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

Iowa (IOWA DEPT OF HUMAN RIGHTS - Office with Person with Disabilities) - H161A170016 - FY2017

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 Phone800-652-4298

Part I. Non-case Services

A. Information and Referral Services (I&R)

Multiple responses are not permitted.

1. Information regarding the vocational rehabilitation (VR) program4
2. Information regarding independent living programs3
3. Information regarding American Indian VR Service projects0
4. Information regarding Title I of the ADA18
5. Other information provided336
6. Information regarding CAP0
7. Total I&R services provided (Lines A1 through A6)361

B. Training Activities

10/6/16 Topics: WIOA Changes to VR & CAP Overview Purpose: Inform staff of WIOA changes and CAP services Description of Attendees: VR Staff

10/10/16 Topics: Overview of VR and CAP services Purpose: To inform community partners of VR and CAP services Description: Community providers

10/27/16 Topics: WIOA Changes to VR & CAP Overview Purpose: Inform staff of WIOA changes and CAP services Description: VR Staff

12/6/16 Topics: CAP Overview Purpose: Inform partners of CAP services and role Description: SRC members

12/7/16 Topics: CAP Overview Purpose: Inform partners of CAP services and role Description: Independent Living staff

12/15/16 Topics: CAP, WIOA, VR Purpose: Inform providers of WIOA, CAP and VR Description: Community providers

1/10/17 Topics: WIOA Changes to VR & CAP Overview Purpose: Inform staff of WIOA changes and CAP services Description: VR Staff

3/14/17 Topics: CAP Cases Overview Purpose: Inform partners of CAP cases and role within SRC Description: SRC members

6/6/17 Topics: CAP Cases Overview Purpose: Inform partners of CAP cases and role within SRC Description: SRC members

6/26/17 Topics: Competitive Integrated Employment & WIOA Purpose: To inform providers about Employment 1st, VR and WIOA Description: Community providers and professionals

7/11/7 Topics: Overview of WIOA, VR and CAP services Purpose: To inform community partners of WIOA, VR and CAP services Description: Community providers

7/19/17 Topics: ADA Title I Purpose: To inform advocates of the employment rights of individuals with disabilities Description: Community providers

8/7/17 Topics: ADA Title I Purpose: To inform advocates of the employment rights of individuals with disabilities Description: Community providers

9/2/17 Topics: CAP, WIOA, VR Purpose: Inform providers of WIOA, CAP and VR Description: Community providers

9/13/17 Topics: CAP Cases Overview Purpose: Inform partners of CAP cases and role within SRC Description: SRC members

9/20/17 Topics: WIOA, VR and CAP services Purpose: To inform individuals of their rights Description: persons with disabilities

9/27/17 Topics: Overview of CAP services Purpose: Inform staff of CAP services Description of Attendees: VR Staff

1. Number of training sessions presented to community groups and public agencies.17
2. Number of individuals who attended these training sessions.337
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 provided written materials in Spanish as well as English. CAP published a blog focused on disability and employment with specific focus on minority rehabilitation. CAP provided outreach specifically to the following communities: Deaf, African American, Asian and Pacific Islanders and Latinos.

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 Agency3
4. Publications/Booklets/Brochures Disseminated by the Agency8700
5. Number of Times CAP Exhibited at Conferences, Community Fairs, etc.4
6. Other (specify below)0

E. Information Disseminated About Your Agency By External Media Coverage

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

CAP information was published in an Employment 1st: A Family Perspective publication. CAP information was featured in the Iowa Able Foundation monthly newsletter. CAP information was featured in the UCED resource directory Iowa Compass.

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)6
2. Additional individuals who were served during the year24
3. Total individuals served (Lines A1+A2)30
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.)5

B. Problem areas

Multiple responses permitted.

1. Individual requests information4
2. Communication problems between individual and VR counselor7
3. Conflict about VR services to be provided8
4. Related to VR application/eligibility process3
5. Related to assignment to order of selection priority category1
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
13
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 ADA4

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 Assistance7
2. Investigation/Monitoring3
3. Negotiation12
4. Mediation and other methods of Alternative Dispute Resolution0
5. Administrative / Informal Review3
6. Formal appeal / Fair Hearing0
7. Legal remedy / Litigation0
8. Total25

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 favor22
2. Some issues resolved in individual's favor (when there are multiple issues)1
3. CAP determines VR agency position/decision was appropriate for the individual0
4. Individual's case lacks legal merit; (inappropriate for CAP intervention)0
5. Individual chose alternative representation0
6. Individual withdrew complaint0
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 CAP1
10. CAP unable to take case due to lack of resources0
11. Conflict of interest0
12. Other (Please explain below)0

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 individual2
2. Application for services completed1
3. Eligibility determination expedited2
4. Individual participated in evaluation1
5. IPE developed/implemented/Services Provided11
6. Communication re-established between individual and other party1
7. Individual assigned to new counselor/office3
8. Alternative resources identified for individual2
9. ADA/504/EEO/OCR complaint made2
10. Other (Please explain below)0

Part III. Program Data

A. Age

Multiple responses not permitted.

1. Up to 181
2. 19 - 247
3. 25 - 409
4. 41 - 6413
5. 65 and over0
6. Total (Sum of Lines A1 through A5. Total must equal Part II, Line A3.)30

B. Gender

Multiple responses not permitted.

1. Females15
2. Males15
3. Total (Lines B1+B2. Total must equal Part II, Line A3.)30

C. Race/ethnicity of Individuals Served

1. Hispanic/Latino of any race (for individuals who are non-Hispanic/Latino only)1
2. American Indian or Alaskan Native0
3. Asian0
4. Black or African American4
5. Native Hawaiian or Other Pacific Islander0
6. White24
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/ADHD0
3. AIDS/HIV0
4. Amputations or Absence of Extremities0
5. Arthritis or Rheumatism1
6. Anxiety Disorder0
7. Autism Spectrum Disorder1
8. Autoimmune or Immune Deficiencies (excluding AIDS/HIV)0
9. Blindness (Both Eyes)7
10. Other Visual Impairments (Not Blind)0
11. Cancer0
12. Cerebral Palsy2
13. Deafness2
14. Hard of Hearing/Hearing Impaired (Not Deaf)0
15. Deaf-Blind0
16. Diabetes0
17. Digestive Disorders0
18. Epilepsy0
19. Heart & Other Circulatory Conditions0
20. Intellectual Disability3
21. Mental Illness7
22. Multiple Sclerosis0
23. Muscular Dystrophy0
24. Muscular/Skeletal Impairment0
25. Neurological Disorders/Impairment2
26. Orthopedic Impairments1
27. Personality Disorders0
28. Respiratory Disorders/Impairment0
29. Skin Conditions0
30. Specific Learning Disabilities (SLD)4
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.)30

E. Types of Individual Served

Multiple responses permitted.

1. Applicant of VR4
2. Individual eligible for VR services currently on a wait list1
3. Individual eligible for VR services not currently on a wait list25
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

Career Counseling & Information and Referral IVRS (Iowa General) opted to rely on case managers to provide the career counseling and information and referral services required under Section 511. CAP identified that case managers are not employment specialists trained in the provision of counseling services and advocated in partnership with several other disability advocacy groups for qualified counselors to provide the staff. Ultimately, IVRS contracted with the Iowa Coalition for Integration and Employment to provide the services.

Post-Secondary Training CAP identified that IVRS (Iowa General) was paying just 40% of the lowest in-state tuition rate for VR clients receiving post-secondary training. CAP identified the federal regulations that were being violated and the IVRS Administrator sought clarification from RSA which ultimately resulted in a policy change.

Referral vs Application for VR services IVRS (Iowa General) had an influx of referrals from sheltered workshop (CRP) providers due to the implementation of Section 511 under WIOA. IVRS implemented a practice that requires guardian signature at referral. CAP identified that referral is different than application and IVRS ultimately changed the policy so that guardian signature is preferred at referral but only required at application.

Peer-Mentoring, Self-Advocacy and Self-Determination Training CAP initiated a workgroup comprised of advocates and directors of the centers for independent living to address the gap in services for self-advocacy and self-determination training and peer-mentoring in Iowa. CAP contacted People First of Washington who graciously shared their curriculum Making Your Own Greatness. Independent Living Center staff agreed to provide this service to Iowans.

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.4
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 agencyIowa Dept. 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)

CAP Director: 1.0 Supporting Staff Executive Officer 3: .04 Secretary: .07 Administrative Intern 1: .16 Administrative Intern 2: .08 There is one full time equivalent employee (CAP Director) and 3 supporting staff positions, none of which are full-time. The Administrative Interns are not employed at the same time.

Part VI. Case Examples

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

C.R. is a youth who was employed in a sheltered workshop but wanted to work in the community. She has a guardian who lives out of state and is difficult to access. C.R. wanted to work in the community and earn a living wage so she was referred to VR. VR refused to process her application because she the guardian had not signed it. VR requires client and guardian (when applicable) to sign the application for services as well as a VR counselor. This allows the agency to control the start clock for processing application and determining eligibility. Because C.R.’s guardian was not accessible, she had to wait a significant amount of time before VR would provide services. Ultimately, CAP was able to get the guardian’s signature and C.R. began receiving VR services.

S.C. is a woman who has a psychiatric disability. Due to the nature of her disability she needed a service animal in order to work in the community. S.C. and her counselor submitted a request for funding to the area supervisor who failed to make a decision for 10 months. CAP got involved and the administrator granted the request because the supervisor had failed to do so. CAP requested that the service animal be purchased under Other Goods and Services and the Administrator agreed. S.C. got her service dog and became employed. Following this case, the VR agency implemented a policy that states, “ÍVRS does not purchase service animals”. CAP is now working to address this issue as it arbitrarily places a categorical limit on a service that some individuals may need.

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 OfficialCAP Director
Date Signed10/25/2017