Provide coordinated and holistic services to the human service providers within the County.
Department > Services > Human Services Development Fund > Low-Income Adults
Low-Income Adults
Service Definitions
Eligibility Criteria
  • A person who is at least 18 years of age and under the age of 60, or a person under 18 years of age who is head of an independent household
  • A resident of Berks County
  • The person's family monthly gross income must not exceed 250% of the federal poverty income guidelines
These service definitions must be used for Adult Services funded through the HSDF.
1. Adult Day Care provides a program of activities, within a licensed, protective, non-residential setting to four or more enrolled adults who are not capable of full-time independent living. Specific activities and services include but are not limited to:
  • assisting in performing the basic tasks of everyday living, including personal hygiene and use of leisure time;
  • providing a planned program of social, recreational, and developmental activities geared toward meeting the needs of the individual clients within the day care facility, and toward aiding independent functioning at home and in the community;
  • referring to and advocating for specialized health, therapeutic, rehabilitative, or social services;
  • providing or arranging for nutritious meals and snacks;
  • working with the client, family, caretaker, or other appropriate agency to arrange for transportation
2. Adult Placement Service provides for the placement of dependent adults, who require personal care in sheltered residential settings, other than their own homes or with relatives, if the primary mode of care is social rather than medical.  Maintenance costs, including the cost of room and board, are not covered under this service. Service activities include:
  • seeking out clients in need of placement;
  • evaluating client needs to determine if placement is necessary and the type of placement needed;
  • arranging for needed medical, functional, psychological or psychiatric evaluations;
  • finding new homes and providers;
  • preparing the client, his/her family, and the provider for the placement;
  • providing consultation to the provider upon request
3. Chore Service provides for the performance of unskilled or semi-skilled home maintenance tasks, normally done by family members, and needed to enable a person to remain in their home, if unable to personally perform such tasks and if there is no other responsible person available or capable of providing the service.  The service may include buying necessary materials.  Chore Service is provided to maintain the person's health and safety in the home, not for purely aesthetic improvements to the home or yard. Chore Services does not include any major housing repairs such as house rewiring, extensive painting, or activities specifically covered by other services such as Homemaker. Specific activities provided vary according to individual needs and are described in the person's written service plan.  Tasks representative of the general nature performed include:
  • replacing window panes, fuses, electric plugs and switches, unsafe cords, door locks, window catches;
  • replacing faucet washers or faucets, and doing other minor plumbing repairs;
  • installing handrails, safety rails for tubs and toilets, and modifying appliance controls to meet the needs of handicapped clients, repairing stairs and floors, patching walls and ceilings, installing smoke detectors and fire extinguishers, seasonal cleaning, and various other activities
4. Employment Services consists of activities to enable persons with special needs, including the mentally disabled who are not adequately served by existing programs, to gain or retain either paid employment or training leading to paid employment.  The service does not include the cost of training. The payment of salaries to clients is not included under this service. Service activities include:
  • assessing with the client his/her education and work history, skills, vocational interests, and physical and psychological capabilities;
  • provision of vocational, educational, social, and psychological diagnostic assessments of the client's potential for job training or employment;
  • referral to community resources for appropriate training, vocational education and basic education;
  • development by the provider of job openings and training opportunities suitable for the clientele;
  • provision of information job openings, or referral to sources of such info;
  • provision of follow-up services, including ongoing supportive contacts and services to the client and the employer
5. Home Delivered Meals Service provide meals, which are prepared in a central location, to homebound individuals in their own homes. Each client is served a minimum of one but no more than two meals daily, up to seven days a week.  Each meal is well-balanced, nutritious, and attractive and contains at least one third of the current Daily Recommendation Allowances as established by the National Academy of Sciences. The meals may be served, when appropriate, hot or cold.  Dehydrated, freeze-dried, frozen, and other supplemental meals may be served if appropriate.
6. Homemaker Service consists of activities provided in the person's own home by a trained, supervised homemaker if there is no family member or other responsible person available and willing to provide such services or to provide occasional relief to the person regularly providing such service.  Services include instructional care if the person is functionally capable but lacks the knowledge, and home help and non-medical personal care if the individual is functionally unable to perform life-essential tasks of daily living.  Areas in which activities are provided include:
  • basic care and management of the home in order to ensure safe and sanitary conditions;
  • non-medical personal care service;
  • instructions to individuals or family members in home management, the care of dependent members of the household, and in self care
7. Life Skills Education Service provides to persons the practical education and training in skills needed to perform safely the activities of daily living.  The service is provided in formal classes, in informal classes, or, if needed and indicated by an individual's written service plan,  in his/her own home. The service does not include job readiness training, instruction in a language, remedial education directed toward the attainment of a high school diploma, or socialization/recreation. Instruction is provided in such areas as:
  • nutrition and food preparation;
  • maintenance and care of the home;
  • care of the newborn infant and child rearing;
  • health maintenance and personal hygiene;
  • consumer education and management of household finances;
  • mobility techniques for handicapped persons
8. Protective Service is provided as intervention in a crisis situation and includes all activities necessary to remove an eligible individual from the dangerous situation as detailed in the individual's written service plan. Service activities include, but are not limited to:
  • making referral for financial aid, either in the form of emergency aid, or in the form of ongoing income maintenance;
  • with client consent, arranging alternate care;
  • arranging for medical, mental health, and mental retardation assessments;
  • arranging or referring for provision of legal aid;
  • arranging or referring persons for services, on the basis of assessment;
  • providing accompaniment to police, hospital, and court;
  • providing supportive counseling both in person and by telephone and protective casework for as long as necessary to implement the individual service plan
9. Service Planning/Case Management Service is a series of coordinative staff activities to determine with the client what services are needed and to coordinate their timely provision by the provider and other resources in the community.  Activities include:
  • a thorough exploration of service needs, and discussion with the client of available  and acceptable service options;
  • arrangement for the provision of needed medical, functional, psychological, psychiatric, social, or vocational diagnostic assessments;
  • preparation of a written service plan, developed in cooperation with, and agreed to by, the client;
  • prompt arrangement for delivery of the requested services;
  • liaison with all providers serving the client;
  • personal advocacy, if needed, to ensure the satisfactory delivery of service;
  • monitoring of the continuity and continued appropriateness of service;
  • follow-up to ensure client satisfaction and to offer additional services as needed 
10. Transportation Services consists of activities which enable individuals to travel to and from community facilities to receive social and medical services. Transportation Service is provided only if there is no other appropriate person or resources available to transport the individual.  Activities include:
  • recruitment, training and support of volunteers to provide transportation;
  • provision of special modes of transportation when needed;
  • provision of personnel to accompany and assist persons who are unable to use conventional means of transportation to reach needed services
  • reimbursement of client travel expenses incurred in securing needed and authorized services