County Services: Employment and Community Access Competence Relationsips Integration Health and Safety Power and Choice Status and Respect Department of Social and Health Services 2014 D e ve l o p m e n t a l D i s a b i l i t i e s A d m i n i s t r a t i o n 1 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 strengthen the community infrastructure. Services include: • Individual Employment • Group Supported Employment • Pre-Vocational Services • Community Access • Child Development Services • Individual Technical Assistance • Community Info/Education/Training Department of Social and Health Services 2014 Employment/Day Services 2 County Employment/Day Services Are overseen at the local level by counties. Providers qualifications are outlined in DDA Policy 6.13: 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. Department of Social and Health Services 2014 May be provided directly by the county or subcontracted out to a qualified local provider(s). 3 Community Access Services 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 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, recreation, and personal development that support the individual’s identified goal. Department of Social and Health Services 2014 Are individualized and provided in typical integrated community settings. Direct service staff spend time assisting 4 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 you participate in an employment program for nine months prior to transitioning to a community access service because a) b) 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. 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. *Please refer to WAC 388-845-0603 Department of Social and Health Services 2014 Community Access Services – Who may be eligible? 5 Community Access How support hours are determined If your SIS ranking according to WAC 388-828- 4440 is: Your community access service level is: The number of monthly hours associated with service level: 0 - 9th percentile A Up to 3 hours 10th – 19th percentile B Up to 6 hours 20th – 29th percentile C Up to 9 hours 30th – 44th percentile D Up to 12 hours 45th – 59th percentile E Up to 15 hours 60th – 74th percentile F Up to 18 hours 75th – 100th percentile G Up to 20 hours Department of Social and Health Services 2014 Based on Support Intensity Scale (SIS) - percentile range/ band per level and support hours: 6 Clients in Community Access 1200 1000 961 Department of Social and Health Services 2014 800 722 600 400 383 344 200 429 218 0 2008 2009 2010 2011 2012 2013 7 Clients in Community Access 700 583 600 500 307 300 344 174 200 100 330 327 378 Department of Social and Health Services 2014 378 400 99 37 44 56 0 2008 2009 2010 2011 2012 DDA Community Access Clients 21-61 years old DDA Community Access Clients 62 years + 2013 8 2008 2013 Community Access Clients 62+ Community Access Clients 62+ Community Access Clients 21-61 Community Access Clients 21-61 11% 39% 61% Department of Social and Health Services 2014 Community Access Clients 89% 9 Community Access Clients # receiving service since July 2013 850 845 840 843 844 Department of Social and Health Services 2014 835 830 825 820 810 809 800 10 790 201307 201308 201309 201310 201311 201312 Employment Services 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 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 in the community. Department of Social and Health Services 2014 Are individualized supports to help individuals pursue or maintain gainful employment in integrated community settings. Service types include: 11 Employment Services Service activities include: Intake – Meet with individual and family to collect info and complete paperwork Job Prep – Develop resume, interview skills, travel training, job 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 Retention – On-site visits, job modification, advancement, advocacy, retraining, and modifications. Department of Social and Health Services 2014 Discovery – Identify the individual’s interests, goals, strengths and match these to various community settings 12 Employment Services HCBS Waiver Limits – Support Hours Employment Status Service Level Monthly Add-on Possible Maximum Hours Hours Monthly Service (Base) Hours None Working A 0 0 0 None In Training / Job Development B 0 0 0 Low Working C 4 5 9 Low In Training / Job Development D 7 7 14 Medium Working E 7 5 12 Medium In Training / Job Development F 9 7 16 High Working G 11 12 23 High In Training / Job Development H 12 14 26 Department of Social and Health Services 2014 Level of Support (Acuity) 13 Individual Employment stats • • • • • # of clients: 5,642 # of clients reporting a wage: 3,573 Average Hourly Wage: $10.18 Average Wages per Week: $128.34 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 Department of Social and Health Services 2014 7/2013 – 11/2013: 14 5600 Clients Earning a Wage 5496 5409 5400 5255 5209 5200 5228 5239 5272 4796 4800 4600 Department of Social and Health Services 2014 5000 4612 4400 4200 15 4000 2005 2006 2007 2008 2009 2010 2011 2012 2013 4500 Clients Earning Minimum Wage or Better 3867 4000 3500 2932 3000 3225 3567 3119 2513 Department of Social and Health Services 2014 2500 3128 3407 2241 2000 1500 1000 500 16 0 2005 2006 2007 2008 2009 2010 2011 2012 2013 High Acuity Clients Earning Minimum Wage or Better 700 623 600 530 482 500 400 406 409 Department of Social and Health Services 2014 427 363 300 225 256 200 100 17 0 2005 2006 2007 2008 2009 2010 2011 2012 2013 Ave. Paid Work Hours/Month 70 62.5 60 60.4 55.7 53.5 52.3 51.7 49.4 48 46.3 Department of Social and Health Services 2014 50 40 30 20 10 18 0 2005 2006 2007 2008 2009 2010 2011 2012 2013 High Acuity Clients in Employment 3000 2646 2500 2724 2766 2695 2725 2479 2589 2000 1500 Department of Social and Health Services 2014 1958 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 Department of Social and Health Services 2014 1200 1000 800 893 600 400 477 528 416 468 505 555 200 20 0 2005 2006 2007 2008 2009 2010 2011 2012 2013 Individual Employment High Acuity Client Support Hours Support Hours/Month 16 14 12.05 12.23 12.9 14.3 12.9 Department of Social and Health Services 2014 12 14.5 10 8 6 4 2 21 0 2008 2009 2010 2011 2012 2013 Individual Employment Wages Average Monthly Wages $700.00 $650.00 $600.00 Department of Social and Health Services 2014 $550.00 $500.00 $450.00 $400.00 $350.00 $300.00 $250.00 22 $200.00 2008 2009 2010 2011 2012 2013 Transition Students #'s by Graduation Year prior to entering E & D service 800 199 600 209 181 217 182 185 505 537 552 500 400 300 511 200 552 527 100 0 Waiver Non Waiver 2008 2009 2010 2011 2012 Department of Social and Health Services 2014 700 23 2013 Transition Students today NonWaiver No CSA 700 307 600 329 403 500 400 147 91 290 307 387 160 300 200 314 280 268 100 Waiver No CSA 176 121 123 198 209 247 Service Auth = CSA Department of Social and Health Services 2014 Total # of Grad Students 800 24 0 2008 2009 2010 2011 2012 2013 Graduation Year Contact Info DDA Central Office support: Megan Burr – Employment and Day Program Coordinator [email protected] Terry Redmond Employment Partnership Program Manager [email protected] Department of Social and Health Services 2014 Branda Matson –Employment and Day Program Manager [email protected] 25
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