COMMUNITY BASED SERVICES DIVISION DRS Mission Statement Community Based Services Division (CBS DIV) Mission Statement “Respectfully creating real life solutions that maximize the employment, independence, and full inclusion of people with severe disabilities.” History of Community Based Services Division (CBS DIV) * DRS Commissioner Susan Urofsky was instrumental in advocating for the establishment of a state level “disability commission” appointed by Governor * 1990 General Assembly passed House Joint Resolution (HJR) 45 patroned by Del. Alan Mayer to establish the “Commission on the Coordination of the Delivery of Services to Facilitate the Self-Sufficiency and Support of Persons with Physical and Sensory Disabilities” * Known as the “Disability Commission” History of Community Based Services Division (CBS DIV) cont’d. * “Disability Commission” initiatives led to Code of VA changes: * One of first to designate a “lead agency” – DRS - to coordinate services for people with physical and sensory disabilities, including traumatic brain injury (1992) * One of first to establish state-funded long-term case management (est. 1988, in Code 1992), now called Community Rehabilitation Case Management Services Program (CRCMS) - serves people with brain injury as well as other disability groups * One of first to establish a central registry for mandatory statewide reporting by all Virginia hospitals of anyone treated for brain injury and spinal cord injury (1984) History of Community Based Services Division (CBS DIV) cont’d. * DRS is responsible for administering state funds for programs and services established through Disability Commission-related legislation and budget amendments for this population (physical and sensory impairments) * DRS also carries out legislative study resolutions * DRS Community Based Services Division manages state-funded programs providing services for people with physical and sensory disabilities (non VR) Community Based Services Division (CBS DIV) * Provides services for individuals with the most significant disabilities * Individuals do not have to be eligible for DRS Vocational Rehabilitation services; however… * CBS does collaborate with Field Rehabilitation Services when person is receiving VR services * CBS programs are often the fund of “last resort” * CBS programs provide information and referral; goods and services; and financial assistance Community Based Services Division (CBS DIV) In addition to Program Management responsibilities, CBS staff work collaboratively by: • Serving on work groups, task forces, advisory committees; • Participating in federal/state grant activities; • Providing information to legislators and advocates; and • Providing training and technical assistance to professionals, family members, and the public. Community Based Services Division (CBS DIV) Mission Statement “Respectfully creating real life solutions that maximize the employment, independence, and full inclusion of people with severe disabilities.” Brain Injury Services Coordination Unit Program Manager: Patricia Goodall Phone: 804/662-7615 Email: Patti.Goodall@drs.virginia.gov Brain Injury Services Coordination (BISC) Unit * DRS Brain Injury Services staff first hired in 1992 * BISC Unit administers over $6 million a year in state-funded programs and services * State general funds - appropriated by the General Assembly – are used for: * case management services (adults and children) * specialized clubhouse and day program * community support services (e.g., life skills training) * regional resource coordinators, and * supported residential services (Northern Virginia) Pediatric Case Management Adult Case Management Services Therapeutic services Business Unit of the Westwood Clubhouse Clubhouse members report on personal goals at end of the day Clubhouse members and staff work together Brain Injury Services Coordination (BISC) Unit cont’d. * BISC provides staff support to the Virginia Brain Injury Council (VBIC), an advisory group to the DRS Commissioner: * Initially established in 1986 by Virginia’s then Secretary of Health and Human Resources, Eva Teig * 2006 budget amendment directed DRS to consider Council recommendations regarding the use of new state funding for brain injury services * BISC works with VBIC, Virginia Alliance of Brain Injury Service Providers (VaBISP), and other advocacy and advisory groups to develop and monitor a state brain injury action plan Brain Injury Services Coordination (BISC) Unit cont’d. * Manages the Commonwealth Neurotrauma Initiative (CNI) Trust Fund (www.vacni.org), a Code of Virginia mandated program that administers nearly $2 million in grant funds annually for research and rehabilitative programs for people with brain and spinal cord injury * Manages a federal TBI Act grant (2006-09) focusing on developing the state’s infrastructure for the delivery of brain injury services [SOS:BIS]; applying for 2010-13 federal TBI Act grant funding Community Rehabilitation Case Management Services Program Program Manager: Carolyn Turner Phone: 804/662-7107 Email: Carolyn.Turner@drs.virginia.gov Community Rehabilitation Case Management Services (CRCMS) * Established in 1988 by the General Assembly to provide service coordination for individuals with severe physical and sensory disabilities; put into the of Virginia in 1992. * Formerly known as the Long Term Rehabilitation Case Management Program (LTRCM). * Currently merged with OBRA (Omnibus Budget Reconciliation Act of 1987) which provides specialized services to eligible people in nursing facilities. * Approved to provide Service Coordination under Developmental Disabilities Medicaid Waiver Community Rehabilitation Case Management Services (CRCMS) cont’d. * Individual must have a documented disability that includes but is not limited to the following: * traumatic brain injury * spinal cord injury * cerebral palsy * arthritis * muscular dystrophy * multiple sclerosis * Prader-Willi * systemic lupus Specialized Services * Consumer using an LCD touch screen and indestructible keyboard mounted on a custom tilt frame with copy holder. Specialized Services * Consumer using a custom over the bed LCD monitor mount with a head pointing device as his means of access. Disability Services Boards and Rehabilitation Services Incentive Fund Program Manager: Richard Kriner Phone: 804/662-7059 Email: Richard.Kriner@drs.virginia.gov Disability Services Boards (DSBs) * Established by the General Assembly in 1992 * Duties: * Assess local needs and priorities of people with physical and sensory disabilities * Administer Rehabilitation Services Incentive Fund (RSIF) * Advise local and state government * Educate and inform local community * Members: * Appointed by local government * Local official from each participating jurisdiction * Two representatives from business community * People with physical and sensory disabilities or their family members Rehabilitation Services Incentive Fund (RSIF) * Established by General Assembly in 1994 to “Meet programmatic and individual recipient needs not otherwise met through existing federal, state, or local programs…and develop community programs to meet the needs of persons with physical and sensory disabilities.” * RSIF funds allocated to DSBs for grant proposals. Limited funds available for DSB-related administrative tasks. * Funding of RSIF grant applications based on needs assessments conducted by local DSB. Independent Living Services Program Manager: Theresa Preda Phone: 804-662-7078 Email: Theresa.Preda@drs.virginia.gov Independent Living Services (ILS) * What is a CIL? Centers for Independent Living – or CILs - are non-residential places of action and coalition where people with disabilities develop skills that empower them to make life style choices. * What do CILs do? CILs provide services to: * individuals with significant disabilities: information and referral, peer counseling, independent living skills training, and individual and systems advocacy. * communities: disability awareness, technical assistance regarding accessibility and legal issues, and general disability related information. Learning Independent Living Skills * Tub with Lift. CILs teach consumers how to purchase and use adaptive items for personal hygiene. * Accessible Shower Independent Living Skills (continued) * CIL Accessible Kitchen: Many CILs teach meal preparation as well as practical applications for adaptive kitchen equipment. Independent Living Skills (continued) * CIL Accessible Kitchen Independent Living Services (ILS) cont’d. * Where are CILs located? CILs are in 16 of the 23 Planning Districts. Per capita, Virginia has one of the largest numbers of Centers in the country. * How are CILs created? CILs are created through the local efforts of people with disabilities, family members, friends, and others. Establishing a CIL requires building a coalition of people willing to become involved in the empowerment of people with disabilities. * How are CILs funded? CILs are funded with state, federal, local, and private funds. Nearly $6 million in state and federal dollars operate Virginia’s 16 CILs. Personal Assistance Services Program Manager: William Rhodenhiser Phone: 804-662-7070 Email: William.Rhodenhiser@drs.virginia.gov Personal Assistance Services (PAS) * PAS - sometimes called attendant care – is the provision of services such as bathing, eating, dressing, transferring, and other necessary activities of daily living. It is literally “hands on” assistance. DRS supplements the cost but does not provide the services directly. The consumer hires their own personal assistants. * Services are provided to individuals with physical disabilities (such as spinal cord injury, cerebral palsy, and muscular dystrophy) who require assistance from another person to perform non-medical activities of daily living. Some PAS activities * Assistance with grooming * Assistance with laundry * Assistance with repositioning * Assistance with dressing Personal Assistance Services (PAS) cont’d. DRS funds personal assistance services in three ways: * 1. Vocational Rehabilitation PAS (VR-PAS) * funded through Title I of the Federal Rehabilitation Act * Consumer-directed PAS - available to VR consumers who are interested in and able to manage a personal assistant * Agency-managed PAS - available to VR consumers who do not wish or are not able to manage their own assistant * 2. State PAS * funded through State General Funds; there is a waiting list * consumer-directed only * available to individuals who do not qualify for personal assistance under VR-PAS, Medicaid Works, or any of the Medicaid Waivers, Social Services Home Based Care, or other comparable source Personal Assistance Services (PAS) cont’d. * 3. PAS for Individuals with Brain Injury (PAS/BI) * funded through State General Funds * very limited amount of funding, therefore serves a small number of people (less than 6) * consumer-directed in structure, however individual designates a “personal representative” to help with overall direction of PAS services * available to individuals with brain injury who do not qualify for personal assistance under any other source Community-Based Services Division (CBS) For more information about CBS Division programs and services, visit the DRS website http://www.vadrs.org/community.htm