STRATEGIC ACTION PLAN

Transcription

1 LOGAN COUNTY BOARD OF DEVELOPMENTAL DISABILITIES STRATEGIC ACTION PLAN TABLE OF CONTENTS I. Commentary 2-3 II. Strategic Issues 4 III. Action Plan/Progress Report 5-9 IV. Statements A. Statement of Philosophy 10 B. Statement of Purpose 10 C. Statement of Values D. Statement of Mission 11 V. Organization VI. Opportunities 18 VII. Assessment 19 VIII. Funding Priorities IX. Goals and Objectives APPENDIX A Logan County Board of DD Table of Organization Updated Venn Diagram APPENDIX B Public Hearing Notice Appendix C How to Find Us The office is located at 1851 St. Rt. 47 West. Bellefontaine, Ohio and is open to the public Monday through Friday 8:00 am to 4:00 pm. For more information, visit 1

2 STRATEGIC ACTION PLAN Commentary Strategic Planning Every Person Adds Value to Our Community The Strategic action plan was updated in 2016 and again in An updated survey was developed and sent out in February 2016 and 2017 and the results of that online survey, sent to hundreds of Logan County residents, initiated a response and an action by the LCBDD. The surveys were sent to individuals receiving services, parents, community leaders, employees and retirees. We asked about the actions taken by the Board in response to the surveys and the strategic plan. We wanted to know if we were fulfilling the expectations expressed in the prior survey and outlined in our strategic plan. We were once again overwhelmed by the many positive comments made and the expressed support of the services provided by the Logan County Board of DD, Discovery Center and RTC Industries. Most of the surveys expressed satisfaction with the services provided in Logan County. The surveys expressed interest in community employment, sheltered employment and autism services. The surveys expressed satisfaction with community based employment and opportunities in sheltered employment. Concerns regarding the method LCBDD uses to delay or cancel programs was a concern on some surveys. The original plan was developed by a team of fourteen community leaders who met regularly at the Board office to develop a strategic planning process. The team consisted of staff, families, people served and other key stakeholders gathered in an effort to set goals and outcomes outlined in a strategic plan to carry us through The work we are doing is centered in our belief that every person adds value to our community. Progress will be reported in the Messenger and other communications such as the Bellefontaine Examiner and WPKO. The results of the survey have been balanced with the emerging trends affecting our field. As we prepare and modify the strategic plan we will listen to families and people served and other stakeholders, we will also study the impact of emerging trends and issues in the developmental disabilities world. These will be front and center as we go about our work over the next three years and beyond. They will require us to redefine and redesign how we do many things, including day programs, community employment and community integration. We will be sharing information and updates widely and regularly as we move forward. 2

3 I. The Trends and Issues listed below continue to affect individuals with DD and continue to be incorporated in our planning process: 1. ADA In 1990 the U.S. Supreme Court declared that people with developmental disabilities have the right to receive services in the most integrated setting appropriate to their needs. Read More, 2. The Olmstead Decision - In 1999 the Supreme Court's decision in Olmstead v. L.C. requires states to eliminate unnecessary segregation of persons with disabilities and to ensure that persons with disabilities receive services in the most integrated setting appropriate to their needs. In 2009 the Civil Rights Division launched an aggressive effort to enforce this decision. Read more, 3. Department of Justice - Aggressive legal action of state and local agencies is being pursued as a result of the Olmstead decision. Read More, 4. Centers for Medicaid and Medicare Services (CMS) The federal agency that oversees Medicaid and Medicare recently issued new regulations defining home and community based services in response to Olmstead. All Medicaid services, including day services (sheltered workshops) must be provided in the most integrated setting. Read more, 5. Employment First Governor John Kasich issued this executive order in 2012 setting community employment as the preferred option for people with disabilities. Read More, 6. Funding Issues Information from NASDDDS, which serves 50 states, expresses grave concerns regarding the continuation of SS and Medicaid services as currently provided. The current system of services is unsustainable and will need to be radically changed in order to continue services to people in need. Watch video 7. Disability Rights Ohio (DRO) In March 2016 DRO filed a class action law suit against the state of Ohio. The suit asserts that the state is in violation of the Americans with Disabilities Act and the Supreme Court ruling in Olmstead. Thousands of individuals with intellectual and developmental disabilities in Ohio are needlessly segregated. Currently, state funding is provided for anyone to go into an institution, but state funding for community options is very limited. This lawsuit demands that these barriers be removed so that real options are available for community supports for all individuals with developmental disabilities and their families. Read more, 8. Conflict Free Case Management - When an agency provides case management services to an individual and also provides direct services to that person, the role of the case manager can be conflicted in two major ways: (1) overseeing quality and outcomes and (2) the "fiduciary" relationship. Read more, 9. ORC and OAC 5123:2-1-02, Administration and Operation of CBDDs, establishes standards for the administration and operation of CBDD. Included in these standards is a requirement to promote self-advocacy and to assure services are provided in the most integrated setting. As we study the impact of emerging trends and issues in the developmental disabilities world the planning team uses the information along with information from our annual surveys to provide direction for the board over the next three years and beyond. This information will require us to redefine and redesign how we do many things, including day programs, community employment and community integration. We will share this information and updates widely as needed while we move forward fulfilling this plan. 3

4 As a result of the surveys and the emerging trends the Board is actively committed to the following strategic plan: II. STRATEGIC ISSUES The process used for this strategic plan was based on the identification of key issues confronting the Logan County Board. The Strategic Direction Team identified the following as the most significant strategic issues confronting the Board: THE BOARD S MOST SIGNFICANT STRATEGIC ISSUES AND ACTIONS TO ADDRESS THEM Issue 1) Philosophy, Purpose, Values and Mission Statements: The Strategic Direction Team reviewed the Board s statements as approved in They concluded that some changes were desirable to highlight and reinforce the Board s commitment to promote selfadvocacy. [See Statements of Philosophy, Purpose, Values and Mission included in this document.] This Strategic Plan calls for strategic actions for all issues to be founded on the principles reaffirmed in the revised Statements. Key elements in the Statements include: a. Every person adds value to our community. We will offer services and supports which help assure that persons with disabilities are received and treated as valued members of their community. b. Lifetime service - The services we provide should meet the needs of each person at each stage of life development, regardless of age or degree of disability. c. The Board will expand opportunities for community integration, inclusion and awareness. d. We set our sights to where people live a good life, as defined by them; and they are happy as a result of their accomplishments. e. Individuals with developmental disabilities should become strong self-advocates who are empowered and self-determined. Individuals with disabilities will have an active say in their services and programs and make choices about their lives and what is important to them. f. Only when the most integrated setting is not meeting the needs of the individual will other specialized settings be explored with them. g. Our focus will be on the development of proven, evidence-based practices that result in measurable performance outcomes at both the individual and system levels. h. To the extent permitted by financial realities, all strategies will reflect the advocacy of the person being served and an understanding of the current and future affordability of long-term systems of support. We express appreciation to our employees, the families and individuals we serve and the Logan County community for their continued support of people with disabilities and their families. Your support has been an essential part of this planning process. We are grateful to be members of such a caring agency and supportive community. 4

5 III. ACTION PLAN/PROGRESS REPORT Specific actions recommended for Issue I) Philosophy, Purpose, Values and Mission: Action 1 Statement of Mission, Philosophy, Purpose and Values will be updated and approved by the Board and provided to multiple constituencies: Staff, families, LEA, employees using: staff meetings, public forums, community presentations, and website. Team Timing Marketing staff Spring member, 2016 persons with and ongoing disabilities, board members, Superintendent. Updated Action Mission, Philosophy, Purpose and Values were updated in 2015 and again in Statements regarding these have been placed in our Newsletter, Insider and on our website (see above). They continue to be a part of Management meetings, included in In-Services and included in our 2017 survey. Action 2 The updated value statements will be reaffirmed by the Board and the Team as instrument to provide ongoing direction and motivation for the LCBDD and the community. Each value statement will be utilized by the Team as instruments to assess and appraise current services and goals. Team Marketing staff, persons with disabilities, board members, Superintendent Timing Spring 2016 and ongoing Updated Action Value statements were created in 2015 and updated in They are placed on posters for presentations. Placed on the wall in cafeteria. Included in media release and radio announcement on numerous occasions. Included in our newsletter and are placed in the Insider each month. Management team has reviewed at meetings. Value statements will be used as a grassroots instrument to encourage the development of ideas and initiatives to fulfill our mission. Action 3 Timing Updated Action Applicable provisions of the Statement of Mission, Philosophy, Purpose and Values should be referenced to support any budget, policy and program recommendations taken to the Board in future meetings. This is the primary document guiding all our work on behalf of persons with disabilities, their families and our community. Our proposed actions should be tested against its standards Superintendent and Team Board and Team On- Going The Community Integration Team (Community First Facilitator (CFF) and Activities Coordinator, Superintendent and key personnel) meet quarterly to review the list of integrated events and activities in Logan County and work to expand integration by networking with SSAs, providers and community. The 2015, 2016 and 2017 budgets include funds for community integration. SSAs are including integrated activities in each plan. Providers include integrated activities in daily activities. SSAs include activities in ISP. Transportation has been increased for integrated activities. 5

6 Issue 2) Board s Continuum of Services: The services provided by the LCBDD have emerged over the years by the application of professional judgment about the balance between the needs of persons with disabilities, our fiscal and professional resources and the emerging trends affecting our field. As we listen to families and people served and other stakeholders, we also study the impact of emerging trends and issues in the developmental disabilities world. These will be front and center as we go about our work over the next three years and beyond. They will require us to redefine and redesign how we do many things, including day programs, community employment and community integration. Action 1 Team will review and inventory our lifespan services and identify gaps or overlaps. Action 2 Based on assessment of existing services, develop/refine our continuum of services. It was determined that school age individuals (particularly high school) are lacking opportunities for integrated activities. Action 3 Communicate to families and the community our desire to carry out the action steps and be open to their feedback. It is vital that we be viewed as partners with our families and the community. Action 4 Elicit community support in carrying out action steps as a way of keeping the community involved and up to date. We cannot act as a silo. Team Team Team and Marketing Team Team, Staff and Marketing Team Administrativ After e Team, Staff Board and persons adoption of the receiving Strategic services Plan Administrativ e Team Timing Updated Action Lifespan services were placed on a timeline for review. Two limitations were identified (teen services, cross systems training) and addressed through programs and services. Timing Updated Action Following Action 1. Staff, persons receiving our services, families, and the community. Each school district signed an agreement in 2015 for ongoing transition services. RTC is actively coordinating transition services with each school. SSAs are involved in the planning of these services through PCP. In we will encourage integrated activities including Unified Sports, and Teen services through school districts. Cross Systems Training is now available through the FCFC (this was created to coordinate interagency services) also implemented through UW. On-going articles and announcements are available via newsletter, radio and newspaper. A public forum was held in March 2015 to communicate the driving forces and projected changes in the DD field. with the community Timing Updated Action Timing Updated Action Staff, persons Ongoing. receiving our services, families, and the community. Ongoing. The Community Integration Team meets regularly to review community activities and plan for a more integrated future for individuals with DD. The FANS network has grown to over 200 FANS. FANS include businesses, agencies and employees. Numerous integrated activities are now supported by the LCBDD. We continue to refine and add to the list of volunteers and professionals to assist bin provision of integrated activities. 6

7 Issue 3) Community Education and Marketing: We believe that every person adds value to our community. When we welcome and include everyone our communities are made whole, we are stronger, we accomplish more and everyone benefits. In order to create a stronger community we need greater diversity and acceptance. The understanding of diversity and acceptance are fostered by knowledge and encounter. We will present a simple message and insert that message into as many conversations as we can. We will provide opportunities for community interaction as often as practical. Part of our marketing strategy will be directed internally to recognize that staff and community volunteers have some of the same needs for a better understanding of the agency as does the general community. Action 1 Evaluate existing marketing strategies. Review communication needs based on staff and community understanding of our core values. Look at our literature, public statements, website content, etc. to ensure that our core values are at the center of focus. Assess the clarity with which we are projecting our image. Evaluate the marketing effectiveness of existing service materials. Look at our literature, brochures, assessments, etc. and ensure we identify available programs or services. Develop top of mind knowledge we would like internal and external stakeholders to have about the Board. Team. Marketing Resource person. Team, Staff and persons receiving services Timing After Board adoption of the Strategic Plan Updated Action 10/16/14 Contracted for PR services through ESC. Jamie (ESC) has improved the look and readership of our newsletter and was key in establishing a new improved look to our website. All brochures have been reviewed and updated as of October Jamie provides 8 hrs of PR services weekly Action 2 Develop a marketing plan that includes sharing with other gatekeeper agencies and providing opportunities for the community to encounter people with disabilities. Develop a budget for these events and experiences. Use the website to communicate our programs and contact information. Make sure the website is a useful tool for the community to use as a resource prior to actually contacting the Board if they so choose. Make sure all the literature points to our website as a resource. Utilize the website as a place the community can go for the initial information, and, if interested, can contact appropriate person as needed. (Track website usage). Action 3 Identify strategies to reach out to our partners by attending their meetings as a support and to communicate our programs and services. Highly publicize the adoption of our new Strategic Plan and how to contact us for services we provide. Use the media, both radio and newspaper (Use associates on radio Team Team. Marketing Resource person. Team, Staff and persons receiving services Superintendent, Board Members, Team, Staff and persons receiving Timing After Board adoption of the Strategic Plan Timing After Board adoption of the Strategic Plan Updated Action Community integration budget was developed and approved by the board. Website is updated regularly and includes current data. Current events (calendar), Employee of the month, Strategic Plan and historical data have been added to our website. A team assesses material and sites regularly and makes changes as needed. Updated Action Examiner and radio have been essential in advertising our message. The Messenger and insider have updated information regularly. In- Services have been used 7

8 and in articles in newspapers). Create some work-out sessions at our In-service to create additional action steps and how they can personally contribute to educating the community about our programs and services. services to educate and offer an avenue for input. Employees are visiting businesses, churches and organizations to educate and promote our mission. Issue 4) The Volume/Type of Work Available to Our Associates: Every adult should be afforded the dignity of work. Meaningful work is key to self-respect and dignity. The Logan County Board of DD wants to support all eligible adults to assist them in pursuing a career path that is respectful of their individual interests and skills. Action 1 Each individual should be surveyed for their desires for a career. Referrals to the appropriate agency (Bridges, BVR or Employment First) should be made to assist in connections for competitive jobs. Action 2 Each individual should be surveyed for their current connections to the community in which they live. They will be assisted in developing further connections to deepen their relationships with those around them. Action 3 Meaningful activities will be provided in addition to work. Action 4 Update board members on emerging trends and issues related to sheltered work and community employment. Work together to maintain the best services possible for individuals and businesses and citizens of Logan County. SSAs, Providers, Schools SSAs, Providers, Community First staff Provider s Production Manager and Vocational Services Manager, VSSs Superintend ent, ES Director, VS Manager, RTC and DD Board Presidents Associates, Staff, RTC Employment Services Timing Updated Action Ongoing SSAs complete an assessment annually to determine needs and desires. Referrals are made for employment according to the individual s desires. Timing Updated Action Associates Ongoing SSAs complete an assessment annually. & Staff SSAs are closely connected to Community First Facilitator and Employment Services. Person centered planning is incorporated into each ISP and includes opportunities for work for each individual requesting work. Timing Updated Action Associates Ongoing SSAs in cooperation with providers have & Staff substantially increase the number of community activities. PCPs have been updated to include meaningful activities. All day service providers now include integrated activities during working hours. Administrativ e Team and Staff Timing Updated Action Ongoing Trends and issue have been included In board packets and in Newsletter. The DD board the RTC board have been educated on the strategic plan. RTC transitioned on 1/1/16 to a private agency. They will continue to move toward greater independence in The contract will be updated effective 1/1/2018 and include greater self-reliance for RTC. 8

9 Action 5 In order to provide continuing employment in light of HCBS requirements and political bias to phase out sub-minimum wage, a joint Provider/DD task force shall be established to study and promote integrated services. Superintend ent, SSA director, CFF, Providers Administrat ive Team, Associates, Board, Staff, Community Timing Begin in 2015 Updated Action A task force (Community Integration Team) was created in February 2015 to review trends and plan for further integrated services. This task force meets at a minimum quarterly. Refer to Action 3 above. Issue 5) The Interdependence and Collaboration Between Providers and the Board. Conflict Free Case Management and CMS definitions mandate the distinction between services of Provider and the CB. Action 1 Continue the transition of services from the CB to private providers. Action 2 Define funding sources for existing and future programs offered the Board to support opportunities for community integration Action 3 Update the contract between the Logan County Board of Developmental Disabilities and RTC to reflect the dynamics of their relationship as those dynamics may be impacted by any needed changes. Timing After Team Team, and providers Board adoption of the Strategic Plan Timing Superintendent, After Business Team, Board Board Manager, adoption Timing Superintenden After t, ES Director, Team, Board VS Manager, DD Business Manager, DD and RTC Board Presidents Board adoption of the Strategic Plan Updated Action VENN diagram was developed in 2015 and updated in 2016 to demonstrate the diversity of services and the organizational complexity. A contract was developed to define services. A resolution was passed by the board to transition all day services to private providers in All day services are privatized by July We are working with WestCON in 2017 to create reports to track efficacy and efficiency of transition. Updated Action Venn Diagram reveals funding sources. Contract updated and annually reviewed for accuracy. RTC is now a certified waiver provider and privatized corporation. New reports will be developed in Updated Action RTC and transportation contracts were updated for 2015 and for 2016 to support privatization. RTC transitioned to a private corporation on 1/1/16. Transportation services will transition on 7/4/16. Regular Meetings continue for planning and contractual purposes. 9

10 IV. STATEMENTS A. Statement of Philosophy The Logan County Board of Developmental Disabilities believes that every person adds value to our community. When we welcome and include everyone our communities are made whole, we are stronger, we accomplish more and everyone benefits. The Logan County Board of Developmental Disabilities will promote and support safe and supportive environments for families with children and a safe and healthy lifestyle for adults. The Board will be a wellmanaged, financially-responsible public organization with a committed and respected staff that provides cost-effective, quality services. The Board will be accountable to the citizens of Logan County, to the statutes that direct our services and to the people and families we serve. The Logan County Board of DD promotes the development of skills, opportunities, activities, supports, living arrangements, learning and vocational environments that are valued by our community so that the persons we serve are also received and treated as valued members of our community. Services should be planned and provided as part of a continuum, which means that facilities, supports and services should meet the needs of each person at each stage of life development, regardless of age or degree of disability. It also means continuity, including uniform eligibility standards, to ensure that no individual is lost in the transition from one service to another. Persons with DD should be close to their families and friends (natural supports). We recognize that natural supports are important to having a good life. No person who can reside or work in the community should enter an institution or a sheltered workshop, and no one should remain in an institution or a sheltered workshop who can live or work in their community. B. Statement of Purpose The purpose of the Logan County Board of DD is to empower people with developmental disabilities to have a good life. The Board pledges to ensure advocacy of individual rights and opportunities, participation in the community, choices in where to live and work, environments for learning, and options for leisure time activities. We envision a future where all individuals will be accepted, included and appreciated as contributing members in their communities. Individuals will have services and supports that assist them to participate freely and safely in the community. The Board will expand opportunities for community integration, inclusion and awareness. C. Statement of Values Our values are central to the way we function. They will be part of the day-to-day practices of our agency. The following values are beliefs that manifest in how we interact in our workplace. They represent our most significant commitments to what we find most important in our agency. Our value statements provide us with tools to measure the results we desire and these value statements give words and meaning to the values that we decide to live by daily. To further the purpose of the Logan County Board of DD to support the integration and inclusion of persons with developmental disabilities in our community the Board is actively committed to the following principles: Everyone deserves to live a good life. People with disabilities and their families have the right to live, love, work, worship, play and pursue their life aspirations just as others do in the community. The LCBDD is committed to helping people enjoy a lifestyle that respects and values all people. We envision a community in which people, regardless of disability and status, are supported and embraced by their entire community of family, friends, neighbors, and employers, to the degree that 10

11 they are truly identified first as members of a community. The Board has set their sights to where people live a good life, as defined by them; and they are happy as a result of their own accomplishments. Empower people to be self-advocates. Individuals with developmental disabilities should become strong self-advocates who are empowered and self-determined. Individuals with disabilities will have an active say in their services and programs and make choices about their lives and what is important to them. Community First: Each person should be a part of their local community and have access to community resources as does the general population. Only when the most integrated setting is not meeting the needs of the individual will other specialized settings be explored. Demonstrate respect. All implementation strategies will show respect for the privacy, individuality, and self-advocacy of the people receiving support. We also support the respect for difference and acceptance of persons with disabilities as part of human diversity and humanity. Emphasize employment and meaningful activities. All adults who can work should work. Implementation strategies will be designed to promote and support community employment, have meaning to the people who receive supports and be relevant to their daily lives. Those who employment has not been attainable, will be provided activities that are meaningful to them to enrich their lives Provide effective intervention/support methods. Evidence based support models and approaches will be used to provide effective early childhood services and supports. The emphasis will be on the development of proven or evidence-based practices that result in measurable performance outcomes at both the individual and systems levels. Financial Accountability. The LCBDD commits to being good stewards of local, state and federal dollars. The Board is committed to the provision of services in the most effective and efficient means available. Budgeting will be viewed as a discipline to decide which services should be funded and at what level they should be funded. D. Statement of Mission Taking into account the above statements of philosophy, purpose and values, the Board adopts the following Mission and Vision Statements. The Mission of the Logan County Board of DD is to: Empower people with developmental disabilities to contribute as valued members of our community. The Vision of the Board is: People with developmental disabilities will advocate for themselves and have a good life. They will be valued as contributing members of their community. The Logo and Motto of the Board: 11

12 V. Organization The Logan County Board of DD has seven board members, five of whom are appointed by the County Commissioners (Bonnie Versele, Frank Giannola, Liz Bibart, Art Harper and Valarie Robb) and two are appointed by the Probate Judge (Bridget Hawkins and Scott Steiner). The Board works within a budget recommended to and approved by the Board of County Commissioners. Major funding mechanisms include the following: local tax levies, subsidies from Ohio Department of Education and Ohio Department of DD, federal and state grants, Medicaid reimbursements and donations. A Superintendent, employed by the Board of DD, is responsible for the operation of the Board s programs, for recommending improvements to the Board and employing qualified staff. The Board serves eligible individuals of all ages. The Logan County Board of DD served nearly 500 individuals and their families in These individuals were served in a variety of capacities, including: 110 children received Early Intervention; 207 children were students at our preschool; 68 adults were offered community employment service; 110 people were served through Adult Day Services including sheltered employment and the seniors program; 139 people received Supported Living Services (Including Medicaid Waivers); 55 received Family Resources and nearly 250 people received SSA (Case Management). The Logan County Board of DD offers a wide range of services as listed below. A. Service and Support Administration: (Previously called Case Management Services) Service and Support Administration (SSA) supports children and adults with developmental disabilities, their families and guardians. We assist the individual in determining outcomes for their services and ways to reach those desired outcomes. SSAs serve as the individual s primary point of coordination by working through many systems to attain appropriate assistance and/or support as needed in any life area. The choice of the individual provides the scope and direction to the SSA including Eligibility Determinations, Assessments, ISP Development, Budget for Services, Free Choice of Provider Process, Coordinating Services, Monitoring ISP Implementation, Designating Persons to Provide Daily Representation, and Emergency Intervention. The SSA focuses on person centered planning, community integration & self-advocacy. SSA s worked with approximately 250 individuals along with their guardians and/or families and providers in Logan County. The Logan County Board of DD is mandated to report cases of abuse, neglect or other Major Unusual Incidents (MUI s) to the Ohio Department of DD and in cases involving infants and children to the Logan County Children Services Board. The SSA files all initial reports for MUI s to the Ohio Department of Developmental Disabilities. The West Central Ohio Network (WestCON) completes an independent investigation for all cases. In cases of abuse, neglect, and misappropriation, WestCON works with local law enforcement and Logan County Children Services Board, then report outcomes and makes recommendations to the Board. The SSA s then work with the individuals, families and/or providers to establish preventative measures and provide follow-up for all MUI s. In 2016 there were 55 MUIs filed. B. Early Intervention: Early Intervention services support parents of infants and toddlers with disabilities. EI is grounded in the philosophy that young children learn best from familiar people in familiar settings. Early Intervention services in Logan County take place in the natural settings of the child and family (home, daycare, grandparent s home or a community location important to the family). The EI Team assigns one team member as the Primary Service Provider for the family. As needed, joint visits or coaching from other disciplines on the team are utilized. The Early Intervention team in Logan County consists of the following disciplines: Service Coordinator, Developmental Specialist, speech therapist, physical therapist, occupational therapist, and nursing. In 2016 Early Intervention received 161 referrals and enrolled a total of 99 children for services. The EI team partners with the parents and caregivers to develop an Individualized Family Service Plan that identifies the EI services needed to support the goals and unique needs of the child and the family identified by the caregivers and the EI team. Developmental Specialist (formerly Early Intervention Specialist) is a professional certified by DODD in accordance with rule 5123: of the code, trained to develop and implement strategies and interventions, which may include but are not limited to, the special instruction identified in the Individuals with Disabilities Education Act, 34 C.F.R. part 303 (September 2011). Services provided by certified Developmental Specialists may include home visits, specialized 12

13 instruction, child development information, and family support. Early Intervention is a collaborative, home and community based system, where the EI team and the family work together to provide ongoing support to eligible and enrolled children. Early Intervention also collaborates with local agencies and providers within Logan County s Family and Children First Council. PLAY Project services are provided to children receiving Early Intervention who are diagnosed or exhibit symptoms of Autism. The PLAY project envisions that all parents will be supported in developing a joyous relationship with their children with autism spectrum disorders in a way that will help each child reach their full potential. At this time, one Developmental Specialist is a certified PLAY consultant and one Developmental Specialist is currently going through the training and certification process. Three children are being served with PLAY currently. C. Discovery Center Preschool: The Discovery Center for Children is an integrated preschool program for children, ages 3-5. Public Law requires all school districts provide special education services for children ages 3-5 who are experiencing significant delays in their development. On behalf of the districts, Logan County Board of DD provides preschool special education services for our county. During the school year, the Discovery Center provided services to 248 students. Of these students, 139 received special education services and 99 students attended as typical students. The Board predominately funds this program on behalf of Indian Lake, Riverside, Benjamin Logan, and Bellefontaine City School district. The Board works cooperatively with local school districts (LEAs) to assure the delivery of preschool services in the most efficient and effective manner. Special education services provided by the Discovery Center Program include specialized instruction, speech therapy, occupational therapy, physical therapy, adaptive physical education, music therapy, and transportation. We provide specialized instruction such as: TEACCH methods, PLAY Project approach, Communicating Partner Strategies, visual cues/visual schedules, sensory integration support, positive behavior modification, and alternative modes of communication. Each class offers an integrated setting with a certified teacher and classroom assistant. The classroom schedule optimizes instructional time by grouping students and providing opportunities for both individualized and group instruction. D. Services to School Age Children Logan County Board of DD focuses on life span services for individuals with developmental disabilities. We recognize that the needs of individuals vary depending on their age. We realize the needs for school age children are unique. We are committed to providing services to school age children and their families to the best of our ability i. Families Touched by Autism was created to provide a place of friendship and support for families dealing with autism. Meetings are held monthly at the Discovery Center. For information or questions, contact Tera Kunze at ii. Teen Summer Program, is a program that focuses on vocational exploration and job readiness skills. It could be an important step in planning for life after school. This program serves youth 14 to graduation during the summer break from school. iii. Friday Night Out is a support for families needing assistance with respite. The target audience is children on the autism spectrum or demonstrating severe behavior that limit the family s support system (i.e. they are unable to utilize traditional daycare, babysitting, and have limited or no family members to provide day care or babysitting for an evening out). The purpose of Friday Night Out is to provide support to families feeling overwhelmed to divert the development of a crisis. It provides 4 hours of respite once a month at the Discovery Center. Preschool families or young children under age 10 are served. For more information or questions contact Lisa Sulich at F. Adult Programs: The Logan CBDD contracts with private providers to provide various supports for individuals with disabilities. Individuals have the right to choose from any willing provider Employment Services: Individualized plans may include services such as job shadowing, job developing, and on-the-job training and integration services. The primary provider of employment 13

14 services is RTC Industries, Inc. This coordination of job-related services helps to ensure mutual satisfaction by the employee and the employer. Transition services: RTC Industries Inc. served as a vendor for the Logan County Board of Developmental Disabilities in the Bridges to Transition program. Over 50 individuals were served in Bridges utilizing many different locations in the community. The program is designed for individuals with disabilities between the ages of It serves to provide experience in regards to community employment and will be instrumental in Employment First. (On March 19, 2012, Governor John R. Kasich signed an Executive Order establishing the Employment First Policy and Taskforce to expand community employment opportunities for working-age Ohioans with developmental disabilities. Employment First emphasizes employment as the priority and preferred outcome for working-age adults with disabilities. Employment First recognizes the social and economic benefits of meaningful work for all individuals. Everyone, regardless of disability, should have the opportunity to earn at least minimum wage in integrated community-based settings.) Vocational Habilitation and Adult Day: Day service providers offer opportunities for meaningful work allowing individuals to develop employment skills through sub-contract work with local industry. Some providers offer sub-contract operations with local businesses that provide a variety of outsourcing support. Providers include: RTC Industries (RTC is also a provider of Artistic services at Union Station), IHS (provides dog training and pet care), Excursions Unlimited (provides opportunities to attend events).the Adult Services Program serves over 130 individuals. Seniors' Program Seniors is a retirement program provided by RTC Industries. It offers interactions and community involvement for Senior Citizens with developmental disabilities. Seniors serves about 15 individuals. The Board provides the Medicaid waiver match for all waiver services including, but not limited to, Pos-Abilities, Transportation, Adult Day Services, Homemaker Personal Care and Supported Employment. G. Family Support Services: Family Support Services (FSS) provides financial support to families with members who have developmental disabilities, allowing them to remain in their homes and experience enduring relationships with their family and friends committed to their welfare. Family Support Services provides services to approximately 60 individuals/families each year. Family Support Services is considered a component of the individual planning process. The services/items included in the individual s plan must be related to the eligible individual s documented delay or developmental disability. The Logan County Board of DD will review and provide Family Support Services to all eligible families requesting the service that meets their needs by establishing a maximum allocation each family would be eligible for in a given year. The board has determined, based upon the results of the assessment, that as funding is available the annual family support allocation for an eligible family shall not exceed $ per year without board approval. H. Supported Living Services: Supported Living provides services and support with varying levels of supervision to eligible individuals who need additional support to remain living in their current arrangement or who need alternative living arrangements. In addition to low need respite services offered through Family Support Services the Logan County Board of DD provides residential supports through Supported Living, the Level One Waiver, the SELF Waiver and the Individual Options Waiver. The Board contracts with WestCON to assist with some of the residential administrative services. This year, the Board has served 13 individuals with Supported Living dollars, 77 individuals on the Level One Waiver, 8 on the SELF Waiver and 57 individuals on the Individual Options Waiver (2 which are Adult Family Living) The County Board maintains a waiting list for Level One, IO waivers, SELF waivers. Annually, the County Board completes a questionnaire with each individual on the waiting list to ensure their desire to maintain on the list as well as notify the individual of their location on the list. We continue to serve those on waiting lists as funds are available or as individuals needs are such that it is determined to meet a priority category as listed in rule. The Board is committed to meeting the needs of individuals through a variety of resources. I. Self-Advocacy: Our Project STIR graduates provided our first self-advocacy training in June Additional trainings took place in 2015 and trainings are planned in Individuals will have opportunities to 14

15 attend state wide quarterly meetings & other state conferences and trainings to sharpen advocacy skills. The County Board will promote and encourage self-advocacy discussions and activities in ISP meetings, Aktion Club, Job Club, Employee Council and any other clubs that may be established. The Aktion Club is a service club for adults with disabilities and is a branch of the Kiwanis Club. The mission of the Aktion Club is to provide adults living with disabilities an opportunity to develop initiative, leadership skills and to serve their communities. Over 10 adults participate in Aktion. J. Social Activities: Special Olympics: Logan Special Olympics is provided, free of charge, as a service to all individuals residing in Logan County regardless of provider affiliation. It is staffed by registered, certified and trained volunteers under the direction of the Recreation Coordinator. The program includes competition and training and is generously funded through donations, fund-raisers and local funds. Athletes may choose to participate in: Basketball league (Nov. March); Bowling (year round); Equestrian training, Powerlifting (year-round), Track & Field (spring), Softball (summer) and their respective tournaments. Each October athletes are honored at the annual Sports Banquet in recognition of their achievements. We sponsored 7 SO events in 2016 involving over 75 individuals. Unified Sports: Team sports bring people together. Unified Sports teams do that too and much more. Unified Sports is an inclusive sports program that unites athletes (individuals with intellectual disabilities) and partners (individuals without intellectual disabilities) as teammates for training and competition. We sponsored 5 events in 2016 involving over 40 individuals. Self-Advocacy: Our Project STIR graduates provided our first self-advocacy training in June Additional trainings took place in 2015 and trainings were completed in January and May of Individuals will have opportunities to attend monthly regional advocacy meetings which rotate among the WestCon counties, state wide quarterly meetings & other state conferences and trainings to sharpen advocacy skills including the Synergy Conference. The County Board will promote and encourage self-advocacy discussions and activities in ISP meetings, Aktion Club, Job Club, Employee Council, recreational clubs and any other clubs that may be established. 62 individuals participated in self-advocacy events in In 2017 a self-advocacy training is planned for May and another for October. We are sponsoring a Speak Up and Stay Safe training in May which concentrates on advocating for safety in community employment and community living situations. Legislative advocacy training and opportunities are being offered through local government. We currently have seven peer trainers that are available to assist others in their ISP meetings or to talk with when an advocacy need arises for an individual. The Aktion Club is a service club for adults with disabilities and is a branch of the Kiwanis Club. The mission of the Aktion Club is to provide adults living with disabilities an opportunity to develop initiative, leadership skills and to serve their communities. Over 26 adults participate in Aktion Club with 12 meeting service hour levels of 100 or more community integrated service hours. Some Aktion Club members have also joined the Bellefontaine Kiwanis Club as members of their organization. Some community initiatives the Aktion Club has started are Wiping out Grime ; Hygiene Products for Vets; Plarn God Bless You; The Little Free Library Memorial Project; and Adopt a Road. In 2017 Aktion Club is creating an inner club project between the Kiwanis Family and will adopt a park. Integrated Events: Logan CBDD hired its first Community First Facilitator in Since then, we have significantly expanded community integration in Logan County. Individuals are engaged in many community events and activities. Inclusion of people with disabilities is found in all aspects of community living and citizenship. In 2016 we had over 300 integrated community events including these events: United Way Community Care Day, Holland Theater Shows, Reading Clubs at Heartland of Bellefontaine and the Knowlton Library, Citizens Police Academy; Community Garden; BuDDie Walk, and Enjoy the Evenings around Logan County. Healthy Lifestyles: Being spiritually, mentally, and physically healthy is important and offering learning opportunities and health focused activities goes hand in hand with being the best we can be. We are offering a variety of peer led programming and activities to encourage good health. In 2016 we helped 80 adults learn ways to live a healthier life. We currently have 4 peer teachers trained using Mary Rutan s Creating a Healthy Me course and the University of Cincinnati s Healthy Lifestyle course. We offer a weight loss support group to interested people and a healthy lifestyles scholarship to assist people with covering portions of the cost of a weight loss program or exercise membership. We currently have 10 individuals accessing this funding. In 2016 we had 12 different recurring healthy 15

16 lifestyle activities including exercise Classes at the Hilliker Y, Mad River CrossFit and Green Hills Retirement Village, various 5k races, golfing, and biking club. We also offered the Breaking my Boundaries Women Empowerment Conference, and Healthy Living classes. K. Capital Housing: Our Board, in conjunction with the Logan Housing Board, has twelve (12) homes in the community that were purchased with the assistance of State Capital Housing dollars. The housing board s mission is to provide safe and affordable housing for individuals with Developmental Disabilities and their families. The housing board maintains and makes improvements to these homes for safety, access, and economy. In October 2013, a comprehensive housing report was completed on all properties. This report was updated in 2015 to assure proper maintenance of the homes. In 2016 there was a transfer of maintenance and some administration oversight to Residential Administrators, Inc. There are plans to transfer all property titles to Residential Administrators in The contractual relationship with Residential Administrators, Inc will be for the ownership and management of the residences for eligible individuals residing in Logan County. L. Nursing/Health and Safety Services: Nursing/Health and Safety services are provided by the program nurse under the supervision of the Education Services Supervisor to students and/or staff. Programs include safety education, cardio pulmonary resuscitation (CPR)/first aid instructions/automatic External Defibrillator (AED), Crisis Prevention Intervention (CPI), delegated nursing medication classes, blood pressure and weight monitoring, medication/treatment administration, and health maintenance services. Communicable disease screening and reporting and consultations with appropriate service individuals and agencies are also a part of the program. Appropriate monitoring and documentation are ongoing to comply with Nursing Delegation Rules. M. Transportation Services: Transportation services are provided by private providers. They provide a specialized, safe, efficient, cost effective and coordinated transportation program for eligible individuals residing in Logan County. The Board provides the local match to over 100 individuals on Medicaid waivers for non-medical transportation. These providers include RTC Industries Inc., Champaign Residential (CRSI), IHS, BLESS, Excursions Unlimited, and other independent providers. N. Maintenance Services: Maintenance services provide a responsive, cost effective and coordinated maintenance program for the Logan County Board of DD. Regular upkeep including periodic maintenance of equipment throughout the physical plant, custodial work, grounds keeping and basic repairs are tended to by the custodial staff. Staff is present or available whenever the program and/or campus are open to attend to staff needs and problems that may arise. They also tend to tasks regularly when the program is not in operation to minimize any interference with program operation or to ready the facility for normal operations. In addition, after-hour emergencies at the campus are generally fielded by maintenance staff. O. Business Management: The mission of the Business Services Department is to provide fiscal accountability through effective process management that is aligned with governmental regulations and agency initiatives. The Business Services objective is to maximize the quality and quantity of services provided to each individual through efficient management of the agency resources that align with the LCBDD strategic plan and five-year projection and assumptions. The LCBDD will seek and maximize all federal reimbursement and state allocation revenue sources prior to utilization of the local levy revenue sources ensuring accountability to the local community. In accordance with ORC (A)(1)(B), the LCBDD has pledged funds to satisfy the local, non-federal share of Medicaid services as is required by and of the Ohio Revised Code in the following order: state waiver allocation, state subsidy allocation, state tax equity allocation and local tax proceeds. The LCBDD has developed a 3-5 year fiscal plan that continues to be monitored to ensure long term stability of the program. The LCBDD is committed to ensuring the most cost effective and efficient manner of delivering services is the priority. The LCBDD currently holds contracts for the following services. For adults: day habilitation, vocational, employment services and transportation. For children: 16

17 physical therapy, occupational therapy and psychological services, substitute teacher/aide services. contracts include MUI investigative agent; provider development, monitoring and training; housing management; technology services; and public relations. In addition, LCBDD currently provides the funding for early intervention, pre-school, service and support administration (SSA) and administrative services. The LCBDD currently has community partnership agreements with the local school districts to provide summer academy opportunities for school age children; the Mental Health, Drug and Alcohol services Board of Logan/Champaign Counties for mental health consultation services; the Logan County Family and Children First Council to provide services to multi-system children in Logan County; the United Way of Logan County for services; as well as provide a portion of the matching funds for the Mobility Manager position of Logan County. P. Outreach/Communication: The Board contracts with the ESC for PR services. Outreach/Communication occurs through the publication of The Messenger (Board Newsletter), media releases to WPKO and the Bellefontaine Examiner and our website. An annual report/calendar is developed to keep the public informed of our programs. Presentations are made to service clubs and a variety of media resources are utilized to expand the public s awareness of the available programs and the accomplishments of the individuals being served. The Logan County Board Website ( has been put into place to provide information about our programs. The website is updated frequently to ensure the most recent and accurate information. Q. Appendix Table of Organization for the Logan County Board of DD, showing the lines of authority, communication, and responsibility, is included with this report as Appendix A. Public Hearing Notice for the Logan County Board of DD, to obtain public comment and input on the proposed Annual Action Plan, is included with this report as Appendix B. How to Find Us directions to the Logan County Board of DD is included with this report as Appendix C. An Annual report of the number of persons served is included with this report as Appendix D The office is located at 1851 St. Rt. 47 West. Bellefontaine, Ohio and is open to the public Monday through Friday 8:00 am to 4:00 pm. For more information, visit 17

18 VI. Opportunities The Board adopted in February 2013 a new mission statement, logo and created a motto for the LCBDD. The new mission statement has provided direction for many new opportunities, as listed below. o On September 18, 2014 the Board adopted the agency s Strategic Action Plan. This plan was updated in 2016 and A Strategic Plan progress report will be completed annually. Value statements will be used by the Board and the Team as an instrument to provide ongoing direction for the LCBDD. Each value statement will be used by the Team as an instrument to assess and appraise services and goals. Value statements will be used as a grassroots and Team instrument to encourage the development of ideas and initiatives to fulfill our vision and mission. o o o o o o o o o o We contract with the ESC to provide public relations services. We have increased positive PR in our community and spread the word about our mission, vision and values. The agency continues to utilize the STIR training for our associates and The Good Life training for our employees. Both trainings are supported by our strategic plan and teach ways of advocacy for individuals from a position of respect. The STIR Training (Steps Toward Independence & Responsibility) is an enduring training designed to assist individuals with DD to become more aware of their capabilities and train them to be self-advocates. The Good Life is a program that teaches how to enjoy a lifestyle that respects and values all people. This is a Train-the-Trainer program. Trainees have utilized both the Good Life and STIR trainings to provided ongoing training for employees. We are on the sixth edition of the Financial Mission and Goals. It is the financial mission of the Logan County Board of Developmental Disabilities (LCBDD) to develop and maintain sound fiscal practices that will help to preserve an appropriate and adequate service structure for people with disabilities in Logan County. In February 2015 the board approved an interagency agreement with all LEAs and applicable county agencies to assist youth with developmental disabilities to successfully transition from education to community employment. In 2016 the Board approved additional funds for transition age youth to assist them in transitioning into adulthood. The Board passed a new policy in October 2013 titled Community First. This policy is in response to the Governor s Employment First Initiative and the board s value of community integration. The purpose of this policy is to ensure that the individuals served by Logan County Board of Development Disabilities are encouraged to discover their own abilities and have opportunities to be engaged in the community. From this day forward, Community engagement, including employment, shall be a priority and the preferred outcome for those working age adults served by the Board. The board approved a new position titled Community First Facilitator The Board approved additional funding for integrated services The board approved additional services for teens in transition The Board worked closely with the RTC Board to approve a plan to divest from the provision of direct Supported Living services. In 2015 the Board approved a resolution to no longer provide SL services and RTC became a private provider in As the Board continues to work to increase the community s interaction and integration, supporting and including people with developmental disabilities, the numbers and types of contractual relationships will grow. As a result, our influence in the community will continue to grow as we continue to build capacity in the community to support people with disabilities. Our reputation remains solid and the survey data shows that an overwhelming percentage of citizens think our services are a wise investment of tax dollars. RTC Industries, Inc. continues to work with many community corporations and agencies. Their influence in the community continues to grow and provide opportunities for community involvement and integration marks a significant milestone it is the 50th anniversary of the founding of Ohio s 88 county boards of DD by the Ohio General Assembly. Since 1967, county boards have been Side by Side, supporting people with developmental disabilities in Ohio. We created a historical page on our website including an outline of our history and a video celebrating our history. 18

19 VII. Assessments Based on input from the 2014, 2016 and 2017 Needs Assessment surveys of consumers, families, providers, and staff, the Logan County Board of DD is a valuable and essential component in the continuum of services to individuals with developmental disabilities. Thus, the Logan County Board of DD commits to future services in Help Me Grow, Early Intervention, school age, service & support administration, adult services, supported living services, transportation, housing & residential, activities coordination including Special Olympics and unified sports. In August 2016, the Ohio Department of Developmental Disabilities (DODD) reviewed the operations of and the services provided by the Logan County Board of Developmental Disabilities and awarded the CB with a three-year accreditation, the highest level of accreditation achievable. In our desire to continually improve services and supports the Board will conduct a self-review to ensure we continually meet the standards for accreditation. In 2016 LCBDD contracted with MEORC, a Council of Government, to provide a comprehensive assessment of our agency. We will again contract with MEORC in 2018 for a review. In addition to the DODD accreditation, the Commission on Accreditation of Rehabilitation Facilities (CARF) reviewed the programs and services provided by RTC Industries in March 2016 (Community Services Organization and Organizational Employment Services with Governance Standards Applied). CARF awarded RTC with a three-year accreditation, the highest level of accreditation achievable. This was the eleventh consecutive three-year award for RTC. The Ohio Department of Health and the DODD reviews compliance of the Help Me Grow Program through the Early Track Database. Completing referral, enrollment, timely receipt of services as well as transition to preschool timelines is monitored. Our EI Department has achieved the highest standards of services. The Ohio Department of Education and the Ohio Department of Job and Family Services administer the Step Up To Quality (SUTQ) rating and improvement system. SUTQ program standards are based on national research identifying standards which lead to improved outcomes for children. The Discovery Center received the highest rating achievable, a 5-star rating. Annually, the Ohio Department of DD Major Unusual Incident (MUI) Unit reviews Logan County s Major Unusual Incidents for rule compliance. The Board continues to be in substantial compliance of all rules for Major Unusual Incidents (MUIs). The Bellefontaine Fire Dept, Ohio Valley Integration for ALL Building Safety and Security related Inspections, and the Logan County Health Department conduct visits to inspect the premises for safety and hygiene. The safety of individuals and staff is of primary importance; therefore, a safety committee composed of County Board staff holds monthly meetings to discuss safety procedures and provide safety training. In addition, the County Board has required fire, bomb and tornado drills. Employees also participate in an online ALICE training. The state auditor conducts or coordinates annual fiscal audits of all financial records and transactions conducted by the County Board of DD. The 2017 audit of financial reports contained no citations or comments related to County Board of DD operations. 19

20 VIII. Statement of Funding Priorities The Statements of philosophy, purpose, values, mission and vision guide the development of the Board s Funding Priorities: The Board s Funding Priorities As long as resources are available, the following are the Board s priorities for funding consistent with the requirements of Ohio Revised Code (ORC) and Ohio Code (OAC) 5123: (Items are not list in order of priority) 1. Services to young children from birth to age three. Special Instruction provided by an Early Intervention Specialist certified by the Ohio Department of DD meeting the requirements of 5123: that are interest and strength based, delivered in the child s natural environments, and utilize the primary service provider model, family coaching strategies and PLAY project techniques. 2. Services to preschool age children. Provide educational opportunities to children as identified in their IEP in partnership with their local school district. LCBDD will utilize technology as a means to assist children with their educational goals. 3. Medicaid Waiver Match that is leveraged to secure federal funds that pay approximately 60% of the cost of transportation, adult services, residential supports, employment supports and other services available through enrollment on the level one, individual options, and SELF waivers, as required by ORC and The amount of money determined by the Board to be available for waiver match will dictate the number of waiver slots the Board applies. The Board will not request waiver slots for which no source of match is identified and committed. Individuals eligible under the adult services re-financing priority category are a priority for enrollment on the level one waiver. Children eligible under children with intensive needs re-financing priority category are a priority on the SELF waiver. 4. In October 2015 LCBDD was granted 16 state funded waivers (9 SELF and 7 IO with two in shared living) to assist us in reducing our waiting list. The SSA department is charged with filling these waivers. 5. Family Support Services as described in the Board s Policy on Family Support Services. The Board makes an annual budgetary allocation for this program. 6. Services that promote the transition of teenagers from school to adult life. Early planning and preparation are essential for success in adulthood. 7. Transportation and day service program costs for adults. Individuals who are competitively employed may be required to contribute, on a sliding fee scale, to the cost of their transportation. 8. Supported Living services to individuals not eligible for waiver services due to their assessed level of care. The Board will authorize an annual allocation for these services. When the allocation is exhausted, no additional services will be authorized. 9. Room and Board for individuals living in a licensed setting is supported through state subsidy funds. The Board will support an increase in licensed capacity for any existing licensed providers in Logan County in the event of an emergency for a specified length of time. 20

21 2017 Annual Plan & Goals April 27, 2017 Logan County Board Developmental Disabilities Empowering people with developmental disabilities to be valued as contributing members of our community 21