RSA-227 - Annual Client Assistance Program (CAP) Report

Michigan (MICHIGAN PROTECTION AND ADVOCACY SERVICES, INC. -- CLIENT ASSISTANCE PROGRAM) - H161A130010 - FY2013

General Information

Designated Agency Identification

NameMichigan Protection and Advocacy Service Inc.
Address4095 Legacy Parkway
Address Line 2Suite 500
CityLansing
StateMichigan
Zip Code48911
E-mail Addressecerano@mpas.org
Website Addresshttp://www.mpas.org
Phone(517) 487-1755
TTY (517) 487-1755
Toll-free Phone(800) 288-5923
Toll-free TTY(800) 288-5923
Fax(517) 487-0827

Operating Agency (if different from Designated Agency)

NameMichigan Protection and Advocacy Service Inc.
Address4095 Legacy Parkway
Address Line 2Suite 500
CityLansing
Zip Code48911
E-mail Addressecerano@mpas.org
Website Addresshttp://www.mpas.org
Phone(517) 487-1755
TTY(517) 487-1755
Toll-free Phone(800) 288-5923
Toll-free TTY(800) 288-5923
Fax(517) 487-0827

Additional Information

Name of CAP Director/CoordinatorBrian Sabourin
Person to contact regarding reportBrian Sabourin
Contact Person Phone517-487-1755

Part I. Agency Workload Data

A. Information and Referral Services (I&R)

Multiple responses are not permitted.

1. Information regarding the Rehabilitation Act198
2. Information regarding Title I of the ADA4
3. Other information provided47
4. Total I&R services provided (Lines A1+A2+A3)249
5. Individuals attending trainings by CAP staff (approximate)175

B. Individuals served

An individual is counted only once during a fiscal year. Multiple counts are not permitted for Lines B1-B3.

1. Individuals who are still being served as of October 1 (carryover from prior year)35
2. Additional individuals who were served during the year102
3. Total individuals served (Lines B1+B2)137
4. Individuals (from Line B3) who had multiple case files opened/closed this year. (In unusual situations, an individual may have more than one case file opened/closed during a fiscal year. This number is not added to the total in Line B3 above.)3

C. Individual still being served as of September 30

Carryover to next year. This total may not exceed Line I.B3. 32

D. Reasons for closing individuals' case files

Choose one primary reason for closing each case file. There may be more case files than the total number of individuals served to account for those unusual situations, referred to in Line I.B4, when an individual had multiple case files closed during the year.

1. All issues resolved in individual's favor52
2. Some issues resolved in individual's favor (when there are multiple issues)9
3. CAP determines VR agency position/decision was appropriate for the individual26
4. Individual's case lacks legal merit; (inappropriate for CAP intervention)2
5. Individual chose alternative representation0
6. Individual decided not to pursue resolution13
7. Appeals were unsuccessful2
8. CAP services not needed due to individual's death, relocation, etc.0
9. Individual refused to cooperate with CAP5
10. CAP unable to take case due to lack of resources0
11. Other (please explain)

n/a

E. Results achieved for individuals

1. Controlling law/policy explained to individual41
2. Application for services completed.3
3. Eligibility determination expedited6
4. Individual participated in evaluation2
5. IPE developed/implemented10
6. Communication re-established between individual and other party31
7. Individual assigned to new counselor/office14
8. Alternative resources identified for individual1
9. ADA/504/EEO/OCR/ complaint made0
10. Other1
11. Other (please explain)

Client’s tuition paid for by state VR agency

Part II. Program Data

A. Age

As of the beginning of the fiscal year. Multiple responses are not permitted.

1. 21 and under7
2. 22 - 4038
3. 41 - 6489
4. 65 and over3
5. Total (Sum of Lines A1 through A4. Total must equal Line I.B3.)137

B. Gender

Multiple responses not permitted.

1. Female69
2. Male68
3. Total (Sum of Lines B1 and B2. Total must equal Line I.B3.)137

C. Race/ethnicity

1. Hispanic/Latino of any race3
For individuals who are non-Hispanic/Latino only
2. American Indian or Alaskan Native1
3. Asian2
4. Black or African American73
5. Native Hawaiian or Other Pacific Islander0
6. White55
7. Two or more races0
8. Race/ethnicity unknown3

D. Primary disabling condition of individuals served

Multiple responses not permitted.

1. Blindness (both eyes)5
2. Other visual impairments6
3. Deafness3
4. Hard of hearing3
5. Deaf-blind0
6. Orthopedic impairments25
7. Absense of extremities0
8. Mental illness53
9. Substance abuse (alcohol or drugs)13
10. Mental retardation2
11. Specific learning disabilities (SLD)12
12. Neurological disorders8
13. Respiratory disorders1
14. Heart and other circulatory conditions1
15. Digestive disorders0
16. Genitourinary conditions0
17. Speech Impairments1
18. AIDS/HIV positive1
19. Traumatic brain injury (TBI)3
20. All other disabilities0
21. Disabilities not known0
22. Total (Sum of Lines D1 through D21. Total must equal Line I. B3.)137

E. Types of individuals served

Multiple responses permitted.

1. Applicants of VR Program20
2. Clients of VR Program116
3. Applicants or clients of IL Program0
4. Applicants or clients of other programs and projects funded under the Act1

F. Source of individual's concern

Multiple responses permitted.

1. VR agency only125
2. Other Rehabilitation Act sources only0
3. Both VR agency and other Rehabilitation Act sources12
4. Employer0

G. Problem areas

Multiple responses permitted.

1. Individual requests information1
2. Communication problems between individual and counselor49
3. Conflict about services to be provided57
4. Related to application/eligibility process22
5. Related to IPE development/implementation10
6. Other Rehabilitation Act-related problems0
7. Non-Rehabilitation Act related0
8. Related to Title I of the ADA0

H. Types of CAP services provided

Choose one primary CAP service provided for each case file/service record.

1. Information/referral43
2. Advisory/interpretational9
3. Negotiation52
4. Administrative/informal review4
5. Alternative dispute resolution1
6. Formal appeal/fair hearing0
7. Legal remedy0
8. Transportation0

Part III. Narrative

Narrative

PART III. NARRATIVE

a. Type of agency used to administer CAP:

1) external -- P&A; b. Sources of funds expended:

Source of funding Total expenditures spent on individuals Federal funds 238,830 State funds 0 All other funds (carryover) 43,951 Total from all sources 282,781 c. Budget for current and following fiscal years:

Category Current Fiscal Year Next Fiscal Year Wages & Salaries 177,000 170,922 Fringe Benefits (FICA, unemployment, etc.) 73,200 67,172 Materials/Supplies 5,000 6,570 Postage 3,000 3,000 Telephone 2,000 2,000 Rent 24,000 24,003 Travel 10,000 7,155 Printing 1,000 1,750 Bonding/Insurance 5,500 6,030 Equipment Rental/Purchase 11,000 21,870 Legal Services 2,000 5,000 Indirect Costs 31,684 31,863 Miscellaneous 0 0 Total Budget 345,384 347,335

d. Number of person-years:

Type of position Full-time equivalent % of year position filled Person-years Professional Full-time 2.9 100% 6 Part-time Vacant Clerical Full-time .40 100% 1 Part-time Vacant

e. Summary of presentations made:

The Client Assistance Program (CAP) had the potential of reaching over 4,250 individuals this reporting period by writing articles for the Exchange (MPAS Newsletter) 2013 Winter Edition. This newsletter is distributed to consumers, professionals and other agencies throughout Michigan. It is also available via the MPAS website.

This edition of the Exchange included articles on:

• MPAS goes Public on Maggots Found in Michigan Nursing Home Residents’ Trachea and Catheter • Successes in Fully Integrated Community Employment for People with Disabilities • Applying for State Vocational Rehabilitation Services • The Equal Employment Opportunity Commission: a Guide to Filing a Charge in Michigan • When will MPAS Represent Me? • Understanding your Individualized Plan for Employment • MPAS Helps Client Eliminate $20,000 in Disability Overpayments • Services for Students with Disabilities Transitioning into Adulthood • New Representative Payee Program Reveals Poor Record Keeping and Fraud • Ask the Advocate: I have a letter from Social Security saying they paid me too much SSDI. What do I do now?

The Employment Team Director staffed an exhibit booth at the annual Re:Con Conference. All MPAS brochures and publications were made available to conference attendees.

MPAS continues to provide all Michigan Rehabilitation Services (MRS) and the Bureau of Services for Blind Persons (BSBP) offices, as well as the Centers for Independent Living (CIL) with CAP brochures to give to individuals they serve. The agency brochure, which mentions CAP, is also provided upon request. MPAS provided 9,952 brochures to the agencies listed above, and to anyone requesting CAP and other agency brochures.

f. Involvement with advisory boards:

Employment Team Director, Brian Sabourin, represents CAP on the Michigan Council for Rehabilitation Services (MCRS) and currently holds the position of Vice-Chairman. The MCRS is a consumer driven, governor appointed, statewide organization as mandated in the federal legislation, the Rehabilitation Act of 1973, as amended. The general mission of the council is to be the voice for people with all types of disabilities in Michigan seeking or being provided services by MRS or BSBP. The council provides advocacy and advise, on how effective their policies, programs, and services are in meeting the needs and desires of persons with disabilities.

CAP continues to attend the Statewide Independent Living Council meetings. The council promotes a philosophy of independent living and the integration and full inclusion of people with disabilities into their community. The Council is composed of members that represent a broad range of individuals with disabilities from diverse backgrounds, and are knowledgeable about independent living services. Although CAP does not hold a seat on the council, we are able to provide advocacy and advisory information concerning the services the council and the CIL network provide.

g. Outreach to unserved/underserved populations:

Elham Jahshan, CAP advocate, who is proficient in English, Arabic, and Hebrew, is a member of the Bureau of Services for Blind Persons. Ms. Jahshan is a member of the committee to provide consultation with bureau staff members on how to better engage their Arab American customers.

MPAS participated in two Project Homeless Connect events during this reporting period in both Bay and Wayne County. These events are attended by individuals who are homeless or at risk of becoming homeless, as well as other professionals from human service agencies throughout the counties.

One of the goals of the Employment Team this year was to provide information about MPAS services and activities, including CAP services to Centers for Independent Living. These presentations include information segments on the history of protection and advocacy and the structure of MPAS. Although the presentation includes all areas of the agency, there is a heavy emphasis on CAP since CAP can provide advocacy assistance to individuals having concerns with CILs.

The Employment Team completed outreach presentations to the following CIL’s during this past fiscal year: • Blue Water CIL • Disability Advocates of Kent Co. • Disability Connections, Muskegon • Disability Network, Southwest • Mid-Michigan Disability Network, Midland

h. Alternative dispute resolutions:

One individual’s case went to alternative dispute resolution. All issues were resolved in individual’s favor. The VR agency involved agreed to pay for both the requested class to prepare for the Michigan bar examination and to pay for the bar examination fee.

i. Systemic advocacy:

Throughout the year, CAP has worked on issues related to identifying and tracking problems within the vocational rehabilitation process. CAP identified numerous instances in which clients were having difficulties. These difficulties included, but were not limited to: counselors not returning calls or being available to clients; counselors not meeting required timelines; and counselors closing cases rather than transferring the client to another office. As a result of identifying these issues, data has been collected and recommendations for change will be addressed with the Michigan Rehabilitation Services (MRS).

j. Interesting cases:

[Case 1 — SR 1305272] - Systemic/Policy Making Issue Individual contacted CAP with concerns regarding clothing and transportation her counselor and the site manager had agreed to purchase for her. CAP advocate assisted client in contacting MRS advocating that the client’s Individualized Plan for Employment (IPE) be amended to include these services. After employment verification was received, MRS agreed to provide client with a clothing voucher and a bus pass.

[Case 2 — SR 1274164] - Systemic/Policy Making Issue Individual had been working with MRS for a couple of years. Her former counselor encouraged her to sign up for driver’s education which she finished and was provided with a driver’s license. Previous counselor also said as soon as she got her driver’s license, MRS would consider assisting with obtaining a loan to purchase a van and to assist in purchasing the necessary modifications. Client’s case was then transferred to a new counselor who stated that MRS would not help with either the modifications or, assisting the client in getting a loan to purchase a van. The counselor said the client could use public transportation or rely on her parents who have an older modified van to drive her to school, doctors’ appointments and to her place of employment.

Speaking with the MRS district manager, CAP was informed that this case has not been handled correctly from the start and that she would be taking over the case. Over the course of several months working together with the client and the district manager, making sure the client completed any necessary assessments and provided all necessary information to the district manager, MRS agreed to the purchase and complete modifications to a new van for the client [Case 3 - SR1350017] - Systemic/Policy Making Issues:

Individual contacted MPAS to assist her with the denial of MRS to provide dental services and job placement services in preparation for her future employment. CAP advocate assisted the clients through the provision of the following services:

• Researched and provided client with copies of MRS Policy information pertaining to provision of the following MRS services: dental assistance, transportation assistance, college training assistance, and job placement assistance. • Consulted with the MRS district manager and site manager to investigate the status of the services agreed upon in the Clients Individual Plan for Employment (IPE) and to address the issues and service delays resulting from the lack of communication with the client by her MRS counselor regarding these services.

As a result of the assistance of CAP, client signed her amended IPE to include dental services and job placement services upon graduation from college. Client’s dentist verified that MRS had fully authorized payment for all of the dental services requested, including the making and fitting of her dentures.

k. On-line information/outreach:

Although CAP does not have its own website, MPAS recently updated its website and electronic social media capacity to provide faster and more accurate information. Information regarding CAP is included on the agency’s new website. Since launching the new website in July of 2013, there have been 6797 visitors and the MPAS Facebook has accumulated 798 friends/likes since the agency first started on Facebook in August, 2009.

Certification

Approved

This Report is Complete and Correct.Yes
Date Signed:10-Dec-13
Name of Designated Agency Official:Brian Sabourin
Title of Designated Agency Official:Director of Employment Advocacy Services