Home and Community-Based Services

Below is an overview of common home and community services that may be available to you. These types of services are intended to help older adults maintain wellness, independence and safety, to assist those who cannot live at home without assistance from family and/or formal services and to support family caregivers.

Please note that this is not a comprehensive list. Specific services and training vary among workers and agencies. So does cost. Typically, Medicare doesn't pay for home care. Many of these services have eligibility requirements such being 60 years old or older. Call 808-768-7700 for more information.

For a directory of local service providers, go to the Find Services section of this website. For adults with disabilities (18 years or older) in need of similar services, another valuable source on the Internet you may wish to visit is the “Key to Resources Serving People with Disabilities in the State of Hawaii” developed by the Disability and Communication Access Board.

Service

Definition and Examples

Adult Day Care
Provides care outside the home. Participants have the opportunity to interact with others while being part of a safe and structured environment. Centers typically have staffed activities such as music and exercise programs and discussion groups.
Adult Protective Services
Provides crisis intervention, without regard to income, including investigation and emergency services for dependent adults who are reported to be physically abused, neglected or financially exploited by others or seriously endangered due to self-neglect.
Attendant care
Companion assistance and or helpful reminders and oversight to assist with daily tasks such as preparing meals, shopping for personal and food items or using the telephone.
Caregiver Counseling
Information, referrals, support groups, training, education and counseling to assist caregivers in accessing services and resources, problem solving and making decisions related to their caregiver roles.
Caregiver Respite
Services which offer temporary, substitute supports or living arrangements for older persons in order to provide a brief period of relief or rest for caregivers. Examples include: (1) in-home respite such are personal care or homemaker services, and (2) respite provided by attendance of the care recipient at a senior center, adult day care or other non-residential program.
Case management
Crisis and longer term professional assistance for clients to identify needs, explore options, develop a care plan, link to and coordinate services, monitor and follow up.
Chore
Help with heavy housework.
Congregate Meals
Nutritious meals provided in a group dining setting.
Disease Prevention and Health Promotion Services
Health screenings, nutrition counseling and education and health maintenance programs to prevent and mitigate the effects of chronic diseases including osteoporosis, hypertension, diabetes and heart disease.
Friendly Visiting
Volunteers provide friendly visiting (companionship), respite for caregivers, help with errands, transportation to medical appointments and grocery shopping assistance.
Home delivered meals
Nutritious meals delivered to a client’s home.
Home Health Care
Skilled medical care that can include nursing; speech, occupational, physical, or respiratory therapy; home health aides, and social work or psychiatric care.
Home Modification
Renovations to increase the ease of use, safety, security and independence in the home. Examples: installing grab bars or ramps. Using a licensed contractor is recommended.
Homemaker
Help with preparing meals, shopping for grocery and or personal items, managing money, using the telephone and doing light housework.
Hospice Care
Medical, social, and emotional services for the terminally ill and their families. Can be provided in the home or a facility.
Housing Assistance
Help with identifying housing needs, understanding options, and obtaining adequate housing to improve an individual’s present housing arrangement, or to relocate to more suitable housing when needed. Examples include senior housing apartments, adult residential care homes, foster care homes, assisted living facilities and retirement/independent living communities.
Information & Assistance
A service that (a) provides individuals with information on services available within communities; (b) links individuals to the services and opportunities that are available within the communities; (c) to the maximum extent practical, establishes adequate follow-up processes.
Legal Assistance
Legal advice and counseling provided by an attorney or other person acting under the supervision of an attorney.
Medical Alarm or Safety Device
Several types of personal medical alert systems exist on the market. Generally speaking, they provide immediate access to a trained professional in the event of a fall or an emergency with the click of a button that you wear.
Para-professional Services
Counseling, escort services, assistance with completing applications.
Personal care
Help to clients who are unable to bathe, eat, dress, toilet, and or transfer themselves safely.
Recreation, Leisure, Physical Fitness
Programs that foster the health and well-being of older persons such as music, dancing, games and crafts, excursions and group exercise classes.
Transportation
Transportation from one location to another. May include door-to-door or curb-to-curb assistance.

 

 

ADL - Activities of Daily Living (eating, dressing, bathing, toileting, transferring, mobility)

ARCH - Adult Residential Care Home
IADL - Instrumental Activities of Daily Living (preparing meals, shopping, managing money, using the telephone, doing housework, using public transportation, taking medications)

ICF - Intermediate Care Facility

SNF - Skilled Nursing Facility