Today, many families turn to care managers to assess an older adult's needs and provide and execute a care plan. The managers can be expensive -- charging $100+ per hour. The New York Times recently ran an article about them, which is well worth reading. http://www.nytimes.com/2009/09/26/health/26patient.html
When I sent the article to my fellow board members of Aging in Place in Darien ("AIP" in Darien, CT), I learned a lot from two people: Beth Paris, who is the Darien Senior Center Coordinator, and Inta Adams, who is in Darien's Social Services Department:
Beth said that care managers usually just do information and referral, not case management. She wanted to make sure that we all knew about SWCAA's care management. SWCAA is the Southwestern Connecticut Agency on Aging.