Employment First Initiative

1

Why do this?

People want to work.

2

3

Individual does not have a job in the Community but would like one

(46.4% is the average of NCI States)

27.80% 31.20%

40.30%

49.50% 50.00% 52.70%

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

80.00%

90.00%

100.00%

Kentucky Pennsylvania Illinois New York Washington Ohio

4

Individual Has Job In Community

(27% is the average of NCI States

13.10% 13.10%

15.00%

27.20% 29.00%

40.50%

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

80.00%

90.00%

100.00%

5

$0

$50

$100

$150

$200

$250

$300

$350

$400

$450

Mil

lio

ns

Lots of Money Goes to Day Services

County Board Expenditures

6

What are the reasons Ohio would increase Supported Employment and decrease Sheltered Employment?

7

8

Sheltered Workshops Hinder, Not Help

Employment Possibilities (Cimera, 2011)

Matched pairs studies show that individuals

served in sheltered settings cost 42% more

to serve in supported employment than

individuals who never entered the sheltered

settings.

Matched pairs studies show that individuals

with ASD who spent time in a sheltered

setting cost 60% more to serve in supported

employment than individuals who never

entered the sheltered settings.

Supported Employment is a Better Investment for Tax Payers (Cimera, Journal

of Vocational Rehabilitation, 2008)

Followed in a 3-year cycle, Supported Employment cost 1/3 the amount when compared to sheltered workshops.

Better for Individuals (Cimera, Oct. 2011)

Since 1980, wages in Supported Employment have risen at a rate of 31% while wages in sheltered workshops decreased 40%.

9

Individual has Integrated Employment as a goal in his/her service plan (23.3% is the average of NCI States)

10

14.30% 18% 18.40%

21.20% 25.20%

60%

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

80.00%

90.00%

100.00%

What will the shift

look like?

11

12

Primary

Option

S

C

H

O

O

L

S

Sheltered

Workshop/Enclaves

25,730 people

Cost - $22,037 per

person/per year

($1.31 hour)(85%)

Supported Employment

4,044 people

Cost - $9,580 per person/per year

($7.31 hour)(15%)

Current System

13

Primary

Option

S

C

H

O

O

L

S

Sheltered

Workshop/Enclaves

26,080 people

Cost - $22,037 per

person/per year

($1.31 hour)(75%)

Supported Employment

8,693 people

Cost - $9,580 per person/per year

($7.31 hour)( 25%)

New System (5 years from now)

Incre

ased

Eff

ort

Safe

ty N

et

14

Current System County By County % of Working age Adults in Integrated Employment (Active Client

Count)

50.83% 1

43.10% 2

38.10% 3

32.43% 4

31.41% 5

28.30% 6

27.15% 7

27.03% 8

24.72% 9

23.92% 10

23.23% 11

22.63% 12

22.11% 13

21.60% 14

20.83% 15

20.44% 16

20.40% 17

19.92% 18

19.78% 19

16.37% 20

16.36% 21

16.28% 22

16.24% 23

16.06% 24

15.88% 25

15.71% 26

15.54% 27

15.22% 28

15.13% 29

15.06% 30

15.00% 31

14.81% 32

14.75% 33

14.74% 34

14.65% 35

14.55% 36

14.29% 37

13.53% 38

13.49% 39

13.03% 40

12.92% 41

12.53% 42

12.35% 43

12.13% 44

12.07% 45 15

11.89% 46

11.61% 47

11.61% 48

11.60% 49

11.60% 49

11.11% 51

10.96% 52

10.95% 53

10.59% 54

10.49% 55

10.30% 56

10.22% 57

9.78% 58

9.26% 59

8.60% 60

8.55% 61

7.87% 62

7.73% 63

6.80% 64

6.67% 65

6.36% 66

5.79% 67

5.20% 68

4.80% 69

4.64% 70

4.24% 71

4.17% 72

3.90% 73

3.70% 74

3.34% 75

2.94% 76

2.86% 77

2.70% 78

2.34% 79

2.24% 80

2.13% 81

1.90% 82

1.62% 83

1.52% 84

1.33% 85

1.16% 86

1.09% 87

0.00% 88

To accomplish this 1. Executive Order 2. MBR Submission in

Education’s Statute 3. We have a new Supported

Employment rule out

16

The new rule has… 1. Increase the supported employment

rate from $25/hr. to approximately $42/hr.

2. Requires monthly data submission in return for the higher rate

3. The data will be used to revise the rule by January 1, 2014

17

Monthly data submissions record outcomes

Wages earned per hour Hours worked per month Type of Supported Employment Provider Success Rate

18

SB 316 (Employment First) 3323.011 (IEP Section)

Requires IEP process to begin at age 14, not 16

Requires that that age appropriate competitive and integrated employment be made part of the IEP process

5123.022 (General Policy Statement)

Makes Employment Frist the policy of the state of Ohio

19

Governor’s Employment First Taskforce (EFT) will collaborate,

coordinate and improve employment for working-age adults with dd. The

EFT has six months to do the following 7 assignments.

20

a. Review and consider the recommendations of the State Employment Leadership Network report to increase opportunities for community employment for Ohioans with DD.

b. Review and align policies, procedures, eligibility, and enrollment and planning for services for individuals, with the objective of increasing opportunities for community employment for Ohioans with DD.

21

c. Develop cross-agency tools to document eligibility, order of selection, assessment and planning for services for individuals.

d. Identify best practices, effective partnerships, sources of available federal funds, opportunities for shared services among existing providers and county boards of DD, and the means to expand model programs, to increase community employment opportunities for those with DD.

22

e. Identify and address areas where sufficient support is not currently available or where additional options are needed to assist those with DD to work in community jobs.

f. Establish interagency agreements to improve coordination of services and allow for data sharing as appropriate.

g. Set benchmarks for improving community employment outcomes/services.

23

Employment First Taskforce Advisory Committee The DODD shall also have the authority to establish an Advisory Committee made up of business stakeholders, self-advocates and other stakeholders in the DD field to provide the EFT with needed information and recommendations. We have decided to use the SELN Group for the Advisory CMTE.

24

The SELN is a cross-state cooperative venture of state DD agencies that are committed to improving employment outcomes for adolescents and adults with dd.

25

What is SELN?

The SELN was launched in 2006 as a joint program of the National Association of State Directors of Developmental Disabilities Services (NASDDDS) and the Institute for Community Inclusion at the University of Massachusetts Boston (ICI). Ohio joined in 2011.

26

SELN Mission Maximize resources such as funding and

employment services

Develop more effective employment systems and partnerships

Use data to guide program management at the local and state level

Improve employment-related staff competencies

Share resources for systems change across states

27

28

SELN - Ohio Ohio joins the Supported Employment

Leadership Network (SELN) on 7/1/11.

SELN member states (12) report a 37% increase in the number of individuals employed between 2004 and 2009 compared to a 1% increase during the same period for states that were not members of SELN.

29

• Ohio Dept. of DD

• Ohio Legal Rights Services

• OSU Nisonger Center (UCEDD)

• Griffin-Hammis Consultants

• Providers

• Ohio Center for Autism & Low Incidence

• Ohio Disability Alliance

• Ohio Association of Adult Services

• Cincinnati Children’s (UCEDD)

• Ohio Provider Resource Association

• DD Council

• People First

30

• ARC of Ohio

• Ohio Self-Determination Association

• Kent State University (Dr. Rob Cimera)

• Governor’s Office

• Advocacy & Protective Services Inc.

• Ohio Association of County Boards

• Ohio Association of Superintendent Executive Committee

• Ohio Dept. of Education

• Rehabilitation Services Commission

• Ohio Dept. of Job & Family Services

• Ohio Dept. of Mental Health

• Association for Persons in Supported Employment

31

DODD

Business Leadership Roundtable

Advisory Committee

(SELN)

NASDDDS SELN

Employment First

Taskforce

ODE ODJFS ORSC

-Boots on the ground

-What work, what doesn’t

-Identify barriers

-Set bench marks

Ide

nti

fy B

arr

iers

Rec

om

me

nd

Ben

ch

ma

rk

Rec

om

me

nd

Po

lic

y

Re

mo

ve

B

arr

ier

Es

tab

lis

h B

en

ch

ma

rk

Es

tab

lis

h P

oli

cy

OHT Governor’

s Office

ODMH

Update on Employment First Taskforce We have broken up the Advisory CMTE into the

following sub-cmtes.

Leadership

Ensure a clear vision is set for Ohio’s DD System to be Employment First.

Set clear goals for Ohio’s DD System as it relates to integrated employment.

Communication

Develop a systematic approach to communicate to the various stakeholders the vision, policy initiatives, and success stories

32

Update on Employment First Taskforce

Develop a ‘pitch’ that speaks to the needs of the business community

Outreach to Self-Advocates and Families

Understand the purpose of the Employment First Initiative

Understand the impact on benefits and the programs available to minimize any negative impact

School to Work Transition

Working with school districts, RSC, Providers and County Boards to enhance the planning process putting integrated employment as the first option to be explored.

33

Update on Employment First Taskforce

Identify best practice programs that can be used for these students and determine how we can increase their availability.

Data

Identify what data is needed to set and measure goals

Identity data that can be used to benchmark Ohio in our pursuit to becoming an Employment First State.

System Capacity

Develop a strategy to expand and strengthen Ohio’s provider capacity to achieve integrated employment

Training needs

34

Update on Employment First Taskforce

Increase certified RSC/Wavier providers with expertise in DD field.

Expand system capacity for providers to assist individuals in understanding the impact of working on their benefits and the programs available to minimize any negative impact.

Workshop (or Day Hab, ICF/DD, etc) to Work Transition

Planning

Address Benefits

Identify the issues and possible solutions around individuals leaving the workshop

35

Update on Employment First Taskforce

Funding

Medicaid, RSC, County Boards, Ticket to work. How do we better leverage these funds.

36

Recommendations 1. Develop a state level interagency agreement between DODD, RSC, and ODE that accomplishes the

following: Set common policy, definitions, and benchmarks at the

state level

Outline a braided funding planning to fund these services statewide

Develop local interagency agreements (at the county level) outline specifically the process, roles, and funding.

To be completed by March 31, 2013

37

Recommendations 2. RSC, ODE, and DODD should work to develop best practices for supporting students with DD to obtain employment upon graduations.

Once best practices are identified a training plan should be developed and implemented.

These best practices should include a process so school districts and county boards are using similar methods as to not duplicate efforts

Completed by June 30, 2013

38

Recommendations 3. Development of an Employment 1st Website that will

achieve the following: Be a tool to disseminate information, including best

practices and highlighting success.

Be a platform to provide training (on-line) and information about training

Be a tool individuals served, their families, and employment professionals can use to complete benefit analysis, resume development, links to service providers, etc.

Be a source of data to hold the system accountable

Completed by February 28, 2013

39

Recommendations 4. Develop a data collection platform

• Develop and implement a point in time data collection system which captures all the people served in the County Board system. It should collect avg. hours work, wage, and type of job.

• Develop a set of metrics to ensure the recommendations are being implemented

Completed by February 28, 2013

40

Recommendations 5. Training Plan for Providers of Services

• Its important that the state and local (county wide) teams develop some consensus across systems (DD, Education, and RSC) on a small set of best practices. This will help to concentrate resources and make the service systems build on one another verses being fragmented.

• We need to make sure the training plan addresses sustainability of the training systems identified.

Completed by January 31, 2012

41

Recommendations 6. Communication plan for stakeholders

• Focus on marketing Medicaid Buy-In to individuals served and families.

• Educate the field on Medicaid Buy-In (County Board SSA’s, Local JFS Caseworkers, and Providers)

• Conduct outreach to individuals served and their families through materials and speaking engagements

• Focus on ways to bring in and market to the business community.

Completed by January 31, 2013

42

Recommendations 7. Align State Rules to outline and implement Employment First Policy.

Start by defining common definitions and policy which will be part of the statewide interagency agreement

Identify Rules in each of the Taskforce agencies that need to be revised to reflect Employment 1st.

43

Recommendations Use the DODD-Adult Services Rule as a starting

point for rule revisions. Elements of this rule should do the following:

Require County Boards to develop a Employment First Policy and procedure.

Have County Board develop a five year strategic plan identifying strategies and benchmarks to move their local system towards integrated employment

Create a hierarchy of employment/day supports from lest to most restrictive. Require in local policy and procedure for the Teams to develop plans to serve people in the lest restrictive settings and justify why they are not being served in a lest restrictive setting. Furthermore have goals and objectives in the plan to support the person to move to a less restrictive setting.

Completed by April 30, 2012

44

Recommendations 8. Corporate/Business Development

• Develop statewide capacity to engage corporations and businesses at the leadership level. This will be down by conducting regional trainings conducted by the National Organization of Disability (NOD).

• Develop Regional groups who will meet regularly to strategize ways to engage the business community.

• Work with JobsOhio to ensure the value of the disability workforce is articulated in their website, marketing materials and overall sells pitch to the business community.

Completed by December 31, 2012

45

System-wide Benchmarks By June 30, 2014 Ohio will increase the amount of

students with developmental disabilities entering community employment by 10%.

By June 30, 2014 Ohio will increase the amount of adults of working age with developmental disabilities who are employed in their community by 10%.

46

How Can County Boards of DD and Providers Support Employment 1st? Establish and Employment 1st Policy

Establish a hierarchy of supports for day services from least restrictive to most restrictive.

Establish goals through the planning process to support individuals to take one step closer to the least restrictive setting

Establish for students and new people entering the system the expectation of integrated employment……..CLOSE the Front Door

47

How Can County Boards of DD and Providers Support Employment 1st? Establish a strong toolkit

Benefits Planning

Customized Employment

Business Development

Small Business

Develop a strong data collection system

48

How Can County Boards of DD and Providers Support Employment 1st? Develop a policy (expectation), goal(s), a game plan,

allocate necessary resources, measure, report often, and hold the system accountable for Outcomes

49

Benjamin Hollinger

Assistant Deputy Director

Division of Policy & Strategic Direction

30 E. Broad Street, 12th Floor

Columbus, Ohio 43215

Ben.hollinger@dodd.ohio.gov

50