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HomeMy WebLinkAboutRes-2021-167 DD PlanBOARD OF COUNTY COMMISSIONERS COUNTY OF KITTITAS STATE OF WASHINGTON RESOL NO.2021 UTION.JJfr RESOLUTION TO APPROVE KITTITAS COUNTY DEVELOPMENTAL DISABILITIES PLAN 202I.2023 WHEREAS, the County has obligations under Chapter 7lA.l4 RCW to provide certain services to individuals as detailed in the statute pertaining to developmental disabilities; and WHEREAS, pursuant to Washington Administrative Code 388-850-020, each county shall submit a written plan for developmental disabilities services to the Washington State Department of Social and Health Services, Developmental Disabilities Administration (DDA), every two years in alignment with the state's fiscal biennium.; and WHEREAS, according to the county guidelines from the Developmental Disabilities Administration, the biennial developmental disabilities plan is intended to be developed by the county developmental disabilities advisory board; and WHEREAS, the plan aims to encourage and support the ability of communities to include peoqle with disabilities, influence the direction of developmental disabilities services; and WHEREAS, the plan will help determine the direction of contracted services with input from persons with disabilities, families, and the community; and WHEREAS, the Kittitas County Developmental Disability Advisory Committee made the formal recommendation to approve the Kittitas County Developmental Disabilities Plan202l-2023 which is attached hereto and hereby incorporated by this reference; and NOW THEREFORE' BE IT RESOLVED that the Board of County Commissioners of Kittitas County now hereby adopts the Kittitas County Developmental Disabilities Plan 2021-2023 that is referenced herein. DATED this g^A or N ovepn bLf ).2021, at Ellensburg, Washington.day BOARD OF ONERS KITTITAS TON of the o Kittitas County Public Health Department KITTITAS COT]NTY Dtr,Vtr.LOPMtr,NTAL DISABILITIE,S PLAN "We value every individual as a contributing member of our community." 2021-2023 TABLE OF CONTENTS TABLE OF CONTENTS DEVELOPMENTAL DTSABILlTlES ADVISORY CO^ MlrrEE (DDAC) KITTITAS COUNTY PROFILE KITTITAS COU NTY DEVELOPMENTAL DISABI LITI ES PROG RAAA OTHER DISABILITIES SERVICES IN KITTITAS COUNTY ASSETS, GAPS, OPPORTUNTIES, CHALLENGES IMPLEMENTATION : GOALS, STRATEG I ES, OBJ ECTIVES, ACTIVITI ES REFERENCES APPENDIX A: ELIGIBILITY FOR DDA SERVICES APPENDIX B: KITTITAS COUNTY SERVICES Pictured on cover page (left to right): StreetKat (performer), Devin Beach, Harry Engel, K.B. Shinn, and Jacqueline Robi nson. 1 4 pEopLE wtTH DtsABrLrrEs ....... .........8 7 13 17 18 21 25 26 29 AC KN OW LE DG EME NTS The 2021-2023 Kittitas County Devetopmental Disabitities Plan was devetoped by members of the Kittitas County Developmentat Disabitities Advisory Committee (DDAC), in partnership with Kasey Knutson, the Devetopmental Disabilities Coordinator at the Kittitas County Pubtic Heatth Department, and Robin Read, Community Consultant. Toby Attphin Devin Beach Kathaleen Briggs Earty Shannon Garoutte DDAC Members 2017-2021 Deborah Kirby Nancy Littquist Sarah Otiason Anne Pftug Charli Sorenson Carla Thomas John Ufkes Brett Wachsmith APPROVAL The DDAC approved the final plan on September 14,2021and recommended adoption of the ptan to the Kittitas County Board of Commissioners. ADOPTION The Kittitas County Board of Commissioners adopted the plan on Brett Wachsmith, Chair Lau Cory Wright, Commissioner >nL 2021 OJbK (TYU ? 241.1L 4 f,'L k) lllillilll BACKGROUND Per Washington Administrative Code 388-850-020, each county sha[[ submit a written ptan for devetopmentat disabitities services to the Washington State Department of Social and Health Services, Devetopmentat Disabitities Administration (DDA), every two years in atignment with the state's fiscal biennium. According to county guidetines from DDA, the biennial developmentat disabitities ptan is intended to be developed by the county developmentat disabitities advisory board and it aims to: 1. Encourage and support the abitity of communities to include people with devetopmental disabitities. 2. lnfluence the direction of [oca[ devetopmental disabitities 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 shoutd set program priorities, objectives, and tasks that inform and Developmental Disabilities Definition Devetopmentat Disabitities are a diverse group of chronic conditions due to mentat/neurotogical or physical impairments or a combination of both. ln general, devetopmental disabitities cause individuals difficutties in certain areas of life, such as language, mobitity, learning, setf-hetp, or independent living. facititate the attocation of resources in alignment with the program mission and vatues. ln Kittitas County, the Developmentat Disabitities Ptan reflects the priorities of the Devetopmental Disabitities Advisory Committee and is used to guide the distribution of both state and [oca[ funding sources. 3 DEVELOPMENTAL DISABILITIES ADVISORY COMMITTEE The Washington State Devetopmental Disabilities Administration requires developmentat disabitity boards to exist as part of the county contracts that provide funding for employment and other support services for people with devetopmental disabilities. Kittitas County's Developmentat Disabitities Advisory Committee (DDAC) is responsibte for devetoping the biennial plan and making recommendations to the county about developmental disabitities services and funding. lt consists of ninel community members who serve three-year terms (except for the County Commissioner Chair who is ad-hoc) who are committed to supporting opportunities for each Kittitas County citizen with developmental disabilities to realize his/her personal goats as full participants in the community. Committee members are people with devetopmental disabilities, or parents of; poticymakers; and invested community members who aim to bring the voices of peopte with devetopmentat disabitities (DD) to the community. j Brett Wachsmith, Chair "l serve on DDAC as a liaison to the Board of Commissioners. l'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 tiaison between the DDAC and the Eltensburg 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 "l worked for people with different abitities for many years and saw the struggles they had to deal with on a daily basis. I also saw att that they had to offer to me on a personal levet and to the community. I wanted to give back to them." 4 Revised Code of Washington (RCW) The RCW provides authority to county governing authorities to establish a "developmentat disabitity board to ptan services for persons with developmental disabitities, to provide directly or indirectty 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 pubtic, private, or votuntary agencies, representatives of local governmental units, and citizens knowledgeabte about devetopmental disabitities or interested in services to persons with developmenta[ disabitities in the community." I At the time of publication of this document, three positions on the DDAC are vacant. Toby Allphin "l am on the committee as a parent of a son with special needs. We feel very good that we live in a country that cares. " "6 Kathaleen Briggs Early "l'm on the board because I want to serye our community at-large, and especiatly those who are more likely to be underserved and underrepresented, " Auggie, Honorary Member "l'm a 4-year-old Australian Cattte Dog mix and Devin's service dog. I started coming to board meetings with Devin a few years ago. I stay very focused in board meetings but when I'm off-duty, I tike to clown around to make my human friends smile - especially since the pandemic began. " Devin Beach "Too often, structural and/or attitudinat barriers silence the voices of the Developmental Disabitity community. As a muttiple-disabled woman, my goat is to educate and empower the community to accept, inctude and empower individuals with developmental disabitities. " ftrct. ?\ &; 5 During the2017-2019 ptanning process, DDAC devetoped a vision, mission, and guiding principtes to hetp guide their efforts and recommendations to the county. Vision Att peopte with devetopmental disabilities witl have the opportunity to reach their futt potential, achieve their dreams, live fulfitted lives, and be contributing members of our community. lvlission To foster an inctusive environment that supports citizens with devetopmental disabilities and their families to participate in and contribute to a[[ aspects of the community Guiding Principles INCLUSION is the abitity to be present and included in our neighborhoods, schools, community groups, religious spaces and recreational activities. lnctusion offers us opportunities to meet others, participate in community [ife, and feel wetcome. POWER AND CHOICE mean recognizing what we want and how to achieve it. Power is having the abitity to direct or inftuence our own lives. Choice is the opportunity to make decisions that are right for us and includes the opportunity to succeed or fait. HEALTH AND SAFETY mean the abitity to [ive 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 heatth and safety needs. COMPETENCE is learning to do things that make our lives better and being supported to do things for ourselves. lt inctudes communicating effectivety with those who provide us with supports and being abte to direct those supports. CONTRIBUTION is feeting good about oursetves, being valued and wetl regarded by others, and being recognized for what we contribute to our community. RELATIONSHIPS offer a sense of betonging, continuity, intimacy and give meaning to [ife. Connection to others provides support and opens doors to new opportunities and experiences. llll 6 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 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 poputation of about 48,140 people and about hatf tiving in unincorporated areas, there is one primary care physician per 1,890 residents, one mental heatth provider per 560 residents, and one dentist per 2,280 residents.2 (University of Wisconsin Poputation Heatth lnstitute, n.d.) These ratios would be even worse taking into account onty those providers who accept Medicaid as insurance. Access to medical, dentat, and mental heatth care is made more difficutt by the shortage of providers in addition to the fact that one in every ten adutts lacks heatth insurance. (University of Wisconsin Poputation Heatth lnstitute, n.d.) Residents of Kittitas County experience higher rates of physicat inactivity, adult smoking, excessive drinking, mental distress, child mortatity, and sexuatty transmitted infections compared to Washington State as a whole. Residents have less access to heatthy food sources and exercise opportunities and lower rates of vaccination for flu and COVID-19. However, there are lower rates of tow birthweight babies, diabetes, HlV, atcoho[-impaired driving deaths, teen births, and preventable hospital stays. (University of Wisconsin Population Heatth lnstitute, n.d.) Unemptoyment rates are 5.5%3, twelve percent of chitdren live in poverty, income inequality is high, and the median househotd income is significantly lower than Washington State as a whote. Severe housing probtems are prevalent as we[[: significantty fewer people own homes, and 20% of househotds spend 50% or more of their income on housinga. However, violent crime is significantty lower than Washington State, and high school graduation rates are higher. (University of Wisconsin Population Heatth lnstitute, n.d. ) UA Leir'{s{ts orth lj-'' C6shntnre V,/onalcher Qurj!iy 6eDrge Ellensburo @ ll lrk lliches F' GT Llerrrl iire]d Yakiilfl 2 Compared to Washington State ratios of 1:1 180 primary care, 1:250 mental health, and 1:1200 dentists. 3 Compared to 4.3% for Washington State as a whole. a Compared to 14% for Washington State as a whote. 7 PEOPLE WITH DISABILITIES According to the U.S. Census Bureau, nearty 13% of the population, both in Kittitas County (approximately 5,800 peopte), and nationwide is disabted. (U.S. Census Bureau, 2019) ln Washington State, 72% of DDA clients tive with their parents or relatives. Nine percent live in their own homes, 8% are in supported tiving environments, and about 3.5% tive in adult famity homes. (Washington State Devetopmentat Disabitities Administration, 2020) Types of Disabilities in Kittitas County, Washington Hearing difficulty - 5.0% Vision diftrculty - 1.8% Cognitive difficulty - 4.9% Ambulatory diffrculty - 5.67" Self-care difficulty - 1.6% - lndependent living difftculty - 4.2% 't%t"h 60./o Chart Surv€ylPiogram: 20 19 Am6fican Comnrullity Silrv"y 5-Y*ar Estiry:Btes EMPLOYMENT & INCOME ln the United States, about 24% of peopte 16 and over with a disabitity are emptoyed compared to over 67% of people without a disabitity. (U.S. Census Bureau, 2019) ln Washington State, nearty 37% of people with disabitities are employed compared lo76% of people without disabitities. (Washington State Division of Vocational Rehabiltation, 2017) About 57% of peopte with disabitities are not in the labor force (compared to 19% of people without disabilities), however many of those who are unemptoyed or out of the labor force report some type of barrier to employment, such as lack of education or training, lack of transportation, and the need for job accommodations. (Washington State Division of Vocationat Rehabittation, 2017) Difference ln Employment Rates for Washingtonians (2015) Wilh Disabilitieg 5.0% Without Dlsabilities unomfloyod unomploysd "w:t"xlF 30.896 57.0% notln lh6labortorco ta.1% omployod , omployod 8 (Washington State Division of Vocational Rehabiltation, 2017) Peopte with disabitities are tess tikety to work in a for-profit setting, a private company, or local government; and more tikety to work for private non-profits, state and federal government, or be setf- emptoyed. They are atso less tikety to work in management, business, science, and arts occupations, and more tikety to work in service; sales and office; natural resources, construction, and maintenances; or production, transportation, and material moving occupations. (U.5. Census Bureau, 2019) Percent of Employed Poputation 16 and ove[ by lndustry 25 (U.S. Census Bureau, 2019) The median annual earnings of peopte with disabitities is 524,106, compared to 536,066 for people without disabitities. Peopte with disabitities are atso significantly more tikety to tiving in poverty with 32.4% tiving betow 150% of the poverty [eve[, compared to only '17 .8% of peopte without disabilities. (U.S. Census Bureau, 2019) The COVID-19 pandemic has drasticatly affected emptoyment opportunities in Washington State, especiatty for people with developmenta[ disabilities. After several years of maintaining about 65% of working age adutts with developmental disabitities who received supportive employment services who earned a wage, this percentage dropped lo 44% by Juty of 2020. (Washington State Devetopmental Disabitities Administration,2O2l) ln 2019, 4% of people receiving supportive emptoyment services earned subminimum wage and 24%were job seeking with no wages reported. The higher the acuity tevet, the tower percentage of peopte receiving minimum wage or setf-emptoyed. (Washington State Devetopmentat Disabitities Administration, 2020) 22.4 n.2 l: lil ft ffiffi'*'i* ir ii ir i, ii i* ;i0.*'u"""* _l-':.!'.i"tt".""""""'.-"C ---u t ^oao" "r..t *.a'{.*t qso onf**^cc ee"" ."."" ."e.o,s ,...*,"' t* ".C ^od- o*'' -"c,.* -.*':" .,c- ({* odd e.*r.ua r With a Disabitity r No Disabitity I Acuity According to Washington Administrative Code 388-828-9200, acuity is defined by an atgorithm that determines the tevel of employment support a DDA ctient can receive. The algorithm considers the following factors in determining acuity: . Activities of daily living . Behavioral support r lnterpersonatsupport . Environmentatsupport . Leveil of monitoring . Employment support . Speed of compteting tasks . Quality of completing tasks o Medical support o Seizure support Acuity LeveI Total clients No hourslwoges reoorted Hourslwages reported Minimum wage earned Average hours worked per month High Acuity Clients 10 5 (50%)5 (s0%)3 (80% of those workinq)6 A4edium Acuitv 24 6 (25%)18 (75%)6 (33% of those workine)27 Low Acuity 6 0 (0%)6 (100%)3 (50% of those workinq)33 TOTAL 40 11 (27.5%l 29 (72.5%l 12 (30% of those workinc) EDUCATION Just over 14% of students enro[ted in school districts in Washington State had a disability during the 2020'2021 school year. Fewer Washington State students with disabilities met grade tevel standards compared to students without disabitities (Engtish Language Arts 21% vs.66%, Math 16% vs.54%, Science 17%vs.51%). Sixty-four and a hatf percent of students with disabitities graduated in four years, compared to 85.5% of students without disabitities. About22% of students with disabitities 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 disabitities also have lower rates of regutar attendance (83% vs. 90%), significantly lower rates of kindergarten readiness (22% vs. 55%), and higher rates of suspension and expulsion (6% vs. 2%). (Washington State Office of Superintendent of Pubtic lnstruction, 2018-2021) 10 EDUCATION REPORT CARD Better than state Same as state Worse than state % enrolled (2O2O-2O211 % met grade level standards-EH (2018-2019) % met grade level standards-lilath (201 8-201 9) % met grade level standards- Science (2018-2019) % graduated in 4 years (2020) % contlnuing after 4 years (2020) % dropping out (2020) % with fewer than 2 absences per month on average (2020) % entered kindergarten ready in 6 areas of development and learnlng (2019-2020) % excluded due to behavioral violation (suspension or expulsion) % enrolled (2O2O-2O21'1 % met grade level standards-ElA (2018-2019) % met grade level standards-i{ath (201 8-201 9) % met grade level standards- Science (2018-2019) % graduated in 4 years (2020) % continuing after 4 yean (2020) % dropping out (2020) % with fewer than 2 absences month on average (2O2O') % entered kindergarten ready in 6 areas of development and learning (2O19-2O2O\ % excluded due to behavioral violation (suspension or expulsion) Students witlput dinbiUttes Students with disabilities Students witltcnt dtsnbtlities Students with disnbilities 5fudents wltllrrtt disabilities Students with dtsabilities 13% 13% 9% 1770 887o 6o/o 60/o 86% 5% 4% 87% 58% 50% 47% 93% 4% 3% 93% 50% 1% 16% 20% 12% Not Avaitabte Not Availabte Not Available Not Avaitable 817o Not Available Not Available 46% 79% 3% 18% 93% Not Avaitable 61% 84% 66% 51% Not Avaitabte Not Availabte 15% 16% 117o Not Avaitable Not Avaitabte Not Available Not Availabte 85% Not Available 59% 88% 10% 2% 91% 57% 85% 64% 39% Students with dinhilities Studenfs withut dinbilities Sfudents with disribtlities Studenfs witlwt dinbilities Students with dinbitities Students withottt disnbilities 21% Not Availabte Not Availabte Not Avaitable Not Avaitabte Not Available Not Availabte Not Availabte Not Available Not Availabte 36% Not Availabte Not Avaitabte Not Avaitable 88% Not Available Not Availabte 80% 58% 32% 5% Not Availabte Not Avaitabte Not Avaitable Not Availabte Not Avaitabte Not Availabte Not Availabte Not Available Not Available 95% s5% 64% Not Avaitabte Not Available Not Available Not Avaitable Not Availabte Not Available Not Avaitabte 15% 23Yo 23% Not Avaitabte Not Available Not Availabte Not Avaitabte 86Yo Not Available Not Availabte 63% Not Available Not Avaitable Not Availabte 88% Not Availabte 63% 85% 73% 49% ,1'1 1,,, l'l!.t r r li,il.irrl'll.;,1rr 't1 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 disabitities. Eligibility for services is determined by DDA and is based on Washington State residency, evidence of a quatifying devetopmental disabititys that began before age 18, and evidence of substantial limitations. DDA's 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 51.91 bittion in 2011-2013 to 53.76 bittion in20'19-2021.) (Washington State Devetopmentat Disabitities Administration, 2020) \n2020, Washington State had more than 14,000 peopte with developmental disabitities who quatified 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 casetoad. (Washington State Developmental Disabitities Administration, 2020) There are 33 chitdren and 174 adutts in Kittitas County currently enrotled in DDA. Fifty-four individuats are on the no-paid casetoad, or 26%. ln 2019, Kittitas County served 70 individuals in employment services (2 in group supported emptoyment and 36 in individuat emptoyment) and community inctusion services (35).6 (Washington State Developmental Disabitities Administration, 2020) The average number of days per week that Washington State individuats in supported living programs accessed community-based activities dropped from nearty 5 days per week in 2017 -2019 to around 3- 3.5 days per week in 2020 (Washington State Developmental Disabitities Administration, 2021), tikety because of the COVID-19 pandemic. 5 The Revised Code of Washington 71A.10.020(5) defines a developmental disability as: "a disability attributabte to intellectual disabitity, cerebral palsy, epilepsy, autism, or another neurological or other condition of an individuat found by the secretary to be closely retated to an intellectuat disabitity or to require treatment similar to that required for individuals with intettectuat disabilities, which originates before the individual attains age eighteen, which has continued or can be expected to continue indefinitety, and which constitutes a substantiat timitation to the individual." 6 See next section "Kittitas County Devetopmental Disabitities Program" for definitions and descriptions of each service/program. Pages 12-13. 12 KITTITAS COUNTY DEVELOPMENTAL DISABILITIES PROGRAM The Washington State Department of Social and Heatth Services, Developmentat Disabitities Administration (DDA) provides funding to counties for emptoyment and other support services for people with devetopmental disabilities. Etigibitity for services is determined by DDA and is based on Washington State residency, evidence of a quatifying developmentat disability' that began before age 18, and evidence of substantial limitations (see more detaited information about etigibitity for DDA services in Appendix A). The funding varies based on availabitity, number of people receiving services, and the needs of each individual and is intended to hetp peopte keep a job or gain skitts for obtaining employment. Kittitas County has received an average of around 5600,000 per year for the past 5 years from DDA. Additionatly, per Revised Code of Washington 71.20.110, counties are required to annually budget and levy a property tax for developmental disabitities or mental heatth services. ln Kittitas County, this tax is sptit equatty between developmentat disabitities and mental health services. Commonty referred to as "mitlage", the county has discretion on how these funds are spent. The developmental disabitities program has received around 5100,000 annually from this tax over the past 2 years. Kittitas County's developmental disabitities (DD) program is overseen by the Kittitas County Pubtic Heatth Department through a qualified and experienced DD Coordinator. The county pubtishes an open Request for Quatifications (RFQ) to solicit quatified employment support providers. Responses to the RFQ are reviewed thoroughly by the DD Coordinator and DDA staff, and if quatifications are met, the provider is placed on a list of avaitable employment services providers for clients to choose from when they quatify for services. A Request for Proposals (RFP) is atso pubtished to soticit proposals from local agencies who propose to provide indirect services retated to community information and education, training, and/or other activities that witt benefit peopte [iving with developmentat disabitities, their famities, and/or service providers. The proposats are reviewed by the DD Coordinator and the Developmentat Disabitities Advisory Committee, who make funding recommendations for approval by the Kittitas County Board of Commissioners. DD services funded by DDA fatt into two major categories: Consumer Support Services and Additional Consumer Services, each of which contain several different specific seryices that can be provided. Each type of service as wetl as the targeted outcomes for that service are described betow. Approximatety 5% of the Additional Consumer Services funding is set aside each year for emerging needs that may come about during the biennium, such as new trainings or sponsorships. TTheRevisedCodeof Washington71A.10.020(5) definesadevelopmentatdisabitityas: "adisabitityattributabteto intellectual disability, cerebral patsy, epilepsy, autism, or another neurotogical or other condition of an individual found by the secretary to be ctosely related to an intellectuat disabitity or to require treatment similar to that required for individuats with intettectuat disabilities, which originates before the individual attains age eighteen, which has continued or can be expected to continue indefinitely, and which constitutes a substantial timitation to the individual." 13 CONSUMER SUPPORT SERVICES I N DIV I DU AL SU PPORT E D E lvlPLOY ttlENT lndividuat Supported Employment (lSE) services are part of an individual's pathway to employment and are taitored to individual needs, interests, and abitities. They are intended to promote career devetopment. These are individualized services necessary to hetp persons with developmental disabitities obtain and continue integrated employment 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, emptoyers, and/or coworkers through activities such as on-the-job training, job restructuring, and technical assistance to employers and 2020 coworkers. ln Washington State, clients receiving ISE received an average of 2.5 support hours per week, worked an average of 10 hours perweek, and earned an average of 5138.00 perweek in 2019. (Washington State Devetopmental Disabitities Administration, 2020) 2021-2023 Targeted Outcomes for ISE r lncrease the percentage of lSE clients reporting hours/wages from72.5% (2020)to 80% by June 30,2023. o lncrease the percentage of working ISE ctients who make at least minimum wage from 41% (20201 to 100% by June 30, 2023. . lncrease the average hours per month worked by emptoyed high acuity clients from 6 (2020) to 10 by June 30, 2023. C O lvl lvlu N I TY I N C LU Sl O N Community lnclusion (Cl) services are designed to promote individuatized skitt devetopment, independent living, and community integration for individuats to learn how to engage in their local community activety and freely. Service providers assist individuals in participating in activities that provide opportunities to develop relationships and to learn, practice, and appty skitts that result in greater independence and community inctusion. Examples of community access services may be aiding in obtaining membership or participating in community organizations, training for votunteer work, and support in buitding retationships. 2020 2021-2023 Targeted Outcomes for Cl o lncrease the percentage of ctients participating in volunteer work from 3% (2020) to 10% by June 30, 2023. e Ensure that at teast 50% of clients participating in volunteer work can do so for at least 20 hours per month on average. Number of lndividuals Receivinq Service 40 Organizotions Providing Service Elmview Entrust Amount of Funding s227,869 Individuol Supported Employment services ore for worki ng-age adults. Number of lndividuols Receivinq Service 34 Organizations Providing Service Elmview Entrust Amount of Funding s121.713 Community lnclusion Services are for adults who are not in the workforce, mostly seniors. 14 ADDITIONAL CONSUMER SERVICES COMMUNITY I NFORMAT/ON AND EDUCATION These services are intended to inform and/or educate the public about developmentat disabitities and retated 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. rRAlN/NG There are two types of training that can be funded: Staff Training and Board Training. . Staff Training inctudes costs incurred by the program for the planned, structured activities for the purpose of providing, or improving, or enhancing job-retated knowledge and skills of 2020 Organization Yokimo Valley Memorial Services Early intervention services Funding s2,106 Organization Kittitas Valley Opoortunities Services Parent and familv support Funding 515,000 Organizotion wtsE Services Trainine Funding 515,550 Organization Robin Read Consultinq Services Facilitation ond olannins Funding Sele staff, providers, volunteers, or interning students in the provision of devetopmental disabitity services. . Board Training inctudes costs incurred by the program for planned, structured activities designed to provide, improve, or enhance program-related skitts 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. . lnfrastructure projects: Projects in support of clients not of working age. Examples include planning services like benefits planning and generic job devetopment. r Start-up projects: Projects that directty benefit the agency. Examples include equipment purchases and agency administrative support. o Partnership projects: Cotlaborative partnerships with school districts, employment providers, families, employers, and other community coltaborators needed to provide employment supports and services to young adults to become emptoyed. Community Information and Education primarily serves young children (birth to pre-K), school age children, and their fomilies. Training is designated for organizations and their staff who provide DDA-funded services as weII as the Developmental Disabilities Advisory Committee. 15 2021 -2023 Targeted Outcomes r ldentify children with developmental disabitities by administering the Ages and Stages Questionnaire to at least 20 children in Kittitas County per year. r Conduct at least 35 parent support meetings per year. . Complete at teast 16 hours per year of professional development for service provider staff or boards/advisory committees. . Utilize at least 5% of availabte funding to assist with activities that address emerging needs. . Devetop priorities, goats, and strategies for the DDAC and the next biennial ptan by June 30, 2023. 16 OTHER DISABILITIES SERVICES IN KITTITAS COUNTY White the seryices funded through the Kittitas County government focus on employment supports, community inctusion, earty intervention, and family supports; the overarching service system provides more comprehensive opportunities for support. The graphic betow, created by the Devetopmental Disabitities Advisory Committee, disptays the comptexity of the service system in Kittitas County. A detaited list of these services can be found in Appendix B. Overview of Service System For People with Developmental Disabilities ln Kittitas County Ptrsnt b Parent Connecling FlmilieB DDA WaiverPEgrams: Re8pite CaE Fomily Advocacy Program: ParEnt Coalilioll Persons wilh disabilitias and their familiesFacebaok- Community collnect Ellcnsburg Senior Center & Upper Kiflitas County Senior CenteE iteals, sctivitles, ererciie, snd h€altfi checks, B Heard, B Strong, B Proud-Advocacy dnd Community Educatiofi college Oisability SErYiceS tnd StudBnt Accornrrodalion Pars'on C6fttered PlsIning County funded Ernplsyment6nd Day Sswices: Eknvie$/, Entrust, and lh€ Trellis Center Division ol VocationaI RehEbilitstion $ehool Distict Sp€cial Educslion Sewiee$: 504 Plan, lEP, snd OIIA Servi{as- Case ManagemEni. Personal Care, sndWsiver Frograma Career Path Services Educational Path Services Housing flesourcet: Adult Family Home and SuFported Living Services thrugh DDA Social geeurity Dirabilily/SSl benefitB pl6nning CentEl Washington Oi*ability Resources: lndependent LivingL Transition servicesr Peer lientodng, Rccreafion, and Resource Library HopeSourcs: Hourlng, nutitian, snd lransportaiion a€ryicft Children's Village- Yakimt ChildrEn's Hosdtal- Seatfl e Central UtA Community Heallh: ChildrEn with special Hesllh Carr l{eedr Progrnm r": i,il l: r : ::r.;l l'jl.r'lr': TrEllis Center- Community Retpite Aduisory Cornmitte€ IlevrlopmentEl DisEbilitieB CDunty-rride Triflsitisn Term STEIll Events: &ight Beginnings Ages & StagEs Qu6tionnai]E Wsshington Stite Fatnrrg lletYrcrk Bright BrginningE Eiith to Three Eady lnterrrenlion Programs Spirit Therapcutic Riding Center & shrdowWing Rilnch 17 ASSETS, GAPS, OPPORTUNTIES, CHALLENGES ASSETS The Developmental Disabitities Advisory Committee has conducted an anatysis 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. Fina[[y, chattenges are areas that may need additional resources to solve. . Dedicated and committed DDAC r A community that cares about and embraces people with developmental disabitities . Professionals with vatuable training and people with lived experience . Local poticy makers who value community input . A strong network of social support for parents of people with disabitities r Few quatified service providers . Lack of vocational/trade education and job training programs that align with area employers o Limited number of continuous community emptoyment and transition ptacements . Social skilts curricutum for students in special education does not address sex education, dating, buttying, social anxiety, depression, and substance abuse . No mental health court program . No one tenth of one percent sates tax for mental heatth and substance use disorder treatments . Limited opportunities for respite care . Lack of awareness about the issues faced by people with developmental disabitities by poticy makers, law enforcement, and the pubtic o Services that are culturalty appropriate . Lack of adequate transportation to access services, jobs, and the community OPPORTUN ITIES . Resources and opportunities for joint programs with Central Washington University and their students . Central Washington University and the agricutture industry are underutitized for employment opportunities. . lncreased momentum to pass the one tenth of one percent sates tax for mental health and substance use disorder treatments o Buitding altiances between existing nonprofit agencies and private citizens to create more housing options o lnvotve peopte with developmental disabitities in DDAC and other related activities o lncrease awareness and opportunities for advocacy r lmprove how peopte with disabitities can access information about services Build momentum for a mental health court program o lncrease engagement and education with law enforcement agencies GAPS 18 CHALLENG ES . Many chitdren with developmental disabitities live in single parent families further timiting the time and resources these families must seek and use existing services o A greater number of Hispanic chitdren and famities are entering the service system and witl continue to do so, creating access and cutturatty appropriate practice chattenges for the service system. . Most adult persons with cognitive disabitities in Kittitas County live with their famities rather than independentty or in supported residential ptacements. fu baby boomer parents age, community responsibility for vutnerabte adutts witI increase. . Peopte with developmental disabitities are often not involved in decisions that affect them . lt's difficutt and compticated to know what services are availabte and how to access them o High rate of no-paid case load r lnteractions with law enforcement often have poor outcomes 19 PRIORITIES The fotlowing priorities were setected by the Kittitas County Developmentat Disabitities Advisory Committee through a process that included facititated brainstorming, affinity diagramming, prioritization, goal setting, and action planning. These four priorities witt be utitized, not only for the DDAC, but atso for funding and programmatic decisions during the biennium. Requests for funding and programs beyond the emptoyment support services will, ideally, atign with these areas. Additionatty, 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 [oca[ levets often do not have much knowtedge or awareness about the issues faced by people with developmenta[ disabitities and often people with DD don't have a seat at the table discussion issues that affect them. To bring the voices of peopte 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 goat witt be accomptished through strategies involving poticy makers at the city, county, and state levets. COMMUNITY INCLUSIVITY AND ACCEPTANCE People with DD often remain invisible to the general community which can lead to discrimination, conftict, and even violence. Our goal is to help our community be more inclusive and accepting of people with DD through pubtic events and communications. RESOURCE AND SERVICE EDUCATION Even in a small rural community such as Kittitas County, it can be difficutt to know what resources and services are available. To make this information and the resources more accessibte, we aim to education families, individuals, and the public about services available for people with DD. We witt do this through improving and communicating current information about services. CONFLICT REDUCTION AND IMPROVED COMMUNICATION People with DD often find themselves in conflict with the public, law enforcement, or the courts due to a lack of understanding and/or difficutties in communication. To reduce conflict and improve communication with people with DD, we witl collaborate with [oca[ law enforcement, improve common language about people with DD, and advocate for the estabtishment of a mental health court program. 20 IMPLEMENTATION: GOALS, STRATEGIES, OBJECTIVES, ACTIVITIES A goat is what we aim to do to address our priorities. The strategies are how we will accomplish our goat. The objectives provide meosuroble torgets for strategy implementation. Finatty, the activities, timetine, and person responsible outtine our action plan for making progress. Strategy A \Aake 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. Comptete a biannuat DD plan that inctudes a picture of DD in Kittitas County, a description of services, an anatysis 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. PERSON RESPONSIBLEACTIVITIESTIAAELINE Review and make recommendation on county DD budget Annual[y in October )DAC 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 ptan to BOCC during special meeting tvery odd year by June DDAC DDACldentify other priority areas or emerging issues to provide feedback on Annuatty in January iducate and inform other [oca[ policy makers about the issues faced by people with DD.Strotegy B Objectives 1. Conduct a presentation to at least one other locat poticy maker group annua[[y. PERSON RESPONSIBLEACTlVITIESTIMELINE Create a standard, yet customizabte presentation or presentation outline By December 2021 DDAC or Subcontractor By December 2021 DDACldentify tist of other poticy maker groups tc present to DDAC or SubcontractorPrioritize groups and set up catendar of presentations By January 2022 By March 2022 DDAC or SubcontractorSchedute presentations Tailor and conduct presentations Annuatly, as scheduted DDAC or Subcontractor Strategy C \dvocate to the state legislature about issues affecting peopte with DD. Objectives '1. ldentify at least one priority issue each legistative session to advocate for or against by January of each year. 2. Provide at least 3 different communications to legistators about the issue during the legistative session. TIMELINE PERSON RESPONSIBLEACTIVITIES Review and research list of legistative priorities by state association Annuatly by December )D Coordinator Serve as a liaison to policy makers to increase awareness and facilitate solutions to the issues faced by people with DD.Goal I 21 Present legislative issues to DDAC for prioritization lannuattv by January loo coorainator Select priority legislative issues lAnnuatty by January IOOIC ldentify communication methods lAnnuatty by February IOOIC Finatize communication to legistators lAnnuatty by February IOOAC or Subcontractor Strategy A Support the annuat Let lt Shine event through promotion, outreach, ptanning and other activities upon request. Objectives 1. Assign at teast 2 members of DDAC to participate in the ptanning committee for the Let lt Shine event by October of each year. 2. Promote the Let lt Shine event through at least 10 different venues by Aprit of each year. ACTIVITIES TIMELINE PERSON RESPONSIBLE Nominate and finalize 2 members to )articipate in planning Annually by December DDAC ichedule monthly updates of event rlanning and requests for assistance \4onthty DD Coordinator Sreate promotional plan {nnua[[y by February lvent Planning Committee londuct promotion Annuatty in March )DAC Attend event Annuatty in Aprit )DAC Strotegy B loordinate activities for DD awareness months, weeks, and days. Objectives 1. Setect at least one DD awareness date per year to participate in. 2. Conduct at least 2 activities for the DD awareness date annualty. ACTIVITIES TIMELINE PERSON RESPONSIBLE ldentify possibte dates for DD awareness ectivities By December annuatly DDAC Finalize dates By December annuatty DDAC dentify key partners By January annualty DDAC istabtish subcommittee or subcontractor By January annuatty DDAC )etermine activities 3y February annua[[y iubcommittee or iubcontractor Conduct/ implement activities {nnuaIty DDAC or Subcontractor Strategy C lonnect Parent to Parent social media messages to other retevant sociat media outlets. Objectives 1. lncrease Parent to Parent social media connections by at teast 3 annualty ACTIVITIES TIMELINE PERSON RESPONSIBLE ldentify 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 3reate and/or distribute short videos about people with DD and Disabitity 101 Objectives 1. Distribute videos about peopte with DD through at least 3 different venues or modes of communication annuatty. ACTIVITIES TIMELINE PERSON RESPONSIBLE ldentify what videos currentty exist By January 2023 DDAC Goal ll :Help the community be more inclusive to and accepting of people with DD. 22 Decide if additionat, [oca[ videos are needed lev reoruav zozr looo. ldentify venues of communication lBy March 2023 IDDAC Schedule and conduct screenings, distribute lav lune zozr looo. Strategy A resources for peopte with development accessibte and readity avaitabte. ities and support systems are Objectives 1. Ensure a list of resources is avaitabte through at least 3 different modes of communication. 2. Ensure the tist of resources is updated at least annuatty. ACTIVITIES TIMELINE PERSON RESPONSIBLE By December 2021 DD Coordinator:onnect with transition counciI about :urrent resource tist By March 2022 DDACdentify and fitt gaps DDACdentify new venues to distribute information By June 2022 DD Coordinatorichedute annual update of list 3y Juty 2022 Educate families, individuals, and the general public about services available for people with DD. Goal lll Strategy A lupport the process to create a mental heatth court program by advocating for the inctusion and representation of people with DD. Objectives Ensure at least one representative of DDAC is inctuded in conversations about a mental heatth court program. 1 TIMELINE PERSON RESPONSIBLEACTIVITIES 3y September 2021 )DACldentify representative lepresentativelnclude updates at least quarterty at DDAC neetings fuarterly Sonduct research on how these programs affect people with DD By December 2021 lepresentative Strategy B rrovide community information on changing our tanguage and the way we speak about )D 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 DDAC Cottect information and resources on "changing our [anguage and the way we speak about DD and people with DD" By October 2021 DDACldentify venues for distribution By November 2021 Create primer/ infographic By December 2021 DDAC or Subcontractor Distribute/ communicate Annuatly DDAC or Subcontractor GoaI lV Help to reduce conflict and improve communication with people with DD. 23 Objectlves 1. Estabtish cottaboration with at least 60% of Kittitas County's law enforcement agencies. ACTIVITIES TIMELINE PERSON RESPONSIBLE Coltect information about what (if rnything) [oca[ law enforcement does for lraining and information about interacting lnd providing services to peopte with DD )ecember 2022 DDAC Research best practices and potential funding opportunities for improving seryices and interactions between law enforcement and peopte with DD March 2023 DDAC Estabtish cottaboration to improve interactions with locat law enforcement June 2023 DDAC 24 REFERENCES U.S. Census Bureau. (2019). Kittitos County Geography Profile. Retrieved July 25, 202'1, from United State Census Bureau: https://data.census.gov/cedsci/profite?g=0500000us53037 University of Wisconsin Poputation Heatth lnstitute. (n.d.). County Heo|th Ronkings & Roadmaps. Retrieved Juty 23, 2021, from https: / /www.countyhealthrankings.org/app/washin gtonl2021 / rankings/kittitas/county/outco mes/overaIt/snapshot Washington State Devetopmental Disabilities Administration. (2020). Developmental Disabilities Administrotion 2020 Coseload and Cost Report. Washington State Department of Social and Heatth Services. Retrieved September 6,2021, from https: / /www.dshs.wa.gov/sites/defautt/fites/DDA/dda/docum enlsl2020%20DDA%20Caseload% 20and%20Cost%20Report. pdf Washington State Devetopmental Disabitities Administration. (2021 l. Strategic PIan lietrics 2021-2023. Washington State Department of Social and Heatth Services. Retrieved Juty 25, 2021, from https : / / www. dshs. wa. gov/ data / met ri cs / D DA. pdf Washington State Division of Vocational Rehabittation. (2017). Disability & DVR Stotistics Report. Retrieved Juty 25, 2021, from https: / /www.dshs.wa.gov/sites/defautt/fites/dvr/ pdt 12017%20Disabitity%20%26%20DVR%20Stat istics%20Report.pdf Washington State Office of Superintendent of Pubtic lnstruction. (2018-20211. Washington Stote Report Card. Retrieved September 6,2021, from https://washingtonstatereportcard.ospi.kl2.wa.us/ Washington State Office of Superintendent of Public lnstruction. (2020). Woshington State Report Cord. Retrieved September 6,2021, from https://washingtonstatereportcard.ospi.kl2.wa.us/ Washington State Office of Superintendent of Public lnstruction. (2020-20211. Washington State Report Card. Retrieved September 6,2021, from https://washingtonstatereportcard.ospi.kl2.wa.us/ 25 APPENDIX A: ELIGIBILITY FOR DDA SERVICES lndividuats who want to participate in Emptoyment and Day Programs must be etigibte to be on a Waiver Program through DDA that provides employment funding. Funding for these services comes through a federa[ program under Titte XIX Medicaid catted the Home and Community-Based Services (HCBS) Waivers. The HCBS waivers altow the state to use Medicaid funding while "waiving" Medicaid rutes that require services to be provided in an institutional 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 listed on the following page. WHO IS ELIGIBLE FOR A WAIVER PROGRAM? Etigibitity for waiver services includes people with developmental disabitities who: . Are ctients of DSHS Devetopmentat Disabitities Administration (DDA), r Meet disabitity criteria established by the Social Security Administration (SSA), . Are etigibte for Medicaid services in an institution, r 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 Supptement Security lncome benefit amount and individual resources that do not exceed 52,000 (Parental income is not considered for children.) TYPES OF WAIVER PROGRAMS BASIC PLUS WAIVER This waiver program is for peopte who tive with their families, on their own, in an adult famity home, in another setting with assistance or an Adult Residential Care Assisted Living Facitity (ARC) and are at high risk of out of home placement. Services covered include the fottowing: . Hours per year availabte for Supported Employment or, Community Access, based on DDA assessment and emptoyment status. . Up to 56,192 is avaitabte for any combination of Skitted Nursing (Nursing Detegation); Community Guide; Environmental Accessibility; Adaptations; Speciatized Medical Equipment/Suppties; Occupationat Therapy; Specialized Psychiatric Services; Physical Therapy; Speech, Hearing and Language Services; Staff/Famity Consultation and Training; Behavioral Heatth Stabitization; and Transportation to a Waiver Service. . Behavioral Heatth Stabitization Services r Respite is based on assessed need. . 56,000 per year availabte for Emergency Assistance. CORE WAIVER This waiver is intended for people who are at immediate risk of out of home placement and need up to 24-hour residential services. Services covered inctude: Residential Services, Behavior Support, Therapies, Environmental Adaptations, Skilled Nursing, Employment services, Speciatized Medical Equipment and Supplies and more. 26 CO Mlvlu NIW PROT ECT I O N WAM R This waiver is for people who need Z4-hour on-site awake staff supervision and therapies to maintain their own and community safety. Services covered inctude: Residential Services, Behavior Support, Therapies, Environmental Adaptations, Skitted Nursing, Emptoyment services, Specialized Medical Equipment and Suppties and more. |NDIV|DUAL &. FAtvllLY SERVICES WATVER (IFS) This waiver became effective June 1, 2015, and offers support to ctients living with a famity member in the community. The intent of this program is to provide support and services to famity members, centered on the needs of the ctient and the famity. Services covered inctude the following: o IFS funding levels range from 51,200 to 53,600, depending on assessed need (determined by assessment). r IFS services include Respite; Behavior Support and Consultation; Community Engagement; Home and Vehicte Modifications; Peer Mentoring; Assistive Technology and Speech; Occupationa[, and Physical Therapies; Person Centered Ptan Facititation; Speciatized clothing and nutrition; Skitted Nursing; and Transportation to a Waiver Service. . IFS services can be used in any combination, not to exceed a client's annual atlocation. cH I LD REN', S /NrENs/vE t N - H O tAE BE H AV t ORAL SU P PORT (C I I BS ) This waiver combines wrap-around ptanning with positive behavior supports to empower famities to remain together. To be etigibte for CllBS, your chitd must be between the ages 8 through 20 years old living with their famity and are assessed at high or severe risk of out of home placement due to chaltenging behaviors. Services covered are determined by the lndividual Support Ptan with an average cost of service, including respite, of 54000 per month per ctient for any combination of the fottowing services: Skitted Nursing, Nurse Detegation and Behavior Support and Consuttation; Environmental Accessibitity Adaptations; fusistive Technotogy; Therapeutic Equipment and Supplies; Specialized Medical Equipment/Suppties; Speciatized Nutrition and ctothing; Vehicte Modifications; OccupationaI Therapy; Specialized Psychiatric Services; Physicat Therapy; Speech, Hearing and Language Services; Staff/Famity Consuttation and Training; and Transportation. ACCESSING WAIVER SERVICES STEP 1 ln order to access county funded services, individuats with devetopmental disabitities must be determined etigibte for services through the Developmentat Disabitities Administration (DDA). To appty for DDA services in our area etigibitity papenrrork can be requested from the foltowing number, email or web address: Tol[ Free: 1 -866-715-3646 Emait: R1 ServiceRequestB@dshs.wa.gqv Website: http!: / / www. dshs.wa. qov/ &la/ service-and - information - reques! STEP 2 Once an individuat has been determined etigibte for DDA services, and has been assigned to a Case Resource Manager (CRM), a person-centered DDA assessment witt be compteted. The assessment determines what services a person may be etigibte for. lf certain criteria are met, a request to be ptaced on a Waiver Program can be made. There are a variety of resources avaitabte through the 27 Waiver Programs and the case resource manager witt hetp guide a person in setecting the appropriate Waiver Program that includes employment and day services. STEP 3 After a person has been determined etigibte for a waiver program that offers employment services; their assigned case resource manager witl provide information about [oca[ employment vendors. lt is recommended that the person seeking services and their family representatives take time to meet with [oca[ providers to determine which provider is going to be the best fit. Once a person has selected their employment provider, the emptoyment provider will start the intake and discovery process to start them on their pathway to emptoyment. 28 APPENDIX B: KITTITAS COUNTY SERVICES B HEARD B STRONG B PROUD Etlensburg, WA 98926 Phone: 509-607-4470 Website: https: / / www. facebook. com / BHeardBStronqBProudl 7/, https: / / bheardbstronebproud. wordpress. com / CENTRAL WASHINGTON DISABILITY RESOURCES 301 East 2nd Avenue Ellensburg, WA 98926 Phone: 509-962-9620 Website: http: / i mvcwdr.orq CHILDREN'S VILLAGE 3801 Kern Rd. Yakima, WA 98902 Phone: 509-574-3200 Website: https: / /www. vakimachildrensvittaqe. orq/ our-services. asp CHILDREN WITH SPECIAL HEALTHCARE NEEDS PROGRAM Community Heatth of Central Washington 521 E Mountain View Ave Eltensburg, WA 98926 Phone: 509-306-1740 Website: https: / /www. chcw.orqlstepscvshcn -children - soecia[-health -care/ CLE ELUM ROSLYN SCHOOL DISTRICT SPECIAL PROGRAMS 2960 SR 903 Cle Elum, WA 98922 Phone: 509-649-4807 Website: https: / /www. cersd. orq/ paqe / special -proqrams DEVELOPMENTAL DISABILITIES ADMINISTRATION 100 East Jackson Avenue, Suite 100 Ellensburg, WA 98926 Phone: 509-925-0405 Website: https: / /www.dshs.wa. qov/ dda DIVISION OF VOCATIONAL REHABILITATION 100 East Jackson Avenue, Suite 100 Ellensburg, WA 98926 Phone: 509-925-0408 Website: https: / /www.dshs.wa.qov/dvr 29 EASTON SCHOOL DISTRICT SPECIAL EDUCATION SERVICES 1893 Raitroad Street/PO Box 8 Easton, WA 98925 Phone: 509-656-2317 Website: http: / /www.easton.wednet.edu ELLENSBURG SCHOOL DISTRICT SPECIAL EDUCATION SERVICES 1300 East 3'd Avenue Etlensburg, WA 98926 Phone: 509-925-8'117 Website:httos: / /www- esd40'l .ors / str rdents-fa ies/ student-services / soeciat- services ELMVIEW 204 East 6th Avenue Ellensburg, WA 98926 Phone: 509-925-6688 Website: https: / /www. elmview.orq ENTRUST COMMUNITY SERVICES 415 East Mt. View Avenue, Suite 301 Ellensburg, WA 98926 Phone: 509-925-6688 Website: https : / / wwUl.glmview. orq HO PESOU RC E. ELLEN SBU RG 700 E Mountain View, Suite 501 Eltensburg, WA 98926 Phone: 509-925-'1448 Website: http: / /www. hopesource. us HOPESOURCE-CLE ELUM 1 10 Pennsytvania Ave Cle Elum, WA98922 Phone: 509-674-2375 Website: http: / /www. hopesource. us KITTITAS COUNTY DEVELOPMENTAL DISABILITIES PROGRAM Kittitas County Pubtic Heatth Department 507 N. Nanum St. Suite 102 Ettensburg, WA 98926 Phone: 509-933-8233 Website: https://www.co.kittitas.wa.us/heatth/communitv/devetopmentat-disabitities.aspx 30 KITTITAS SCHOOL DISTRICT SPECIAL EDUCATION SERVICES 7571 Kittitas Hwy Kittitas, WA 98934 Phone 855-380-8843 Website: https: / /www. ksd403.orelpaqe/speciat:educatiolr PARENT TO PARENT AND PARENT COALITION Kittitas Vattey Opportunities Phone: 509-929-7277 Website: https: / / kc-p2p.wixsite.com/ home SEEDLINGS CENTERS FOR EARLY LEARNING 220 East Helena Avenue Ellensburg, WA 98926 Phone: 509-872-5132 Website: https: / /www.epicnet.orql SOCIAL SECURITY ADMI NISTRATION 801 Fruitvale Btvd. Yakima, WA 98902 Phone: 800-772-1213 Website: https: / /www.ssa.qovl SPIRIT THERAPEUTIC RIDING CENTER 1051 Sorenson Road Etlensburg, WA 98926 Phone: 509-929-1401 Website: http: / /www.spirittrc. com / TRELLIS CENTER 170 Bare Rd Eltensburg, WA 98926 Phone: 509-968-4040 Website: http: / /www. thetreItiscenter.com/ 31