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

Iowa (IOWA DEPT OF HUMAN RIGHTS - Office with Person with Disabilities) - H161A150016 - FY2015

General Information

Designated Agency Identification

NameIowa Client Assistance Program
AddressDHR, Office of Persons with Disabilities
Address Line 2Lucas State Office Bldg.
CityDes Moines
StateIowa
Zip Code50319
E-mail Addresspage.eastin@iowa.gov
Website Addresshttp://www.humanrights.iowa.gov/pd/client_assis_program/inde
Phone(800)652-4298
TTY (800)652-4298
Toll-free Phone(800)652-4298
Toll-free TTY(800)652-4298
Fax(515)242-6119

Operating Agency (if different from Designated Agency)

NameIowa Client Assistance Program
AddressDHR, Office of Persons with Disabilities
Address Line 2Lucas State Office Bldg.
CityDes Moines
Zip Code50319
E-mail Addresspage.eastin@iowa.gov
Website Addresshttp://www.humanrights.iowa.gov/pd/client_assis_program/inde
Phone(800)652-4298
TTY(800)652-4298
Toll-free Phone(800)652-4298
Toll-free TTY(800)652-4298
Fax(515)242-6119

Additional Information

Name of CAP Director/CoordinatorPage Eastin
Person to contact regarding reportPage Eastin
Contact Person Phone(515)281-8088

Part I. Non-case Services

A. Information and Referral Services (I&R)

Multiple responses are not permitted.

1. Information regarding the vocational rehabilitation (VR) program16
2. Information regarding independent living programs2
3. Information regarding American Indian VR Service projects0
4. Information regarding Title I of the ADA5
5. Other information provided103
6. Information regarding CAP5
7. Total I&R services provided (Lines A1 through A6)131

B. Training Activities

Training on 10/6/14 a) Rights and responsibilities of consumers, Rehabilitation Act, CAP assistance b) The purpose of the training was to inform individuals of their rights and responsibilities under the Rehab Act, to explain services available to them and explain CAP assistance c) attendees were consumers with disabilities in the Des Moines area

Training on 10/24/14 a) Rights and responsibilities of consumers, Rehabilitation Act, CAP assistance b) The purpose of the training was to inform individuals of their rights and responsibilities under the Rehab Act, to explain services available to them and explain CAP assistance c) attendees were consumers with disabilities in the Cedar Rapids area

Training on 12/3/14 a) Rights and responsibilities of consumers, Rehabilitation Act, CAP assistance b) The purpose of the training was to inform individuals of their rights and responsibilities under the Rehab Act, to explain services available to them and explain CAP assistance c) attendees were consumers with disabilities in the Iowa City area

Training on 12/11/15 a) Client Assistance Program and Rehabilitation Act b) To make new department staff aware of CAP c) All staff at Iowa Department for the Blind

Training on 12/12/14 a) Americans with Disabilities Act b) To help make county officials aware of the ADA c) Statewide county officials

Training on 5/12/15 a) CAP b) To inform SRC members of CAP, the work performed, systemic areas of focus c) State Rehabilitiation Council Members

Training on 7/14/15 a) Rights and Responsibilities as a VR client, CAP, Self—Advocacy Skills b) To educate VR clients (YLF delegates) about the services they can receive from VR, how to access CAP assistance, how to practice self—advocacy in the VR process c) delegates of Iowa Youth Leadership Forum (also VR clients)

Training on 7/29/15 a) accessibility under the ADA/Section 504 b) to assist VR counselors in learning how to conduct an accessibility surv

1. Number of training sessions presented to community groups and public agencies.10
2. Number of individuals who attended these training sessions.336
3. Describe training presented by the staff. Include the following information:
  1. topics covered
  2. purpose of the training
  3. description of the attendees

C. Agency Outreach

Describe the agency's outreach efforts to previously un-served or underserved individuals including minority communities.

CAP created two informational videos that featured closed caption, American Sign Language, and voice. The purpose of the videos was to inform the Deaf and Hard of Hearing community of services available to them through the two state VR agencies.

CAP participated in a Diverse Learner’s Resource Fair on 2/21/15 and connected with parents, students, and professionals

CAP participated in a Transition Conference and connected with parents, students, and professionals

CAP participated in the Iowa Epilepsy Foundation Conference and connected with individuals and caregivers affected by Epilepsy.

CAP hosted 3 community forums to gain feedback about independent living services in areas of the state served by two centers for independent living. The individuals identified areas of concern, systemic issues, areas of need related to disability, and were educated about their rights and responsibilities, services available to them and CAP. The feedback gained from consumers was shared with the centers for independent living and the SILC.

D. Information Disseminated To The Public By Your Agency

For each method of dissemination, enter the total number of each method used by your agency during the reporting period to distribute information to the public. For publications/booklets/brochures (item 4), enter the total number of documents produced. Agencies should not include website hits. See instructions for details.

1. Agency Staff Interviewed or Featured on Radio and TV0
2. Articles about CAP Featured in Newspaper/Magazine/Journals0
3. PSAs/Videos Aired about the CAP Agency0
4. Publications/Booklets/Brochures Disseminated by the Agency1445
5. Number of Times CAP Exhibited at Conferences, Community Fairs, etc.4
6. Other (specify below)

E. Information Disseminated About Your Agency By External Media Coverage

Describe the various sources and information disseminated about your agency by an external source.

Part II. Individual Case Services

A. Individuals served

An individual is counted only once during a fiscal year. Multiple counts are not permitted for Lines A1-A3.

1. Individuals who are still being served as of October 1 (carryover from prior year)8
2. Additional individuals who were served during the year27
3. Total individuals served (Lines A1+A2)35
4. Individuals (from Line A3) 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 A3 above.)0
5. Individual still being served as of September 30 (Carryover to next year. This total may not exceed Line A3.)10

B. Problem areas

Multiple responses permitted.

1. Individual requests information7
2. Communication problems between individual and VR counselor7
3. Conflict about VR services to be provided16
4. Related to VR application/eligibility process5
5. Related to assignment to order of selection priority category0
6. Related to IPE development/implementation
  1. Selection of vendors for provision of VR services
  2. Selection of training, post-secondary education
  3. Selection of employment outcome
  4. Transition services
1
7. Related to independent living services3
8. Other Rehabilitation Act-related problems1
9. Non-Rehabilitation Act related
  1. TANF
  2. SSI/SSDI
  3. Housing
  4. Other:
0
10. Related to Title I of the ADA2

C. Intervention Strategies for closed cases

(Choose one primary service the CAP provided for each closed case file. There may be more case files than actual individuals served.)

1. Short Term Technical Assistance9
2. Investigation/Monitoring3
3. Negotiation13
4. Mediation and other methods of Alternative Dispute Resolution0
5. Administrative / Informal Review2
6. Formal appeal / Fair Hearing0
7. Legal remedy / Litigation0
8. Total27

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.)

1. All issues resolved in individual's favor13
2. Some issues resolved in individual's favor (when there are multiple issues)4
3. CAP determines VR agency position/decision was appropriate for the individual5
4. Individual's case lacks legal merit; (inappropriate for CAP intervention)2
5. Individual chose alternative representation0
6. Individual withdrew complaint2
7. Issue not resolved in clients favor0
8. CAP services not needed due to individual's death, relocation, etc.1
9. Individual not responsive/cooperative with CAP0
10. CAP unable to take case due to lack of resources0
11. Conflict of interest0
12. Other (Please explain below)

E. Results achieved for individuals

(Choose one primary outcome for each closed case file. There may be more case files than the total number of individuals served.)

1. Controlling law/policy explained to individual8
2. Application for services completed0
3. Eligibility determination expedited1
4. Individual participated in evaluation0
5. IPE developed/implemented/Services Provided7
6. Communication re-established between individual and other party6
7. Individual assigned to new counselor/office1
8. Alternative resources identified for individual3
9. ADA/504/EEO/OCR complaint made2
10. Other (Please explain below)

Part III. Program Data

A. Age

Multiple responses not permitted.

1. Up to 181
2. 19 - 247
3. 25 - 406
4. 41 - 6420
5. 65 and over1
6. Total (Sum of Lines A1 through A5. Total must equal Part II, Line A3.)35

B. Gender

Multiple responses not permitted.

1. Females18
2. Males17
3. Total (Lines B1+B2. Total must equal Part II, Line A3.)35

C. Race/ethnicity of Individuals Served

1. Hispanic/Latino of any race (for individuals who are non-Hispanic/Latino only)2
2. American Indian or Alaskan Native2
3. Asian1
4. Black or African American1
5. Native Hawaiian or Other Pacific Islander0
6. White27
7. Two or more races2
8. Race/ethnicity unknown0

D. Primary disabling condition of individuals served

Multiple responses not permitted.

1. Acquired Brain Injury5
2. ADD/ADHD1
3. AIDS/HIV0
4. Amputations or Absence of Extremities0
5. Arthritis or Rheumatism0
6. Anxiety Disorder1
7. Autism Spectrum Disorder2
8. Autoimmune or Immune Deficiencies (excluding AIDS/HIV)0
9. Blindness (Both Eyes)5
10. Other Visual Impairments (Not Blind)0
11. Cancer1
12. Cerebral Palsy0
13. Deafness0
14. Hard of Hearing/Hearing Impaired (Not Deaf)1
15. Deaf-Blind0
16. Diabetes1
17. Digestive Disorders0
18. Epilepsy0
19. Heart & Other Circulatory Conditions0
20. Intellectual Disability2
21. Mental Illness6
22. Multiple Sclerosis0
23. Muscular Dystrophy0
24. Muscular/Skeletal Impairment0
25. Neurological Disorders/Impairment0
26. Orthopedic Impairments5
27. Personality Disorders0
28. Respiratory Disorders/Impairment0
29. Skin Conditions0
30. Specific Learning Disabilities (SLD)5
31. Speech Impairments0
32. Spina Bifida0
33. Substance Abuse (Alcohol or Drugs)0
34. Other Disability0
35. Total (Sum of Lines D1through D34. Total must equal Part II, Line A3.)35

E. Types of Individual Served

Multiple responses permitted.

1. Applicant of VR6
2. Individual eligible for VR services currently on a wait list0
3. Individual eligible for VR services not currently on a wait list25
4. Applicant or individual eligible for Independent Living3
5. Transition student/High school student0
6. All other applicants or individuals eligible for other programs or projects funded unther Rehabilitation Act1

Part IV. Systemic Activities and Litigation

A. Non-Litigation Systemic Activities

The general VR agency previously only provided materials and forms such as IPE—1, 2, and 3 to clients in English and cited Iowa’s English Language Law. Because of the important goal to provide services to diverse populations who may or may not speak other languages, as well as the Rehab Act regulations, CAP worked with VR administration to change policy so that materials are provided in the native language of the client as needed. Now clients with disabilities who speak languages other than English can access materials in the language of their preference. This will benefit clients by ensuring that they understand the materials and can make informed decisions.

1. Number of non-litigation systemic activities not involving individual representation that resulted in the change of one or more policy or practice of an agency.1
2. Describe the systemic activities conducted by CAP during the fiscal year and its impact on other agency's policies or practices.

B. Litigation

1. Total number of CAP cases requiring litigation involving individual representation resulting in, or with the potential for, systemic change.
a. Number of cases requiring litigation involving individual representation filed during fiscal year.0
b. Number of on-going cases pending at start of fiscal year (carryover from prior fiscal year).0
c. Number of cases resolved through litigation during fiscal year.0
2. Describe the agency's on-going and completed systemic litigation activities involving individual representation.

Part V. Agency Information

A. Designated Agency

1. Agency Type (select only one option) External-other public agency
2. Name of designate agencyDepartment of Human Rights, Office of Persons with Disabilities
3. Is the designated agency contracting CAP services?No
4. If yes, name of contracting agency:N/A

B. Staff Employed

Provide a description of all CAP positions (see instructions)

1.48 person—years 1 FTE fully dedicated (Page Eastin, CAP Director) 2 FTE allocated partial time under the CAP grant 1 PTE 3,082 hours

Part VI. Case Examples

Provide some examples of some interesting cases during the past fiscal year.

Case 1 "Rita" was a client served by the Blind VR Agency. In addition to being blind she also had an electromagnetic sensitivity and could not be near any electronic devices. She was working from home in sales for an environmentally—friendly paint company and completed her duties by making phone calls and selling paint to business owners. Rita paid a personal assistant who worked remotely to perform research, clerical tasks and other duties that required the use of a computer. Rita contacted CAP because her counselor was telling her she was not going to continue funding the personal assistant services. CAP was able to get the VR agency for the blind to agree to fund the personal assistant under Reader Services for 8 weeks. CAP and the VR counselor helped identify grants that Rita could pursue beyond the 8 weeks that VR provided so she could maintain her personal assistant and keep her job.

Case 2 19 year—old "Luke" applied for VR services through the general agency and was placed on a waiting list for 6 months. Upon coming off the waiting list, the counselor immediately re—evaluated his eligibility and switched it to MSD though nothing related to his disability or living situation had changed. This was frustrating because it appeared that careful consideration had not been given during the initial eligibility determination since nothing had changed to warrant the switch from SD to MSD. The counselor decided that a facility—based work assessment was necessary so she authorized that service. The client’s mother was not supportive of the facility—based work assessment because the client had work experience in the community and was seeking competitive, integrated employment. However, the counselor proceeded because the client’s mom was not his guardian and the client himself didn’t object. This was frustrating because the mother was acting as an advocate for her son and the client wanted his mother’s involvement though he did not always how how to express it to the counselor. The client was placed on a waiting list with the CRP and waited for 6 months. During that 6 months he was charged with a sexual offense so the CRP refused to work with him because he would be around other dependent adults in the facility—based setting. This is frustrating because VR was not providing any services to the client while he waited for the CRP. Had he been working on job seeking skills with his counselor he may never have committed the sex offense in the first place. Side Note: he was texting with a girl who was 17 (he is 19) and she sent a nude photograph to him which is why he was charged. VR closed Luke’s file citing that there were no services that could be provided since the CRP’s wouldn’t work with a sex offender. CAP intervened and worked with VR to get them to focus on competitive, integrated employment for Luke and emphasized that a sex offense does not negate an individual’s need for VR services. As a result, Luke was assigned to the supervisor’s case load and has a vocational goal that is competitive and community—based. CAP used this example to demonstrate to VR that even though at the time facility—based work assessments were an option the first choice should always be to explore community—based employment. CAP also worked with VR administration to identify geographic areas of concern where clients are facing lengthy waiting times for CRP services.

Certification

Reports are to be submitted to RSA within 90 days after the end of the fiscal year covered by this report. Please be reminded that you can enter data directly into RSA's website via the internet. Information on transmittal of the form is found on pages 19 and 20 of the reporting instructions.

Name of Designated Agency OfficialPage Eastin
Title of Designated Agency OfficialExecutive Officer 1/CAP Director
Date Signed12/03/2015