Community Living disABILITY Services Community Living disABILITY Services 1
Community Living disABILITY Services Updates to Expenditure Analysis 2
Community Living disABILITY Services Demographics Community Living disABILITY Services Total Active Caseload by Age Group as at March 31, 2018 Age Group 18-21 22-25 26-35 36-45 46-55 56-65 66+ Total Caseload 1,241 1,022 1,519 919 817 708 390 6,616 Relatively young CLDS population • 34% of the CLDS caseload is under the age of 25. • 57% of the CLDS caseload under the age of 35. 3
Community Living disABILITY Services Winnipeg Region 4
Community Living disABILITY Services Central Region 5
Community Living disABILITY Services Eastman Region 6
Community Living disABILITY Services Interlake Region 7
Community Living disABILITY Services Northern Region 8
Community Living disABILITY Services Parkland Region 9
Community Living disABILITY Services Westman Region 10
Community Living disABILITY Services Updates to Expenditure Analysis 11
Community Living disABILITY Services Analysis 18 to 21 year olds 12
Community Living disABILITY Services Updates to Expenditure Analysis 13
Community Living disABILITY Services Updates to Expenditure Analysis 14
Community Living disABILITY Services Employment First Employment First 15
Community Living disABILITY Services Employment First Employment is key to the CLDS vision of inclusion and full citizenship for all. Employment is the preferred outcome for adult Manitobans with intellectual disabilities and is an important experience for working age youth and adults. The benefits of employment for individuals include: Improved financial security, self direction and independence; Expanded friendships, social relationships, and integration within community; Increased happiness, self-confidence, and sense of belonging; and Expanded skills and abilities. 16
Community Living disABILITY Services Employment First CLDS promotes and supports the expansion of employment opportunities for individuals receiving supports, based on the following principles: All individuals with an intellectual disability should have the opportunity to pursue employment. All Individuals with an intellectual disability want to work. Everyone has important qualities and talents to contribute. Employment contributes to economic and social inclusion, and to safety within community. Everyone can be successfully employed in the right job if they have the right support. There is a need to balance disability-related support needs with employment supports. 17
Community Living disABILITY Services Employment First Shifting Culture Moving from custodial care to promoting employment Encompassing ALL people and moving away from readiness model Changing expectations that people can be employed Focusing on the positive and looking for qualities in workers with disabilities Getting buy in and finding the right partners 18
Community Living disABILITY Services CLDS Employment Data 19
Community Living disABILITY Services CLDS Employment Data 20
Community Living disABILITY Services Employment First – Survey Results 21
Community Living disABILITY Services Employment First 22
Community Living disABILITY Services Day Services Day Services 23
Community Living disABILITY Services Day Services 24
Community Living disABILITY Services Day Services 25
Community Living disABILITY Services Supported Independent Living Supported Independent Living 26
Community Living disABILITY Services Supported Independent Living 27
Community Living disABILITY Services Supported Independent Living 28
Community Living disABILITY Services Home Share Home Share 29
Community Living disABILITY Services Home Share 30
Community Living disABILITY Services Home Share 31
Community Living disABILITY Services 24/7 Residential Care 24/7 Residential Care 32
Community Living disABILITY Services 24/7 Residential Care 33
Community Living disABILITY Services 24/7 Residential Care 34
Community Living disABILITY Services 24/7 Residential Care 35
Community Living disABILITY Services Living with Family Living with Family 36
Community Living disABILITY Services Living with Family 37
Community Living disABILITY Services Living with Family 38
Community Living disABILITY Services Child and Family Child & Family 39
Community Living disABILITY Services Child and Family 40
Community Living disABILITY Services Child and Family 41
Community Living disABILITY Services Child and Family 42
Community Living disABILITY Services Child and Family 43
Community Living disABILITY Services Child and Family 44
Community Living disABILITY Services Child and Family 45
Community Living disABILITY Services Child and Family – Diagnosis of FASD and ASD Individuals (aged 18-25) with previous involvement in CFS are more likely to have a diagnosis of FASD. A high percentage of these individuals have a Supports Budget Level of 7 and a smaller percentage of individuals from CFS have a diagnosis of Autism. ASD FASD 10% have a primary or secondary diagnosis of ASD . 32% have a primary or secondary diagnosis of FASD . 27% of individuals diagnosed with ASD have a 26% of individuals diagnosed with FASD have a Supports Supports Budget Level of 7. Budget Level of 7. 46
CFS Youth and Adult Transitions into CLDS Policy Implication and Intentions The data suggests that individuals with previous involvement in CFS Supports Budget Level are more likely to have a diagnosis • Overall population • CFS involvement Distribution of FASD. A high percentage of these individuals have a Supports • FASD Primary and Secondary • Autism Budget Level of 7 and a smaller Diagnosis • Trauma percentage of individuals from CFS have a diagnosis of Autism • Cost drivers Policy Implications • Capacity (but when they do a higher percentage have a Supports Budget Level of 7). Service recipients previously served by Child and Family Services (CFS) : 16% of CLDS service recipients (812 of 5,125 people) were referred to CLDS from CFS, and on average, these individuals cost 62% more to serve than others served by CLDS. What’s more, 34% of those aged 18-21 arrive from CFS and are more expensive to serve than their non CFS referred counterparts. What role does the unique trauma these individuals may have experienced in their lives, and the specialty services they require from CLDS associated with higher costs. What might CLDS do to offer these individuals a tailored service mix by support level to meet their unique needs most efficiently and effectively, perhaps bringing down their average per person cost over time? What collaborations between CLDS, CFS, and other service sectors (e.g., health, education), would facilitate effective interventions prior to entry into CLDS? Doing so would be in the best interests of these individuals (better outcomes), but also should help to reduce the expense for serving them within CLDS. 47
Community Living disABILITY Services Future Demand – What next? WHAT DOES Supported Greater Specialized THE DATA Independent opportunities Resources & SAY? Living, for Accessible Cluster & Employment Housing Home Share Clinical Transitional Resources & WHAT HAVE Drop in Services 18 - Culturally WE HEARD? Programs 21 Competent Services 48
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