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Lecture Presenters: Beth Wroblewski, DHS DTLC Deputy Administrator & Sally Mather, MSSW

SW 644: Issues in Developmental Disabilities The Wisconsin Children’s Long-Term Support Service System: Where We’ve Been, Where We Are, and Where We’re Going. Lecture Presenters: Beth Wroblewski, DHS DTLC Deputy Administrator & Sally Mather, MSSW

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Lecture Presenters: Beth Wroblewski, DHS DTLC Deputy Administrator & Sally Mather, MSSW

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  1. SW 644: Issues in Developmental DisabilitiesThe Wisconsin Children’s Long-Term Support Service System: Where We’ve Been, Where We Are, and Where We’re Going Lecture Presenters: Beth Wroblewski, DHS DTLC Deputy Administrator & Sally Mather, MSSW Department of Health Services, Bureau of Long-Term Support Children’s Section

  2. Children’s Long-Term Supports • Where we’ve been • System focused on adults • Institutional settings • Colonies Centers • Role of Parents

  3. Educational Services • Right to an education for children with disabilities • Segregated, self-contained classrooms • Legislative Changes • Free and Appropriate Education

  4. Evolution of WI Children’s Long-Term Support (CLTS) Programs • Family Support Program • Provides goods and services to keep children in their homes • Grant funded – Board for People with Developmental Disabilities • County expansion Statewide

  5. Evolution of WI CLTS Programs • Katie Beckett Program • Parent initiative • Tax Equity and Fairness Reform Act • Access to Medicaid Wisconsin Forward card • Voluntary • Benefits • Children and families • Taxpayer

  6. Evolution of WI CLTS Programs • Katie Beckett Program • Partnership • Public – Private • System – Family • Programmatic structure based on partnership • Value parents as the experts

  7. Families’ Experience • Historically • Disability as a medical condition • Disconnection of families • Messaging still occurs • Evolution of CLTS system

  8. Normalization & Social Justice • Wolf Wolfensberger • Community inclusion as a civic issue • Values-based training

  9. Evolution of CLTS continued… • Shift in systematic foundational values • “light touch” v. comprehensive plans • Home and Community Based Service (HCBS) waivers • Issue for families: some supports available only in out-of-home placements • Redesign of adult support system

  10. Issues Surrounding Access • Fragmentation • Coordination • Issues when families are involved with multiple systems

  11. Choice in services • Menu: Fitting child to the available programs and service options v. child and family-centered planning • Outcome-based language

  12. Quality • Who determines quality? • Are needs being met? • Are family-based outcomes being achieved?

  13. Funding • Evolution of system + State and Federal regulations = Silos of funding • Compass Wisconsin • Blending sources of funding • More seamless for families

  14. Concepts of Compass Wisconsin • Children and families as the North Star • Partnering with families in navigation • Example re utilization of Family Support Program • Trust • Access – Compass Wisconsin Threshold

  15. Concepts of Compass Wisconsin (continued…) • Waiting list reduction • Relational v. “Transactional”

  16. Wisconsin compared to other States • Best-practice & value-based • Commitment to children and their families • Waiting lists • Paternalistic language/values and practice reflected • Learning opportunities

  17. Conclusion • Continued Professional Development • Systematic Challenges • Caseload • Training • Learning conversation opportunities • Shift of shared responsibility to entitlement See Transcript for Biographical Information

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