1 / 17

CIL-NET Presents…

CIL-NET Presents…. Implementing and Enforcing Olmstead A National Onsite Training Olmstead Implementation in Wisconsin May 12, 2011 Atlanta, Georgia Presenters: Mike Bachhuber, Executive Director Independent Living Council of Wisconsin

trory
Download Presentation

CIL-NET Presents…

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. CIL-NET Presents… Implementing and Enforcing Olmstead A National Onsite Training Olmstead Implementation in Wisconsin May 12, 2011 Atlanta, Georgia Presenters: Mike Bachhuber, Executive DirectorIndependent Living Council of Wisconsin Karen Avery, Associate DirectorIndependenceFirst (Milwaukee, Wisconsin) 1

  2. Working with Partners 2 Networking starts close to home and reaches out from there Relations with partners closer to home will be different from relations with more distant partners Each partnership relationship is unique

  3. Working with Partners 3 • Networking starts close to home… • What does Your CIL want to accomplish? • What resources do you have to contribute? • Who do you know that can help? • …and reaches out from there • Do you have a state-wide coalition of CILs? • Do other CILs in your state want to do the same thing? • What resources do you all have to contribute? • Who do you know that can help? • And so on…

  4. Working with Partners in Wisconsin 4 • Eight IL Centers • Each develops strategic plan • Input from community • Consistent with State Plan for Independent Living • strategic plan and work plans include advocacy • Some of the ILCs also develop annual advocacy plans • Wisconsin Coalition of IL Centers • Develops statewide systems advocacy plan • All 8 IL Centers contribute to plan, which historically has included Access to Community-Based Services • Grassroots organizing initiative

  5. Working with Partners in Wisconsin • State Plan for Independent Living • Developed by SILC and DSU with IL Centers and WCILC • Need for community supports and services has been recognized historically • One or more objectives address need • Mobilizes resources to address the objectives • SILC can help evaluate progress and mobilize partners at State level

  6. Working with Partners in Wisconsin Broaden partnerships (not all will be disability-specific) Work with People First, GEP (statewide, mental health consumer network), ADAPT and other consumer groups Work with Protection and Advocacy System, DD Council and other disability/aging advocacy partners

  7. Working with Partners in Wisconsin • Examples: • Survival Coalition • Cross-disability coalition in state capital • Make It Work Milwaukee Coalition • Local, cross-disability coalition in state’s largest urban area • St. Croix Valley Disability Coalition • Local, cross-disability coalition in mixed rural and suburban area

  8. Working with Partners in Wisconsin • Participation in official committees/councils can provide access to people and information. • Local Long-term Care and Mental Health Councils • Quality Assurance Committees • Oversight committees, e.g. Aging and Disability Resource Center or Managed Care Organization Boards • WCILC and other coalitions regularly meet with top policymakers

  9. Olmstead Implementation in Wisconsin • State has never developed a formal, state plan • “a comprehensive, effectively working plan for placing qualified persons with mental disabilities in less restrictive settings, and a waiting list that moved at a reasonable pace not controlled by the State’s endeavors to keep its institutions fully populated….” Olmstead v. L.C., 527 U.S. 581 (1999)

  10. Olmstead Implementation in Wis. • State was expanding community services and supports to rebalance care from institutions • “Family Care” managed care program (DD/PD/Aging)   • IRIS self-directed services (DD/PD/Aging) • ICF-MR Rebalancing Initiative (DD) • Community Relocation Initiative (PD/Aging) • Money Follows the Person (PD/Aging) • SSI Managed Care (all disabilities) • Comprehensive Community Services (MH/SA) • Certified Crisis Service Programs (MH) • Community Recovery Services/1915(i) (MH)

  11. Olmstead Implementation in Wis., cont’d. 2 Publicly-Funded Long-Term Care Consumers

  12. Olmstead Implementation in Wis., cont’d. 3 State still uses facilities heavily • 2009 Data

  13. Olmstead Implementation in Wis., cont’d. 4 • CILs committed to Nursing Facility Transition as a “5th core service” • Received federal grant. • CILs and other advocates did not opt to pursue aggressive legal enforcement. • Some CILs, others filed Office of Civil Rights complaints with the U.S. Dept. of Health and Human Services • Future is uncertain

  14. Olmstead Today in Wisconsin • Most LTC consumers also have mental illness • LTC system often fails to respond to this need • People with functional impairment due to mental illness rather than DD/PD/Aging not included in reform • State has decreased preference for institution by shifting institutional cost to counties • This reduced state funds supporting the public mental health system

  15. Working with Partners - Epilogue • Challenges of “playing nice in the sandbox” • When do you bite your tongue? • When do you use the hammer?  • How does enforcement change the nature of partnerships?

  16. Thank You • Karen Avery, Independence First • www.independencefirst.org • kavery@independencefirst.org • (414) 291-7520 • Mike Bachhuber, Independent Living Council of Wisconsin • www.IL-Wisconsin.net/Council • mikeb@ilcw.org • (608) 256-9257

  17. CIL-NET Attribution Support for development of this training was provided by the U.S. Department of Education, Rehabilitation Services Administration under grant number H132B070002-10. No official endorsement of the Department of Education should be inferred. Permission is granted for duplication of any portion of this PowerPoint presentation, providing that the following credit is given to the project: Developed as part of the CIL-NET, a project of the IL NET, an ILRU/NCIL/APRIL National Training and Technical Assistance Program.

More Related