HomeMy WebLinkAboutResolution to Approve the Kittitas County Developmental Disabilities 2021-2023 Biennial PlanBOARD OF COUNTY COMMISSIONERS
COUNTY OF KITTITAS
STATE OF WASHINGTON
RESOL
NO.2021
UTIONJaA
RESOLUTION TO APPROVE KITTITAS COUNTY DEVELOPMENTAL
DISABILITIES PLAN 202I.2023
WHEREAS, the County has obligations under Chapter 7l{.l4 RCW to provide certain services
to individuals as detailed in the statute pertaining to developmental disabilities; and
WHEREAS, pursuant to Washington Administrative Code 388-850-020, each county shall
submit a written plan for developmental disabilities services to the Washington
State Department of Social and Health Services, Developmental Disabilities
Administration (DDA), every two years in alignment with the state's fiscal
biennium.; and
WHEREAS, according to the county guidelines from the Developmental Disabilities
Administration, the biennial developmental disabilities plan is intended to be
developed by the county developmental disabilities advisory board; and
WHEREAS, the plan aims to encourage and support the ability of communities to include
people with disabilities, influence the direction of developmental disabilities
servrces; and
WHEREAS, the plan will help determine the direction of contracted services with input from
persons with disabilities, families, and the community; and
WHEREAS, the Kittitas County Developmental Disability Advisory Committee made the
formal recommendation to approve the Kittitas County Developmental Disabilities
Plan202l-2023 which is attached hereto and hereby incorporated by this
reference; and
NOW THEREFORE, BE IT RESOLVED that the Board of County Commissioners of Kittitas
County now hereby adopts the Kittitas County Developmental Disabilities Plan 202I-2023 that
is referenced herein.
jh^L
day ofDATED this 2021, at Ellensburg, Washington.
BOARD OF COUNTY
C
YVV
a
Kittitas County
Public Health
Departmenl
KITTITAS COTJNTY
Dtr,VE,LOPMtr.NTAL D ISABILITIE,S PLAN
"We value every individual as a contributing member of our community."
2021-2023
TABLE OF CONTENTS
ACKNOWLEDGEMENTS .......2
BACKGROUND 3
DEVELOPMENTAL DtSABlLlTlES ADVISORY COM IITTEE (DDAC)... ..................4
K|TT|TAS COUNTY PROFTLE ................7
PEOPLE WITH DISABILITIES 8
KITTITAS COU NTY DEVELOPMENTAL DISABI LITI ES PROG RAAA.
OTHER DISABILITIES SERVICES IN KITTITAS COUNTY
ASSETS, GAPS, OPPORTUNTIES, CHALLENGES
PRIORITIES
IMPLEMENTATION : GOALS, STRATEG I ES, OBJ ECTIVES, ACTIVITI ES . .
REFERENCES
APPENDIX A: ELIGIBILITY FOR DDA SERV|CES....
APPENDIX B: KITTITAS COUNTY SERVICES
Pictured on cover page (left to right): StreetKat (performer), Devin Beach, Harry Engel, K.B. Shinn,
and Jacqueline Robi nson.
13
17
18
20
21
25
26
29
I
AC KN OW LE DG EM E NTS
The 2021-2023 Kittitas County Devetopmentat Disabitities Plan was devetoped by members of the
Kittitas County Developmentat Disabitities Advisory Committee (DDAC), in partnership with Kasey
Knutson, the Developmental Disabitities Coordinator at the Kittitas County Pubtic Health Department,
and Robin Read, Community Consuttant.
APPROVAL
The DDAC approved the final plan on September 14,2021 and recommended adoption of the ptan to
the Kittitas County Board of Commissioners.
Toby Attphin
Devin Beach
Kathateen Briggs Earty
Shannon Garoutte
DDAC ltembers 201 7 -2021
Deborah Kirby
Nancy Littquist
Sarah Oliason
Anne Pftug
Charti Sorenson
Carla Thomas
John Ufkes
Brett Wachsmith
202'l
ADOPTION
The Kittitas County Board of Commissioners adopted the ptan on
Brett Wachsmith, Chair
Commissioner
Cory Wright, Commissioner
lIur !
o
Nbv. A
l:
,4 r
,tt4-r
2
A.e(ffi:
fl'U
Iilllll\
BACKGROUND
Per Washington Administrative Code 388-850-020, each county shatt submit a written ptan for
developmentat disabitities services to the Washington State Department of Sociat and Heatth Services,
Devetopmental Disabitities Administration (DDA), every two years in atignment with the state's fisca[
biennium.
According to county guidelines from DDA, the biennial
devetopmentat disabitities ptan is intended to be
devetoped by the county devetopmentat disabitities
advisory board and it aims to:
1. Encourage and support the abitity of communities
to inctude peopte with devetopmental disabitities,
2. lnfluence the direction of local devetopmental
disabitities services.
3. Hetp determine the direction of contracted
services with input from persons with disabilities,
families, and the community.
Furthermore, the guidetines state that ptans should set
program priorities, objectives, and tasks that inform and
Developmental Disabilities Definition
Devetopmentat Disabitities are a
diverse group of chronic conditions
due to mentat/neurologicat or physicat
impairments or a combination of both.
ln generat, developmentaI disabitities
cause individuats difficutties in certain
areas of [ife, such as language,
mobility, learning, setf-hetp, or
independent living.
facititate the attocation of resources in atignment with the program mission and values.
ln Kittitas County, the Developmental Disabitities Ptan reftects the priorities of the Devetopmental
Disabitities Advisory Committee and is used to guide the distribution of both state and local funding
sources.
3
DEVELOPMENTAL DISABILITIES ADVISORY COMMITTEE
The Washington State Devetopmental Disabitities
Administration requires developmentat disabitity
boards to exist as part of the county contracts that
provide funding for employment and other support
services for peopte with devetopmental disabitities.
Kittitas County's Developmentat Disabitities Advisory
Committee (DDAC) is responsible for devetoping the
biennia[ plan and making recommendations to the
county about devetopmental disabitities services and
funding. lt consists of ninel community members
who serve three-year terms (except for the County
Commissioner Chair who is ad-hoc) who are
committed to supporting opportunities for each
Kittitas County citizen with devetopmental
disabitities to realize his/her personal goats as fu[[
participants in the community. Committee members
are people with developmental disabilities, or
parents of; poticymakers; and invested community
members who aim to bring the voices of people with
developmentat disabitities (DD) to the community.
i
1
Brett Wachsmith, Chair
"l serye on DDAC as a liaison to
the Board of Commissioners.
I'm proud of what has been
accomplished and I am eager to
see this committee tackte the
upcoming goats."
Nancy Lillquist
"My role is to be a liaison
between the DDAC and the
Eltensburg City Councit - to
inform the Council of DDAC
activities, and to let the DDAC
know of City initiatives that
may be relevant to the DDAC'S
work."
Shannon Garoutte
"l worked for peopte with
different abitities for many
years and saw the struggles
they had to deal with on a daity
basis. I also saw alt that they
had to offer to me on a
personal levet and to the
community. I wanted to give
back to them."
4
Revised Code of Washington (RCW)
The RCW provides authority to county
governing authorities to estabtish a
"devetopmental disabitity board to plan
seryices for persons with developmental
disabilities, to provide directty or indirectly a
continuum of care and seryices to persons
with devetopmental disabitities within the
county or counties served by the community
board. ... Members appointed to the board
shat[ include but not be timited to
representatives of pubtic, private, or
votuntary agencies, representatives of local
governmental units, and citizens
knowtedgeabte about developmental
disabitities or interested in services to
persons with developmental disabitities in the
community."
1 At the time of publication of this document, three positions on the DDAC are vacant.
G'), 6t"
4!:
,P\!
&
Toby Allphin
"l am on the committee as a
parent of a son with special
needs. We feel very good that
we live in a country that
cargs. "
Kathaleen Briggs Early
"l'm on the board because I
want to serye our community
at-large, and especiatly those
who are more tikety to be
underserved and
underrepresented, "
Auggie, Honorary litember
"l'm a 4-year-old Australian
Cattte Dog mix and Devin's
service dog. I started coming to
board meetings with Devin a
few years ago. I stay very
focused in board meetings but
when l'm off-duty, I tike to
ctown around to make my
human friends smite -
especiatty since the pandemic
began. "
Devin Beach
"Too often, structural and/or
attitudinat barriers silence the
voices of the Developmental
Disabitity community. As a
multipte-disabted woman, my
goal is to educate and
empower the community to
accept, inctude and empower
individuals with devetopmental
disabitities. "
5
During the2017-2019 ptanning process, DDAC devetoped a vision, mission, and guiding principles to
hetp guide their efforts and recommendations to the county.
Vision
A[[ peopte with developmental disabitities will have the opportunity to reach their full potential,
achieve their dreams, live fulfilled lives, and be contributing members of our community.
lAission
To foster an inctusive environment that supports citizens with developmental disabitities and their
families to participate in and contribute to a[[ aspects of the community
Guiding Principles
INCLUSION is the abitity to be present and included in our neighborhoods, schoots, community
groups, religious spaces and recreational activities. lnclusion offers us opportunities to meet
others, participate in community [ife, and feel welcome.
POWER AND CHOICE mean recognizing what we want and how to achieve it. Power is having the
abitity to direct or influence our own lives. Choice is the opportunity to make decisions that are
right for us and includes the opportunity to succeed or fail.
HEALTH AND SAFETY mean the abitity to live and work in a safe place, to have access to quality
heatth care, and to learn what we need to do to take care of our heatth and safety needs.
COMPETENCE is learning to do things that make our lives better and being supported to do things
for ourselves. lt inctudes communicating effectively with those who provide us with supports and
being abte to direct those supports.
CONTRIBUTION is feeting good about oursetves, being valued and wetl regarded by others, and
being recognized for what we contribute to our community.
RELATIONSHIPS offer a sense of betonging, continuity, intimacy and give meaning to tife.
Connection to others provides support and opens doors to new opportunities and experiences.
lilt
6
KITTITAS COU NTY PROFILE
Kittitas County is in the center of Washington State on the east side of the Cascade Mountains. The
county is surrounded by several mountain passes (Blewett, Snoquatmie, Manastash) and is nearty 2
hours away from the largest urban area in the state (Seattte.) Other larger cities nearby inctude
Yakima (45 minutes away) and Wenatchee (1.5 hours away.) ln other words, there are muttiple
geographic barriers to accessing a comprehensive range of services.
With a poputation of about 48,140 peopte and about hatf tiving in unincorporated areas, there is one
primary care physician per 1,890 residents, one mental heatth provider per 560 residents, and one
dentist per 2,280 residents.2 (University of Wisconsin Population Heatth lnstitute, n.d.) These ratios
woutd be even worse taking into account only those providers who accept Medicaid as insurance.
Access to medical, denta[, and mental heatth care is made more difficutt by the shortage of providers
in addition to the fact that one in every ten adults lacks heatth insurance. (University of Wisconsin
Poputation Heatth lnstitute, n.d.)
Residents of Kittitas County experience higher rates of physical inactivity, adutt smoking, excessive
drinking, mental distress, child mortatity, and sexualty transmitted infections compared to Washington
State as a whole. Residents have less access to healthy food sources and exercise opportunities and
lower rates of vaccination for flu and COVID-19. However, there are lower rates of low birthweight
babies, diabetes, HlV, atcohol-impaired driving deaths, teen births, and preventabte hospital stays.
(University of Wisconsin Poputation Heatth lnstitute, n.d.)
Unemptoyment rates are 5.5%3, twetve percent of children live in poverty, income inequatity is high,
and the median househotd income is significantly lower than Washington State as a whote. Severe
housing probtems are prevatent as welt: significantty fewer peopte own homes, and 20% of households
spend 50% or more of their income on housinga. However, violent crime is significantty lower than
Washington State, and high schoot graduation rates are higher. (University of Wisconsin Population
Health lnstitute, n.d.)
Leivffiil/orth
C6shm€re
UA wonnIchec
g
[3
Cle lJr"rrn
Ouillcy
0etr!e
0arerl ,4jre
Ellensburg
!f
rrk
rrgll'lichei
Yakimo
2 Compared to Washington State ratios of 1:1180 primary care, 1:250 menta[ heatth, and 1:1200 dentists.
3 Compared to 4.3% for Washington State as a whole.
a Compared to 14% for Washington State as a whole.
f,d
7
PEOPLE WITH DISABILITIES
According to the U.S. Census Bureau, nearly 13% of the poputation, both in Kittitas County
(approximately 5,800 people), and nationwide is disabted. (U.S. Census Bureau, 2019) ln Washington
State, 72% of DDA ctients live with their parents or retatives. Nine percent live in their own homes, 8%
are in supported living environments, and about 3.5% tive in adult famity homes. (Washington State
Developmentat Disabitities Administration, 2020)
Types of Disabilities in Kittitas County, Washington
Hearing difficulty - 5.0-'/"
Vision diffrculty - 1.8%
Cognitive difficully - 4.9-'r.
difficul - 5.6%
Self-care difficulty - 1.6%
lndependent living difficulty - 4.2%
0.,.6 196 69/o
Chart Silrvey/Prograin: ?0 19 An:erican Ccmmdnily SrJrvey 5-Year Fslinates
EMPLOYMENT & INCOME
ln the United States, about 24% of people 16 and over with a disability are employed compared to over
67% of peopte without a disabitity. (U.5. Census Bureau, 2019) ln Washington State, nearly 37% of
peopte with disabitities are employed compared to76% of people without disabilities. (Washington
State Division of Vocational Rehabiltation, 2017) About 57% of people with disabitities are not in the
labor force (compared to 19% of people without disabilities), however many of those who are
unemployed or out of the labor force report some type of barrier to employment, such as lack of
education or training, lack of transportation, and the need for job accommodations. (Washington State
Division of Vocationat Rehabittati on, 2017)
Difference in Employment Rates for Washingtonians (2015)
With Disabiliti$ s.oet
unsmdoy€d
Without 0lsabilities
omployod
57.0% notln
lhslaborlorco
30.8*
unomploy€d-\#:tJ:lF
78.1%
8
(Washington State Division of Vocationat Rehabittation, 2017)
6mploysd
People with disabitities are less tikety to work in a for-profit setting, a private company, or local
government; and more tikety to work for private non-profits, state and federal government, or be setf-
emptoyed. They are also less tikety to work in management, business, science, and arts occupations,
and more tikety to work in service; sales and office; natural resources, construction, and maintenances;
or production, transportation, and material moving occupations. (U.S. Census Bureau, 2019)
Percent of Emptoyed Poputation 16 and ove6 by lndustry
25
20
l5
10
5
0 ll ru ffilf'ir
5'7 5.4 6.6
ir li ilr
5 4.6
l[, i'd'i
2
t.a t.t iffirH
o"*-""'..-'*1""*"t "t T s*"-s'{t"-s.'"'1..d
-..a .u"'""
-^'-"t Los'
*'"'"'*-o t"c .s-.u..o":o
.,"". *.,tt ."".tt ^'""{et .*ron'
t
*.-tt .*.*t
t'""
;: a Disabirity nNo Disab*ity
(U.S. Census Bureau, 2019)
The median annual earnings of peopte with disabitities is 524,106, compared to 536,066 for peopte
without disabitities. People with disabitities are also significantly more tikety to tiving in poverty with
32.4% tiving betow 150% of the poverty [evel, compared to only 17 .8% of people without disabitities.
(U.S. Census Bureau, 2019)
The COVID-19 pandemic has drasticatty affected employment opportunities in Washington State,
especially for peopte with developmental disabitities. After several years of maintaining about 65% of
working age adults with developmental disabitities who received supportive emptoyment services who
earned a wage, this percentage dropped to 44% by Juty of 2020. (Washington State Devetopmentat
Disabilities Administration,202l) ln 2019, 4% of peopte receiving supportive emptoyment services
earned subminimum wage and 24% were job seeking with no wages reported. The higher the acuity
level, the lower percentage of peopte receiving minimum wage or self-emptoyed. (Washington State
Devetopmental Disabitities Administration, 2020)
9
Acuity
According to Washington Administrative Code 388-828-9200, acuity is defined by an atgorithm that
determines the [eve[ of employment support a DDA ctient can receive. The atgorithm considers the
following factors in determining acuity:
. Activities of daity tiving
. Behavioral support
r lnterpersonalsupport
. Environmentatsupport
. Level of monitoring
. Emptoyment support
. Speed of compteting tasks
. Quatity of compteting tasks
. Medical support
. Seizure support
Acuity
Level
Total
clients
No
hourslwages
reDorted
Hourslwages
reported llinimum wage earned
Average
hours worked
oer month
High Acuity
Clients 10 5 (50%)s (50%)3
(80% of those workinq)6
Medium
Acuitv 24 6 (25%)18 (75%)6
(33% of those workins)27
Low Acuity 6 0 (0%)6 (100%)3
(.50% of those workins)33
TOTAL 40 11 (27.s%l 2e (72.s%l 12
(.3O% of those workins)
EDUCATION
Just over 14% of students enrotted in school districts in Washington State had a disabitity during the
2020-2021 school year. Fewer Washington State students with disabitities met grade [eve[ standards
compared to students without disabitities (Engtish Language Arts 21% vs.66%, Math 16% vs.54%,
Science 17% vs. 51%). Sixty-four and a hatf percent of students with disabitities graduated in four
years, compared to 85.5% of students without disabitities. About 22% of students with disabilities
continue with their high schoot education after four years, and over 13% drop out (compared to 6% and
over 8% for students without disabilities, respectivety.) Students with disabitities atso have lower rates
of regular attendance (83% vs. 90%), significantty lower rates of kindergarten readiness (22%vs,55%1,
and higher rates of suspension and exputsion (6% vs. 2%). (Washington State Office of Superintendent
of Pubtic lnstruction, 2018-2021)
10
EDUCATION REPORT CARD
Better than state Same as state Worse than state
% enrolled (2O2O-2O21'1
% met grade level standards-El-A
(2018-2019)
% met grade level standards-lrtath
(201 8-201 9)
% met grade level standards-
Science (2018-2019)
% graduated in 4 years (2020)
% continuing after 4 years (2020)
% dropping out (2020)
% with fewer than 2 absences per
month on average (2020)
% entered kindergarten ready in
6 areas of development and
learning (2019-2020)
% excluded due to behavioral
violation (suspension or expulsion)
% enrolled (2O2O-2O211
% met grade level standards-El-A
(201 8-201 9)
% met grade level standards-lrtath
(2018-2019)
% met grade level standards-
Science (2018-7019,
% graduated in 4 years (2020)
% continuing after 4 years (2020)
% dropping out (2020)
% with fewer than 2 absences
month on average (2020)
% entered kindergarten ready in
6 areas of development and
learning (2019-2020)
% excluded due to
Students
with
disabilities
Students
witlwtt
disnbilities
Studenfs
with
disr.bilities
Students
without
dlsnbilities
Students
with
dtsr,bilities
Students
witlrout
dsabilities
Not Available
Not Available
15%
16%
11%
Not Available
Not Available
Not Available
Not Available
85Yo
Not Available
59%
88%
10%
2%
91%
s7%
8s%
64%
39%
13%
13%
9%
17%
88%
6%
6o/o
86%
5%
4o/o
87%
58%
50%
47%
93%
4%
3%
93%
50%
1%
16%
20%
127o
Not Avaitable
Not Avaitabte
Not Available
Not Avaitabte
81%
Not Avaitabte
Not Availabte
46%
79%
3%
18%
93%
Not Available
61%
84%
66%
51%
Students
with
disabilities
Students
withut
disr,bilities
Students
with
disnbilities
Students
withant
disribilities
Students
with
disnbilities
Sfudenfs
without
dinbilities
21%
Not Available
Not Available
Not Available
Not Avaitabte
Not Available
Not Avaitable
Not Available
Not Available
Not Availabte
36%
Not Avaitabte
Not Available
Not Available
88%
Not Availabte
Not Availabte
80%
58%
32%
Not Availabte
Not Available
Not Avaihbte
Not Available
Not Available
Not Availabte
Not Available
Not Avaitable
5%
Not
95%
55%
64%
Not Avaitabte
Not Avaitable
Not Available
Available
Not Available
Not Avaitabte
Not Avaitabte
Not Availabte
Not Avaitable
Not Avaibbte
867o
Not Availabte
Not Availabh
Not
15%
23%
23%
85%
73%
49%
63%
Not Available
Not Availabte
l.,lot Avaitabte
88%
Not Availabte
63%
':',1't:,rtir,
violation (suspension or expulsion)
11
SERVICES
The Washington State Department of Social and Health Services, Devetopmentat Disabitities
Administration (DDA) provides funding to counties for employment and other support services for
people with devetopmental disabitities. Etigibitity for seryices is determined by DDA and is based on
Washington State residency, evidence of a quatifying devetopmental disabititys that began before age
18, and evidence of substantial limitations. DDA's casetoad has increased by an average of 3% per year
over the past few years and their budget has grown an average of 1 5.3% each biennium for the past
decade (from 51.91 bittion in 2011-2013 to 53.76 bittion in2O19-2021.) (Washington State
Developmentat Disabitities Administration, 2020) ln 2020, Washington State had more than 14,000
peopte with devetopmental disabitities who qualified for services but didn't receive them due to lack of
state funding (no-paid services casetoad). That's about 29% of a[[ people on the DDA casetoad.
(Washington State Developmental Disabitities Administration, 2020)
There are 33 chitdren and 174 adults in Kittitas County currently enrolled in DDA. Fifty-four individuals
are on the no-paid caseload, or 26%. ln 2019, Kittitas County served 70 individuats in employment
services (2 in group supported employment and 36 in individual employment) and community inctusion
services (35).6 (Washington State Devetopmental Disabitities Administration, 2020)
The average number of days per week that Washington State individuals in supported living programs
accessed community-based activities dropped from nearty 5 days per week in 2017 -2019 to around 3-
3.5 days perweek in 2020 (Washington State Developmental DisabititiesAdministration,202l), tikety
because of the COVID-19 pandemic.
5TheRevisedCodeof Washington71A.10.020(5) definesadevetopmentatdisabitityas: "adisabilityattributabteto
intellectual disability, cerebral palsy, epilepsy, autism, or another neurological or other condition of an individuat
found by the secretary to be closety related to an intetlectuat disabitity or to require treatment similar to that
required for individuats with intetlectuat disabitities, which originates before the individual attains age eighteen,
which has continued or can be expected to continue indefinitety, and which constitutes a substantial timitation to
the individual. "
6 See next section "Kittitas County Developmentat Disabilities Program" for definitions and descriptions of each
service/program. Pages 12-1 3.
12
KITTITAS COUNTY DEVELOPMENTAL DISABILITIES PROGRAM
The Washington State Department of Social and Heatth Services, Devetopmentat Disabitities
Administration (DDA) provides funding to counties for employment and other support services for
people with devetopmental disabitities. Etigibitity for services is determined by DDA and is based on
Washington State residency, evidence of a quatifying developmentat disabitityT that began before age
18, and evidence of substantial limitations (see more detaited information about etigibitity for DDA
services in Appendix A). The funding varies based on avaitabitity, number of peopte receiving services,
and the needs of each individual and is intended to hetp peopte keep a job or gain skitts for obtaining
emptoyment. Kittitas County has received an average of around 5600,000 per year for the past 5 years
from DDA.
Additionatty, per Revised Code of Washington 71.20.110, counties are required to annualty budget and
levy a property tax for developmental disabitities or mental heatth services. ln Kittitas County, this tax
is sptit equatty between devetopmentat disabitities and mental heatth services. Commonty referred to
as "millage", the county has discretion on how these funds are spent. The developmental disabitities
program has received around 5100,000 annually from this tax over the past 2 years.
Kittitas County's developmentat disabilities (DD) program is overseen by the Kittitas County Pubtic
Heatth Department through a quatified and experienced DD Coordinator. The county pubtishes an open
Request for Quatifications (RFQ) to solicit quatified employment support providers. Responses to the
RFQare reviewed thoroughty by the DD Coordinator and DDA staff, and if quatifications are met, the
provider is placed on a list of avaitabte emptoyment services providers for ctients to choose from when
they quatify for services. A Request for Proposals (RFP) is also pubtished to solicit proposats from local
agencies who propose to provide indirect services retated to community information and education,
training, and/or other activities that witt benefit people tiving with devetopmentat disabitities, their
families, and/or service providers. The proposals are reviewed by the DD Coordinator and the
Devetopmentat Disabitities Advisory Committee, who make funding recommendations for approval by
the Kittitas County Board of Commissioners.
DD services funded by DDA fatt into two major categories: Consumer Support Services and Additiona[
Consumer Services, each of which contain several different specific services that can be provided.
Each type of service as welt as the targeted outcomes for that service are described below.
Approximatety 5% of the Additional Consumer Services funding is set aside each year for emerging
needs that may come about during the biennium, such as new trainings or sponsorships.
7 The Revised Code of Washington 71A.10.020(5) defines a developmentat disabitity as: "a disabitity attributabte to
inteltectual disability, cerebral palsy, epilepsy, autism, or another neurological or other condition of an individual
found by the secretary to be ctosely related to an intellectuat disabitity or to require treatment similar to that
required for individuats with intellectuat disabitities, which originates before the individual attains age eighteen,
which has continued or can be expected to continue indefinitely, and which constitutes a substantial limitation to
the individual."
13
CONSUMER SUPPORT SERVICES
I N DIV I DU AL SU PPO RTE D E MPLOY MENT
lndividuat Supported Employment (lSE) services are part of
an individual's pathway to employment and are tailored to
individual needs, interests, and abilities. They are
intended to promote career development. These are
individuatized services necessary to hetp persons with
developmentat disabitities obtain and continue integrated
emptoyment at or above the state's minimum wage in the
general workforce. Supported emptoyment occurs in a
variety of typical, integrated workplace environments.
Supports can be provided to the client, emptoyers, and/or
coworkers through activities such as on-the-job training, job
restructuring, and technicaI assistance to employers and
2020
coworkers. ln Washington State, clients receiving ISE received an
average of 2.5 support hours per week, worked an average of 10
hours per week, and earned an average of 5138.00 per week in
2019. (Washington State Developmental Disabitities Administration, 2020)
2021-2023 Targeted Outcomes for ISE
r lncrease the percentage of lSE ctients reporting hours/wages from72.5% (2020)to 80%
by June 30,2023.
o lncrease the percentage of working lSE clients who make at least minimum wage from
41% (2020) to 100% by June 30,2023.
. lncrease the average hours per month worked by employed high acuity clients from 6
(2020) to 10 by June 30, 2023.
C O lvl ttlu N I TY I N C LU Sl O N
Community lnclusion (Cl) services are designed to promote
individualized skitt devetopment, independent living, and
community integration for individuats to learn how to
engage in their [oca[ community actively and freely.
Service providers assist individuals in participating in
activities that provide opportunities to develop
relationships and to learn, practice, and appty skitts that
result in greater independence and community inctusion.
Examples of community access services may be aiding in
obtaining membership or participating in community
organizations, training for volunteer work, and support in
buitding relationships.
2020
2021-2023 Targeted Outcomes for Cl
r lncrease the percentage of clients participating
in volunteer work from 3% (20201 to 10% by June
30,2023.
o Ensure that at least 50% of clients participating in volunteer work can do so for at [east
20 hours per month on average.
Number of Individuals
Receivins. Service 40
Organizations
Providing Service
Elmview
Entrust
Amount of Funding s227,869
lndividual Supported
Employment services ore
for working-age adults.
Number of lndividuals
Receivinq Service 34
Organizations
Providing Service
Elmview
Entrust
Amount of Funding sl21,713
Community lnclusion
Services are for adults
who are not in the
workforce, mostly
seniors.
14
ADDITIONAL CONSUMER SERVICES
C O t{t'ttu N tTY I N F OR IAAT I ON AN D EDU C AT t ON
These services are intended to inform and/or educate the
pubtic about devetopmentat disabitities and retated
services. This may inctude
information and referral
services; activities aimed
at promoting pubtic
awareness and
invotvement; and
community consultation,
capacity building and
organization activities.
Kittitas County reaches 450+ peopte per year on average
with these services.
rRAlN/NG
There are two types of training that can be funded: Staff
Training and Board
Training.
r Staff Training inctudes
costs incurred by the
program for the
planned, structured
activities for the
purpose of providing,
or improving, or
enhancing job-retated
knowledge and skilts of
2020
Orgonization Yokima Valley
lAemorial
Services
Early
intervention
services
Funding s2,106
Organization Kittitas Valley
Opportunities
Services Parent and
familv support
Funding sl5,000
Organization WISE
Services Troininq
Funding 515,550
Organization Robin Read
Consultinq
Services Facilitation and
planninq
Funding Sgtg
staff, providers, volunteers, or interning
students in the provision of developmental disabitity services.
. Board Training includes costs incurred by the program for planned, structured activities designed to
provide, improve, or enhance program-retated skitts of board or advisory committee members.
OTHER ACTIVITIES
Other activities can fund a variety of different projects. There wos no funding designoted for Other
Activities in 2020.
. lnfrastructure projects: Projects in support of clients not of working qge. Examples inctude
ptanning services like benefits planning and generic job development.
r Start-up projects: Projects that directly benefit the agency. Examples include equipment purchases
and agency administrative support.
. Partnership projects: Cotlaborative partnerships with school districts, employment providers,
famities, employers, and other community collaborators needed to provide employment supports
and services to young adults to become employed.
Community lnformation
and Education primarily
serves young children
(birth to pre-K), school
age children, and their
families.
Training is designated
for organizations and
their staff who provide
DDA-funded services as
well as the
Developmental
Disabilities Advisory
Committee.
15
2021 -2023 Targeted Outcomes
. ldentify children with devetopmental disabitities by administering the Ages and Stages
Questionnaire to at least 20 chitdren in Kittitas County per year.
r Conduct at least 35 parent support meetings per year.
. Comptete at teast 16 hours per year of professional development for service provider
staff or boards/advisory committees.
r Utilize at least 5% of avaitable funding to assist with activities that address emerging
needs.
. Develop priorities, goals, and strategies for the DDAC and the next biennial ptan by
June 30, 2023.
16
OTHER DISABILITIES SERVICES IN KITTITAS COUNTY
White the services funded through the Kittitas County government focus on employment supports,
community inclusion, early intervention, and famity supports; the overarching service system provides
more comprehensive opportunities for support. The graphic betow, created by the Devetopmental
Disabitities Advisory Committee, displays the comptexity of the service system in Kittitas County. A
detailed list of these services can be found in Appendix B.
Overview of Service System
For People with Developmental Disabilities
ln Kittitas County
STfM Ev6nts:
Eright BeginniDgg
AgeB & Strgps
Qu"slionnaire
B Heard, B Strorg, B
Froud-Advocacy and
Community Educatiofi
Ell€nsburg Senior Center
&
Upper Kititas County
Senior Centen
Merls, sctivitie& exercise,
dnd nenlth checks,
Family Atr{ocacy
Prog16m:
PEffitCdalilion
Pa(€nt to Parent
conneclirE FffnilieB
Persons with
disabilitias
and their
familiesFacebook- Community
Connect
college Oisability
Services rnd
Student
Aceomrndation Pers'cn Ceritered
PlsRning
County fund€d
EFFloyment and Day
sGnrices: Elmvic$r,
Entrurt, and tlle Trellis
CenteI
Division ot
Vo{ationsl
Rehsbilitation
School District Sptrcial
Educslion Seffice$:
50.1 Plan, lEP, and
Tran8ilion Serviceg
0DA S'ervicss-
Ctee
i{anagemEnt,
Per3onal Cf,re,
and Waiver
Progl'ms Career Path
$ervices
EducationEl
Path Services
Housing ReBo{.1rce*:
Adrlt Family Homs
and Supporhd
living $ervices
thro{gh DDA Social Secutity
Disabilityl$Sl
benefits plrtrning
Centdl Washiltgton Oisatrility ResourEes:
lndependent Living, Transition ScrriceB, Ptrr
lltentoring, Recresliorlr snd R€murce Library
HopeSourc6: Housing,
nutrition, and tanspcrtalion
aewiceg
Village-Yskima
tlostital- S6tte
ChiHCEn's
Childrents
central WA Community
fleallh: Children witll Special
Health Care l{eeds Proorom
Spirit TheraFulic
Riding C€oter E
Shado$rWng Ranch
oDA WriverPrugrams:
Re*pite Care
Werhington
State Fathsrs
lletrrcrfi
Trellis Center-
Community Respite
DevEloplnentsl
Dissbilities
Advirory
cilnmitiec
County-wide
TranBition
TBam
,::i.1, ,: ;rl
:;. l,ll r' i I
' ':: :1 . : :::: r r.:,: r:
. li.il::lr:i::-
Eright BeginninqE
Eirlh toThrEe
ENrly lnterveniion
Programt
17
ASSETS, GAPS, OPPORTUNTIES, CHALLENGES
The Devetopmental Disabitities Advisory Committee has conducted an anatysis of services in Kittitas
County based on avaitabte information. fusets are strengths in our community that may be abte to be
buitt upon. Gaps are areas where the county is not meeting the need of people with developmental
disabilities. Opportunities are potential actions that could be taken to improve services. Finalty,
challenges are areas that may need additional resources to solve.
ASSETS
o Dedicated and committed DDAC
. A community that cares about and embraces peopte with developmental disabilities. Professionals with valuable training and people with tived experience
. Local policy makers who value community input
r A strong network of social support for parents of peopte with disabitities
GAPS
. Few quatified service providers
. Lack of vocationat/trade education and job training programs that atign with area employersr Limited number of continuous community employment and transition ptacements
. Social skills curriculum for students in special education does not address sex education,
dating, bultying, social anxiety, depression, and substance abuse
. No menta[ health court program
. No one tenth of one percent sates tax for mental heatth and substance use disorder treatments. Limited opportunities for respite care
. Lack of awareness about the issues faced by people with devetopmental disabitities by poticy
makers, law enforcement, and the pubtic
. Services that are culturatly appropriate
. Lack of adequate transportation to access seryices, iobs, and the community
OPPORTU N ITIES
r Resources and opportunities for joint programs with Central Washington University and their
students
. Central Washington University and the agriculture industry are underutitized for employment
opportunities.
. lncreased momentum to pass the one tenth of one percent sales tax for mental health and
substance use disorder treatments
o Buitding attiances between existing nonprofit agencies and private citizens to create more
housing options
o lnvolve people with developmental disabitities in DDAC and other retated activities
o lncrease awareness and opportunities for advocacy
r lmprove how peopte with disabitities can access information about services
r Buitd momentum for a mental heatth court program
o lncrease engagement and education with law enforcement agencies
18
CHALLENGES
. Many children with devetopmental disabilities live in singte parent famities further limiting the
time and resources these families must seek and use existing services
. A greater number of Hispanic children and families are entering the service system and witl
continue to do so, creating access and cutturalty appropriate practice chattenges for the
service system.
r Most adult persons with cognitive disabitities in Kittitas County live with their families rather
than independentty or in supported residential placements. As baby boomer parents age,
community responsibitity for vutnerabte adults wi[[ increase.
. Peopte with developmental disabitities are often not involved in decisions that affect them
. lt's difficutt and compticated to know what seryices are avaitabte and how to access them
o High rate of no-paid case load
r lnteractions with law enforcement often have poor outcomes
19
PRIORITIES
The fottowing priorities were setected by the Kittitas County Devetopmentat Disabitities Advisory
Committee through a process that included facilitated brainstorming, affinity diagramming,
prioritization, goal setting, and action planning. These four priorities witt be utitized, not only for the
DDAC, but also for funding and programmatic decisions during the biennium. Requests for funding and
programs beyond the employment support services wit[, idealty, atign with these areas. Additionatty,
the DDAC identified a core vatue of ensuring the inclusion and involvement of people with DD and
their families in addressing these priorities.
POLICY MAKER ENGAGEMENT
Policy makers at the state or local levels often do not have much knowledge or awareness about the
issues faced by peopte with devetopmental disabitities and often people with DD don't have a seat at
the tabte discussion issues that affect them. To bring the voices of people with DD and increase
knowledge and awareness, our goal is to serve as liaisons to policy makers to increase awareness
and facilitate solutions to the issues faced by people with DD. The goal witt be accomptished
through strategies involving poticy makers at the city, county, and state levels.
COMMUNITY INCLUSIVITY AND ACCEPTANCE
Peopte with DD often remain invisible to the general community which can tead to discrimination,
conftict, and even violence. Our goal is to help our community be more inclusive and accepting of
people with DD through pubtic events and communications.
RESOURCE AND SERVICE EDUCATION
Even in a smatl rural community such as Kittitas County, it can be difficutt to know what resources and
services are available. To make this information and the resources more accessible, we aim to
education families, individuals, and the public about services available for people with DD. We witt
do this through improving and communicating current information about services.
CONFLICT REDUCTION AND IMPROVED COMMUNICATION
Peopte with DD often find themsetves in conflict with the public, law enforcement, or the courts due to
a lack of understanding and/or difficutties in communication. To reduce conflict and improve
communication with people with DD, we will coltaborate with local law enforcement, improve
common language about people with DD, and advocate for the estabtishment of a mental health court
program.
20
IMPLEMENTATION: GOALS, STRATEGIES, OBJECTIVES, ACTIVITIES
A goat is whot we oim to do to address our priorities. The strategies are how we wi[[ accomplish our
goat. The objectives provide meosuroble targets for strategy implementation. Finatly, the activities,
timetine, and person responsibte outline our action plan for making progress.
Strdtegy A Vlake recommendations to BOCC about services, gaps in services, and budget for DD
;ervices
Objectives
1. Present recommendations to the county DD coordinator about the county DD
budget by November of each year.
2. Comptete a biannual DD ptan that inctudes a picture of DD in Kittitas County, a
description of services, an anatysis of gaps in seryices, and priority areas of
improvement every other year by June.
3. Provide feedback and recommendations to BOCC about DD issues as needed
and/or upon request.
TIMELINE PERSON RESPONSIBLEACTIVITIES
DDACReview and make recommendation on
county DD budget Annuatty in October
DDACEstabtish a DD biennial plan subcommittee Every odd year in January
DDACReview and update DD biennial ptan Every odd year by May
Every odd year by June DDACPresent ptan to BOCC during special
meeting
Annuatty in January DDACldentify other priority areas or emerging
issues to provide feedback on
iducate and inform other local poticy makers about the issues faced by peopte with DD.Stategy B
Objectives 1. Conduct a presentation to at least one other local poticy maker group annuatly
TIAAELINE PERSON RESPONSIBLEACTIVITIES
)DAC or SubcontractorCreate a standard, yet customizabte
presentation or presentation outline By December 2021
By December 2021 )DACdentify list of other poticy maker groups to
)resent to
By January 2022 )DAC or Subcontractor
)rioritize groups and set up calendar of
rresentations
By March 2022 DDAC or Subcontractorichedute presentations
laitor and conduct presentations Annuatly, as scheduled DDAC or Subcontractor
Strategy C Advocate to the state tegistature about issues affecting peopte with DD.
Objectives
1. ldentify at [east one priority issue each legistative session to advocate for or
against by January of each year.
2. Provide at least 3 different communications to legistators about the issue during
the legistative session.
TIMELINE PERSON RESPONSIBLEACTIVITIES
DD CoordinatorReview and research list of legistative
rriorities by state association
Annuatty by December
Serve as a liaison to policy makers to increase awareness and facilitate solutions to
the issues faced by people with DD.Goal I
21
Present legislative issues to DDAC for
prioritization lon,.',
atty by January
loo
coorainator
Select priority legislative issues lAnnuatty by January looaC
ldentify communication methods lAnnuatty by February IOOAC
Finalize communication to legislators lAnnuatty by February IOOAC or Subcontractor
Strategy A iupport the annual Let lt Shine event through promotion, outreach, planning and other
rctivities upon request.
Objectives
1. Assign at teast 2 members of DDAC to participate in the ptanning committee for
the Let lt Shine event by October of each year.
2. Promote the Let lt Shine event through at least 10 different venues by Aprit of
each year.
ACTIVITIES TIAAELINE PERSON RESPONSIBLE
\ominate and finatize 2 members to
)articipate in planning Annualty by December DDAC
ichedute monthly updates of event
rlanning and requests for assistance Vlonthty )D Coordinator
Create promotiona[ ptan Annualty by February lvent Ptanning Committee
Conduct promotion Annuatty in March DDAC
Attend event Annuatty in Aprit DDAC
Strategy B Coordinate activities for DD awareness months, weeks, and days.
Objectives 1. Select at least one DD awareness date per year to participate in.
2. Conduct at least 2 activities for the DD awareness date annuatty.
ACTIVITIES TIAAELINE PERSON RESPONSIBLE
dentify possible dates for DD awareness
rctivities 3y December annuatty DDAC
rinatize dates 3y December annualty DDAC
ldentify key partners 3y January annualty )DAC
Estabtish subcommittee or subcontractor By January annually )DAC
Determine activities By February annuatty Subcommittee or
Subcontractor
Conduct/ implement activities Annuat[y DDAC or Subcontractor
Strategy C Connect Parent to Parent social media messages to other retevant social media outlets.
Objectives 1. lncrease Parent to Parent social media connections by at least 3 annually.
ACTIVITIES TIMELINE PERSON RESPONSIBLE
dentify current Parent to Parent sociat
nedia connections 3y July 2022 DDAC
Create tist of possibte new connections 3y September 2022 DDAC
Prioritize new connections By October 2022 )DAC
Reach out and make connections By December 2022 )DAC
Strotegy D and/or distribute short videos about peopte with DD and Di 1
Objectives 1. Distribute videos about peopte with DD through at least 3 different venues or
modes of communication annuatty.
ACTIVITIES TIMELINE PERSON RESPONSIBLE
dentify what videos currentty exist By January 2023 DDAC
Goal ll Help the community be more inclusive to and accepting of people with DD.
22
)ecide if additionat, local videos are
reeded lev
reoruaw zoz:
loooc
dentify venues of communication lBy March 2023 IDDAC
ichedute and conduct screenings,
listribute lev
lune zo2r
looo.
Ensure resources for people with development disabilities and their support systems are
easily accessibte and readity available.Strategy A
Objectives
1. Ensure a list of resources is avaitable through at least 3 different modes of
communication.
2. Ensure the tist of resources is updated at least annualty.
PERSON RESPONSIBLEACTIVITIESTIMELINE
By December 2021 )D CoordinatorConnect with transition counciI about
current resource list
By March 2022 DDACldentify and fil[ gaps
By June 2022 DDACldentify new venues to distribute
information
By Juty 2022 DD CoordinatorSchedute annual update of list
Educate families, individuals, and the general public about services available for
people with DD.Goal lll
Strategy A
,gvJ
process to create a mental heatth court program by
with DD.and representation of
1. Ensure at least one representative of DDAC is included in conversations about a
mental heatth court program.Objectives
TIMELINE PERSON RESPONSIBLEACTIVITIES
By September 2021 DDACdentify representative
Quarterly lepresentativenctude updates at least quarterty at DDAC
neetings
lepresentative3onduct research on how these programs
rffect people with DD
3y December 2021
Strategy B
Provide community information on changing our tanguage and the way we speak about
DD and peopte with DD.
Objectives Provide messaging on DD tanguage through at teast 3 different venues, at least
twice per year.
1
PERSON RESPONSIBLEACTIVITIESTIMELINE
By October 2021 DDAC
3ottect information and resources on
"changing our language and the way we
speak about DD and peopte with DD"
By November 2021 DDACldentify venues for distribution
By December 2021 DDAC or SubcontractorCreate primer/ infographic
DDAC or SubcontractorDistribute/ communicate Annuatty
Help to reduce conflict and improve communication with people with DD.Gool lV
23
Objectives 1. Estabtish cottaboration with at teast 60% of Kittitas County's law enforcement
agencies.
ACTIVITIES TIMELINE PERSON RESPONSIBLE
Collect information about what (if
anything) [oca[ law enforcement does for
lraining and information about interacting
and providing services to peopte with DD
December 2022 DDAC
Research best practices and potentiat
tunding opportunities for improving
;ervices and interactions between law
:nforcement and peopte with DD
March 2023 DDAC
Estabtish cottaboration to improve
interactions with [oca[ law enforcement June 2023 DDAC
24
REFERENCES
U.S. Census Bureau. (20191. Kittitos County Geography Profile. Retrieved Juty 25, 2021, from United
State Census Bureau: https://data.census.gov/cedsci/profite?g=0500000uS53037
University of Wisconsin Poputation Health lnstitute. (n.d.). County Health Rankings & Roadmaps.
Retrieved Juty 23, 2021, from
https://www.countyhealthrankings.orglapp/washingtonl2O2llrankings/kittitas/county/outco
mes/overa[[/snapshot
Washington State Developmental Disabitities Administration. (2020). Developmental Disabilities
Administration 2020 Coseload and Cost Report. Washington State Department of Social and
Heatth Services. Retrieved September 6,2021, from
https: / /www.dshs.wa.gov/sites/defautt/fites/DDA/dda/docum entsl2O20%20DDA%20Casetoad%
20and%20Cost%20Report. pdf
Washington State Devetopmental Disabitities Administration. (2021 l. Strategic PIan lletrics 2021-2023
Washington State Department of Social and Health Services. Retrieved Juty 25, 2021, from
https: / /www. dshs.wa. gov/data/ metrics/ DDA. pdf
Washington State Division of Vocational Rehabittation. (2017). Disability &, DVR Sfotistics Report.
Retrieved July 25, 2021, from
https: / /www.dshs.wa.gov/sites/defautt/fites/dvr/ pdt /2017%20Disabitity%20%26%20DVR%20Stat
istics%20Report.pdf
Washington State Office of Superintendent of Public lnstruction. (2018 -20211. Washington State Report
Card. Retrieved September 6,2021, from https://washingtonstatereportcard.ospi.kl2.wa.us/
Washington State Office of Superintendent of Pubtic lnstruction. (20201. Woshington State Report Card.
Retrieved September 6, 2021, from https: / /washingtonstatereportcard.ospi.kl 2.wa.us/
Washington State Office of Superintendent of Pubtic lnstruction. (2020-2021). Washington State Report
Card. Retrieved September 6,2021, from https://washingtonstatereportcard.ospi.kl2.wa.us/
25
APPENDIX A: ELIGIBILITY FOR DDA SERVICES
lndividuals who want to participate in Emptoyment and Day Programs must be etigibte to be on a
Waiver Program through DDA that provides emptoyment funding. Funding for these services comes
through a federal program under Titte XIX Medicaid calted the Home and Community-Based Services
(HCBS) Waivers. The HCBS waivers atlow the state to use Medicaid funding white "waiving" Medicaid
rules that require services to be provided in an institutional setting. The purpose of the waivers is to
provide integrated, community-based services to individuals with devetopmentat disabitities. Waivers
Provide an alternative to institutional services. To assist consumers in selecting the right Waiver
Program, a description of the Waiver Programs and the services provided under each program is tisted
on the foltowing page.
WHO IS ELIGIBLE FOR A WAIVER PROGRAM?
Etigibitity for waiver services includes peopte with devetopmental disabilities who:
r Are clients of DSHS Devetopmentat Disabitities Administration (DDA),
. Meet disabitity criteria established by the Social Security Administration (SSA),
r Are etigibte for Medicaid services in an institution,
. Have been determined to need home and community-based seryices in order to live in the
community, and
. Have an individual gross income that does not exceed 300 percent of the Supptement Security
lncome benefit amount and individual resources that do not exceed 52,000 (Parental income is
not considered for children.)
TYPES OF WAIVER PROGRAMS
BASIC PLUS WAIVER
This waiver program is for people who live with their families, on their own, in an adult family home,
in another setting with assistance or an Adutt Residential Care Assisted Living Facitity (ARC) and are at
high risk of out of home placement. Services covered include the foltowing:
r Hours per year available for Supported Emptoyment or, Community Access, based on DDA
assessment and employment status.
. Up to 56,192 is avaitable for any combination of Skitted Nursing (Nursing Delegation);
Community Guide; Environmental Accessibility; Adaptations; Specialized Medica[
Equipment/Supplies; OccupationaI Therapy; Speciatized Psychiatric Services; PhysicaI Therapy;
Speech, Hearing and Language Services; Staff/Famity Consultation and Training; Behavioral
Health Stabitization; and Transportation to a Waiver Service.
r Behaviorat Heatth Stabitization Services
r Respite is based on assessed need.
. 56,000 per year availabte for Emergency Assistance.
CORE WAIVER
This waiver is intended for people who are at immediate risk of out of home ptacement and need up to
24-hour residential services. Services covered inctude: Residential Services, Behavior Support,
Therapies, Environmental Adaptations, Skitled Nursing, Employment services, Speciatized Medical
Equipment and Supplies and more.
26
C O ltlvlu N ITY PROT ECT I ON WAIV ER
This waiver is for peopte who need 24-hour on-site awake staff supervision and therapies to maintain
their own and community safety. Services covered include: Residential Services, Behavior Support,
Therapies, Environmental Adaptations, Skilled Nursing, Employment services, Specialized Medicat
Equipment and Suppties and more.
INDTVTDUAL & FAMTLY SERVICES WAMR (IFS)
This waiver became effective June 1 , 2015, and offers support to clients living with a famity member in
the community. The intent of this program is to provide support and services to famity members,
centered on the needs of the ctient and the famity. Services covered include the fotlowing:
r IFS funding levets range from 51,200 to 53,600, depending on assessed need (determined by
assessment).
. IFS services inctude Respite; Behavior Support and Consultation; Community Engagement;
Home and Vehicte Modifications; Peer Mentoring; Assistive Technotogy and Speech;
Occupational, and Physical Therapies; Person Centered Ptan Facititation; Speciatized ctothing
and nutrition; Skitted Nursing; and Transportation to a Waiver Service.
r IFS services can be used in any combination, not to exceed a ctient's annual a[tocation.
c H t LDREN', S /NIEN5/ vF t N - H O tAE BE H AV I O RAL SU PPO RT ( C I I BS )
This waiver combines wrap-around planning with positive behavior supports to empower families to
remain together. To be etigibte for CllBS, your child must be between the ages 8 through 20 years otd
tiving with their family and are assessed at high or severe risk of out of home placement due to
chattenging behaviors. Services covered are determined by the lndividuat Support Ptan with an average
cost of service, inctuding respite, of 54000 per month per client for any combination of the fottowing
services: Skitted Nursing, Nurse Detegation and Behavior Support and Consultation; Environmental
Accessibitity Adaptations; Assistive Technotogy; Therapeutic Equipment and Suppties; Speciatized
Medicat Equipment/Supplies; Specialized Nutrition and ctothing; Vehicte Modifications; Occupational
Therapy; Specialized Psychiatric Services; Physicat Therapy; Speech, Hearing and Language Services;
Staff/Famity Consultation and Training; and Transportation.
ACCESSING WAIVER SERVICES
STEP 1
ln order to access county funded services, individuals with devetopmentat disabitities must be
determined etigibte for services through the Developmental Disabitities Administration (DDA). To appty
for DDA services in our area etigibitity paperuork can be requested from the fottowing number, email
or web address:
Tot[ Free: 1 -866-7'15-3646
Emait: R1 ServiceRequestB@dshs.wa.eov
Website : h tt ps : / i www. d s h s. wa. qov / d d a / servic e: a! 4lifq[a!ia!:IqSu,e5!
STEP 2
Once an individuat has been determined etigibte for DDA services, and has been assigned to a Case
Resource Manager (CRM), a person-centered DDA assessment witt be compteted. The assessment
determines what services a person may be etigibte for. lf certain criteria are met, a request to be
ptaced on a Waiver Program can be made. There are a variety of resources avaitabte through the
27
Waiver Programs and the case resource manager witt hetp guide a person in selecting the appropriate
Waiver Program that includes employment and day services.
STEP 3
After a person has been determined etigibte for a waiver program that offers employment services;
their assigned case resource manager will provide information about local employment vendors. lt is
recommended that the person seeking services and their famity representatives take time to meet with
local providers to determine which provider is going to be the best fit. Once a person has setected their
emptoyment provider, the emptoyment provider wi[[ start the intake and discovery process to start
them on their pathway to employment.
28
APPENDIX B: KITTITAS COUNTY SERVICES
B HEARD B STRONG B PROUD
Eltensburg, WA 98926
Phone: 509-607-4470
Website: https: / /www. facebook. com / BHeardBStroneBProudl 7/,
httos: / / bheardbstronqb oroud.wordoress.com /
CENTRAL WASHINGTON DISABILITY RESOURCES
301 East 2nd Avenue
Eltensburg, WA 98926
Phone: 509-962-9620
Website: http: I /mvcwdl,qre
CHILDREN'S VILLAGE
3801 Kern Rd.
Yakima, WA 98902
Phone: 509-574-3200
Website: https: / /www.vakimachi [drensvittaee.orq/ ou r-services. asp
CHILDREN WITH SPECIAL HEALTHCARE NEEDS PROGRAM
Community Heatth of Central Washington
521 E Mountain View Ave
Ellensburg, WA 98926
Phone: 509-306-1740
Website: https://www.chcw.ore/stepscvshcn-children-speciat-heatth-care/
CLE ELUM ROSLYN SCHOOL DISTRICT SPECIAL PROGRAMS
2960 SR 903
Cle Elum, WA 98922
Phone: 509-649-4807
Website: https: / /www. cersd. orql paqe / special -proqrams
DEVELOPMENTAL DISABILITIES ADMINISTRATION
100 East Jackson Avenue, Suite 100
Ellensburg, WA 98926
Phone: 509-925-0405
Website: https: i /www. dshs.wa.qov/dda
DIVISION OF VOCATIONAL REHABILITATION
100 East Jackson Avenue, Suite 100
Ellensburg, WA 98926
Phone: 509-925-0408
Website: https: / /www. dshs.wa.qov/dvr
29
EASTON SCHOOL DISTRICT SPECIAL EDUCATION SERVICES
1893 Raitroad Street/PO Box 8
Easton, WA 98925
Phone: 509-656-2317
Website: http: / /www.easton.wednet.edu
ELLENSBURG SCHOOL DISTRICT SPECIAL EDUCATION SERVICES
1300 East 3'd Avenue
Ellensburg, WA 98926
Phone: 509-925-8117
Website: https://www.esd401 .orqlstudents-famities/student-services/specia[-services
ELMVIEW
204 East 6th Avenue
Eltensburg, WA 98926
Phone: 509-925-6688
Website: httDs: / /www. etmview.ors
ENTRUST COMMUNITY SERVICES
415 East Mt. View Avenue, Suite 301
Etlensburg, WA98926
Phone: 509-925-6688
Website: https: / /www.etmview. orq
HO PESOU RC E - ELLENSBU RG
700 E Mountain View, Suite 501
Etlensburg, WA 98926
Phone: 509-925-1448
Website: http: / /www. hopesource. us
HOPESOURCE.CLE ELUM
1 10 Pennsytvania Ave
Cle Elum, WA98922
Phone: 509-674-2375
Website: http: / /www. hopesource. us
KITTITAS COUNTY DEVELOPMENTAL DISABILITIES PROGRAM
Kittitas County Pubtic Heatth Department
507 N. Nanum St. Suite 102
Etlensburg, WA 98926
Phone: 509-933-8233
Website: httos: / /www. co. kittitas.wa. us/ health /unitv/developmenta[ -disabitities. aspx
30
KITTITAS SCHOOL DISTRICT SPECIAL EDUCATION SERVICES
7571 Kittitas Hwy
Kittitas, WA 98934
Phone 855-380-8843
Website: https: / / www. ksd403. orq / paqe/ speciat -education
PARENT TO PARENT AND PARENT COALITION
Kittitas Vattey Opportunities
Phone: 509-929-7277
Website: https: / / kc-p2p.wixsite.com / home
SEEDLINGS CENTERS FOR EARLY LEARNING
220 East Helena Avenue
Ellensburg, WA 98926
Phone: 509-872-5132
Website: https: i i www. epicnet. orq/
SOCIAL SECURITY ADMINISTRATION
801 Fruitvate Btvd.
Yakima, WA 98902
Phone: 800-772-1213
Website: https: / /www. ssa.qov/
SPIRIT THERAPEUTIC RIDING CENTER
1051 Sorenson Road
Ellensburg, WA 98926
Phone: 509-929-'140'l
Website: http: / /www.spirittrc. com /
TRELLIS CENTER
170 Bare Rd
Eltensburg, WA 98926
Phone: 509-968-4040
Website: htto: / /www.thetrettiscenter.com /
31