Building Relationships for Sustainability

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Building Relationships for Sustainability

• A Chance to Hear Points of View from Ohio, Puerto
  Rico and Washington

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Presenters

• Suzanne Minnich, Ohio
• Anibal Rivera, Puerto Rico
• Bea Rector, Washington State
• Penny Condoll, Moderator, Washington State

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Ohio Where we have been

• Milestones . . .
• 1982-1983 State Brain Injury Association Est.
• 1986- State Association Hires Staff, opens office
• 1988-1989 Study Commission on Ohioans w/Head
  Injury Convened Report issued key
  recommendation establish an "Office on Head
  Injury" within state government to plan and
  coordinate services and foster interagency
  collaboration to address the population's unmet
  needs.
• 1989 Passage of HB 594 creates Office of Head
  Injury (its purposes, by design, mirror those of
  BIAOH to est. public-private partnership) and
  advisory council within Dept. of Health

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Ohio Where we have beenMilestones continued .
. .

• 1989 State Budget Bill includes 86,000
  annually in line for Office on Head Injury with
  ODH
• 1990 ODH-Office on Head Injury grant to State
  BIA expands stablizes helpline, outreach,
  resource identification service linkage
  assistance grant renewed annually
• 1991 Office on Head Injury transferred to RSC
  (Ohio Rehabilitation Services Commission) thru
  State Budget bill to leverage state with
  federal (voc. rehab) match (_at_ 14 ratio)
• 1992 - Ohio Valley Center (OVC) for Head Injury
  Prevention Rehabilitation est. _at_ Ohio State
  University w/4-yr U.S. Dept. of Education
  Rehabilitation Services Administration grant) to
  serve 4-state area. OVC evolves becoming one of
  the countries NIDRR-funded TBI Model Systems
  Program

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Ohio Where we have beenMilestones continued .
. .

• 1993 - Ohio TBI Trust Fund Legislation 1st
  introduced passed House didnt reach floor of
  Senate for vote (election year, process
  unfortunately slowed by opposition of GCPD
  Director)
• 1994 Ohio TBI Trust Fund Legislation
  re-introduced failed due to opposition of
  judges, clerks of courts study issued against
  using courts to collect fines in support of
  initiatives no matter how worthy the cause.
• 1996 BI Advocacy Community retrenches thru
  focus groups designs, The Ohio Plan Building
  Ramps to the Human Service System for Individuals
  w/BI Their Families. Adopted as Ohios
  blueprint for a statewide, comprehensive,
  coordinated resource facilitation system (See
  diagrammatic overview next slide.)

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Ohio Where we have beenMilestones continued .
. .

• 1997 - 100,000 added to State Budget as match to
  apply for federal HRSA grant
• 1998 Ohios 2nd application for HRSA grant
  succeeds. This subsequent HRSA grants result
  in expansion and/or maintenance of Community
  Support Network offices further development of
  Ohios resource facilitation infra-structure
  capacity.
• 2003 (?) HRSA Grant Program expands to include
  P As
• 2006 State Senator announces plans to introduce
  TBI Trust Fund Legislation (Initiative since put
  on back burner due converges of several
  unfavorable circumstances.)

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Ohio Where we are now

• Positive Developments
• Collaboration Synergy between Key TBI
  Partners

Ohio Valley Ctr. - OSUs TBI Model System Program
State BI Program Advisory Council
Brain Injury Assoc. of Ohio
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Ohio Where we are nowPositive Trends Worries
Something has to be done for all these service
men women coming home with TBI!
State Budget Short Fall 1.9 B
Increased Awareness!
Our agency signed up to pilot OSUs TBI
screening method. Who would have guessed so many
of our clients had a prior history of TBI? Now t
hat we know, what do we do?!!
Say, maybe some of the folks in our system do
have BI
Woodruff Military Injuries TBI ID Our
Joint Efforts
All Hazards
Were in demand!
MRDD Professionals
MFP
OHIOCARES
ODADAS
State- Wide Prevention
Juvenile Justice
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Ohio what does the future hold?
We are optimistic! We have . .
gtShared visions, plans gtSuccesses to build
upon gtInterests, Invitations, Innova-tive
approaches gtTrusted Partners budding
associations gtCommitment Energy
Despite challenges, we believe we will continue
to make progress, even if it follows the
incremental path of our past. With increased
awareness will come increased opportunities.
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Puerto Rico Where have we been

• Office of the Ombudsman for Persons with
  Disabilities
• Protection and Advocacy for TBI

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Puerto Rico Where we are now

• Lack of Knowledge of TBI and Its Implications

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Puerto Rico What does the future hold

• Growth in Needs and Demands
• Need for Legislation

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Washington Where we have been

• 2003 to Present -- Federal HRSA
  Implementation/Infrastructure Grant
• 2006 -- Created TBI Strategic
  Partnership Council for Grant
• 2007 -- Passage of Legislation Creating
  Advisory Council, TBI Fund and Focus within
  the Department of Social and Health Services

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Washington Where are we now

• 24 member Governor appointed TBI Council to
  advise Governor, Legislature and Department
• TBI Fund - 2.00 fee on moving violations
• Development of Comprehensive Statewide Plan
• Implementation of limited activities/services
• Building on Energy and Momentum

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Washington What does the future hold

• Final Statewide Comprehensive Plan due to
  Governor and Legislature December 2008
• Statewide Information and Referral for TBI
  survivors, families
• Pilot of a care coordination/case management
  Model
• Public Awareness and Prevention Campaign
• Coordination with State/Federal Veterans
  Organizations
• Service Delivery Models targeted to meet the
  needs of individuals with TBI

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Panel Discussion - Questions

• What are the key ingredients to sustainability?

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Panel Discussion - Questions

• What strategies or approaches has your state
  taken or could other states take to create
  sustainability?

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Panel Discussion - Questions

• 3. What have been or are some of the challenges
  faced in sustainability?

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Panel Discussion - Questions

• 4. Individual supporters within organizations
  seem to be important to sustainability. How has
  your project dealt with the loss of key players?

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Panel Discussion - Questions

• 5. How do you involve survivors and stakeholders
  in sustainability efforts?

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Panel Discussion - Questions

• 6. Looking back on your efforts, what are some
  important lessons learned in building
  relationships and sustainability?

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Panel Contact Information

• Suzanne Minnich
• State of Ohio
• sminnich_at_biaoh.org
• Anibal Rivera
• Puerto Rico
• arivera2_at_oppi.gobierno.pr

• Penny Condoll
• Washington State TBI Council
• condoll1_at_comcast.net
• Bea Rector
• State of Washington
• rectoBM_at_DSHSwa.gov