Supported Employment and Long Term Follow-Along for the Counselor and Job Coach June, 2008

1. Supported Employment and Long Term Follow-Along for the Counselor and Job Coach June, 2008

2. Introductions: • Who are we? • Judy Hill - EES/LTESS Coordinator • Scott Fraley, SE Program Coordinator • Jack Hayek, Program Director ESSP

3. OFFICE OF EMPLOYMENT SERVICES AND SPECIAL PROGRAMS • JACK HAYEK 804-662-7124 • - email JACK.HAYEK@DRS.VIRGINIA.GOV • SCOTT FRALEY 804-662-7016 • - email ESCOTT.FRALEY@DRS.VIRGINIA.GOV • JUDY HILL 804-662-7108 • - email JUDY.HILL@DRS.VIRGINIA.GOV • TIM OLIVE 804-662-7127 • - email TIM.OLIVE@DRS.VIRGINIA.GOV • FAX NUMBER FOR ESSP: 1-804-662-9140 DRS TOLL FREE VOICE 1-800-552-5019 WEBSITE: http://www.vadrs.org then click on Employment and Vocational Services The Supported Employment Guide can be found at: http://vadrs.org/essp/downloads/seguide/pdf

4. What’s in your resource packet? • Understanding Order of Selection Brochure • Power point Presentation • Enclave/Mobile Crew 101, Stability for Individual SE Other SE Issues, Revised SE Forms • OESSP Information Sheet • Appendices B & C - WAT, SA and Provisions for Extended Employment Services (EES) • Appendix D - Guidelines for SE and JCTS • Appendix E - Provision of Long Term Employment Support • LTESS Guidelines • LTESS forms - application, requisition, closure • Policy on Integrated Settings-Employment Outcomes and Extended Employment • Successful Closure • Definition of Most Significant Disability (MSD) • Post Employment • List of Acronyms • List of DRS Statuses • EES/LTESS Forms

5. Topics to Cover: • Insights into SE/Long Term Practices • Brief Historical Background – EES and LTESS • Key Service Requirements for Long Term Follow-Along

6. DRS IMPACT ON ESO PROGRAMS • DRS Field Spends over 10 Million • *DRS OESSP EES and LTESS Spends over 8.3 Million *This includes the 3% reduction in both programs

7. Why are we here? • To stress the importance of communication and collaboration among all parties • Supported employment specifics • Long Term Follow-along – LTESS specifics

8. THE KEYS TO SUCCESSRELATIONSHIPS • Frequent Contacts between VR and JC • Getting info between VR and JC quickly • VR and JC view themselves as part of a team • Access to VR counselor or job coach

9. THE KEYS TO SUCCESSTRUST • VR and JC trust in each other to: • Give sufficient hours to do job • Use hours given efficiently and effectively • Consumer Characteristics/Needs: • Difficult vs. less difficult consumers • Full use of authorized hours vs request cancellations

10. SUPPORTED EMPLOYMENT • Collaboration and Communication • Roles of each of us from referral to follow along • Clarification of services • Individual SE • Group – Enclave, Mobile Work Crew, Entrepreneurial • JCTS

11. What model to use? • Does the consumer require ongoing extended support services in order to maintain competitive employment? • Is it required that a job coach work individually with a consumer? • Does the consumer require employment in a mobile work crew or enclave? • Is employment integrated?

12. SE - Individual Placement • Single supported employee placed in an integrated work setting in the community • employed by employer • ongoing follow-along required • most widely used SE model • Advantages: flexibility, max. integration, ease in differentiating between training and LTFA

13. Enclave Model • small group of supported employees placed in community-based employment • may work together or be dispersed with integrated setting • may be employed by employer or ESO • ongoing follow-along required • advantage: higher level of supervision and support

14. Mobile Work Crew Model • group of supported employees who travel together to one or more integrated work settings in the community to perform contract work • employed by the ESO • ongoing support required • advantage: higher level of supervision and support

15. Entrepreneurial Model • supported employees producing a service or product either on a sub-contract basis or as a prime manufacturer • SE employees, along with managers and others, comprise the business • advantages: integrated, public contact, PR

16. JCTS • Consumer receives initial situational assessment, job development, job skills training, transportation training, or other support services provided by an ESO; however long term follow-along is not necessary after DRS case closure. • This is a separate service and requires applicable service category on vendor’s rate sheet. • Service Item Codes are not the same as those for SE. • Cases can be coded as either MSD or SD.

17. SEPD • The SEPD program is available to provide long term support for individuals with physical or sensory impairments. • Local SEPD counselors coordinate with the field counselor to arrange for long term support. • SEPD counselors may provide follow-along directly or vend with an ESO for this purpose.

18. SEPD • If a person with a most significant physical disability needs SE, the field counselor should discuss the situation with the local SEPD counselor before SE services are planned and provided. • Since SEPD funds are very limited, as well as SEPD counselors’ time, discussion with SEPD counselors is imperative. • Follow along services for SEPD cases in employment status will be funded by DRS. • Long term follow along will be provided by the SEPD counselor or through SEPD funding, if funds are available.

19. SEPD Counselors • Current SEPD Counselors and coverage areas: • Geralyn Nelson, Tidewater Area • Yolanda Fanning, Northern Region • Sheli Sotiropoulos, Northern Region • Donna Grumiaux, Richmond Area

20. DRS Counselor Roles and Responsibilities • Once eligibility is established SE planning begins. • Are long term supports needed? If yes, then SE case. If no, consider JCTS. • Identify long term support. • SE cases must be coded as MSD. • Share sufficient diagnostic information.

21. DRS COUNSELOR ROLE • Establish benchmarks regarding progress. • Stop the process if needed and discuss issues – Interrupt Failure if needed. • Clarify expectations. • Maintain a separate role with consumer from vendor. • Continue to communicate with consumer after referral to job coach. • Case statuses must be properly updated.

22. Assist consumer with locating suitable job matches. Assist in job search efforts. Provide timely written reports and phone contacts with updates as needed. Provide job skills training as needed. Ensure consumer stability and job satisfaction on both consumer and employer side. Provide extended support services, where appropriate. Job Coach Role:

23. Communicate and collaborate with DRS Counselor and consumers. Providing information as to fading plans, need for follow-along, funding options. Work as a team with DRS, case managers, consumers, families, etc. to improve likelihood of success. Job Coach Responsibilities

24. Topics coming up:Communication Issues • Initial Planning • Authorizing Services • Service Provision • Report Writing • Invoicing

25. Opportunities for Communication and Collaboration • Initial Planning Expectations • Situational Assessment • SE vs. JCTS • Job Goal/Development • Placement and Training • Stability/Fading • Long Term Follow Along

26. WHO PAYS FOR SERVICES? • Initial Planning for Services: • DRS pays for situational assessment, job development and placement and training through stabilization • Long term support funds pay for extended services including post stabilization while the case is still open. Examples-LTESS,CSB • DRS pays for post employment, not LTESS

27. Opportunities for Communication and Collaboration • Authorizing Services: • All authorizations need to consider individual consumer need. • Need to be in place prior to provision of service. • Justification needed for requested hours and a timely response from counselors including emergencies like post employment. • DRS Counselor should keep in mind that there are no caps/no maximums.

28. Opportunities for Communication and Collaboration • Service Provision: • Job Development • Agreement of goals for consumer. • Provide sufficient service hours - No maximums or minimums, individually considered. • Monthly progress reports should contain information as to name, numbers and types of contacts made, strategies applied, job development hours used, potential placement possibilities or outcomes expected and request for next month.

29. Opportunities for Communication and Collaboration • Service Provision: • Job Placement/Training • No maximum or minimum hours allowed for Placement/Training - has to be individually considered (18 month duration limitation). • Training time is not standardized . • Monthly reports, including intervention percentage and fading schedule along with progress made to date.

30. INVOICING:Billable Services under SE Expectation of Counselor – Complete, Timely, Individualized, and Accurate Billing • Work Site Activities: • Includes travel, training and intervention with consumer, employer, and employees at work site • Job Development Activities: • Includes consumer specific job development with employers, supervisors, and other personnel for purposes directly relating to employment • Off-Site Activities: • Includes training in transportation, money handling, and advocacy for persons not directly affiliated with the work site

31. INVOICING:Billable Services under SE • Assessment/Report Writing: • Includes provision of situational assessment services and all task analysis, training and progress report writing • Billing for report writing and telephone calls should reflect actual and reasonable time spent, not standardized times

32. Fading: • Intervention percentage time is the time the Job Coach spends supporting the consumer on the job site divided by the total number of hours worked. • Intervention declines over time as a measure of progress.

33. EMPLOYMENT STABILITY AND THE MOVEMENT FROM TIME LIMITED TO LTESS FUNDING

34. WHAT IS STABILITY? • Traditional guideline: job coaching support is 20% or less. This may not always be the case. • Consumer is emotionally, behaviorally stable. • Consumer will demonstrate stability for at least 30 days in “training” status before case is moved to “employment” status. • Last placement and training form (SE Form 3) submitted to DRS must note stability has been reached and when the case will begin long term follow along. • Communication between the ESO and DRS is imperative for this action to be successful.

35. How to calculate STABILITY? • “Stability” is the direct/indirect intervention hours by the employment specialist divided by the number of consumer work hours for that time period (usually calculated weekly and/or monthly). • Example: 10 intervention hours divided by 20 consumer work hours is 50%. While DRS case service and LTESS funds pay for employment specialist transportation and documentation, the hours spent providing these services do not enter into the calculation of “stability”.

36. DRS Case Movement • The DRS Counselor keeps the consumer in training status until stability for 30 days or more is achieved. • The DRS counselor will then move the consumer to “employment” status for at least 90 days. • Once the consumer has worked for a minimum of 90 days or more and remains stable on the job, the case is successfully closed “employed”.

37. ESO Action to Access LTESS • Before the 30 day stability period ends, a LTESS application must be received no later than the 20thof the month preceding the start of follow along services. This ensures that LTESS funds will support LTFA after time limited services by the DRS counselor ends. • All LTESS applications must be approved by a DRS counselor. The ESO must document the approval in the case record.

38. LTFA VS POST EMPLOYMENT SERVICES • LTFA is the maintenance of a person in employment. • LTFA does not mean case management. • If retraining, job placement or other services are needed, the DRS counselor should be contacted immediately. The consumer probably will need services other than LTFA.

39. QUESTIONS?????

40. ONE LAST REMINDER • LTESS funds vocational support services that are necessary and sufficient for consumers to maintain employment. Case management, independent living or other services that are not vocational in nature should not be billed to LTESS funds. Per the Code of Virginia, LTESS funds are not appropriated by the General Assembly to fund those services.

41. EES/LTESS BUDGETSFISCAL YEARS 08-09 • Additional LTESS dollars in FY 07 of $763K • Three new vendors were added – • Commonwealth Supportive Services • Emmett Jones and Associates • PORTCO, Inc. • Total LTESS dollars - $5,184,045 • LTESS funds reduced by 3% • No additional LTESS for FY 2008 or 2009

42. EES/LTESS BUDGETSFISCAL YEARS 08-09 • Total EES for FY 08 and FY 09 maintained at $3,194,284 which include the permanent 3% reduction

43. LTESS HISTORY • Grassroots effort by ESOs with General Assembly in FY 94 • Success for FY 95 - $375,000 in State funds with primary target of Supported Employment Follow Along for persons with severe disabilities • Incremental increases most years

44. Long Term Employment Support Services Funding 95-08

45. Extended Employment Services Funding 95-08

46. EES/LTESS – What’s the difference? EES Funding: • Services provided are onsite employment, enclave and mobile crews – No individual SE • No counselor approval • Limited number of ESOs involved • No additional allocations – program not growing LTESS Funding: • Full array of services provided including individualsupported employment, onsite employment, enclave and mobile crew • Counselor must be involved in the approval of consumers • Double the number of ESOs involved in LTESS funding • Concentrated efforts to “grow” the LTESS pot

47. Extended Employment Services (EES) - History • First allocated from General Assembly for FY 84 and 100% state funds. • Current allocation has grown to over $3.2M distributed across the original 41 vendors providing Extended Employment Services to fund long term support to severely disabled consumers. • No additional funds allocated from the General Assembly since 1989. • Numbers of consumers served have declined over the years because of no increase in funds.

48. EES • Half of ESOs provide community placement – enclaves and/or mobile crews. • Individuals served primarily have disabilities of MR (66%) or SMI (14%). • EES is not restricted to DRS consumers. • Must be one of the original vendors to receive an EES allocation. • Allocations have basically remained the same since 1989 until FY 04 when an additional $118,944 was added from Economic Developmentfunds.

49. EES • Any consumer is eligible for EES funds as long as they are documented as having a severely disability. • Counselors do not have to be contacted prior to an EES application. • ESO must provide an integrated setting for a DRS/DBVI counselor to receive a closure. The counselor may still refer a consumer to an ESO that is not integrated if that is the best placement. • Bottom line is to do what is best for the consumer. • Due to limitations in the EES program, ESO community lobbied for additional follow along dollars which would be available to all approved vendors….

50. LTESS - WHAT IS IT? • Long Term Employment Support Services • 100% State dollars appropriated by the General Assembly for FY1995 • Intended as long term funding to support individuals with severe disabilities in accessing and maintaining employment • Not intended to supplant other funds used for the same purpose.