“transforming: a rural perspective”jan –june 2016: job development, job coaching, customized...
TRANSCRIPT
Vermont APSE October 11, 2017
“Transforming: A Rural Perspective”
Perception becomes reality unless intervened upon.
“Times, they are a changing…” Bob Dylan
◦ 1998
Don’t get into strangers’ cars
Don’t meet people from the internet
◦ 2017
Literally summon strangers from the
internet to get in car
Hope Haven Services
Hope Haven, Inc. Since 1964, Hope Haven has served people with disabilities.
We have a track record of successfully developing and implementing new services in response to needs.
Serve 10 county area in NW Iowa and 5 counties in SW Minnesota
Known for our innovative employment service programs. Combination of facility-based and community-based services Current Hope Haven Services:
◦ Community Living Services and Support◦ Employment Services and Job Placement◦ Mental Health & Recovery◦ Children and Family Services◦ Hope Haven International
Vision Statement
Vision
Hope Haven is community committed to the special creation of God that is the human
being; encouraging the realization of dreams, desires, and aspirations, valuing gifts, talents, and contributions, sharing accountability for
individual and community growth.
Hope Haven Service Area
“I’ll be fine.” “I can do this.” “It’s just a bigger 20 is all.” “The longer you wait, you’ll be more scared.” “Wahoooooo!”
History: Transformation Efforts
Hope Haven/My Choice Employment Timeline
October 2013 –
September
2014: ICIE
Grant Year 2
1994:
Leadership
Development
September 2013:
My Choice
launched as own
service under HH
umbrella.
October 2013 –
September 2014:
ODEP TA on
Integrated
Employment /
Org.
Transformation
Jan. 2013: Joined
APSE. Began
Development of
agency strategic
plan.
2010-2011: Iowa
MIG Grant,
Customized
Employment pilot
through U of
Iowa.
Feb. 2012 –
September 2013:
Joined Iowa
Coalition for
Integrated
Employment and
Customized
Employment Pilot
June – October
2013: IA
Medicaid
Employment
Redesign Work
Group
History: Transformation Efforts
Hope Haven/My Choice Employment Timeline (continued)
June 2017:
Recipient of
National APSE
Best Practice
Award
March 2014:
Customized
Employment
Training for
Agency Staff
Jan – June 2016:
Job Development,
Job Coaching,
Customized
Employment
Trainings in NW
Iowa
May 2016: IA
Medicaid
Employment
Redesign
Implemented
November 2015:
APSE Detroit
Regional
Conference on
Organizational
Transformation
Oct. 2014 Hope
Haven
Representative
elected to Iowa
APSE Board
July 2015 – Current:
Region Grants for
Integrated
Employment
November 2015
– Sept 2016: TA
from ODEP on
Organizational
Transformation
Strategic Direction
Strategic Plan 2014 – 2018: Strategic Directions
Employment Services: Employment in the general workforce is the first consideration and preferred employment option for all.
Day Habilitation Services: Day Habilitation is a fully integrated service that is available in multiple communities.
Human Resources and Leadership development: We are discovering, nurturing, and sustaining leaders to meet the current and emerging needs of person served.
Public Policy and Partnership: Hope Haven will convey information to and engage its partners with the opportunities and challenges that impact service delivery for those we serve and their communities.
ODEP TA Proposal
Employment First Organizational Transformation Proposal (Oct 2015)
We will build a “Change Agent Culture” that will equip staff throughout the agency to bring about the shift to employment and day habilitation services being delivered in the clients’ home community throughout the agency.
Develop a communication strategy and plan for the continued shift to employment and day habilitation services being delivered in the clients’ home community, with employment being the number one priority, and communicate that to clients and guardians/family members.
Effectively communicate to internal and external stakeholders (agency staff and board members; funders and referral sources; employers and community leaders) the rationale and values statement for the shift to employment and day habilitation services being delivered in the clients’ home community with employment being the number one priority.
Organizational Asessment
Organizational Assessment & Analysis
• Identified “Change Agents” -- began with E.S. & M.C. Mgrs, & Directors; expanded to include Day Hab & C.L. Managers.
• Gap Analysis
• ODEP Agency Assessment> Strengths, weaknesses, areas to address > Congruency of current Mission, Vision, &
Values statements
E1st Transformation Plan
Employment First Transformation Plan (July 13, 2016)
Long-Term Goals
o Employment in the general workforce is the first consideration and preferred outcome for all.
o Day Habilitation is a fully integrated service available in multiple communities.
Employment First Transformation Plan (July 2016)
Long-Term Outcomes
By December 31, 2018, 100% of individuals served in facility based employment will be working in group supported employment or individual integrated employment.
By December 31, 2018, all Day Habilitation Services will be fully integrated into each community we serve.
E1st Transformation Plan
Employment First Transformation Plan (July 2016)
MilestonesMilestone #1: By June 30, 2017 all newly hired staff and existing staff will have completed “Change Agent Culture” training to equip them to bring about the change to community integrated services and employment.
Milestone #2: By December 31, 2017, clients and families will be involved in a person-centered planning process and have begun planning for integrated community and employment services.
E1st Transformation Plan
Employment First Transformation Plan (July 2016)
Milestones (cont’d)Milestone #3: By June 30, 2017, internal and external stakeholders will understand rationale and reasons for shift to community integrated employment and day services.
Milestone #4: By June 30, 2017, pre-vocational services will be provided in community integrated settings.
Milestone #5: By June 30, 2017, Hope Haven will have instated a new organizational structure that utilizes best practices in delivery of integrated community and employment services.
E1st Transformation Plan
Lessons Learned
Engaging the Board
• A matter of keeping them informed
• Presentations to Board on National & State environment & changes
• Informing on development and progress of My Choice & IPS
• Different “levels”, different “rates” of buy-in & belief
Lessons Learned
Strong & Consistent Message
• Keep Stakeholders Engaged: Some will accept & support, while others avoid, resist, choose not to hear. Region-wide stakeholder meetings, website, newsletters, etc.
• Staff: Set clear expectations regarding agency direction & changes in staff roles from the beginning & throughout the process. “Elevator Speech.”
Lessons Learned
Strong & Consistent Message
Individuals Served & Family Members
• Annual Reports
• Website
• Newsletters
• Person-Centered Team Meetings – “Elevator Speech” and info packets
• Region-wide stakeholder meetings
The Future
Sharing with New & Existing Staff, Persons Served & Families What’s happening at the National & State Level?
Americans with Disabilities Act (ADA)Olmstead DecisionMedicaid Home & Community Based Services (HCBS) Work Innovation & Opportunities Act (WIOA)
• Civil Rights Movement Exciting time that aligns with our Vision & Mission Department of Justice Actions CMS Rule ChangesIowa Initiatives & Response to National Initiatives Employment First
• YOU are a change agent within this movement
The Future
Person Centered Planning
• Networking Increasing meaningful community partnership
• PlanningActive Listening Client Choice/Client Driven Advocacy Positive Personal Profile
• Common Goal Individuals fully included in community
Established to assist people with disabilities to
obtain and maintain integrated, competitive
employment in business and industry.
Employment First Principles
◦ Community-based, integrated employment is the
first option for employment services for youth and
adults with significant disabilities.
◦ “Real jobs with real wages” (APSE)
◦ “All that want to work can work” (APSE)
My Choice Employment Intent Statement
My Choice Employment
My Choice Services◦ Employment Planning
◦ Job Placement Services
◦ Customized Employment
◦ Vocational Consultation Services
◦ “Making the Grade”
Pay is at least minimum wage but
preferably at the prevailing wage rate.
People with and without disabilities work
together in an integrated setting.
Support is ongoing and provided at level
required. Fading to natural supports is goal.
Job selection is based on a person’s
preferences and skills.
Competitive employment is the goal.
Key Elements of My Choice Employment
Marketing
Branding Micrositeo www.mychoiceemployment.org
Joint effort – Sioux Rivers Partnerso “Value, Dignity, Livelihood”o “Valued Workplace”o Marketing Vignetteso www.siouxriverspartners.org
Meet Sarah
Meet Stephanie
Meet Floyd
Team Retention
Recruit, Train, Retain
Leadership Development
Staff recognition
My Choice Team Meetings
APSE Job Coaching/Job Development
Customized Employment
College of Employment Services (CDS)
Individual performance evaluations
Advocates for Change
Iowa Association of Community Providers (IACP) Iowa Coalition for Integrated Employment (ICIE) Employment First APSE Iowa Medicaid Redesign
What you can do…◦ Encourage funders to align with policies that support
supported employment. ◦ Encourage self determination 7 self advocacy ◦ APSE Membership ◦ Engage Stakeholders: internal and external ◦ Network with other providers and state agencies
Current partners and supporters in Iowa◦ Job Candidate/Employed Individual
◦ Family
◦ Iowa Vocational Rehabilitation Services IVRS
◦ Iowa Medicaid Enterprise
◦ Sioux Rivers Region/Northwest Iowa Care Connections Customized Employment Training
APSE Job Coaching Training
APSE Job Development Training
Outcomes Based Incentivized Payments
Marketing/Lawrence & Schiller
Regional APSE Conferences (Detroit/Cincinnati
Job Developer Coalition
◦ Workforce Development
◦ United Health Care
◦ Amerigroup Iowa
◦ AmeriHealth Caritas
◦ Integrated Health Homes IHH
◦ ICIE
◦ APSE
◦ DHS Case Management
◦ Local mental health centers
◦ Local School Districts Making the Grade
It takes a village…
My Choice Stats
2014 2015 2016
Individuals 29 73 132
Jobs 32 89 177
Average Pay $7.81 $8.01 $8.18
Average Hours (per week) 20 17 16
Customized Job 21 45 77
Jobs entered from FBE NA 42 88
Communities 9 16 19
Employers 24 50 96
Year ending August 31
My Choice Stats: 9-1-2013 – 8-31-2017
196
Individuals
283 Jobs
$8.37/hour
141
Employers
21
Communities
16 hrs/week
92
Customized
Positions
119 Jobs
entered from
FBE
79%
retention
Benefits to Employers and
Employees
Identification of workplace needs that might be met by job seeker
Identification of support providers, as necessary, for customized employees
Recruitment and matching of skills of job seeker to employer needs
Assistance in customizing job roles for current employees who become disabled
In-depth discovery of the applicants strengths, needs, and interests
Customized planning assistance to target potential employers and contributions
Representation assistance to negotiate customized relationships
Resource identification to pay for necessary supports
To Employers To Employees
Model Highlights
What matters most?◦ Build trust with the job seeker and their family◦ Find out what the job seeker wants out of life and seek
out employment that fits their vision for themselves ◦ Make decision about you support strategies based on
the JSs’ individual preferences and support needs◦ Be creative in your job search; look for tasks not jobs ◦ Network with employers and community business
partners ◦ Establish trust and open communication with
employers ◦ Involve the job seeker in every step of the process and
maintain contact after hire
Michael Bean
Rachel Schuld
“The most effective way to do it, is to do it.” –Amelia Earhart
