|Name||Division of Vocational Rehabilitation|
|Address||1237 West Divide Avenue Ste 1A|
|Address Line 2|
|Name||Protection & Advocacy Project|
|Address||400 E. Broadway|
|Address Line 2||Suite 409|
|Name of CAP Director/Coordinator||Teresa Larsen|
|Person to contact regarding report||Teresa Larsen|
|Contact Person Phone||701-328-2950|
Multiple responses are not permitted.
|1. Information regarding the vocational rehabilitation (VR) program||5|
|2. Information regarding independent living programs||1|
|3. Information regarding American Indian VR Service projects||0|
|4. Information regarding Title I of the ADA||0|
|5. Other information provided||1|
|6. Information regarding CAP||2|
|7. Total I&R services provided (Lines A1 through A6)||9|
|1. Number of training sessions presented to community groups and public agencies.||9|
|2. Number of individuals who attended these training sessions.||159|
|3. Describe training presented by the staff. Include the following information:|
Describe the agency's outreach efforts to previously un-served or underserved individuals including minority communities.
CAP staff conducted outreach to the 4 reservations in ND on an ongoing basis. These activities include meeting with Tribal 121 staff. CAP booths were also manned at a Veterans Stand Down.
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 TV||0|
|2. Articles about CAP Featured in Newspaper/Magazine/Journals||0|
|3. PSAs/Videos Aired about the CAP Agency||0|
|4. Publications/Booklets/Brochures Disseminated by the Agency||4000|
|5. Number of Times CAP Exhibited at Conferences, Community Fairs, etc.||9|
|6. Other (specify below)|
Describe the various sources and information disseminated about your agency by an external source.
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)||26|
|2. Additional individuals who were served during the year||23|
|3. Total individuals served (Lines A1+A2)||49|
|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.)||1|
|5. Individual still being served as of September 30 (Carryover to next year. This total may not exceed Line A3.)||30|
Multiple responses permitted.
|1. Individual requests information||0|
|2. Communication problems between individual and VR counselor||10|
|3. Conflict about VR services to be provided||24|
|4. Related to VR application/eligibility process||12|
|5. Related to assignment to order of selection priority category||0|
|6. Related to IPE development/implementation||3|
|7. Related to independent living services||1|
|8. Other Rehabilitation Act-related problems||0|
|9. Non-Rehabilitation Act related||0|
|10. Related to Title I of the ADA||0|
(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 Assistance||13|
|4. Mediation and other methods of Alternative Dispute Resolution||0|
|5. Administrative / Informal Review||0|
|6. Formal appeal / Fair Hearing||0|
|7. Legal remedy / Litigation||0|
(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 favor||15|
|2. Some issues resolved in individual's favor (when there are multiple issues)||3|
|3. CAP determines VR agency position/decision was appropriate for the individual||0|
|4. Individual's case lacks legal merit; (inappropriate for CAP intervention)||1|
|5. Individual chose alternative representation||0|
|6. Individual withdrew complaint||0|
|7. Issue not resolved in clients favor||0|
|8. CAP services not needed due to individual's death, relocation, etc.||0|
|9. Individual not responsive/cooperative with CAP||1|
|10. CAP unable to take case due to lack of resources||0|
|11. Conflict of interest||0|
|12. Other (Please explain below)|
(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 individual||2|
|2. Application for services completed||0|
|3. Eligibility determination expedited||1|
|4. Individual participated in evaluation||1|
|5. IPE developed/implemented/Services Provided||7|
|6. Communication re-established between individual and other party||6|
|7. Individual assigned to new counselor/office||0|
|8. Alternative resources identified for individual||3|
|9. ADA/504/EEO/OCR complaint made||0|
|10. Other (Please explain below)|
Multiple responses not permitted.
|1. Up to 18||0|
|2. 19 - 24||11|
|3. 25 - 40||11|
|4. 41 - 64||24|
|5. 65 and over||3|
|6. Total (Sum of Lines A1 through A5. Total must equal Part II, Line A3.)||49|
Multiple responses not permitted.
|3. Total (Lines B1+B2. Total must equal Part II, Line A3.)||49|
|1. Hispanic/Latino of any race (for individuals who are non-Hispanic/Latino only)||1|
|2. American Indian or Alaskan Native||13|
|4. Black or African American||3|
|5. Native Hawaiian or Other Pacific Islander||0|
|7. Two or more races||0|
|8. Race/ethnicity unknown||0|
Multiple responses not permitted.
|1. Acquired Brain Injury||2|
|4. Amputations or Absence of Extremities||0|
|5. Arthritis or Rheumatism||0|
|6. Anxiety Disorder||0|
|7. Autism Spectrum Disorder||1|
|8. Autoimmune or Immune Deficiencies (excluding AIDS/HIV)||0|
|9. Blindness (Both Eyes)||0|
|10. Other Visual Impairments (Not Blind)||2|
|12. Cerebral Palsy||1|
|14. Hard of Hearing/Hearing Impaired (Not Deaf)||1|
|17. Digestive Disorders||0|
|19. Heart & Other Circulatory Conditions||1|
|20. Intellectual Disability||2|
|21. Mental Illness||17|
|22. Multiple Sclerosis||1|
|23. Muscular Dystrophy||0|
|24. Muscular/Skeletal Impairment||1|
|25. Neurological Disorders/Impairment||0|
|26. Orthopedic Impairments||8|
|27. Personality Disorders||0|
|28. Respiratory Disorders/Impairment||0|
|29. Skin Conditions||0|
|30. Specific Learning Disabilities (SLD)||8|
|31. Speech Impairments||0|
|32. Spina Bifida||0|
|33. Substance Abuse (Alcohol or Drugs)||0|
|34. Other Disability||1|
|35. Total (Sum of Lines D1through D34. Total must equal Part II, Line A3.)||49|
Multiple responses permitted.
|1. Applicant of VR||20|
|2. Individual eligible for VR services currently on a wait list||0|
|3. Individual eligible for VR services not currently on a wait list||22|
|4. Applicant or individual eligible for Independent Living||3|
|5. Transition student/High school student||1|
|6. All other applicants or individuals eligible for other programs or projects funded unther Rehabilitation Act||3|
|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.||0|
|2. Describe the systemic activities conducted by CAP during the fiscal year and its impact on other agency's policies or practices.|
|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.|
|1. Agency Type (select only one option)||Internal to the State VR agency|
|2. Name of designate agency||Vocational Rehabilitation - ND Dept. of Human Services|
|3. Is the designated agency contracting CAP services?||Yes|
|4. If yes, name of contracting agency:||Protection & Advocacy Project|
Provide a description of all CAP positions (see instructions)
The Executive Director (10% FTE); Dir. of Legal Services (5%); Attorney (50%); Advocate (10%); Advocate (40%); Program Director (in—kind for supervision, as needed)
Provide some examples of some interesting cases during the past fiscal year.
Summary 1: Joseph is 56 years of age and lives with his wife. He is legally blind and receives SSDI benefits. Joseph also struggles with depression and anxiety on a daily basis. For employment Joseph works from his home to coordinate a county program. His wife has to help him due to his limited vision and ability to operate his computer. Joseph had an open VR case with an active IPE at the time of this referral. Joseph requested help from CAP because he felt he was being denied Assistive Technology that had been approved in his IPE. Joseph’s VR counselor had initially agreed to purchase a piece of vision technology but later stated that VR could not move forward with the purchase. VR usually purchases AT through a purchase order process in order to link a purchase to a client. Therefore, their expectation is to receive the device and then make an e—payment. In this situation the vendor would not send out the device without payment. VR then determined they could not move forward with the purchase. The CAP advocate worked with VR to research whether VR could pay for the device using the agency’s P—card. The CAP advocate also talked with a current vendor of VR to find out if they could purchase the item and be reimbursed by VR. In the end, VR determined that going through the third party vendor found by CAP was the best option since that would allow them to track the purchase to Joseph. Joseph ultimately received the assistive technology through a third party vendor who then was reimbursed by VR.
Summary 2: Terry is 27 years of age and lives in his own apartment. He has a history of a learning disability, intellectual disability and TBI due to an ATV accident. Terry was referred to CAP by his employment specialist because his VR counselor was refusing to support his chosen vocational goal of becoming a sales assistant at a car dealership. The counselor stated she was denying support for this goal because she felt it was setting him up for failure. She indicated that their psych consult did not feel Terry could do this job due to his TBI. Terry told the CAP advocate that he was going to proceed with a job offer with or without VR support.
The CAP advocate met with the VR counselor to discuss Terry’s choice to pursue the career of working as a sales assistant at a car dealership. The counselor was firm on her position that she could not in good conscious support Terry’s vocational goal choice. The CAP advocate stressed that Terry was going to move forward with or without VR. CAP negotiated an alternative option of using this work site as an assessment under Diagnosis and Evaluation which does not require a plan or a specific vocational goal. The counselor agreed to this option and approved the job coaching for Terry at this work site to identify accommodations, AT and support needed for him to be successful. The job coach assisted Terry for two weeks one on one to complete the training modules for this position. Terry did great in his new position during that two week period. VR is satisfied with the outcome of the evaluation and wrote an IPE supporting the vocational goal.
Summary 3: Curt is a 33 year old gentleman who has a history of substance abuse, mental illness and anger control issues. Since high school Curt has had several employment opportunities that were career oriented. However he lost several jobs due to illegal drug use and for selling drugs. Curt has attempted treatment through two separate facilities but neither worked out. Curt, at the time of this referral, stated he had not used drugs or alcohol for two weeks. He felt he was doing very well. Curt contacted CAP because he was sent a letter stating he was not eligible for VR services because he had "a lack of desire to work". CAP spoke to the VR counselor who indicated he thought there were comments in his file that supported Curt’s lack of desire to work. He also stated that it felt like Curt was just applying for VR services as part of a requirement for another program. CAP stated that it was its understanding that guidance and counseling came after an eligibility determination. CAP informed the VR counselor that Curt has been seeking employment on his own without success which demonstrates the desire to work and a need for support to be successful in securing employment. As a result of CAP services, the VR counselor agreed to take a new application and expedite eligibility. Curt was found eligible within a week and is now working with his VR counselor to identify a vocational goal and develop an IPE.
Summary 4: John is a middle aged farmer who sustained a spinal cord injury in a farm related accident. The resulting paraplegia left John reliant on a power wheelchair for mobility. Due to his injury, John was no longer able to climb the ten to twelve foot ladders used to gain physical access to the farm machinery that he used to plant and harvest his small grain crops with. Accordingly, John felt he had no choice but to discontinue farming and rent out his farm land.
However, after several years, John developed a strong desire to resume farming. He discovered an agricultural manufacturer that sold and installed an elevated lift chair device that could be attached to the bed of his pickup truck. This assistive technology device could be lowered to the ground and lift John ten to twelve feet in the air and allow him to gain physical access to and operate all of his farm machinery once again.
In order to obtain the lift chair, John applied for Vocational Rehabilitation (VR) Services. After VR agreed to help to purchase the device, however, John soon discovered that the purchase agreement did not cover certain essential items as demonstrated in the manufacturer’s video tape. Not included was a remote control device that would allow John to operate the lift chair from the front seat of his pickup truck nor did it provide for the storage unit to house and protect the power wheelchair in the bed of the pickup truck. This storage device protected the power wheelchair from rain and dirt as John drove to and from his fields or to town to acquire necessary supplies for his farming operation.
As a result of the flawed contract, it added thousands of dollars to the original purchase price. At this point, John reached an impasse with VR and he requested Client Assistance Program (CAP) advocacy services and negotiation assistance in order to resolve his VR related concerns.
As a result of CAP services, John’s impasse with VR was resolved to his satisfaction and the essential remote controlled device was acquired and the storage unit issue was resolved. With the acquisition of the truck lift device and essential auxiliary equipment, John has been able to successfully resume his farming career. John noted that that the lift chair worked flawlessly during the last grain harvest.
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 Official||Teresa Larsen|
|Title of Designated Agency Official||Executive Director|