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NASMHPD/NADDDS Attorneys Meeting

This meeting addressed ongoing resistance, courts, and monitoring progress in the Olmstead/Community Living initiatives. Topics included nursing homes, employment for children and young adults, expansion of Olmstead, and congressional oversight. The meeting also covered the repercussions of the DOJ Interim Settlement Agreement and the use of questionnaires to assess employment supports. The issue of guardianship and the role of various organizations were discussed, as well as representative payees and transportation as key factors in community integration. The report findings on psychiatric residential facilities for children and education issues were presented, along with discussions on seclusion and restraint, the school-to-prison pipeline, sheltered workshops, and children in state custody.

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NASMHPD/NADDDS Attorneys Meeting

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  1. NASMHPD/NADDDS Attorneys Meeting November 12, 2013 Monoco Hotel

  2. Olmstead/Community Living • Ongoing Resistance • VOR • Courts • Monitoring the Progress • Nursing Homes • Children • Young Adults

  3. Employment • Expansion of Olmstead (Lane) • Employment First Initiatives • Congressional Oversight • Monitoring of Facilities • Untended Consequences

  4. Rhode Island Report • Result of DOJ Interim Settlement Agreement • Used a Series of Questionnaires with Visits to 7 Licensed DD Organizations • Interviewed 114 Individuals with Employment Supports • 49 individuals reported having had prior integrated work experience in community. • 9 of the 114 were currently working in integrated settings • those working in enclave settings typically made above minimum wage; and • 15 individuals reported having some knowledge of or contact with the VR agency.

  5. Guardianship • The Next Big Issue • ABA, ACLU, NDRN, CPR, Federal Agencies, Quality Trust (DC) • Guardianship Laws • Education Pressure • Supported Decision Making

  6. Representative Payees • NDRN and SSA • Current Project

  7. Rep Payee Program Stats 691 Payees Reviewed 597 (86%) Payees referred to SSA • 397 (57%) Payees had at least 1 major problem found • 200 (28%) Payees had at least 1 minor problem found • only 94 (13%) had no problems found 177 Referral made to 3rd Parties • 103 referrals made to the P&As • 74 referrals made to local, State or Federal agencies

  8. Transportation • Civil Rights • Lynchpin to Community Integration • DOT /DOJ collaboration • Amtrak

  9. Amtrak Report

  10. Private Providers • Juvenile Justice • Psychiatric Residential Facilities for Children • Residential (Res Care)

  11. The Iowa Juvenile Home Report Findings • Excessive Use of Restraint and Seclusion (47,000 hours of seclusion in one year) • Unsafe and deteriorating residences • Education issues

  12. Education • Seclusion and Restraint • School to Prison Pipeline • Sheltered Workshops/Guardianship

  13. Children in State Custody

  14. Power of the Network • Amtrak • SSA

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