San Luis Obispo - Caltrans - State of California

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SAN LUIS OBISPO REGION COORDINATED HUMAN SERVICES-PUBLIC TRANSPORTATION PLAN Low Income Individuals -- Families Consumers of public social service programs obtain assistance from agencies and organizations through various channels. They may be court referrals where there has been an allegation of child abuse or child neglect. These cases can be a probation referral, where the family is in danger of losing their children to out-of-home placement. Some families are in immigrant populations and are non-English speaking, or speak English with limited proficiency. Single parents, enrolled in Medi-Cal and Healthy Start programs or with children attending Headstart, are family units with typically more than one child. These are among the low-income clientele of responding human service agencies. This population is generally physically healthy, able to walk and move about the community, but may not own a car or the single working car in the family is used by the household wage earner. Use of fixed-route service is possible, but information must be readily accessible and services must not be so inconvenient as to discourage use. Consumers have one or more children, potentially making use of fixed route transit services more difficult. Pricing of transportation services is also an issue. This segment of the population is by definition low on financial resources, and therefore struggles with the expenditure of these scarce resources for transportation versus food and other basics. Low Income Individuals -- Homeless Consumers Individuals who are homeless or on the verge of homelessness have few to no resources and a single bus fare or token is usually beyond them. These consumers have very limited access to information and learning a bus route or the particular routing to get to a desired destination is a complicated task, simply because so many life issues impinge upon them. Similarly, even where the individual might qualify for ADA paratransit, they have limited to no success to a telephone to schedule a trip pick-up. There can be children accompanying a homeless individual, usually a female, all of whom need bus fares. In some instances, as with children participating in after-school programs and shelter-oriented activities, very young children may be traveling alone. For these persons, so many activities of daily living are difficult and complicated. Caseworkers hope to make the transportation element easier so that access to jobs and a better quality of life become more readily possible. However agency personnel also note that reported transportation problems are sometimes used as a reason for “not trying”. Where these legitimate difficulties can be eased or smoothed, it encourages the individual to grapple with the “culture of poverty” and work to better their circumstances. 6.3.2 Organizationally-Oriented Characteristics of Need Trip Types Needed Organizations surveyed were well aware of selective consumer needs and both public transit and human services agencies spoke to the need for medical transportation and the crossjurisdictional, long-distance trips that typify non-emergency medical trips. This is despite Ride-On’s ability to provide Medi-Cal transportation as a Medi-Cal vendor. 101 OCTOBER 2007
SAN LUIS OBISPO REGION COORDINATED HUMAN SERVICES-PUBLIC TRANSPORTATION PLAN Stakeholders also spoke about the consumers’ need for trip chaining. For example, upon leaving the doctor’s office the need to stop at the pharmacy; once out for a medical appointment, the need to stop at the grocery store because this is the first and possibly only outing of the week. Case managers talked of providing these trips themselves because the kind of escorted assistance that is needed cannot readily be provided. However, agency staff can provide this type of trip support only on a very limited basis. In some instances, these are trips out-of-the county. Escort trips are a significant need for many of the programs operating adult day health care, which includes Alzheimer’s clinics. Challenges typically arise in cases where agency staff wants to allow a respite day for the family member who is the consumers’ care-provider. On-Time Performance The issue of reliability of transportation does surface in discussions about specialized transportation. It is a problematic issue and not easily addressed, but of paramount concern to all involved. Consumers become very anxious about their appointment times and concerned when shared-ride services transport them long distances from their destination. Agencies and organizations expressed numerous concerns about on-time performance relating to the problems of scheduling, deployment and actual arrival times of transportation services. In the case of dialysis and mental health appointments, the implications of transportation services that are late can be severe. As noted, the dialysis unit cannot easily juggle consumers from one transfusion chair to another, as these appointments are typically tightly scheduled in “waves” of service over the course of the day. Similarly, mental health medication appointments are usually very short in duration, ten minutes or less. If an individual misses his or her appointment, it may require either rescheduling or waiting many hours until there is another open ten-minute slot. Other healthcare appointments are equally unforgiving about late arrivals and generally must be rescheduled. There are also financial impacts to late or no-show service. Attendance-based programs, such as training and education programs for re-entry workers, workshops and day programs for persons with developmental disabilities, or adult day health care activities often lose income when vehicles are late. Income is lost when consumers can attend only partial days, below the threshold of what is an approved or authorized day of service. Expanded Span of Hours and Days of Service Both public transit and human service agency representatives raised issues related to the need for increased evening and weekend services. In some cases this involved the difficulty of traveling between communities, often for very early or very late work shifts. In other cases, they cited the problems of connecting between services during mid-day periods when only limited service was operating. Representatives from both public transit and human and social service agencies were aware of and concerned about the limited weekend and evening service and the travel challenges this posed for members of the target populations. 102 OCTOBER 2007
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Gaps in service, continued SAN LUIS
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Ride-On Interview at Ride-On office
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San Luis Obispo - Caltrans - State of California

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