New DDS Programs for People with Developmental Disabilities - - PDF document

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New DDS Programs for People with Developmental Disabilities - - PDF document

19th Annual Developmental Disabilities: An Update for Health Professionals March 5 6, 2020 New DDS Programs for People with Developmental Disabilities Tiffani Andrade, Assistant Deputy Director Dr. Lauren Libero, Autism Specialist


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SLIDE 1

New DDS Programs for People with Developmental Disabilities

Tiffani Andrade, Assistant Deputy Director

  • Dr. Lauren Libero, Autism Specialist

Department of Developmental Services

19th Annual Developmental Disabilities: An Update for Health Professionals March 5‐6, 2020

Disclosure

No relevant financial conflicts of interest

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SLIDE 2

Overview

  • 1. Department of Developmental Services
  • 2. Community Development
  • 3. Safety Net
  • 4. AB 2083
  • 5. Self‐Determination Program
  • 6. Promoting Best Practices

Learning Objectives

  • Identify major trends in the demographics
  • f individuals served through the

developmental services system

  • Identify priorities and initiatives for the

developmental services system

  • Consider future directions for ensuring the

use and development of best practices for serving individuals with developmental disabilities in the community

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SLIDE 3

Developmental Disabilities Services System

Governorʼs Office Governorʼs Office California Health and Human Services Agency California Health and Human Services Agency Department of Developmental Services Department of Developmental Services Governance and Oversight

Vendorize Individuals with a Developmental Disability Individuals with a Developmental Disability Porterville Developmental Center Porterville Developmental Center Canyon Springs Community Facility Canyon Springs Community Facility State Operated Services Crisis Assessment Stabilization Teams (CAST) Crisis Assessment Stabilization Teams (CAST) Community State Staff Program (CSSP) Community State Staff Program (CSSP) Contracts with

21 Regional Center Boards 21 Regional Center Boards

STAR Acute Crisis Homes STAR Acute Crisis Homes Fairview Developmental Center (closing) Fairview Developmental Center (closing)

21 Regional Centers 21 Regional Centers Local Case Management

Direct Services and Supports

Service Providers Service Providers

General Treatment Area will be closing, while the Secure Treatment Program will remain open General Treatment Area will be closing, while the Secure Treatment Program will remain open

www.dds.ca.gov

Regional Center Populations

  • Redwood Coast Regional Center serves 4,000 individuals,

while Inland Regional Center serves 37,100 individuals

4,000 8,000 9,100 9,100 9,400 9,600 10,700 12,200 13,600 14,600 15,000 15,200 17,000 17,500 20,900 20,900 22,400 25,000 26,500 30,700 37,100 ‐ 5,000 10,000 15,000 20,000 25,000 30,000 35,000 40,000

Source: CMF data for Status 1, 2 and 8 consumers as of January 2020

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SLIDE 4

Who We Serve

T

  • tal Population

Source: CMF data for Status 1, 2 and 8 consumers as of December of each year

26,000 33,000 49,000 210,000 246,000 302,000

50,000 100,000 150,000 200,000 250,000 300,000 350,000 400,000

2009 2014 2019 Early Start (Ages 0 to 2) Lanterman (Ages 3+) 236,000 279,000 351,000

Who We Serve

Population by Age Group

Source: CMF data for Status 1, 2 and 8 consumers as of December of each year

2014 2019 2009

14% 36% 9% 33% 9% 12% 36% 9% 34% 10% 14% 37% 8% 32% 9% Ages 0 to 2 Ages 3 to 17 Ages 18 to 21 Ages 22 to 51 Ages 52 or Older

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SLIDE 5

Who We Serve

Population by Diagnosis 2014 2019 2009

Source: CDER data for Status 1, 2 and 8 consumers as of December of each year Note: An individual may have more than one diagnosis and may be counted under multiple diagnoses, i.e., duplicated counts

23% 17% 18% 71% 12% 30% 15% 16% 66% 10% 42% 12% 13% 59% 11% Autism Cerebral Palsy Epilepsy Intellectual Disability Other

Who We Serve

Population by Ethnicity 2014 2019 2009

40% 30% 15% 9% 7% 37% 34% 11% 9% 6% 34% 38% 12% 9% 6% Hispanic White Other Black/African American Asian

Source: CMF data for Status 1, 2 and 8 consumers as of December of each year

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SLIDE 6

Community Development

  • History of Community

Placement Plan (CPP) & Community Resource Development Fund (CRDP)

“Bedroom Community” by Christian Jackson

https://www.dds.ca.gov/services/cpp/

Community Development

  • New home models:
  • Enhanced Behavioral Supports

Home (EBSH)

  • Community Crisis Home (CCH)
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SLIDE 7

Safety Net

  • Specialized Step-Down homes
  • Individualized Intensive Transition services
  • STAR and CAST
  • START Services

“Cars” by David Tveritenov

AB 2083

  • Developing coordinated, timely,

and trauma-informed system of care for foster children who have experienced severe trauma

  • Development of EBSHs and CCHs

for dually-served youth

“Ice Cream Cone” by Lisa Chun

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SLIDE 8

Self-Determination Program

  • Allows participants the opportunity to have

more control in developing their service plans and selecting service providers to better meet their needs

  • Starting June 7, 2021 the program will be

available to all eligible individuals

https://www.dds.ca.gov/initiatives/sdp/

Promoting Best Practices

  • Building expertise of the community
  • Ensuring new development is:
  • Person-centered
  • Trauma-informed
  • Culturally and linguistically competent
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SLIDE 9

Promoting Best Practices

  • Best practices for specialty

care

  • Developing services for a

changing population

  • Developmental Services

Task Force

“Horses” by Alex Hannah