for
older and disabled adults in communities across the region.

MCAAS will work with Montgomery County Office of Behavioral Health to focus outreach and case
management services targeting isolated, elderly individuals with behavioral health issues, and drug and
alcohol concerns.

MCAAS will work with hospitals and long term care facilities to promote supportive care transitions,
reduce hospital readmissions, and strengthen health promotion efforts for those aging residents of the
county.
2. Communities to Age and Live Well supports all older residents choosing to live at home as long as
safe, comfortable and medically supported.

MCAAS will continue to work with the United Way on the Communities That Care project and other
projects which build strong community-based supports in targeted areas of Montgomery County to
foster aging-friendly communities.

MCAAS will continue to support transportation coordination and enhanced service delivery in response
to transportation concerns raised during the MCAAS survey and focus groups.

MCAAS will support efforts to strengthen the home support services available to older adults in the
community, through programs such as Project Hearth, Senior Companions, and other efforts.

MCAAS will continue to collaborate to address unmet housing needs for older and disabled adults,
especially in the areas of affordable and accessible housing options, nursing home transition needs, and
rehab programs available to maintain existing housing while aging in place.

MCAAS will expand efforts to better communicate, educate, and coordinate in meeting the safety and
emergency preparedness needs of older, isolated adults who may be at risk.
3. Revitalize and Rearchitect Services examines existing services and explores new means for better
programming and service delivery.

MCAAS will collaborate with other advocates and groups to address growing food insecurity issues
among the elderly, and to ensure better nutritional outcomes for those at risk.

MCAAS will continue to work with those coordinating housing programs under the new county-wide
Housing Blueprint to ensure those disabled and older adults at risk of homelessness can have their needs
met more effectively and in a timely manner.
4. Promotion of Health and Wellness examines healthy lifestyles as we age.

MCAAS will seek ways to develop new partnerships which will help sustain stronger senior center
models across Montgomery County.

A “senior center without walls” model will be explored through collaborative funding for one targeted
area of the county.

At least two senior centers in Montgomery County will share resources and planning for future goals
and to strengthen community involvement.

MCAAS will work with hospitals and long term care facilities to promote supportive care transitions,
reduce hospital readmissions, and strengthen health promotion efforts for those aging residents of the
county.
5. Effective and Responsible Management examines resources available for the short and long term

MCAAS will partner with Bucks, Chester, and Delaware County area agencies on aging to develop and
implement a nonprofit, sustainable home care business model to support residents as they age within the
four suburban counties. This model will assist the counties in meeting growing service demands and in
addressing the growing waiting lists across the region during this time of shrinking public funding.

MCAAS will enhance existing collaborations with municipalities, foundations, county government, and
other groups to engage in planning for the aging needs of Montgomery County residents.
III-C FUNDING CHALLENGES
As MCAAS begins to implement the goals, objectives, and strategies included in this 2012-2016 Four Year
Plan, thoughts also turn to the increasingly challenging financial situation which currently exists. Although
MCAAS began many years ago to partner with other community groups and funders to strengthen available
resources and create a more diverse funding base for MCAAS and our aging providers into the future, there are
challenges facing every level of support today. Some objectives, and strategies may need to change along the
way, especially as financial priorities may shift, yet MCAAS will continue to collaborate whenever and
wherever possible to enhance existing (and in many cases shrinking) resources, reduce duplication of effort
within the network of care that exists, and create an even more responsive system of long term care throughout
Montgomery County.
MCAAS believes that advocacy efforts may provide a strong response during these critical times. Efforts to
educate and outreach may again build the strong voice of concern to be heard more clearly for the years ahead,
and the regional approaches when voicing common concerns, will be pursued more vigorously for the future.
Advocacy is needed now more than ever, as our traditional base of Lottery funding for aging services in the
community has remained stagnant for years in the face of growing needs, eroding our ability to continue
providing the comprehensive network of care needed by the residents we all serve. Lottery dollars continue to
slip away to fund shortfalls in the state budget elsewhere, such as the recent transfer of $50 million in Lottery
surplus to fund MA nursing home beds at a time when thousands are on waiting lists across the state waiting for
basic home care to prevent more expensive state nursing home care provided in an institutionally-based setting.
Together we must realistically face our financial challenges by re-establishing priorities to meet the growing
demands, working collaboratively on positive solutions that work to provide the best alternatives and choices in
the most effective way possible to address our growing needs. Over the next four years, MCAAS will continue
to work collaboratively within our dedicated network of partners, and demonstrate our shared commitment to
create a more "aging friendly" Montgomery County on behalf of the growing numbers of adults and families
seeking quality programs and services through Montgomery County government.