Access For Seniors

AI-powered platform for senior connection, loneliness mitigation, and aging-services navigation. Part of the Access To civic tech initiative.

Access For Seniors helps senior living communities, home health agencies, health systems, and AAAs detect isolation early, keep families connected, and route older adults to the programs and benefits they've earned.

Contents

• The Access To Family
• What It Does
• Architecture
• Tech Stack
• 28 Modules
• Who It Serves
• Using as a Claude Skill
• Quick Start
• Security & Compliance
• Brand Voice
• Contributing
• Contact
• License

The Access To Family

Project	Focus
Access To Health	Public health, SDOH, APHA-grounded
Access To Jobs	Workforce, WIOA-grounded
Access To Housing	Fair Housing-compliant housing navigation
Access To Education	Special-needs advocacy, IEP, educational equity
Access To Safety	Trauma-informed safety planning
Access To Services	SDOH intake, social services navigation
Access To Peace	Mediation, AFCC/ABA standards
Access To Business	Startup/entrepreneurship support
Access For Seniors	Senior connection + aging services navigation

Shared values: Equity, trauma-informed design, community-grounded, evidence-based, plain language.

What It Does

• AI Companion — Memory-aware conversations with seniors via text and voice (Anthropic Claude)
• Engagement Signals — Multi-signal detection of reduced social connection (not diagnoses — connection signals)
• Caregiver Dashboard — Real-time alerts, resident profiles, shift notes, and reporting
• Family Outreach — AI-generated, warm, personalized messages that encourage family connection
• Aging-Services Navigation — Match needs to OAA, Medicare, Medicaid, AAA, Meals on Wheels, caregiver respite
• Multi-Tenant SaaS — Single facilities, multi-site orgs, and health system enterprises

Architecture

flowchart LR
    Senior["👤 Senior<br/>(Voice / Text)"]
    ConvEngine["Conversation Engine<br/>(Claude API)"]
    Memory["Memory Capture"]
    Scoring["Engagement Scoring"]
    MsgGen["Message Generator"]
    Family["👪 Family<br/>(Mobile App)"]
    Alerts["Alert Engine"]
    Dashboard["🖥️ Caregiver Dashboard"]
    Services["Aging-Services Navigation<br/>OAA · Medicare · AAA · Meals on Wheels"]

    Senior <--> ConvEngine
    ConvEngine --> Memory
    Memory --> Scoring
    Scoring --> Alerts
    Scoring --> MsgGen
    MsgGen --> Family
    Alerts --> Dashboard
    Alerts --> Services
    Dashboard --> Services

    classDef person fill:#fef3c7,stroke:#b45309,color:#1f2937;
    classDef system fill:#e0e7ff,stroke:#4338ca,color:#1e1b4b;
    classDef surface fill:#d1fae5,stroke:#047857,color:#064e3b;
    class Senior,Family person;
    class ConvEngine,Memory,Scoring,MsgGen,Alerts system;
    class Dashboard,Services surface;

Loading

Tech Stack

Layer	Technology
Frontend	React 18, Vite, TypeScript, Tailwind CSS
Mobile	React Native + Expo
Auth	Clerk (staff/consumer) + Amazon Cognito (enterprise SSO/SAML)
Backend	Node.js + Express (TypeScript), AWS Lambda
AI/LLM	Anthropic Claude API
Voice	Twilio Voice + ElevenLabs STT/TTS
Database	DynamoDB (primary) + RDS Aurora (analytics)
Storage	S3 (audio, exports, assets)
Billing	Stripe (subscriptions, metering)
Infrastructure	AWS CDK (TypeScript), GitHub Actions CI/CD
MCP	Custom MCP server (7 tool schemas)

28 Modules

#	Module	#	Module	#	Module
1	Resident Onboarding	11	Notifications	21	Enterprise Admin Portal
2	AI Conversation Core	12	Analytics & Reporting	22	API & MCP Tools
3	Memory & Context	13	Multi-Tenant Core	23	Integrations Hub
4	Engagement Scoring	14	Auth & SSO	24	Research & Outcomes
5	Alert Engine	15	Billing & Subscriptions	25	Training & Certification
6	Caregiver Dashboard	16	AWS Infrastructure	26	Family Portal (Web)
7	Family Mobile App	17	CI/CD	27	Predictive Wellness
8	Voice Interface	18	Security & Compliance	28	Aging-Services Navigation
9	Family Outreach	19	Data Export & Portability
10	Community Features	20	White-Label Config

Who It Serves

Role	Primary Interface	Key Need
Senior / Resident	Voice + Mobile	Natural, low-friction conversation and service connection
Family Member	Mobile + Web	Peace of mind, connection reminders, coordination
Caregiver / Staff	Dashboard	Alerts, notes, resident context, resource referrals
Facility Admin	Admin Portal	Tenant config, billing, reporting
Enterprise Operator	API + Admin	Multi-site management, analytics
AAA / Community Worker	Navigator Portal	Referral tracking, eligibility screening

Using as a Claude Skill

This repo is structured as a Claude skill. Install the .skill package or point your Claude skill directory to this repo.

access-for-seniors/
├── SKILL.md                          ← Skill entry point
├── references/                       ← Loaded on demand by topic
│   ├── modules.md                    ← All 28 module specs
│   ├── data-models.md                ← DynamoDB + RDS schemas
│   ├── security.md                   ← HIPAA controls, RBAC, consent
│   ├── conversation-engine.md        ← LLM orchestration, prompts, safety
│   ├── engagement-scoring.md         ← Connection signal algorithm
│   ├── aging-services.md             ← OAA, Medicare, AAA, Meals on Wheels
│   ├── mcp-tools.md                  ← MCP server tool schemas
│   ├── auth.md                       ← Clerk + Cognito setup
│   ├── billing.md                    ← Stripe integration
│   ├── multi-tenant.md               ← Tenant isolation architecture
│   ├── aws-deployment.md             ← CDK stacks, IAM, environments
│   ├── cicd.md                       ← GitHub Actions pipeline
│   ├── mobile-app.md                 ← React Native / Expo
│   ├── gtm.md                        ← Positioning, ICP, messaging
│   └── [9 more reference files]
├── docs/                             ← Guides and onboarding
├── tests/                            ← Skill validation tests
└── scripts/                          ← Build and packaging scripts

Quick Start

git clone https://github.com/dougdevitre/access-for-seniors.git
cd access-for-seniors
./scripts/validate.sh          # verify the skill is structurally valid
./scripts/build-skill.sh       # build dist/access-for-seniors.skill

Then:

• As a Claude skill: upload dist/access-for-seniors.skill in Claude settings → Capabilities → Skills
• For development: see docs/installation.md and docs/quick-start.md
• Contributor architecture overview: docs/architecture.md
• Domain glossary (OAA, AAA, HCBS, etc.): docs/glossary.md

Security & Compliance

• HIPAA-aligned defaults (encryption, audit logging, tenant isolation, BAAs)
• Engagement scores are connection signals, not clinical diagnoses
• Consent-first: AI features require explicit resident/guardian consent
• Role-based access control across 6 roles (Resident, Family, Caregiver, Admin, Operator, AAA/Community Worker)
• Elder abuse mandatory reporting support (state-dependent)
• See references/security.md for full controls

Brand Voice

Calm, professional, empathetic. Practical over poetic. No hype. No fear-based messaging. Person-first language ("older adult" not "elderly"). Plain over bureaucratic ("help with meals" not "Title III-C nutrition services" — unless the program uses that term).

Contributing

See CONTRIBUTING.md. PRs welcome — please run ./scripts/validate.sh before opening one. Issue and pull request templates live under .github/.

Contact

Doug Devitre — dougdevitre@gmail.com — cotrackpro.com

License

MIT — see LICENSE. Part of the open-source Access To initiative.