Developmental Disabilities Administration County Services: - - PowerPoint PPT Presentation

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Developmental Disabilities Administration County Services: - - PowerPoint PPT Presentation

Mar 23, 2023 150 likes •402 views

Developmental Disabilities Administration County Services: Employment and Community Access Department of Social and Health Services 2014 Competence Health and Safety Power and Relationsips Choice 1 Status and Integration Respect

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County Services: Employment and Community Access

Developmental Disabilities Administration

Department of Social and Health Services 2014

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Health and Safety Power and Choice Status and Respect Integration Relationsips Competence

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Employment/Day Services

Developmental Disabilities Administration supports employment and day services through contracts and partnerships with county government. The counties select and contract with service providers and/or directly provide many of the support services that strengthen the community infrastructure.

Services include:

  • Individual Employment
  • Group Supported Employment
  • Pre-Vocational Services
  • Community Access
  • Child Development Services
  • Individual Technical Assistance
  • Community Info/Education/Training

Department of Social and Health Services 2014

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County Employment/Day Services

  • Are overseen at the local level by counties.
  • May be provided directly by the county or subcontracted
  • ut to a qualified local provider(s).
  • Providers qualifications are outlined in DDA Policy 6.13:

Provider Qualifications for Employment and Day Program Services.

  • Qualified providers must demonstrate the ability to

provide services in accordance with the contract including DDA County Guidelines, DDA Policy 4.11: County Services for Working Age Adults, and WAC’s.

Department of Social and Health Services 2014

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Community Access Services

Service activities include:

  • Intake – meet with individual and family to collect info and complete

paperwork

  • Discovery – Identify the individual’s interests, goals, strengths and match

these to various community settings

  • Community Participation and Skill Development – develop supports to

promote independence and growth through education, socialization, recreation, and personal development that support the individual’s identified goal.

Department of Social and Health Services 2014

Are individualized and provided in typical integrated community settings. Direct service staff spend time assisting

individuals to participate in activities that promote individualized skill development, independent living, and community integration. Activities must provide individuals with opportunities to develop personal relationships with others in their local communities and to learn, practice, and apply life skills that create greater independence and community inclusion.

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1. You are age 62 or older; or 2. You are 21 or older and you have participated in a DDA employment program for nine months; or 3. You and/or your legal representative request that DDA grant an exception, per chapter 71A.12.290 RCW, to the requirement that you participate in an employment program for nine months prior to transitioning to a community access service because

a) You have a medical condition that requires hospitalization or ongoing care by a medical professional and that affects your ability to participate in daily activities to the degree that employment would:

i. Result in a significant decline in your ability to function; Or ii. Seriously endanger your health.

b) You have been available for employment planning activities and an employment provider has not provided services within ninety days of your request for employment services.

*Please refer to WAC 388-845-0603

Department of Social and Health Services 2014

Community Access Services – Who may be eligible?

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Community Access - How support hours are determined

Department of Social and Health Services 2014

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If your SIS ranking according to WAC 388-828- 4440 is: Your community access service level is: The number of monthly hours associated with service level:

0 - 9th percentile A Up to 3 hours 10th – 19th percentile B Up to 6 hours 20th – 29th percentile C Up to 9 hours 30th – 44th percentile D Up to 12 hours 45th – 59th percentile E Up to 15 hours 60th – 74th percentile F Up to 18 hours 75th – 100th percentile G Up to 20 hours

Based on Support Intensity Scale (SIS) - percentile range/ band per level and support hours:

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Clients in Community Access

344 218 383 429 722 961 200 400 600 800 1000 1200

2008 2009 2010 2011 2012 2013

Department of Social and Health Services 2014

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Clients in Community Access

37 44 56 99 378 583 307 174 327 330 344 378 100 200 300 400 500 600 700

2008 2009 2010 2011 2012 2013 DDA Community Access Clients 21-61 years old DDA Community Access Clients 62 years +

Department of Social and Health Services 2014

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Community Access Clients

89% 11%

2008

Community Access Clients 62+ Community Access Clients 21-61

Department of Social and Health Services 2014

39% 61%

2013

Community Access Clients 62+ Community Access Clients 21-61 9

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Community Access Clients - # receiving service since July 2013

Department of Social and Health Services 2014

10 809 825 835 845 843 844

790 800 810 820 830 840 850

201307 201308 201309 201310 201311 201312

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Employment Services

Are individualized supports to help individuals pursue or maintain gainful employment in integrated community settings. Service types include:

  • Pre-Vocational Services are a part of a pathway to Individual
  • Employment. These short-term services are designed to further

habilitation goals and often occur in a segregated setting and generally train groups of people with disabilities in the same setting.

  • Group Supported Employment services are a part of a pathway to

Individual Employment. Services include supervised employment and training activities in regular business and industry settings for groups of no more than 8 workers with disabilities. Typical program examples include enclaves or mobile crews employing small groups

  • f workers with disabilities in integrated employment.
  • Individual Supported Employment services are placement and

follow-up services necessary to help persons with developmental disabilities obtain and continue integrated, living wage employment in the community.

Department of Social and Health Services 2014

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Employment Services

Service activities include:

  • Intake – Meet with individual and family to collect info and

complete paperwork

  • Discovery – Identify the individual’s interests, goals, strengths

and match these to various community settings

  • Job Prep – Develop resume, interview skills, travel training, job

clubs, and assistance obtaining required job items such as First Aid card, etc.

  • Job Development – Networking, marketing, evaluation of

potential work site, identification of natural supports, and job carving

  • Job Coaching – Development of supports to maintain

independence and coordination with employer, client, and support team

  • Retention – On-site visits, job modification, advancement,

advocacy, retraining, and modifications.

Department of Social and Health Services 2014

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Department of Social and Health Services 2014

13 Level of Support (Acuity) Employment Status Service Level Monthly Hours (Base) Add-on Hours Possible Maximum Monthly Service Hours None Working A None In Training / Job Development B Low Working C 4 5 9 Low In Training / Job Development D 7 7 14 Medium Working E 7 5 12 Medium In Training / Job Development F 9 7 16 High Working G 11 12 23 High In Training / Job Development H 12 14 26

Employment Services HCBS Waiver Limits – Support Hours

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Individual Employment stats

7/2013 – 11/2013:

  • # of clients: 5,642
  • # of clients reporting a wage: 3,573
  • Average Hourly Wage: $10.18
  • Average Wages per Week: $128.34
  • Average Paid Work Hours per Week: 12

7/2008 – 11/2008:

  • # of clients: 3,590
  • # of clients reporting a wage: 2,752
  • Average Hourly Wage: $9.40
  • Average Wages per Week: $159.38
  • Average Paid Work Hours per Week: 16

Department of Social and Health Services 2014

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4612 4796 5255 5409 5496 5209 5228 5239 5272 4000 4200 4400 4600 4800 5000 5200 5400 5600

Clients Earning a Wage

2005 2006 2007 2008 2009 2010 2011 2012 2013

Department of Social and Health Services 2014

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2241 2513 2932 3128 3225 3119 3407 3567 3867 500 1000 1500 2000 2500 3000 3500 4000 4500

2005 2006 2007 2008 2009 2010 2011 2012 2013

Department of Social and Health Services 2014

Clients Earning Minimum Wage or Better

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225 256 363 427 406 409 482 530 623 100 200 300 400 500 600 700 2005 2006 2007 2008 2009 2010 2011 2012 2013

Department of Social and Health Services 2014

High Acuity Clients Earning Minimum Wage or Better

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62.5 60.4 55.7 53.5 52.3 51.7 49.4 48 46.3 10 20 30 40 50 60 70 2005 2006 2007 2008 2009 2010 2011 2012 2013

Department of Social and Health Services 2014

  • Ave. Paid Work Hours/Month

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1623 1958 2646 2724 2766 2695 2725 2479 2589 500 1000 1500 2000 2500 3000 2005 2006 2007 2008 2009 2010 2011 2012 2013

Department of Social and Health Services 2014

High Acuity Clients in Employment

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477 528 416 468 505 555 893 1660 1836 200 400 600 800 1000 1200 1400 1600 1800 2000 2005 2006 2007 2008 2009 2010 2011 2012 2013

Department of Social and Health Services 2014

High Acuity Clients in Individual Employment

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Individual Employment High Acuity Client Support Hours

12.05 12.23 12.9 12.9 14.5 14.3

2 4 6 8 10 12 14 16 2008 2009 2010 2011 2012 2013

Support Hours/Month

Department of Social and Health Services 2014

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Individual Employment Wages

Department of Social and Health Services 2014

22 $200.00 $250.00 $300.00 $350.00 $400.00 $450.00 $500.00 $550.00 $600.00 $650.00 $700.00 2008 2009 2010 2011 2012 2013

Average Monthly Wages

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Department of Social and Health Services 2014

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Transition Students #'s by Graduation Year prior to entering E & D service

100 200 300 400 500 600 700 800 2008 2009 2010 2011 2012 2013

511 552 527 505 537 552 199 209 181 217 182 185

Waiver Non Waiver

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Transition Students today

Department of Social and Health Services 2014

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100 200 300 400 500 600 700 800 2008 2009 2010 2011 2012 2013

290 307 268 198 209 247 91 147 160 121 123 176 329 307 280 403 387 314

Total # of Grad Students Graduation Year Non- Waiver - No CSA Waiver - No CSA Service Auth = CSA

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Contact Info

DDA Central Office support:

  • Branda Matson –Employment and Day Program Manager

Branda.Matson@dshs.wa.gov

  • Megan Burr – Employment and Day Program Coordinator

Megan.Burr@dshs.wa.gov

  • Terry Redmond Employment Partnership Program Manager

Terry.Redmon@dshs.wa.gov

Department of Social and Health Services 2014

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