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HomeMy WebLinkAbout2021-2023 Kittitas County Developmental Disabilities FINAL KITTITAS COUNTY DEVELOPMENTAL DISABILITIES PLAN “We value every individual as a contributing member of our community.” 2021-2023 1 TABLE OF CONTENTS TABLE OF CONTENTS .................................................................................................. 1 ACKNOWLEDGEMENTS ................................................................................................. 2 BACKGROUND ........................................................................................................... 3 DEVELOPMENTAL DISABILITIES ADVISORY COMMITTEE (DDAC) ................................................... 4 KITTITAS COUNTY PROFILE ........................................................................................... 7 PEOPLE WITH DISABILITIES ........................................................................................... 8 KITTITAS COUNTY DEVELOPMENTAL DISABILITIES PROGRAM .................................................... 13 OTHER DISABILITIES SERVICES IN KITTITAS COUNTY ............................................................. 17 ASSETS, GAPS, OPPORTUNTIES, CHALLENGES .................................................................... 18 PRIORITIES ............................................................................................................. 20 IMPLEMENTATION: GOALS, STRATEGIES, OBJECTIVES, ACTIVITIES ............................................. 21 REFERENCES ........................................................................................................... 25 APPENDIX A: ELIGIBILITY FOR DDA SERVICES ...................................................................... 26 APPENDIX B: KITTITAS COUNTY SERVICES ......................................................................... 29 Pictured on cover page (left to right): StreetKat (performer), Devin Beach, Harry Engel, K.B. Shinn, and Jacqueline Robinson. 2 ACKNOWLEDGEMENTS The 2021-2023 Kittitas County Developmental Disabilities Plan was developed by members of the Kittitas County Developmental Disabilities Advisory Committee (DDAC), in partnership with Kasey Knutson, the Developmental Disabilities Coordinator at the Kittitas County Public Health Department, and Robin Read, Community Consultant. DDAC Members 2017-2021 Toby Allphin Devin Beach Kathaleen Briggs Early Shannon Garoutte Deborah Kirby Nancy Lillquist Sarah Oliason Anne Pflug Charli Sorenson Carla Thomas John Ufkes Brett Wachsmith APPROVAL The DDAC approved the final plan on September 14, 2021 and recommended adoption of the plan to the Kittitas County Board of Commissioners. ADOPTION The Kittitas County Board of Commissioners adopted the plan on , 2021. Brett Wachsmith, Chair Laura Osiadacz, Commissioner Cory Wright, Commissioner 3 BACKGROUND Per 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. According to county guidelines from DDA, the biennial developmental disabilities plan is intended to be developed by the county developmental disabilities advisory board and it aims to: 1. Encourage and support the ability of communities to include people with developmental disabilities. 2. Influence the direction of local developmental disabilities services. 3. Help determine the direction of contracted services with input from persons with disabilities, families, and the community. Furthermore, the guidelines state that plans should set program priorities, objectives, and tasks that inform and facilitate the allocation of resources in alignment with the program mission and values. In Kittitas County, the Developmental Disabilities Plan reflects the priorities of the Developmental Disabilities Advisory Committee and is used to guide the distribution of both state and local funding sources. Developmental Disabilities Definition Developmental Disabilities are a diverse group of chronic conditions due to mental/neurological or physical impairments or a combination of both. In general, developmental disabilities cause individuals difficulties in certain areas of life, such as language, mobility, learning, self-help, or independent living. 4 DEVELOPMENTAL DISABILITIES ADVISORY COMMITTEE The Washington State Developmental Disabilities Administration requires developmental disability boards to exist as part of the county contracts that provide funding for employment and other support services for people with developmental disabilities. Kittitas County’s Developmental Disabilities Advisory Committee (DDAC) is responsible for developing the biennial plan and making recommendations to the county about developmental disabilities services and funding. It consists of nine1 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 developmental disabilities to realize his/her personal goals as full participants in the community. Committee members are people with developmental disabilities, or parents of; policymakers; and invested community members who aim to bring the voices of people with developmental disabilities (DD) to the community. 1 At the time of publication of this document, three positions on the DDAC are vacant. Revised Code of Washington (RCW) The RCW provides authority to county governing authorities to establish a “developmental disability board to plan services for persons with developmental disabilities, to provide directly or indirectly a continuum of care and services to persons with developmental disabilities within the county or counties served by the community board. … Members appointed to the board shall include but not be limited to representatives of public, private, or voluntary agencies, representatives of local governmental units, and citizens knowledgeable about developmental disabilities or interested in services to persons with developmental disabilities in the community.” Brett Wachsmith, Chair “I 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 goals.” Nancy Lillquist “My role is to be a liaison between the DDAC and the Ellensburg City Council - 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 “I worked for people with different abilities for many years and saw the struggles they had to deal with on a daily basis. I also saw all that they had to offer to me on a personal level and to the community. I wanted to give back to them.” 5 Toby Allphin “I am on the committee as a parent of a son with special needs. We feel very good that we live in a country that cares.” Kathaleen Briggs Early “I’m on the board because I want to serve our community at-large, and especially those who are more likely to be underserved and underrepresented.” Devin Beach “Too often, structural and/or attitudinal barriers silence the voices of the Developmental Disability community. As a multiple-disabled woman, my goal is to educate and empower the community to accept, include and empower individuals with developmental disabilities.” Auggie, Honorary Member “I’m a 4-year-old Australian Cattle 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 I’m off-duty, I like to clown around to make my human friends smile – especially since the pandemic began.” 6 During the 2017-2019 planning process, DDAC developed a vision, mission, and guiding principles to help guide their efforts and recommendations to the county. Vision All people with developmental disabilities will have the opportunity to reach their full potential, achieve their dreams, live fulfilled lives, and be contributing members of our community. Mission To foster an inclusive environment that supports citizens with developmental disabilities and their families to participate in and contribute to all aspects of the community Guiding Principles INCLUSION is the ability to be present and included in our neighborhoods, schools, community groups, religious spaces and recreational activities. Inclusion offers us opportunities to meet others, participate in community life, and feel welcome. POWER AND CHOICE mean recognizing what we want and how to achieve it. Power is having the ability 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 ability to live and work in a safe place, to have access to quality health care, and to learn 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 ourselves. It includes communicating effectively with those who provide us with supports and being able to direct those supports. CONTRIBUTION is feeling good about ourselves, being valued and well regarded by others, and being recognized for what we contribute to our community. RELATIONSHIPS offer a sense of belonging, continuity, intimacy and give meaning to life. Connection to others provides support and opens doors to new opportunities and experiences. 7 KITTITAS COUNTY 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, Snoqualmie, Manastash) and is nearly 2 hours away from the largest urban area in the state (Seattle.) Other larger cities nearby include Yakima (45 minutes away) and Wenatchee (1.5 hours away.) In other words, there are multiple geographic barriers to accessing a comprehensive range of services. With a population of about 48,140 people and about half living in unincorporate d areas, there is one primary care physician per 1,890 residents, one mental health provider per 560 residents, and one dentist per 2,280 residents.2 (University of Wisconsin Population Health Institute, n.d.) These ratios would be even worse taking into account only those providers who accept Medicaid as insurance. Access to medical, dental, and mental health care is made more difficult by the shortage of providers in addition to the fact that one in every ten adults lacks health insurance. (University of Wisconsin Population Health Institute, n.d.) Residents of Kittitas County experience higher rates of physical inactivity, adult smoking, excessive drinking, mental distress, child mortality, and sexually 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, HIV, alcohol-impaired driving deaths, teen births, and preventable hospital stays. (University of Wisconsin Population Health Institute, n.d.) Unemployment rates are 5.5%3, twelve percent of children live in poverty, income inequality is high, and the median household income is significantly lower than Washington State as a whole. Severe housing problems are prevalent as well: significantly fewer people own homes, and 20% of households spend 50% or more of their income on housing4. However, violent crime is significantly lower than Washington State, and high school graduation rates are higher. (University of Wisconsin Population Health Institute, n.d.) 2 Compared to Washington State ratios of 1:1180 primary care, 1:250 mental health, and 1:1200 dentists. 3 Compared to 4.3% for Washington State as a whole. 4 Compared to 14% for Washington State as a whole. 8 PEOPLE WITH DISABILITIES According to the U.S. Census Bureau, nearly 13% of the population, both in Kittitas County (approximately 5,800 people), and nationwide is disabled. (U.S. Census Bureau, 2019) In Washington State, 72% of DDA clients live with their parents or relatives. Nine percent live in their own homes, 8% are in supported living environments, and about 3.5% live in adult family homes. (Washington State Developmental Disabilities Administration, 2020) EMPLOYMENT & INCOME In the United States, about 24% of people 16 and over with a disability are employed compared to over 67% of people without a disability. (U.S. Census Bureau, 2019) In Washington State, nearly 37% of people with disabilities are employed compared to 76% of people without disabilities. (Washington State Division of Vocational Rehabiltation, 2017) About 57% of people with disabilities 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 Vocational Rehabiltation, 2017) (Washington State Division of Vocational Rehabiltation, 2017) 9 People with disabilities are less likely to work in a for-profit setting, a private company, or local government; and more likely to work for private non-profits, state and federal government, or be self- employed. They are also less likely to work in management, business, science, and arts occupations, and more likely to work in service; sales and office; natural resources, construction, and maintenances; or production, transportation, and material moving occupations. (U.S. Census Bureau, 2019) (U.S. Census Bureau, 2019) The median annual earnings of people with disabilities is $24,106, compared to $36,066 for people without disabilities. People with disabilities are also significantly more likel y to living in poverty with 32.4% living below 150% of the poverty level, compared to only 17.8% of people without disabilities. (U.S. Census Bureau, 2019) The COVID-19 pandemic has drastically affected employment opportunities in Washington State, especially for people with developmental disabilities. After several years of maintaining about 65% of working age adults with developmental disabilities who received supportive employment services who earned a wage, this percentage dropped to 44% by July of 2020. (Washington State Developmental Disabilities Administration, 2021) In 2019, 4% of people receiving supportive employment services earned subminimum wage and 24% were job seeking with no wages reported. The higher the acuity level, the lower percentage of people receiving minimum wage or self -employed. (Washington State Developmental Disabilities Administration, 2020) 22.4 13.1 10.7 9.9 9.8 6.3 5.7 5.5 5.4 5 2.3 2.1 1.7 23.2 11 11.6 10.1 9.6 6.6 4.8 5.4 6.6 4.6 2.6 1.8 2 0 5 10 15 20 25 Percent of Employed Population 16 and over, by Industry With a Disability No Disability 10 Kittitas County Employment Support Clients, 2020 Acuity Level Total clients No hours/wages reported Hours/wages reported Minimum wage earned Average hours worked per month High Acuity Clients 10 5 (50%) 5 (50%) 3 (80% of those working) 6 Medium Acuity 24 6 (25%) 18 (75%) 6 (33% of those working) 27 Low Acuity 6 0 (0%) 6 (100%) 3 (50% of those working) 33 TOTAL 40 11 (27.5%) 29 (72.5%) 12 (30% of those working) EDUCATION Just over 14% of students enrolled in school districts in Washington State had a disability during the 2020-2021 school year. Fewer Washington State students with disabilities met grade level standards compared to students without disabilities (English Language Arts 21% vs. 66%, Math 16% vs. 54%, Science 17% vs. 51%). Sixty-four and a half percent of students with disabilities graduated in four years, compared to 85.5% of students without disabilities. About 22% of students with disabilities continue with their high school education after four years, and over 13% drop out (compared to 6% and over 8% for students without disabilities, respectively.) Students with disabilities also have lower rates of regular attendance (83% vs. 90%), significantly lower rat es of kindergarten readiness (22% vs. 55%), and higher rates of suspension and expulsion (6% vs. 2%). (Washington State Office of Superintendent of Public Instruction, 2018-2021) Acuity According to Washington Administrative Code 388-828-9200, acuity is defined by an algorithm that determines the level of employment support a DDA client can receive. The algorithm considers the following factors in determining acuity: • Activities of daily living • Behavioral support • Interpersonal support • Environmental support • Level of monitoring • Employment support • Speed of completing tasks • Quality of completing tasks • Medical support • Seizure support 11 Students with disabilities Students without disabilities Students with disabilities Students without disabilities Students with disabilities Students without disabilities % enrolled (2020-2021)15%85%13%87%16%84% % met grade level standards-ELA (2018-2019)16%64%13%58%20%66% % met grade level standards-Math (2018-2019)11%39%9%50%12%51% % met grade level standards- Science (2018-2019)Not Available 59%17%47%Not Available 46% % graduated in 4 years (2020)Not Available 88%88%93%Not Available 79% % continuing after 4 years (2020)Not Available 10%6%4%Not Available 3% % dropping out (2020)Not Available 2%6%3%Not Available 18% % with fewer than 2 absences per month on average (2020)85%91%86%93%81%93% % entered kindergarten ready in 6 areas of development and learning (2019-2020) Not Available 57%5%50%Not Available 61% % excluded due to behavioral violation (suspension or expulsion)Not Available Not Available 4%1%Not Available Not Available Kittitas EDUCATION REPORT CARD Better than state Same as state Worse than state Cle Elum-RoslynEllensburg Students with disabilities Students without disabilities Students with disabilities Students without disabilities Students with disabilities Students without disabilities % enrolled (2020-2021)21%80%5%95%15%85% % met grade level standards-ELA (2018-2019)Not Available 58%Not Available 55%23%73% % met grade level standards-Math (2018-2019)Not Available 32%Not Available 64%23%49% % met grade level standards- Science (2018-2019)Not Available 36%Not Available Not Available Not Available 63% % graduated in 4 years (2020)Not Available Not Available Not Available Not Available Not Available Not Available % continuing after 4 years (2020)Not Available Not Available Not Available Not Available Not Available Not Available % dropping out (2020)Not Available Not Available Not Available Not Available Not Available Not Available % with fewer than 2 absences per month on average (2020)Not Available 88%Not Available Not Available 86%88% % entered kindergarten ready in 6 areas of development and learning (2019-2020) Not Available Not Available Not Available Not Available Not Available 63% % excluded due to behavioral violation (suspension or expulsion)Not Available Not Available Not Available Not Available Not Available Not Available Easton Damman Thorp 12 SERVICES The Washington State Department of Social and Health Services, Developmental Disabilities Administration (DDA) provides funding to counties for employment and other support services for people with developmental disabilities. Eligibility for services is determined by DDA and is based on Washington State residency, evidence of a qualifying developmental disability 5 that began before age 18, and evidence of substantial limitations. DDA’s caseload has increased by an average of 3% per year over the past few years and their budget has grown an average of 15.3% each biennium for the past decade (from $1.91 billion in 2011-2013 to $3.76 billion in 2019-2021.) (Washington State Developmental Disabilities Administration, 2020) In 2020, Washington State had more than 14,000 people with developmental disabilities who qualified for services but didn’t receive them due to lack of state funding (no-paid services caseload). That’s about 29% of all people on the DDA caseload. (Washington State Developmental Disabilities Administration, 2020) There are 33 children and 174 adults in Kittitas County currently enrolled in DDA. Fifty -four individuals are on the no-paid caseload, or 26%. In 2019, Kittitas County served 70 individual s in employment services (2 in group supported employment and 36 in individual employment) and community inclusion services (35).6 (Washington State Developmental Disabilities Administration, 2020) The average number of days per week that Washington State individuals in supported living programs accessed community-based activities dropped from nearly 5 days per week in 2017 -2019 to around 3- 3.5 days per week in 2020 (Washington State Developmental Disabilities Administration, 2021), likely because of the COVID-19 pandemic. 5 The Revised Code of Washington 71A.10.020(5) defines a developmental disability as: “a disability attributable to intellectual disability, cerebral palsy, epilepsy, autism, or another neurological or other condition of an individual found by the secretary to be closely related to an intellectual disability or to require treatment similar to that required for individuals with intellectual disabilities, 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.” 6 See next section “Kittitas County Developmental Disabilities Program” for definitions and descriptions of each service/program. Pages 12-13. 13 KITTITAS COUNTY DEVELOPMENTAL DISABILITIES PROGRAM The Washington State Department of Social and Health Services, Developmental Disabilities Administration (DDA) provides funding to counties for employment and other support services for people with developmental disabilities. Eligibility for services is determined by DDA and is based on Washington State residency, evidence of a qualifying developmental disabil ity7 that began before age 18, and evidence of substantial limitations (see more detailed information about eligibility for DDA services in Appendix A). The funding varies based on availability, number of people receiving services, and the needs of each individual and is intended to help people keep a job or gain skills for obtaining employment. Kittitas County has received an average of around $600,000 per year for the past 5 years from DDA. Additionally, per Revised Code of Washington 71.20.110, counties are required to annually budget and levy a property tax for developmental disabilities or mental health services. In Kittitas County, this tax is split equally between developmental disabiliti es and mental health services. Commonly referred to as “millage”, the county has discretion on how these funds are spent. The developmental disabilities program has received around $100,000 annually from this tax over the past 2 years. Kittitas County’s developmental disabilities (DD) program is overseen by the Kittitas County Public Health Department through a qualified and experienced DD Coordinator. The county publishes an open Request for Qualifications (RFQ) to solicit qualified employment support providers. Responses to the RFQ are reviewed thoroughly by the DD Coordinator and DDA staff, and if qualifications are met, the provider is placed on a list of available employment services providers for clients to choose from when they qualify for services. A Request for Proposals (RFP) is also published to solicit proposals from local agencies who propose to provide indirect services related to community information and education, training, and/or other activities that will benefit people living with developmental disabilities, their families, and/or service providers. The proposals are reviewed by the DD Coordinator and the Developmental Disabilities Advisory Committee, who make funding recommendations for approval by the Kittitas County Board of Commissioners. DD services funded by DDA fall into two major categories: Consumer Support Services and Additional 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 below. 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. 7 The Revised Code of Washington 71A.10.020(5) defines a developmental disability as: “a disability attributable to intellectual disability, cerebral palsy, epilepsy, autism, or another neurological or other condition of an individual found by the secretary to be closely related to an intellectual disability or to require treatment similar to that required for individuals with intellectual disabilities, 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.” 14 CONSUMER SUPPORT SERV ICES INDIVIDUAL SUPPORTED EMPLOYMENT Individual Supported Employment (ISE) 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 individualized services necessary to help persons with developmental disabilities obtain and continue integrated employment at or above the state’s minimum wage in the general workforce. Supported employment occurs in a variety of typical, integrated workplace environments. Supports can be provided to the client, employers, and/or coworkers through activities such as on-the-job training, job restructuring, and technical assistance to employers and coworkers. In 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 $138.00 per week in 2019. (Washington State Developmental Disabilities Administration, 2020) 2021-2023 Targeted Outcomes for ISE • Increase the percentage of ISE clients reporting hours/wages from 72.5% (2020) to 80% by June 30, 2023. • Increase the percentage of working ISE clients who make at least minimum wage from 41% (2020) to 100% by June 30, 2023. • Increase the average hours per month worked by employed high acuity clients from 6 (2020) to 10 by June 30, 2023. COMMUNITY INCLUSION Community Inclusion (CI) services are designed to promote individualized skill development, independent living, and community integration for individuals to learn how to engage in their local community actively and freely. Service providers assist individuals in participating in activities that provide opportunities to develop relationships and to learn, practice, and apply skills that result 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 building relationships. 2021-2023 Targeted Outcomes for CI • Increase the percentage of clients participating in volunteer work from 3% (2020) to 10% by June 30, 2023. • Ensure that at least 50% of clients participating in volunteer work can do so for at least 20 hours per month on average. 2020 Number of Individuals Receiving Service 40 Organizations Providing Service Elmview Entrust Amount of Funding $227,869 2020 Number of Individuals Receiving Service 34 Organizations Providing Service Elmview Entrust Amount of Funding $121,713 Individual Supported Employment services are for working-age adults. Community Inclusion Services are for adults who are not in the workforce, mostly seniors. 15 ADDITIONAL CONSUMER SERVICES COMMUNITY INFORMATION AND EDUCATION These services are intended to inform and/or educate the public about developmental disabilities and related services. This may include information and referral services; activities aimed at promoting public awareness and involvement; and community consultation, capacity building and organization activities. Kittitas County reaches 450+ people per year on average with these services. 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 planned, structured activities for the purpose of providing, or improving, or enhancing job-related knowledge and skills of staff, providers, volunteers, or interning students in the provision of developmental disability services. • Board Training includes costs incurred by the program for planned, structured activities designed to provide, improve, or enhance program-related skills of board or advisory committee members. OTHER ACTIVITIES Other activities can fund a variety of different projects. There was no funding designated for Other Activities in 2020. • Infrastructure projects: Projects in support of clients not of working age. Examples include planning services like benefits planning and generic job development. • Start-up projects: Projects that directly benefit the agency. Examples include equipment purchases and agency administrative support. • Partnership projects: Collaborative partnerships with school districts, employment providers, families, employers, and other community collaborators needed to provide employment supports and services to young adults to become employed. 2020 Organization Yakima Valley Memorial Services Early intervention services Funding $2,106 Organization Kittitas Valley Opportunities Services Parent and family support Funding $15,000 Organization WISE Services Training Funding $15,550 Organization Robin Read Consulting Services Facilitation and planning Funding $919 Community Information 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. 16 2021-2023 Targeted Outcomes • Identify children with developmental disabilities by administering the Ages and Stages Questionnaire to at least 20 children in Kittitas County per year. • Conduct at least 35 parent support meetings per year. • Complete at least 16 hours per year of professional development for service provider staff or boards/advisory committees. • Utilize at least 5% of available funding to assist with activities that address emerging needs. • Develop priorities, goals, and strategies for the DDAC and the next biennial plan by June 30, 2023. 17 OTHER DISABILITIES SERVICES IN KITTITAS COUNTY While the services funded through the Kittitas County government focus on employment supports, community inclusion, early intervention, and family supports; the overarching service system provides more comprehensive opportunities for support. The graphic below, created by the Developmental Disabilities Advisory Committee, displays the complexity of the service system in Kittitas County. A detailed list of these services can be found in Appendix B. 18 ASSETS, GAPS, OPPORTUNTIES, CHALLENGES The Developmental Disabilities Advisory Committee has conducted an analysis of services in Kittitas County based on available information. Assets are strengths in our community that may be able to be built 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. Finally, challenges are areas that may need additional resources to solve. ASSETS • Dedicated and committed DDAC • A community that cares about and embraces people with developmental disabilities • Professionals with valuable training and people with lived experience • Local policy makers who value community input • A strong network of social support for parents of people with disabilities GAPS • Few qualified service providers • Lack of vocational/trade education and job training programs that align with area employers • Limited number of continuous community employment and transition placements • Social skills curriculum for students in special education does not address sex education, dating, bullying, social anxiety, depression, and substance abuse • No mental health court program • No one tenth of one percent sales tax for mental health and substance use disorder treatments • Limited opportunities for respite care • Lack of awareness about the issues faced by people with developmental disabilities by policy makers, law enforcement, and the public • Services that are culturally appropriate • Lack of adequate transportation to access services, jobs, and the community OPPORTUNITIES • Resources and opportunities for joint programs with Central Washington University and their students • Central Washington University and the agriculture industry are underutilized for employment opportunities. • Increased momentum to pass the one tenth of one percent sales tax for mental health and substance use disorder treatments • Building alliances between existing nonprofit agencies and private citizens to create more housing options • Involve people with developmental disabilities in DDAC and other related activities • Increase awareness and opportunities for advocacy • Improve how people with disabilities can access information about services • Build momentum for a mental health court program • Increase engagement and education with law enforcement agencies 19 CHALLENGES • Many children with developmental disabilities live in single parent families 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 w ill continue to do so, creating access and culturally appropriate practice challenges for the service system. • Most adult persons with cognitive disabilities in Kittitas County live with their families rather than independently or in supported residential placements. As baby boomer parents age, community responsibility for vulnerable adults will increase. • People with developmental disabilities are often not involved in decisions that affect them • It’s difficult and complicated to know what services are avail able and how to access them • High rate of no-paid case load • Interactions with law enforcement often have poor outcomes 20 PRIORITIES The following priorities were selected by the Kittitas County Developmental Disabilities Advisory Committee through a process that included facilitated brainstorming, affinity diagramming, prioritization, goal setting, and action planning . These four priorities will be utilized, 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 will , ideally, align with these areas. Additionally, the DDAC identified a core value 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 t he issues faced by people with developmental disabilities and often people with DD don’t have a seat at the table 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 will be accomplished through strategies involving policy makers at the city, county, and state levels. COMMUNITY INCLUSIVITY AND ACCEPTA NCE People with DD often remain invisible to the general community which can lead to discrimination, conflict, and even violence. Our goal is to help our community be more inclusive and accepting of people with DD through public events and communications. RESOURCE AND SERVICE EDUCATION Even in a small rural community such as Kittitas County, it can be difficult 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 will do this through improving and communicating current information about services. CONFLICT REDUCTION AND IMPROVED COMMUNICATION People with DD often find themselves in conflict with the public, law enforcement, or the courts due to a lack of understanding and/or difficulties in communication. To reduce conflict and improve communication with people with DD, we will collaborate with local law enforcement, improve common language about people with DD, and advocate for the establishment of a mental health court program. 21 IMPLEMENTATION: GOALS, S TRATEGIES, OBJECTIVES, ACTIVITIES A goal is what we aim to do to address our priorities. The strategies are how we will accomplish our goal. The objectives provide measurable targets for strategy implementation. Finally, the activities, timeline, and person responsible outline our action plan for making progress. Goal I Serve as a liaison to policy makers to increase awareness and facilitate solutions to the issues faced by people with DD. Strategy A Make recommendations to BOCC about services, gaps in services, and budget for DD services Objectives 1. Present recommendations to the county DD coordinator about the county DD budget by November of each year. 2. Complete a biannual DD plan that includes a picture of DD in Kittitas County, a description of services, an analysis of gaps in services, 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. ACTIVITIES TIMELINE PERSON RESPONSIBLE Review and make recommendation on county DD budget Annually in October DDAC Establish a DD biennial plan subcommittee Every odd year in January DDAC Review and update DD biennial plan Every odd year by May DDAC Present plan to BOCC during special meeting Every odd year by June DDAC Identify other priority areas or emerging issues to provide feedback on Annually in January DDAC Strategy B Educate and inform other local policy makers about the issues faced by people with DD. Objectives 1. Conduct a presentation to at least one other local policy maker group annually. ACTIVITIES TIMELINE PERSON RESPONSIBLE Create a standard, yet customizable presentation or presentation outline By December 2021 DDAC or Subcontractor Identify list of other policy maker groups to present to By December 2021 DDAC Prioritize groups and set up calendar of presentations By January 2022 DDAC or Subcontractor Schedule presentations By March 2022 DDAC or Subcontractor Tailor and conduct presentations Annually, as scheduled DDAC or Subcontractor Strategy C Advocate to the state legislature about issues affecting people with DD. Objectives 1. Identify at least one priority issue each legislative session to advocate for or against by January of each year. 2. Provide at least 3 different communications to legislators about the issue during the legislative session. ACTIVITIES TIMELINE PERSON RESPONSIBLE Review and research list of legislative priorities by state association Annually by December DD Coordinator 22 Present legislative issues to DDAC for prioritization Annually by January DD Coordinator Select priority legislative issues Annually by January DDAC Identify communication methods Annually by February DDAC Finalize communication to legislators Annually by February DDAC or Subcontractor Goal II Help the community be more inclusive to and accepting of people with DD. Strategy A Support the annual Let It Shine event through promotion, outreach, planning and other activities upon request. Objectives 1. Assign at least 2 members of DDAC to participate in the planning committee for the Let It Shine event by October of each year. 2. Promote the Let It Shine event through at least 10 different venues by April of each year. ACTIVITIES TIMELINE PERSON RESPONSIBLE Nominate and finalize 2 members to participate in planning Annually by December DDAC Schedule monthly updates of event planning and requests for assistance Monthly DD Coordinator Create promotional plan Annually by February Event Planning Committee Conduct promotion Annually in March DDAC Attend event Annually in April 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 annually. ACTIVITIES TIMELINE PERSON RESPONSIBLE Identify possible dates for DD awareness activities By December annually DDAC Finalize dates By December annually DDAC Identify key partners By January annually DDAC Establish subcommittee or subcontractor By January annually DDAC Determine activities By February annually Subcommittee or Subcontractor Conduct/implement activities Annually DDAC or Subcontractor Strategy C Connect Parent to Parent social media messages to other relevant social media outlets. Objectives 1. Increase Parent to Parent social media connections by at least 3 annually. ACTIVITIES TIMELINE PERSON RESPONSIBLE Identify current Parent to Parent social media connections By July 2022 DDAC Create list of possible new connections By September 2022 DDAC Prioritize new connections By October 2022 DDAC Reach out and make connections By December 2022 DDAC Strategy D Create and/or distribute short videos about people with DD and Disability 101. Objectives 1. Distribute videos about people with DD through at least 3 different venues or modes of communication annually. ACTIVITIES TIMELINE PERSON RESPONSIBLE Identify what videos currently exist By January 2023 DDAC 23 Decide if additional, local videos are needed By February 2023 DDAC Identify venues of communication By March 2023 DDAC Schedule and conduct screenings, distribute By June 2023 DDAC Goal III Educate families, individuals, and the general public about services available for people with DD. Strategy A Ensure resources for people with development disabilities and their support systems are easily accessible and readily available.  Objectives 1. Ensure a list of resources is available through at least 3 different modes of communication. 2. Ensure the list of resources is updated at least annually. ACTIVITIES TIMELINE PERSON RESPONSIBLE Connect with transition council about current resource list By December 2021 DD Coordinator Identify and fill gaps By March 2022 DDAC Identify new venues to distribute information By June 2022 DDAC Schedule annual update of list By July 2022 DD Coordinator Goal IV Help to reduce conflict and improve communication with people with DD. Strategy A Support the process to create a mental health court program by advocating for the inclusion and representation of people with DD.  Objectives 1. Ensure at least one representative of DDAC is included in conversations about a mental health court program. ACTIVITIES TIMELINE PERSON RESPONSIBLE Identify representative By September 2021 DDAC Include updates at least quarterly at DDAC meetings Quarterly Representative Conduct research on how these programs affect people with DD By December 2021 Representative Strategy B Provide community information on changing our language and the way we speak about DD and people with DD. Objectives 1. Provide messaging on DD language through at least 3 different venues, at least twice per year. ACTIVITIES TIMELINE PERSON RESPONSIBLE Collect information and resources on “changing our language and the way we speak about DD and people with DD” By October 2021 DDAC Identify venues for distribution By November 2021 DDAC Create primer/infographic By December 2021 DDAC or Subcontractor Distribute/communicate Annually DDAC or Subcontractor 24 Strategy C Collaborate with local law enforcement agencies to improve services and interactions with people with DD. Objectives 1. Establish collaboration with at least 60% of Kittitas County’s law enforcement agencies. ACTIVITIES TIMELINE PERSON RESPONSIBLE Collect information about what (if anything) local law enforcement does for training and information about interacting and providing services to people with DD December 2022 DDAC Research best practices and potential funding opportunities for improving services and interactions between law enforcement and people with DD March 2023 DDAC Establish collaboration to improve interactions with local law enforcement June 2023 DDAC 25 REFERENCES U.S. Census Bureau. (2019). Kittitas County Geography Profile. Retrieved July 25, 2021, from United State Census Bureau: https://data.census.gov/cedsci/profile?g=0500000US53037 University of Wisconsin Population Health Institute. (n.d.). County Health Rankings & Roadmaps. Retrieved July 23, 2021, from https://www.countyhealthrankings.org/app/washington/2021/rankings/kittitas /county/outco mes/overall/snapshot Washington State Developmental Disabilities Administration. (2020). Developmental Disabilities Administration 2020 Caseload and Cost Report. Washington State Department of Social and Health Services. Retrieved September 6, 2021, from https://www.dshs.wa.gov/sites/default/files/DDA/dda/documents/2020%20DDA%20Caseload% 20and%20Cost%20Report.pdf Washington State Developmental Disabilities Administration. (2021). Strategic Plan Metrics 2021-2023. Washington State Department of Social and Health Services. Retrieved July 25, 2021, from https://www.dshs.wa.gov/data/metrics/DDA.pdf Washington State Division of Vocational Rehabiltation. (2017). Disability & DVR Statistics Report. Retrieved July 25, 2021, from https://www.dshs.wa.gov/sites/default/files/dvr/pdf/2017%20Disability%20%26%20DVR%20Stat istics%20Report.pdf Washington State Office of Superintendent of Public Instruction. (2018 -2021). Washington State Report Card. Retrieved September 6, 2021, from https://washingtonstatereportca rd.ospi.k12.wa.us/ Washington State Office of Superintendent of Public Instruction. (2020). Washington State Report Card. Retrieved September 6, 2021, from https://washingtonstatereportcard.ospi.k12.wa.us/ Washington State Office of Superintendent of Publi c Instruction. (2020-2021). Washington State Report Card. Retrieved September 6, 2021, from https://washingtonstatereportcard.ospi.k12.wa.us/ 26 APPENDIX A: ELIGIBILITY FOR DDA SERVICES Individuals who want to participate in Employment and Day Programs must be eligible to be on a Waiver Program through DDA that provides employment funding. Funding for these services comes through a federal program under Title XIX Medicaid called the Home a nd Community-Based Services (HCBS) Waivers. The HCBS waivers allow the state to use Medicaid funding while “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 developmental disabilities. 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 listed on the following page. WHO IS ELIGIBLE FOR A WAIVER PROGRAM? Eligibility for waiver services includes people with developmental disabilities who: • Are clients of DSHS Developmental Disabilities Administration (DDA), • Meet disability criteria established by the Social Security Administration (SSA), • Are eligible for Medicaid services in an institution, • Have been determined to need home and community-based services in order to live in the community, and • Have an individual gross income that does not exceed 300 percent of the Supplement Security Income benefit amount and individual resources that do not exceed $2,000 (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 Adult Residential Care Assisted Living Facility (ARC) and are at high risk of out of home placement. Services covered include the following: • Hours per year available for Supported Employment or, Community Access, based on DDA assessment and employment status. • Up to $6,192 is available for any combination of Skilled Nursing (Nursing Delegation); Community Guide; Environmental Accessibility; Adaptations; Specialized Medical Equipment/Supplies; Occupational Therapy; Specialized Psychiatric Services; Physical Therapy; Speech, Hearing and Language Services; Staff/Family Consultation and Training; Behavioral Health Stabilization; and Transportation to a Waiver Service. • Behavioral Health Stabilization Services • Respite is based on assessed need. • $6,000 per year available for Emergency Assistance. CORE WAIVER This waiver is intended for people who are at immediate risk of out of home placement and need up to 24-hour residential services. Services covered include: Residential Services, Behavior Support, Therapies, Environmental Adaptations, Skilled Nursing, Employment services, Specialized Medical Equipment and Supplies and more. 27 COMMUNITY PROTECTION WAIVER This waiver is for people 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 Medical Equipment and Supplies and more. INDIVIDUAL & FAMILY SERVICES WAIVER (IFS) This waiver became effective June 1, 2015, and offers support to clients living with a family member in the community. The intent of this program is to provide support and services to family members, centered on the needs of the client and the family. Services covered include the following: • IFS funding levels range from $1,200 to $3,600, depending on assessed need (determined by assessment). • IFS services include Respite; Behavior Support and Consultation; Community Engagement; Home and Vehicle Modifications; Peer Mentoring; Assistive Technology and Speech; Occupational, and Physical Therapies; Person Centered Plan Facilitation; Specialized clothing and nutrition; Skilled Nursing; and Transportation to a Waiver Service. • IFS services can be used in any combination, not to exceed a client’s annual allocation. CHILDREN’S INTENSIVE IN-HOME BEHAVIORAL SUPPORT (CIIBS) This waiver combines wrap-around planning with positive behavior supports to empower families to remain together. To be eligible for CIIBS, your child must be between the ages 8 through 20 years old living with their family and are assessed at high or severe risk of out of home placement due to challenging behaviors. Services covered are determined by the Individual Support Plan with an average cost of service, including respite, of $4000 per month per client for any combination of the following services: Skilled Nursing, Nurse Delegation and Behavior Support and Consultation; Environmental Accessibility Adaptations; Assistive Technology; Therapeutic Equipment and Supplies; Specialized Medical Equipment/Supplies; Specialized Nutrition and clothing; Vehicle Modifications; Occupational Therapy; Specialized Psychiatric Services; Physical Therapy; Speech, Hearing and Language Services; Staff/Family Consultation and Training; and Transportation. ACCESSING WAIVER SERVICES STEP 1 In order to access county funded services, individuals with developmental disabilities must be determined eligible for services through the Developmental Disabilities Administration (DDA). To apply for DDA services in our area eligibility paperwork can be requested from the following number, email or web address: Toll Free: 1-866-715-3646 Email: R1ServiceRequestB@dshs.wa.gov Website: https://www.dshs.wa.gov/dda/service-and-information-request STEP 2 Once an individual has been determined eligible for DDA services, and has been assigned to a Case Resource Manager (CRM), a person-centered DDA assessment will be completed. The assessment determines what services a person may be eligible for. If certain c riteria are met, a request to be placed on a Waiver Program can be made. There are a variety of resources available through the 28 Waiver Programs and the case resource manager will help guide a person in selecting the appropriate Waiver Program that includes employment and day services. STEP 3 After a person has been determined eligible for a waiver program that offers employment services; their assigned case resource manager will provide information about local employment vendors. It is recommended that the person seeking services and their family representatives take time to meet with local providers to determine which provider is going to be the best fit. Once a person has selected their employment provider, the employment provider will start the intake and discovery process to start them on their pathway to employment. 29 APPENDIX B : KITTITAS COUNTY SERVICES B HEARD B STRONG B PROUD Ellensburg, WA 98926 Phone: 509-607-4470 Website: https://www.facebook.com/BHeardBStrongBProud17/, https://bheardbstrongbproud.wordpress.com/ CENTRAL W ASHINGTON DISABILITY RESOURCES 301 East 2nd Avenue Ellensburg, WA 98926 Phone: 509-962-9620 Website: http://mycwdr.org CHILDREN’S VILLAGE 3801 Kern Rd. Yakima, WA 98902 Phone: 509-574-3200 Website: https://www.yakimachildrensvillage.org/our-services.asp CHILDREN WITH SPECIAL HEALTHCARE NEEDS PROGRAM Community Health of Central Washington 521 E Mountain View Ave Ellensburg, WA 98926 Phone: 509-306-1740 Website: https://www.chcw.org/stepscyshcn-children-special-health-care/ CLE ELUM ROSLYN SCHOOL DISTRICT SPECIAL PROGRAMS 2960 SR 903 Cle Elum, WA 98922 Phone: 509-649-4807 Website: https://www.cersd.org/page/special-programs DEVELOPMENTAL DISABILITIES ADMINIS TRATION 100 East Jackson Avenue, Suite 100 Ellensburg, WA 98926 Phone: 509-925-0405 Website: https://www.dshs.wa.gov/dda DIVISIO N OF VOCATIONAL REHABILITATION 100 East Jackson Avenue, Suite 100 Ellensburg, WA 98926 Phone: 509-925-0408 Website: https://www.dshs.wa.gov/dvr 30 EASTON SCHOOL DIST RICT SPECIAL EDUCATION SERVICES 1893 Railroad 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 3rd Avenue Ellensburg, WA 98926 Phone: 509-925-8117 Website: https://www.esd401.org/students-families/student-services/special-services ELMVIEW 204 East 6th Avenue Ellensburg, WA 98926 Phone: 509-925-6688 Website: https://www.elmview.org ENTRUST COMMUNITY SERVICES 415 East Mt. View Avenue, Suite 301 Ellensburg, WA 98926 Phone: 509-925-6688 Website: https://www.elmview.org HOPESOURCE -ELLENSBURG 700 E Mountain View, Suite 501 Ellensburg, WA 98926 Phone: 509-925-1448 Website: http://www.hopesource.us HOPESOURCE -CLE ELUM 110 Pennsylvania Ave Cle Elum, WA 98922 Phone: 509-674-2375 Website: http://www.hopesource.us KITTITAS COUNTY DEVELOPMENTAL DISABILITIES PROGRAM Kittitas County Public Health Department 507 N. Nanum St. Suite 102 Ellensburg, WA 98926 Phone: 509-933-8233 Website: https://www.co.kittitas.wa.us/health/community/developmental-disabilities.aspx 31 KITTITAS SCHOOL DISTR ICT SPECIAL EDUCATION SERVICES 7571 Kittitas Hwy Kittitas, WA 98934 Phone 855-380-8843 Website: https://www.ksd403.org/page/special -education PARENT TO PARENT AND PARENT COALITION Kittitas Valley 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://www.epicnet.org/ SOCIAL SECURITY ADMINISTRATION 801 Fruitvale Blvd. Yakima, WA 98902 Phone: 800-772-1213 Website: https://www.ssa.gov/ SPIRIT THERAPEUTIC RIDING CENTER 1051 Sorenson Road Ellensburg, WA 98926 Phone: 509-929-1401 Website: http://www.spirittrc.com/ TRELLIS CENTER 170 Bare Rd Ellensburg, WA 98926 Phone: 509-968-4040 Website: http://www.thetrelliscenter.com/