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Lessons Learned from Agnews None Presenter: Alan Wilens M.Ed. - PowerPoint PPT Presentation

Disclosures Lessons Learned from Agnews None Presenter: Alan Wilens M.Ed. Panel Members: Amy M. Narciso, RN, MSN, CNS Doreen E. Canton, RN, CDDN, BS 2 Background Regional Centers Lanterman Developmental Disabilities Act DC2


  1. Disclosures Lessons Learned from Agnews • None Presenter: Alan Wilens M.Ed. Panel Members: Amy M. Narciso, RN, MSN, CNS Doreen E. Canton, RN, CDDN, BS 2 Background Regional Centers � Lanterman Developmental Disabilities Act DC2 � Regional Centers � State Developmental Centers 3 4

  2. Slide 4 Doreen Canton, 2/10/2014 DC1 DC2 Severe Doreen Canton, 2/10/2014

  3. Population in CA Developmental Centers from 1994 State Developmental through December 2013 Centers & State Operated Facility 5 6 Population on January 29, 2014 HISTORY • Agnews Developmental Center 0 • Fairview Developmental Center 322 Agnews • Lanterman Developmental Center 96 • Porterville Developmental Center 413 Developmental • Sonoma Developmental Center 460 Center • Canyon Springs 52 • Sierra Vista 0 • Total: 1,343 7 8

  4. Residents of Agnews June 30 2004 Gender Demographic Characteristics FEMALE 37% Level of care MALE 63% Regional Center Affiliations 9 10 YEARS OF RESIDENCY AGE OF RESIDENTS 60 45 50 40 35 159 30 PERCENTAGE 40 25 PERCENTAGE 126 20 30 15 27 12 10 52 5 20 0 10 < 5years 5-10 11-20 21-30 > 30 years years years years 0 6-12 YEARS 13-17 YEARS 18-21 YEARS 22-40 YEARS 41-64 YEARS > 65 YEARS POPULATION AGES 11 12

  5. LEVEL OF CARE SNF 40% ICF SNF 60% ICF 13 14 Key Individual Elements POPULATION BY REGIONAL Program Plan (IPP) CENTER RCEB GGRC SARC Agnews Partnerships 22% Staffing 17% RCEB UNIFIED 9% OTHER PLAN (Closure GGRC SARC 52% of Agnews OTHER Permanent Developmental Enhanced QA Housing Center) 15 16

  6. Individualized Planning (Individual Program Permanent Housing Plan IPP) Housing Stock (AB 2100 – Bay Area Housing Plan) Team participants: • Family members are integral part of IPP Team • Resident • Small caseloads for • Family members regional center social • Licensed professionals workers • Direct care staff • Development of Individual • Agnews social workers • Pay for housing once Transition Plan • Regional Center social • All supports in place workers before move • Separation of ownership and provision of service • Advocates 17 18 Agnews Staff in the Community Partnerships • Managed Health Care Plans & State Department of Social Services - Community Care Licensing (DDS-CCL) • Residential Service Providers • Development of Puente Clinic by GGRC, San Mateo • State staff working in the community County Behavioral Health Services and Health Plan of San Mateo 19 20

  7. Enhanced Quality Management System Residential Models • Quality Service Review – detailed review and • Specialized Residential Homes certification process • Supported Living • Providers and QMS Specialists work together to • SB 962 Homes - Adult Residential Facilities for improve quality in the home in pursuit of meeting all expectations Consumers with Special Health Care Needs (ARFPSHN ) 21 22 Supported Living Specialized Residential Homes • Own apartment with customized supports to meet • Serves individuals without skilled nursing needs individual needs • Accessible with individual bedrooms for 3 or 4 individuals • Tailored staffing • Enriched staffing • Negotiated rate • Negotiated rate 23 24

  8. Senate Bill 962 Homes – 962 Home –Panel Discussion Adult Residential Facilities for Consumers with Special Health Care Needs (ARFPSHN) • Development • Provides licensed nursing staff 24 hours/day, 7 days/week • Each resident has an Individual Health Care Plan • Operation • Licensed by DSS-CCL • Nursing care monitored by Regional Center • Challenges • Accessible; individual bedrooms for 4 or 5 persons; enriched staffing; negotiated rate 25 26 Conclusion Resources Why Closure Plan Worked • http://www.dds.ca.gov/AgnewsClosure/docs/AGNEWSCLOSUREPLAN _Finalw_Attachments.pdf 27 28

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