|Name||Kentucky Protection and Advocacy|
|Address||100 Fair Oaks Lane|
|Address Line 2||Suite 302|
|Name of P&A Executive Director||Marsha Hockensmith|
|Name of PAIR Director/Coordinator||Jan Powe|
|Person to contact regarding report||Jan Powe|
|Contact Person phone||502-564-2967|
Multiple responses are not permitted.
|1. Individuals receiving I&R within PAIR priority areas||428|
|2. Individuals receiving I&R outside PAIR priority areas||48|
|3. Total individuals receiving I&R (lines A1 + A2)||476|
|1. Number of trainings presented by PAIR staff||18|
|2. Number of individuals who attended training (approximate)||592|
|1. Radio and TV appearances by PAIR staff||20|
|2. Newspaper/magazine/journal articles||10|
|3. PSAs/videos aired||20|
|4. Hits on the PAIR/P&A website||240,847|
|5. Publications/booklets/brochures disseminated||977|
|6. Other (specify separately)||0|
Count individual once per FY. Multiple counts not permitted for lines A1 through A3.
|1. Individuals still served as of October 1 (carryover from prior FY)||34|
|2. Additional individuals served during the year||50|
|3. Total individuals served (lines A1 + A2)||84|
|4. Individuals w. more than 1 case opened/closed during the FY. (Do not add this number to total on line A3 above.)||84|
Carryover to next FY may not exceed total on line II. A.3 above 34
|1. Architectural accessibility||2|
|3. Program access||2|
|5. Government benefits/services||2|
|8. Assistive technology||1|
|10. Health care||11|
|12. Non-government services||1|
|13. Privacy rights||0|
|14. Access to records||1|
|1. Issues resolved partially or completely in individual favor||61|
|2. Other representation found||1|
|3. Individual withdrew complaint||2|
|4. Appeals unsuccessful||0|
|5. PAIR Services not needed due to individual's death, relocation etc.||5|
|6. PAIR withdrew from case||9|
|7. PAIR unable to take case because of lack of resources||0|
|8. Individual case lacks legal merit||6|
List the highest level of intervention used by PAIR prior to closing each case file.
|1. Technical assistance in self-advocacy||1|
|2. Short-term assistance||22|
|5. Mediation/alternative dispute resolution||1|
|6. Administrative hearings||9|
|7. Litigation (including class actions)||0|
|8. Systemic/policy activities||1|
|1. 0 - 4||1|
|2. 5 - 22||40|
|3. 23 - 59||30|
|4. 60 - 64||3|
|5. 65 and over||10|
Multiple responses not permitted.
|1. Hispanic/Latino of any race||2|
|2. American Indian or Alaskan Native||0|
|4. Black or African American||17|
|5. Native Hawaiian or Other Pacific Islander||0|
|7. Two or more races||2|
|8. Race/ethnicity unknown||4|
Multiple responses not permitted.
|2. Parental or other family home||48|
|3. Community residential home||0|
|4. Foster care||2|
|5. Nursing home||11|
|6. Public institutional living arrangement||1|
|7. Private institutional living arrangement||3|
|8. Jail/prison/detention center||6|
|10. Other living arrangements||1|
|11. Living arrangements not known||1|
Identify the individual's primary disability, namely the one directly related to the issues/complaints
|1. Blind/visual impairment||1|
|2. Deaf/hard of hearing||1|
|4. Orthopedic impairment||8|
|5. Mental illness||0|
|6. Substance abuse||0|
|7. Mental retardation||7|
|8. Learning disability||5|
|9. Neurological impairment||9|
|10. Respiratory impairment||0|
|11. Heart/other circulatory impairment||5|
|12. Muscular/skeletal impairment||4|
|13. Speech impairment||1|
|15. Traumatic brain injury||0|
|16. Other disability||38|
|1. Number of policies/practices changed as a result of non-litigation systemic activities||0|
|2. Number of individuals potentially impacted by policy changes||874,000|
Describe your systemic activities. Be sure to include information about the policies that were changed and how these changes benefit individuals with disabilities. Include case examples of how your systemic activities impacted individuals served.
The Kentucky Department of Education (KDE) met with Protection and Advocacy (P&A) concerning an increase in the restraint and seclusion of students with disabilities. KDE was extremely concerned by P&A’s reports of: • A student being nearly asphyxiated while being restrained • A student vomiting from panic attacks, while spending most of an academic year confined to a closet, with no ventilation or outside source of light,
• Instances of restraint and seclusion resulting in the deaths of children in Georgia, Michigan, Texas and Wisconsin, • An overall increase over the past three years in inappropriate restraint and seclusion of students with disabilities These situations were alarming to KDE especially over P&A’s report that several Kentucky districts cite the lack of state laws or regulations on restraint and seclusion to justify cases of restraint and seclusion misuse. Although the Division of Learning Services (DLS) had not yet received formal complaints related to the conduct of the districts noted above, P&A had investigated situations involving restraint and seclusion twice during the past five months. DLS has used the IDEA formal complaint process to cite a district for a denial of FAPE due to use of a dangerous restraint. DLS has also ordered a district to cease and desist using a seclusion room until such time as DLS approves district policies for using the room. Districts must no longer risk emotional and physical harm and even the possibility of death to student s who are subjected to dangerous restraints and inappropriate seclusion. Because of these latest developments across the state, KDE is no longer only asking districts to comply with our guidance on restraints and seclusion, but are now forced to require districts’ compliance with these standards through the enforcement mechanisms in IDEA, as well as with anticipated promulgation of regulations protecting all students.
Citizen Review Panels were formed through a 1996 amendment to the federal Child Abuse and Prevention Treatment Act (CAPTA). KY has three CRP panels. A member of P&A serves on the Statewide CRP. During 2011 the panel reviewed KY’s child welfare policy regarding family team meetings and case plan. The panel was able to identify and make recommendations to ensure consistency and to encourage community partnerships throughout the case planning process.The panel also began to look at the issue of status offenders who are committed to DCBS (Dept. of Community Based Services) and DJJ (Dept. of Juvenile Justice). This is an important issue for P&A due to a significant number of youth who are charged with status offenses are often youth with disabilities. The Statewide CRP has made a commitment to bringing about changes to the current status offender laws in KY.
Kentucky P&A requested policies and procedures regarding law enforcement and their interaction with people with disabilities. Policies and procedures were received from two of the largest counties in the State, Covington and Lexington. The largest County in the State, Louisville Metro Police Department (LMPD), requested a meeting with a P&A representative. As a result of the meeting Kentucky P&A staff attended a week long CIT (crisis intervention training) with a cadet class and P&A was asked to participate on a panel and to give feedback to participants at the training. Kentucky P&A now participates in every CIT training conducted by LMPD. CIT participants are not only members of LMPD but also participate in thirteen surrounding jurisdictions/agencies, including county sheriffs, University police departments, and security for public hospitals.
|1. Number of individuals potentially impacted by changes as a result of PAIR litigation/class action efforts||874,000|
|2. Number of individuals named in class actions||0|
Describe your litigation/class action activities. Explain how individuals with disabilities benefited from your litigation activities. Be sure to include case examples that demonstrate the impact of your litigation.
A significant issue for education continues to be disproportionality in discipline for students with disabilities, students who are African American and for African Americans students with disabilities. A coalition of organizations, Protection & Advocacy, Children’s Law Center, Southern Poverty Law Center, and the Legal Aid Society came together to discuss the issues and develop solutions. Working with Professor Brea Perry, University of Kentucky, the top ten worst offender school districts in Kentucky were identified. Those districts were Christian, Fayette, Jefferson, Hardin, Hopkins, Kenton, Madison, Paducah Independent, and Warren. These efforts have resulted in Fayette County School District and Children’s Law Center signing an agreement to use Positive Behavior Inventions Supports (BPIS) throughout the district, review and revise the code of student conduct, seek participation from the community, maintain data, and engage an independent advisor for BPIS. P&A, the Children’s Law Center, and the Southern Poverty Law Center meet with Commissioner Terry Holliday, Kentucky Department of Education (KDE) and superintendents from Christian, Hardin, Hopkins, Kenton, Madison, Paducah Independent, and Warren.
Jefferson County was not in attendance. From the meeting KDE and the eight districts have agreed to implement PBIS. P&A, Children’s Law Center, the Southern Poverty Law Center, and Legal Aid Society met with the Jefferson Public School District superintendent and staff several times. The meetings were not fruitful. On May 20, 2011, the coalition organizations filed a class complaint with the U.S Department of Education, Office of Civil Rights (OCR) against the Jefferson County Public School District alleging disability discrimination under Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act. The complaint is currently being investigated by OCR.
P&A Status Offenses P&A began work on finding solutions to juvenile justice issues affecting youth with disabilities. The previous year, P&A with several other entities documented the over use of juvenile justice detention - secured placement for status offenders. Kentucky has led the nation for over a decade in the number of youth detained for status offenses. In addition to the over use of detention, we identified that substantial numbers of student with disabilities were being charged with status offense by school districts. Several initiatives were undertaken. Presentations were developed about the over use of school districts filing status charges against students with disabilities, the over use of secured detention for status offenders, the effects of detention, and community alternatives. The following is a list of these activities. • Presented two workshops on status offenses to 150 individuals • Legislation developed and introduced in the 2010 General Assembly amending the law on status offense. The bill failed to pass but will be introduced again in the 2011 General Assembly • New KY Supreme Court rules of practice and procedure were developed and presented for status offenses. • Key points of both status law and rules of practice including appointing counsel, establishing time limitations for valid court orders, procedures for school districts to follow when filing status charges, and specific direction on using the least restrictive, community before using secured detention. Our work on status offenses will continue into the next year. We will work to pass amendments to status offense law. We will urge the Supreme Court to pass the new rules and procedures for status offense. These two changes to the law and practice rules are expected to have a significant effect on reducing the number of status charges and the number of status offenders placed in secured detention.
For each of your PAIR program priorities for the fiscal year covered by this report, please:
FY 2011 PAIR PRIORITIES I. Abuse/Neglect— P & A will investigate all serious injuries, including death, sustained during the use of restraint/seclusion at schools or other facilities/community programs providing services to individuals with disabilities. P & A will conduct 3 secondary investigations of allegations of abuse/neglect, including exploitation and 1 primary investigation. P & A will create an internal Abuse/Neglect work group charged with developing a protocol for the agency’s response to allegations of A/N and exploitation. The team will also review/track incident reports for trends/patterns/other that may need intervention from P & A. P & A will participate in regional meetings, held on a quarterly basis, between the Office of the Inspector General (OIG), Department for Community Based Services (DCBS), Long Term Care Ombudsman Office, state guardianship services and the Attorney General’s office.
There were six cases opened under this priority.
CASE STORY SA died on June 13, 2011 while living in a residential supported community placement. Initially, staff and the home said that another resident had choked SA. KY P&A has represented both of these individuals in the past and immediately became suspicious of the report; for starters, SA out weighed the alleged perpetrator by a 100 pounds or more and in such a small setting, staff should have heard the incident. The autopsy report indicated that SA had not been choked but beaten and kicked to death. The alleged perpetrator was released and a staff person from the home was indicted for the murder of SA.
Olmstead/Community Integration— P & A will represent 7 persons *institutionalized or at risk of institutionalization to ensure they have access to services/supports in the most integrated living arrangement. P&A will analyze the data received from the Personal Care Home survey tool used in Region I monitoring to determine the means to address the issues found there and to examine all potential remedies encountered by our eligible clients. P&A will continue to monitor the state’s implementation of MFP (Money Follows the Person), also known as Kentucky Transitions and will address issues/problems/barriers discovered.
There were two cases opened this priority.
CASE STORY P&A got a call from JS who was living in a personal care home. JS wanted to leave and get his own apartment but the facility would not allow him to leave. P&A determined that JS did not have a guardian and was living in the home because that is where his wife had sent him some years ago. The home thought that the wife was the legal guardian who had the right to make placement decisions for JS and that is why they opposed him leaving. After P&A explained this to the home, JS moved into his own apartment the next day. On a side note, he also filed for divorce on that day too.
Education P & A will deliver presentations about IDEA, 504, and the role of P & A to school personnel/administrators at (4) school districts across the state. P&A will represent 3 children/youth whose educational rights have been violated in one of the following areas: 1) failure to identify/evaluate 2) inappropriate use of Response to Intervention 3) inappropriate drafting or implementation of an Individual Education Plan 4) failure to place in the Least Restrictive Environment 5) failure to provide necessary or related services 6) failure to provide appropriate post-secondary/Independent Living transition services 7) failure to provide appropriate inter-program transition (i.e. hospital to home and vice versa; between districts or schools; or between placements or 8) inappropriate use of discipline (Restraint/Seclusion, expulsion, suspension) or imposed absence of a legally compliant manifestation determination hearing. P & A will gather data and investigate the use of Functioning Mentally Disabled classrooms in Kentucky.
There were ten cases opened under this priority.
CASE STORY BD was diagnosed with diabetes and within the week, the school was demanding that he transfer as they had no nurse on duty to assist with injections or blood sugar monitoring. The mother was told that she was to transfer him immediately and that if he did not show up at the new school, his absence would be counted against him. Since BD had an IEP in place, the legal director at P&A reminded the school principal that no change in placement could occur before and ARC was convened. With the assistance of P&A, an ARC was convened and the school was informed that since the district has a nurse on duty and she only has to monitor his blood level after lunch, BD should be allowed to stay in his home school district. After much dissension by the school, BD was allowed to remain and he continues to do well health wise and educationally.
CRIMINAL JUSTICE P & A will deliver 5 live presentations about IDEA and/or 645 and/or 202A and/or alternatives to guardianship to public defenders and judges and will develop distance learning modules about IDEA and/or 645 and/or 202A and/or alternatives to guardianship and post presentations about each of these topics on our website/U Tube. P & A will provide technical assistance to the Department of Public Advocacy attorneys representing youth or adults with disabilities who interface with the criminal justice system. P &A will review policies/procedures and existing relationships/collaboration with the Community Mental Health Centers, and training (specific to interfacing with persons with disabilities) for first responders in Fayette, Jefferson, and Northern Kentucky area.
There were seven cases opened under this priority
CASE STORY MB has been confined to the prison for 28 years. During that time, he has had use of a wheelchair because he is not able to stand for long periods of time nor can he walk for long periods of time. Someone at the prison reported that they had seen MB walking around the prison and that he did not appear to need a wheelchair. The wheelchair was confiscated and MB was made to walk form one area to another inconsiderable pain. The prison also told MB that he would need to get another letter from his doctor stating that he was in need of the chair. With the assistance of P&A, the chair was returned. P&A reminded the warden that the original letter documenting the need for the chair was the only document that needed to be considered.
Discrimination Persons with disabilities will have access to goods/services/programs as defined by the American Disability Act including but not limited to: Housing Post Secondary Employment Governmental agencies/entities Programs Service animals P & A will represent at least 5 individuals with disabilities who are discriminated against due to their disability. There were eight cases opened under this priority
CASE STORY JB was injured in a car accident and has mobility issues; he uses a power scooter for traveling distances but generally walks with the assistance of crutches. JB went to Lost River Cave in far Western KY and he was refused admission because the cave staff felt that he would need assistance. Staff from P&A went to the cave to do a site survey and to take the tour. their investigation revealed that the facility itself did not need any modifications and there did not appear to be a valid reason for denying JB access. After consultation with the KY ADA administrator, P&A drafted a letter to the Cave owners outlining our concerns about the lack of accommodations and the responsibility they have in complying with the ADA. As a result of P&A’s intervention, the Cave agreed to revise its policy concerning individuals with mobility issues and allow them the opportunity to take the boat tour.
Outreach P & A will participate in 2 outreach events targeted to veterans and their family members. P & A will participate in 2 outreach events targeted to un/underserved minority/ethnic communities. This will include HDI collaboration (Latino outreach) should they receive the grant. P & A will participate in at least 1 outreach event held by/for each of the following disability groups; Epilepsy, Sickle cell, Alzheimer’s disease, diabetes and Down syndrome P & A will have a presence at 2 events/festivals that are not solely disability focused. P & A will reach out to groups of parents in the rural Bluegrass Region to make them aware of who we are and what we do, including trainings and assistance in establishing their own parent groups. P & A will provide training to at minimum100 youth, parents and others to increase their knowledge of students’ rights under IDEA and 504 P & A will participate on the Post Secondary Opportunities work group, the state Interagency Transition Council, Regional Interagency Transition Teams for both Jefferson county and the Three Rivers Regions, and the Arc of Kentucky “Transitioning Youth from School to Adult life” grant. P & A will hold 3 (total) IEP clinics in the eastern, western, and central areas of the state.
There were six cases opened under this priority
CASE STORY CE is a ten year old fourth grader. She is non-verbal and cannot eat or use the bathroom by herself. When CE came home soaked in urine, the mother, who does not speak English well, attempted to convene an ARC. However, the school cancelled the meeting because they stated they could not get an interpreter. With the involvement of P&A, the school now makes sure that there is an interpreter at any meeting that is requested.
Protect/Promote/Exercise Rights Priority— P & A will provide legal representation to at least 1 individual who expresses an interest in having his/her right to vote restored. P & A will provide technical assistance and/or legal representation to at least 1 individual in guardianship proceedings P & A will develop a pamphlet (use alternatives section from existing guardianship booklet) then work to get the district court clerk’s office and schools to agree to share with individuals/family members when they present/request/file guardianship petition P & A will represent at least 1 youth with disabilities whose rights are violated and who is transitioning out of state custody (includes both DCBS and DJJ committed youth). P&A will participate, in collaboration with other state agencies, nonprofits, and other organizations for youth, in the development of informational tools about transition services for youth with disabilities. There will be a focus on youth committed to state custody (includes both DJJ and DCBS). P & A will explore opportunities to blend the current Aging Out Group driven by P & A with Kentucky Partners in Transition, a collaborative of the Department of Mental Health, Developmental Delay and Substance Abuse to promote youth centered planning through the community mental health centers. The group will also explore possible legislative changes to current statues and work collaboratively with Aplred, a legal services agency, to develop a transition program associated with juvenile and other courts.
There were two cases opened under this priority
CASE STORY OE was living in a personal care home when she contacted P&A. OE wanted assistance in getting her current state guardian removed. According to OE, she had not met the guardian and she was getting no spending money from the guardian. P&A went to court with OE and a local appointed counsel. The guardianship order was terminated and all of her rights were restored. Additionally, with the assistance of P&A, money from the Olmstead housing initiative was made available to OE and she is currently living in her own apartment with community based case management services.
Self-Advocacy project P & A will participate in Project Safe and Accessibility for Everyone (SAFE) planning/educational/outreach/ events. P & A will participate in regional meetings, held on a quarterly basis, between the Offices of the Inspector General (OIG), Department for Community Based Services (DCBS), Long Term Care Ombudsman Office, state guardianship services and the Attorney General’s office.
P&A did not open any PAIR cases under this priority as most of the participants were more ideally covered under other grants administered by P&A.
Please include a statement of priorities and objectives for the current fiscal year (the fiscal year succeeding that covered by this report), which should contain the following information:
Abuse/Neglect The internal abuse/neglect team (IAN) will review type A/B citations, incident reports, and other notices of alleged abuse/neglect/exploitation that we receive and determine further action, including conducting primary or secondary investigations. P&A staff will participate in regional meetings on a quarterly basis with agencies charged with investigating abuse/neglect. These agencies include the Office of the Inspector General, the Department for Community Based Services, Long Term Care Ombudsman, the Attorney General’s office and the State Guardianship office. P&A will educate the public, including legislators, stakeholders and advocacy organizations about the need for an Adult Abuse Registry. P&A will participate in Project Safe and Accessibility for Everyone (SAFE) through planning/education/outreach events and implementation of a needs assessment. P&A will represent eligible clients related to disciplinary actions, including use of restraint/seclusion/time out and cages arising out of the failure of the school to implement or follow a child’s behavior plan. P&A will advocate for the adoption and implementation of rules/policies/procedures by the Kentucky Department of Education (KDE) and/or each school system regarding minimal standards to guide the use of Restraint/Seclusion/Time out in schools P&A will monitor the failure by the Department of Community Based Services (DCBS) and the Office of the Inspector General (OIG) to interview persons with disabilities whether they are victims or witnesses
Olmstead P&A will represent persons institutionalized or at risk of institutionalization to ensure they have access to services and supports in the most integrated living arrangement. P&A will work with other legal advocacy agencies that provide services for children in reference to the Office of Civil rights complaint filed against the Jefferson County Public School system, the largest such group in KY. P&A will track children/youth placed out of state, including those at risk of being placed out of state and represent those children when lack of availability of services within the State is the reason for the out of State placement. P&A will continue monitoring the roll out of Money Follows the Person (MFP) and associated waivers for the MFP population
Education of children and youth Children with disabilities will be provided a free and appropriate education (FAPE) P&A will hold two Individualized Education Plan (IEP) clinics in the Eastern part of the State and one in the Western part of the State. Additionally, P&A will participate in education related transition fairs and deliver the brochure Right or No Right, self-directed IEP training to eligible clients and identify strategies for distributing/show casing the P&A DVD produced in FY2011 P&A will represent children/youth with disabilities by attending IEP or 504 meetings, reviewing records and assisting them in transitioning from school to the adult world P&A will revise agency publications for Partners, How to Negotiate and the one pagers about Functional Behavior Analysis, Developing an IEP, and comparisons between IDEA and 504. P&A will provide training and assistance to the newly established parent group in Scott County, KY
Rights of eligible clients in the criminal justice system P&A will represent adults housed at jail or prison whose rights are violated due to their disability P&A will provide technical assistance on cases to Department of Public Advocacy lawyers representing youth or adults with disabilities who interface with the criminal justice system. P&A will participate with members of the Citizen’s Review Panel and other legal and advocacy agencies to bring about legislative or other changes to the Status Offender Stature specific to children/youth interfacing with the court system but not receiving services from either the Department of Community Based Services of the Department of Juvenile Justice. P&A, in collaboration with the Department of Corrections, the CMHC, ex-offenders, faith based organizations and other interested stake holders, will develop a directory of resources geared toward assisting ex-offenders with disabilities a more successful return to their home community. P&A will negotiate an agreement with the Department of Corrections, the Community Mental Health Centers and other interested stake-holders regarding the distribution of a resource manual for persons with disabilities re-entering the community from incarceration
P&A will deliver presentations about IDEA, and 504 to the Public Defender’s office in an effort to give them information that will help them to represent their children/youth clients when the client is interfacing with the justice system because the schools have failed to provide reasonable accommodations under IDEA or 504 to children/youth and that failure results in the client entering the criminal justice system. P&A will provide information and feedback to law enforcement officers participating in the Crisis Intervention Training held in Jefferson County
Discrimination Persons with disabilities will have access to goods/services/programs as defined under the American Disability Act (ADA) P&A will represent eligible clients who allege discrimination in housing, education, employment, government services programs and financial exploitation. P&A will provide technical assistance and/or legal representation to eligible clients seeking partial or complete restoration of their rights P&A will provide rights training and information about education, guardianship and voting to eligible clients who live in facilities/institutions. Additionally, P&A will deliver presentations about individual rights to guardianship field workers
Outreach Outreach to un/underserved areas that provide services to eligible clients P&A will represent individuals who want their right to vote restored and assist them in getting their status as a ward of the State changed P&A will represent eligible clients from underserved disability, minority or geographic groups/populations P&A will provide information to patients and staff at the Patriot Support Center at Brook Hospital, the Veteran’s unit at Lincoln Trail Hospital and the newly established unit for veterans at Cumberland Hall Hospital. These facilities offer behavioral health services and treatment interventions to help members of the military P&A will participate in one outreach event targeted to elderly persons with disabilities
At a minimum, you must include all of the information requested. You may include any other information, not otherwise collected on this reporting form that would be helpful in describing the extent of PAIR activities during the prior fiscal year. Please limit the narrative portion of this report, including attachments, to 20 pages or less.
The narrative should contain the following information. The instructions for this form outline the information that should be contained in each section.
TOTAL PERSONNEL COSTS---$198,0113.10 Rentals n/otherwise class-1099 rept $166.90 Advertising $133.00 Serv n/otherwise class $1124.02 Expenses rel t/ shows, fair,exp $83.34 Office supplies $712.39 Janitorial $57.34 Food products $511.12 Films and video cassettes $0 In-State travel $ 5341.17 Out of State travel $ 4740.21 Travel for non-state employees $ 284.87 Filing fees and court costs $ 0 Dues/subscriptions $ 738.00 Telephone $ 98.53 Computer services $ 63.54
TOTAL EXPENSES $212066.63 ($1858.63)
There are a total of 3.5 full time PAIR support staff person. While staff members participate on a number of advisory boards and councils via other State agencies, P&A does not have a board or council that is solely devoted to PAIR related activities.
There were no grievances filed under PAIR during this period.
KY P&A and CAP work collaboratively on a number of issues and freely share information that will help both agency better represent our mutual clients. For the last 3 years, P&A and CAP have worked on compiling a resource directory of services available in the state for individuals with disabilities.
KY P&A meets quarterly with the State long-term care program and any other time where we have a mutual interest.
|Signed By||Jan Powe|