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

Nebraska (NEBRASKA DEPT OF EDUCATION - CLIENT ASSISTANCE PROGRAM/DVR) - H161A150028 - FY2015

General Information

Designated Agency Identification

NameNebraska Vocational Rehabilitation
Address301 Centennial Mall South-6th Floor
Address Line 2Box 94987
CityLincoln
StateNebraska
Zip Code68509
E-mail Addressmark.schultz@nebraska.gov
Website Addresshttp://www.cap.ne.gov
Phone402.471.1202
TTY 402.471.3644
Toll-free Phone877.637.3422
Toll-free TTY877.637.3422
Fax402.471.0788

Operating Agency (if different from Designated Agency)

NameNebraska Vocational Rehabilitation
Address301 Centennial Mall South-6th Floor
Address Line 2Box 94987
CityLincoln
Zip Code68509
E-mail Addressmark.schultz@nebraska.gov
Website Addresshttp://www.cap.ne.gov
Phone402.471.1202
TTY402.471.3644
Toll-free Phone877.637.3422
Toll-free TTY877.637.3422
Fax402.471.0788

Additional Information

Name of CAP Director/CoordinatorVictoria Rasmussen
Person to contact regarding reportVictoria Rasmussen
Contact Person Phone402-471-3656

Part I. Non-case Services

A. Information and Referral Services (I&R)

Multiple responses are not permitted.

1. Information regarding the vocational rehabilitation (VR) program63
2. Information regarding independent living programs1
3. Information regarding American Indian VR Service projects0
4. Information regarding Title I of the ADA8
5. Other information provided905
6. Information regarding CAP35
7. Total I&R services provided (Lines A1 through A6)1,012

B. Training Activities

Nebraska VR Offices across the state; CAP process/purpose, VR’s responsibility; VR staff

League of Human Dignity; CAP process/purpose, League responsibility; League IL staff

Nebraska Commission for the Blind and Visually Impaired (NCBVI); CAP process/purpose, Commission responsibility; new staff

NCBVI Center; CAP process/purpose, Center clients

UNL Students with Disability Services; CAP process/purpose, UNL staff

Traumatic Brain Injury; CAP/Hotline process/purpose; Traumatic Brain Injury staff

Disability Rights; CAP/Hotline process/purpose; Disability Rights staff

Huntington Disease Support Group; CAP/Hotline/VR process/purpose; Huntington Disease family members and interested individuals

Salvation Army Omaha; CAP/VR/Hotline process/purpose; Salvation Army staff

Epilepsy Support Group CAP/Hotline/VR process/purpose; Epilepsy family members and interested individuals/some interns

Community Action; CAP/Hotline/VR process/purpose; Community Action staff

Community Connections Interagency Meeting; CAP/Hotline/VR process/purpose; various agencies throughout the area

SASA (Spouse Abuse/Sexual Assault) Crisis Cntr CAP/Hotline/VR process/purpose; Crisis Center staff

1. Number of training sessions presented to community groups and public agencies.27
2. Number of individuals who attended these training sessions.274
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.

Every year CAP obtains a copy of Nebraska VR and NCBVI’s Outreach Plan and from there will do a mailing about CAP to new agencies they have been in contact with. This year Minority Outreach (20 letters mailed; 15 emailed)

For unserved/underserved: Emails to to over 155 agencies

CAP continues to work with the Traumatic Brain Injury Council, and a member of a Latino Committee and Deaf and Hard of Hearing Committee identified as underserved by Nebraska VR and facilitated by Nebraska VR.

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/Journals5
3. PSAs/Videos Aired about the CAP Agency0
4. Publications/Booklets/Brochures Disseminated by the Agency1500
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)2
2. Additional individuals who were served during the year30
3. Total individuals served (Lines A1+A2)32
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.)3

B. Problem areas

Multiple responses permitted.

1. Individual requests information0
2. Communication problems between individual and VR counselor1
3. Conflict about VR services to be provided21
4. Related to VR application/eligibility process8
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
2
7. Related to independent living services0
8. Other Rehabilitation Act-related problems0
9. Non-Rehabilitation Act related
  1. TANF
  2. SSI/SSDI
  3. Housing
  4. Other:
0
10. Related to Title I of the ADA0

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 Assistance6
2. Investigation/Monitoring16
3. Negotiation7
4. Mediation and other methods of Alternative Dispute Resolution0
5. Administrative / Informal Review0
6. Formal appeal / Fair Hearing0
7. Legal remedy / Litigation0
8. Total29

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 favor21
2. Some issues resolved in individual's favor (when there are multiple issues)0
3. CAP determines VR agency position/decision was appropriate for the individual7
4. Individual's case lacks legal merit; (inappropriate for CAP intervention)0
5. Individual chose alternative representation0
6. Individual withdrew complaint1
7. Issue not resolved in clients favor0
8. CAP services not needed due to individual's death, relocation, etc.0
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 individual17
2. Application for services completed0
3. Eligibility determination expedited0
4. Individual participated in evaluation0
5. IPE developed/implemented/Services Provided5
6. Communication re-established between individual and other party4
7. Individual assigned to new counselor/office1
8. Alternative resources identified for individual2
9. ADA/504/EEO/OCR complaint made0
10. Other (Please explain below)

Part III. Program Data

A. Age

Multiple responses not permitted.

1. Up to 181
2. 19 - 244
3. 25 - 4011
4. 41 - 6414
5. 65 and over2
6. Total (Sum of Lines A1 through A5. Total must equal Part II, Line A3.)32

B. Gender

Multiple responses not permitted.

1. Females15
2. Males17
3. Total (Lines B1+B2. Total must equal Part II, Line A3.)32

C. Race/ethnicity of Individuals Served

1. Hispanic/Latino of any race (for individuals who are non-Hispanic/Latino only)3
2. American Indian or Alaskan Native0
3. Asian0
4. Black or African American3
5. Native Hawaiian or Other Pacific Islander0
6. White26
7. Two or more races0
8. Race/ethnicity unknown0

D. Primary disabling condition of individuals served

Multiple responses not permitted.

1. Acquired Brain Injury0
2. ADD/ADHD2
3. AIDS/HIV0
4. Amputations or Absence of Extremities0
5. Arthritis or Rheumatism0
6. Anxiety Disorder0
7. Autism Spectrum Disorder0
8. Autoimmune or Immune Deficiencies (excluding AIDS/HIV)0
9. Blindness (Both Eyes)4
10. Other Visual Impairments (Not Blind)0
11. Cancer0
12. Cerebral Palsy0
13. Deafness1
14. Hard of Hearing/Hearing Impaired (Not Deaf)0
15. Deaf-Blind0
16. Diabetes0
17. Digestive Disorders0
18. Epilepsy1
19. Heart & Other Circulatory Conditions0
20. Intellectual Disability4
21. Mental Illness13
22. Multiple Sclerosis0
23. Muscular Dystrophy0
24. Muscular/Skeletal Impairment0
25. Neurological Disorders/Impairment0
26. Orthopedic Impairments6
27. Personality Disorders0
28. Respiratory Disorders/Impairment0
29. Skin Conditions0
30. Specific Learning Disabilities (SLD)1
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.)32

E. Types of Individual Served

Multiple responses permitted.

1. Applicant of VR8
2. Individual eligible for VR services currently on a wait list24
3. Individual eligible for VR services not currently on a wait list0
4. Applicant or individual eligible for Independent Living0
5. Transition student/High school student0
6. All other applicants or individuals eligible for other programs or projects funded unther Rehabilitation Act0

Part IV. Systemic Activities and Litigation

A. Non-Litigation Systemic Activities

Discovered a client had been waiting 4 months to obtain services from a SE provider. Reminded office directors to share with staff VR has the responsibility to make sure referral has been made, received and an appointment set.

Nebraska VR has Service Specialists who cannot sign the IPE. Reminded office directors to share with staff the Service Specialists have a responsibility to make sure clients understand when they sign the IPE it is pending approval by a Senior VR Specialists.

Discovered staff were not appropriately coding disability transportation for school. Reminded office directors to share with staff recurring public transportation/including accessible transportation is not a disability expense and is included in unmet need.

Worked with office directors on the reasons for denial of room and board, not just that Nebraska VR does not pay for room and board.

Met with employment committee on placement services in rural areas. To make sure clients in rural areas are getting consistent and appropriate placement services.

Nebraska VR clients were making requests for service animals. Nebraska VR did not have a policy or procedure regarding service animals. Advised Nebraska VR to put together a policy/process and this was completed.

Commission for the Blind and Visually Impaired (NCBVI) had the incorrect appeal process on the Independent Living Rights and Responsibilities application handout. Advised NCBVI to change this and this was completed.

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.7
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) Internal to the State VR agency
2. Name of designate agencyNebraska VR
3. Is the designated agency contracting CAP services?No
4. If yes, name of contracting agency:There is no contracting agency

B. Staff Employed

Provide a description of all CAP positions (see instructions)

Nebraska’s CAP consists of a full time Program Director and a part—time Resource Information Specialist. The professional full—time equivalent is 100% of year position filled and 1.0 person—years. The professional part—time equivalent is 100% of year position filled; full—time equivalent is .625 and .6 person—years.

Part VI. Case Examples

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

A client/applicant of VR contacted me stating he was able to advance in employment but needed help with some of the tools. He had went to VR and they denied him stating he has been working for a year he should be able to pay.

In talking further with the client he had only been working for 5 months and they had already advanced him 3 times and for the next advancement he would need tools. He would start working on heating and air conditioning and I researched that employers do not pay for these tools.

I contacted the counselor and reviewed with her VR’s policy:

Career Advancement. If client requests assistance in advancing in a job with the same employer he or she had at the time of successful employment outcome, assess the need for and services required to advance. The advancement should be expected to result in greater pay, more work hours, a promotion, and/or benefits. • What does the client need to advance in employment? • What assistance if any is available from the employer? • What prevents the client from arranging and obtaining that service on their own? • Determine if the services needed are appropriate for post—employment or if the services are complex and comprehensive and thus should be provided as a new employment program case.

I asked the counselor to reconsider this decision based on the policy and to visit with the employer. She said that she would.

Followed up and the tools were purchased for the client.

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 OfficialMark Schultz
Title of Designated Agency OfficialDeputy Director
Date Signed12/21/2015