Comprehensive Transition Planning

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Comprehensive Transition Planning

• Module 4 Adult Services

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Ground Rules

• Turn off cell-phones (includes text messaging).
  
• Use the post-it-notes on your tables to write
  down questions.
• The Parking Lot will be used to note topics
  that will be covered later in the presentation.
• Share your experiences and ideas. Everyone can
  learn from each other.
• Be open to new ways of doing things. Keep a can
  do attitude.
• Make productive use of activities to practice and
  fine-tune new skills.

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OutcomesFollowing this training you will

• Have an understanding of the IDEA 2004
  requirements for involving adult service
  providers
• Be able to identify primary adult service
  providers
• Be familiar with the types of adult services and
  the legislative and eligibility requirements
  related to these services

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Handouts

• Overview of Adult Service Providers
• Activity Community Mapping

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Steps in the Transition Planning Process

• Step 1 Facilitate student, family and adult
  service provider involvement
• Step 2 Identify postsecondary goals based on
  age-appropriate transition
  assessments
• Step 3 Determine present level of
  performance as it relates to post-
  secondary goals
• Step 4 Choose a course of study
• Step 5 Identify needed transition activities and
  services
• Step 6 Determine responsible persons and
• timelines for transition
  activities/services
• Step 7 Develop IEP goals/objectives that are
  linked to the postsecondary goals

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IDEA 2004 Adult Service Provider Involvement

• The public agency, to the extent appropriate,
  with the consent of the parents or a youth who
  has reached the age of majority, must invite to
  the IEP meeting a representative of any
  participating agency that is likely to be
  responsible for providing or paying for
  transition services 34 CFR 300.321(b)(3).

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CAP-MR/DD, SSI, SSDI, SGA, ADVP, ICF-MR, Age of
Consent, Developmental Therapies, IPE, Enclave,
WIA, Supported Employment, Work Adjustment,
Community Support Services, Work First, PASS,
IRWE, Ticket to Work, Case Management, CNR,
Habilitation Plan, Periodic Services, On-going
support and on and on and on!!!

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Misunderstanding
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Adult Service Providers

• Vocational Rehabilitation (VR)
• Community Rehabilitation Programs (CRP)
• Mental Health (LME)
• Department of Social Services (DSS)
• Social Security Administration (SSA)
• Work First Investment Act (WIA)
• Employment Security Commission (Job Link Center)

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Vocational Rehabilitation
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Vocational Rehabilitation
To assist eligible persons with disabilities in
achieving gainful employment and/or increasing
their ability to live independently. VRs
function is to provide a planned sequence of
individualized services designed to assist
persons with disabilities in reaching a
vocational goal.
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Presumption of Ability
A person with a disability, regardless of the
severity of the disability, can achieve
employment and other rehabilitation goals, if the
appropriate services and supports are made
available. A person with a disability is
presumed to be capable of benefiting from VR
services unless the state agency can demonstrate
by clear and convincing evidence that the
individual cannot (Rehabilitation Act Amendments
of 1992 P.L. 102-69).
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VR Services

• Labor Market Surveys
• Diagnostic Testing and Vocational Evaluation
• Job Seeking Training
• Funds for Work and Educationally-Related Expenses
  
• On-The-Job Training
• Community-Based Assessment

• Job Development
• Vocational Guidance and Counseling
• Job Placement
• Rehab. Engineering
• Assistive Technology
• Interpreter Services
• Work Adjustment
• Work Opportunities Tax Credit

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Supported Employment
Competitive employment in an integrated setting
with on-going support services for individuals
with severe handicaps for whom competitive
employment has not traditionally occurred, has
been interrupted, or intermittent as a result of
severe handicaps or transitional employment for
persons with chronic mental illness.
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Supported Employment Models

• Individual Placement
• Enclave
• Mobile Work Crew
• Small Business or
• Entrepreneurial
• Self-Employment

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What Does A Job Coach Do?

• Job Development and Placement
• Job Site Training
• Advocacy
• Ongoing Monitoring and Evaluation
• Follow-up and Retention

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Community Rehabilitation Programs
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Community Rehabilitation Programs

• Day Activity Programs (ANADAP - Adult
  Non-Ambulatory Day Activity Program)
• Work Activity Program (ADVP - Adult Day
  Vocational Program)
• Community Rehabilitation Program (Formerly known
  as sheltered workshops)

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Examples of Community Rehabilitation Program
Services

• Pre-employment skills screening
• Job Placement
• Supported Employment (Job Coaching Services)
• Vocational Evaluation and Assessment

• Subcontract Work in Sheltered Setting
• Occupational Specific Training (e.g. Banking,
  Computers, Forklift)
• Adaptive Behavioral Skill Training
• Work Stations in Industry

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Mental Health (LME)
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Mental Health Reform

• Separation of management and authorization
  functions from provision of direct services.
• Limited resources used for those most in need of
  services while relying on community supports for
  others.
• Increased consumer choice and access to services
  24 hours a day, 7 days a week all year.
• Network of provider agencies for direct services
• Less reliance on institutions and greater focus
  on community based treatment.
• Increased accountability by including
  stakeholders in planning and development

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Local Management Entity (LME) Core Functions

• Screening
• Assessment
• Referral
• Emergency Services
• Service Coordination
• Consultation
• Education
• Prevention

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Developmental Disabilities Services (Referral
and Monitoring by the LME)

• Community Alternative Programs for Persons with
  Mental Retardation and Developmental Disabilities
  (CAP-MR/DD)
• Developmental Therapies
• Targeted Case Management
• Community Support

• Guardianship
• Respite
• Transportation
• Emergency Commitment
• Counseling
• Medication Monitoring
• Residential Options
• Evaluations

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Community Alternatives Program for Persons With
Mental Retardation and Developmental Disabilities
(CAP-MR/DD)
A source of funding that pays for services and
supports that allows people with
developmental disabilities to stay in, or return
to their own communities instead of living in an
institution.
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An Individual May Be Considered for CAP-MR if
he/she

• Meets ICF-MR requirements
• Eligible for Medicaid coverage, or will be
  eligible under CAP-MR/DD eligibility criteria
• Resides in an ICF-MR (or at high risk)
• Can be maintained safely in the community
• Requires CAP-MR/DD services, based on medical
  necessity criteria
• Requires at least one CAP-MR/DD service
• Desires CAP-MR/DD participation rather than
  institutional services

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CAP-MR/DD Services

• Case
• Management
• Adult Day Health
• AC Devices
• Crisis Services
• Day Supports
• Home/Community
• Supports

• Home Modifications
• Personal Care
• Services
• Supported
• Employment
• Caregiver Training

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CAP-MR/DD Services (continued)

• Caregiver Training
• Personal Care
• Personal
• Emergency
• Response System
• Residential Support
• Respite
• Consultative
• Services

• Equipment and
• Supplies
• Transportation
• Vehicle
• Modifications

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Developmental Therapies

• A developmental disability service that includes
  individually designed instruction, training, or
  functional developmental intervention activities
  based on the assessment of and unique strengths
  and needs of the individual child or adult.
• Designed to support the individual in the
  acquisition of skills that have not been gained
  during the developmental stages of life, and are
  not likely to be developed without additional
  training and supports.

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Case Manager Responsibilities

• Obtaining needed services/supports on behalf of
  the individual
• Facilitating person-centered planning
• Informing others about the individuals situation
• Locating and coordinating natural/community
  supports
• Completing applications for services
• Facilitating the service delivery process
• Monitoring to assure quality care and the
  continued appropriateness of services

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Community Support Services

• Services or supports necessary to assist youth (3
  to 17 years of age or younger and 20 years old or
  younger for children enrolled in Medicaid) and
  their caregivers in achieving, rehabilitative,
  and recovery goals.
• Intended to meet the mental health or substance
  abuse needs of children with significant
  functional deficits or who are at risk of
  developing or increasing the magnitude of
  deficits that could result in an inability to
  live successfully in the community without
  services and guidance.

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Working With the LME

• Know the referral process, available services and
  eligibility requirements
• Obtain written information to share with
  parents/students about the LME
• Get release of information permissions
• Have school representatives at Intake meetings,
  CNR (CAP-MR) meetings and review meetings for
  periodic services.
• Keep case manager assignments updated.
• Make friends and ask lots of questions.

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Avoid Kissing A Monkey
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Department of Social Services (DSS)
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Work First Program

• Aimed at helping persons on governmental
  assistance in obtaining gainful employment by
  promoting personal responsibility.
• Benefit Diversion
• Emergency Assistance
• Transitional Medicaid
• Assistance with Childcare
• Food Stamps
• Earned Income Tax Credit

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Social Security Administration (SSA)
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Supplemental Security Income (SSI)

• Governmental income support program
• Considers income in calculating eligibility and
  benefits
• Must apply through Department of Social Services
  (SS card, birth certificate, home ownership
  information, payroll slips, insurance policies,
  bank books, medical history including
  doctors/hospitals, proof of US citizenship)
• Re-determination reviews

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Social Security Disability Insurance (SSDI)
A government insurance fund that can be paid to
a person with a disability who has worked and
paid into the social security system or a person
without a disability whose parents or spouse paid
into the social security system (after their
death).
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SSI Eligibility

• Under 18 Physical or mental impairment (or
  combination of impairments) that results in
  marked and severe functional limitations and is
  expected to last at least 12 months or to result
  in death.
• Over 18 Physical or mental impairment or
  combination of impairments prevent working and is
  expected to last at least 12 months or to result
  in death
• Child or Adult (Blind) Vision no better than
  20/200 or a limited visual field of 20 degrees or
  less in the better eye with the use of
  eyeglasses.

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Medicaid

• A program that pays medical bills for eligible
  low-income people
• Anyone receiving SSI automatically qualifies for
  Medicaid (1-95).
• May pay for prescriptions, doctor visits,
  hospital care, dental care, lab work, X-rays, eye
  exams/glasses, home health/hospice, nursing home
  care, mental health care, dialysis and
  transportation to medical visits.

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Social Security Work Incentives

• Impairment Related Work Expenses (IRWE)
• Plan For Achieving Self-Support (PASS)
• Blink Work Expense (BWE)
• Student Earned Income Exclusion (SEIE)
• Trial Work Period
• Extended Period of Eligibility
• Continued Medical Assistance Section 1619 (b)

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Impairment-Related Work Expenses (IRWE)

• Costs for services/materials a person needs to be
  able to work.
• Costs can be deducted if services are needed due
  to disability
• Costs are deducted from Substantial Gainful
  Activity (SGA) level (700).
• Examples wheelchairs, braces, job coach,
  equipment, prosthetics, attendant care, etc.

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Plan For Achieving Self-Support (PASS)

• Allows the pursuit of a specific work goal
• Must be pre-approved
• Must have a savings and spending plan
• Allows individual to set aside some or all income
  up to 48 months.
• Examples transportation to jobsite, vehicle
  purchase, supported employment, work
  tools/equipment/clothes, adaptive equipment, or
  personal assistant services

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Always Talk To the RIGHT Person!
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Workforce Investment Act (WIA)
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Workforce Investment Act of 1998

• Core Goals
• Enhanced employment, retention, and earnings of
  individuals
• Increased occupational skills attainment
• Improved national economic growth through better
  productivity and competitiveness

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WIA Targeted Groups

• Adult (Ages 22 and over and economically
  disadvantaged) basic skills deficient, school
  drop-out, recipient of cash welfare, offender,
  individual with a disability, homeless, food
  stamp recipient.
• Youth (In-School Ages 14-21 and economically
  disadvantaged) drop-out, basic skill deficient,
  pregnant/parenting, homeless/runaway, offender,
  an individual (including youth with disabilities)
  who requires assistance to complete an
  educational program or secure and hold
  employment.

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WIA Youth Services

• Paid/unpaid work
• experiences
• Occupational skills
• training
• Leadership
• development
• Guidance counseling

• Tutoring
• Study skills training
• and instruction
• Alternative school
• services
• Adult mentoring
• Supportive services

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Employment Security Commission (ESC) Job Link
Center
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Job Link Partner Agencies

• Provides one place to address all employment
  and training needs by professionals from a number
  of local agencies
• Employment Security Commission
• Department of Social Services
• Community College
• Vocational Rehabilitation
• Goodwill Industries
• Public Schools
• Workforce Investment Act (WIA)

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Job Link Services

• Internet Listings of
• Jobs and Job
• Searches
• Career Exploration,
• Career Guidance and
• Counseling
• Unemployment
• Insurance Benefits
• Resume and Cover
• Letter Assistance

• Explanation of Job
• Requirements
• State Training
• Inventory
• Occupational
• Employment Statistics
• Resource Library
• Career Assessments
• Fax, Copier and
• Phone Services

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Activity Community Mapping
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Questions