Describe progress made in achieving the objectives and goals outlined in the most recently approved SPIL. Discuss goals achieved and/or in progress as well as barriers encountered.
Goal 1. Expand the network of Centers for Independent Living in North Carolina
Goal Description: CIL core services will be available to more people with disabilities in NC increasing their opportunity for independent living and full inclusion in individual communities.
Objective 1.1. Support a statewide network of Centers for Independent Living (CILs) with the capacity to deliver consistent CIL independent living core services that meet the standards and assurances of the Rehabilitation Act, as amended.
Activity 1.1.a. Provide financial support to the existing Part B CIL in Greenville to provide independent living core services and meet the standards and assurances of the Rehabilitation Act, as amended. NCSILC will monitor progress of the Part B CIL by receiving reports during the quarterly NCSILC meetings. The Part B CIL will submit to the NCSILC an annual 704 Report. Consumers will be asked to complete a satisfaction survey to indicate their satisfaction with the quality of services and their increased level of independent living. Surveys will be forwarded to the NCSILC Executive Director to compile in a report for the full NCSILC.
During this reporting period, the Division of Vocational Rehabilitation Services had a financial assistance contract with the existing Part B CIL in Greenville. The contract provided the ENC-CIL with the funds for operating expenses and to provide the four IL core services in accordance with the Rehabilitation Act, as amended. The Executive Director of the ENC-CIL provided a progress report of activities performed at the quarterly NCSILC meetings. The ENC-CIL provided the NCSILC with a copy of the 2010 704 report. A subcommittee of the NCSILC completed the development of a consumer satisfaction survey in September 2011. The NCSILC did not send the satisfaction survey to randomly selected individuals with closed cases prior to September 30, 2011.
This activity is ongoing.
Activity 1.1.b. Provide financial support to the existing Part C CILs for general operations to provide independent living core services. Each person who received services will be asked to complete a satisfaction survey to indicate their satisfaction with the quality of services received and their increased level of independent living. Surveys will be forwarded to the NCSILC Executive Director to compile and report to the full NCSILC.
During this reporting period, the seven Part C funded CIL had a contract with the DSU for operational expenses to provide the independent living core services. The contracts are for a maximum of three years which are required to be amended annually. A subcommittee of the NCSILC completed the development of a consumer satisfaction survey in September 2011. The NCSILC did not send the satisfaction survey to randomly selected individuals with closed cases of the seven CILs prior to September 30, 2011.
This activity is ongoing.
Activity 1.1.c. Provide financial support for training to existing Part B and C funded CIL staff on how to better serve consumers with diverse and significant disabilities.
During this reporting period, all eight CILs in NC provided their staff with training on how to better serve consumers with diverse disabilities. The trainings included attending the National ADA symposium; ILRU for a series of audio conferences; ADA conference on accessible recreational facilities; ADA mediation webinar; ADA para- transit webinar; ADA transportation training audio conference; Impact of the ADA and the senior population audio conference; ADA and the courts; ADA audio conference on reasonable accommodations for employees and job seekers; ADA audio conference training on advocacy; ADA webinar on public transportation accessibility stops announcements; ADA webinar on accessibility in hotels; Obstacles faced by people with disabilities in obtaining employment; PCMH training on peer mentoring skills; Medicaid and new community options; PCMH training on infections in spinal cord patients and treatment; Work incentives information summit; Money follows the person program; option counseling training; American sign language training; CIL history and philosophy training; Improving communication in the work place and promoting a positive work environment. IDEA and the special education process and five CIL attended the National Council on Independent Living Annual Conference.
This activity is ongoing.
Activity 1.1.d. Provide financial support to conduct trainings for CIL staff, NCSILC members and/or grassroots organization related to SILC and/or CIL roles and responsibilities.
During this reporting period, training for CIL staff, NCSILC members and/or grassroots organization related to SILC and/or CIL roles and responsibilities was not conducted. No organization has stepped up to be a new Center for Independent Living during this reporting period. The NCSILC is in the planning process of hosting an IL Summit in the spring of 2012.
This activity is ongoing.
Goal 2. Support the operations of the NCSILC non-profit office.
Goal Description: Part B funds will be used to ensure the NCSILC office will continue to operate in an efficient and effective manner.
2.1. Promote efficient and effective management of the non-profit office to ensure autonomy and independence of the NCSILC.
Activity 2.1.a. Provide Part B funds for general operations of the NCSILC non-profit office and the NCSILC related activities.
During this reporting period, the Division of Vocational Rehabilitation Services had a financial assistance contract with the NCSILC. The contract provided the NCSILC with funds for the general operating expenses of the NCSILC office and related NCSILC activities. The NCSILC staff provided I & R services to 65 individuals and the NCSILC members and/or the NCSILC Executive Director attended the following training activities and meetings:
• The Executive Director attended the APRIL Conference in Overland Park, Kansas from October 29 - November 1, 2010.
• Two members and the NCSILC Executive Director attended the SILC Congress Conference from January 8-12, 2011 in Atlanta, Georgia.
• The Executive Director attended an online training on nonprofit tax return preparation which was held on January 18, 2011.
• The Executive Director attended an online course through ILRU, “Getting on Board” which was held from February 18 through 25, 2011.
• The Treasurer and the Executive Director participated in the 2011 Teleconference “Playing by the Rules: A SILC Fiscal Guide to Federal Dollars” which was held on April 11, April 21, April 26, and April 28, 2011.
• At the April 28, 2011 NCSILC meeting, the NCSILC Chair and a CIL director provided training to members, “Operationalize Effectiveness of SILCs” for members.
• The Executive Director attended the SILC conference on Implementing and Enforcing Olmstead in Atlanta, Georgia from May 11 - 12, 2011.
• The Executive Director participated in the NCACPA Not-for-Profit Accounting Conference from May 22 – 23, 2011 in Greensboro, NC.
• Three members and the Executive Director attended a finance meeting with DVRS staff on June 16, 2011.
• The Executive Director participated in the Best Practice Models to Enhance Transition to College & Careers Webinar on June 20, 2011.
• Two members attended the NCIL Conference from July 13 – 16, 2011 in Washington, D.C.
• The Executive Director attended an on-line course offered by Eve Borenstein on August 24, 2011 concerning the 2011 Form 990 updates.
• One member attended the ILRU on-line course “Smooth as SILC” from September 9-29, 2011.
• The Treasurer and the Executive Director attended an ILRU webinar, “Gathering Consumer Feedback for SILCs on September 27, 2011.
• The Executive Director participated in the ILRU Intensive SILC Support Program through monthly telephone calls from May 30 through September 30, 2011.
• The Executive Director attended the Raleigh 10-year plan to end Homelessness monthly meetings, CRC All Grantee Statewide Meeting, Medicare/Medicaid Dual Eligible Planning Group monthly meetings, DD Council quarterly meetings, MH-DD-SA Council meeting, NC CAP services meeting, and Money Follows the Person Program meeting.
This activity is ongoing.
Activity 2.1.b. VR and NCSILC will research options to better access Part B funds within the guidelines of the Department of Health and Human Services.
On May 18, 2011, DVRS received notice from the Department of Health and Human Services’ Controller’s Office that a cash advance using only federal funds is not required to be returned or settled by June 18 of the year in which the contract terminates. The cash advance using only federal funds is required to be returned or settled by September 18 of the year in which the contract terminates.
In compliance with the Department of Health and Human Services policies and procedures for contract monitoring and oversight, the Division of Vocational Rehabilitation Services (DVRS) is required to have a monitoring schedule in place for each contract. DVRS requires all contractors receiving funds to provide the supporting documentation to DVRS at the time of submitting their invoice for payment. This reporting requirement is the same for all contractors regardless of the funding source, contract amount, private non-profit organization or private company. In an effort to expedite the monthly reimbursement process, in September 2011, DVRS offered the Part C CIL an exception to the standard reporting procedures by allowing the Part C CIL to submit the monthly invoice for payment to DVRS without the supporting documentation and DVRS will conduct an annual audit at the CIL office. As a result, five of the Part C CILs will submit the monthly invoice for payment to DVRS without the supporting documentation and DVRS will conduct an annual audit at the CIL office for the FFY 2011 – 2012 contracts.
This activity is ongoing.
Activity 2.1.c. NC DVRS will process, upon receipt of approved required documentation, payments for reimbursement for actual expenses.
*During this reporting period, the NC Division of Vocational Rehabilitation Services processed the monthly NCSILC invoice for payment of actual expenditures upon receipt of the approved required documentation.
This activity is ongoing.
Goal 3. Increase Participation and Leadership by Youth with Disabilities.
Goal Description: Support a NC Youth Leadership Forum to increase youth participation in all of NC.
3.1. Objective: Increase Participation and Leadership by Youth with Disabilities.
Activity 3.1.a. A Youth Leadership Committee will be established to develop and implement an annual Leadership Forum. The Committee will be comprised of participants from prior years Forum(s) and will include other youth between the ages of 15 and 28. The Committee will be responsible to develop and implementation of the annual Forum. NCSILC will monitor the progress of the Committee.
During this reporting period, a Youth Leadership Committee was established in April 2011 to develop and implement the 2011 youth Leadership Forum. The Youth Leadership Committee was comprised of three youth mentors from previous YLF and five other youth with disabilities between the ages of 15 and 28. The committee met nine times during the period of April 20, 2011 – July 7, 2011 to plan and evaluate the implementation of the 2011 Youth Leadership Forum. The Youth Leadership Committee provided the NCSILC with an update about the YLF at the NCSILC quarterly meetings.
This activity is ongoing.
Activity 3.1.b. Contract with a CIL or grassroots organization to conduct an annual Youth Leadership Forum will be sponsored each year of the 3-year SPIL to increase participation and leadership by youth with disabilities. The Youth Leadership Forum will be open to youth between the ages of 15 and 28. The Forum will be youth-led and youth-run. Participation by youth will increase 10% each year.
During this reporting period, the Division of Vocational Rehabilitation Services had a contract with the Alliance of Disability Advocates CIL to conduct a Youth Leadership Forum (YLF) designed to increase participation and leadership by youth with disabilities. The YLF was held at the NC State University from June 20 - 24, 2011. There were 5 Youth Leadership Committee members in attendance, 20 selected applicants between the ages of 15 – 27, three mentors, and four contractor staff. In addition, there were two national youth speaker/facilitators, Ms. Wheelchair America 2011 and a policy analyst from the MS Society.
This activity is ongoing.
Activity 3.1.c. NCSILC will monitor, review and evaluate the Forum each year. The Youth Committee will report quarterly to the NCSILC on the progress of the Committee and its plans for the Forum. Evaluation and satisfaction surveys will be completed by participants of the Forum, forwarded to the NCSILC Executive Director for compilation, and the results reported annually to the NCSILC.
During this reporting period, the Youth Leadership Committee reported on the planning of the 2011 YLF at the NCSILC April 2011 meeting and conducted a presentation about the 2011 YLF at the NCSILC July meeting. The participants of the YLF completed a satisfaction survey which was provided to the NCSILC Executive Director for compilation and the results were reported to the NCSILC at the July 2011 meeting. The results of the consumer satisfaction surveys reflected a satisfaction rate of 93.2% overall, with dorms scoring the lowest rating. All participants reported to have gained personal advocacy skills.
This activity is ongoing.
Objective 3.1.d The Youth Committee will report quarterly to the NCSILC on the progress of the Committee and its plans for the Forum. Evaluation and satisfaction surveys will be completed by participants of the Forum and presented yearly to the NCSILC. Participation by youth will increase 10% each year.
During this reporting period, the Youth Leadership Committee reported on the planning of the 2011 YLF at the NCSILC April 2011 meeting and conducted a presentation about the 2011 YLF at the NCSILC July meeting. The participants of the YLF completed a satisfaction survey which was provided to the NCSILC Executive Director for compilation and the results were reported to the NCSILC at the July 2011 meeting. The results of the consumer satisfaction surveys reflected a satisfaction rate of 93.2% overall, with dorms scoring the lowest rating. All participants reported to have gained personal advocacy skills.
This activity is ongoing.
Objective 3.2. Enhance youth awareness of disability history and independent living.
Activity 3.2.a. Members of the Youth Leadership Committee will coordinate with a CIL to present Disability History and Awareness month in K-12 public education settings. Students will complete evaluations to determine their increased knowledge of disabilities. Results of the evaluations will be presented to the full NCSILC. The Executive Director will monitor the progress of the Youth Leadership Committee. Results will be reported to the full NCSILC quarterly.
No report. This activity is ongoing.
Activity 3.2.b. NCSILC will recruit and recommend for membership qualified youth with disabilities between the ages of 15 and 28.
During this reporting period, the NCSILC has two members who are between the ages of 15 and 28.
This activity is ongoing.
Goal 4. Promote Community Based Living.
Goal description: People with disabilities will have access to funds for deposits, transportation, household items, etc. to use as they transition from institutionalized settings into the community.
Objective 4.1.Support transition of consumers from institutionalized settings into the community.
Activity 4.1.a. Provide Part B funds to Part B and C CILs to assist individuals who are transitioning from an institutionalized setting into the community. The funds will assist transitioning individuals with expenses they may incur during the process including but not limited to: deposits for housing and utilities, initial month’s rent, transportation, furniture, appliances, housing supplies, etc., needs to be determined by the individual. Consumers will be asked to complete a satisfaction survey to indicate their satisfaction with the quality of services and their increased level of independent living. Surveys will be forwarded to the NCSILC Executive Director to compile in a report for the full NCSILC.
During this reporting period, the Part B and C CILs assisted 69 individuals with disabilities to transition from an institutionalized setting into the community. Funds were used during the transitioning process for rent, utilities, deposits, furniture, durable medical equipment, household supplies, clothing, transportation, personal care items, home modifications, air conditioner, and food.
This activity is ongoing.
Goal 5. Promote Civil Rights of People with Disabilities.
Goal Description: NCSILC and CILs will monitor legislation that affects the lives of people with disabilities.
Objective 5.1. NCSILC and NC CILs will monitor disability related legislation to promote increased independence of people with disabilities.
Activity 5.1.a NCSILC will coordinate with Disability Rights NC, NCDAN, CILs and other advocacy groups regarding studies, model policies and procedures for the public in order to enhance independent living services for individuals with disabilities.
During this reporting period, the NCSILC participated in the Disability Awareness Day in Raleigh, NC on March 22, 2011 and distributed approximately 100 NCSILC brochures. The NCSILC monitored disability related legislation that would impact people with disabilities. Members were concerned about proposed cuts in Medicaid and the Americans with Disabilities Act as well as a voter picture ID bill in the NC General Assembly and a proposal to keep Dorothea Dix Hospital open.
Goal 6: Provision of Direct Independent Living Services and Supports
Goal Description: DVR and DSB:
People with disabilities who qualify for DVRS and DSB services will receive direct services to support independent living.
Objective 6.1. NC Division of Vocational Rehabilitation and NC Division of Services for the Blind will provide direct independent living services to people with significant disabilities in all 100 counties. NC CILs will provide services in 42 counties.
Activity 6.1.a DVR will provide specialized and individualized services and supports for individuals with a significant disability. Services to be provided include but are not limited to: home modifications, vehicle modifications, personal assistance services, and the provision of durable medical equipment that leads to deinstitutionalization, the prevention of institutionalization, achieving community living, and/or employment transition to the Vocational Rehabilitation Services program. Consumers will be asked to complete a satisfaction survey to indicate their satisfaction with the quality of services and their increased level of independent living. Surveys will be forwarded to the NCSILC Executive Director to compile in a report for the full NCSILC.
During the 2010 – 2011 SFY, the DVRS ILRP utilized state funds appropriated by the NC General Assembly and Social Security Administration Receipts to serve 4,694 individuals with significant disabilities in all 100 counties of NC during this reporting period. Of this number, the DVRS ILRP provided personal assistance services to 311 individuals, assisted 16 individuals in transitioning from skilled nursing facilities and prevented 279 individuals from nursing home placement. The type of services that the DVRS ILRP provided included home and vehicle modifications, adaptive equipment and assistive devices, personal assistance services, recreation therapy, assistive technology, and guidance and counseling. The services assisted individuals in achieving community living, and/or employment. On September 30, 2011, DVRS mailed 381 NCSILC satisfaction surveys to consumers with closed cases and the consumers will return the completed NCSILC satisfaction survey directly to the NCSILC office to be compiled into a report for the full NCSILC
NCSILC is of the considered opinion that the survey process does not provide a statistically valid sample with which the Council can fulfill its requirement to monitor, review and evaluate the implementation of the State Plan. The Council is prepared to cooperate with the satisfaction survey process as outlined above. However, it is the Council’s position that Activity 6.1.a of the State Plan, involving surveying the clients has not been met as written this year.
Activity 6.1.b. DSB will provide specialized and individualized services and supports for individuals, less than 55 years of age, who have significant visual impairments. Services to be provided include but are not limited to: adjustment to vision loss counseling, information and referral, independent living skills training (mobility, communications, personal and home management, etc.) and individual advocacy. Consumers will be asked to complete a satisfaction survey to indicate their satisfaction with the quality of services and their increased level of independent living. Surveys will be forwarded to the NCSILC Executive Director to compile in a report for the full SILC.
During the 2010 – 2011 state fiscal year, the DSB ILRP received state funds from the NC General Assembly. This funding enabled the DSB ILRP to provide comprehensive independent living rehabilitation services for individuals who have significant vision loss. Services were provided to residents in all 100 counties of the state by independent living rehabilitation counselors, orientation and mobility specialists, nurse eye care consultants, deaf blind specialists, assistive technology consultants and instructors, social workers and vocational rehabilitation counselors. The services provided helped individuals who are blind, deaf blind and visually impaired to obtain, regain and maintain their functional independence in their homes, communities and employment. DSB Independent living rehabilitation services were provided for 400 consumers, who were less than 55 years of age, in their homes and in small community-based sites called Mini Centers. Program participants were provided adjustment to vision loss counseling and guidance, assessments, information about and referral to other services and supports and direct instruction in areas such as communication skills, personal and home management skills, self-advocacy, orientation and mobility, kitchen safety and cooking techniques, consumer education and the use of assistive technology and adaptive aids and devices. There were 129 individuals who completed the program and achieved their rehabilitation goals. On September 30, 2011, DSB mailed 141 NCSILC satisfaction surveys to consumers with closed cases and the consumers will return the completed NCSILC satisfaction survey directly to the NCSILC office to be compiled into a report for the full NCSILC.
NCSILC is of the considered opinion that the survey process does not provide a statistically valid sample with which the Council can fulfill its requirement to monitor, review and evaluate the implementation of the State Plan. The Council is prepared to cooperate with the satisfaction survey process as outlined above. However, it is the Council’s position that Activity 6.1.b of the State Plan, involving surveying the clients has not been met as written this year.
6.1. c NC CILs will provide individualized services and supports and the four core services in each of its 7 Part C and one part B Centers for Independent Living.
During this reporting period, the seven Part C and one Part B funded CIL had a contract with the DSU for operational expenses to provide individualized services and supports and to provide the independent living core services. The seven Part C and one Part B funded CIL transitioned 69 individuals with disabilities from institutionalized facilities into the community, opened 12 case service records and provided the independent living core services to 2,413 individuals with disabilities using the Part B funds.
If applicable, describe any changes to the information contained in the SPIL that occurred during the reporting year, including the placement, legal status, membership or autonomy of the SILC; the SILC resource plan, the design of the statewide network of centers; and the DSU administration of the SILS program.