Developmental Disabilities Administration County Services: - PowerPoint PPT Presentation

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

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 Department of Social and Health Services 2014 strengthen the community infrastructure. Services include: • Individual Employment • Group Supported Employment • Pre-Vocational Services • Community Access • Child Development Services 2 • Individual Technical Assistance • Community Info/Education/Training

County Employment/Day Services  Are overseen at the local level by counties.  May be provided directly by the county or subcontracted out to a qualified local provider(s).  Providers qualifications are outlined in DDA Policy 6.13: Department of Social and Health Services 2014 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. 3

Community Access Services 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 Department of Social and Health Services 2014 learn, practice, and apply life skills that create greater independence and community inclusion. 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, 4 recreation, and personal development that support the individual’s identified goal.

Community Access Services – Who may be eligible? 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 Department of Social and Health Services 2014 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. 5 *Please refer to WAC 388-845-0603

Community Access - How support hours are determined Based on Support Intensity Scale (SIS) - percentile range/ band per level and support hours: If your SIS ranking Your The number of monthly according to community hours associated with WAC 388-828- 4440 is: access service service level: level is: Department of Social and Health Services 2014 0 - 9 th percentile A Up to 3 hours 10 th – 19 th percentile B Up to 6 hours 20 th – 29 th percentile C Up to 9 hours 30 th – 44 th percentile D Up to 12 hours 45 th – 59 th percentile E Up to 15 hours 60 th – 74 th percentile F Up to 18 hours 6 75 th – 100 th percentile G Up to 20 hours

Clients in Community Access 1200 1000 961 800 Department of Social and Health Services 2014 722 600 400 429 383 344 200 218 0 7 2008 2009 2010 2011 2012 2013

Clients in Community Access 700 583 600 500 378 378 400 344 Department of Social and Health Services 2014 330 327 307 300 174 200 99 100 56 44 37 0 2008 2009 2010 2011 2012 2013 8 DDA Community Access Clients 21-61 years old DDA Community Access Clients 62 years +

Community Access Clients 2013 2008 Community Access Clients 62+ Community Access Clients 62+ Community Access Clients 21-61 Community Access Clients 21-61 Department of Social and Health Services 2014 11% 39% 61% 89% 9

Community Access Clients - # receiving service since July 2013 850 845 844 843 840 835 830 Department of Social and Health Services 2014 825 820 810 809 800 10 790 201307 201308 201309 201310 201311 201312

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 Department of Social and Health Services 2014 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 of 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 11 in the community.

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 Department of Social and Health Services 2014 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 12  Retention – On-site visits, job modification, advancement, advocacy, retraining, and modifications.

Employment Services HCBS Waiver Limits – Support Hours Level of Employment Service Monthly Add-on Possible Maximum Support Status Level Hours Hours Monthly Service (Acuity) (Base) Hours None Working A 0 0 0 None In Training / Job B 0 0 0 Department of Social and Health Services 2014 Development Low Working C 4 5 9 Low In Training / Job D 7 7 14 Development Medium Working E 7 5 12 Medium In Training / Job F 9 7 16 Development 13 High Working G 11 12 23 High In Training / Job H 12 14 26 Development

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 Department of Social and Health Services 2014 • 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 14

Clients Earning a Wage 5600 5496 5409 5400 5272 5255 5239 5228 5209 5200 5000 Department of Social and Health Services 2014 4796 4800 4612 4600 4400 4200 15 4000 2005 2006 2007 2008 2009 2010 2011 2012 2013

Clients Earning Minimum Wage or Better 4500 3867 4000 3567 3407 3500 3225 3128 3119 2932 3000 2513 Department of Social and Health Services 2014 2500 2241 2000 1500 1000 500 16 0 2005 2006 2007 2008 2009 2010 2011 2012 2013

High Acuity Clients Earning Minimum Wage or Better 700 623 600 530 482 500 427 409 406 Department of Social and Health Services 2014 400 363 300 256 225 200 100 17 0 2005 2006 2007 2008 2009 2010 2011 2012 2013

Ave. Paid Work Hours/Month 70 62.5 60.4 60 55.7 53.5 52.3 51.7 49.4 48 50 46.3 Department of Social and Health Services 2014 40 30 20 10 18 0 2005 2006 2007 2008 2009 2010 2011 2012 2013

High Acuity Clients in Employment 3000 2766 2725 2724 2695 2646 2500 2589 2479 2000 1958 Department of Social and Health Services 2014 1500 1623 1000 500 19 0 2005 2006 2007 2008 2009 2010 2011 2012 2013

High Acuity Clients in Individual Employment 2000 1800 1836 1600 1660 1400 1200 Department of Social and Health Services 2014 1000 800 893 600 555 528 400 477 505 468 416 200 20 0 2005 2006 2007 2008 2009 2010 2011 2012 2013