Staley Implementation Group Meeting Previous Meeting  Next Meeting
Official Minutes
March 3, 2005
PARTICIPANTS:
Carol Stedham, DD Program Manager, Josephine County; Nancy Milligan, DD Program Coordinator, Washington County; Pat Zullo, DD Program Manager, Clackamas County(on the phone); Kathryn Weit, Policy Coordinator, DD Council; Marcie Ingledue, Executive Director, ARC of Oregon; Bill Uhlman, Executive Director, Eastern Oregon Support Brokerage; Adam Ayers, Assistant Director, Resource Connections of Oregon; Margaret Theisen, Executive Director, Full Access Brokerage (on the phone); Darlene O’Keeffe, SPD Regional Coordinator; Mike Maley, Manager, Office of Home and Community Supports, SPD; and Diana Buell, facilitator, SPD.
A. Comp 300 Updates:
To have 40 people in comp 300 by end of 05 biennium.
To add 130 people to comp 300 during 05-07.
To add 130 people to comp 300 during 07-09.
Planning to occur the first year (06) with placements in the second part of the second year in the biennium.
B. Goals for Comp 300:
1. To get folks off of waitlists.
2. To develop capacity for services in Communities.
C. Work group Timeframe:
June 30, 2005 is the targeted completion timeline for this workgroup.
D. Eligibility Discussion
Current Eligibility requirements are as follows;
1. DD eligibility determined
1. At least 18 years of age
2. Waiver eligible
3. Not in comprehensive service
4. Not in crisis
5. Primary caregiver at least 75 years of age
Changes in Eligibility to Consider;
1. Look at a common set of criteria
2. Capacity of caregiver includes issues of age, physical and mental health, and resources. Family may not be able to support a child with severe behavioral or medical support needs.
3. Look at group not needing 24 hour support
4. Target the “I’m Ready” group
5. Look at prioritization not based on cost but rather on the basis of need. This concern was expressed when talking about individual budgets developed within an average rate of $3161/mo.
Capacity Building;
1. What does capacity building mean?How does this tie into the message that no new group homes will be developed?
2. There are people in group homes not needing the level of care or wanting Brokerage services. How can comp 300 planning incorporate this group?
3. Include people in Brokerages wanting to move into comp. services.
4. The younger the person the more ready they are to move out of their family home. This group consists of kids turning 18 and they will need SILP type supports.
5. Families have developed their own housing options and want access to comp. funding. Is there any way to use comp 300 funding with family developed housing options?
6. Look at people in SILP. People in SILP frequently receive a lot of support off the books/looks like 24 support, but are not funded at this level.
7. Look at creating flexible options and use
8. Look at people who are in challenging situations but their circumstance does not meet the definitions of crisis services.
9. Who are the 38% group?
10. How might “Agency of Choice” and an “Assisted Living” model fit into comp. 300 developments?
11. What happens to capacity when needs of person change?
12. Can capacity building be done with group home providers?
13. Will money follow the person? Under what conditions would funds go into Base?
14. Look at developing a stable resource within County/Region.
Challenges in Identifying People for Comp 300 services ;
1. Family financial dependence on the income of the child eligible for services. How to address this issue?
2. Breaking up of the family unit.
3. Timeframes that meet the family and persons need. This is a clear challenge when development occurs within specific time frames. How flexible can we make comp. 300 development?
4. How can we plan for families needing comprehensive services in the future within time frames established now?
The Need for Futures Planning and Deciding How to Tie a “Futures Plan” into a Schedule for Comp 300 Development.
1. Look at how to move families into thinking about and moving toward out of home placement. This is a County Services Coordinator and Brokerage training issue.
2. Plan training for Personal Agents in Brokerages.
3. Families may say they want or don’t want their family member in a group home because that is the only option they know. A plan is needed to give information to families about options available through comp 300 planning and placement (group home versus a plan over the next X period of time). Plan how families are approached.
Conceptualizing Development (Brainstorming the Issue)
Who has responsibility for development; County, Region, State?
1. Having Regions responsible for comp 300 development confuses their primary responsibility which is crisis services.
2. Regions can help identify eligible people.
3. Regions can help with the development but not necessarily do the planning.
4. Not all Regions will be willing or able to do development.
5. Don’t put more work on the Regions.
6. Regions have experience with development which Counties may not.
7. Counties can identify what services are needed.
Next steps
1. Develop a profile of people on the waitlist wanting comprehensive services.
2. Talk to Regions and DD Managers about where development could happen.
3. Tie into ORA capacity building.
Parking Lot
1. Look at reasons why people moved from Brokerage to comp. services.
Previous Meeting Next Meeting Top of Page |
