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HomeMy WebLinkAboutResolution Adopting the Kittitas County Developmental Disabilities Plan 2024-2026BOARD OF COUNTY COMMISSIONERS COUNTY OF KITTITAS STATE OF WASHINGTON RESOLUTION ADOPTING THE KITTITAS COUNTY DEVELOPMENTAL DISABILITIES PLAN 2024-2026 RESOLUTTON No. 2o2s-p:1 I WHEREAS, the County has obligations under RCW 71A.14 to provide certain services as detailed pertaining to developrnental disabilities; and WHEREAS, must complete and subrnit a written biennial plan for developmental disabilities services to the Washington State Depaftment of Social and Health Services, Developmental Disabilities Administration (DDA) in accordance with WAC 388-850-020; and WHEREAS, The plan aims to support and encourage the community in the inclusion of people with disabilities and influence the direction of developmental disabilities services with input from people with disabilities, families, and community members; and WHEREAS, the Kittitas County DevelopmentalDisability Advisory Committee made the forrnal recommendation to approve the Kittitas County Developmental Disabi I ities Plan 2024 -2026 ; and NOW, THEREFORE BE IT RESOLVED That the Board of County Commissioners, hereby adopts the Kittitas County Developmental Disabilities Plan 2024-2026 as presented. alh ADOPTED this T d uv ot fl4Aurtl'.-zozs. BOARD OF COUNTY COMMISIONERS KITTITAS COUNTY, WASHINGTON alr ATTEST right, Vice-Chair s Cnurtry A. y Buchholz Brett ith, Commissioner t Kittitas Cou nty Public Health D e p a rt m e n t KITTITAS COI]NTY PLAN T'OR D tr,Vtr.LO PMtr,I\TTAL D I SAB ILITIE,S "We velue every individual os a contributing member of our community.', 2021-2026 TABLE OF CONTENTS TABLE OF CONTENTS ............... ACKNOWLEDGEMENTS BACKGROUND DEVELOPMENTAL DISABILITIES ADVISORY COMMITTEE....... KITTITAS COUNTY PROFILE PEOPLE WITH DISABILITIES . KITTITAS COU NTY D EVELOPMENTAL D ISAB I LITI ES PROG RAM ASSETS, GAPS, OPPORTUNT|ES, CHALLENGES ............ COMMUNITY SURVEY-summary of results. PRIORITIES.. IMPLEMENTATION: GOALS, STRATEGTES, OBJECTTVES, ACTtVtTtES.. ... ...... REFERENCES..... ..... 1 ..,..2 ..... 3 A .....8 .....9 .... 13 .... 18 19 22 24 28 29 32 35 APPENDIX A: ELIGIBILITY FOR DDA SERV|CES..... APPENDIX B: KITTITAS COUNTY SERVTCES APPENDIX C: COrtrlMUNlTY SURVEY RESULTS...... Pictured on cover page (left to right): StreetKat (performer), Devin Beach, Harry Engel, K.B. Shinn, and Jacqueline Robinson. 1 AC KNOWLEDG EMENTS The 2024-2026 Kittitas County Plan for Developmentat Disabitities was devetoped by members of the Kittitas County Developmentat Disabilities Advisory Committee (DDAC), in partnership with Kasey Knutson, the DevelopmentaI Disabitities Coordinator at the Kittitas County Pubtic Heatth Department, and Robin Read, Community Consultant. APPROVAL The DDAC approved the final plan and recommended adoption of the ptan to the Kittitas County Board of Commissioners on January 14,2025. Toby Attphin David McBride Barbara Gregory Jason Self DDAC Members 2024 Justin Grindrod Sarah Beauchamp Amy Mohter Hope lsitt Brett Wachsmith Rich Ettiott 2025. ADOPTION The Kittitas County Board of Commissioners adopted the ptan on Osiadacz, Chair cory ht, Vice-Chairman Brett Wachsmith, Commissioner 2 Per Washington Administrative Code 388-850-020, each county shatt submit a written plan for developmentat disabitities services to the Washington State Department of Sociat and Heatth Services, Developmentat Disabilities Administration (DDA), every two years in atignment with the state's fiscal biennium. According to county guidetines from DDA, the county ptan for devetopmentaI disabitities is intended to be devetoped by the county developmentat disabitities advisory board and it aims to: 1. Encourage and support the abitity of communities to inctude people with developmental disabitities. 2. lnfluence the direction of locaI devetopmentaI disabi tities services. 3. Help determine the direction of contracted services with input from persons with disabitities, families, and the community. Furthermore, the guidelines state that ptans should set program priorities, objectives, and tasks that inform and Developmental Disabilities Definition Developmental Disabitities are a diverse group of chronic conditions due to menta[/neurotogicat or physicaI impairments or a combination of both. ln general, developmentat disabitities cause individuats difficutties in certain areas of tife, such as language, mobility, learning, setf-help, or independent living. facilitate the atlocation of resources in alignment with the program mission and values. ln Kittitas County, the Ptan for DevelopmentaI Disabitities reftects the priorities of the Devetopmental Disabitities Advisory Committee and is used to guide the distribution of both state and tocat funding sources. 3 The Washington State Developmentat Disabitities Administration requires devetopmentat disabitity boards to exist as part of the county contracts that provide funding for emptoyment and other support services for peopte with developmental disabitities. Kittitas County's Developmentat Disabitities Advisory Committee (DDAC) is responsible for developing the biennial plan and making recommendations to the county about devetopmentaI disabitities services and funding. lt consists of nine 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 goals as futt participants in the community. Committee members are peopte with developmentaI disabitities, or parents of; policymakers; and invested community members who aim to bring the voices of peopte with developmental disabilities (DD) to the community. I Brett Wachsmith, Chair "l serve 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 tackle the upcoming goats. " Barbara Gregory "l have a loved one who is an enthusiastic member of an ever growing poputation of peopte in Kittitas County who live with devetopmental chattenges. My goat as part of DDAC is to advocate for funding and services for 1) improvements in sidewatks &, roads to provide safe mobitity and 2) adaptive programs to support all of our citizens, inctuding att with disabitities. lt is an honorto assist in anyway lcan." 4 Revised Code of Washington (RCW) The RCW provides authority to county governing authorities to establish a "developmental disabitity board to plan services for persons with devetopmentat disabitities, to provide directly or indirectly a continuum of care and services to persons with developmental disabitities within the county or counties served by the community board. ... Members appointed to the board shatl inctude but not be timited to representatives of public, private, or voluntary agencies, representatives of tocal governmental units, and citizens knowledgeabte about devetopmentaI disabitities or interested in services to persons with developmentaI disabitities in the community. " -a Amy Mohler "l am really btessed to be connected to so many in our community with devetopmentat disabilities & their famities both through my work & as our local Special Otympics Coordinator. I am happy to be on this board to advocate for making our town a ptace that empowers peopte with disabitities to tive their best lives & engages supports that attow that to happen." Toby Allphin "l am on the committee as a parent of a son with speciat needs. We feet very good that we live in a country that cares." Justin Grindrod "l am a self advocate who wants to bring my lived experience to the board & give back to my community. I tike to hetp others & be a voice to make things better for those of us receiving services." David McBride "l have a loved one with Cerebrat Patsy. As such, I am very aware of chaltenges faced by the disabted and their famities. I truly hope to hetp make a difference in this community by serving on this committee." 5 Hope lsitt "l am excited to be serving as a volunteer community member on the Developmental Disabitities Advisory committee for Kittitas county. As a famity member of a young adutt with autism, a veteran professional educator and a special otympics coach, it is my hope that I can share my experiences with a variety of pubtic programs in a way that witt hetp other members of the community to better access seryices in our area. We have an opportunity as an Advisory Council to share our stories and knowtedge in order to hetp guide poticies in our county and in the state to improve the daity lives of those around us living with devetopmental disabitities. Thank you for this opportunity to serve our community.', Rich Elliott "l am active in the community focusing on improving behaviorat and mentat health resources and access to heatthcare. lt is an honor to serve. I am deepty committed to this community." Sarah Beauchamp "l work in the community to promote and encourage inctusivity and diversity." Jason Self "l participate in the Kittitas County Developmental Disabilities Advisory Committee, because advocacy is important. I have been an advocate for many years inctuding participation on the state developmental disabitities advisory council for the past 6 years, the Arc of Washington State for the past 15 years, and Peopte First of Washington. " 6 VISION, MISSION, & GUIDING PRINCIPLES Vision Att peopte with developmental disabitities wilt have the opportunity to reach their futt potentiat, achieve their dreams, tive futfitted tives, and be contributing members of our community. Mission To foster an inctusive environment that supports citizens with devetopmental disabitities and their families to participate in and contribute to all aspects of the community. Guiding Principles INCLUSION is the abitity to be present and inctuded in our neighborhoods, schools, community groups, religious spaces and recreational activities. lnclusion offers us opportunities to meet others, participate in community [ife, and feet 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 tives. Choice is the opportunity to make decisions that are right for us and inctudes the opportunity to succeed or fait. HEALTH AND SAFETY mean the abitity to live and work in a safe ptace, to have access to quality heatth care, and to tearn what we need to do to take care of our health and safety needs. COMPETENCE is learning to do things that make our lives better and being supported to do things for oursetves. lt inctudes communicating effectivety with those who provide us with supports and being abte to direct those supports. CONTRIBUTION is feeling good about ourselves, being vatued 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. llil 7 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 (Btewett, Snoqualmie, 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 muttipte geographic barriers to accessing a comprehensive range of services. With a population of about 47,300 people and about 45%Iivingin unincorporated areasl, there is one primary care physician per 1,700 residents (compared to one per 1,180 Washington State), one mental heatth provider per 500 residents (one per 22OWA), and one dentist per 1,820 residents (one per 1,170 WA). These ratios would be even worse taking into account only those providers who accept Medicaid as insurance. Access to medicat, dentat, and mental heatth care is made more difficutt by the shortage of providers in addition to the fact that 8% of adutts in Kittitas County tack heatth insurance.2 Compared to Washington state, residents of Kittitas County experience higher rates of poor physicat and mental heatth days, frequent physicat and mental distress, adult smoking, excessive drinking, chitd mortatity, food insecurity, suicide, and sexuatty transmitted infections. Residents have less access to heatthy food sources and exercise opportunities. However, Kittitas County has better [ife expectancy and lower HIV prevalence, drug overdose deaths, atcohot-impaired driving deaths, teen births, deaths due to injury, and preventabte hospital stays. 3 Unemployment rates are 6.3o/o (compared to 5.2% in WA), 13% of chitdren live in poverty (compared to 12%in WA), income inequatity is higher than the state, and the median household income is significantly [ower than Washington State as a whole (562,700 compared to 984,200 in WA). Severe housing probtems are more prevalent as welt: only 60% own homes, and 19% of households spend 50% or more of their income on housing. The chitdcare cost burden is high and voter turnout is low. However, viotent crime is significantty lower than Washington State, and high school graduation rates are higher. 4 l-t't!r irr,ill 1.,;:;li[]:,"r: rdi,lirF ','irrfithi:c @ rie::,r;r \ l-llcr:rlrrrl I F'' Y;:kr:nlr r.lir i,_I J I w I ),,,i )r lrk 1 (Poputation of Cities, Towns, and Counties Aprit 1, ZOZ3) 2 (University of Wisconsin Population Heatth lnstitute 2023) 3 (University of Wisconsin Poputation Heatth lnstitute 2023) 4 (University of Wisconsin Poputation Heatth lnstitute 2023j t_tl \. -'_.) 8 PEOPLE WITH DISABILITIES According to the U.S. Census Bureau, 13% of the population, both in Kittitas County (approximatety 5,700 people), and in Washington State is disabted.5 ln Washington State, 74% of DDA ctients tive with their parents or retatives. Nine percent tive in their own homes, 7% are in supported tiving environments, and about 3.6% live in adutt famity homes.6 Types of Dlsabllltles in Kittitas county, washington d) Share i Embed drtlicultt - 4.8X Vision 2,4X Cognllive ditficutty - 5.5X Aolbulatory difficully - 4.816 Sell-care t_8x lndependenl tiving difticu[y - 5.2% t%2.5%3%3.5X 4.5% SrAl0 2022 Am.rican Comntunty Survey 5 yeat fstimatesfrj1lorv Table !. D Display Margin of Error 7 According to the 2023 Casetoad and Cost Report from the Washington State Devetopmenta[ Disabilities Administration, TS.6% of those determined to be etigible for services are diagnosed with a developmental detay, followed by 6.4Yo with autism , and 6.0% with an intettectuat disabitity. (See tabte betow.) t (U.S. Census Bureau 2020) 6 (Washington State Devetopmentat Disabitities Administration 2023) 7 (U.S.Census Bureau 2020) I Eligibility Determinations - Conditions* nr.l,r tolildl (tr€. i.|t r[t Another Neurological or Other Conditlon Autl5m CerebralPalsy Developmental Delay Epilepsy lntellectual Disabllity Medlcally lntenslve Childrenl Program** Two or more disabilities 20r9 2.5% 6.2% 1.996 79.6Vo 0.5% 7.096 0.1% 2.296 2020 2.1% 6.6% r.8% 80.0% 0.6% 6.296 0.0% 2.6Vo 2421 2.gvo 6.596 1.2% 82.096 0.596 5.9% 0.0% 2.196 2022 1.9% 7.3% r.5% 79.BVo 0.6% 6.3% 0.0% 2.6Va 2023 3.496 5.296 t.()% 71.84h 0.396 4.496 0.096 2.4% 5 YR. A!t6. 2.4% 6.4S6 r.596 78.6% 0.5% 6.09o 0.0% 2.4Vo 'Thert perrenlages are o{ clicnts determined eligible. not totdl eligibiliry determinarions. "Ar of Augusl I3' 2018. clinital elig,bdity to, the Medically lntenrive Children's Program is no longer r repnrate €ligibility (epgory. EMPLOYMENT & INCOME ln Kittitas County, 43% of people with disabitities are emptoyed compared to 59% of peopte without disabitities.e The unemployment rate of peopte with disabitities is 11% compared to 6% for peopte without disabilities.10 The rates of employment for peopte with disabitities is higher in Washington State compared to the United States as a whote.11 ln Washington State, the emptoyment rates of people with cognitive disabitities is significantly lower than peopte with hearing or vision disabitities (29.6% compared to 55.9% and 46.9% respectively.)12 People with disabilities are more tikety to work in the education service, manufacturing, retaiI trade, and office/administrative support industries and [ess tikety to work in heatth care/social assistance and sates industries. Disabitity-retated barriers to employment identified by customers of the Washington State Division of VocationaI Rehabititation (DVR) were work toterance, communication, interpersonal skitls, setf-care, self-direction, work skitls, and mobitity. Other barriers inctuded education/training, job skills, availabte jobs, job-seeking skitts, and emptoyer attitudes. Most customers work 20 hours a week or less and earn between 514.49-518.99 per hour. The most hetpfut DVR services for emptoyment are assessment, iob search assistance, and counseling and guidance. 13 The median earnings of peopte with disabitities in Kittitas County was 529,320 compared to S3g,639 for people without disabitities.la This is a gap of 59,319 which is higher than the Washington State gap of 8 (washington state Devetopmentat Disabitities Administration 2023)e_(American Community Survey 5 Year Estimates 2022) 10 (American Community Survey 5 year Estimates 2022) 11 (Washington State Divsion of Vocationat Rehabititation 20ZZ) 12 (Washington State Divsion of Vocationat RehabititationZ02Z) 13 (Washington State Divsion of Vocationat RehabititationZOZZi 1a (American Community Survey 5 year Estimates 2022) 8 10 58,428 and the United States gap of 57,719.15 The poverty rate of peopte with disabitities in washington state is 25.5% compared to 9.2% for peopte without disabitities.l6 EDUCATION Nearty 15% of students enrotted in school districts in Washington State had a disabitity during the 2023- 2024 schoot year. Fewer Washington State students with disabitities met grade [eve[ standards compared to students without disabilities (Engtish Language Arts 18% vs. 56%, Math 1 5% vs. 43%, Science 17%vs. 47%1. Sixty'seven percent of students with disabitities graduated in four years, compared to 86% of students without disabilities. About 19% of students with disabitities continue with their high school education after four years, and nearly 15% drop out (compared to 5% and over 9% for students without disabitities, respectivety.)Students with disabitities atso have lower rates of regutar 1s (Washington State Divsion of Vocationat Rehabititation20ZZl 16 (Washington State Divsion of Vocationat RehabititationZ02Z) 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 foltowing factors in determining acuity: r Activities of daity tiving o Behavioral support o lnterpersonalsupport r Environmentalsupport o Levet of monitoring r Emptoyment supportr Speed of compteting tasksr Quality of compteting taskso Medicalsupport o Seizure support Acuity Levet Totat clients No hourstwages reported Hourslwages reported lAinimum wage earned Average hours worked per month High Acuity Clients 10 8 (80%)2 (20%)2 (100% of those workins)2.8 Medium Acuitv 24 6 (25%)18 (7s%)16 (89% ot those working)18.4 Low Acuity 2 0 (0%)2 (100%)2 (100% of those workinq)58 TOTAL 36 14 (39o/ol 22 (61%l 20 (91% of those working) 11 attendance (62% vs. 71%1, significantty lower rates of kindergarten readiness (24% vs. 56%), and higher rates of discipline (6%vs.2%7. tt SERVICES The Washington State Department of Social and Heatth Services, Developmentat Disabitities Administration (DDA) provides funding to counties for employment and other support services for peopte with developmentaI disabitities. Etigibitity for services is determined by DDA and is based on Washington State residency, evidence of a quatifying developmentat disabitity that began before age 18, and evidence of substantial limitations. DDA's casetoad has increased by an average of 3.66% per year over the past few years and their biennial budget has grown from 52.57 bittion in2015-2017 to 55.32 bittion in 2023-2025. tn 2023, Washington State had nearly 15,000 people with devetopmentaI disabitities who qualified for services but didn't receive them due to lack of state funding (no-paid services casetoad). That's aboul2T% of att peopte on the DDA caseload.ls Revised Code of Washington (RCW) The Revised Code of Washington 71A. 1 0.020(5) defines a devetopmental disabitity as: "a disabitity attributable to intettectual disabitity, cerebraI palsy, epilepsy, autism, or another neurological or other condition of an individual found by the secretary to be closely retated to an intetlectuat disabitity or to require treatment simitar to that required for individuals with inteltectuaI disabilities, which originates before the individual attains age eighteen, which has continued or can be expected to continue indefinitety, and which constitutes a substantiat limitation to the individuat. " There are 53 children and 186 adutts in Kittitas County currently enrotted in DDA. Sixty-three individuats are on the no-paid caseload, or26%. \n2023, Kittitas Countyserved 35 individuats in individuaI employment services and 42 individuats in community inctusion services.le 17 (Washington State Office of Superintendent of Pubtic tnstruction 2024) 18 (Washington State Devetopmentat Disabitities Administration 2023) 1e (Washington State Devetopmentat Disabitities Administration 2023) 12 KITTITAS COUNTY DEVELOPMENTAL DISABILITIES PROGRAM The Washington State Department of Social and Health Services, Devetopmentat Disabitities Administration (DDA) provides funding to counties for emptoyment and other support services for people with developmental disabitities. Etigibitity for services is determined by DDA and is based on Washington State residency, evidence of a quatifying devetopmentat disabitity that began before age 18, and evidence of substantial [imitations (see more detaited information about etigibitity for DDA seryices in Appendix A). The funding varies based on availabitity, number of peopte receiving services, and the needs of each individual and is intended to help peopte keep a job or gain skitts for obtaining employment. Kittitas County has received an average of around 51,000,000 per year for the past 5 years from DDA. Additionatty, per Revised Code of Washington 71 .20.110, counties are required to annually budget and tevy a property tax for developmentat disabitities or mentat heatth services. ln Kittitas County, this tax is split equatly between devetopmentat disabitities and mental heatth services. Commonty referred to as "mi[tage", the county has discretion on how these funds are spent. The devetopmental disabitities program has received around 5100,000 annualty from this tax over the past 2 years. Kittitas County's developmentat disabitities (DD) program is overseen by the Kittitas County Pubtic Health Department through a qualified and experienced DD Coordinator. The county pubtishes an open Request for Quatifications (RFQ) to solicit quatified emptoyment support providers. Responses to the RFQ are reviewed thoroughty by the DD Coordinator and DDA staff, and if quatifications are met, the provider is placed on a list of avaitable employment seryices providers for ctients to choose from when they quatify for services. A Request for Proposats (RFP) is also pubtished to soticit proposats from local agencies who propose to provide indirect services retated to community information and education, training, and/or other activities that wi[[ benefit peopte living with devetopmentat disabitities, their famities, and/ or service providers. The proposals are reviewed by the DD Coordinator and the Developmental Disabitities Advisory Committee, who make funding recommendations for approvat by the Kittitas County Board of Commissioners. DD services funded by DDA fatt into two major categories: Consumer Support Services and Additionat Consumer Services, each of which contain several different specific services that can be provided. Each type of service as well as the targeted outcomes for that service are described betow. Approximately 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. 13 CONSUMER SUPPORT SERVICES I N D M D U AL S U PPO RTED E MP LOY itlENT lndividual Supported Employment (lSE) services are part of an individual's pathway to employment and are taitored to individual needs, interests, and abilities. They are intended to promote career devetopment. These are individuatized services necessary to help peopte with devetopmentat 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 typicat, integrated workptace environments. Supports can be provided to the ctient, employers, and/or coworkers through activities such as on-the-job training, job restructuring, and technical assistance to emptoyers and 2023-2024 coworkers. ln Washington State, clients receiving ISE received an average of 2.4 support hours per week, worked an average of 10.3 hours per week, and earned an average of 5177.10 per week in 2023.20 lndividual Supported Employment Goal: lncrease the capacity of employment and day service providers vio training ond technicol assistance to increase hours worked and wages earned for clients in individuol supported employment. 2024-2026 Targeted Outcomes for ISE . lncrease the percentage of independent supported emptoyment ctients reporting hours/wages f rom 72.5o/o (2020) to 80% by June 30, 2026. . lncrease the amount of high acuity ctients reporting hours/wages (dectine in percentage of high acuity clients reporting wages from 50% in 2020, 37.5% in 2021, 20% in 2022) and offer individuat technical assistance services to agencies for each high acuity client who is not reporting wages by June 30,2026. e Decrease the number of etigibte ctients (120)who do not have any reported activity by 5 percent by June 30,2026. C O /.AI,AU N I TY I N C LU SI O N Community lnctusion (Cl) services are designed to promote individuatized skitt devetopment, independent living, and community integration for individuals to learn how to engage in their [oca[ community activety and freety. Service providers assist individuats in participating in activities that provide opportunities to devetop relationships and to learn, practice, and appty skitts that resutt in greater independence and community inclusion. Examples of community access services may be aiding in obtaining membership or participating in community organizations, training for volunteer work, and support in 2023-2024 Number of lndividuals Receivinq Service 36 Orgonizotions Providing Service Elmview Entrust Compass Amount of Funding SqzB,5B2 lndividual Supported Employment services are for working-age adults. Number of lndividuols Receivinq Service 52 Orgonizotions Providing Service Elmview Entrust Compass AtWork! Amount of Funding s355,228 20 (Washington State Developmentat Disabitities Administration 2023) 14 buitding relationships. ln Washington State, clients receiving community inctusion services received an average of 2.1 support hours per week in 2023.21 Community lnclusion Goal: Utilize volunteering within the community to promote and develop socialization and personal development opportuniti es for clients. 2024-2026 Torgeted Outcomes for Cl o lncrease the percentage of clients participating in volunteer work to 10o/o by June 30, 2026o Ensure that at teast 50% of clients participating in volunteer work can do so for at teast 20 hours per month on average by June 30,2026. r lncrease clients with concurrent services from 17 to 22 by June 30, 2026.o Kittitas County subcontractors will submit a C[ plan for quatity review f or 10o/o of their Ct casetoad by June 30,2026. ADDITIONAL CONSUMER SERVICES COILMUNITY I NFORI'/IATION AND EDUCATION These services are intended to inform and/or educate the pubtic about devetopmentaI disabitities and related 2023-2424 services. This may inctude information and referral services; activities aimed at promoting pubtic awareness and invotvement; and community consuttation, capacity buitding and organization activities. Community lnformation Gool: Provide outreach, education, and information thot is timely and relevont to facilitate an inclusive community. Provide outreach and educotion to increose enrollment rates of children etigible for DDA in Kittitos County. 2024- 2026 Ta r ge t ed Ou t com e s. By June 30, 2026, the Kittitas Vattey Opportunities wilt facititate at least eighty (80) support meetings annuaIty. o Through June 30, 2026, quarterty newstetters witt be pubtished and distributed.. By June 30, 2026, the number of contacts on the database for the quarterty newstetter wi[[ increase by 30. Community lnclusion Services are for adults who are not in the workforce, mostly seniors. Community lnformotion and Education primari ly serves young children (birth to pre-K), school age children, ond their fomilies. Organizatiot'r Kittitas County Health Network Services Child enrollment in DDA Funding fio,ooa Orgonization Kittitas Vatley Opportunities Services Parent and family sLtpport Funding s26,360 Organization WISE 5ervices Traininq Funding s35,000 Arganiz-ation Robin Reod Consultinq Services Facititation and ptanninq Funding s2,A00 21 (Washington State Developmentat Disabitities Administration 2023) 15 By June 30, 2026, the Kittitas Vattey Opportunities witt host or coordinate with the County Coordinator and/or Transition Team, at least 2 outreach and education events. Through June 30, 2026, the Kittitas Valtey Opportunities wilt participate in att scheduted teleconferences with the Statewide Parent Coatition and Community Advocacy Coatition. By June 30, 2026, the Kittitas Valtey Opportunities wi[[ increase the number of contacts on the list serve by at least 15. Through June 30, 2026, the Kittitas Valtey Opportunities witt disseminate tegistative and advocacy information through the Facebook page and the emait tist serve at least quarterty. Through June 30, 2026, Kittitas County Heatth Network witt attend relevant community meetings such as Earty lntervention Network, meet with partner agencies, and attend relevant conferences. Through June 30, 2026, Kittitas County Heatth Network to work with partner agencies to increase awareness of DDA and retated services that are avaitabte. Through June 30, 2026, Kittitas County Heatth Network to work directty with famities who may quatify for DDA and retated services and provide technical assistance, as needed. Through June 30, 2025, Kittitas County Heatth Network to distribute information within Kittitas County via ftyer, outreach materials, socia[ media, etcetera to provide understandabte education to individuals and families about services. Through June 30, 2026, Kittitas County Heatth Network to participate in relevant events that reach individuats and families who may quatify for DoA and retated services. lncrease the number of students participating in job foundations, so that at least 50 percent of each eligibte transition year participates in the job foundation program by June 30, 2026. TRAINING There are two types of training that can be funded: Staff Training and Board Training. . Staff Training includes costs incurred by the program for the ptanned, structured activities for the purpose of providing, or improving, or enhancing job-retated knowledge and skitts of staff, providers, votunteers, or interning students in the provision of devetopmentat disabi tity services. . Board Training includes costs incurred by the program for ptanned, structured activities designed to provide, improve, or enhance program-related skills of board or advisory committee members. Training Goa[: Provide timely and relevant training to increose capacity for people working with youth and adults with disobilities. 2024-2026 Ta rgeted Outcomes o Promote att WISE training to subcontractors, monthty, throughout the contract year to encourage and assist with attendance through June 30,2026.. Coordinate with the Kittitas County Transition Network to provide as needed support for trainings during the contract year through June 30, 2026. a a a a a a a Training is designated for organizations and their staff who provide DDA-funded services as well os the Developmental Disabilities Advisory Committee. 16 OTHER ACTIVITIES Other activities can fund a variety of different projects. There is no funding designated for Other Activities currently. o lnfrastructure projects: Projects in support of clients not of working age. Examptes inctude planning seryices like benefits planning and generic job devetopment. o Start-uP projects: Projects that directty benefit the agency. Examples include equipment purchases and agency administrative support. . Partnership projects: Cottaborative partnerships with school districts, employment providers, famities, employers, and other community coltaborators needed to provide employment supports and services to young adults to become employed. 17 ASSETS, GAPS, OPPORTUNTIES, CHALLENGES The Devetopmental Disabitities Advisory Committee has conducted an anatysis of services in Kittitas County based on avaitabte information. Assets are strengths in our community that may be abte to be built upon. Gaps are areas where the county is not meeting the need of peopte with devetopmental disabilities. Opportunities are potential actions that coutd be taken to improve services. Finatty, chatlenges are areas that may need additional resources to sotve. STRENGTHS /ASSETs . Community support. Central WA University. Special Olympics. Parent to Parent program GAPS/WEAKNESSES . Employers. Transportation. Accessibility. County-wide services. Qualified job coaches and caregivers. Respite. Assisted living. Adaptive sports. Year round recreation OPPORTUNITIES . Strengthen support systems. Recruit employers. Funding for year round recreation. Utitize CWU (adaptive sports, for exampte). Make staffing more appealing, less barriers. lncrease daytime drop in hours. lncrease social and recreation opportunities. County "playbook" with [oca[ resources. lncrease family to famity connections. More pubtic awareness. lncrease in volunteers CHALLENGES/THREATS . System difficutt to navigate. Geographicdifferences. Barriers to diagnosis. Low pay, high expectations for workforce 18 COMMUNITY SURVEY-SUMMARY OF RESULTS The Developmental Disabitities Advisory Committee conducted a community survey in Spring of 2024. The survey's purpose was to gather information from people with intetlectual and developmental disabitities and the people who care for them on what their needs and priorities are. Futt resutts can be found in Appendix C. About 63 individuats completed the survey. Twenty-four percent of respondents were peopte with an intellectual or developmental disabitity and the rest were people who were representing someone with an intetlectual or developmentat disabitity. Eighty-five percent live in the City of Ettensburg with the remaining living in Cle Etum, Kittitas, or Roslyn. Seventy-two percent of respondents currentty receive waiver services from the Washington State Devetopmental Disabitities Administration, 10% have not apptied, 4% are on a waittist, and 3% were denied services (1 1% unknown or not appticabte). SERVICES When asked for additional information about how to improve services for peopte with intettectual or developmentat disabitities, the most common theme was the lack of resources. When asked if the individual gets the supports and services needed, 84% responded yes to some or a[[ services. This is higher than the state at 74To and comparable to the nation at 86%. Sixty-one percent of respondents report being extremely or somewhat satisfied with services and supports currentty received with 26To being extremely or somewhat dissatisfied. Statewide 72% are atways or usuatly satisfied and nationatly 86% are atways or usualty satisfied. The top 5 biggest gaps in services for peopte with inteltectual and developmentat disabitities in Kittitas County were employment opportunities, quatified caregivers, sociaI opportunities, recreation, and safe affordable housing. 30 20 15 10 5 0 26 25 a1 ""-- .-".'"t ".'"" "r.""- ."".t *..oo"t"t" 'o'*" -""" dt"" ar.'' a.t-.. ^*"'*t"' dp'" ,_-d ed .i 15 .Q; .d ^ot.oQ- .e ^ac' .o\*A- ^v,or ^q(?.' llii ,J "oo" ."'""t ^-t" ^roo- 41co ,,""" .\9 {9\,"' ^q' 'os da{' ll15 COMMUNITY INVOLVEMENT When asked if individuats have enough supports to work or votunteer in the community, nearly 64% reported No. This is a much higher percentage than the state (39%) or the nation (36%1. The most common barriers to working or votunteering for a person with intettectuat or developmentat disabitities 19 were reported to be not enough jobs availabte, confusing system/administrative burden, not enough qualified job coaches, difficutties on the job, and transportation. When asked what makes it hard to do things in the community, the most common barriers reported were cost, lack of support staff, stigma, and transportation. When asked an open'ended question, "What amenities, services, or opportunities do you feel are missing in your community that woutd improve your quatity of life or hetp you feet more connected with your community?", the most common themes were socia[ connections and community activities, caregiving/respite care, mental heatth services, employment, housing, transportation, and school opportunities. Housing, activities, and transportation were also common themes when asked how to improve services in Kittitas County. CAREGIVERS & RESPITE SERVICES Onty 35% of respondents are extremely or somewhat satisfied with access to care givers, with 49% being extremely or somewhat dissatisfied. Nearly 25% identified respite care as one of the biggest gaps in services. Only 47% of respondents are aware of the exception to rule process for respite services. Only 22/o of respondents are extremely or somewhat satisfied with access to respite services. Forty-three percent are extremety or somewhat dissatisfied. How satisfied are you with .... ? Access fo resp ite services o coa o 25 20 5 slo 5 0 ExtrenEty satisfied 9.5o/o Somryhat satisfied 12.7o/o Neither satisf ifti nor d issatisf ied 34.90/o Sernshat d isssatislied 270/o Extrerety dissatisf ied 15.90/o TRANSPORTATION Transportation was identified as one of the main things that makes it hard to do things in the community and was a common theme when asked how to improve services in the community. Barriers to accessing pubtic transportation include lack of knowledge, lack of comfort, cost, hours of operation, z0 and wait times. Using transportation from friends and family members is more common than using pubtic transportation. How often does the individuat access transportation from: 45 40 35 30 25 20 15 10 5 0 7,90/o 65.'lo/o o c o"a o) E, 38.3o/o 4-6 times a week 18.3o/o 2-3 tircs a reek Once a week 15.90/o 1SVo 13,30/ofl *r Daily Neverr Public transportation I Transportation from a famity member or f riend EMERGENCY PREPAREDNESS Forty percent of respondents don't feel prepared for a medical emergency, pandemic, or natural disaster. This is considerabty higher than the state at 23% and the nation at21%. Do you feet prepared for an emergency such as a medical emergency, pandemic, or natural disaster? No 4Ovo 60% 2005'10 15 Res pons e s 25 30 35 d0 21 PRIORITIES The following priorities were setected by the Kittitas County Developmentat Disabitities Advisory Committee (DDAC) through a process that inctuded facilitated brainstorming, affinity diagramming, prioritization, goal setting, and action ptanning. These five priorities witt be utilized, not onty for the DDAC, but also for funding and programmatic decisions during the biennium. Requests for funding and programs beyond the employment support services wit[, ideatty, align with these areas. EMPLOYMENT There is a need in Kittitas County for more emptoyers witting to emptoy peopte with intettectua[ and developmentat disabitities, as wetl as a need for more quatified job coaches. Onty 36.5% of survey respondents in Kittitas County report having enough supports to work or votunteer in the community, compared with 61% statewide and 64% nationally. Our goal is that there are sufficient vendors staffed with job coaches and enough willing employers to meet the employment needs of people with intellectual and developmental disabilities. The goat witt be accomptished by engaging top employers in emptoying people with intettectuaI and developmentat disabitities as wetl as engaging vendors in job coach recruitment and retention. HOUSING AND SUPPORTED LIVING Housing and supported tiving is a major concern for peopte with intettectuaI and developmental disabitities. Many people face uncertain futures as their parents age, supports are needed in order to be able to live as independently as possible, and peopte with disabitities are affected by the tack of affordabte housing in Kittitas County. Our goal is that people have the opportunity and supports needed to choose their living situation. Strategies to achieve this goat inctude working with tocat governments on reducing barriers to accessory dwetling units (ADUs), researching best practices and innovative housing solutions, and distributing and inventory of housing resources avaitabte. ACTIVITIES AND RECREATION There is a strong need for more recreationat and social activities that are inclusive of peopte with intellectual and devetopmental disabitities. Current activities are timited and peopte often face barriers in accessing them. Our goal is that there are accessible, affordable, and supported options for people to socialize and be involved in the community. We witl work towards this goat by conducting a survey of peopte with inteltectual and devetopmentat disabitities to identify what they want for activities and recreation and engaging Central Washington University and [oca[ parks and recreation efforts in offering additionaI opportunities. TRANSPORTATION White transportation options are numerous for a sma[[ rural community, peopte with disabitities often face significant barriers to accessing transportation. Most rely on their friends and famity members for transportation. Transportation was cited as one of the primary barriers to doing things in the community. Our goal is that there are options for accessible and affordable transportation besides relying on friends and family. We witl advocate for easy to understand information about 22 transportation options, communicate about transportation provided through waiver services, and work on optimizing route options. COMMUNICATION Peopte with intetlectual and developmentat disabitities and their famities face a complex system of services that can be very difficutt to navigate. lmproving the tanguage we use to tatk about these services can help peopte navigate the system easier. Our goal is that communication about resources and services is inclusive of all abilities. To hetp meet this goal we witt put together resources about how to navigate systems and communicate about the exception to rule for accessing respite care. 23 IMPLEMENTATIoN: GoALs, STRATEG IES, oBJECT|vES, Aclvtl ES A goat is what our desired end result is to address our priorities. The strategies are how we witt accomptish our goa[. The objectives provide measurable targets for strategy imptementation. Finatly, the activities, timeline, and who is responsible outtine our action plan for moking progress. PRIORITY: EMPLOYMENT June 30, ,intetlecturtt and ACTIVITIES TIMELINE WHO IS RESPONSIBLE ldentify and contact potential and current emptoyers to participate in event (both private and government) By October 2024 DDAC Hotd emptoyment summit event By October 2024 Kasey Hold booths at fairs 3y June 2025 DDAC Contact current employers for testimonials rnd potential tours/site visits 3y March 2025 )DAC Gather testimonials from current emptoyees By March 2025 DDAC Contact vendors to identify barriers for employers By March 2025 DDAC Create and imptement marketing p(an By June 2025 DDAC recruitment or retention strategies to imptement in next by June ObJectives 2076 at 30, ACTIVITIES TIMELINE WHO IS RESPONSIBLE Schedute meeting with vendors By March 2026 )DAC Designate facititator By Aprit 2026 )DAC Create agenda By May 2026 DDAC Hotd meeting By June 2026 DDAC Goal I to meet the employment needs of people with intellectual and developmental disabilities. :i,li, Jir, )iltr )lr,jir.rit.rr i,,,,i,i],; ii;,,1 i,"i, :: There are sufficient vendors staffed with job coaches and enough willing employers ,:it.iri PRIORITY: HOUSING AND SUPPORTED LIVING 24 Objectives 3omplete inventory by December 31, 2024. )istribute through at teast two different venues by June 30,2025 ACTIVITIES TIMELINE WHO IS RESPONSIBLE -ist of partnership for housing resources 3y October 2024 Kasey Contact long term care facitities and AFH in Kittitas County regarding housing for peopte with IDD By November 2024 (asey Contact housing authority By November 2024 Kasey Contact Ambitions and KIM By November 2024 Kasey Catl 21 1 regarding their resource [ist By December 2024 Kasey Jse resources shown via DDA caseload "eport 3y December 2024 Kasey Contact Habitat for Humanity By December 2024 Amy Distribute inventory By June 2025 DDAC Strategy B Research best practices and innovative sotutions in other communities for housing sotutions for peopte with inteltectuat and devetopmental disabitities, inctuding sotutions that increase connections between peopte with and without disabilities. Objectives Complete research by March 31, 2025 ldentify strategies to explore for Kittitas County by June 30, 2025 ACTIVITIES TIMELINE WHO IS RESPONSIBLE Share community homes video to DDAC By December 2024 Amy Presentation for DDAC about Opportunity Vittage By December 2024 Amy Contact DSHS for innovations/best rractices By December 2024 (asey )resent results of research to DDAC and identify potentiaI strategies By June 2025 (asey Strategy C Work with local governments in Kittitas County to advocate for decreased barriers to accessory dwetting units for families. Objectives dentify at least one barrier to address by June 30,2026 unicate ADU information with famities through at least 2 different venues by June 2026 ACTIVITIES TIMELINE WHO IS RESPONSIBLE ldentify permitting timeline and cost By June 2025 Rich Iatk with City Council to tatk about why ADUs are important to peopte with IDD By June 2025 Amy Plans specific to meet needs of residents with lDD.By June 2025 Rich Create housing inventory [ist targeted for city counciI 3y June 2025 Kasey 25 PRIORITY: ACTIVITIES AND RECREATION PRIORITY: TRANSPORTATION Strategy A Engage Central Washington University and [oca[ parks and recreation departments in discussions about what they can offer in terms of opportunities for activities and recreation for people with intettectuat and developmentaI disabitities. Objectives Engage in discussions by June 30,2025. Work with partners to imptement at teast one new activity by June 30,2026. ACTIVITIES TIMELINE PERSON RESPONSIBLE Contact CWU By June 2025 DDAC Contact Eburg parks and rec By June 2025 DDAC Work on transportation resources 3y December 2025 DDAC Devetop schedutes of activities 3y December 2025 )DAC Find tocations for activities By December 2025 )DAC ldentify staffing/votunteers By December 2025 DDAC 3et the word out/hotd special events By June 2026 DDAC Strategy B Conduct survey of peopte with intettectual and devetopmentat disabitities Eo cottect more information about what they want for activities and recreation. Objectives Conduct survey with at least 25 respondents by December 31, 2025 ACTIVITIES TIMELINE PERSON RESPONSIBLE Create survey 3y March 2025 DDAC Distribute survey 3y June 2025 DDAC Anatyze results 3y September 2025 DDAC ihare resutts with community partners By December 2025 )DAC Central Transit in conversations about how to best optimize route ns for people with intettectual and devetopmental disabitities. Strategy A titate conversation by June 30,2025 dentify potential changes by June 30,2025Objectives ACTIVITIES TIMELINE WHO IS RESPONSIBLE Sreate map of current ctient tocations 3y March 2025 DDAC lnvite Central Transit to DDAC meeting to understand what they are currentty doing to meet needs (service map, route schedute, DD services) By March 2025 Brett or Kasey Fotlow up action based on meeting By June 2025 DDAC God/, IV 26 Strategy B for accessibte and easy to understand information about ransportation ions in Kittitas County. Objectives for at teast one area of improvement by December 31, 2025 ACTIVITIES TIMELINE WHO IS RESPONSIBLE Partner with Etmview, CWDR, Ambitions, etc. to host "Ride Central Transit" afternoon By June 2025 )DAC Partner with CWU computer science for app 3y June 2025 DDAC Advocate for easy to use, interactive, ;peech to text app By December 2025 DDAC Route maps avaitabte for peopte to take with them, avaitabte at lots of pubtic ptaces By December 2025 DDAC Strategy C duct communication campaign about transportation that can be ded through waiver services. Objectives de communication through at least 2 different venues by June 30, 2026 ACTIVITIES TIMELINE WHO IS RESPONSIBLE lesearch what is avaitable By March 2025 DDAC Condense info into easy to read 4x8 card By June 2025 DDAC SociaI media campaign By September 2025 DDAC Put info into utitity bitts and pass out "Ride Central Transit" day info By September 2025 DDAC Have tabte at Farmers Market By October 2025 DDAC PRIORITY: COMMUN ICATION together resources for how to navigate and understand the systems r services for peopte with intettectual and devetopmentaI disabitities, nctuding common terminotogy and acronyms Strategy A Objectives ribute resource through at least 2 different venues by September 30, 2025. ACTIVITIES TIMELINE PERSON RESPONSIBLE Dartner with DDA/DSHS to find out exactty ffhat the path is By March 2025 DDAC Create a "get started" guide/visuat path to services using arrows and minima[ [anguage 3y June 2025 )DAC Send guide via mai[ and social media 3y September 2025 )DAC ct communication campaign about the exception to rute process for ing additional respite care. Strotegy B ndu Objectives rovide communication through at least 2 different venues by June 30,2026 ACTIVITIES TIMELINE PERSON RESPONSIBLE Create flyer By December 2025 Kasey iend via mail and social media By June 2026 DDAC 27 REFERENCES 2022. American community Survey 5 yeor Estimates. Accessed February 2024. https: //data.census.gov/tabte/ACSSTSY2O22.SZ301?q=a6yo202022&t=Emptoyment&g=050XX00U s53037. Aprit 1 ,2023. Populotion of Cities, Towns, and Counties. Washington State Office of Financiat Management. Accessed December 18,2023. https://ofm.wa.gov/washington-data- research/poputation-demographics/population-estimates/aprit- 1 -officiat-poputation-estimates. U.s. census Bureau. 2020. Kittitos county profile. Accessed January 2024. https: / /data. census. gov/profite/ Kittitas_County,_Washington?g=050XX00US53037. University of Wisconsin Population Health lnstitute. 2023. County Health Rankings & Roadmaps. Accessed December 18,2023. https://www.countyheatthrankings.orglexptore-heatth- rankings/washington / kittitas?year=2023. Washington State DevelopmentaI Disabitities Administration. 2020. "Developmental Disabitities Administration 2020 Casetoad and Cost Report." Washington State Department of Sociat and Heatth Services. Accessed September 6, ZOZ1. https: / /www.dshs.wa. gov/sites/defautt/fites/DDA/dda/documents/202 O%ZODDA%ZoCasetoad% 20and%20Cost%20Report. pdf . Washington State Developmental Disabitities Administration. 2023. "Report to Advocates & Stakeholders: 2023 Casetoad and Cost Report." Accessed 2024. Washington State Developmental Disabitities Administration.2O2l. "Strategic plan Metrics ZOZ|-ZOZ3." Washington State Department of Social and Heatth Services. Accessed July 25,2021. https: / /www.dshs.wa. gov/data/metrics/DDA. pdf . Washington State Division of Vocationat Rehabittation. 2017. "Disabitity & DVR Statistics Report." Accessed Ju|y25,2021. https: / /www.dshs.wa.gov/sites/defautt/fites/dvr /pdf /2017%2ODisabitity%20%26%20DVR%20Stat istics%20Report. pdf. Washington State Divsion of Vocational Rehabititation. 2022. "Comprehensive Statewide Needs Assessment." Accessed February 2024. https://www.dshs.wa.gov/sites/defautt/fites/dvrlCSNA- Combined- Report- Finat- revised-with-footnotes- 1 0-9-23. pdf . Washington State Office of Superintendent of Pubtic lnstruction. 2024. Washington Stote Report Card. Accessed February 2024. https: / /washingtonstatereportcard.ospi. k12.wa. us/ReportCard/ViewSchootOrDistrict/ 103300. 28 APPENDIX A: ELIGIBILITY FOR DDA SERVTCES lndividuals who want to participate in Employment 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 catted the Home and Community-Based Services (HCBS) Waivers. The HCBS waivers a[[ow the state to use Medicaid funding while "waiving" Medicaid rules that require services to be provided in an institutionat setting. The purpose of the waivers is to provide integrated, community-based services to individuats with developmentat 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 fotlowing page. WHO IS ELIGIBLE FOR A WAIVER PROGRAM? Etigibitity for waiver seryices inctudes people with devetopmental disabitities who:. Are ctients of DSHS Developmentat Disabitities Administration (DDA),o Meet disabitity criteria estabtished by the SociaI Security Administration (SSA),. Are etigibte for Medicaid services in an institution,. Have been determined to need home and community-based services in order to tive in the community, ando 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 (Parentat income is not considered for chitdren.) TYPES OF WAIVER PROGRAMS BASIC PLUS WAIVER This waiver program is for peopte who live with their famities, on their own, in an adutt famity home, in another setting with assistance or an Adult Residentiat Care Assisted Living Facitity (ARC) and are at high risk of out-of-home placement. services covered include the fottowing:o Hours per year avaitabte for Supported Emptoyment or Community Access, based on DDA assessment and employment status.. Up to 56,192 is availabte for any combination of Skitted Nursing (Nursing Detegation); Community Guide; Environmental Accessibitity; Adaptations; Speciatized Medicat Equipment/Suppties; OccupationaI Therapy; Specialized Psychiatric Services; Physicat Therapy; Speech, Hearing and Language Services; Staff/Family Consuttation and Training; Behavioral Heatth Stabitization; and Transportation to a Waiver Service.o Behaviorat Heatth Stabitization Serviceso 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 ?4-hour residential services. Services covered include: Residentiat Services, Behavior Support, Therapies, Environmentat Adaptations, Ski[led Nursing, Emptoyment services, Speciatized Medicat Equipment and Suppties and more. 29 COIAMU NITY PROTECTI ON WAIVER 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: Residentiat Services, Behavior Support, Therapies, Environmentat Adaptations, Skitted Nursing, Emptoyment services, Speciatized Medicat Equipment and Supplies and more. tNDtvtDUAL & FAM|Ly SERVTCES WATVER (tFS) This waiver became effective June 1 ,2015, and offers support to clients tiving 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 client and the family. Services covered include the fottowing:o IFS funding levels range from 51,200 to 53,600, depending on assessed need (determined by assessment). r IFS services inctude Respite; Behavior Support and Consultation; Community Engagement; Home and Vehicte Modifications; Peer Mentoring; Assistive Technotogy and Speech; Occupationa[, and PhysicaI Therapies; Person Centered Ptan Facititation; Speciatized ctothing and nutrition; skitted Nursing; and rransportation to a waiver service.r IFS services can be used in any combination, not to exceed a client's annual a[location. 'HILDREN'S /NIENS/yE IN-HOME BEHAVTORAL SUq?ORT (CilBS) This waiver combines wrap-around ptanning with positive behavior supports to empower families to remain together. To be etigibte for CllBS, your chitd must be between the ages 8 through 20 years otd tiving with their famity and are assessed at high or severe risk of out-of-home placement due to chal[enging behaviors. Services covered are determined by the lndividuat Support Ptan with an average cost of service, including respite, of $4,000 per month per ctient for any combination of the fottowing services: Skitled Nursing, Nurse Detegation and Behavior Support and Consuttation; Environmental Accessibitity Adaptations; Assistive Technotogy; Therapeutic Equipment and Suppties; Speciatized Medicat Equipment/Suppties; Speciatized Nutrition and ctothing; Vehicte Modifications; OccupationaI Therapy; Specialized Psychiatric Services; Physicat Therapy; Speech, Hearing and Language Services; Staff/Family Consultation and Training; and Transportation. ACCESSING WAIVER SERVICES STEP 1 ln order to access county funded services, individuats with devetopmentaI disabitities must be determined etigibte for services through the Developmentat Disabitities Administration (DDA). To appty for DDA services in our area etigibitity paperwork can be requested from the fottowing number, email or web address: To[[ Free: 1 -866-715-3646 Email: R1 ServiceReqr-restBG,dshs. wa. qov Website: lrtttts : / / www. clshs. wa. sov i clcia I service-ancl-infor nration - t ectuest STEP 2 Once an individual has been determined etigibte for DDA services and has been assigned to a Case Resource Manager (CRM), a person-centered DDA assessment witt be completed. The assessment determines what services a person may be etigibte for. lf certain criteria are met, a request to be placed on a Waiver Program can be made. There are a variety of resources avaitabte through the 30 Waiver Programs and the case resource manager witt hetp guide a person in setecting the appropriate Waiver Program that inctudes emptoyment 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 wi[[ provide information about tocal employment vendors. lt is recommended that the person seeking services and their famity representatives take time to meet with [oca[ providers to determine which provider is going to be the best fit. Once a person has setected their emptoyment provider, the emptoyment provider witt start the intake and discovery process to start them on their pathway to emptoyment. 31 APPENDIX B: KITTITAS COUNTY SERVICES B HEARD B STRONG B PROUD Etlensburg, WA 98926 Phone: 509-607-4470 Website: httos: / /www. facebook.c / BHeardBStroneBProudl 7/. httns: / /bhea rdbstro wordoress. com / CENTRAL WASHINGTON DISABILITY RESOURCES 301 East 2nd Avenue Ellensburg, WA 98926 Phone: 5O9-962-9620 Website: htttt: / /mvcwdr.orq CHILDREN'S VILLAGE 3801 Kern Rd. Yakima, WA 98902 Phone: 509-574-3200 Website: httns : / /wwv'r. vakinraehi td Itaee. orel our-services. aso CHILDREN WITH SPECIAL HEALTHCARE NEEDS PROGRAM Community Heatth of CentraI Washington 521 E Mountain View Ave Etlensburg, WA98926 Phone: 509-306-1740 Website: https: / /www.chcw.orplst cn-children-speciat-heatth-care/ CLE ELUM ROSLYN SCHOOL DISTRICT SPECIAL PROGRAMS 2960 5R 903 Cte Elum, WA98922 Phone: 5O9-649-4807 Website: https : / / www. cers d. or q / paee / specia [ - Droqra ms DEVELOPMENTAL DISABILITIES ADMINISTRATION 100 East Jackson Avenue, Suite 100 Ellensburg, WA 98926 Phone: 509-925-0405 Website:httos: / /www.hs.wa. eov/dda DIVISION OF VOCATIONAL REHABILITATION 100 East Jackson Avenue, Suite 100 Ettensburg, WA98926 Phone: 509-925-0408 Website:/ /www.clshs.wa 32 EASTON SCHOOL DISTRICT SPECIAL EDUCATION SERVICES 1893 Raitroad Street/PO Box 8 Easton, WA 98925 Phone: 509-656-2317 Website: htto: / /www.ton.wednet. edu ELLENSBURG SCHOOL DISTRICT SPECIAL EDUCATION SERVICES 1300 East 3'd Avenue Eltensburg, WA98926 Phone: 509-925-8117 Website: httos://www .esd401.ore /students- famities/student- services /soeci at-services ELMVIEW 204 East 6th Avenue Eltensburg, WA 98926 Phone: 509-925-6688 Website://www.elmvi ENTRUST COMMUNITY SERVICES 415 East Mt. View Avenue, Suite 301 Ellensburg, WA 98926 Phone: 509-925-6688 Website: httos: / /www .elrnview.ors HOPESOURCE. ELLENSBURG 700 E Mountain View, Suite 501 Ettensburg, WA 98926 Phone: 509-925-1448 Website: htto://www.hopesource. us HOPESOURCE.CLE ELUM 110 Pennsytvania Ave Cle Elum, WA98922 Phone: 509-674-2375 Website: http: / /www. hopesource. us KITTITAS COUNTY DEVELOPMENTAL DISABILITIES PROGRAM Kittitas County Public Heatth Department 507 N. Nanum St. Suite 102 Ellensburg, WA 98926 Phone: 509-933-8233 Website:httos: / /www.co. kittitas. wa. us / hea Ith /r m uni tv / develonnrenta [ - cli sabitities. aspx 33 KITTITAS COUNTY HEALTH NETWORK 110 W. 6th Ave, #393 (maiting) Ellensburg, WA 98926 Phone: 509-933-7544 Website: https: / /heatthierkitri tas. orgldda-services KITTITAS SCHOOL DISTRICT SPECIAL EDUCATION SERVICES 7571 Kittitas Hvvy Kittitas, WA 98934 Phone 855-380-8843 Website:httns: /. ksd403. ore / oage / sneci at-education PARENT TO PARENT AND PARENT COALITION Kittitas Vattey Opportunities Phone: 509-929-7277 Website: httos: / /kc-o2p.wixsi te.com/home SEEDLINGS CENTERS FOR EARLY LEARNING 220 East Helena Avenue Etlensburg, WA 98926 Phone: 509-872-5132 Website: https:l/www . eDicnet. ors / SOCIAL SECURITY ADMIN ISTRATION 801 Fruitvate Blvd. Yakima, WA 98902 Phone: 800-772-1213 Website: https: / /www.ssa.qov/ SPIRIT THERAPEUTIC RIDING CENTER 1051 Sorenson Road E[tensburg, WA 98926 Phone: 509-929-'1401 Website: htto: / /www pirittrc. corn / TRELLIS CENTER 170 Bare Rd Etlensburg, WA 98926 Phone: 509-968-4040 Website: htto: / /www. t Itiscenter. com / 34 APPENDIX C: COMMUNITY SURVEY RESULTS Respondents Do you have an inteliectual or cjevetopmentat disabitity, or are you aepresenting someone who does? INo 4.296 ls the individual with an intellectual or developmentat disabitity 1 B years old or olde., either yourself or someone you're representing? Yes ' I anr a pe.son with an inteltectual or devetopmental disability 23.60h 12.2o/o 0102030405060 Responses No Yes 14.3% 45.7%Yes - I represent someone wjth inteltectuat or deveiopmentaI disabilities 0 20 40 Responses 60 ln what city within Kittitas county does the individuat with intettectuaI or devetopmentat disabitities tive? 70 60 50 40 30 20 10 0 coo E 61 Eltensburg Cle Elum 2 I Kinilas RosLyn Other Snoquatmie Pa ss South Cte Elu m 0 Thorp 0 Ronald Vantage N=72 35 DDA Service status Deniedservices ] 2.go7o Onawaidist 4 4.2% Unknowno.does notuppty Irr.r* Has notapplied f stv" Receives waiver sewices What is the current status of services from the DDA for the individuat with inteItectual or devetopmental disabilities? As someone who receives waiver services, are you aware of the "exception to rute" process for respite care services? 47.1% 52.90k Yes No 10 20 30 Responses 21 40 s0 60 0 10 72.21k 16 20 I 30 What are the biggest gaps in services for peopte with intetlectuat and devetopmentaI disabitities in the community? Setect aUthat appty. Responses I 30 25 20 15 10 5 0 .a)' ^"*' 15 -"P I I T -""" ""'a-t"- -e' eo- oo*o" .,"" ^& ,?? -.nP '.."- "1"q'o" ;r'' ...9' $" ^.+' "to ,"a"',c 36 Supports and Services Do you or the individuat get the supports and services needed in Kittitas County? Do you have enough supports to work or volunteer in the community? Yes 36.50,t No 10 Responses No Yes - ALI Yes - So6e r I 16.4 17.90k 63.50,6 65.70k 01020304050 Other: . Trettis {x2). Agingand LongTerm L;are . Alternative LivinE Provider . Parentadvocacvfor the child with intellectual disabitities . Kittitas lnteractive Management (KlM) Supported Living . Family member . SSI . Ambitions 30 40 . DSHS . KVH Famity Medicine . Aim Star Learning . Privately-emptoyed job coach . ldon't receive services 20 Responses From where do you get the services you need in Kittitas County? Se{ecf al{ that apply. 60 lrr ,C+. llr', ooF -$,oe *f' ^.... os gt""e'(9 37 What are the barriers to working or volunteering for a person with i ntettectua I or developmenta I d isa bitities? Se/ecf all that apply. coo & coo g 35 30 20 15 10 5 0 I Not enough jobs availabte Gonlusingsysten/ Notenoughquatitied Difiicuttiesonthejob adnrin burden iob coaches Iransponation O!her Appropriate clothing * Extremely dissatjstied 1.5 How satisfied are you with.... ? Seryrces and supports currently received 35 30 25 20 15 10 Extremety satistied 1 5.10h Somewhat satislid 47% Neithersalisliednordissatislied Somelvhatdisssatrstiod 12.1oA 24.296 38 How satisfied are you with .... ? Access to caregivers 25 20 15 coo E 10 0 Exlremely satistr€d 15.90,r Somewhat satisfied 19Eo Neithersallsfiednordissattsfied Somewhatdisssatisiied 15.9% 34.90k Extremety d is s atisfred 14.3 How satisfied are you with. ... ? Access to respite seryices 25 coo &10 5 Erlremety satisfied 9.5% Sonrewhat saiislid '12.70h Neilhersatisliednotdissatisried Somewhatdisssatrstied 34.9% 27% Exlremely dissalisf led 1 5.996 39 What makes it hard to do things in the community? Se/ect all that apply. 30 25 20 15 10 5 0 2627 lln r Other: . Buttying by co worker . . Ghosts of exoeriences in Ettensburg Middte and High SchooI . Finding information about available .activities when a person can't navigate computers. Everything requrres ustng electronic devices and my brother cannot use. a ce[[ phone or computer. . Need theraov services in this area. fhere is none available They need more adutt famity homes in eastern Washington, I worry about herwhen I can no [ongertake care of her. Cotd weather enhances mv oain and reduces my 5bitity to be out in the community Not much availabte in Rostyn. f;l ,":..t ""'i"tr".;;*""9.s'""- What amenities, services, or opportunities do you feel are missing in your community that woutd improve your quatity of tife or hetp you feet more connected with your community? 1. Social Gonnection & Community Activities "more opportunities to be in the community" "more opportunifies for sociaI connebiions" 2. -Caregiving/Respite Care "m.ore qu-atified caregivers and respite hours for famity members" "increased hours for support 5taff" 3. Mental Heatth Services "the mental. wetl.-being is something to consider nurturing" "counseling for sibtings" 4. Emptoyment "consistent and trained job coaches" "emptoyment opportunities are [acking" 5. Housing"affordabte housing" 6. Transportation "so many peopte do not have transportation to and from events that are happening in the community" 7. Schoots "more opportunities for training, schooting, transition services,etc." 40 How often does the individuat access transpoftation from: 45 d0 30 2S 20 15 10 5 0 65.1 7o coo oE 4-6 tinres a week 18.3% 2-3 limes a week flr *r15%1 SYo 7.90k Daily Neverr Public transportation t Transportation from a famity member or f riend What are the barriers to accessing pubtic transportation? Se/ect all that apply. Other: 30 25 20 15 10 5 0 I Hours ot operalion ll lack ot Lack ol kno\ltedge cOmlo{ 2 5 B l 6 5 4 3 2 1 0 1 T 1I Persor l.ivesrntural i.corsrstcrl Abkto!4ve cdntusjor flobilfy ch.il..grnL ;rnnors.fel! r'.antu/or or lheorsetves {throlles.r to,!.!rga!d rdealafe. oursdcol uf.v.rlibte 'nap5 c.n.,rlions 2 41 Do you feel prepared for an emergency such as a medical emergency, pandemic, or natural disaster? No 40% 600,4 10 t5 20 30 3525 40 Responses Please share any additional information you think woutd improve services for peopte with intettectuatand developmentaI disabitities in Kittitas County. 1. Resources "just tacking resources in our community" 2. Accessibitity to lnformation "it has been real.ty diff icutt to understand what services are avaitabte" "the use of ptain tanguage" 3. Housing/Living'tack of emptoyees for supported tiving is dire" "more housing and shetter for peopte in Kittitas County" 4. Activities "having more things to do and more varietyfor peopte with disabitities" "f u[[ day prograris woutd be a benefit" 5. Transportation "having a later bus route" "prioritized shuttte service for appointments" 6. Quatity "it's just terribte how they treat their ctients in generat" 7. Awareness "it woutd be great to have locaI doctors that understand my son's ASD disabitity" 42