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 Department of Developmental Services Disclosure No relevant financial conflicts of interest

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 of 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

Developmental Disabilities Services System www.dds.ca.gov Governorʼs Office Governorʼs Office California Health and California Health and Human Services Agency Human Services Agency 21 Regional Center 21 Regional Center Department of Department of Contracts Developmental Services Developmental Services Boards Boards with General Treatment General Treatment Area will be closing, Area will be closing, State Governance and while the Secure while the Secure Operated Oversight Treatment Program Treatment Program Services will remain open will remain open Canyon Springs Canyon Springs Community Facility Community Facility Porterville Porterville 21 Regional Centers 21 Regional Centers Service Providers Service Providers Vendorize Developmental Center Developmental Center STAR Acute Crisis STAR Acute Crisis Homes Homes Fairview Developmental Fairview Developmental Local Case Direct Services Center (closing) Center (closing) Management and Supports Crisis Assessment Crisis Assessment Stabilization Teams Stabilization Teams (CAST) (CAST) Community State Staff Community State Staff Program (CSSP) Program (CSSP) Individuals with a Individuals with a Developmental Disability Developmental Disability Regional Center Populations • Redwood Coast Regional Center serves 4,000 individuals, while Inland Regional Center serves 37,100 individuals 40,000 37,100 35,000 30,700 30,000 25,000 26,500 25,000 20,900 20,900 22,400 20,000 17,000 17,500 12,200 13,600 14,600 15,000 15,200 15,000 8,000 9,100 9,100 9,400 9,600 10,700 10,000 4,000 5,000 ‐ Source: CMF data for Status 1, 2 and 8 consumers as of January 2020

Who We Serve T otal Population 400,000 351,000 350,000 279,000 300,000 236,000 250,000 200,000 302,000 246,000 150,000 210,000 100,000 50,000 49,000 33,000 26,000 0 2009 2014 2019 Early Start (Ages 0 to 2) Lanterman (Ages 3+) Source: CMF data for Status 1, 2 and 8 consumers as of December of each year Who We Serve Population by Age Group 2009 2014 2019 37% 36% 36% 34% 33% 32% 14% 14% 12% 10% 9% 9% 9% 9% 8% Ages 0 to 2 Ages 3 to 17 Ages 18 to 21 Ages 22 to 51 Ages 52 or Older Source: CMF data for Status 1, 2 and 8 consumers as of December of each year

Who We Serve Population by Diagnosis 2009 2014 2019 71% 66% 59% 42% 30% 23% 18% 17% 16% 15% 13% 12% 12% 10% 11% Autism Cerebral Palsy Epilepsy Intellectual Other Disability 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 Who We Serve Population by Ethnicity 2009 2014 2019 6% Asian 6% 7% 9% Black/African 9% American 9% 12% Other 11% 15% 38% White 34% 30% 34% Hispanic 37% 40% Source: CMF data for Status 1, 2 and 8 consumers as of December of each year

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)

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

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

Promoting Best Practices • Best practices for specialty care • Developing services for a changing population • Developmental Services Task Force “Horses” by Alex Hannah