State Plan for the State Vocational Rehabilitation Services Program and
State Plan Supplement for the State Supported Employment Services Program
Nebraska Division of Vocational Rehabilitation State Plan for Fiscal Year 2012 (submitted FY 2011)
2.1 Public participation requirements. (Section 101(a)(16)(A) of the Rehabilitation Act; 34 CFR 361.10(d), .20(a), (b), (d); and 363.11(g)(9))
(a) Conduct of public meetings.
(b) Notice requirements.
(c) Special consultation requirements.
3.1 Submission and revisions of the State Plan and its supplement. (Sections 101(a)(1), (23) and 625(a)(1) of the Rehabilitation Act; Section 501 of the Workforce Investment Act; 34 CFR 76.140; 361.10(e), (f), and (g); and 363.10)
- comprehensive system of personnel development;
- assessments, estimates, goals and priorities, and reports of progress;
- innovation and expansion activities; and
- other updates of information required under Title I, Part B, or Title VI, Part B, of the Rehabilitation Act that are requested by the commissioner.
3.2 Supported Employment State Plan supplement. (Sections 101(a)(22) and 625(a) of the Rehabilitation Act; 34 CFR 361.34 and 363.10)
4.1 Designated state agency and designated state unit. (Section 101(a)(2) of the Rehabilitation Act; 34 CFR 361.13(a) and (b))
(a) Designated state agency.
- There is a state agency designated as the sole state agency to administer the State Plan or to supervise its administration in a political subdivision of the state by a sole local agency.
- The designated state agency is a state agency that is not primarily concerned with vocational rehabilitation or vocational and other rehabilitation of individuals with disabilities and includes a vocational rehabilitation unit as provided in paragraph (b) of this section (Option B was selected/Option A was not selected)
- In American Samoa, the designated state agency is the governor.
(b) Designated state unit.
- If the designated state agency is not primarily concerned with vocational rehabilitation or vocational and other rehabilitation of individuals with disabilities, in accordance with subparagraph 4.1(a)(2)(B) of this section, the state agency includes a vocational rehabilitation bureau, division or unit that:
- is primarily concerned with vocational rehabilitation or vocational and other rehabilitation of individuals with disabilities and is responsible for the administration of the designated state agency's vocational rehabilitation program under the State Plan;
- has a full-time director;
- has a staff, at least 90 percent of whom are employed full-time on the rehabilitation work of the organizational unit; and
- is located at an organizational level and has an organizational status within the designated state agency comparable to that of other major organizational units of the designated state agency.
- The name of the designated state vocational rehabilitation unit is
4.2 State independent commission or State Rehabilitation Council. (Sections 101(a)(21) and 105 of the Rehabilitation Act; 34 CFR 361.16 and .17)
- is responsible under state law for operating or overseeing the operation of the vocational rehabilitation program in the state and is primarily concerned with the vocational rehabilitation or vocational and other rehabilitation of individuals with disabilities in accordance with subparagraph 4.1(a)(2)(A) of this section.
- is consumer controlled by persons who:
- are individuals with physical or mental impairments that substantially limit major life activities; and
- represent individuals with a broad range of disabilities, unless the designated state unit under the direction of the commission is the state agency for individuals who are blind;
- includes family members, advocates or other representatives of individuals with mental impairments; and
- undertakes the functions set forth in Section 105(c)(4) of the Rehabilitation Act and 34 CFR 361.17(h)(4).
4.3 Consultations regarding the administration of the State Plan. (Section 101(a)(16)(B) of the Rehabilitation Act; 34 CFR 361.21)
(a) individuals and groups of individuals who are recipients of vocational rehabilitation services or, as appropriate, the individuals' representatives;
(b) personnel working in programs that provide vocational rehabilitation services to individuals with disabilities;
(c) providers of vocational rehabilitation services to individuals with disabilities;
(d) the director of the Client Assistance Program; and
(e) the State Rehabilitation Council, if the state has a council.
4.4 Nonfederal share. (Sections 7(14) and 101(a)(3) of the Rehabilitation Act; 34 CFR 80.24 and 361.60)
4.5 Local administration. (Sections 7(24) and 101(a)(2)(A) of the Rehabilitation Act; 34 CFR 361.5(b)(47) and .15)
(a) ensures that each local agency is under the supervision of the designated state unit with the sole local agency, as that term is defined in Section 7(24) of the Rehabilitation Act and 34 CFR 361.5(b)(47), responsible for the administration of the vocational rehabilitation program within the political subdivision that it serves; and
(b) develops methods that each local agency will use to administer the vocational rehabilitation program in accordance with the State Plan.
4.6 Shared funding and administration of joint programs. (Section 101(a)(2)(A)(ii) of the Rehabilitation Act; 34 CFR 361.27)
(a) a description of the nature and scope of the joint program;
(b) the services to be provided under the joint program;
(c) the respective roles of each participating agency in the administration and provision of services; and
(d) the share of the costs to be assumed by each agency.
4.7 Statewideness and waivers of statewideness. (Section 101(a)(4) of the Rehabilitation Act; 34 CFR 361.25, .26, and .60(b)(3)(i) and (ii))
(a) Services provided under the State Plan are available in all political subdivisions of the state.
(b) The state unit may provide services in one or more political subdivisions of the state that increase services or expand the scope of services that are available statewide under this State Plan if the:
- nonfederal share of the cost of these services is met from funds provided by a local public agency, including funds contributed to a local public agency by a private agency, organization or individual;
- services are likely to promote the vocational rehabilitation of substantially larger numbers of individuals with disabilities or of individuals with disabilities with particular types of impairments; and
- state, for purposes other than the establishment of a community rehabilitation program or the construction of a particular facility for community rehabilitation program purposes, requests in Attachment 4.7(b)(3) a waiver of the statewideness requirement in accordance with the following requirements:
- identification of the types of services to be provided;
- written assurance from the local public agency that it will make available to the state unit the nonfederal share of funds;
- written assurance that state unit approval will be obtained for each proposed service before it is put into effect; and
- written assurance that all other State Plan requirements, including a state's order of selection, will apply to all services approved under the waiver.
(c) Contributions, consistent with the requirements of 34 CFR 361.60(b)(3)(ii), by private entities of earmarked funds for particular geographic areas within the state may be used as part of the nonfederal share without the state requesting a waiver of the statewideness requirement provided that the state notifies the commissioner that it cannot provide the full nonfederal share without using the earmarked funds.
4.8 Cooperation, collaboration and coordination. (Sections 101(a)(11), (24)(B), and 625(b)(4) and (5) of the Rehabilitation Act; 34 CFR 361.22, .23, .24, and .31, and 363.11(e))
(a) Cooperative agreements with other components of statewide work force investment system.
(b) Cooperation and coordination with other agencies and entities.
- cooperation with and use of the services and facilities of the federal, state, and local agencies and programs, including programs carried out by the undersecretary for Rural Development of the United States Department of Agriculture and state use contracting programs, to the extent that those agencies and programs are not carrying out activities through the statewide work force investment system;
- coordination, in accordance with the requirements of paragraph 4.8(c) of this section, with education officials to facilitate the transition of students with disabilities from school to the receipt of vocational rehabilitation services;
- establishment of cooperative agreements with private nonprofit vocational rehabilitation service providers, in accordance with the requirements of paragraph 5.10(b) of the State Plan; and,
- efforts to identify and make arrangements, including entering into cooperative agreements, with other state agencies and entities with respect to the provision of supported employment and extended services for individuals with the most significant disabilities, in accordance with the requirements of subsection 6.5 of the supplement to this State Plan.
(c) Coordination with education officials.
- Attachment 4.8(b)(2) describes the plans, policies and procedures for coordination between the designated state agency and education officials responsible for the public education of students with disabilities that are designed to facilitate the transition of the students who are individuals with disabilities from the receipt of educational services in school to the receipt of vocational rehabilitation services under the responsibility of the designated state agency.
- The State Plan description must:
- provide for the development and approval of an individualized plan for employment in accordance with 34 CFR 361.45 as early as possible during the transition planning process but, at the latest, before each student determined to be eligible for vocational rehabilitation services leaves the school setting or if the designated state unit is operating on an order of selection before each eligible student able to be served under the order leaves the school setting; and
- include information on a formal interagency agreement with the state educational agency that, at a minimum, provides for:
- consultation and technical assistance to assist educational agencies in planning for the transition of students with disabilities from school to postschool activities, including vocational rehabilitation services;
- transition planning by personnel of the designated state agency and the educational agency for students with disabilities that facilitates the development and completion of their individualized education programs under Section 614(d) of the Individuals with Disabilities Education Act;
- roles and responsibilities, including financial responsibilities, of each agency, including provisions for determining state lead agencies and qualified personnel responsible for transition services; and
- procedures for outreach to students with disabilities as early as possible during the transition planning process and identification of students with disabilities who need transition services.
(d) Coordination with statewide independent living council and independent living centers.
(e) Cooperative agreement with recipients of grants for services to American Indians.
- There is in the state a recipient(s) of a grant under Part C of Title I of the Rehabilitation Act for the provision of vocational rehabilitation services for American Indians who are individuals with disabilities residing on or near federal and state reservations. No
- If "Yes", the designated state agency has entered into a formal cooperative agreement that meets the following requirements with each grant recipient in the state that receives funds under Part C of Title I of the Rehabilitation Act:
- strategies for interagency referral and information sharing that will assist in eligibility determinations and the development of individualized plans for employment;
- procedures for ensuring that American Indians who are individuals with disabilities and are living near a reservation or tribal service area are provided vocational rehabilitation services; and
- provisions for sharing resources in cooperative studies and assessments, joint training activities, and other collaborative activities designed to improve the provision of services to American Indians who are individuals with disabilities.
4.9 Methods of administration. (Section 101(a)(6) of the Rehabilitation Act; 34 CFR 361.12, .19 and .51(a) and (b))
(a) In general.
(b) Employment of individuals with disabilities.
4.10 Comprehensive system of personnel development. (Section 101(a)(7) of the Rehabilitation Act; 34 CFR 361.18)
(a) Data system on personnel and personnel development.
- Qualified personnel needs.
- The number of personnel who are employed by the state agency in the provision of vocational rehabilitation services in relation to the number of individuals served, broken down by personnel category;
- The number of personnel currently needed by the state agency to provide vocational rehabilitation services, broken down by personnel category; and
- Projections of the number of personnel, broken down by personnel category, who will be needed by the state agency to provide vocational rehabilitation services in the state in five years based on projections of the number of individuals to be served, including individuals with significant disabilities, the number of personnel expected to retire or leave the field, and other relevant factors.
- Personnel development.
- A list of the institutions of higher education in the state that are preparing vocational rehabilitation professionals, by type of program;
- The number of students enrolled at each of those institutions, broken down by type of program; and
- The number of students who graduated during the prior year from each of those institutions with certification or licensure, or with the credentials for certification or licensure, broken down by the personnel category for which they have received, or have the credentials to receive, certification or licensure.
(b) Plan for recruitment, preparation and retention of qualified personnel.
(c) Personnel standards.
- standards that are consistent with any national- or state-approved or recognized certification, licensing, registration, or, in the absence of these requirements, other comparable requirements (including state personnel requirements) that apply to the profession or discipline in which such personnel are providing vocational rehabilitation services.
- To the extent that existing standards are not based on the highest requirements in the state applicable to a particular profession or discipline, the steps the state is currently taking and the steps the state plans to take in accordance with the written plan to retrain or hire personnel within the designated state unit to meet standards that are based on the highest requirements in the state, including measures to notify designated state unit personnel, the institutions of higher education identified in subparagraph (a)(2), and other public agencies of these steps and the time lines for taking each step.
- The written plan required by subparagraph (c)(2) describes the following:
- specific strategies for retraining, recruiting and hiring personnel;
- the specific time period by which all state unit personnel will meet the standards required by subparagraph (c)(1);
- procedures for evaluating the designated state unit's progress in hiring or retraining personnel to meet applicable personnel standards within the established time period; and
- the identification of initial minimum qualifications that the designated state unit will require of newly hired personnel when the state unit is unable to hire new personnel who meet the established personnel standards and the identification of a plan for training such individuals to meet the applicable standards within the time period established for all state unit personnel to meet the established personnel standards.
(d) Staff development.
- A system of staff development for professionals and paraprofessionals within the designated state unit, particularly with respect to assessment, vocational counseling, job placement and rehabilitation technology.
- Procedures for the acquisition and dissemination to designated state unit professionals and paraprofessionals significant knowledge from research and other sources.
(e) Personnel to address individual communication needs.
(f) Coordination of personnel development under the Individuals with Disabilities Education Act.
4.11. Statewide assessment; annual estimates; annual state goals and priorities; strategies; and progress reports.
(a) Comprehensive statewide assessment.
- Attachment 4.11(a) documents the results of a comprehensive, statewide assessment, jointly conducted every three years by the designated state unit and the State Rehabilitation Council (if the state has such a council). The assessment describes:
- the rehabilitation needs of individuals with disabilities residing within the state, particularly the vocational rehabilitation services needs of:
- individuals with the most significant disabilities, including their need for supported employment services;
- individuals with disabilities who are minorities and individuals with disabilities who have been unserved or underserved by the vocational rehabilitation program carried out under this State Plan; and
- individuals with disabilities served through other components of the statewide work force investment system.
- The need to establish, develop or improve community rehabilitation programs within the state.
- For any year in which the state updates the assessments, the designated state unit submits to the commissioner a report containing information regarding updates to the assessments.
(b) Annual estimates.
- number of individuals in the state who are eligible for services under the plan;
- number of eligible individuals who will receive services provided with funds provided under Part B of Title I of the Rehabilitation Act and under Part B of Title VI of the Rehabilitation Act, including, if the designated state agency uses an order of selection in accordance with subparagraph 5.3(b)(2) of this State Plan, estimates of the number of individuals to be served under each priority category within the order; and
- costs of the services described in subparagraph (b)(1), including, if the designated state agency uses an order of selection, the service costs for each priority category within the order.
(c) Goals and priorities.
- Attachment 4.11(c)(1) identifies the goals and priorities of the state that are jointly developed or revised, as applicable, with and agreed to by the State Rehabilitation Council, if the agency has a council, in carrying out the vocational rehabilitation and supported employment programs.
- The designated state agency submits to the commissioner a report containing information regarding any revisions in the goals and priorities for any year the state revises the goals and priorities.
- Order of selection.
If the state agency implements an order of selection, consistent with subparagraph 5.3(b)(2) of the State Plan, Attachment 4.11(c)(3):
- shows the order to be followed in selecting eligible individuals to be provided vocational rehabilitation services;
- provides a justification for the order; and
- identifies the service and outcome goals, and the time within which these goals may be achieved for individuals in each priority category within the order.
- Goals and plans for distribution of Title VI, Part B, funds.
Attachment 4.11(c)(4) specifies, consistent with subsection 6.4 of the State Plan supplement, the state's goals and priorities with respect to the distribution of funds received under Section 622 of the Rehabilitation Act for the provision of supported employment services.
- Attachment 4.11(d) describes the strategies, including:
- the methods to be used to expand and improve services to individuals with disabilities, including how a broad range of assistive technology services and assistive technology devices will be provided to those individuals at each stage of the rehabilitation process and how those services and devices will be provided to individuals with disabilities on a statewide basis;
- outreach procedures to identify and serve individuals with disabilities who are minorities, including those with the most significant disabilities in accordance with subsection 6.6 of the State Plan supplement, and individuals with disabilities who have been unserved or underserved by the vocational rehabilitation program;
- as applicable, the plan of the state for establishing, developing or improving community rehabilitation programs;
- strategies to improve the performance of the state with respect to the evaluation standards and performance indicators established pursuant to Section 106 of the Rehabilitation Act; and
- strategies for assisting other components of the statewide work force investment system in assisting individuals with disabilities.
- Attachment 4.11 (d) describes how the designated state agency uses these strategies to:
- address the needs identified in the assessment conducted under paragraph 4.11(a) and achieve the goals and priorities identified in the State Plan attachments under paragraph 4.11(c);
- support the innovation and expansion activities identified in subparagraph 4.12(a)(1) and (2) of the plan; and
- overcome identified barriers relating to equitable access to and participation of individuals with disabilities in the State Vocational Rehabilitation Services Program and State Supported Employment Services Program.
(e) Evaluation and reports of progress.
- The designated state unit and the State Rehabilitation Council, if the state unit has a council, jointly submits to the commissioner an annual report on the results of an evaluation of the effectiveness of the vocational rehabilitation program and the progress made in improving the effectiveness of the program from the previous year.
- Attachment 4.11(e)(2):
- provides an evaluation of the extent to which the goals identified in Attachment 4.11(c)(1) and, if applicable, Attachment 4.11(c)(3) were achieved;
- identifies the strategies that contributed to the achievement of the goals and priorities;
- describes the factors that impeded their achievement, to the extent they were not achieved;
- assesses the performance of the state on the standards and indicators established pursuant to Section 106 of the Rehabilitation Act; and
- provides a report consistent with paragraph 4.12(c) of the plan on how the funds reserved for innovation and expansion activities were utilized in the preceding year.
4.12 Innovation and expansion. (Section 101(a)(18) of the Rehabilitation Act; 34 CFR 361.35)
(a) The designated state agency reserves and uses a portion of the funds allotted to the state under Section 110 of the Rehabilitation Act for the:
- development and implementation of innovative approaches to expand and improve the provision of vocational rehabilitation services to individuals with disabilities under this State Plan, particularly individuals with the most significant disabilities, consistent with the findings of the statewide assessment identified in Attachment 4.11(a) and goals and priorities of the state identified in Attachments 4.11(c)(1) and, if applicable, Attachment 4.11(c)(3); and
- support of the funding for the State Rehabilitation Council, if the state has such a council, consistent with the resource plan prepared under Section 105(d)(1) of the Rehabilitation Act and 34 CFR 361.17(i), and the funding of the Statewide Independent Living Council, consistent with the resource plan prepared under Section 705(e)(1) of the Rehabilitation Act and 34 CFR 364.21(i).
(b) Attachment 4.11 (d) describes how the reserved funds identified in subparagraph 4.12(a)(1) and (2) will be utilized.
(c) Attachment 4.11(e)(2) describes how the reserved funds were utilized in the preceding year.
4.13 Reports. (Section 101(a)(10) of the Rehabilitation Act; 34 CFR 361.40)
(a) The designated state unit submits reports in the form and level of detail and at the time required by the commissioner regarding applicants for and eligible individuals receiving services under the State Plan.
(b) Information submitted in the reports provides a complete count, unless sampling techniques are used, of the applicants and eligible individuals in a manner that permits the greatest possible cross-classification of data and protects the confidentiality of the identity of each individual.
5.1 Information and referral services. (Sections 101(a)(5)(D) and (20) of the Rehabilitation Act; 34 CFR 361.37)
5.2 Residency. (Section 101(a)(12) of the Rehabilitation Act; 34 CFR 361.42(c)(1))
5.3 Ability to serve all eligible individuals; order of selection for services. (Sections 12(d) and 101(a)(5) of the Rehabilitation Act; 34 CFR 361.36)
(a) The designated state unit is able to provide the full range of services listed in Section 103(a) of the Rehabilitation Act and 34 CFR 361.48, as appropriate, to all eligible individuals with disabilities in the state who apply for services. No
(b) If No:
- Individuals with the most significant disabilities, in accordance with criteria established by the state, are selected first for vocational rehabilitation services before other individuals with disabilities.
- Attachment 4.11(c)(3):
- provides a justification for the order of selection; and
- identifies the state's service and outcome goals and the time within which these goals may be achieved for individuals in each priority category within the order.
- Eligible individuals who do not meet the order of selection criteria have access to the services provided through the designated state unit's information and referral system established under Section 101(a)(20) of the Rehabilitation Act, 34 CFR 361.37, and subsection 5.1 of this State Plan.
5.4 Availability of comparable services and benefits. (Sections 101(a)(8) and 103(a) of the Rehabilitation Act; 34 CFR 361.53)
(a) Prior to providing any vocational rehabilitation services, except those services identified in paragraph (b), to an eligible individual or to members of the individual's family, the state unit determines whether comparable services and benefits exist under any other program and whether those services and benefits are available to the individual.
(b) The following services are exempt from a determination of the availability of comparable services and benefits:
- assessment for determining eligibility and vocational rehabilitation needs by qualified personnel, including, if appropriate, an assessment by personnel skilled in rehabilitation technology;
- counseling and guidance, including information and support services to assist an individual in exercising informed choice consistent with the provisions of Section 102(d) of the Rehabilitation Act;
- referral and other services to secure needed services from other agencies, including other components of the statewide work force investment system, through agreements developed under Section 101(a)(11) of the Rehabilitation Act, if such services are not available under this State Plan;
- job-related services, including job search and placement assistance, job retention services, follow-up services, and follow-along services;
- rehabilitation technology, including telecommunications, sensory and other technological aids and devices; and
- post-employment services consisting of the services listed under subparagraphs (1) through (5) of this paragraph.
(c) The requirements of paragraph (a) of this section do not apply if the determination of the availability of comparable services and benefits under any other program would interrupt or delay:
- progress of the individual toward achieving the employment outcome identified in the individualized plan for employment;
- an immediate job placement; or
- provision of vocational rehabilitation services to any individual who is determined to be at extreme medical risk, based on medical evidence provided by an appropriate qualified medical professional.
(d) The governor in consultation with the designated state vocational rehabilitation agency and other appropriate agencies ensures that an interagency agreement or other mechanism for interagency coordination that meets the requirements of Section 101(a)(8)(B)(i)-(iv) of the Rehabilitation Act takes effect between the designated state unit and any appropriate public entity, including the state Medicaid program, a public institution of higher education, and a component of the statewide work force investment system to ensure the provision of the vocational rehabilitation services identified in Section 103(a) of the Rehabilitation Act and 34 CFR 361.48, other than the services identified in paragraph (b) of this section, that are included in the individualized plan for employment of an eligible individual, including the provision of those vocational rehabilitation services during the pendency of any dispute that may arise in the implementation of the interagency agreement or other mechanism for interagency coordination.
5.5 Individualized plan for employment. (Section 101(a)(9) of the Rehabilitation Act; 34 CFR 361.45 and .46)
(a) An individualized plan for employment meeting the requirements of Section 102(b) of the Rehabilitation Act and 34 CFR 361.45 and .46 is developed and implemented in a timely manner for each individual determined to be eligible for vocational rehabilitation services, except if the state has implemented an order of selection, and is developed and implemented for each individual to whom the designated state unit is able to provide vocational rehabilitation services.
(b) Services to an eligible individual are provided in accordance with the provisions of the individualized plan for employment.
5.6 Opportunity to make informed choices regarding the selection of services and providers. (Sections 101(a)(19) and 102(d) of the Rehabilitation Act; 34 CFR 361.52)
5.7 Services to American Indians. (Section 101(a)(13) of the Rehabilitation Act; 34 CFR 361.30)
5.8 Annual review of individuals in extended employment or other employment under special certificate provisions of the fair labor standards act of 1938. (Section 101(a)(14) of the Rehabilitation Act; 34 CFR 361.55)
(a) The designated state unit conducts an annual review and reevaluation of the status of each individual with a disability served under this State Plan:
- who has achieved an employment outcome in which the individual is compensated in accordance with Section 14(c) of the Fair Labor Standards Act (29 U.S.C. 214(c)); or
- whose record of services is closed while the individual is in extended employment on the basis that the individual is unable to achieve an employment outcome in an integrated setting or that the individual made an informed choice to remain in extended employment.
(b) The designated state unit carries out the annual review and reevaluation for two years after the individual's record of services is closed (and thereafter if requested by the individual or, if appropriate, the individual's representative) to determine the interests, priorities and needs of the individual with respect to competitive employment or training for competitive employment.
(c) The designated state unit makes maximum efforts, including the identification and provision of vocational rehabilitation services, reasonable accommodations and other necessary support services, to assist the individuals described in paragraph (a) in engaging in competitive employment.
(d) The individual with a disability or, if appropriate, the individual's representative has input into the review and reevaluation and, through signed acknowledgement, attests that the review and reevaluation have been conducted.
5.9 Use of Title I funds for construction of facilities. (Sections 101(a)(17) and 103(b)(2)(A) of the Rehabilitation Act; 34 CFR 361.49(a)(1), .61 and .62(b))
(a) The federal share of the cost of construction for facilities for a fiscal year does not exceed an amount equal to 10 percent of the state's allotment under Section 110 of the Rehabilitation Act for that fiscal year.
(b) The provisions of Section 306 of the Rehabilitation Act that were in effect prior to the enactment of the Rehabilitation Act Amendments of 1998 apply to such construction.
(c) There is compliance with the requirements in 34 CFR 361.62(b) that ensure the use of the construction authority will not reduce the efforts of the designated state agency in providing other vocational rehabilitation services other than the establishment of facilities for community rehabilitation programs.
5.10 Contracts and cooperative agreements. (Section 101(a)(24) of the Rehabilitation Act; 34 CFR 361.31 and .32)
(a) Contracts with for-profit organizations.
(b) Cooperative agreements with private nonprofit organizations.
Section 6: Program Administration
6.1 Designated state agency. (Section 625(b)(1) of the Rehabilitation Act; 34 CFR 363.11(a))
6.2 Statewide assessment of supported employment services needs. (Section 625(b)(2) of the Rehabilitation Act; 34 CFR 363.11(b))
6.3 Quality, scope and extent of supported employment services. (Section 625(b)(3) of the Rehabilitation Act; 34 CFR 363.11(c) and .50(b)(2))
6.4 Goals and plans for distribution of Title VI, Part B, funds. (Section 625(b)(3) of the Rehabilitation Act; 34 CFR 363.11(d) and .20)
6.5 Evidence of collaboration with respect to supported employment services and extended services. (Sections 625(b)(4) and (5) of the Rehabilitation Act; 34 CFR 363.11(e))
6.6 Minority outreach. (34 CFR 363.11(f))
6.7 Reports. (Sections 625(b)(8) and 626 of the Rehabilitation Act; 34 CFR 363.11(h) and .52)
7.1 Five percent limitation on administrative costs. (Section 625(b)(7) of the Rehabilitation Act; 34 CFR 363.11(g)(8))
7.2 Use of funds in providing services. (Sections 623 and 625(b)(6)(A) and (D) of the Rehabilitation Act; 34 CFR 363.6(c)(2)(iv), .11(g)(1) and (4))
(a) Funds made available under Title VI, Part B, of the Rehabilitation Act are used by the designated state agency only to provide supported employment services to individuals with the most significant disabilities who are eligible to receive such services.
(b) Funds provided under Title VI, Part B, are used only to supplement and not supplant the funds provided under Title I, Part B, of the Rehabilitation Act, in providing supported employment services specified in the individualized plan for employment.
(c) Funds provided under Part B of Title VI or Title I of the Rehabilitation Act are not used to provide extended services to individuals who are eligible under Part B of Title VI or Title I of the Rehabilitation Act.
8.1 Scope of supported employment services. (Sections 7(36) and 625(b)(6)(F) and (G) of the Rehabilitation Act; 34 CFR 361.5(b)(54), 363.11(g)(6) and (7))
(a) Supported employment services are those services as defined in Section 7(36) of the Rehabilitation Act and 34 CFR 361.5(b)(54).
(b) To the extent job skills training is provided, the training is provided on-site.
(c) Supported employment services include placement in an integrated setting for the maximum number of hours possible based on the unique strengths, resources, priorities, concerns, abilities, capabilities, interests and informed choice of individuals with the most significant disabilities.
8.2 Comprehensive assessments of individuals with significant disabilities. (Sections 7(2)(B) and 625(b)(6)(B); 34 CFR 361.5(b)(6)(ii) and 363.11(g)(2))
8.3 Individualized plan for employment. (Sections 102(b)(3)(F) and 625(b)(6)(C) and (E) of the Rehabilitation Act; 34 CFR 361.46(b) and 363.11(g)(3) and (5))
(a) An individualized plan for employment that meets the requirements of Section 102(b) of the Rehabilitation Act and 34 CFR 361.45 and .46 is developed and updated using funds under Title I.
(b) The individualized plan for employment:
- specifies the supported employment services to be provided;
- describes the expected extended services needed; and
- identifies the source of extended services, including natural supports, or, to the extent that it is not possible to identify the source of extended services at the time the individualized plan for employment plan is developed, a statement describing the basis for concluding that there is a reasonable expectation that sources will become available.
(c) Services provided under an individualized plan for employment are coordinated with services provided under other individualized plans established under other federal or state programs.
Required annually by all agencies except those agencies that are independent consumer-controlled commissions.
Identify the Input provided by the state rehabilitation council, including recommendations from the council's annual report, the review and analysis of consumer satisfaction, and other council reports. Be sure to also include:
- the Designated state unit's response to the input and recommendations; and
- explanations for the designated state unit's rejection of any input or recommendation of the council.
Attachment 4.2(c): Summary of Input and Recommendations of the State Rehabilitation Council; Responses of the Designated State Unit and Explanations for Rejection of Inputs and Recommendations
The following summarizes the State Rehabilitation Council’s (SRC) input, recommendations and collaborations with Nebraska Vocational Rehabilitation (VR). The agency agrees with all the recommendations and will take or has taken necessary action to implement.
I. SRC members provided input on many issues including: client satisfaction surveys, IPE booklet, Bridges Out of Poverty project, a proposed video conferencing system, the federal stimulus projects, and the agency’s TBI grant project.
II. Project Search was discussed in depth and VR was encouraged to expand where possible. There were 5 projects as of September 30, 2010. Three of the 5 were funded through the Medicaid Infrastructure Grant.
III. SRC members provided the newly developed VR marketing team ideas for marketing the program. Suggestions included visits to support groups to share VR service information, school parent advisory groups, Omaha Special Education Committee, and interviewing employers recognized during Disability Awareness Month for suggestions on the best way to market to employers. The SRC provided suggestions on ways to reduce printing costs.
IV. SRC members provided input on the agency proposed changes to the Consumer IPE Booklet.
SRC Annual Events
I. Disability Awareness Month - October, 2009: SRC members identified the following employers to receive awards recognizing their efforts to hire individuals with a disability.
Apogee Retail, LLC
Lincoln Action Program
Park ‘N Go Airport Parking
Heartland Family Service
Goodwill Store & Donation Center
II. The SRC hosted a state Legislative luncheon on February 16, 2010 to provide information about VR. This was well attended by State Senators and their staff.
III. Entrepreneur of Year Awards: The Entrepreneur of Year Awards was held on July 14, 2010. Awards were given to four VR clients who have succeeded in their self-employment ventures. In addition, the City Administrator from South Sioux City was presented an SRC Entrepreneurial Spirit Recognition Award for his support and contributions. The Governor participated in the awards ceremony.
I. SRC members recommended the development of a Consumer Input Committee (CIC) and the agency agreed to support its implementation. The CIC was established and comprised of 13 current or recently closed VR clients who agreed to respond to emailed questions. The CAP Director poses the SRC and/or agency questions to the CIC. The input is reported back to the Council and agency. During FY 2010, questions around 3 topics were presented to the CIC:
Consumer accountability in regard to the case service authorizations
Staff dress code
II. The SRC recommended that an Employer Survey be developed to assess the satisfaction of employers who have worked with VR.
The survey of businesses resulted in 60 replies. The results of the survey indicated individual personal contact with businesses by VR staff was very important. Overall, employers were very satisfied with VR placement services. The survey provided valuable information on how VR can effectively work with temporary staffing agencies.
This screen was last updated on Jul 26 2011 9:54AM by sanegwackerc
Identify the types of services to be provided by the program for which the waiver of statewideness is requested.
The waiver request should also include:
- a written assurance from the local public agency that it will make available to the designated state unit the non-federal share of funds;
- a written assurance that designated state unit approval will be obtained for each proposed service before it is put into effect;
- a written assurance that all state plan requirements will apply to all services approved under the waiver.
This screen was last updated on Jun 15 2009 4:08PM by sanegwackerc
Describe interagency cooperation with and utilization of the services and facilities of agencies and programs that are not carrying out activities through the statewide workforce investment system with respect to
- Federal, state, and local agencies and programs;
- if applicable, Programs carried out by the Under Secretary for Rural Development of the United States Department of Agriculture; and
- if applicable, state use contracting programs.
Attachment 4.8(b)(1): Cooperation with Agencies That Are Not in the Statewide Workforce Investment System
and with Other Entities
Nebraska Vocational Rehabilitation seeks to work cooperatively with numerous other state and local agencies and programs. Collaborative efforts are manifested through coordinated committees throughout the state with VR state office and local staff actively participating. Examples of the committees Nebraska Vocational Rehabilitation serves on includes, but are not limited to, Nebraska Planning on Developmental Disabilities Council, State Advisory Council on Mental Health Services, Ticket to Work Infrastructure Committee, TBI Advisory Council, Local Community Resource Committees, Deaf and Hard of Hearing Special Education Advisory Committee, Palliative Care Advisory Committee, Madonna Community Advisory Council, ATP Advisory Council, Money Follows the Person Project Advisory Panel, Alternative Finance Loan Advisory Council, local Chambers of Commerce, etc.
Nebraska Vocational Rehabilitation maintains interagency agreements with Nebraska Health and Human Services, Nebraska Commission for the Blind and Visually Impaired, and the Veterans Administration-Vocational Rehabilitation and Employment Program for purposes of providing an understood and coordinated effort to achieve employment goals for persons with disabilities.
Written agreements are maintained with Liberty Centre Services Employment Program, Cirrus House, Inc., Central Nebraska Goodwill, Community Alliance, Office of Juvenile Services, Mosaic, Douglas County Correctional Services, State Parole Office, PAKS Developmental Services, Developmental Disabilities of Nebraska, Vital Services, Mid-Nebraska Individual Services, South Central Developmental Services, Employment Works, Region V Services, Community Alternatives, Eastern Nebraska Community Office of Retardation, Career Solutions, Rainbow Center, Ability Building Services, Versatile Support Services, Assistive Technology Partnership, Easter Seals - Nebraska, Abilities Fund, North Star, Black Hills Workshop, Autism Center, Omaha Tribe of Nebraska, Southeast Community College, Center for People in Need, Project Search, St. Francis Hospital, Good Samaritan Hospital, and Associated Builders and Contractors Inc. These written agreements coordinate efforts and services to assist persons with disabilities to achieve employment success. These agencies represent various locations throughout the state and serve individuals experiencing a variety of disabilities such as severe and persistent mental illness, developmental disability, brain injury, learning disability, and those experiencing multiple disabilities.
To maximize limited resources and assist individuals to access other programs which can provide needed services essential to individuals achieving employment, Vocational Rehabilitation works cooperatively with and utilizes numerous services and facilities within the state. These services and facilities include Centers for Independent Living, the Parent Information and Training Center, Apprenticeship Program, schools, Housing and Homelessness Commission, Educational Service Units and employers.
Vocational Rehabilitation works cooperatively with and utilizes Rural Economic Area Partnerships, and other programs carried out by the Under Secretary for Rural Development of the United States Department of Agriculture, when these programs and resources are available to local communities for economic development, and to the extent such cooperation and utilization is permissible under §101(a)(4) of the Rehabilitation Act of 1973, as amended.
The State of Nebraska does not have a state use contracting program.
This screen was last updated on Jul 26 2011 9:54AM by sanegwackerc
- Describe the designated state unit's plans, policies, and procedures for coordination with education officials to facilitate the transition of students with disabilities from school to the receipt of vocational rehabilitation services, including provisions for the development and approval of an individualized plan for employment before each student determined to be eligible for vocational rehabilitation services leaves the school setting or, if the designated state unit is operating on an order of selection, before each eligible student able to be served under the order leaves the school setting.
- Provide information on the formal interagency agreement with the state educational agency with respect to
- consultation and technical assistance to assist educational agencies in planning for the transition of students with disabilities from school to post-school activities, including VR services;
- transition planning by personnel of the designated state agency and educational agency that facilitates the development and completion of their individualized education programs;
- roles and responsibilities, including financial responsibilities, of each agency, including provisions for determining state lead agencies and qualified personnel responsible for transition services;
- procedures for outreach to and identification of students with disabilities who need transition services.
Attachment 4.8(b)(2): Coordination with Education Officials
Coordination with Nebraska Department of Education-Special Education, Nebraska Department of Education
Vocational Rehabilitation and the Nebraska Department of Education-Special Education co-funded a Transition Program Director, a Youth Leadership Facilitator, and a Youth Leadership Council.
The statewide Youth Leadership Council provides an opportunity for youth with disabilities to develop leadership skills and promote self-advocacy. The Council will work with youth and organizations across the state to promote the Council’s goals and activities and the development of Regional Youth Leadership Councils.
In partnership with Special Education and the Department of Health and Human Services, a Youth Rehabilitation and Training Center Liaison assists youth with disabilities as they leave the state’s juvenile correctional facilities and return to their home community. The Liaison assists youth as they re-enter high school, post-secondary training, or employment.
In addition, Special Education and Vocational Rehabilitation have an interagency agreement to facilitate the transition of students receiving special education services. Special Education is the educational agency responsible for providing a free appropriate public education. Vocational Rehabilitation is the adult service agency responsible for providing vocational rehabilitation services. This agreement provides for —
• Consultation and technical assistance to assist local educational agencies and Educational Service Units in planning for the transition of students with disabilities from school to post-school activities, including employment, post-secondary education, vocational rehabilitation services, or services from an appropriate adult service agency.
• Transition planning by personnel of Vocational Rehabilitation, local school districts and Educational Service Units to facilitate the development and completion of individualized educational programs providing for the transition of students with disabilities from school to post-school activities.
• Identification of local school districts roles and responsibilities for the provision of a free appropriate public education to students with disabilities to the point of exit from school, including the planning and provision of transition services, and Vocational Rehabilitation’s roles and responsibilities for providing consultation and technical assistance to local school districts, upon request, and the provision of other assistance in planning for the transition of students with disabilities during their school years to the extent determined by cooperative agreements with local school districts.
• Identification of the local school district as the lead agency responsible for providing transition services and responsible qualified personnel to students with disabilities to the point of exit from school, and Vocational Rehabilitation as the lead agency responsible for providing services and qualified personnel after the point of exit to those students meeting Vocational Rehabilitation eligibility and order of selection requirements.
• Identification of the local school district as having the financial responsibility for providing transition services to students with disabilities to the point of exit from school, and Vocational Rehabilitation as having the financial responsibility for providing services and qualified personnel after the point of exit to those students meeting Vocational Rehabilitation eligibility and order of selection requirements. Any student eligible for the VR program will have their Individualized Plan of Employment completed before exiting school. Other financial responsibilities, including joint responsibilities, may be specified in cooperative agreements between Vocational Rehabilitation and local school districts or Educational Service Units.
• Procedures for enhancing outreach to and identification of students with disabilities in need of transition services, including those students with disabilities who qualify for assistance under §504 of the Rehabilitation Act, but not a free appropriate public education under the Individuals with Disabilities Education Act.
Vocational Rehabilitation serves on the Nebraska Department of Education’s Special Education Advisory Council’s Deaf and Hard of Hearing Standing Committee. This committee meets twice a year to share information, identify issues, and coordinate secondary education and transition services for deaf and hard of hearing students.
Coordination with local school districts and Educational Service Units
As a result of Nebraska’s strong tradition of local control, over 250 local school districts offer secondary education. Most districts are small, enrolling fewer than 100 secondary students, and having less than 10 students with disabilities. Vocational Rehabilitation has a two prong directed outreach effort to secondary school districts —
• Outreach and identification efforts directed to special education, vocational education, guidance counseling, school nursing, and school personnel having knowledge of students with disabilities, including those not receiving special education services.
• Development of a Transition Partnership Planning process for schools, Educational Service Units, and VR at the local level. This process is used to promote a coordinated effort between the local school, ESU, and the local VR Office. The planning process identifies the nature and scope of services the local VR Office will provide in coordination with the efforts of the school and/or ESU. The process addresses the schedule of events and activities, expected outcomes, and a process to evaluate the effectiveness of the partnership.
This screen was last updated on Jul 26 2011 9:54AM by sanegwackerc
Describe the manner in which the designated state agency establishes cooperative agreements with private non-profit vocational rehabilitation service providers.
Attachment 4.8(b)(3): Cooperative Agreements with Private Nonprofit Vocational Rehabilitation Service Providers Vocational Rehabilitation has written procedures for establishing written agreements with service providers, including private nonprofit vocational rehabilitation service providers. These procedures emphasize the role of local VR offices in identifying needs for specific vocational rehabilitation services responsive to the needs of persons with significant disabilities in their areas. They also emphasize the role of local VR and community rehabilitation staff in monitoring the agreements, including usage and effectiveness of services. Background screening is required for all individual providers with written agreements who provide job coaching, independent living skills exploration and training, supported employment, and self-employment consultation. Providers who employ individuals who will provide services requiring background screening must provide written assurances that persons employed by them to provide direct services have not been convicted of a felony or misdemeanor involving neglect and/or abuse of a child or vulnerable adult before the written agreement is approved. Currently, Vocational Rehabilitation does not have any formal Cooperative Agreements that utilize state and local dollars for matching federal funds.
This screen was last updated on Mar 24 2011 5:35PM by sanegwackerc
Describe the efforts of the designated state agency to identify and make arrangements, including entering into cooperative agreements, with other state agencies and other appropriate entities in order to provide the following services to individuals with the most significant disabilities:
- supported employment services; and
- extended services.
Attachment 4.8(b)(4): Evidence of Collaboration Regarding Supported Employment Services and Extended Services
On the state level, Vocational Rehabilitation works collaboratively with the Nebraska Department of Health and Human Services Divisions of Developmental Disabilities Services and Behavioral Health Services to coordinate the system of service delivery for supported employment services. While the funding models for supported employment services in these two systems are different, both models contain performance-based provisions.
The Health and Human Services Division of Developmental Disabilities has expanded and supported employment opportunities through its Community Supports Program (CSP). This allows consumers and their families to hire private individuals, not associated with any agency, to serve as a job coach to help the individual achieve a supported employment outcome. Vocational Rehabilitation is developing policies to support this effort and to financially participate in this innovative supported employment effort.
Nebraska Vocational Rehabilitation has a grant with the Autism Center of Nebraska to provide supported employment and job coaching for individuals with autism. This demonstration project provides an opportunity for the Autism Center to develop services and strategies that will create competitive employment opportunities for individuals who have not generally had the necessary supports to achievement an employment outcome. This project is funded by ARRA funds and is intended to be sustained after the grant period as a fee for services community-based activity.
At the local level, Vocational Rehabilitation enters into written agreements for the provision of supported employment services with financial assistance provided by Vocational Rehabilitation. These agreements are used with public or private non-profit community rehabilitation programs and private for-profit entities providing supported employment services. Vocational Rehabilitation maintains written procedures for entering into these agreements.
Each agreement describes the time-limited services that will be provided to eligible persons with the most significant disabilities using funds from Vocational Rehabilitation prior to the transition to extended services. These services may include any of those described in Attachment 6.3.
Cooperating organizations must assure the availability of the minimum extended services of (1) twice monthly monitoring at the work site of each individual to assess job stability and (2) based on that assessment, coordination or provision of specific services needed to maintain job stability. If off-site monitoring is determined to be appropriate, then each month, there must be two contacts with the employed person and, if the person has disclosed their impairment to their employer, one contact with the employer each month. These mandatory extended monitoring services apply to all agreements.
This screen was last updated on Jul 26 2011 9:54AM by sanegwackerc
Data System on Personnel and Personnel Development
Attachment 4.10 Comprehensive System of Personnel Development
This attachment describes the comprehensive system of personnel development. The State
Rehabilitation Council had an opportunity to review and comment on the development of plans, policies, and procedures necessary to meet the requirements of 34 CFR 361.18(b), (c), (d), and (f).
Data systems on personnel and personnel development
Vocational Rehabilitation maintains a system for collecting and analyzing data on qualified personnel needs which includes: the number of personnel currently employed by Vocational Rehabilitation, by personnel category; the number of positions currently available to Vocational Rehabilitation, by personnel category; and projections of the number of personnel who will be needed in 5 years, by personnel category. The table summarizes this information for direct service personnel as of April 30, 2011:
Direct Service Personnel Employed:
|Rehab Specialist||Service Specialist||Associates|
|Direct Service Personnel Employed||67||43.5||39.9|
|Personnel to Consumer Ratio||1:101||1:131||1:160|
|Projected Staffing Requirements||67||48.5||39.9|
|Projected Replacement Needs (5 year total)||33||30||14|
Non-Direct Service Personnel Employed
|Senior Administrators||Program Directors, Specialists & Associates||Information Technology||Office Directors||Office Associates|
|Non-Direct Service Personnel Employed||2||16||6||12||2|
|Projected Staffing Requirements||2||16||7||14||2|
|Project Replacements (5 year total)||1||6||0||6||1|
2. Describe the development and maintenance of a system for collecting and analyzing on an annual basis data on personnel development with respect to:
a list of the institutions of higher education in the state that are preparing vocational rehabilitation professionals, by type of program;
the number of students enrolled at each of those institutions, broken down by type of program; and
the number of students who graduated during the prior year from each of those institutions with certification or licensure, or with the credentials for certification or licensure, broken down by the personnel category for which they have received, or have the credentials to receive, certification or licensure.
|Row||Job Title||Total positions||Current vacancies||Projected vacancies over the next 5 years|
There are no institutions of higher education in Nebraska receiving funds under Title III of the Rehabilitation Act to prepare vocational rehabilitation professionals in the disciplines designated in the Act (29 USC 771(b)(1)(B)). Consequently, there is no personnel development data system.
|Row||Institutions||Students enrolled||Employees sponsored by agency and/or RSA||Graduates sponsored by agency and/or RSA||Graduates from the previous year|
Plan for Recruitment, Preparation and Retention of Qualified Personnel
There is a projected need to replace an average of 13 - 17 VR service delivery staff annually due to resignations and retirements over the next 5 years. We anticipate no new hires through growth.
The ability of Vocational Rehabilitation to recruit qualified specialists is grossly impaired by the absence of
(1) a federal traineeship support for a long-term rehabilitation training program in Nebraska,
(2) the lack of an active state chapter of the National Rehabilitation Association or any of its divisions, and
(3) the totally inadequate regional supply of qualified applicants with an obligation to the public vocational rehabilitation program.
This last year, the agency participated in the Fall and Spring Career Fair at the University of Nebraska- Lincoln (UNL). This career fair, while held at UNL, is attended by students from most of the colleges in Nebraska. In addition, the agency participated in the Small College Career Fair at Doane College.
Qualified rehabilitation and service specialists (i.e., those who meet academic degree standards) will be actively recruited from Nebraska higher education institutions listed below as well as the following rehabilitation education programs located primarily in the Midwest. The agency supplements the distribution of Rehabilitation and Service Specialists’ vacancy postings by the state’s Personnel Office by sending announcements directly to the following counseling programs.
In Nebraska, there are two programs accredited by the Council for Accreditation of Counseling and Related Educational Programs (CACREP). They are the University of Nebraska at Kearney and the University of Nebraska at Omaha. Both programs offer an M.A. in Community Counseling.
University of Nebraska at Kearney
University of Nebraska at Omaha
There are 6 institutions of higher education, accredited by the Higher Learning Commission of the North Central Association of Colleges and Schools that offer an M.A. in Counseling, Clinical Counseling, or Community Counseling. Because these are generic counseling programs, the agency must conduct a transcript analysis to determine which applicants meet the Professional Counseling certification criteria.
University of Nebraska-Lincoln
Chadron State College
Wayne State College
These are the rehabilitation education programs in adjacent and surrounding states that the agency sends specialist vacancy announcements.
Master’s Rehabilitation Programs
East Central University
Emporia State University
Maryville University of St. Louis
Minnesota State University, Mankato
St. Cloud State University
The University of Iowa
University of Northern Colorado
Undergraduate Rehabilitation Programs
East Central University
Emporia State University
Illinois Institute of Technology
Southern Illinois University - Carbondale
University of Illinois Urbana
University of North Dakota
University of Wisconsin - Stout
Recruitment of Personnel from Minority Backgrounds and Individuals with Disabilities
There will be active recruitment of qualified personnel with disabilities and those from racial and ethnic minority. Current employees from a minority background and employees with disabilities often recruit from their networks. Our vacancy postings are listed with the Commission on Latino-Americans, the Ponca Tribe of Nebraska, the Urban League of Nebraska, the State Independent Living Council, the five Nebraska Centers for Independent Living and the CIL in Council Bluffs, Iowa. In addition, an increased salary differential is offered to individuals who are bilingual or fluent in American Sign Language (ASL). The agency currently has 13 minority staff and while we do have a number of staff with a reported or observed disability, we do not officially collect this information.
New Vocational Rehabilitation staff receive intensive structured training in basic vocational rehabilitation values, principles, and practices during their initial probationary period. Participation is funded in part through the In-Service Training Grant.
All staff will be afforded the opportunity for 20 contact hours annually of continuing education in vocational rehabilitation knowledge, skills, and abilities to enhance job performance and improve job retention. This conforms to the annual contact hour requirement for the state’s highest applicable standard. Participation is funded in part through the In-Service Training Grant.
The Director and Assistant Director conduct video conversations with new staff during their first month, fifth month, and seventh month on the job. The video conversations are an opportunity to
• become acquainted with each new staff member and his/her background,
• provide an opportunity for a new staff member to ask questions and provide feedback,
• assess how a new staff member is progressing in his/her training,
• determine if a new staff member is finding his/her job to be what they expected consistent with how the job was presented, and
• demonstrate the agency’s interest in his/her success.
The agency grants work time to staff to attend classes and earn up to 7 semester credit hours or 9 quarter credit hours per year. In addition, there are staff enrolled in evening and weekend programs to obtain either a BA or MA degree including the Drake University part-time weekend programs in Rehabilitation Counseling and Rehabilitation Administration.
The Director and Assistant Director offer an opportunity to staff for face-to-face, one-on-one interviews. This is an opportunity for all staff to provide personal feedback on specific policies and procedures and to discuss their role on their team and in the agency. In addition, staff have an opportunity to anonymously post questions about policy, rumors, or any concern to the Director on an internal website.
The Assistant Director and the Program Director for VR HR conduct exit interviews with all staff leaving the agency. The goal of the interviews is to assess why people leave, look for trends, and to learn if there was anything the agency could have done to retain them.
Vocational Rehabilitation employs staff in13 self-directed teams throughout the state to provide direct services and supports (including financial assistance to help pay for the cost of services) that are responsive to the unique needs and circumstances of each person with significant disabilities served.
During FY 2003, Vocational Rehabilitation implemented the new "Service Specialist" personnel classification. This position was created as the result of a Nebraska Department of Education position classification study based on job analyses of current job incumbents. The study contractors found that the direct service work performed by Vocational Rehabilitation staff fell into 3 distinct classes of personnel, and recommended that Vocational Rehabilitation create a third position, intermediate between associates and rehabilitation specialists and made of some duties currently performed by them.
Associates provide direct support to teams serving persons with disabilities seeking employment. Their responsibilities include: monitoring persons with disabilities engaged in agreed on vocational rehabilitation plans; arranging and coordinating team activities; arranging and coordinating transportation; maintaining individual service records; and arranging financial assistance necessary to obtain agreed on goods and services from community providers.
Associate academic degree standards
There are no national or state approved or state-recognized standards applicable to the associate position. The highest entry-level academic degree required for comparable work in State personnel requirements is the high school diploma. All currently employed associates meet or exceed this standard.
Service specialist position
Service specialists provide direct support to persons with disabilities seeking employment. Much of their work involves providing services to groups of consumers. Their responsibilities include: conducting orientation to Social Security benefits and benefits analysis; providing personal management training, social skills training, job placement assistance, job seeking skills training and other instruction of persons with disabilities using standardized curricula and instructional methods; and providing information about the purpose, nature, and scope of vocational rehabilitation services to persons with disabilities, service providers, and the general public.
Service specialist academic degree standards
There are no national or state approved or state-recognized standards applicable to the service specialist. The highest entry-level academic degree required for comparable work in State Personnel requirements is the baccalaureate degree. All currently employed service specialists meet this standard.
Rehabilitation specialist position
Rehabilitation specialists make determinations and provide specialized direct services to persons with disabilities pursuing employment goals. Their responsibilities include: eligibility, IPE and amendment approval, IPE progress, and employment outcome determinations; community assessment; career counseling, disability awareness counseling, personal adjustment counseling, rehabilitation engineering, independent living skill training, personal management training, social skills training, job placement assistance, and job retention assistance. These activities generally require independent complex decision-making and problem solving based on extensive knowledge of disability, human behavior, the world of work, and the community.
Rehabilitation specialist academic degree standards
The highest entry-level academic degree standard in Nebraska applicable to the discipline of rehabilitation counseling is a master’s degree in counseling or a closely related field. This degree is required for certification as a Professional Counselor under Nebraska’s Uniform Credentials Act (Neb. Rev. Stat. §38-2132). Other state agencies typically require the bachelor’s degree for work comparable to that of specialists. In 1983, after 2 years of use as an informal standard, the agency formally incorporated the master’s in counseling or a closely related field academic degree standard into the Nebraska Department of Education personnel system hiring requirements for rehabilitation specialists. Thus, Vocational Rehabilitation’s hiring standard exceeds that of other state agencies and equals the highest standard in the state. For 28 years, all rehabilitation specialists hired Vocational Rehabilitation have possessed the master’s degree in counseling.
Need for retraining plan
Since the personnel standards have equaled or exceeded the highest applicable standards in Nebraska for 29 years, no steps are necessary to change hiring standards or retrain personnel to meet the existing standard.
Each team assesses the current knowledge, skill, and ability of the team and its members, and identifies the personnel development activities necessary to enable the team and its members to achieve their strategic and performance goals. These team level assessments are analyzed and integrated with statewide training needs identified by specialty area Program Directors, training needed to implement planned innovation and expansion activities, and needs indicated by objective program performance measures. The following summarizes significant staff development needs identified from these assessments.
Analysis of the assessments indicates the need for a long-term staff development strategy. In the absence of a long-term strategy, staff development is a series of one-time responses to immediate needs. The impact of this training on organizational functioning deteriorates over time as a result of turnover. For example, even though 100% of staff can be trained at one point in time, with normal turnover, only about 50% of the trained staff will remain 5 years later. Also, in the absence of a long-term strategy identifying the staff development needs of teams and types of specialized knowledge, staff development focuses on individuals and does not respond to the knowledge and performance needs of teams and the organization as a whole. As a result of these problems, there are persistent gaps in critical staff knowledge and skill. A long term staff development strategy is needed to ensure the ongoing renewal and updating of the entire organizational knowledge and skill base to ensure the organization, its teams, and its staff promptly incorporate into practice new knowledge or responses to emerging needs in the consumer population, service delivery processes, or specific team services.
For staff development purposes, the organizational knowledge and skill base is made up of the three major domains and sub-domains shown in Table 1. The Disabilities and Service Delivery Processes domains are critical organizational knowledge and skills, shared by all team members. To effectively communicate among themselves, team members must possess knowledge of consumer disabilities and the way in which these impact upon the consumer, employment, and the provision of services. Every team member must possess knowledge of the organization’s service delivery processes and their role and responsibilities in connection with these processes. Consequently, Disabilities and Service Delivery Processes knowledge is team based, possessed by all members of each team. Finally, each team member must possess the knowledge and skill to provide the specific services for which they are responsible. This knowledge is position based, possessed by all staff responsible for providing each service.
Table 1. Organizational Knowledge and Skill Domains and Sub-domains
Central nervous system
Spinal cord disorders
Anxiety & personality disorders
Endocrine & immune system disorders
Circulatory & respiratory
Autism Spectrum Disorders
Acquired Brain Injury
Service Delivery Processes (Team-based)
Work-first (place & train)
Employment preparation (train & place)
Transition into work
Job maintenance & career advancement
Team Services (Position-based)
Personnel development needs
1. New staff training. There is a need for Vocational Rehabilitation to replace an average of 12-15 staff annually due to resignations and retirements over the next 5 years. No new hires through growth are anticipated. Nebraska does not have a CORE accredited, RSA assisted, graduate level rehabilitation education program preparing persons for practice in a rehabilitation discipline, while in-migration of qualified personnel to fill vacant positions averages only about 1 per year. Consequently, newly hired specialists, as well as all associates, must be provided with intensive initial post-hire training to assure they possess critical performance related vocational rehabilitation knowledge and skills.
The agency is implementing the use of videoconferencing, podcasts, or streaming videos as a way to deliver timely training to new staff. The typical schedule of new staff training sessions can result in the staff member receiving training months after starting to perform duties in their position. Using media technology would allow the training to be accessed when most relevant to each new staff member.
2. Training in functional aspects of physical and mental impairments. There is a need for on-going training of teams in the functional aspects of physical and mental impairments. Past disability related training has been uneven in frequency and staff coverage, with the result that teams lack the consistent knowledge base necessary for the effective planning and delivery of services. The nature and scope of this training will be described in more detail in the next section. Disorders of the musculoskeletal and nervous systems should be the initial focus of training, since they cause about 66% of all significant work disability.
3. Training in service delivery processes. There is a need for on-going training of teams in our core service delivery processes. We continually refine many core processes to better achieve our standards & indicators. Teams require intensive training and continuing follow-up to implement these changed processes, methods, and procedures. Since service delivery processes are influenced by legislation and current research, service delivery process training incorporates relevant requirements of the 1998 Rehabilitation Act Amendments (including informed choice, use of rehabilitation technology, and servicing culturally diverse populations), as well as evidence-based processes and practices identified in current research, and relevant portions of the Workforce Investment Act of 1998.
4. Training in team services. There is a need for on-going training to enhance the ability of VR rehabilitation specialists, service specialists, and associates to provide direct services and supports. Specific types of team services provided directly by our staff include: community assessment; career counseling, disability awareness counseling, personal adjustment counseling, rehabilitation engineering (including assistive technology), independent living skill training, personal management training, social skills training, job placement assistance, and job retention assistance. Also included are: Social Security benefits orientation and analysis; job seeking skills training and other instruction of persons with disabilities; monitoring persons with disabilities engaged in agreed on rehabilitation plans; providing information; arranging, coordinating, and scheduling team activities; arranging, coordinating, scheduling, and providing transportation; developing, preparing, and maintaining individual service records; and arranging financial assistance to procure agreed on goods and services. Staff responsible for providing specific services and supports need continuing training to maintain their competence, and to acquire the knowledge and skill needed to implement new best practices and procedures. The agency will conduct monthly training via a videoconference system on topics that are identified as high priority training needs by staff.
5. Individual training. Training needs assessments show a broad and diverse range of training needs related to individual development and performance improvement. These individual needs include leadership development and capacity building.
System of personnel development
The comprehensive personnel development system ensures that all personnel receive appropriate and adequate training related to their ability to provide vocational rehabilitation services leading to quality employment outcomes for persons with significant disabilities. This system is based on our needs assessments and is made up of—
1. New staff training to an estimated 12-15 new staff annually. This responds to the identified need to develop fundamental vocational rehabilitation knowledge and skill related to job performance in newly hired staff.
New employee training classes included the following.
• VR Process (3 days)
• QUEST - Case Management System (3 days)
• New Employee Orientation (2 days)
• Medical Aspects I (2 days)
• Medical Aspects II (2 days)
• Job Planning (2 days)
• Employment & Job Planning Discussion (2 days)
• Communication Training (1 day)
• World of Work-DOL (1 day)
• Nebraska Career Information System (1 day)
2. Workshops, distance learning, podcasts, and continuing education activities for Vocational
Rehabilitation teams and staff in the areas of functional aspects of disability, service delivery process, and team services. This responds to the identified needs for in-service training in these areas. It also provides opportunities for staff certified under Nebraska’s Uniform Licensing Act to obtain continuing education contact hours for certification maintenance. (see Neb. Rev. Stat. §71-1,269).
Current videos and podcasts available for team and individual training include the following:
Madonna Rehabilitation Hospital Training
- Multiple Sclerosis and Employment Considerations
- Work Considerations for the Adult with Cerebral Palsy
- Vocational Considerations for the Client with an Amputation
- Vocational Rehabilitation and Spinal Cord Injury
Agency Statewide Training Conference (No statewide training was held in 2010 and there are no plans to hold a statewide training in 2011 due to funding limitations.)
- An Overview of Substance Use, Disorders, Screening and Treatment
- Barriers to Prisoner Re-entry and What Can Be Done to Overcome Them
- Brain Injury: Vocational Strategies for Clients with High-Level Cognitive & Behavioral Challenges
- Drugs of Abuse
- Interpersonal Communication
- Making a Return on Investment Pay Off by Matching People and Personalities in the Workplace
- Mild Traumatic Brain Injury in Returning Combat Veterans and Accessing VA Benefits
- Nine Essential Skills of Love and Logic
- Prisoner Re-Entry in the Midwest
- The Milestones of Adjustment Post-Psychosis (MAPPS) Model
- Transition from School to Work: Planning for Students with Aspergers
Change in FLSA Status: What Employees and Supervisors Need to Know
Cold Calling Clinic Training
Effective Use of an On-the-Job Training
Employment Specialist Training Video
Fair Labor Standards Act (FLSA) Overview
HELPS TBI Screening Presentation
On-the-Job Evaluation Training Video
Agency Video Conferencing
-Order of Selection Training
Consumer Success Stories
3. Workshops, distance learning, podcasts, and continuing education activities for individual Vocational Rehabilitation staff in identified areas of individual development and performance improvement. This responds to individual needs, as well as organizational needs of succession planning, leadership development, and capacity building.
4. Acquisition and dissemination of significant knowledge from research and other sources. These activities ensure that staff have access to new knowledge and learning in the field of vocational rehabilitation. The system of staff development must provide for the ongoing renewal and updating of the entire organizational knowledge and skill base, requiring a long-term training schedule.
Communication with diverse populations
Vocational Rehabilitation, to the maximum extent possible, recruits and hires qualified personnel who are able to communicate in the native languages of applicants and recipients with limited English speaking ability. An increased salary differential is offered to individuals who are bilingual or fluent in ASL. Interpreter services for persons with limited English speaking ability are obtained from agencies, vendors, ethnic organizations and advocacy groups, or individuals (family members, friends, coworkers, volunteers). The AT&T Language Line is used as a backup service for walk-ins or crisis situations where no interpreter is available and there is an immediate need to communicate with a person with limited English speaking ability. Vocational Rehabilitation employs staff with sign language skills in areas with significant concentrations of persons with hearing impairments who communicate in sign language, and obtains interpreter services for the hearing impaired from persons meeting the Nebraska Department of Education’s written interpreter qualification standards and policies in other areas. These standards now require the department and agency to use interpreters licensed by the State of Nebraska.
Coordination with the in-service training grant
In-service training grant funds are used to support, in part, the costs of instructional materials, videoconferencing equipment, training consultant expenses, and the lodging and per diem expenses of trainees.
Coordination of personnel development with personnel development under the Individuals with Disabilities Education Act
Vocational Rehabilitation coordinates with the Comprehensive System of Personnel Development under the Individuals with Disabilities Education Act (IDEA) by: (1) exchanging needs assessment findings in areas or topics of mutual concern, (2) exchanging schedules of training and personnel development activities, and (3) joint development of training programs of mutual concern and priority, and joint funding of trainer costs for conducting joint training, when appropriate.
This screen was last updated on Jul 26 2011 9:54AM by sanegwackerc
Provide an assessment of the rehabilitation needs of individuals with disabilities residing within the state, particularly the vocational rehabilitation services needs of:
- individuals with most significant disabilities, including their need for supported employment services;
- individuals with disabilities who are minorities;
- individuals with disabilities who have been unserved or underserved by the vocational rehabilitation program; and
- individuals with disabilities served through other components of the statewide workforce investment system.
Identify the need to establish, develop, or improve community rehabilitation programs within the state.
Attachment 4.11(a): Results of Comprehensive Statewide Assessment of the Rehabilitation Needs of Individuals with Disabilities and Need to Establish, Develop, or Improve Community Rehabilitation Programs
The Comprehensive Statewide Assessment was conducted between January 1, 2007 and January 31, 2009. During this period, the State Rehabilitation Council (SRC) held 9 meetings. To facilitate the Council’s role in partnering with the agency in developing, agreeing to, and reviewing the agency’s goals and priorities, evaluating the effectiveness of the program, and assisting in the preparation of the State Plan, the SRC, at each of its meetings, was apprised of and provided input on the agency’s activities, most recent performance data, consumer satisfaction survey results, consumer issues addressed by the Client Assistance Program, assessment data results, and partnership updates including presentations by some of the partners. The SRC and its working committees made recommendations on the State’s Goals and Priorities with respect to increasing the quality and timeliness of services, improving consumer satisfaction and engagement, and developing effective community partnerships to increase long term and independent living supports.
The data sources used in this assessment included the following: 2006 and 2007 Disability Status Report Nebraska – Cornell University 2006 and 2007 RSA-MIS Databases and Reports 2006 Social Security Data US Census Bureau-Nebraska Profile and Demographics American Community Survey, 2007 VR Consumer Surveys VR Staff Surveys VR Exit Interviews Partnership sources used in this assessment included the following: Nebraska Planning Council on Developmental Disabilities TBI Council Nebraska Medicaid Infrastructure Grant State Advisory Committee on Mental Health Services Deaf and Hard of Hearing: Special Education Advisory Council Standing Committee Assistive Technology Partnership Palliative Care Workforce Investment Boards Client Assistance Program
Public comment sources used in this assessment included the following: Public Hearing – 2008 State Plan Public Hearing – 2009 State Plan Public Hearing – Rule 72 Adults with significant work disabilities While 123,958, or 10.7% of the 1,126,891 civilian, non-institutionalized, population ages 16-64 are estimated as having a disability, 68,740, or 6.1% are estimated to have an employment limitation as reported in the Current Population Survey of 2007. The definition of employment limitation for this survey are those individuals who reported having a “physical, mental, or emotional condition lasting 6 months or more that made it difficult working at a job or business.”(1) Approximately 55,707 Nebraskans receive Social Security and/or Supplemental Security Income disability payments. (3)
Another source indicates that 116,000 of the non-institutionalized individuals, ages 16 – 64, reported one or more disabilities. The highest prevalence rate was physical disabilities, followed by mental disabilities, and sensory disabilities. (2) The individuals most in need of supported employment services are individuals with significant mental retardation, severe and persistent mental illness, and traumatic brain injury.
Disability rates among the racial and ethnic minority population in Nebraska varies by race/ethnicity. For all racial and ethnic minorities, only Asian had a lower percentage of individuals with a disability than the percentage among whites. (2)
Percent of non- institutionalized working age Native Other Multiple population 2007 Asian Black American White Race With a disability 4.2% 20.9% 24.7% 10.4% 12.1% Without a disability 95.8% 79.1% 75.3% 89.6% 87.9%
The poverty rate among working age people with disabilities in Nebraska in 2007 was 22.4 % compared to individuals with no disability with a poverty rate of 7.6 %. Individuals with a “Mental Disability” have the highest poverty rate (33.4%). Individuals with a “Sensory Disability” had the lowest poverty rate (17.9%). ” The average median household income among men and women without a work limitation in Nebraska was $55,900 while the average median household income among men and women with a work limitation was $37,800. (2)
Students with disabilities 3,555 students with disabilities, ages 14 – 21, exited Nebraska’s secondary schools in 2006-2007. The three disabling conditions that accounted for 77% of the disabling conditions among Nebraska secondary students exiting were learning disabilities (48%), mental retardation (16%) and other health impaired (13%). (4)
2006 Exit Data for Students with a Disability(4) Category Number Percentage Graduated with regular high school diploma 1,849 52.01% Received a certificate 23 0.65% Reached maximum age 90 2.53% Transferred to regular education 668 18.79% Died 13 0.37% Moved, known to be continuing 381 10.72% Dropped out 531 14.94% Total Exits 3,555 100.00%
Age at Confirmed Dropout(4) Age Number 14 0 15 35 16 115 17 139 18 152 19 62 20 0 21 0
Among the confirmed dropouts, 50% were students with a learning disability and 18% were students with an emotional disability. (4)
----------------------- (1) American Community Survey, 2007 American Community Survey 1-Year Estimates, S1801 - Disability Characteristic-Nebraska
(2) Erickson, W., & Lee, C. (2008). “2007 Disability Status Report: Nebraska. Ithaca, NY: Cornell University Rehabilitation Research and Training Center on Disability Demographics and Statistics (StatsRRTC).” (3) Social Security Administration Annual Statistical Supplement, 2008 (released February 2006).
(4) Data Accountability Center-IDEA Data, IDEA Part B Exiting 2006-2007, Table 4-1 “https://www.ideadata.org/arc_toc9.asppartbEX” --------------------- Career opportunities for persons with significant disabilities Nebraska’s average unemployment rate for 2008 was 3.4% compared to the average national unemployment rate of 5.8%. It is difficult to predict what the Nebraska economic climate will be in 2010-2012 given the looming national and international economic crisis. Nebraska Department of Workforce Development, Labor Market Information, Occupational and Industry Projections, Long Term Projections through 2016 indicate that Healthcare Practitioners and Technical Occupations will be the number one fastest growing occupations percentage wise with Healthcare Support Occupations coming in second. Number wise, the occupations that will add the largest number of jobs are as follows. • Truck Drivers, Heavy and Tractor-Trailer • Registered Nurses • Nursing Aides, Orderlies, and Attendants • Combined Food Preparation and Serving Workers, including Fast Food • Waiters and Waitresses • Child Care Workers • Customer Service Representatives. • Bookkeeping, Accountants, and Audit Clerks • General Office Clerks
Nebraska has seven economic regions. This report further states that the Omaha Consortium and the Lincoln MSA will have the largest number of jobs due to growth and replacement which is consistent with the distribution of population within the state.
The most recent Nebraska wage data is from the second quarter of 2006. Average entry-level wages ranged from $19.34 hourly for management occupations to $6.13 hourly for food preparation and service-related occupations. The average wage for part-time vacancies is $9.27 per hour and the average wage for full-time vacancies is $13.75 hourly. Over two-thirds of Nebraska employers offer health insurance to their full-time employees.
The 2007 Nebraska Employees Benefit Report (survey conducted in 2006) indicates that 68.8% of the jobs statewide were full-time and 31.2% were part-time. (Note: The 2006 survey did not provide any criteria to differentiate between full-time and part-time employment.) 65.8% of Nebraska businesses offer medical Insurance to full-time employees and 11% offer medical insurance to part-time employees. The leading industries to offer medical insurance were Information and Manufacturing at 84.9% and 80.9% respectively.
The Nebraska Workforce Development 4th quarter 2007 Job Vacancy Report states that 35.6% of vacancies required no education, 33.1% required a high school diploma or GED, 9.7% required vocational education, 4.8% a two-year degree and 16.9% a four-year degree or beyond. However in 2006, 64.5% of high school graduates went directly to college.
Although the statewide picture is more positive than the national picture, local labor markets vary considerably. Layoffs and closing in smaller rural labor markets off the I-80 corridor have a much greater economic and social impact than in the larger urban labor markets. However, layoffs and closing in any of the seven economic areas of the state will constrain individual choice as well as the possibilities for successful rehabilitation if the individual is not willing and able to relocate.
Vocational rehabilitation service needs Persons with the most significant disabilities Persons with the most significant disabilities receive priority for services under the Vocational Rehabilitation order of selection (see Attachment 4.11(c)(3)). Major service needs include —
•Learning about, accessing, and coordinating needed community services and supports. Persons with the most significant work disabilities have complex needs, complicated by poverty and lack of social support networks. They must seek out and coordinate services and supports from a number of different community agencies, organizations, and programs in an attempt to meet their needs. Income maintenance needed for the relief of poverty is not always available, leading to rehabilitation failures resulting from minor economic crises. Independence and community functioning are not always available from other agencies, leading to abuse of the VR program by those seeking rehabilitation services, not employment. Further, because of the intertwining of cash benefits with services and supports, some persons with the most severe disabilities will be harmed if they achieve high quality employment, a situation which will persist until Nebraska adopts and fully funds the work incentives contained in the Ticket to Work and Work Incentives Improvement Act. •Transition services targeted to students with specific learning disabilities and behavior disorders. Recent data analyses show there is a population of transition students with primary disabilities of specific learning disability and behavioral disorder who have dropped out of school which is increasingly encountered within the Juvenile Justice system. The ultimate fate of this population without intervention is well known. Consequently, an active, employment focused intervention program conducted in cooperation with the Juvenile Justice System continues to be expanded to provide for meaningful intervention. •Services targeted to individuals with brain injury and autism spectrum disorders. The traditional services have not been adequate to meet the needs of these populations. In addition there continues to be a lack of long-term community supports. During 2008 almost one-fourth of all Vocational Rehabilitation applicants completing the HELPS brain injury screening tool had positive indicators. This has implications for the type of services and training that are necessary for effective service delivery. •Career assessment, counseling, and planning services targeted to achieving high quality employment outcomes. Traditional career assessment, counseling, and planning services are disconnected from labor market realities, particularly those associated with constrained rural labor markets. Traditional services are marginally effective for those with cognitive impairments affecting reasoning and judgment. Evidence based, experientially oriented, assessment, counseling, and planning services should be available, particularly in rural areas, to meet needs. •Skill training and behavior management services provided in integrated competitive employment and community settings. Traditional classroom and segregated training programs are marginally effective with persons with cognitive impairments affecting learning and transfer of skill. Evidence-based training and behavior management services provided in relevant community employment and living sites should be made available to meet needs. •Personalized vocational rehabilitation services responsive to unique individual needs and person-environment interactions. The complexity of service needs among persons with the most significant work disabilities is complicated by their unique “one of a kind” nature. Traditional services based on “programs” and “slots” are marginally effective. Flexible services and supports provided to individuals in their natural environments should be made available to meet needs. •Rehabilitation technology services to accommodate functional limitations. Rapid advances in technology require continual monitoring to be aware of and knowledgeable of their potential application through rehabilitation engineering to accommodate individuals within work and living environments. The identification of solutions through a technology transfer approach provides individuals with significant disabilities expanded opportunities for employment. In addition, greater attention by employers to issues such as ergonomics and the aging workforce has led to an increased demand for assistive devices to improve the functional capabilities of individuals and prevent secondary disabilities in the workplace. •Equitable access to extended supports for supported employment. During FY 2007, supported employment outcomes accounted for 15.62% of the persons rehabilitated exceeding the national percentage for general and combined agencies of 9.99%. This is the fourth year that Nebraska’s percentage and number of supported employment outcomes have increased. Extended supports are still not available for persons whose most significant disabilities result from conditions other than developmental disabilities and severe and persistent mental illness, nor are they available for persons with developmental disabilities under age 21, limiting access to supported employment outcomes for persons whose most significant disabilities result from other physical and mental impairments. This is a problem Vocational Rehabilitation cannot resolve alone. •Transportation for employment and independence. Lack of transportation limits the opportunities for employment and independence among persons with significant work disabilities. This is a community problem that must be addressed at the community level since it also affects the low income and aged populations. Needs of minority and underserved populations Based on experience from past initiatives to extend services to previously underserved groups and persons from ethnic and racial minority backgrounds, their needs are best met through long-term, balanced outreach efforts built on continuing partnerships with relevant consumer and support groups. This maintains service equity by preventing an unbalancing of the agency workload while, at the same time, providing a basis for cooperative refinement of services and supports to meet consumer needs. Needs of persons with disabilities served by other workforce investment system components Persons with disabilities served by other components of the Nebraska workforce investment system are primarily those whose disabilities either do not substantially impede their employment or do not seriously limit one or more functional capacities in terms of an employment outcome. The employment needs of these individuals generally can be met by the services and supports available from other components of the Nebraska workforce investment system. Vocational Rehabilitation provides information and referral services to assure these individuals link up with the appropriate component of the workforce investment system.
Need to establish, develop, or improve community rehabilitation programs The need is for evidence-based, flexible vocational skill training, behavior management, and rehabilitation technology services and supports to be provided in natural environments, including integrated competitive employment sites. There also is a need for expanded, predictable, and stable funding of extended services and supports adequate to maintain persons with the most significant disabilities in supported employment.
This screen was last updated on Aug 7 2009 4:45PM by sanegwackerc
Attachment 4.11(b): Annual Estimates of Individuals to Be Servedand Costs of Services
1. Estimates of the number of individuals who are potentially eligible for services.
The table shows the number of potentially eligible persons in Nebraska aged 16 to 64 by priority group category*.
|Priority 1 Most Significant||Priority 2 Significant||Priority 3 Not Significant||Total|
* This table total is based on the 2008 Disability Status Report for Nebraska by Cornell University, non-institutionalized population 16 to 64 reporting a disability. The disability questions were changed in the 2008 survey resulting is a significant difference in the number of individuals reporting a disability from the previous year’s survey.
2. Estimates of the number of individuals who will receive services and their costs.
a. Number of eligible individuals who will receive services with funds provided by Title I, Part B during FY 2012 and their estimated costs, by priority category in the Order of Selection
|Priority category 1||2,083||$7,208,023|
|Priority category 2||2,739||$7,840,666|
|Priority category 3||1,189||$3,659,994|
** Does not include costs of assessment services to determine eligibility and OOS priority.
b. Number of eligible individuals who will receive services with funds provided by Title VI, Part B during FY 2012 and their estimated costs, by priority category in the Order of Selection*
|Priority category 1||165||$270,000|
|Priority category 2||0||0|
|Priority category 3||0||0|
* This table assumes no significant changes in current referral patterns, service mix, or cost of supported employment services.
** Includes costs of supplementary assessment services.
|Category||Title I or Title VI||Estimated Funds||Estimated Number to be Served||Average Cost of Services|
This screen was last updated on Jul 26 2011 9:54AM by sanegwackerc
The goals and priorities are based on the comprehensive statewide assessment, on requirements related to the performance standards and indicators, and on other information about the state agency. (See section 101(a)(15)(C) of the Act.) This attachment should be updated when there are material changes in the information that require the description to be amended.
- Identify if the goals and priorities were jointly developed and agreed to by the state VR agency and the State Rehabilitation Council, if the state has a council.
- Identify if the state VR agency and the State Rehabilitation Council, if the state has such a council, jointly reviewed the goals and priorities and jointly agreed to any revisions.
- Identify the goals and priorities in carrying out the vocational rehabilitation and supported employment programs.
- Ensure that the goals and priorities are based on an analysis of the following areas:
- the most recent comprehensive statewide assessment, including any updates;
- the performance of the state on standards and indicators; and
- other available information on the operation and effectiveness of the VR program, including any reports received from the State Rehabilitation Council and findings and recommendations from monitoring activities conducted under section 107.
Attachment 4.11(c)(1): State’s Goals and Priorities
Nebraska Vocational Rehabilitation’s Goals and Priorities established in conjunction with the State Rehabilitation Council include —
1. Increase the Rehabilitation Rate (as a part of meeting or exceeding each of the Federal Standards)Each time a consumer receives services and is not successfully employed, the agency loses staff time, funds for purchased services and very likely the consumer’s satisfaction with VR services. The agency’s rehabilitation rate for FY2010 was 60.87%, slightly higher than the rehabilitation rate of 60.85% during FY2009. Given the depth of the economic downtown, maintaining the rehabilitation rate was a success. Based on the most recent cautiously optimistic projections for an improved Nebraska economy, a realistic goal will be to increase the rehabilitation rate to 62% in FY 2012.
Staff follow up with all consumers after plan approval every 30-45 days to discuss services, job retention needs, and to update consumer contact information. Teams are improving the exploration of barriers for returning consumers and enhancing relationships with referral sources that can provide non-employment related supports and services to increase the likelihood of successful employment outcomes.Measures: Increase the rehabilitation rate to 62%.
2. Increase the Quality and Timeliness of ServicesIn Nebraska, employment services are provided by VR staff. The quality of direct services is often a result of the combination of agency policy, process, and practice, and staff skills, knowledge and experience.
To increase the quality of services, annual team case reviews, as well as periodic targeted case reviews by Program Directors, are conducted to identify quality planning and timeliness issues. Issues specific to the team are addressed with the team. Issues that appear to be statewide or indicative of trends or problems that need to be addressed more globally are brought to the State Office Program Team. The State Office Program Team will research the issue, obtain input from the appropriate committees or work groups, recommend potential strategies to address the problem, and develop a plan for implementation. Opportunities for staff to be involved in the development of policy and procedures have been established through a number of committees and work groups. These include a Counselor Committee, Employment Committee, Transition Committee, Evaluation Committee, and Leadership Council.
Training and support to improve staff skills and knowledge will be enhanced by the use of a videoconference system connecting ten field offices to provide ongoing monthly training opportunities for staff. Training will include conflict resolution strategies, corrections and background screening, vocational evaluation and other topics as identified through case reviews or by any of the Committees.
Timeliness of services will be greatly enhanced with the use of a web-based case management and fiscal reporting system called QE2. Utilizing a web-based system will allow for significant improvement in the amount of time it takes staff to document task notes, enter consumer information, complete IEPs, etc., with the end result being more time available to spend working directly with consumers.
The timeliness of services will also be increased with the use of mobile technology, with a particular focus on iPad technology in the field. With a wireless connection, staff will use the iPad to access case file information, e-mail, calendar, on-line job applications, videos of success stories to promote VR services to businesses and consumers, and to demonstrate disability-related applications. Staff will use voice recognition software in conjunction with the iPad to dictate task notes directly into the case management system. Another application for the iPad will enable a consumer to approve their IEP with an electronic signature by signing on the iPad in the same way one uses a signature pad for credit card charges at most stores. Other opportunities will be explored that will allow consumers to access materials and information online in an effort to shorten the process from referral to outcome.
Measures: (1) Each team will conduct team case reviews annually. The team case review will be coordinated by a Program Director and a summary report of findings and recommendations will be completed at the end of the review.
(2) At least one training will be made available to all staff, primarily through the use of the videoconference system, on a monthly basis.
(3) Measures will be developed around staff productivity and delivery time for most services and should reflect the impact of the use of mobile technology through decreases in service times and increases in caseload capacity per team. The baseline for each of the measures will be established in FY2011.
3. Improve consumer satisfaction and engagementThe consumer’s satisfaction with VR services, their engagement in the VR program and their belief that they will be employed is perhaps the most important factors in their success. Therefore this important goal is critical to our success as a program. As a part of the Employment Warranty Program follow up contacts by Easter Seals of Nebraska, questions are asked of consumers in regards to their level of satisfaction with VR services. Satisfactory ratings have consistently been 98% or higher. The State Rehabilitation Council continues to look at alternative methods to obtain consumer satisfaction, especially for individuals not closed as a successful outcome. The SRC will continue to obtain regular input on consumer concerns via feedback from Ombudsman and CAP and their recommendations for policy changes.
The State Rehabilitation Council has established a Consumer Input Committee that provides for direct consumer input into program materials, processes and policy. The Committee will continue to provide a consumer perspective to VR to prevent unintentional barriers to services and to ensure that materials and processes effectively keep individuals engaged. The involvement of individuals with disabilities early on in the development of process and materials enhances the likelihood that the focus remains on consumers in a way that is relevant, meaningful, engaging, and satisfactory.
As part of the goal setting process, VR staff have established a standard for contact with consumers at least once every thirty days. Each team will continue to explore alternatives to improve communication and access to staff members as a strategy to increase consumer engagement.
As part of the agency’s dual customer focus, the SRC will annually survey businesses that have worked with VR to determine their level of satisfaction with services. Feedback from the survey will be provided to the Employment Committee to develop recommendations for change.
Measures: (1) A satisfactory rating of 98% or higher will be achieved on Consumer Satisfaction Surveys as a part of the Employment Warranty Program follow up contacts.
(2) A method of obtaining feedback from individuals not closed as a successful outcome will be developed and implemented by the SRC.
(3) The SRC Consumer Input Committee will review at least four areas of policy, process or materials in the next year, and make recommendations for revisions or alternative strategies.
(4) Staff will have at least one contact with each consumer every 30 - 45 days, in person, by phone, e-mail, texting or other electronic means, and document the contact in QE2.
(5) Completion of the annual survey of businesses to determine their level of satisfaction with VR services.
4. Develop Effective Community Partnerships to Increase Long Term and Independent Living SupportsPartnerships provide additional supports that are needed for a consumer to be successful and generally occur in the program areas of transition, traumatic brain injury, autism, behavioral health, juvenile justice and corrections. A partnership is a collaboration with another entity that can play an important role in providing needed supports and services for consumers. It may or may not involve an exchange of funds. It is characterized by VR staff involvement, shared responsibility within the team, and a focus on long-term relationships that involves multiple consumers. Focusing on the development of partnerships that provide for long term and independent living support will be critical to address issues, such as those that are related to poverty, that impact on consumer job readiness and the ability to keep a job.
In past years, the agency has been in a position to expand the number of partnerships through the provision of financial support. In FY 2011, the agency will begin incorporating criteria to define “effective” community partnerships into agreements in which the agency invests financial support. Prior to renewal of agreements for FY2012, the criteria will be used to establish a baseline for evaluating performance, ensuring that funds are achieving intended purposes, and to establish the level of return on investment of VR resources. The criteria will be used to prioritize funding for community partnerships based on the ability to maximize services and supports to the benefit of VR consumers in subsequent years.Measures: (1) The agency will incorporate program review criteria into all community partnership agreements.
(2) The agency will use the community partnership performance data for FY2011 agreements to develop a baseline for FY2012 performance and to establish a ranking of community partnerships based on the ability to maximize services and supports to the benefit of VR consumers.
This screen was last updated on Jul 26 2011 9:54AM by sanegwackerc
- Identify the order to be followed in selecting eligible individuals to be provided vocational rehabilitation services.
- Identify the justification for the order.
- Identify the service and outcome goals.
- Identify the time within which these goals may be achieved for individuals in each priority category within the order.
- Describe how individuals with the most significant disabilities are selected for services before all other individuals with disabilities.
Justification for order of selection
Attachment 4.11(c)(3): Order of Selection
Justification of the Order of Selection
Nebraska Vocational Rehabilitation has operated under an Order of Selection for more than twenty-one (21) years when the agency concluded it did not have sufficient funding to serve all eligible individuals. In the early years we, in fact, had a waiting list and were able to only serve Priority Category One. Experience in working with a waiting list has led referral sources to understand who Vocational Rehabilitation is now able to serve and, as a result, the referrals sources do not typically refer individuals who would fall into Priority Category Three. The agency has for at least the last 12 years been able to serve all eligible individuals from Priority Category One and Two without a waiting period.
In the past, individuals in Priority Category Three have had the option of being placed on a wait list, few have chosen to do so. In reviewing RSA 113 data for FY 2000 to present, between 1 and 4 individuals each year elect to be placed on the waiting list; however, within 6 - 9 months, those individuals then decided to be removed from the list. For 2012, the agency anticipates serving all 3 Priority Categories until the status of state and federal funding is known.
A cut in state funding and the lack of a COLA increase in federal funds, in combination with increased expenses for personnel and case services, may result in changes to the Order of Selection to include the closing of 1 or more Priority Categories.
Description of Priority categories
Order of Selection Policy
Individuals who have a determination of eligibility or priority within the Order of Selection made during the fiscal year will be selected for the provision of planned vocational rehabilitation services in the following order, to the extent it is determined that personnel and fiscal resources necessary to carry out their Individualized Plans for Employment are available for them.
Priority Category One: All eligible persons who are determined, on the basis of an assessment of eligibility and rehabilitation needs, to be “individuals with the most significant disabilities” as defined below.
Priority Category Two: All eligible persons who are determined, on the basis of an assessment of eligibility and rehabilitation needs, to be individuals with significant disabilities as defined below.
Priority Category Three: All other persons who are determined, on the basis of an assessment of eligibility and rehabilitation needs, to be individuals with disabilities as defined below.
Priority of categories to receive VR services under the order
Priority Category One: The Rehabilitation Act requires persons with the most significant disabilities receive services before other eligible persons.
An individual with the most significant disability is one:
1. Who has a severe physical or mental impairment that seriously limits two or more functional areas (mobility, communication, self-care, self-direction, interpersonal skills, work tolerance, or work skills) in terms of an employment outcome, and
2. Who requires multiple services over an extended period of time, and
3. Who has one or more physical or mental impairments resulting from amputation, arthritis, autism, burn injury, cancer, cerebral palsy, cystic fibrosis, deafness, head injury, heart disease, hemiplegia, hemophilia, respiratory or pulmonary dysfunction, mental retardation, mental illness, multiple sclerosis, muscular dystrophy, musculo-skeletal disorders, neurological disorders (including stroke and epilepsy), spinal cord injuries, including paraplegia and quadriplegia, sickle cell anemia, specific learning disability, end-stage renal disease, or another disability or combination of disabilities determined on the basis of an assessment for determining eligibility and vocational rehabilitation needs to cause comparable substantial functional limitations.
Priority Category Two: This Priority Category provides a priority to all persons with significant disabilities and is consistent with the intent of the Rehabilitation Act to focus services on persons with significant disabilities.
An individual with a significant disability is one:
1. Who has a severe physical or mental impairment that seriously limits one functional area (mobility, communication, self-care, self-direction, interpersonal skills, work tolerance, or work skills) in terms of an employment outcome, and
2. Who requires multiple services over an extended period of time, and
3. Who has one or more physical or mental impairments resulting from amputation, arthritis, autism, burn injury, cancer, cerebral palsy, cystic fibrosis, deafness, head injury, heart disease, hemiplegia, hemophilia, respiratory or pulmonary dysfunction, mental retardation, mental illness, multiple sclerosis, muscular dystrophy, musculo-skeletal disorders, neurological disorders (including stroke and epilepsy), spinal cord injuries, including paraplegia and quadriplegia, sickle cell anemia, specific learning disability, end-stage renal disease, or another disability or combination of disabilities determined on the basis of an assessment for determining eligibility and vocational rehabilitation needs to cause comparable substantial functional limitations.
Individuals who receive Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) automatically qualify for Priority Category Two and are assessed to determine whether they quality for Priority Category One.
Priority Category Three: This Priority Category contains all other eligible persons, and assures that persons with the most significant disabilities and persons with significant disabilities are selected for service before all other persons with disabilities.
All other eligible individuals.
Service and outcome goals and the time within which the goals will be achieved
Service and outcome goals for persons served during FY 2012
|Priority Category One||2,083||570|
|Priority Category Two||2,739||756|
|Priority Category Three||1,189||316|
Eligibility: All individuals have a determination of their eligibility made within 60 days of application unless there are mutually agreed upon extensions.
IPE: All eligible individuals who meet the Order of Selection criteria will continue with plan development with a goal of achieving a mutually agreed upon and approved IPE within 120 days. An IPE that includes cost services cannot be developed for individuals in a closed Priority Category. This does not preclude delivery of non-purchased services (i.e., counseling, guidance, placement, referral services, coordination of comparable benefits and services paid by a third party) for these individuals. Persons meeting eligibility requirements but in a closed Priority Category have access to a comprehensive information and referral system.
Average months from application to successful employment outcome:
The agency achieved the following average months from application to successful employment outcome for individuals served in Priority Categories One & Two between FY2005 and FY2009.
FY2005 - 18.7FY2006 - 18.8FY2007 - 18.7FY2008 - 18.1FY2009 - 16.3
With the agency policy change beginning FY2009 to bring more Transition students into the VR program during their junior year, the agency expected the average to increase because IPE development with secondary students typically takes longer than with adults and the students would be in the VR program for 12 months or more while still in high school. Since RSA had not yet published the FY2010 Annual Review Report tables, we are unable to assess the impact.
|Priority Category||Number of individuals to be served||Estimated number of individuals who will exit with employment after receiving services||Estimated number of individuals who will exit without employment after receiving services||Time within which goals are to be achieved||Cost of services|
This screen was last updated on Jul 26 2011 9:54AM by sanegwackerc
Specify the state's goals and priorities with respect to the distribution of funds received under section 622 of the Act for the provision of supported employment services.
Attachment 4.11(c)(4): Goals and Plans for Distribution of Title VI, Part B Funds
To maintain or increase the number of persons with a most significant mental health disability served through a mental health partnership using an evidenced based model supported employment services.
Number served in FY 2010 — 761
To meet or increase the number of persons with a most significant mental health disability who achieve a competitive successful employment outcome through a mental health partnership using an evidenced based model supported employment services.
Number of successful employment outcomes in FY 2010 — 173
Plans For Distribution Of Title VI-B Funds
The funds received under Title VI, Part B will be distributed in the form of contractual payments for the costs of supported employment services provided to eligible persons with the most significant behavioral health disabilities. Vocational Rehabilitation has a written agreement with the state’s Division of Behavioral Health Services that promotes evidence-based supported employment services to individuals with behavioral heath disabilities. Written contracts have been established with a qualified provider in each of the state’s six regions. These contracts identify the need for supported employment, the specific evidence-based supported employment services available from the provider leading to competitive employment in a supported employment setting which may include Transitional Employment, and their negotiated projected outcomes. The Division of Behavioral Health Services also provides funds for supported employment and extended services.
Each contract promotes shared responsibility for outcomes. Each provider, based on negotiated projected outcomes, will receive as quarterly allotments 60% of the maximum VR funding available. The remaining 40% are incentive payments paid out per outcome up to, but not exceeding, the negotiated projected outcomes.
The projected cost of the contracts exceeds the VI-B Funds allocation and is supplemented with Section 110 Funds.
This screen was last updated on Jul 26 2011 9:54AM by sanegwackerc
This attachment should include required strategies and how the agency will use these strategies to achieve its goals and priorities, support innovation and expansion activities, and overcome any barriers to accessing the vocational rehabilitation and the supported employment programs. (See sections 101(a)(15)(D) and (18)(B) of the Act and Section 427 of the General Education Provisions Act (GEPA)).
Describe the methods to be used to expand and improve services to individuals with disabilities.
Identify how a broad range of assistive technology services and assistive technology devices will be provided to individuals with disabilities at each stage of the rehabilitation process; and describe how assistive technology services and devices will be provided to individuals with disabilities on a statewide basis.
Identify what outreach procedures will be used to identify and serve individuals with disabilities who are minorities, including those with the most significant disabilities; and what outreach procedures will be used to identify and serve individuals with disabilities who have been unserved or underserved by the VR program.
If applicable, identify plans for establishing, developing, or improving community rehabilitation programs within the state.
Describe strategies to improve the performance of the state with respect to the evaluation standards and performance indicators.
Describe strategies for assisting other components of the statewide workforce investment system in assisting individuals with disabilities.
Describe how the agency's strategies will be used to:
- achieve goals and priorities identified in Attachment 4.11(c)(1);
- support innovation and expansion activities; and
- overcome identified barriers relating to equitable access to and participation of individuals with disabilities in the state Vocational Rehabilitation Services Program and the state Supported Employment Services Program.
Attachment 4.11(d): State Strategies and Use of Title I Funds for Innovation and Expansion Activities
The State’s strategies and use of Title I funds for Innovation and Expansion activities flow out of the areas of need identified as a result of the comprehensive statewide assessment. Statistical and demographic information, staff and consumer surveys, and key informant input from partnership sources were used to establish the general areas of priority and included: transition, a focus on employer relationships, enhancing consumer satisfaction through identification of areas for improvement, improved consumer engagement through enhanced follow up services (including quality assurance case reviews and Employment Warranty® monitoring) and the Bridges Out of Poverty initiative, and efforts to enhance or expand services to unserved or underserved populations (palliative care and acquired brain injury). These general areas are supported by the vocational rehabilitation service needs identified in the comprehensive statewide assessment.??
In collaboration with the State Rehabilitation Council, detailed strategies and activities were developed for each of the following priority areas —
Transition Research demonstrates that students with disabilities are more successful in transitioning to employment and adult life where Vocational Rehabilitation, educators and adult agencies begin the process by age 14, unify planning and share resources. Therefore, Nebraska Vocational Rehabilitation will either continue or initiate the following:
(1) Outreach to students.
(2) Utilize the Transition IPE Booklet to engage students in career exploration, career planning, career activities and career decisions.
(3) Disseminate publications and information to transition students and their families.
(4) Develop statewide and regional Youth Leadership Councils that will provide students with opportunities to develop leadership skills.
(5) Develop a discharge planning protocol for use by juvenile justice facilities for releasing students to their home school districts.
(6) Utilize the results of the Transition Survey to schools conducted by the State Rehabilitation Council to improve the partnership between VR and the schools.
(7) Coordinate with the Nebraska Department of Education and the Department of Labor-Workforce Development on implementing the Career Management System that will be available to all schools.
(8) Design within QUEST II a better method for collecting and recording transition data in order to provide necessary reports to staff and schools.
(9)Partner with Assistive Technology Partnership (ATP) in a demonstration project to increase the use of assistive technology in secondary schools.
(10) Develop internships with businesses targeted to graduating transition students to support employment related education and training.
Employment Services The benefits of employer/vocational rehabilitation partnerships are well documented in recent rehabilitation research. Employers benefit from 1) a diverse workforce, 2) access to a wider range of qualified candidates, 3) reduced turnover and improved attendance of workers and 4) learning how to meet workers’ accommodations needs. Rehabilitation benefits from 1) improved knowledge of business culture and needs, 2) increased employment opportunities for people with disabilities, 3) realistic skills training and 4) enhanced consumer satisfaction. Therefore, Nebraska Vocational Rehabilitation will either continue or initiate the following:
(1) Target employers and industries based on labor market information, future occupational trends and quality jobs.
(2) Establish long-term relationship with key employers.
(3) Utilize the National Employment Network, The NET, to connect local labor demands with regional and national opportunities.
(4) Develop and implement additional Project Search partnerships, a training and employment program targeting hospitals, to increase employment opportunities within the healthcare and other industries.
(5) Develop and utilize success story videos and other materials to market the program to employers.
(6) Conduct a job placement roundtable where placement staff will develop collaborative strategies to increase job opportunities for consumers statewide.
(7) Develop employer internship opportunities for consumers pursuing post-secondary degrees.
Consumer Satisfaction Nebraska Vocational Rehabilitation has used various methods over the years of gathering consumer satisfaction. These efforts have yielded limited response and limited value in the information received. In order to improve our program and insure that the program is meeting the needs of our consumers, Nebraska Vocational Rehabilitation must develop effective methods of gathering meaningful consumer satisfaction information. Therefore, Nebraska Vocational Rehabilitation will either continue or initiate the following:
(1) Continue to develop and refine consumer satisfaction surveys to gather timely and meaningful feedback.
(2) Utilize the survey services of the State Rehabilitation Council.
(3) Contract with outsourced Employment Warranty® monitors to conduct consumer satisfaction survey by phone with consumers after services.
(4) Utilize reports from the Client Assistance Program and the Agency Ombudsman to identify areas for improvement.
Employment Outcomes Nebraska Vocational Rehabilitation continues to see ways to improve the rehabilitation rate of the program. Therefore, Nebraska Vocational Rehabilitation will either continue or initiate the following:
(1) Conduct case reviews to determine factors that contribute to improving our rehabilitation rate.
(2) Improve the frequency and quality of Vocational Rehabilitation contact and follow-up with consumers throughout the Vocational Rehabilitation process to keep the consumers engaged in their program or services.
(3) Continue to utilize the placement standards and evaluate performance.
Employment Warranty® This program helps consumers regain, maintain and advance in employment. Monitoring with consumers at 90 days, 180 days and 1-year following their employment outcome, promotes greater job stability for those with significant disabilities who have the least community supports available to them.
(1) Identify data elements for collection and measurement to evaluate the long-term employment outcomes of consumers.
(2) Program QUEST II to support Employment Warranty® monitoring and data collection.
(3) Continue contracting with Easter Seals of Nebraska for Employment Warranty® monitoring to conduct the monitoring with consumers for up to one year after their employment outcome.
Innovation and Expansion I&E funds will be used to support these areas and related activities —
State Independent Living Council — I&E funds will be used for full support of the activities of the State Independent Living Council.
State Rehabilitation Council — I&E funds will be used for full support of the activities of the State Rehabilitation Council.
Contracts and Grants Specialist -- I&E funds will be used to pay the salary of this position.
Transition Program and the Youth Leadership Council — I&E funds will be used for 90% of the salary for the Transition Program Director and 50% of the salary of the Youth Leadership Council Coordinator in conjunction with Special Education.
Assistive Technology The agency grants funds to the Nebraska Assistive Technology Partnership (ATP) to provide rehabilitation engineering and assistive technology services to agency consumers at all stages of the rehabilitation process. Consumers are referred to ATP by VR staff for all assistive technology assessments, funding coordination and assistive technology solutions. ATP offices are located throughout the state and in some cities are co-located with the VR office. Based on referral data available at the writing of this plan, the VR agency is expected to make over 500 referrals to ATP.
The agency funds a demonstration project to expand the awareness and knowledge of secondary educators in the use of assistive technology for students.
Individuals with Disabilities who are Minorities The agency continues its commitment to the hiring of bilingual staff. At present, the agency has five bilingual staff members. In an attempt to increase the hiring of bilingual staff, we offer a salary differential incentive. Program materials are offered in Spanish.
There are three Indian Reservations in Nebraska. VR has one representative on the Nebraska Department of Education Native American Education Advisory Council.
Individuals with Significant Disabilities Since Nebraska Vocational Rehabilitation has only been serving individuals with significant or most significant disabilities for more than 16 years, our outreach to individuals with significant disabilities continues to be effective.
Individuals who have been Unserved or Underserved The Client Assistance Program (CAP) each year assesses the VR agency’s outreach to unserved and underserved individuals with disabilities and will provide comment to the agency if CAP found the agency to be remiss in this area.
Some examples of the agency’s efforts on behalf of individuals who are unserved or underserved are as follows:
Nebraska Vocational Rehabilitation serves on the TBI Council which is funded through a HRSA grant. The Council is focused on supporting the statewide Brain Injury Association in Nebraska and promoting state legislation and funding for services to individuals with TBI in Nebraska. The Brain Injury Screening Tool is now being administered statewide to all applicants for VR services to aid in the identification of previously undiagnosed brain injuries and residual impediments to employment. Information about Vocational Rehabilitation services is being sent to all individuals identified through the Nebraska Traumatic Brain Injury Registry.
Nebraska Vocational Rehabilitation will maintain services to the Criminal Justice population with staff assigned to the Adult Drug Court and Specialized Substance Abuse Services.
A supported employment pilot targeting individuals with autism, originally developed using ARRA funds, has proven to be successful and will continue on a fee for service basis.
The Transportation Network developed in partnership with the Omaha Tribe of Nebraska through ARRA funds will continue to be utilized to increase access to available employment opportunities for Native Americans in rural Nebraska.
Plan for Establishing Community Rehabilitation Programs Since Nebraska Vocational Rehabilitation provides direct services in the areas of vocational evaluation, independent living, and job placement, the agency has no plans for establishing any additional community rehabilitation programs. The agency does contract with those community rehabilitation programs that provide evidence-based supported employment services to individuals with behavioral health impairments, autism, and acquired brain injury.
Assisting Components of the Workforce Investment System in Assisting Individuals with Disabilities Nebraska Vocational Rehabilitation continues to have representation on all the local WIA boards, serve on the local One Stop Career Center management council at some of the centers, have VR staff at each local One Stop Career Center on an itinerant basis.
Presentations are made to Center staff on vocational rehabilitation services and other topics related to serving individuals with disabilities. One Stop staff have standing invitations to attend VR’s Medical Aspects training programs.
This screen was last updated on Jul 26 2011 9:46AM by sanegwackerc
Vocational Rehabilitation (VR) and Supported Employment (SE) Goals
Attachment 4.11(e)(2): Evaluation and Report of Progress in Achieving Identified Goals and Priorities and Use Of Title I Funds for Innovation and Expansion Activities
The following presents our evaluation and report of progress for FY 2010. Needs identified in the comprehensive statewide assessment of needs, and to achieve greater success in our identified goal and priority areas are addressed by focusing our strategic activities and the expenditure of innovation and expansion funds on the six program dimensions listed below.
1. Strategies to Address Needs Identified in the Comprehensive Assessment and to Achieve Identified Goals and Priorities
Increase the Rehabilitation Rate
In FY 2010, we:
(1) Conducted quarterly reviews with management staff to review progress on Standards & Indicators including the rehabilitation rate.
(2) Conducted reviews of all placement files to ensure placement standards were followed and maintained.
(3) Established Project Search in 2 hospitals and 1 Walmart Warehouse Distribution Center in Nebraska.
(4) Represented Nebraska as point of contact on The National Employment Team (NET). Pursued developing partnerships with employers identified through The NET.
(5) Continued to contract with the Abilities Fund to provide all necessary services for consumers with a self-employment goal.
(6) Continued use of job retention video with adults and students.
(7) Initiated a statewide review of cases receiving post-secondary services to determine best practice and to identify any areas of improvement.
(8) Continued and expanded supported employment services for individuals with most severe disabilities.
The rehab rate for 2010 was 60.87%.
Increase the quality and timeliness of placements
In FY 2010, we:
(1) Provided training about the Project Search Model to foster interest in developing partnerships with VR, hospitals, and schools in the local community.
(2) Continued a state-imposed standard of 55 days for job search and placement.
(3) Continued to monitor the standards that have been developed for the placement area.
(4) Continued to have placement staff marketing with employers to identify specific job openings.
(5) Provided labor market information specifically addressing each team’s local labor market.
(6) Developed work at home opportunities, i.e., West, Convergys, Info Group/ORC.
(7) Conducted an employer survey (resulting in 60 responses) to obtain feedback on their level of satisfaction with VR services.
Improve consumer satisfaction and engagement
In FY 2010, we:
(1) Continued at the direction of the State Rehabilitation Council, a series of consumer satisfaction surveys that clients complete throughout the rehabilitation process. These surveys are available in an electronic and printed format.
(2) Evaluated and recommended to the State Rehabilitation Council changes to reduce the number of surveys and revise the points of service when the surveys are conducted.
(3) Reported survey results are tabulated by the Client Assistance Program and provided to the State Rehabilitation Council at each of the meetings throughout the year.
(4) Provided management staff the ability to review the results of Consumer Satisfaction surveys in order to address any team issues in a timely fashion.
(5) Requested quarterly reports from the Client Assistance Program on the type of client concerns and CAP’s recommendations to VR leadership.
(6) Established the Consumer Input Committee as a part of the SRC to provide for direct consumer input on program materials, processes, and policies.
Consumer satisfaction has been found to be extremely high, typically ranging from 95-99%.
Develop effective community partnerships
In FY 2010, we:
(1) Continued to participate in a work group that is developing the Career Management System through the Nebraska Department of Education, Department of Labor, Nebraska Public Power District, and Future Force Nebraska.
(2) Continued the partnership with Grand Island Public Schools and St. Francis Hospital to provide a training program based on the Project Search Model to prepare transition students for employment in the health care industry. Developed additional partnerships with Walmart and North Platte Public Schools; Kearney Public Schools and Good Samaritan Hospital; St. Elizabeth Hospital and Norris Public Schools, and Waverly Public Schools. Explored and promoted partnership opportunities with other community hospitals and schools.
(3) Expanded a partnership with Central Nebraska Goodwill Industries to enhance the existing behavior health employment program with the addition of benefits analysis and extended follow-up after successful employment. The intent is to increase the likelihood of achieving nine (9) consecutive months of substantial gainful activity (SGA).
(4) Utilized ARRA funds to expand the capacity of six (6) community-based mental health providers in providing supported employment services.
(5) Expanded a pilot site of the Palliative Care Partnership to the Omaha Metro area. The intent of the Partnership is to serve consumers who experience chronic pain to help them achieve employment. This Partnership involved Department of Health and Human Services, Vocational Rehabilitation, Assistive Technology Partnership, and St. Joseph’s Villa.
(6) Established a supported employment program for individuals with acquired brain injury through the use of ARRA funds.
(7) Established a supported employment program for individuals with autism through the use of ARRA funds.
(8) Established a partnership with the Center for People in Need to provide a training program in construction trades.
(9) Explored the development of a Bridges Out of Poverty program with other community partners in Columbus.
(10) Explored the development of Certificate Programs through community colleges in partnership with employers in the community targeting manufacturing jobs and electricians.
(11) Expanded the availability of job training programs through partnerships with the Association of Builders and Contractors Inc. for forklift operator training and Southeast Community College for food preparation training.
(12) Developed a partnership between the National Academy of Railroad Sciences (NARS), BNSF, and Johnson County Community College (JCCC) to train signal workers.
2. Strategies to Carry Out Outreach Activities to Identify and Serve Individuals with the Most Significant Disabilities Who are Minorities
Each team develops an outreach plan. As part of the planning, consideration is given on how to best serve minority populations. In addition to minority outreach through the teams, our transition strategy assists in reaching all racial and ethnic minority groups as they occur naturally in schools.
In FY 2010, we:
(1) Continued our involvement with the Nebraska Department of Education Native American Initiative and working with the reservations.
(2) Increased transportation options to expand employment opportunities for individuals who reside on the reservations.
(3) Provided employer development services to Hispanic employers with bilingual staff where available.
(4) Continued the priority of hiring bilingual staff. Increased pay is available for staff who are bilingual or have ASL skills.
(5) Identified and have developed job openings with Hispanic employers who are seeking Spanish speaking employees.
(6) Updated agency brochures and forms translated in other languages.
Our best indicator of the effectiveness of these strategies in FY 2010 is the Minority Access ratio of .86. In 2010, 16.83% of the cases served were minority. Nebraska’s 2009 minority population was 16.5%.
3. Strategies to Overcome Identified Barriers Relating to Equitable Access to and Participation of Individuals with Disabilities in the State Vocational Rehabilitation Services Program and the State Supported Employment Services Program
Identified barriers affecting access to and participation in vocational rehabilitation services include:
(1) Systemic barriers. Potential applicants with low incomes or in poverty survive on an intricate array of multiple income maintenance and human service supports. The rules, regulations, and requirements underlying these supports interact in unpredictable or unintended ways when participation in vocational rehabilitation services requires significant time or temporary employment for work trial or training purposes, threatening survival and creating substantial disincentives to vocational rehabilitation.
(2) Individual barriers. Potential applicants have multiple specific individual and family life circumstances and problems, which interact with each other to interfere with program participation and employment. While the nature of many of these problems is well known (e.g., transportation, child care, housing, etc.), their multiplicity and interactions, in and of themselves, create barriers to program participation and employment. We have developed an evidence-based employment assessment to identify home, community, and on the job issues that interfere with program participation and employment. This assessment is incorporated in the Discover the Job That Works for You booklet.
(3) Programmatic barriers. Other public programs working with low income and poverty populations encounter the same systemic and individual barriers. Programmatic barriers arise when disability is a complicating factor, and a different approach is required. While some programmatic barriers tie to program policies and practices, others result from staff ignorance of the functional impact of disability on work and independence, or from the cost impact of new approaches.
(1) Maintained supported employment partnerships for mental health in all six (6) regions of the state.
(2) Continued pilot programs for supported employment in the area of acquired brain injury and autism.
(3) Continued an evidence-based supported employment outcome model of service delivery.
(4) Continued to publicize the housing.ne.gov website to assist people with disabilities to get affordable housing near their worksite. Staff utilize this resource regularly.
(5) Continued to support and assist consumers in the use of the Alternative Financing and Telework loan programs.
(6) Continued to use the AT4All.com website which coordinates all available assistive technology for the state. This includes equipment available for loan, for sale, for demonstration and for give away.
(7) Continued the use of an agency-wide video remote interpreting service to address the shortage of sign language interpreters for the deaf in the rural areas of the state.
(8) Utilized Title I funds to supplement Title VI, Part B funds to adequately address the supported employment services in the state of Nebraska.
In comparing FY 2009 program indicators with FY 2010 program indicators, the program experienced an increase in consumers served and in successful employment outcome. Our conclusion would be that the strategies were effective with respect to access and participation in services.
Applied for Services
FY2009 — 5,013FY2010 — 5,069
Eligible for Services
FY2009 — 4,429FY2010 — 4.513
FY2009 — 2,710FY2010 — 2,955
FY2009 — 6,018FY2010 — 6,397
FY2009 — 1,568FY2010 — 1,677
Supported Employment Outcomes
FY2009 — 201FY2010 — 212
SE Mental Health Partnership Outcomes*
FY2009 — 179FY2010 — 173
*SE Mental Health Partnership Outcomes are a subset of the Supported Employment Outcomes
4. Performance Accountability and Continuous Improvement
Performance accountability and continuous improvement is central to all strategies for meeting the vocational rehabilitation needs of individuals with significant and most significant disabilities in Nebraska. QUEST is our comprehensive information management system with the capacity to continuously capture and report data on critical processes and outcomes.
In FY 2010, we:
(1) Began the development of an on-line case management system to improve our efficiency and effectiveness.
(2) Provided standardized processes through a web-based information portal to enhance efficiency in documentation.
(3) Provided reports to local management staff to support performance reporting and analysis.
(4) Explored the use of mobile technology including videoconferencing, iPads, and iPhones as a strategy to expedite service delivery.
(5) Initiated case reviews, in which all team members participated, to provide information on how to improve accountability, documentation, and strategies for service provision.
5. Standards and Indicators
The agency met all of the performance standards in FY 2010. Through the strategies and activities identified in this state plan, the agency expects in FY 2012 to increase the margins by which it exceeds the federal standards.
6. Innovation and Expansion
I & E funding totaling $715,169 was used to support the following:
(1) State Rehabilitation Council ($13,506)
(2) State Independent Living Council ($76,000)
(3) State Transition Program Director and a portion of Transition related activities ($107,989)
(4) Juvenile Justice Program in Omaha and Lincoln ($71,299)
(5) Corrections Program Director ($81,073)
(6) Youth Leadership Council Coordinator and State Youth Leadership activities in a 50/50 partnership with Special Education ($36,386)
(7) Easter Seals of Nebraska ($388,299)
(8) Grants & Contracts Management ($79,895)
This screen was last updated on Jul 26 2011 9:54AM by sanegwackerc
- Describe quality, scope, and extent of supported employment services to be provided to individuals with the most significant disabilities
- Describe the timing of the transition to extended services
Attachment 6.3: Quality, Scope, and Extent of Supported Employment Services
Quality of supported employment services All services provided will be of high quality, as judged by prevailing professional standards and such legal standards as may apply. Persons licensed, certified, or registered in accordance with the laws of the State of Nebraska to perform the services will render these services or, if the service is not regulated by the State, by persons who are able to demonstrate they are qualified by reason of education, training, and experience to perform the services. Scope of supported employment services The services made available by Vocational Rehabilitation using Title VI-C funds is limited to those initial services resulting in stable job performance in an integrated competitive work setting. These may include, as appropriate to individual needs: 1. An assessment of the need for supported employment services which is supplementary to and provided after an assessment of eligibility and rehabilitation need has determined that a person is eligible for services and is a person with a most significant disability. 2. Development and placement in integrated competitive employment for the maximum number of hours possible consistent with the person’s unique strengths, resources, priorities, concerns, abilities, and capabilities. 3. Intensive on-the-job skills training and other training provided by skilled job trainers, co-workers, and other qualified persons. This training is based on a systematic analysis of the work to be performed, and a systematic analysis of the employer’s performance expectations and requirements. It is conducted in accordance with a written plan identifying the methods of teaching, instruction, and behavior management necessary to enable the individual to acquire skills and master the work to be performed, to regulate behavior in accordance with the employer’s requirements and expectations, and achieve stable job performance. The training provides for a systematic reduction of intensive teaching, instruction, and behavior management methods to the lowest intervention level necessary to maintain stable job performance. 4. Other vocational rehabilitation services that are needed to achieve and maintain job stability including, but not limited to — a. Interpreter services for individuals with hearing impairments to permit communication between the individual and the skilled job trainer. b. Occupational licenses and permits required by federal, state, and local law to perform an occupation. c. Occupational tools and equipment required by the employer but not routinely provided to new employees. d. Rehabilitation technology services including adaptations and modifications of the workplace. e. Work clothing and uniforms required by the employer but not routinely provided to new employees, and safety shoes and other articles of clothing necessary to permit safe performance on the job. f. Transportation from place of residence to the work site and return until the person can pay for the cost from earnings. 5. Follow-up services, including regular contact with the employer, the individual with a most significant disability, the individual’s parents, guardian or other representative, in order to reinforce and stabilize the job placement. 6. On-going monitoring services from the time of job placement until the transition to extended services from one or more extended services providers. These services include, at a minimum, the assessment of employment stability and, based on that assessment, the coordination or provision of specific services needed to maintain employment stability. Extent of supported employment services 1. Assessment of rehabilitation need for supported employment services are made available to the extent necessary to determine the nature and scope of services to be provided under an individualized written rehabilitation program to achieve supported employment. 2. Job development and placement services are provided to the extent necessary to place the individual into integrated competitive employment consistent with his or her informed choice, or to determine on the basis of clear evidence that an employment outcome cannot be achieved. 3. Intensive on-the-job and other training services are provided to the person to the extent necessary to achieve stable job performance, or to determine on the basis of clear evidence this cannot be achieved. Services are provided for a maximum of 18 cumulative months, beginning on the day the person starts the job, unless a longer period is provided in the individualized written rehabilitation program of the person. 4. Other services are made available to the extent necessary to support the individual in an individualized written rehabilitation program to achieve supported employment. 5. Follow-up services are provided to the individual to the extent necessary to assure that job stability has occurred, or to determine on the basis of clear evidence that job stability cannot be achieved. 6. On-going monitoring services are provided, at a minimum, twice monthly at the work site to assess employment stability and, based on that assessment, to coordinate or provide specific services needed to maintain employment stability. If off-site monitoring is determined to be appropriate, and is included in the person’s individualized written rehabilitation program, it must, at a minimum, include two meetings with the person and one contact with the employer each month. Transition to extended services Vocational Rehabilitation transitions the person to extended services provided by other public agencies, nonprofit agencies or organizations, employers, natural supports, or other entities no later than 18 cumulative months after placement in supported employment (unless a longer period is established in the individualized written rehabilitation program), provided that— • the person has made substantial progress toward meeting any hours per week work goal in the individualized written rehabilitation program, • the individual is stabilized on the job, and • extended services are available and can be provided without a hiatus in services.
This screen was last updated on Jun 15 2009 4:18PM by sanegwackerc
The following documents have been identified as being related to the information you are viewing.
"A Better Bottom Line: Employing People with Disabilities" — A blueprint for Governors has been issued by the National Governors Association (NGA).
TAC-14-02 — Submission of the FY 2015 State Plan for the Vocational Rehabilitation Services Program and Supplement for the Supported Employment Services Program. (May 28, 2014)
DOC (247KB) | PDF (233KB)
ED-80-0013 - Certification Regarding Lobbying — 34 CFR 82.110(b) requires each State VR agency to submit for approval a signed certification regarding lobbying for each program for which federal funds are requested. In other words, one certification must be submitted for the VR program and another for the Supported Employment program.
MS Word (24KB)
OMB Control Number: 1820-0500, approved for use through 09/30/2016
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. Public reporting burden for this collection of information is estimated to average 25 hours per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The obligation to respond to this collection is required to obtain or retain a benefit (Section 13 of the Rehabilitation Act, as amended). Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to U.S. Department of Education, Washington, D.C. 20202-4537 or email ICDocketMgr@ed.gov and reference the OMB Control Number 1820-0500. Note: Please do not return the completed form to this address.