SWIRCA & More is a non-profit organization serving seniors, people with disabilities, and their caregivers. Services are provided in Vanderburgh, Warrick, Posey, Perry, Spencer and Gibson counties in Southwestern Indiana. SWIRCA & More Care Managers serve over 12,000 adults and children with direct client services each year.

Adult Day Service

Adult Day Service are community-based group programs designed to meet the needs of adults with impairments through individual plans of care. Adults travel from their homes to a facility offering a variety of services. Some of the services include health, social, recreational, and therapeutic activities. Frequently, facilities involve individuals in memory building activities, group exercise and social building skills. Often, transportation to and from the site, as well as meals, are provided. Adult Day Services allow caregivers - whether family members or friends - to continue maintaining routine activities knowing that their loved one remains in a safe, familiar environment. Qualifications require that individuals must: be eighteen (18) years of age or older and meet a level of service rating as determined by a case manager.

Attendant Care

Attendant Care is hands on assistance for older adults and persons with disabilities who have physical needs and is provided to allow the client to remain in their own home and carry out functions of daily living, self-care, and mobility. Assistance can include help with bathing, oral hygiene, hair care, shaving, dressing, applying cosmetics, transfer between bed and chair, meal planning, preparation and cleanup, toileting assistance, escorting client to medical appointments and other day-to-day activities.

Case Management

Case Management is a comprehensive service comprised of a variety of specific tasks and activities designed to coordinate and integrate all other services required in the individual's care plan. Case Management is required in conjunction with the provision of any home and community-based service.

Congregate Meals

Congregate meals are meals which comply with the Dietary Guidelines for Americans published by the Secretaries of the Department of Health and Human Services and the United States Department of Agriculture and are available to eligible clients or other eligible participants at a nutrition site, senior center or another congregate setting.

Environmental Modifications

Environmental Modifications are minor physical adaptations to the home. The modifications must be necessary to ensure the health, welfare and safety of the individual and enable the individual to function with greater independence in the home, and without which the individual would require institutionalization.

Handy Chore

Handy Chore are minor home maintenance activities that are planned and monitored and are essential to an individual's health and safety. They can include minimal plumbing, heating, storm door maintenance, window and screen repairs, gutter and roof patching, broken step repair, installation of health and safety equipment such as handrails, ramps, deadbolts, smoke detectors, locks.

Handyman (Home Repair and Maintenance)

This service is used only for repairs that directly correct and/or prevent health and safety hazards for the elderly or disabled individual to enable them to remain safely in the community setting.


Homemaker services offer direct and practical assistance consisting of household tasks and related activities. The services assist the individual to remain in a clean, safe, healthy home environment and are provided when the individual is unable to meet these needs or when an informal caregiver is unable to meet these needs for the individual.

Home Delivered Meals

Home Delivered Meals are meals brought to the client's home. Each meal complies with the Dietary Guidelines for Americans published by the Secretaries of the Department of Health and Human Services and the United States Department of Agriculture.

Home Health Aide

Home Health Aide services include the provision of hands-on personal care, performance of simple procedures as an extension of therapy or nursing services, assistance in ambulation or exercises, and assistance in administering medications that are ordinarily self-administered. Home Health Aide services are offered by a Home Health Agency and must be performed by a qualified Home Health Aide.

Personal Emergency Response Systems (PERS)

PERS are electronic devices which enable certain individuals at high risk of institutionalization to secure help in an emergency. The individual may also wear a portable help button to allow for mobility. The system is connected to the person's phone and programmed to signal a response center once a "help" button is activated. The response center is staffed 24 hours daily/ 7 days per week by trained professionals.

Pest Control

Pest Control services are designed to prevent, suppress, or eradicate anything that competes with humans for food and water, injures humans, spreads disease and/or annoys humans and is causing or is expected to cause more harm than is reasonable to accept. Pests include insects such as roaches, mosquitoes, and fleas; insect-like organisms, such as mites and ticks; and vertebrates, such as rats and mice.

Registered Nurse

The registered nurse provides services requiring substantial and specialized nursing skills, initiate appropriate preventive and rehabilitative nursing procedures, prepare clinical and progress notes, coordinate services, and other related needs, participate in in-service programs, and supervise and teach other nursing personnel.


Respite Care are temporary substitute supports or living arrangements for care recipients in order to provide a brief period of relief or rest for caregivers. This can include in-home respite (personal care, homemaker, and others), respite provided by attendance of the client at a senior center or other non-residential program, and institutional respite, which is provided by placing the resident in a non-institutional setting such as a nursing facility for a short period of time as a respite service for the caregiver, or a summer camp in the case grandparents caring for children.

Self directed attendant care

The self-directed attendant care option gives an individual the opportunity to hire an attendant(s) of their choice so that an individual has more control over their personal care. Hired caregivers give "hands-on", non-medical assistance, and help with basic daily living skills, which may include housekeeping activities or meal preparation. Although the individual receiving services is acting as the actual employer, he/she is not responsible for the payment of services and taxes to the attendant because the state arranges for a fiscal agent to manage those tasks. This option works well for those individuals needing some help, but want to remain independent and manage their own care.

Specialized Medical Equipment & Supplies

Specialized Medical Equipment and Supplies are medically prescribed items which are necessary to assure the health, welfare and safety of the individual, which enable the individual to function with greater independence in the home, and without which the individual would require institutionalization. Individuals requesting authorization for this service must first exhaust eligibility of the equipment or supplies through other sources including Indiana Medicaid, a case manager may assist in determining eligibility for other programs.

Structured Family Care-Giving

A service through which a participant receives care in their own home or the home of a principal caregiver. The principal caregiver cannot be the participant's spouse, the parent of a participant who is a minor, or the legal guardian of the participant. Only agencies may offer Structured Family Care-giving. All Structured Family Care-giving settings must be approved and supervised by the provider agency and all paid caregivers are trained and paid by the provider.

Supplemental Services

Supplemental Services are provided, on a limited basis, to complement the care provided by caregivers and include home modifications, assistive technologies, emergency response systems, and incontinence supplies.


SWIRCA & More sponsors the Transportation Remuneration Incentive Program (TRIP) to assist economically and socially deprived residents with supplemental transportation services which they might not otherwise be able to afford. To take advantage of this program, you must be at least 60 years of age and a resident of Vanderburgh County. TRIP tickets are to be used as cash to pay for non-Medicaid Transportation services. The transportation provider Metropolitan Evansville Transit System (METS) accepts these tickets.

Vehicle Modifications

Vehicle Modifications are the addition of adaptive equipment or structural changes to a motor vehicle that permit an individual with a disability to be safely transported in a motor vehicle. Vehicle modifications may be authorized when necessary to increase an individual's ability to function in a home and community based setting to ensure accessibility of the individual with mobility impairments. Vehicles necessary for an individual to attend post secondary education or job related services should be referred to Vocational Rehabilitation Services.