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Employment & Day Services Forum

Employment & Day Services Forum. New Jersey Department of Human Services Division of Developmental Disabilities. Agenda. Introduction 2007 Standards for Supported Employment 2007 Standards for Adult Day Programs Break DDD Monitoring Q & A. Kathy Walsh Aaron Soto Julia McConnell

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Employment & Day Services Forum

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  1. Employment & Day Services Forum New Jersey Department of Human ServicesDivision of Developmental Disabilities

  2. Agenda • Introduction • 2007 Standards for Supported Employment • 2007 Standards for Adult Day Programs • Break • DDD Monitoring • Q & A

  3. Kathy Walsh Aaron Soto Julia McConnell Jeanette Marquez Naomi Woolever Ted Klein Jennifer Joyce Terre Lewis Roni Kantor Kate Logan Thank YouCommittee Members

  4. Thank You Pilot Participants • CP of North Jersey – NRO • ARC Essex County – UCRO • New Horizons in Autism – LCRO • Kelsch Associates - SRO

  5. The “Manuals” • Supported Employment Standards and Day Program Standards decoupled • Both manuals, forms, and attachments found at: http://www.state.nj.us/humanservices/ddd/index.html • Standards vs. “How to”

  6. Standards for Supported Employment Services 2007 New Jersey Department of Human Services Division of Developmental Disabilities

  7. Assistant Commissioner Kenneth Ritchey • Office of Housing & Resource Development • Director, Kathie Szul • Terre Lewis, Tom Cody • Regional AT/SE Coordinators • NRO- Pat Mayurnik • UCRO- Naomi Woolever • LCRO- Roni Kantor • SRO- Jeanette Marquez • Supported Employment Providers/Vendors

  8. Section I (p. 4-5)Introduction • Purpose and Scope • Purpose of this manual is to establish standards for the provision of SE services • Applies to all DDD contracted SE providers • This replaces the former SE/DP Manual of 2002 • How to use this Manual • Monitoring • Supported Employment Background • Supported Employment Vision Statement • Supported Employment Mission Statement

  9. Section II (p.6-12)Overview of SE Services • Basic Terminology • Models of Supported Employment • Phase of Supported Employment • Instructional Teaching Techniques

  10. Section III- (p.13)Interagency Agreement& Coordination with DVRS & CBVI • Basic Terms of Interagency Agreement • Coordination with DVRS & CBVI~ All DDD contracted SE service providers must be DVRS and/or CBVI vendors for SE services. * A new MOU is currently under revision. Changes to manual to follow….

  11. Section IV (p.14-19)Standards • Chapter 1-Administration • Policy & Procedures • Program Description • Annex A • Continuous Quality Improvement • Accreditation • Chapter 2- Personnel • Legal Compliance • Minimum Staff Compliance • Professional Development • Staff Personnel File

  12. Standards continued… • Chapter 3- Service Delivery (p-20-22) • Follow Along Supports • Assignment/Designation of Plan Coordination • Service Plan Development • Advocacy & Rights • Complaints • Direct Time & Billable Hours • Follow Along Services

  13. Standards continued… • Chapter 4- Record Keeping & Reporting (p.23-24) • Individual File • Intervention Plan & Service Log • SE Monthly Data Report • Online Attendance

  14. Section VResources • State Resources • Professional Support & Resources • Advocacy & Support • Centers for Independent Living • Accommodation Information and Support • Transportation • Additional Resources/Websites

  15. Section VIAppendices • Interagency Agreement (DDD, DVRS, & CBVI) • Interagency Wage & Hour Division • Division Rights Document • Continuous Quality Improvement Template • Service Plan (IHP) • Flow Chart • Unusual Incident Report

  16. Section VIIForms • Intervention Plan & Service Log • Supported Employment Monthly Report • DVRS/CBVI Determination Notification Letter • Orientation Checklist • Monthly Individual Attendance and Service Hour Report*

  17. Major Changes

  18. Major Changes • SE Manual separated from the DP • Vision & Mission Statement • Terminology • Standards • Forms • Reporting

  19. Changes to Standards • Personnel Standards • Specific to Supported Employment • Aligned with DVRS standards • Training • Orientation prior to independent field work • Completion of Job Coach 1 & 2 w/in the first 120 days of employment • Professional Development Training - 2 trainings annually* • Training applies to all direct service staff including SE supervisors

  20. More changes to Standards • Service Delivery • Minimum of one face to face contact per month unless otherwise agreed upon by the Interdisciplinary Team (IDT) and is documented in the Service Plan (IHP) • The Job Coach or SE representative shall attend the Service Plan meeting • For individuals receiving only SE services, the assignment of the Service Plan coordinator shall be the DDD Case Manager

  21. Changes to Terminology • Consistent with National definitions according to the Department of Labor…..

  22. Changes to Forms & Reports • DDD & DVRS will share the same form…..the Intervention Plan & Service Log • The Orientation Check list shall be completed and maintained in employee personnel files (n/a to employees hired prior to January 1st, 2008) • Supported Employment Monthly Report

  23. More Changes to Come…. • DDD, DVRS & CBVI are currently revising the Memorandum of Understanding (MOU). • Changes will be made to the Supported Employment Manual upon Completion of the MOU • It is recommended that you regularly check the DDD web for any notifications of change

  24. Technical Assistance Jennifer Joyce- Director, Training & Consultation Services The Arc of New Jersey- Project Hire (Telephone) 732-246-2525 ext. 32 (E-Mail) jjoyce@arcnj.org

  25. Standards For Adult Day Programs 2007 New Jersey Department of Human Services Division of Developmental Disabilities

  26. Manual Outline • Introduction • How to use the manual • Definitions • Standards • Appendices • Forms and other documents • Index

  27. Purpose • “The purpose of this manual is to establish standards for the provision of day services to people with developmental disabilities”

  28. Scope • This manual shall apply to the following program models: • Adult Day Services • Adult Day Services - Special Needs • Adult Day Services - Crew Labor

  29. Standards • Chapter - Number and Title • Subchapter - Numbered standards • Code: • S = Standard • PP = Policy and Procedure • F# = Form # • A# = Appendix #

  30. Major Changes

  31. Waiver/ Variance (new)Chapter 3, page 10 • Waiver - the temporary suspension of a standard that is granted in writing by the Division • Variance - written recognition by the Division that the program has complied with the intent of a standard in a Division-approved alternative manner

  32. Waiver/ Variance • May present no danger to the health, welfare or rights of individuals • Requests made to Regional AT/SE Coordinator • Use waiver/ variance form • Provide justification • Issuance limited to: • Hardship to program • Individual needs

  33. Complaints (new) Chapter 4, page 16 • Contract (new) Chapter 5, page 12 • Continuous Quality Improvement Chapter 6 page 13

  34. Policy & Procedure (new)Chapter 7, page 14 • Developed by service provider • Available on site for staff’s use • 10 required Policies/ procedures • Must comply with standards • Reference Division Circulars when indicated

  35. Policy & Procedure • Unusual Incident Reporting • Investigations • Abuse, Neglect and Exploitation • Complaint/ Grievance Resolution • Emergency Plans • Life-Threatening Emergencies • Health/ Medical • Medication Administration • Transportation • Personnel

  36. Personnel Chapter 8, page 15 • Staff Training (new) Chapter 9, page 18 • Staff Personnel File (new) Chapter 10, page 21

  37. Physical Plant Chapter 11, page 21 • Transportation Chapter 12, page 22 • Safety Chapter 13, page 24

  38. Advocacy and Rights (new) Chapter 14, Page 25 • Rules (new) Chapter 15, Page 26 • Program Design Chapter 16, page 27

  39. Admission/Discharge Chapter 17, page 28 • Suspension/Attendance Chapter 18, page 30 • Health and Medical Chapter 19, page 32

  40. Unusual Incidents Chapter 21, page 39 • Behavior Management Chapter 22, page 40 • Service Plan Chapter 23, page 41

  41. Daily Training Record Chapter 24, page 42 • Compensation Chapter 25, page 43 • Financial (new) Chapter 26 , page 44

  42. Individual Records Chapter 27, page 45 • Other Records Chapter 28, page 47

  43. Forms • Download from the web • Specific to day programs • Instructions available for some • Templates coming soon!

  44. Appendices • Download from the web • Standard DDD forms • Reference materials

  45. Index • Alphabetical listing of subjects, topics, terms and the pages they can be found on A Activity Schedule, 4 ADA, 21 Adaptive Behavior Summary, 28, 45, 48 Adaptive Equipment, 4 Administration, 2, 35, 36, 37, 45, 48 Admission, 2, 28, 48

  46. DDD Monitoring

  47. DDD Monitoring • Beginning January 2008 • 20% of agencies per year • 30 days prior notice • Data collected with monitoring tool • Exit meeting to review findings • Review Report • Follow up • Technical assistance

  48. Monitoring Areas • Administrative Review • Employee Personnel File Review • Individual Record Review • Facility Review • Transportation Review • Medication Review • Supported Employment Review

  49. Monitoring Domains • Critical findings • Urgent, need immediate attention • Significant Findings • Impede program from meeting regulatory requirements • Moderate Findings • Potentially impede the agency, program, or individual from receiving services

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