COMMUNITY BASED SERVICES DIVISION

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COMMUNITY BASED SERVICES DIVISION
Director Mary-Margaret Cash Program
Managers Patricia Goodall, Richard Kriner,
Theresa Preda, William Rhodenhiser, Carolyn
Turner
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DRS Mission Statement
In partnership with people with disabilities and
their families, the Virginia Department of
Rehabilitative Services collaborates with the
public and private sectors to provide and
advocate for the highest quality services that
empower individuals with disabilities to maximize
their employment, independence and full inclusion
into society.
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FOUR DIVISIONS OF DRS
Field Rehabilitation Services (FRS) Community Based Services (CBS)
Woodrow Wilson Rehabilitation Center (WWRC) Disability Determination Services (DDS)
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Community Based Services Division (CBS DIV)

• Mission Statement
• Respectfully creating real life solutions that
  maximize the employment, independence, and full
  inclusion of people with severe disabilities.

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Community Based Services Division (CBS DIV)

• Brain Injury Services Coordination (BISC)
• Community Rehabilitation Case Management Services
  (CRCMS)
• Disability Services Boards (DSBs)
• Independent Living Services (ILS)
• Personal Assistance Services (PAS)
• Rehabilitation Services Incentive Fund (RSIF)

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Community Based Services (CBS) Division
Managers Front Row Theresa Preda, Richard
Kriner, Patricia Goodall Second Row Carolyn
Turner, Bill Rhodenhiser, and Mary-Margaret Cash,
Director
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History of Community Based Services Division (CBS
DIV)

• DRS Commissioner Susan Urofsky was instrumental
  in advocating for the establishment of a state
  level disability commission appointed by
  Governor
• 1990 General Assembly passed House Joint
  Resolution (HJR) 45 patroned by Del. Alan Mayer
  to establish the Commission on the Coordination
  of the Delivery of Services to Facilitate the
  Self-Sufficiency and Support of Persons with
  Physical and Sensory Disabilities
• Known as the Disability Commission

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History of Community Based Services Division
(CBS DIV) contd.

• Disability Commission initiatives led to Code
  of VA changes
• One of first to designate a lead agency DRS -
  to coordinate services for people with physical
  and sensory disabilities, including traumatic
  brain injury (1992)
• One of first to establish state-funded long-term
  case management (est. 1988, in Code 1992), now
  called Community Rehabilitation Case Management
  Services Program (CRCMS) - serves people with
  brain injury as well as other disability groups
• One of first to establish a central registry for
  mandatory statewide reporting by all Virginia
  hospitals of anyone treated for brain injury and
  spinal cord injury (1984)

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History of Community Based Services Division
(CBS DIV) contd.

• DRS is responsible for administering state funds
  for programs and services established through
  Disability Commission-related legislation and
  budget amendments for this population (physical
  and sensory impairments)
• DRS also carries out legislative study
  resolutions
• DRS Community Based Services Division manages
  state-funded programs providing services for
  people with physical and sensory disabilities
  (non VR)

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Community Based Services Division (CBS DIV)

• Provides services for individuals with the most
  significant disabilities
• Individuals do not have to be eligible for DRS
  Vocational Rehabilitation services however
• CBS does collaborate with Field Rehabilitation
  Services when person is receiving VR services
• CBS programs are often the fund of last resort
• CBS programs provide information and referral
• goods and services and financial assistance

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Community Based Services Division (CBS DIV)

• In addition to Program Management
• responsibilities, CBS staff work
• collaboratively by
• Serving on work groups,
• task forces, advisory committees
• Participating in federal/state grant activities
• Providing information to legislators and
  advocates and
• Providing training and technical assistance to
  professionals, family members, and the public.

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Community Based Services Division (CBS DIV)

• Mission Statement
• Respectfully creating real life solutions that
  maximize the employment, independence, and full
  inclusion of people with severe disabilities.

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Community Based Services Division (CBS DIV)

• Brain Injury Services Coordination (BISC)
• Community Rehabilitation Case Management Services
  (CRCM)
• Disability Services Boards (DSBs) Independent
  Living Services (ILS)
• Personal Assistance Services (PAS)
• Rehabilitation Services Incentive Fund (RSIF)

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Brain Injury Services Coordination Unit

• Program Manager Patricia Goodall
• Phone [phone]
• Email Patti.Goodall_at_drs.virginia.gov

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Brain Injury Services Coordination (BISC) Unit

• DRS Brain Injury Services staff first hired in
  1992
• BISC Unit administers over 6 million a year in
  state-funded programs and services
• State general funds - appropriated by the General
  Assembly are used for
• case management services (adults and children)
• specialized clubhouse and day program
• community support services (e.g., life skills
  training)
• regional resource coordinators, and
• supported residential services (Northern
  Virginia)

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Pediatric Case Management
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Adult Case Management Services
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Therapeutic services
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Business Unit of theWestwood Clubhouse
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Clubhouse members report on personal goals at end
of the day
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Clubhouse membersand staff work together
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Brain Injury Services Coordination (BISC) Unit
contd.

• BISC provides staff support to the Virginia Brain
  Injury Council (VBIC), an advisory group to the
  DRS Commissioner
• Initially established in 1986 by Virginias then
  Secretary of Health and Human Resources, Eva Teig
  
• 2006 budget amendment directed DRS to consider
  Council recommendations regarding the use of new
  state funding for brain injury services
• BISC works with VBIC, Virginia Alliance of Brain
  Injury Service Providers (VaBISP), and other
  advocacy and advisory groups to develop and
  monitor a state brain injury action plan

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Brain Injury Services Coordination (BISC) Unit
contd.

• Manages the Commonwealth Neurotrauma Initiative
  (CNI) Trust Fund (www.vacni.org), a Code of
  Virginia mandated program that administers nearly
  2 million in grant funds annually for research
  and rehabilitative programs for people with brain
  and spinal cord injury
• Manages a federal TBI Act grant (2006-09)
  focusing on developing the states infrastructure
  for the delivery of brain injury services
  SOSBIS applying for 2010-13 federal TBI Act
  grant funding

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Community Rehabilitation Case Management Services
Program

• Program Manager Carolyn Turner
• Phone [phone]
• Email Carolyn.Turner_at_drs.virginia.gov

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Community Rehabilitation Case Management
Services (CRCMS)

• Established in 1988 by the General Assembly to
  provide service coordination for individuals with
  severe physical and sensory disabilities put
  into the of Virginia in 1992.
• Formerly known as the Long Term Rehabilitation
  Case Management Program (LTRCM).
• Currently merged with OBRA (Omnibus Budget
  Reconciliation Act of 1987) which provides
  specialized services to eligible people in
  nursing facilities.
• Approved to provide Service Coordination under
  Developmental Disabilities Medicaid Waiver

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Community Rehabilitation Case Management Services
(CRCMS) contd.

• Individual must have a documented disability that
  includes but is not limited to the following
• traumatic brain injury
• spinal cord injury
• cerebral palsy
• arthritis
• muscular dystrophy
• multiple sclerosis
• Prader-Willi
• systemic lupus

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Specialized Services

• Consumer using an LCD touch screen and
  indestructible keyboard mounted on a custom tilt
  frame with copy holder.

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Specialized Services

• Consumer using a custom over the bed LCD monitor
  mount with a head pointing device as his means of
  access.

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Disability Services Boards andRehabilitation
Services Incentive Fund

• Program Manager Richard Kriner
• Phone [phone]
• Email Richard.Kriner_at_drs.virginia.gov

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Disability Services Boards (DSBs)

• Established by the General Assembly in 1992
• Duties
• Assess local needs and priorities of people with
  physical and sensory disabilities
• Administer Rehabilitation Services Incentive Fund
  (RSIF)
• Advise local and state government
• Educate and inform local community
• Members
• Appointed by local government
• Local official from each participating
  jurisdiction
• Two representatives from business community
• People with physical and sensory disabilities or
  their family members

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Rehabilitation Services Incentive Fund (RSIF)

• Established by General Assembly in 1994 to Meet
  programmatic and individual recipient needs not
  otherwise met through existing federal, state, or
  local programsand develop community programs to
  meet the needs of persons with physical and
  sensory disabilities.
• RSIF funds allocated to DSBs for grant proposals.
  Limited funds available for DSB-related
  administrative tasks.
• Funding of RSIF grant applications based on needs
  assessments conducted by local DSB.

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Independent Living Services

• Program Manager Theresa Preda
• Phone [phone]
• Email Theresa.Preda_at_drs.virginia.gov

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Independent Living Services (ILS)

• What is a CIL? Centers for Independent Living
  or CILs - are non-residential places of action
  and coalition where people with disabilities
  develop skills that empower them to make life
  style choices.
• What do CILs do? CILs provide services to
• individuals with significant disabilities
  information and referral, peer counseling,
  independent living skills training, and
  individual and systems advocacy.
• communities disability awareness, technical
  assistance regarding accessibility and legal
  issues, and general disability related
  information.

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Learning Independent Living Skills

• Tub with Lift. CILs teach consumers how to
  purchase and use adaptive items for personal
  hygiene.

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• Accessible Shower

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Independent Living Skills (continued)

• CIL Accessible Kitchen Many CILs teach meal
  preparation as well as practical applications for
  adaptive kitchen equipment.

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Independent Living Skills (continued)

• CIL Accessible Kitchen

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Independent Living Services (ILS) contd.

• Where are CILs located? CILs are in 16 of the 23
  Planning Districts. Per capita, Virginia has one
  of the largest numbers of Centers in the country.
• How are CILs created? CILs are created through
  the local efforts of people with disabilities,
  family members, friends, and others. Establishing
  a CIL requires building a coalition of people
  willing to become involved in the empowerment of
  people with disabilities.
• How are CILs funded? CILs are funded with state,
  federal, local, and private funds. Nearly 6
  million in state and federal dollars operate
  Virginias 16 CILs.

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Personal Assistance Services

• Program Manager William Rhodenhiser
• Phone [phone]
• Email William.Rhodenhiser_at_drs.virginia.gov

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Personal Assistance Services (PAS)

• PAS - sometimes called attendant care is the
  provision of services such as bathing, eating,
  dressing, transferring, and other necessary
  activities of daily living. It is literally
  hands on assistance. DRS supplements the cost
  but does not provide the services directly. The
  consumer hires their own personal assistants.
• Services are provided to individuals with
  physical disabilities (such as spinal cord
  injury, cerebral palsy, and muscular dystrophy)
  who require assistance from another person to
  perform non-medical activities of daily living.

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Some PAS activities

• Assistance with grooming

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• Assistance with laundry

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• Assistance with repositioning

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• Assistance with dressing

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Personal Assistance Services (PAS) contd.

• DRS funds personal assistance services in three
  ways
• 1. Vocational Rehabilitation PAS (VR-PAS)
• funded through Title I of the Federal
  Rehabilitation Act
• Consumer-directed PAS - available to VR consumers
  who are interested in and able to manage a
  personal assistant
• Agency-managed PAS - available to VR consumers
  who do not wish or are not able to manage their
  own assistant
• 2. State PAS
• funded through State General Funds there is a
  waiting list
• consumer-directed only
• available to individuals who do not qualify for
  personal assistance under VR-PAS, Medicaid
  Works, or any of the Medicaid Waivers, Social
  Services Home Based Care, or other comparable
  source

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Personal Assistance Services(PAS) contd.

• 3. PAS for Individuals with Brain Injury (PAS/BI)
• funded through State General Funds
• very limited amount of funding, therefore serves
  a small number of people (less than 6)
• consumer-directed in structure, however
  individual designates a personal representative
  to help with overall direction of PAS services
• available to individuals with brain injury who do
  not qualify for personal assistance under any
  other source

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Community-BasedServices Division (CBS)

• For more information about CBS Division programs
  and services, visit the DRS website
• http//www.vadrs.org/community.htm