State Plan for the State Vocational Rehabilitation Services Program and
State Plan Supplement for the State Supported Employment Services Program
Vermont Vocational Rehabilitation Division State Plan for Fiscal Year 2014 (submitted FY 2013)
Preprint - Section 1: State Certifications
1.1 The Vermont Agency of Human Services is authorized to submit this State Plan under Title I of the Rehabilitation Act of 1973, as amended  and its supplement under Title VI, Part B, of the Rehabilitation Act .
1.2 As a condition for the receipt of federal funds under Title I, Part B, of the Rehabilitation Act for the provision of vocational rehabilitation services, the Vermont Agency of Human Services  agrees to operate and administer the State Vocational Rehabilitation Services Program in accordance with the provisions of this State Plan , the Rehabilitation Act, and all applicable regulations , policies and procedures established by the secretary. Funds made available under Section 111 of the Rehabilitation Act are used solely for the provision of vocational rehabilitation services under Title I of the Rehabilitation Act and the administration of the State Plan for the vocational rehabilitation services program.
1.3 As a condition for the receipt of federal funds under Title VI, Part B, of the Rehabilitation Act for supported employment services, the designated state agency agrees to operate and administer the State Supported Employment Services Program in accordance with the provisions of the supplement to this State Plan , the Rehabilitation Act and all applicable regulations , policies and procedures established by the secretary. Funds made available under Title VI, Part B, are used solely for the provision of supported employment services and the administration of the supplement to the Title I State Plan. Yes
1.4 The designated state agency and/or the designated state unit has the authority under state law to perform the functions of the state regarding this State Plan and its supplement. Yes
1.5 The state legally may carry out each provision of the State Plan and its supplement. Yes
1.6 All provisions of the State Plan and its supplement are consistent with state law. Yes
1.7 The (enter title of state officer below) Yes
Secretary of the Vermont Agency of Human Services
... has the authority under state law to receive, hold and disburse federal funds made available under this State Plan and its supplement.
1.8 The (enter title of state officer below)... Yes
Deputy Secretary of the Vermont Agency of Human Services
... has the authority to submit this State Plan for vocational rehabilitation services and the State Plan supplement for supported employment services.
1.9 The agency that submits this State Plan and its supplement has adopted or otherwise formally approved the plan and its supplement. Yes
Preprint - Section 2: Public Comment on State Plan Policies and Proceduress
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.
The designated state agency, prior to the adoption of any substantive policies or procedures governing the provision of vocational rehabilitation services under the State Plan and supported employment services under the supplement to the State Plan, including making any substantive amendments to the policies and procedures, conducts public meetings throughout the state to provide the public, including individuals with disabilities, an opportunity to comment on the policies or procedures.
(b) Notice requirements.
The designated state agency, prior to conducting the public meetings, provides appropriate and sufficient notice throughout the state of the meetings in accordance with state law governing public meetings or, in the absence of state law governing public meetings, procedures developed by the state agency in consultation with the State Rehabilitation Council, if the agency has a council.
(c) Special consultation requirements.
The state agency actively consults with the director of the Client Assistance Program, the State Rehabilitation Council, if the agency has a council and, as appropriate, Indian tribes, tribal organizations and native Hawaiian organizations on its policies and procedures governing the provision of vocational rehabilitation services under the State Plan and supported employment services under the supplement to the State Plan.
Preprint - Section 3: Submission of the State Plan and its Supplement
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)
(a) The state submits to the commissioner of the Rehabilitation Services Administration the State Plan and its supplement on the same date that the state submits either a State Plan under Section 112 of the Workforce Investment Act of 1998 or a state unified plan under Section 501 of that Rehabilitation Act.
(b) The state submits only those policies, procedures or descriptions required under this State Plan and its supplement that have not been previously submitted to and approved by the commissioner.
(c) The state submits to the commissioner, at such time and in such manner as the commissioner determines to be appropriate, reports containing annual updates of the information relating to the:
- 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.
(d) The State Plan and its supplement are in effect subject to the submission of modifications the state determines to be necessary or the commissioner requires based on a change in state policy, a change in federal law, including regulations, an interpretation of the Rehabilitation Act by a federal court or the highest court of the state, or a finding by the commissioner of state noncompliance with the requirements of the Rehabilitation Act, 34 CFR 361 or 34 CFR 363.
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)
(a) The state has an acceptable plan for carrying out Part B, of Title VI of the Rehabilitation Act that provides for the use of funds under that part to supplement funds made available under Part B, of Title I of the Rehabilitation Act for the cost of services leading to supported employment.
(b) The Supported Employment State Plan, including any needed annual revisions, is submitted as a supplement to the State Plan.
Preprint - Section 4: Administration of the State Plan
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)
The State Plan must contain one of the following assurances.
(a) The designated state agency is an independent state commission that
- 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).
(b) The state has established a State Rehabilitation Council that meets the criteria set forth in Section 105 of the Rehabilitation Act, 34 CFR 361.17
(c) If the designated state unit has a State Rehabilitation Council, Attachment 4.2(c) provides a summary of the input provided by the council consistent with the provisions identified in subparagraph (b)(3) of this section; the response of the designated state unit to the input and recommendations; and, explanations for the rejection of any input or any recommendation.
(Option B was selected)
4.3 Consultations regarding the administration of the State Plan. (Section 101(a)(16)(B) of the Rehabilitation Act; 34 CFR 361.21)
The designated state agency takes into account, in connection with matters of general policy arising in the administration of the plan and its supplement, the views of:
(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)
The nonfederal share of the cost of carrying out this State Plan is 21.3 percent and is provided through the financial participation by the state or, if the state elects, by the state and local agencies.
4.5 Local administration. (Sections 7(24) and 101(a)(2)(A) of the Rehabilitation Act; 34 CFR 361.5(b)(47) and .15)
The State Plan provides for the administration of the plan by a local agency. Yes
If "Yes", the designated state agency:
(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)
The State Plan provides for the state agency to share funding and administrative responsibility with another state agency or local public agency to carry out a joint program to provide services to individuals with disabilities. No
If "Yes", the designated state agency submits to the commissioner for approval a plan that describes its shared funding and administrative arrangement. The plan must include:
(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))
This agency is not requesting a waiver of statewideness.
(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.
The designated state agency or the designated state unit has cooperative agreements with other entities that are components of the statewide work force investment system and replicates those agreements at the local level between individual offices of the designated state unit and local entities carrying out the One-Stop service delivery system or other activities through the statewide work force investment system.
(b) Cooperation and coordination with other agencies and entities.
Attachment 4.8(b) (1)-(4) describes the designated state agency's:
- 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.
The designated state unit, the Statewide Independent Living Council established under Section 705 of the Rehabilitation Act and 34 CFR 364, and the independent living centers described in Part C of Title VII of the Rehabilitation Act and 34 CFR 366 have developed working relationships and coordinate their activities.
(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.
The state agency employs methods of administration, including procedures to ensure accurate data collection and financial accountability, found by the commissioner to be necessary for the proper and efficient administration of the plan and for carrying out all the functions for which the state is responsible under the plan and 34 CFR 361.
(b) Employment of individuals with disabilities.
The designated state agency and entities carrying out community rehabilitation programs in the state, who are in receipt of assistance under Part B, of Title I of the Rehabilitation Act and this State Plan, take affirmative action to employ and advance in employment qualified individuals with disabilities covered under and on the same terms and conditions as set forth in Section 503 of the Rehabilitation Act.
Any facility used in connection with the delivery of services assisted under this State Plan meets program accessibility requirements consistent with the provisions, as applicable, of the Architectural Barriers Rehabilitation Act of 1968, Section 504 of the Rehabilitation Act, the Americans with Disabilities Act of 1990 and the regulations implementing these laws.
4.10 Comprehensive system of personnel development. (Section 101(a)(7) of the Rehabilitation Act; 34 CFR 361.18)
Attachment 4.10 describes the designated state agency's procedures and activities to establish and maintain a comprehensive system of personnel development designed to ensure an adequate supply of qualified state rehabilitation professional and paraprofessional personnel for the designated state unit. The description includes the following:
(a) Data system on personnel and personnel development.
Development and maintenance of a system for collecting and analyzing on an annual basis data on qualified personnel needs and personnel development with respect to:
- 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.
Development, updating on an annual basis, and implementation of a plan to address the current and projected needs for qualified personnel based on the data collection and analysis system described in paragraph (a) of this subsection and that provides for the coordination and facilitation of efforts between the designated state unit and institutions of higher education and professional associations to recruit, prepare and retain personnel who are qualified in accordance with paragraph (c) of this subsection, including personnel from minority backgrounds and personnel who are individuals with disabilities.
(c) Personnel standards.
Policies and procedures for the establishment and maintenance of personnel standards to ensure that designated state unit professional and paraprofessional personnel are appropriately and adequately prepared and trained, including:
- 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.
Policies, procedures and activities to ensure that all personnel employed by the designated state unit receive appropriate and adequate training. The narrative describes the following:
- 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.
Availability of personnel within the designated state unit or obtaining the services of other individuals who are able to communicate in the native language of applicants or eligible individuals who have limited English speaking ability or in appropriate modes of communication with applicants or eligible individuals.
(f) Coordination of personnel development under the Individuals with Disabilities Education Act.
Procedures and activities to coordinate the designated state unit's comprehensive system of personnel development with personnel development under the Individuals with Disabilities Education Act.
4.11. Statewide assessment; annual estimates; annual state goals and priorities; strategies; and progress reports.
(Sections 101(a)(15), 105(c)(2) and 625(b)(2) of the Rehabilitation Act; 34 CFR 361.17(h)(2), .29, and 363.11(b))
(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.
Attachment 4.11(b) identifies on an annual basis state estimates of the:
- 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.
Preprint - Section 5: Administration of the Provision of Vocational Rehabilitation Services
5.1 Information and referral services. (Sections 101(a)(5)(D) and (20) of the Rehabilitation Act; 34 CFR 361.37)
The designated state agency has implemented an information and referral system that is adequate to ensure that individuals with disabilities, including individuals who do not meet the agency's order of selection criteria for receiving vocational rehabilitation services if the agency is operating on an order of selection, are provided accurate vocational rehabilitation information and guidance, including counseling and referral for job placement, using appropriate modes of communication, to assist such individuals in preparing for, securing, retaining or regaining employment, and are referred to other appropriate federal and state programs, including other components of the statewide work force investment system in the state.
5.2 Residency. (Section 101(a)(12) of the Rehabilitation Act; 34 CFR 361.42(c)(1))
The designated state unit imposes no duration of residence requirement as part of determining an individual's eligibility for vocational rehabilitation services or that excludes from services under the plan any individual who is present in the state.
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):
- shows the order to be followed in selecting eligible individuals to be provided vocational rehabilitation services;
- 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)
Applicants and eligible individuals or, as appropriate, their representatives are provided information and support services to assist in exercising informed choice throughout the rehabilitation process, consistent with the provisions of Section 102(d) of the Rehabilitation Act and 34 CFR 361.52.
5.7 Services to American Indians. (Section 101(a)(13) of the Rehabilitation Act; 34 CFR 361.30)
The designated state unit provides vocational rehabilitation services to American Indians who are individuals with disabilities residing in the state to the same extent as the designated state agency provides such services to other significant populations of individuals with disabilities residing in the state.
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))
If the state elects to construct, under special circumstances, facilities for community rehabilitation programs, the following requirements are met:
(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.
The designated state agency has the authority to enter into contracts with for-profit organizations for the purpose of providing, as vocational rehabilitation services, on-the-job training and related programs for individuals with disabilities under Part A of Title VI of the Rehabilitation Act, upon the determination by the designated state agency that for-profit organizations are better qualified to provide vocational rehabilitation services than nonprofit agencies and organizations.
(b) Cooperative agreements with private nonprofit organizations.
Attachment 4.8(b)(3) describes the manner in which the designated state agency establishes cooperative agreements with private nonprofit vocational rehabilitation service providers.
Preprint - Section 6: Program Administration
Section 6: Program Administration
6.1 Designated state agency. (Section 625(b)(1) of the Rehabilitation Act; 34 CFR 363.11(a))
The designated state agency for vocational rehabilitation services identified in paragraph 1.2 of the Title I State Plan is the state agency designated to administer the State Supported Employment Services Program authorized under Title VI, Part B, of the Rehabilitation Act.
6.2 Statewide assessment of supported employment services needs. (Section 625(b)(2) of the Rehabilitation Act; 34 CFR 363.11(b))
Attachment 4.11(a) describes the results of the comprehensive, statewide needs assessment conducted under Section 101(a)(15)(a)(1) of the Rehabilitation Act and subparagraph 4.11(a)(1) of the Title I State Plan with respect to the rehabilitation needs of individuals with most significant disabilities and their need for supported employment services, including needs related to coordination.
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))
Attachment 6.3 describes the quality, scope and extent of supported employment services to be provided to individuals with the most significant disabilities who are eligible to receive supported employment services. The description also addresses the timing of the transition to extended services to be provided by relevant state agencies, private nonprofit organizations or other sources following the cessation of supported employment service provided by the designated state agency.
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)
Attachment 4.11(c)(4) identifies the state's goals and plans with respect to the distribution of funds received under Section 622 of the Rehabilitation Act.
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))
Attachment 4.8(b)(4) describes 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 to assist in the provision of supported employment services and other public or nonprofit agencies or organizations within the state, employers, natural supports, and other entities with respect to the provision of extended services.
6.6 Minority outreach. (34 CFR 363.11(f))
Attachment 4.11(d) includes a description of the designated state agency's outreach procedures for identifying and serving individuals with the most significant disabilities who are minorities.
6.7 Reports. (Sections 625(b)(8) and 626 of the Rehabilitation Act; 34 CFR 363.11(h) and .52)
The designated state agency submits reports in such form and in accordance with such procedures as the commissioner may require and collects the information required by Section 101(a)(10) of the Rehabilitation Act separately for individuals receiving supported employment services under Part B, of Title VI and individuals receiving supported employment services under Title I of the Rehabilitation Act.
Preprint - Section 7: Financial Administration
7.1 Five percent limitation on administrative costs. (Section 625(b)(7) of the Rehabilitation Act; 34 CFR 363.11(g)(8))
The designated state agency expends no more than five percent of the state's allotment under Section 622 of the Rehabilitation Act for administrative costs in carrying out the State Supported Employment Services Program.
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.
Preprint - Section 8: Provision of Supported Employment Services
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))
The comprehensive assessment of individuals with significant disabilities conducted under Section 102(b)(1) of the Rehabilitation Act and funded under Title I of the Rehabilitation Act includes consideration of supported employment as an appropriate employment outcome.
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.
Attachment 4.2(c) Input of State Rehabilitation Council
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.
4.2 (c) Summary of Input and Activities
The State Rehabilitation Council (SRC) and DVR continue to enjoy a collaborative working relationship. SRC members are invited to participate on various DVR planning and implementation committees. The DVR Director provides quarterly written and oral updates on programs, activities, and outcomes. In addition, DVR Program Managers, Regional Managers and field staff frequently make presentations to the full SRC and gather feedback and suggestions to improve services.
The following is a summary of the SRC’s activities taken directly the FFY 2012 SRC annual report. This report is available on request. For more information on the Vermont SRC go to http://vtsrc.org/
2012 SRC Chair Report: by Neal Meier
2012 was a busy year for the Vermont State Rehabilitation Council (VT SRC). The committees reports describe in detail the efforts and successes of the Performance Review, Policy and Procedures, and Advocacy, Outreach and Education committees. The Performance Review committee, chaired by Ellie Marshall, successfully completed the review of the State Plan. The PR committee has turned its focus to “Improving Successful Employment Outcomes for Individuals with Mental Health Disabilities.” This focus will continue into 2013. The P&P committee, chaired by Don Parrish, diligently continued its thorough review of the Division of Vocational Rehabilitation policy and procedures manual. As part of this review, all DVR counselors and supervisory staff participated in a survey geared towards evaluating the appropriateness of current spending guidelines. The Advocacy, Outreach and Education (AOE) committee, chaired by Sam Liss, held a legislative breakfast at the Statehouse in April. The topic of the outreach was, “Making Employment a Priority for Individuals with Disabilities.” As a result of this event, the AOE committee has been invited to testify in front of the House Human Services during the 2013 legislative session.
In June, the SRC welcomed the Assistive Technology Council, as part of a 1 year trial partnership. The AT Council will join the SRC for 2 meetings in 2013. The SRC welcomed Adam Leonard, Allen Evans and Laban Hill as new members in 2012.
Goodbyes were said to Christine McCarthy and P. Neal Meier as their terms ended and Don Parrish, who passed away after a long battle with cancer.
The SRC in partnership with DVR has completed a successful year. 2013 promises to be filled with many opportunities to continue the trend of innovation and collaboration. If you are interested in becoming a part of the VT SRC please contact the SRC Coordinator at the address shown on the back cover of this report.
SRC Policy and Procedures Committee by Don Parrish, Chair
The Policy and Procedures Committee works on a three-year cycle in order to accomplish its defined tasks. This committee is responsible for reviewing the entire Vocational Rehabilitation Policy and Procedures manual, including the spending guidelines, and suggesting changes that reflect best practices and are in compliance with the federal regulations. It is also our task to review the SRC By-Laws regularly to ensure that the Council is conducting itself in a manner consistent with them.
In the first part of this year, the committee asked the question, “Is the Division living up to the intent of the Rehabilitation Act of 1973 (as amended) regarding the mandate to provide adequate services to people with the most severe disabilities?” The committee determined that the Advocacy, Outreach and Education and Performance Review committees would be best suited to answer this question. The Advocacy, Outreach and Education committee responded to the question with the intent to focus on outreach and education to the Legislature. The Performance Review committee continues to delve into this topic with its review of “Unsuccessful Closures (28)”, specifically, the decline of successful closures within the CRT (Community Rehabilitation and Treatment) program.
2012 began with the drafts of updated Manual Chapter 101-“Confidentiality”, Chapter 102-“Informed Choice”, Chapter 103-“Comparable Services and Benefits”, and Chapter 105-“Appeals Process” being completed by Vocational Rehabilitation and reviewed by the Policy and Procedures committee. The approved drafts were forwarded to VR area managers for review and feedback. The committee continued its review of the VR Manual with Chapter 205- “Post-Employment Services”, Chapter 206- “Placement”, Chapter 301-“Counseling and Guidance”, Chapter 302-“Health Services”, Chapter 303-“Maintenance”, and Chapter 311-“Training.” All proposed changes to the Manual were reviewed by the Policy and Procedures committee and a hearing was held to get feedback from the public.
A review of spending guidelines contained in Manual Chapter 301 – “Counseling and Guidance”, Chapter 302 – “Health Services”, Chapter 303-“Maintenance”, Chapter 304 – “Occupational Tools, Licenses, Equipment and Stocks and Supplies”, Chapter 305 – “Personal Services”, Chapter 306-“Rehabilitation Technology”, Chapter 308-“Self Employment”, Chapter 309 – “Services to Family Members”, Chapter 311-“Training”, Chapter 312-“Transportation”, and Chapter 313-“Audiology Services and Hearing Aids” was completed by the committee. A survey of all Vocational Rehabilitation counselors and supervisors was used to secure feedback on the current spending guidelines. The VR staff was asked to rate each guideline using the scale of “Too Low”, Too High” or “Just Right.” The survey results showed that the VR staff generally believes that the majority of spending guidelines in these chapters are “just right.”
In September of 2012, the committee Chair, Don Parrish passed away after a long battle with cancer. Don was a dedicated leader and member of the SRC and he is missed. In Don’s honor, committee members continued to work diligently to complete its tasks for the year. The committee looks forward to 2013 and the work to be accomplished.
SRC Advocacy, Outreach and Education (AOE) Committee
For the SRC Advocacy, Outreach and Education Committee, 2012 was a “rollercoaster” year - rich with promising possibilities, but also with noteworthy disappointments. It was a year in which we mourned the loss of ever-involved Don Parrish and resolved ourselves to uphold his dedication to do what is right and to his unfailing sense of ethics.
As has been the case for the last few years, the SRC has been steadfastly following developments relevant to employment and disability - whether it be on the legislative or administrative front; whether statewide, national or even international. Regular reports on legislation relevant to the disability community, concerning the human services budget or other matters, have been received by the Committee which has chosen to actively follow up on items of particular interest. Indeed, the AOE Committee led an SRC effort to present before the Vermont Statehouse in April on efforts to reach out to employers. Much thanks to Christine Kilpatrick and Sarah Launderville, as well as Coordinator, Rebekah Stevens, for the time and energy devoted to this project.
The AOE Committee, in collaboration with the Statewide Independent Living Council (SILC) and other entities, advocated for work incentive enhancements to the Medicaid for Working Persons with Disabilities (MWPD) program. Although the advocacy community suffered a temporary disappointment in this regard, the topic remains relevant and active and will be pursued constructively. Likewise, with a national and international focus, the AOE Committee has taken note of the failure to ratify the Convention on the Rights of Persons with Disabilities (CRPD) Treaty and minimal progress on reauthorization of the Workforce Investment Act (WIA) – in which is embedded the Rehab Act – as well as the Work Incentives and Planning Act (WIPA).
With pride, the Committee has been encouraged by successes of Creative Workforce Solutions (CWS), veterans’ initiatives and other collaborative DVR programs designed to assist people with disabilities acquire and maintain employment. It has also been enlightened on transportation challenges and possibilities - thanks to key member, Whitney Nichols – as it has been on State efforts to expand and reform the health care delivery and payment system for the better.
The Committee, led by the efforts of Ellie Marshall, as well as Sarah and Whitney, is now engaged forcefully in educating others on the need to improve employment outcomes for people with mental heath challenges - a priority for 2013. In addition, yours truly has been asked to join with James Smith and Sarah to collaborate with a national consortium, as per a National Council on Disability grant, to try to reform the disability entitlement system – with a focus on employment incentives.
The AOE Committee looks forward to productively working with new and talented members in the year ahead and achieving positive results for all of Vermont society.
Performance Review Committee by Ellie Marshall, Chair
2012 was a landmark year for the PR Committee. We reviewed the State Plan. We found it reasonable, with several areas to work toward improvement - one being getting more consumers employed even though we’re at 60% (the national rate is 54 %.) Staff Satisfaction Survey results show 94% of VR employees are satisfied with their jobs. Of note, DVR will work to improve the outcomes of community supported employment providers serving individuals with severe mental illness. This latter informs the area of emphasis for the SRC for 2013.
PR took steps to look at VR’s declining successful closures with participants of the Community Rehabilitation and Treatment programs at 10 Vermont mental health centers. I am grateful for the hard work and dedication of PR members and the Council as a whole for embracing this issue in order that we might make significant change in the employment outcomes for those with chronic and persistent mental illness. We hosted a panel of key people in this area to explore what works in the present system. Other areas for study included exploring issues such as combating stigma, finding consistent and reliable transportation, and self-disclosure to employers.
A subgroup was convened, “Making Employment a Priority”, in order to further address this critical area. This group met twice, the second time inviting individuals from the Peer community including Vermont Psychiatric Survivors, NAMI the Vermont Department of Mental Health. A series of next steps and talking points for use in legislative lobbying and a public service announcement were drafted from this meeting.
Clayton Clark at DVR has been invaluable at answering our questions and developing the numbers in order to answer these questions generated by PR members. For example, “What percentage of successful closures had incomes below $1,500 per year in the quarter of their closure?” “What percentage of successful closures had a greater than $1,500 12 months after closure?” We are very grateful to Clayton for all his understanding and efforts.
Looking ahead to 2013 we see more work to do around to falling levels of successful closures for those in the CRT programs. Our work will be complimented by the Advocacy Outreach and Education Committee creating a program to present before the House Human Services Committee on this topic, the core message: employment is essential for mental wellness.
The Strengths, Weaknesses, Opportunities, and Threats (SWOT) memo, adopted in 2012 wherein DVR monitors Creative Workforce Solutions has been put on the back burner as this new initiative has taken a great deal of time. We will revisit portions of the SWOT Memo at regular PR meetings in 2013.
I wish to thank all PR members who have given their time and good thinking to the labor they have done. We are looking to recruit a few good members to this committee—many new members are joining the SRC in 2013 so we shall have an array of new talent to enlist. I am excited about the job we have before us!
Comments on State Plan Goals and Priorities by Performance Review Committee
1. There was concern about the number of hours that VR Counselors spend in direct client work versus meetings and how that would affect outcomes. The SRC would like to explore how we measure time spent with clients.
DVR Response: DVR agrees that this is something we should look at, and have begun this process. We are currently collecting data on the number of hours program staff spends in meetings and what type of meetings they attend. DVR will develop guidance on what is an appropriate number of hours to spend in meetings, and Regional Managers will help counselors to prioritize their meeting attendance.
2. The SRC continues its review of status 28 and 30 closures. DVR did a study of these closures but was not able to identify clear action steps as a result due to small sample sizes and variation in counselor practice. The committee will continue its review after results of the 2013 Consumer Satisfaction survey are complete.
DVR Response: DVR agrees to continue to review data on why consumers close in status 28 and 30 to improve the rehabilitation rate.
Comments on the State Plan at the Public Hearing held June 20, 2013
One consumer faxed comments to DVR as follows:
1. “Advertising of the plan meeting is done only in the classified section of the three newspapers. There is a need for advertising in many local papers with notice of VR plan and meeting in the regular news portion of those papers. (This applies also to the revisions of the Policy and Procedures manual.)”
DVR Response: DVR follows the requirements of State Government to put the notice of public hearings for the State Plan and changes in the Policy and Procedures manual in the Legal section of all the major Vermont newspapers that cover the entire State.
2. “Only one meeting is held in the northwest corner of Vermont. There needs to be at least one more site preferably in the southeast part of the state.”
DVR agrees that additional sites for public hearings would allow more access for consumers. In the future, DVR will provide video conference capability for public comment. The notice for the public hearing allows for written comments to be submitted if a person is unable to attend the public hearing.
3. “The claim of 91% consumer satisfaction rate is misleading. Careful examination of the research report (2011) shows significantly high negative responses by clients in the southeast corner of Vermont. (This does not include clients who were ‘left out’ of the sampling.) My suggestion (sent to the SRC) was that Pennsylvania’s procedure to allow all clients to give input regarding quality be put in place. I received no response.”
DVR Response: DVR follows statistically valid sampling procedures by an independent research firm to conduct the Consumer Satisfaction Survey. It is not realistic or cost effective to survey every client of DVR since DVR serves close to 10,000 individuals. DVR feels that by doing a random sample survey by an independent contractor that we are demonstrating our wish to solicit feedback and to continuously improve our services. DVR welcomes individual comments on its services via its local offices, who will forward these comments to DVR Central Office for review.
4. “At least one more CAP person is needed. The CAP person as a member of the SRC has duties which significantly reduce CAP availability to VR clients. There may be a conflict of interest between VR, SRC and CAP. At present it appears that the VR director may dominate all decisions. Although this may be changing, CAP has been unable to advocate aggressively for some VR clients.”
DVR Response: The Rehabilitation Services Administration (RSA) funds state CAP positions and determines the number of positions allowable. Vermont is funded for one position. We agree that adding additional capacity to the CAP program is needed given the number of consumers served. Additionally the CAP representative is required to sit on the SRC. The CAP representative works for VT Legal Aid and is under no obligation or pressure to withhold advocacy for VR clients, and in fact has a history of advocacy and mediation on behalf of VR clients.
5. “Every entry into case notes for VR should be signed off by the VR client involved. This is to prevent substantial inaccuracies and unprofessional notes being thought to be accurate by supervisors and others reading those notes.”
DVR Response: Case notes are not generally written at the time of a visit by a consumer. To have every consumer review case notes at the subsequent meeting would place an undue burden on consumers and staff. Consumers may request access to their case file at any time and may submit a correction for the case file. 6. “Supervisors need to have procedures in place to thoroughly investigate complaints by VR consumers rather than simply saying ‘Call CAP’. Supervisors should not assume all VR employees are behaving properly and thus blame ‘flawed perception’ of VR clients.” DVR Response: DVR has a clear process in place to handle consumer complaints. Supervisors do regular case review and staff may seek supervision support for any problems that arise in providing services. In addition, DVR has an administrative review process whereby a Regional Manager from a different region reviews the case at the request of a consumer. DVR has found the CAP process to be highly effective since the CAP representative is able to ask hard questions of the counselor. The goal of CAP is to resolve disputes, and the process is usually resolved without a formal appeal. However, there is also a formal appeal process in place when the CAP process is not able to resolve the issue.
7. “A clear policy is needed regarding what a client should do when ethics are violated. I am told the CRCC code of ethics is in place, but most VR ‘counselors’ are not CRCC certified and thus could not be sanctioned by CRCC. Additionally a counselor may be a licensed social worker but since he/she is employed as a ‘VR Counselor’ it is unlikely that the license can be challenged on the basis of social work ethics violations. A clear procedure needs to be in place.”
DVR Response: As outlined in the previous response, there is a process to resolve consumer complaints. Even though not all VR Counselors are CRC certified, they are required to take an ethics course every two years.
8. “A policy forbidding bullying and discrimination of older women by VR Counselors, supervisors and employees must be put in place. Numerous older women have experienced this, with extremely detrimental results to self-esteem, self-worth, ability to seek jobs effectively. They have suffered financially. (I believe VR is attempting to improve this in the future, mainly because a few of these women have become strong advocates for this change.)”
DVR Response: DVR strongly disputes this claim of bullying and discrimination. There are very strong policies in place for ethical and professional treatment of all consumers regardless of age, color, culture, disability, ethnic group, gender, race, religion, sexual orientation, marital status or socioeconomic status. The Department and the Agency of Human Services have procedures in place to address discrimination through the Human Services Board. Additionally a consumer may call the Governor’s hot line to report unprofessional behavior. CAP is a part of Legal Aid Services, which doesn’t hesitate to take legal action against State Agencies that they feel have been discriminatory or who have not performed in a legal manner.
9. “A clear description of the SRC’s purpose and responsibilities need to be made public. (I was told to tell them of some systemic problems with one VR office, and then the SRC stated it was the wrong venue.)” DVR Response: The SRC has no authority to resolve individual case issues, which is the role of the CAP. The SRC welcomes consumer comments on systemic concerns and broader policy issues. The SRC may request written information prior to hearing a consumer at a SRC public meeting.
10. “Details of priority determination (particularly ‘priority 3’) need to be made public.”
DVR Response: Priority determinations are outlined both in the State Plan and in the Policy and Procedures manual, both of which are public documents and are posted on the DVR website.
This screen was last updated on Jun 21 2013 11:20AM by savtwellss
Attachment 4.7(b)(3) Request for Waiver of Statewideness
This agency has not requested a waiver of statewideness.
This screen was last updated on Jun 30 2009 9:26AM by James Smith
Attachment 4.8(b)(1) Cooperative Agreements with Agencies Not Carrying Out Activities Under the Statewide Workforce Investment System
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.
4.8(b) (1) Cooperation with Agencies That Are Not in the Statewide Workforce Investment System and Other Entities
The Vermont TANF agency, the Vermont Economic Services Division (ESD), has engaged in a variety of initiatives designed to meet federal requirements for work participation rates. One initiative is an ongoing contractual relationship with Vermont DVR to provide VR services for TANF participants with disabilities. A VR counselor is designated in each DVR office to work with a caseload of individuals presenting with multiple barriers to employment. In addition, each VR counselor in the Reach Up program works with a part-time Employment and Training Specialist who provides work readiness and follow-along services. The DVR Reach Up program utilizes an individualized service model that focuses on graduated steps to employment including job try-outs, supported volunteer placements, job shadowing and job coaches combined with incentives for completion. Several counselors facilitate or engage a facilitator to run groups such as job clubs, skills groups and self-empowerment groups. The varying approaches support participants in gradually increasing their work participation while learning how to overcome functional barriers. Through a collaborative effort with DVR, ESD and Vermont Adult Learning staff, a progressive assessment system was developed to provide an individualized approach to assessment. Depending upon roles, all staff working in the broader Reach Up program have assessments available to screen for psychosocial barriers, work readiness, learning styles, achievement levels, substance abuse, etc. DVR has engaged in a partnership with ESD to serve Vermonters receiving ongoing General Assistance benefits. A DVR counselor is designated in each DVR region to serve GA customers with disabilities. In addition to counseling staff, each region has a dedicated Employment and Training Specialist to process ongoing GA benefits and provide assistance in work search, job placement and follow along activities. Vermont DVR has been assisting individuals to apply for Social Security disability benefits for the past decade. Assistance has focused on individuals with very severe disabilities, often undiagnosed and untreated, that prevent them from being successful in employment. The goal is to assist those with severe disabilities to receive a more stable source of support that allows them to pursue treatment options that may lead to reengagement with DVR to work on employment goals. Populations being served are those receiving TANF benefits, those on DVR caseloads, offenders exiting prison, and individuals receiving General Assistance, an emergency benefit program for individuals with medical and other barriers to employment. In FFY 2012, 287 individuals across all four population groups were successful applicants for Social Security disability benefits; we project over 300 for SFY 2013. There are 10 full and part time Social Security Specialists who provide services to the Reach Up and General Assistance populations, our VR clients, and individuals within the 8 prison facilities in Vermont. In addition to Social Security assistance, DVR serves offenders with disabilities to achieve employment. Employment is a critical component to prevent recidivism and to assist offenders released from prison to successfully reenter their communities. DVR has designated DVR Counselors in each district office to serve as a single point of contact for the Department of Corrections. Currently there is one Offender Reentry Employment Specialist based in Burlington who is dedicated to employment assistance to offenders with disabilities. Jointly funded by VR and the Department of Corrections, this specialist runs employment groups and does one-on-one job placement for individuals exiting jail or who are on probation. In partnership with the VT Association of Business, Industry and Rehabilitation (VABIR), five additional employment specialists have served individuals needing employment services in the correctional population in Barre, St. Johnsbury, Rutland, Bennington, and Springfield. Individuals with disabilities and individuals with correctional histories intersect in the VR population as well as Reach Up, General Assistance, Mental Health and Developmental Disabilities. When the Medicaid Infrastructure funding ended in the spring of 2012, VR worked to obtain sustainable funding. Unfortunately this did not happen and the program has ended.
This screen was last updated on Jun 21 2013 11:22AM by savtwellss
Attachment 4.8(b)(2) Coordination with Education Officials
- 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.
4.8(b) (2) Coordination with Education Officials to Facilitate the Transition of Students with Disabilities from School to the Receipt of Vocational Rehabilitation Services
a.) DVR continues to have sixteen designated School Transition Counselors and a Senior Transition Counselor operating out of all twelve DVR District Offices. These counselors work directly with all of Vermont high schools plus a variety of technical centers, and alternative and independent schools. Since 2002, the number of transition-aged youth served by DVR has more than doubled. Transition Counselors have dedicated caseloads and they meet with students in their local high schools, sometimes beginning as early as their freshman year, and focus on both short and long-term goals. Counselors also serve as a community resource to the schools, they collaborate with interagency partnerships, and they work as catalysts for change to improve the transition process for youth with disabilities.
Youth age 14 - 24 served* and achieved a successful employment outcome since 2002: Youth Percent of Youth Percent of FFY Served All Served Rehabs All Rehabs 2002 1,224 25% 285 23% 2003 1,405 26% 307 23% 2004 1,534 28% 349 26% 2005 1,633 29% 371 26% 2006 1,672 30% 399 27% 2007 1,687 31% 394 27% 2008 1,895 34% 461 30% 2009 2,121 34% 451 30% 2010 2,338 34% 454 30% 2011 2,489 34% 479 30% 2012 2,556 34% 524 29%
*"Served" is defined as having an open case with an Individualized Plan for Employment (IPE) during the year (this does not include individuals in referral or application status). b.) The DVR Director and staff meet quarterly with the Special Education Director (Vermont Agency of Education - AOE) and staff to coordinate the annual Transition Conference, to discuss support and collaboration regarding improvement for Indicators 13 and 14, and to stay coordinated on other transition issues. AOE Transition staff provide ongoing technical assistance to the DVR Transition Counselors, and the DVR Transition Counselors coordinate information and education with schools in their local service areas, including AOE staff attending the monthly DVR Transition Counselor meeting at least once a year. c.) DVR Transition Counselors use the Guide to Secondary Transition services: Helping Students with Disabilities Move From School to Work with special educators in each of the high schools they serve and the Transition Counselor Role and Responsibilities guidance. They also facilitate a Fall “meet and greet” with special educators to identify specific needs/issues/obstacles with their school and create a plan between VR and school. These meetings replace the former Core Transition teams in some areas. d.) DVR staff is assisting in implementation of a 5-year SAMHSA grant awarded to the Department of Mental Health (DMH) to focus on creating a system of care for transition-aged youth with emotional and behavioral disturbances (EBD). This group has brought the Transition to Independence (TIP) model in to Vermont. This is an evidence-supported practice based on published studies that demonstrate improvements in real life outcomes for youth and young adults with emotional/behavioral difficulties. A team is engaged in a train-the –trainer activity and many youth workers around the state have engaged in TIP training. e.) Financial responsibilities for services provided to students with disabilities are addressed in the Interagency Agreement between the Agency of Human Services and the Department of Education as signed in June 2005. That agreement states that, “For eligible students, DVR will pay for services to the extent that funds are available at the time the services are needed, including assistive technology services and devices, that are identified in an approved IPE in keeping with DVR’s order of selection for services that: i. are consistent with the Rehabilitation Act of 1973 and implementing regulations including but not limited to 34 C.F.R. §361.53; the IDEA, including but not limited to 34 C.F.R. §§300.5, 300.6, 300.347(b), and 300.348; the Assistive Technology Act of 2004, PL 108-364; and Vermont State Plan; and ii. promote or facilitate the accomplishment of vocational rehabilitation goals and any intermediate rehabilitation objectives identified in the student’s IPE to ensure the student’s successful transition to employment, post-secondary education, or training within 12 months of the student’s exit from school.” The Department of Education remains responsible for ensuring a Free Appropriate Public Education (FAPE) for all students with disabilities. The Agreement goes on to state: “The IDEA does not limit the responsibility of non-educational agencies from providing or paying for some or all of the costs of FAPE to children with disabilities. However, this shall not be construed to expand or otherwise alter state and/or federal law requirements imposed on any non-education agency.” f. Other new DVR transition initiatives: • Hired 4 Youth Employment Specialists (YES) to support the employment work of the Transition Counselors in 4 areas of the state; the intention is to have at least one YES in each VR Region • Technical assistance and evaluation of the above being done by TransCen, Inc. • Created a Capacity Support Plan for each Transition Counselor which involves a twice annual meeting that includes the VR Regional Manager and supervisor. • Increased use of technology: all Transition Counselors now have iPhones and laptops to use as capacity and counseling tools
This screen was last updated on Jun 21 2013 11:24AM by savtwellss
Attachment 4.8(b)(3) Cooperative Agreements with Private Nonprofit Organizations
Describe the manner in which the designated state agency establishes cooperative agreements with private non-profit vocational rehabilitation service providers.
4.8(b) (3) Cooperative Agreements with Private Non-Profit Vocational Rehabilitation Service Providers
DVR maintains Social Security Administration, Ticket to Work cooperative agreements with most of the private non-profit employment service providers in the state. Agreements exist with all the community mental health and developmental services agencies. In the spring of 2008 DVR negotiated a new Ticket to Work cooperative agreement with the agencies in anticipation of the new regulations anticipated to be published later that year. The new agreement has been in place since July 1, 2008 and has generated a lot of interest from providers. We anticipate the Ticket will generate significant new revenue for supported employment services.
This screen was last updated on Jun 21 2013 11:25AM by savtwellss
Attachment 4.8(b)(4) Arrangements and Cooperative Agreements for the Provision of Supported Employment Services
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.
4.8(b) (4) Evidence of Collaboration Regarding Supported Employment Services and Extended Services
In FY 2014 DVR will fund 36 programs serving people with developmental disabilities, people with significant mental illness, youth with emotional/behavioral disabilities, and people with Traumatic Brain Injury (TBI). Title VI-B funds account for about $285,000 and about $2 million a year is provided by Section 110 funding. Supported Employment Projects fund direct on-site and off-site supports for people with significant disabilities engaged in real, competitive work. The employment rate for customers who receive both DVR and mental health services is more than twice the rate of those who receive only mental health services. According to RSA data, Vermont’s rate of placements in supported employment is almost five times the national mean.
DVR has a well established agreement with the Vermont Division of Disability and Aging Services (DDAS) to provide extended services for individuals with developmental disabilities. The primary source of funding for extended services for individuals with developmental disabilities is Home and Community-based Medicaid Waiver funds. In addition, DVR also has a well established agreement with the Department of Mental Health to provide extended services for adults with significant mental illness. The primary source of funding for individuals with severe mental illness is the Community Rehabilitation and Treatment (CRT) Case Rate funding.
For individuals with other disabilities, no state funding for extended services exists in Vermont. As a result there are limited options for providing extended services for individuals with brain injuries, sensory disabilities, severe learning disabilities and other disabilities. There are some limited options to use Social Security Administration, Impairment Related Work Expenses or Plans to Achieve Self Support. However, these options are only feasible in a small minority of cases.
This screen was last updated on Jun 21 2013 11:26AM by savtwellss
Attachment 4.10 Comprehensive System of Personnel Development
Data System on Personnel and Personnel Development
Attachment 4.10: Comprehensive System of Personnel Development
(a) Data system on personnel and personnel development
(1) Qualified personnel needs
DVR has a total of 126 Full Time Equivalent (FTE) staff positions. The Division operates using a matrix management structure headed by the Division Director. The breakdown of staff is as follows:
Full Time Equivalents Position Titles and Functions 1 Division Director 6 Senior Central Office Managers including the Field Services Manager, Employment Services Manager, Program Manager for High Risk Populations, Human Resources and Training Manager, DVR Information Manager, and the Budget and Policy Manager 7 Regional Managers overseeing the 12 district offices 32.5 DVR Counselors serving a general caseload and BOND caseload 4 Rehabilitation Counselors for the Deaf 15 DVR Transition Counselors serving a youth caseload 10.5 DVR Reach Up Counselors serving a TANF caseload 6 DVR Counselors Serving a General Assistance Caseload 7 Benefits Counselors 18 Human Services Case Aides and Administrative Support Staff 6 Employee Assistance Manager and Specialists 6.3 Special Project Coordinators 2 Data Management and Program Evaluation Staff 3 Business Account Managers 3 Assistive Technology Staff and Manager
DVR anticipates serving 10,783 consumers in FFY 2013, or about 86 consumers for each FTE. DVR believes we have adequate DVR counselor capacity to meet the current need. The primary area of need for additional staff continues to be for case aides and administrative support in the district offices. The expansion of new programs and the increase in consumers served has placed increased pressure on these positions. Some districts have a single case aide, which can result in a bottleneck around administrative functions.
|Row||Job Title||Total positions||Current vacancies||Projected vacancies over the next 5 years|
|3||Regional Managers and Program Coordinators||11||1||0|
|6||Case Aides and Administrative Support||18||1||2|
|7||EAP Managers and Specialists||6||0||1|
|8||Program Evaluation Staff||2||0||0|
|9||Business Account Managers||3||0||1|
|10||Assistive Technology Manager and Staff||3||0||0|
(2) Vermont has no accredited graduate school offering a master’s degree in Rehabilitation Counseling. To meet the Comprehensive System for Professional Development (CSPD) standards, a counselor needs either a master’s degree in Rehabilitation Counseling or a master’s degree in a related field plus completion of four additional core rehabilitation courses.
The percentage of our current counselors having completed the CSPD is 71%, which is 51 Counselors out of 71. Staff turnover is not as high this year due to a lower number of vacancies, but there have been multiple retirements resulting in a loss of qualified DVR Counselors. Most of their replacements need to meet CSPD requirements and are in the process of completing this requirement. In two instances, qualified DVR Counselors have been hired from a neighboring state.
Assumption College typically has a range of 35-45 students who graduate with a master’s or CAG degree in Rehabilitation Counseling per year. These graduates would be qualified to fill counseling vacancies without additional coursework. Vermont has attempted to recruit students who received a master’s degree in a related field such as Social Work, Special Education, School Guidance, Mental Health Counseling, or Community Mental Health Services from New England colleges. All of these graduates could be candidates for counseling vacancies if they are willing to complete the four core courses.
Eighteen counselors have a master’s degree in a related field and they are in the process of taking the four required core courses. Two counselors are in the lowest priority category due to disability, having been granted ADA accommodations for graduate study allowing them to audit the four core courses rather than to take them for graduate credit. Currently three (3) staff are enrolled in Assumption College pursuing degrees in Vocational Rehab Counseling, one staff is enrolled in Springfield College of Human Services, and two staff are enrolled in Johnson State College.
The following is a breakdown of the educational plans for DVR staff. These plans fall into a four-category system, based on the availability of existing financial resources.
Category one: Current staff who meet the highest standards for education and/or certification.
Fifty-one (51) counselors have either obtained their CRC, a master’s degree in Rehabilitation Counseling, or a master’s degree in Counseling or a closely related field, and have met requirements for their core courses.
Category two: Staff who do not yet meet the highest standards and are currently enrolled in an approved graduate or undergraduate program.
Five (5) counselors are enrolled in graduate programs in rehabilitation counseling or related fields. Of these five, four are scheduled to graduate in the Spring of 2014 and one plans to graduate in 2016. Those who finish their graduate programs in related fields will also have to take the four core courses if they are not included in their current curriculum.
Category three: Staff who have graduate degrees in counseling or a related field are required to take four core courses in order to comply with the CSPD requirements. These courses are based on the course areas suggested by the CRC Commission. Since Vermont does not have a graduate program in Rehabilitation Counseling, it has been necessary to develop these courses via distance learning or through collaboration with Vermont colleges and Assumption College. The four course areas are: Medical and Psychosocial Aspects of Disability; Job Placement or Career Counseling; Vocational Assessment; and Foundations of Rehabilitation.
Eighteen (18) counselors have master’s degrees in counseling or a related field and need to take the four core courses. Staff continues to use San Diego State University (SDSU) as the university has an RSA long-term training grant, and they are open to non-matriculated students who only need to complete the 4 core courses. While staff members, who have completed SDSU courses, often report a high degree of satisfaction, others looking for alternative programs are considering Stout University, Assumption College, and Southern University out of Virginia. Foundations of Rehabilitation and Vocational Assessment were offered through Assumption College and allowed 12-14 staff to complete these two required courses. Career Counseling and Medical and Psychosocial Aspects of Disability are being offered over the Summer and Fall semesters of 2013. At least 14 of the staff will have met the CSPD requirement by December of 2013.
|Row||Institutions||Students enrolled||Employees sponsored by agency and/or RSA||Graduates sponsored by agency and/or RSA||Graduates from the previous year|
|2||Johnson State College||2||2||0||0|
(b) Plan for recruitment, preparation and retention of qualified personnel
DVR has been able to fill counselor vacancies as they occur. State personnel policies require DVR to consider qualified applicants on the Reduction in Force list before other applicants. DVR advertises openings through the State recruitment system, through local newspapers, on-line on CareerBuilder.com and by listing openings through college placement services. Assumption College advertises counselor openings on their website http://www.rcep1.org/rehabjobs/index.php. Rehabilitation Counselors for the Deaf have been recruited by contacting specialized training organizations such as Gallaudet University.
DVR continues to work with Assumption College, Johnson State College and Springfield College to provide educational programs to prepare people to become DVR counselors and to provide on-going education. These training opportunities are available and accessible to all counselors including those from minority backgrounds and those with disabilities. Vermont has a small but growing minority population. Consequently, DVR recruits regionally and nationally for counselors through the Career Builder. This continues to result in receipt of out-of-state applications.
To assist in recruiting candidates with disabilities, DVR has advertised openings through disability-related organizations such as the Vermont Coalition for Disability Rights, the Vermont Center for Independent Living, and the State Independent Living Council. People who are DVR consumers are also encouraged to apply for positions.
(c) Personnel Standards
The Division follows standards set forth in the Comprehensive System for Professional Development (CSPD). This prescribes a national standard for vocational rehabilitation counselor qualifications. This standard gives highest priority to counselors with a master’s degree in rehabilitation counseling. The second level of priority is for counselors with related degrees in social work, psychology, mental health counseling or special education. This group must complete four additional courses to meet the standard: Foundations of Rehabilitation, Career Counseling, Vocational Assessment, and Medical and Psychosocial Aspects of Disability. When unable to recruit qualified candidates that meet the two highest levels DVR hires counselors with Bachelor’s degrees and support their graduate training through our RSA training grant. Though not required by the Division or by RSA, some of counselors continue on to become Certified Rehabilitation Counselors (CRC) through the Commission on Rehabilitation Counselor Certification.
In order to recruit counselors who meet the highest standard we advertise in the state’s two largest newspapers: the Burlington Free Press and the Rutland Herald/Barre Montpelier Times Argus. We also post openings in CareerBuilder.com. Positions are also posted in the TACE New England website. We have been able to receive inquiries about openings from around the country primarily in response to the CareerBuilder.com postings. Over the last several years there has been little difficulty in finding applicants with graduate degrees in counseling, social work and special education through use of our regular advertising.
In order to provide graduate training for counselors with master’s degrees in related fields to meet the CSPD requirements we have been encouraging counselors to take advantage of on-line courses funded by RSA long-term training grants. The timelines for meeting graduate training are written into the job specifications that all candidates have access to in the State of Vermont Department of Human Resources. Counselors are required to meet the standard within three years. All staff training information related to core courses and completion of Master Degrees is stored on an spreadsheet maintained by the Division’s Training and Staff Dev. Coordinator. Supervisors are given quarterly updates to monitor progress.
New counselors are also required to attend a six-day training program taught by the Training and Staff Dev. Coordinator that reviews DVR’s Policies and Procedures Manual. All counseling staff are expected to attend training seminars produced by DVR and by TACE Center – New England. No specific requirement exists for the number of hours of training; however, supervisors address training expectations through employees’ annual performance evaluations.
In addition to counselors, there are other groups of employees that share similar expectations for on-going training including Human Services Case Aides and contracted Employment Staff. These employees often work closely with our consumers and are expected to provide a high level of customer service. Their work is guided by a Vocational Rehabilitation Counselor, DVR Senior Counselor, or DVR Regional Manager. The Employment Consultants also receive training through the local TACE Center – New England in connection with ICI of Boston and Assumption College.
The DVR Benefits Counselors receive ongoing training and support provided by a Project Manager. The local Social Security Administration (SSA) Area Work Incentives Coordinator provides quarterly trainings to the Benefits Counselors on a variety of SSA Work Incentives issues. He is also available to provide consultation as needed around challenging cases or specific issues. SSA also provides training and technical assistance for benefits counselors through contracts with Cornell and Virginia Commonwealth University. DVR is the SSA Work Incentives Planning and Assistance grantee for the State of Vermont. The six Benefits Counselors working under that project are certified by SSA as Certified Work Incentive Counselors (CWIC). To achieve certification, Benefits Counselors must attend a week-long training and complete a comprehensive “take home” assignment that is evaluated by Virginia Commonwealth University staff.
(d) Staff development
Multiple training opportunities were offered between March, 2012 and May, 2013 to encourage ongoing staff development. Several trainings were funded by the Long-term RSA Training Grant and several were co-sponsored by the New England Technical Assistance and Continuing Ed (TACE) Center in connection with the Institute of Community Inclusion (ICI) Boston.
Over the course of 2012, a comprehensive Labor Market Information training series was offered to all staff and partners. The training was provided by Dr. Paul Harrington from Drexel University and several colleagues. Sixty percent of the Counselors attend one or all of the four training sessions.
Four sessions of Ethics Training were offered over between March and August of 2012 to bring all staff in to compliance with the standard of receiving ethics training every two years. An additional Ethics training for managers is planned for 20113 and another series of Ethics trainings for staff is scheduled in the year 2014.
Additional one-day training events between August, 2012 and May, 2013 included Creative Counseling and Job Development; When, Why, and How of Assessment to Promote Academic and Vocational Success; A Taste of Motivational Interviewing; and Sex Offenders: Facts, Risks, and Employment Considerations. Other workshops included those with a focus on TBI and New Americans/Refugees.
Upcoming training ventures include a series of Disability Specific presentations to be offered via video conference; locally-based training by qualified professionals; a workshop on case record maintenance and report writing; training related to substance use and co-occurring disorders, and an in-depth, division-wide training on Motivational Interviewing techniques and as a way of practice.
Nationally, Motivational Interviewing is being used by State Voc Rehab Agencies/Departments. Preliminary results indicate this way of practice is especially useful for consumers with disabilities and well-established results are available related to effectiveness with those who suffer from substance abuse issues. A high number of DVR Consumers struggle with substance and alcohol addiction, which reinforces the relevance of having staff trained in MI techniques and practice. Training can include introductory through advanced components along with actual coding and scoring of DVR Counselor/Consumer sessions to fully integrate the training into practice. The intent is to have a core set of in-house staff extensively trained as trainers, so the Division does not lose the expertise and skill as new counselors replace previously trained staff. This level of training will occur over the course of two to three years as long as training funds remain intact.
DVR’s effort to implement video conferencing in all twelve districts has recovered from the setback which occurred when Tropical Storm Irene hit Vermont in August, 2011. While not fully operational, a temporary bridge solution allows 4 of the seven sites with fully installed video conferencing equipment to connect at one time. Additionally when we are attempting to access the Interactive Television for a statewide virtual meeting, functioning video conferencing sites can connect easily and effectively. The remaining six sites are in the process of installing the required ports and connecting the endpoints. To connect with more than four sites at a time a Memorandum of Understanding has been developed between DVR and the Agency of Education (AOE) to utilize their bridge and as the sites become operational this bridge system will be fully utilized. In addition, a Statement of Work (SOW) is being developed with a local provider for technical assistance and support. This will be achieved by the close of 2013 if not sooner.
Already DVR is re-experiencing the benefit of scheduling group and one-to-one meetings even while limited to a four-site connection. Several monthly meetings that require extensive travel by many staff have been scheduled in-part to take place over video-conferencing as have orientations and some training. Staff travel and expenses will continue to be reduced as additional access to permanent bridge solution is obtained and all twelve districts are brought on-line, which will result in more time spent with consumers and more efficient use of funding dollars.
(e) Personnel to address individual communication needs
The Agency of Human Services has a contract with the Association of Africans Living in VT for on-site interpretation and translation services. If an appropriate interpreter is not available, the VT Refugee Resettlement Program has a contract with Language Learning Enterprise Inc. in Washington D.C. which provides telephonic interpretation.
(f) Coordination of personnel development under the Individuals with Disabilities Education Act.
The DVR Director and other senior managers meet quarterly with the Deputy Commissioner of the Agency of Education and the Special Education Director to coordinate activities and trainings, especially around transition issues.
This screen was last updated on Jun 21 2013 3:35PM by savtwellss
Attachment 4.11(a) Statewide Assessment
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.
4.11 (a) Statewide Assessment
Summary Outline of CSNA Methods, Results, Gaps, and Implications For State Plan
The Rehabilitation Act, as amended in 1998, requires each state to conduct a statewide needs assessment every three years. The current triennial needs assessment is statewide and jointly conducted by the VT Division of Vocational Rehabilitation (DVR) and the State Rehabilitation Council (SRC). The activities for the comprehensive statewide needs assessment (CSNA) were completed during the spring of FFY 2010 for the FFY 2011 State Plan. The following summary of the CSNA is being used to develop many of our goals and strategies for FY 2013, 2014 and 2015.
Historically DVR and the SRC worked with an external contractor to conduct the Needs Assessment. The advantage of this approach was that DVR and the SRC got an external view of the organization. However, this approach had two primary disadvantages: first, available contractors often lacked a deep understanding of the DVR program. As a result, the findings were often superficial and general. The second disadvantage of this approach was that SRC members lacked involvement in the process. SRC members wanted the opportunity to review data directly and ask deeper questions.
For the 2011 Needs Assessment, DVR and the SRC decided to take a more “hands on” approach to the process. DVR collects data from a variety of sources on an ongoing basis and it was determined that DVR and the SRC could conduct a deeper assessment over time using these multiple sources. Rather than conducting a one-time assessment, DVR and the SRC used the data sources it routinely reviews as the basis for the needs assessment. This has allowed for a more comprehensive review of need in the state.
In late fall 2009 the SRC Performance Review Committee in partnership with James Smith, the DVR Budget and Policy Manager, developed a work plan for the Needs Assessment. As a first step the group identified the available sources of process and outcome data they wanted to review over a year period.
The following outlines the data sources reviewed:
Consumer Satisfaction Survey • Phone Survey of 700 DVR consumers. • Collected every two years to allow DVR to measure trends. • Provides direct customer feedback from a large sample. • Individual comments as well as ranked responses. • Includes supported employment consumers. • Speaks directly to “rehabilitation needs” of persons with disabilities.
Employer Satisfaction Survey • Phone survey of 300 employers. • To be collected every two years to allow DVR to measure trends. • Provides direct employer feedback from a large sample. • Individual comments as well as ranked responses. • Speaks to employer perspective of DVR and VABIR services.
DVR Employee Satisfaction Survey • Survey of all VR staff. Focused on staff morale, communication, working conditions, etc. • Provides information on challenges and opportunities faced by DVR staff in providing services. • Will provide data on operational issues such as resources, caseload size, etc.
RSA Standards and Indicators • VR consumer outcome data measured against six federal standards. • Basic measures of VR outcomes according to the federal standards. • If VR is not meeting or marginal with any of the standards, it should be addressed in the needs assessment.
DVR Program Evaluation Team • Program Evaluation Unit (PEU) has the capability to run data queries for the SRC on a range a questions not covered by the RSA Standards and Indicators. • PEU can collect data on longer-term employment outcomes, population estimates (not served by VR), numbers served across programs (VR, DOL, corrections, etc.). * Comparison of services and outcomes across populations served by the program. • Long-term employment outcomes, post-VR closure. • Assess eligible population and potential unmet need (e.g. proportion of SSA disability beneficiaries served by VR). • General population estimates using census and other data.
The SRC Performance Review Subcommittee then assigned review of the data from each of the above categories to a smaller task group. Each task group consisted of SRC members and DVR staff. The task groups reviewed the data and developed a task group report they then submitted to the larger Performance Review Committee. This work was completed between January 2010 and October 2010.
In June 2010 the Performance Review Committee developed a list of additional research questions/areas of interest to be submitted to the DVR Program Evaluation Unit. The Program Evaluation Unit researched these questions/areas of interest through the summer and fall of 2010. These questions/areas of interest included the following:
• DVR services for individuals who are minorities including: o Access to the program o Outcomes
• DVR services for veterans: o Access to the program o Outcomes
• Outcome comparisons across different disability groups: o Individuals with psychiatric disabilities o Individuals with developmental disabilities o Individuals with physical disabilities o Individuals with traumatic brain injuries
• Access to services and outcomes for individuals with Alcohol/Substance Abuse/Dependence disorders.
• Employment outcomes for DVR consumers with post-secondary degrees.
• Supported Employment Services: o Supported Employment Services for Adults with Mental Illness o Supported Employment Services for Adults with Developmental Disabilities o Unmet need for supported employment services for individuals who do not meet MH and DD eligibility criteria for services.
• Overall impact of the DVR program on the total estimated population of eligible Vermonters: o Access to services o Outcomes
• Current and projected needs for services given the aging population in Vermont. o Will DVR have more or fewer applicants? o What will the impact be on the order of selection?
In addition to the above research, the SRC conducted “Not-so-secret shopper” visits to each of the twelve DVR District Offices. SRC members came as VR customers to experience the process a new customer would go through applying for services. The process data from those visits is also included in the findings.
SUMMARY OF MAJOR FINDINGS
The SRC Performance Review Subcommittee and the DVR Implementation Team (I Team), consisting of a mix of DVR field staff, managers and central office staff, reviewed all the findings from the Needs Assessment. It is important to note both groups agreed the Needs Assessment demonstrated that the Vermont DVR program is a remarkably effective program with exceptional outcomes. The fact alone that Vermont DVR increased employment outcomes in 2010 during the worst recession since the 1930’s is one indicator of that fact. However, it is also important for continuous improvement that any program look at and attempt to address areas of need.
The two groups went through a process of assessing and prioritizing the needs for the purpose of strategic planning. We felt it important that we prioritize findings to help guide DVR management and the strategic planning process. The two teams identified the following areas as the major findings of the needs assessment:
The numbering of the following items do not reflect any particular ranking.
 The Need to Improve Employment Outcomes for Individuals with Mental Illness
The assessment revealed that individuals with mental illness have a lower rate of employment than other disability groups. Two major factors were identified as contributing to this finding:
• The significant decline in employment outcomes and rate in the community mental health, Community Rehabilitation and Treatment (CRT) supported employment programs. The employment rate in this system has dropped from 26% in 2006 to 16% in 2010. • The lack of ongoing case management supports for adults with mental illness who do not qualify for adult mental health services. Many individuals with mental illness are unable to retain employment because of lack of case management support in the community. DVR counselors identify between 200 and 400 applicants with mental illness per year who fall into this category.
 The Need to Evaluate “Unsuccessful” (status 28) Closures
Both the SRC and the I Team felt that DVR should conduct an evaluation of status 28 closures. Both groups had lots of questions about the implication of 40% of the post-plan closures being status 28 closures. Among the questions were:
• What percentage of the status 28 closures is the result of factors unrelated to the effectiveness of the DVR program? For example, the individual becomes employed and feels no need to stay in contact with their DVR counselor. • For those individuals who do not become employed, are there specific barriers or needs that DVR should attempt to address? • How much does DVR spend on individuals closed in a status 28 compared to status 26?
 The Need to Engage Veterans with Disabilities, Especially Those Not Eligible for the VA VR Program
Data from the needs assessment suggests veterans are less likely to access the DVR program than eligible non-veterans. This is consistent with anecdotal reports from field staff that eligible veterans are reluctant to access the DVR program. This data suggests DVR should continue and intensify its efforts to engage veterans including outreach to veterans organizations, partnering with the VA VR programming, and partnering with the Department of Labor veterans staff.
 The Need to Expand Employer Outreach and Marketing Efforts
The employer satisfaction survey indicated that a substantial portion of employers were unfamiliar with DVR or VABIR, our primary community rehabilitation partner. Even for employers with whom DVR does have a relationship, it appeared that program engagement was often inconsistent. Based on the survey it appears that DVR and VABIR need to:
• Have more consistent routine contact with employers with whom we have a relationship. • Conduct more outreach to employers who are not current clients of VABIR and DVR.
It is important to note that this data was collected before DVR implemented a major initiative, Creative Workforce Solutions (CWS), to improve and expand employer outreach. CWS includes the creation of:
• Eleven (11) Business Account Managers focused on employer outreach. • The formation of inter-agency employer outreach teams at the local level to coordinate job development efforts across programs. • The implementation of Salesforce, an account management software system designed to track employer outreach.
It will be interesting to see the impact of these efforts on future survey results. Regardless, we expect employer outreach to be a major focus of DVR efforts for the next three years.
 The Need to Improve Outcomes for DVR Consumers with Alcohol/Substance Abuse Dependence/Abuse Disorders
Data from the VR 911 clearly illustrated that VR consumers with alcohol or substance abuse/dependence disorders are increasingly less likely to get to plan status and when they do, they are increasingly less like to achieve their employment goal. Field experience mirrors the data findings for this population. VR counseling staff consistently report that alcohol and substance abuse/dependence disorders present the most significant barriers to employment. This clearly needs to be an area of focus for DVR in the coming three years.
 The Need to Assess the Impact of DVR Support of Post-Secondary Education Services
DVR data revealed that individuals served by the program with post-secondary degrees are more likely to achieve an employment outcome and earn more money than individuals with high school diplomas or less. However, what is less clear is the impact of DVR investment in post-secondary education. A high proportion of case service funds are invested in this service but DVR has never conducted a formal evaluation of the impact this service.
 The Need to Communicate Clearly to VR Applicants Regarding their Expectations of DVR Services and Continue to Work on Improving Communication Between DVR and DVR Consumers
Feedback from the 2008 DVR consumer satisfaction survey was overwhelmingly positive. For consumers who did have complaints about the DVR program two themes emerged from the 2008 and prior surveys. These themes appeared to relate to the consumer’s expectations about what the DVR program can and cannot provide and to ongoing communication between the DVR counselor and the consumer.
DVR has made a number of efforts to help give consumers a clear picture of what DVR can provide and what are the limitations of the program. This has included efforts to provide improved and more consistent orientation to the program. In addition, in response to the 2008 survey DVR established some expectations for staff around communication between staff and consumers, for example minimum expectations for the time it takes to return phone calls.
DVR is presently conducting the 2011 survey. It will be very interesting to see any movement in the above areas. It is important to note that in 2009 DVR lost 15% of its staff. This may have an impact on consumer satisfaction, especially on responsiveness of staff given the loss of capacity.
 The Need to Establish Case Management Supports for DVR Consumers Who Are Not Eligible for Community Mental Health or Developmental Services Based on the reporting from VR counselors, about 700 individuals per year who are found eligible for the VR program need some kind of ongoing case management support. The DVR 2007 Needs Assessment identified this as a major area of need. Despite substantial efforts since the 2007 Needs Assessment DVR has not been able to put in place case management supports for non-CRT or non-DDAS consumers. In 2008 a pilot project to put these services in place in six sites was shelved because of the fiscal crisis. As a result this gap in the service system remains an ongoing challenge for the VR program.
Populations identified as needing these supports are:
• Adults with mental illness who are not eligible for community mental health services • Adults with developmental disabilities who are not eligible for developmental services • Adults on the autism spectrum who are not eligible for developmental services • Adults with Traumatic Brain Injury (TBI) • Adults with physical disabilities
 The Need to Increase Consumer Earnings
Even though the DVR data on the RSA Performance Indicator 1.5 was well above the federal standard, the I Team felt DVR should always endeavor to increase consumer earnings. The average hourly earnings at closure in 2009 were $11.24 per hour, which compares to the Vermont “Livable Wage” of $16.75 for a single person.
The I Team was interested in looking at the impact of funding short-term training leading to certification in specific fields (e.g. LNA, CDL). DVR used ARRA funds to support a significant expansion in these training options. This presents an ideal opportunity to assess whether investment in these types of training will result in higher wage employment.
 The Need to Outreach to Eligible Individuals Who are Non-English Speakers
While the numbers are relatively small, the census data clearly indicated DVR is under-serving this population. DVR should explore strategies to engage eligible non-English speakers and community organizations representing this population.
 The Need to Streamline and Automate Case Work and Financial Processes for DVR Staff and Consumers
The results of the staff satisfaction survey suggest staff are struggling with managing the paperwork and administrative processes associated with providing services. Given that the Division is operating with reduced staff and increasing numbers of customers, it is important DVR examine how to streamline processes.
In addition, SRC members, as a result of their “not-so-secret shopper” visits, reported that they felt DVR paperwork requirements were burdensome for consumers. They suggested DVR review all required paperwork processes and eliminate or streamline redundant processes.
The Vermont Needs Assessment also included an assessment of the vocational rehabilitation service needs of individuals who are unserved or underserved by the vocational rehabilitation program. Among the individuals indentified in the needs assessment as unserved or underserved are:
* Adults with mental illness who are not eligible for community mental health services • Adults with developmental disabilities who are not eligible for developmental services • Adults on the autism spectrum who are not eligible for developmental services • Adults with Traumatic Brain Injury (TBI) • Adults with physical disabilities * Veterans with disabilities * Adults with alcohol and substance abuse/dependence disorders * Adults with disabilities for who are non-English speakers.
As a result of the Needs Assessment DVR is planning a number of strategies to outreach and/or improve services to these groups. These strategies are laid out in Attachment 4.11 (D).
The Needs Assessment did not not generate any significant findings regarding about individuals with disabilities served through other components of the statewide workforce investment system (primarily the Department of Labor in Vermont). However, DVR and the Vermont Department of Labor signed a Memorandum of Agreement in the Spring of 2010 committing the two agencies to develop operational guidelines for serving joint consumers. This operational agreement will include implementation of coordinated employer outreach and implementation of a continuum of progressive employment options with VR and WIA funds. We believe that strong engagement with DOL will result in more individuals with disabilities being served through that system.
The Needs Assessment also looked at the need to establish, develop or improve community rehabilitation programs in the state of Vermont. In the Vermont context the community rehabilitation programs consist of the following:
* Fourteen community mental health and developmental disability agencies that provide supported employment services.
* One community rehabilitation program, the Vermont Association of Business, Industry and Rehabilitation (VABIR).
The Needs Assessment clearly found that the supported employment programs serving individuals with severe mental illness had experienced a significant decline in emplyment outcomes. This is clearly a priority area for improvement. DVR in partnership with the Department of Mental Health has committed to some significant improvement initiatives outlined in 4.11 (D).
VABIR is responsible for the bulk of employer outreach for DVR and for the Creative Workforce Solutions initiative. As noted earlier, the employer satisfaction survey indicated that a substantial portion of employers were unfamiliar with DVR or VABIR. It is imprtant to note these results pre-dated the Creative Workforce Solutions intiative which has invested significant new VR and VABIR resources in employer outreach. However, this is clearly an area for improvement that VR and VABIR have identified and developed strategies to address as outlined in 4.11 (D).
This screen was last updated on Aug 6 2013 1:39PM by savtwellss
Attachment 4.11(b) Annual Estimates
4.11(b) Annual Estimates of Individuals to be Served and Costs of Services 1. Based on the Census American Community Survey for 2010, DVR estimates that there are 46,123 Vermonters between the ages of 16 and 64 with a disability. All of these people are potentially eligible for services under this Plan.
2. An estimated 10,783 individuals will receive services in FFY 2013 with funds provided under either Part B of Title I of the Act or under Part B of Title VI. Since DVR operates under an Order of Selection for Services, it is anticipated that 9,951 Priority Category 1 customers will be served; 803 Priority Category 2 customers; and 29 Priority Category 3 customers.
3. Total costs to serve individuals in all three categories will be approximately $20,500,000. Estimated costs of services for each category are:
Title I Title VI-B Priority Category 1 $18,660,712 $279,006 Priority Category 2 $1,505,834 $0 Priority Category 3 $54,383 $0 TOTALS $20,220,929 $279,006
The following table shows the number of individuals served in the past two years and the number DVR anticipates serving during the current and next fiscal years:
Category 1 Served 9,438 (FFY11); 9,618 (FFY12); 9,951 (proj FFY13); 10,248 (proj FFY14) Rehabs 1,449 (FFY11); 1,632 (FFY12); 1,701 (proj FFY13); 1,843 (proj FFY14)
Category 2 Served 848 (FFY11); 788 (FFY12); 803 (proj FFY13); 795 (proj FFY14) Rehabs 169 (FFY11); 154 (FFY12); 156 (proj FFY13); 147 (proj FFY14) Category 3 Served 19 (FFY11); 41 (FFY12); 29 (proj FFY13); 38 (proj FFY14) Rehabs 4 (FFY11); 5 (FFY12); 5 (proj FFY13); 5 (proj FFY14) Total Served 10,305 (FFY11); 10,447 (FFY12); 10,783 (proj FFY13); 11,081 (proj FFY14) Total Rehabs 1,622 (FFY11); 1,791 (FFY12); 1,862 (proj FFY13); 1,994 (proj FFY14)
|Category||Title I or Title VI||Estimated Funds||Estimated Number to be Served||Average Cost of Services|
|Category 1||Title I||$18,660,712||10,248||$1,820|
|Category 1||Title VI||$279,006||175||$1,594|
|Category 2||Title I||$1,505,834||795||$1,894|
|Category 3||Title I||$54,383||38||$1,431|
This screen was last updated on Aug 6 2013 11:33AM by savtwellss
Attachment 4.11(c)(1) State Goals and Priorities
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.
4.11(c) (1) State’s Goals and Priorities for the Vocational Rehabilitation and Supported Employment Programs
Based on the 2011 VR/SRC Needs Assessment findings, DVR and the SRC determined that the Goals and Priorities established in the FFY 2010 State Plan were still the appropriate strategic goals for the agency. We felt that broad goals like “Consumer satisfaction with DVR services will increase” are unlikely ever to change. However, upon review DVR and the SRC have made changes as follows:
• The targets for the FFY 2014 Goals and Priorities have been adjusted based on data collected in FFY 2012. • In areas where no new data is available, 2014 targets were kept the same as 2013 targets.
FFY 2014 Goals and Priorities Goal 1. Consumer satisfaction with DVR services will increase. Measure: Biennial consumer satisfaction survey. Target: DVR will maintain overall consumer satisfaction at or above the 91% level in 2011 survey in the 2013 survey.
Goal 2. Consumer earnings will increase beyond the rate of inflation. Measure: RSA Performance Indicator 1.5: DVR wages compared to state average, and 1.6: own income as primary source of support. Targets: 1.5: DVR consumer wages will increase from 61% in 2012 of state average to 63% of state average in 2014. 1.6: DVR will increase the percentage of consumers achieving self-support from 46% in 2012 to 47% in 2014
Goal 3. More consumers will be employed and the rate that consumers maintain employment will increase. Measures: RSA Performance Indicator 1.2: Percentage of DVR consumers achieving an employment outcome. Vermont Unemployment Insurance data to track employment retention post DVR closure. Targets 1.2: DVR consumers achieving an employment outcome will increase from 58% in 2012 to 62% in 2014. Percentage of DVR consumers who retain employment two years post closure will increase from 64% to 68%.
Goal 4. Vermont employers will increase their use of DVR as an employment agency through Creative Workforce Solutions. Measure: In December 2010 DVR deployed a comprehensive employer tracking tool using Salesforce, a well-established commercial customer relations software. DVR plans to use Salesforce as its primary tool for tracking employer outreach. Target: By the end of FFY 2014 DVR will have recorded 7,500 employer contacts in Salesforce, increased from over 5,000 contacts in 2012.
Goal 5. DVR employees will be satisfied with their jobs. Measure: Results from biennial DVR staff satisfaction survey. Target: DVR staff satisfaction will be maintained at 93.8% (2012 rating) or higher.
Goal 6. All DVR staff will have the skills and competencies to do their jobs. Measure: Feedback from staff on biennial DVR staff satisfaction survey. Target: In 2012, 88% of staff said they had enough information to do their jobs. This will increase to 93% by 2014.
Goal 7. Continue to pursue funding opportunities for case management services to serve un-served or underserved populations; specifically: • Individuals with measured IQs between 70 and 80 • Individuals with TBI • Individuals with psychiatric disabilities • Individuals with other significant disabilities who require case management services Measure: Implementation of services targeted at underserved populations. Target: Where possible, determine strategy to measure success rates and collect baseline data ____________________ • Individuals in the Autism Spectrum range of disorders Measure: Implementation of services targeted at underserved populations. Target: The Youth Employment Specialist model to serve youth with cross-disabilities has been implemented in 4 sites. Two additional sites will be added by FFY 2014. __________________ • Individuals exiting the correctional system Measure: Implementation of services targeted at underserved populations Target: DVR was unable to secure funding to continue to support offender reentry specialists. The Program has been discontinued. ___________________ • Individuals with alcohol/substance abuse dependence/abuse disorders (AODA) Measure: Implementation of services targeted at underserved populations Target: Increase the % of AODA consumers who achieve plan status from 57% (FFY 2009) to 62% by FFY 2014. Increase the rehabilitation rate of AODA consumers from 61% (FFY 2012) to 63% by FFY 2014. ____________________ • Individuals with disabilities who are veterans Measure: Implementation of services targeted at underserved populations. Target: Increase the post plan closures for eligible veterans from 149 in FFY 2012 to 200 by FFY 2014 ____________________ • Individuals with disabilities who are not primary English speakers. Measure: Implementation of services targeted at underserved populations. Target: Increase the post plan closures for individuals with disabilities who are not primary English speakers from 42 in FFY 2010 to 80 by FFY 2014.
Goal 8. DVR will work to improve the outcomes of community supported employment providers serving individuals with developmental disabilities. Measures: Number of 26 closures achieved through the supported employment programs. Total number of people with developmental disabilities employed with supports. Targets: Maintain number of 26 closures in State Fiscal Year 2014 at 225 (SFY 2012 = 226) Increase the total number of people with developmental disabilities employed with supports to 1,140 (SFY 2012 = 1,098)
Goal 9. DVR will work to improve the outcomes of community providers serving individuals with severe mental illness. Measures: Number of 26 closures achieved through supported employment programs for adults with psychiatric disabilities. Total number of people with psychiatric disabilities employed with supports. Targets: Total 26 closures in State Fiscal Year 2012:137 26 closure goal for State Fiscal Year 2014: 150 In State Fiscal Year 2011 a total of 592 people were working in supported employment programs. This will increase to 700 by State Fiscal Year 2014.
This screen was last updated on Jun 21 2013 12:55PM by savtwellss
Attachment 4.11(c)(3) Order of Selection
- 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
DVR does not have enough funds to offer paid services to Priority Category 3 customers at the time they are determined eligible. At the end of every quarter, DVR and the SRC reviews the number of Priority Category 3 customers who have been determined eligible in each quarter since services were last provided to customers in this category. Based on resources available, a determination is made on whether or not to serve Category 3 customers. If the decision is made to provide paid services to Category 3 customers, all in the group who were determined eligible in the same quarter are eligible for services regardless of their service needs. In FFY 2011, nineteen individuals received paid services.
DVR does a good job of getting the maximum services for consumers out of the available resources. DVR increased the number of employment outcomes from 443 in 1991 to 1,791 in 2012, an increase of over 300 percent and a 10.4% increase from FFY 2011. This was achieved without any significant increase in funding. As an agency we understand how to provide services efficiently and economically. We also have aggressively pursued funding from other sources, in particular through grants and SSA Reimbursement and Ticket to Work payments. With recent re-allotment and a grant to serve individuals with disabilities receiving General Assistance, VR has been able to increase its capacity to serve more Vermonters. However, VR continues to seek additional funds to sustain current initiatives.
Description of Priority categories
Vermont continues to operate under the order of selection established in FFY 1999. With the approval of the State Rehabilitation Council, the Category definitions have been rewritten to clarify the intent of the Rehabilitation Act to serve those most in need of services:
Priority Category 1: Individuals who have been determined by DVR to have the most significant disabilities are those who have two or more areas of functional loss requiring multiple services over a period of 6 months or more, either for the provision of a required service, or for the duration of the use of a provided good.
Priority Category 2: Individuals who have been determined by DVR to have significant disabilities are those who have one area of functional loss requiring multiple services over a period of 6 months or more, either for the provision of a required service, or for the duration of the use of a provided good.
Priority Category 3: Individuals who have been determined by DVR to have non-significant disabilities are those who have one or more areas of functional loss not requiring multiple services over a period of 6 months or more.
Priority of categories to receive VR services under the order
Priority Category 1 and Priority Category 2
Service and outcome goals and the time within which the goals will be achieved
Individuals found eligible under Priority Categories 1 and 2 will receive the full range of services available under vocational rehabilitation program.
As noted earlier, DVR does not have enough funds to offer paid services to Priority Category 3 customers at the time they are determined eligible. At the end of every quarter, DVR and the SRC reviews the number of Priority Category 3 customers who have been determined eligible in each quarter since services were last provided to customers in this category. Based on resources available, a determination is made n whether or not to serve Category 3 customers.
|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 Jun 21 2013 1:31PM by savtwellss
Attachment 4.11(c)(4) Goals and Plans for Distribution of Title VI, Part B Funds
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.
4.11 (c)(4) Goals and plans for distribution of Title VI, Part B Funds
Five (5) programs or services are being funded by DVR in FFY 2013 using Title VI-B funds to serve approximately 180 individuals with developmental disabilities and 30 persons with mental illness. Total funding obligated for FFY 2013 was $297,000. Federal Sequestration is leading to a 5% reduction of Title VI-B funding to Vermont. For FFY2013 Vermont is replacing these dollars with Title I funds.
$2,140,000 in Title I funds were used in FY 2012 to supplement Title VI- B funds for supported employment programs. These funds supported an additional 1,327 consumers, for a total of 1,537 consumers in 36 programs. The largest groups of customers served were: 510 people with significant developmental disabilities; 473 individuals with significant mental illness; 544 youth with emotional and behavioral disabilities (EBD); and 10 individuals with TBI.
For FFY 2014, because of an ongoing impact of Sequestration, Vermont currently plans on having $280,000 of Title VI-B funds available to fund supported employment programs.
This screen was last updated on Jun 21 2013 1:22PM by savtwellss
Attachment 4.11(d) State's Strategies
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.
4.11 (d) Strategies to Achieve the Goals and Priorities
Strategy 1: DVR will implement a coordinated approach to employment services across the Vermont Agency of Human Services (AHS) under Creative Workforce Solutions (CWS) Goal and Priority Area Addressed: 4 Planned Activities CWS is a legislatively-mandated initiative to be led by DVR to coordinate employer outreach across AHS Departments and Divisions. A consolidated and coordinated approach to employment services under a single entity will provide equal access to meaningful work at a livable wage for all AHS program participants. It will also provide employers with a primary point of contact for coordinated job development and placement services and post-placement supports to ensure job retention.
DVR continues to see very positive results on this redesign. Local employment teams have indicated a positive impact on employment outcomes for AHS consumers across populations including individuals in the Reach Up program, community mental health services, corrections, and developmental services. CWS will continue to improve employment outcomes of people with disabilities in Vermont in the following ways:
• It will improve access to VR services for eligible individuals within other systems, in particular the Vermont Reach Up program and the correctional system. • Performance based contracting for supported employment services will help promote a focus on increasing employment outcomes for individuals with psychiatric disabilities. • Coordinated employment outreach and the addition of Business Account Managers will increase the number of employment opportunities for VR and supported employment consumers.
As part of CWS, DVR has accomplished the following: • In partnership with VABIR, DVR has hired and manages thirteen Business Account Managers (BAM) serving all twelve AHS districts. The BAM staff is dedicated to generic employer outreach and job development on behalf of all AHS populations. • The BAM staff coordinates local CWS employment teams statewide made up of supported employment program staff and vocational staff serving all AHS populations. • DVR oversees a CWS Governance Group representing four departments and seven divisions providing employment services for AHS consumers. • In partnership with VABIR, DVR developed data systems for CWS including employer tracking through Salesforce and a consumer tracking system. Use of Salesforce continues to increase, with over 5,000 employers unique employer contacts entered during SFY 2012.
In FFY 14, DVR will continue to develop CWS through: • Development of a systematic training program for employment specialists including all CWS partners. Training will be delivered through a state institution and will lead to a CWS certification. An RFP process is complete and a contract is currently being written for a company to develop this training. • Continuation of support to local employment teams to develop cohesive local strategies for employer outreach and provide for training and personal development to the Business Account Managers. • Continuation of efforts to educate Agency Commissioners about the value of CWS. • Development of reporting structures for data from the CWS tracking tool and Salesforce.
Strategy 2: DVR will support field staff to manage and prioritize activities and workload. Goal and Priority Areas Addressed: 1, 3, 5 and 6 Planned Activities: DVR will continue the following ongoing processes: • Streamline administrative processes and reduce or redesign redundant paperwork. • DVR will acknowledge projects and committees that field staff are involved in, and ensure this is taken into account in DVR planning and management. • Complete work started by DVR transition counselors to develop strategies to manage expanding caseloads. • Develop strategies to address issues that came out of the all staff retreat held in the fall of 2012, such as time spent in meetings, staff training, and case management needs of complex consumers, etc.
Strategy 3: DVR will improve communication with consumers regarding expectations for DVR services. Goal and Priority Areas Addressed: 1, 3, 5 and 6 Planned Activities • DVR has developed a consistent statewide orientation to VR services and has been implemented in all twelve districts. The DVR Implementation Team will monitor the roll-out of this orientation and modify the material as needed. • DVR has developed a consistent set of vocational assessment tools, including functional assessments, to better assist consumers in determining appropriate vocational goals. DVR has begun training on these tools to counselors and employment staff. • DVR completed its training grant initiative for DVR counselors about the effective use of labor market information to inform consumers on viable vocational goals. The next large training initiatives will be: 1) the use of Motivational Interviewing in working with DVR customers; and 2) training on working with individuals with alcohol/substance dependence/abuse disorders (AODA)
Strategy 4: Through the implementation of performance-based contracting, DVR will improve employment outcomes of CRT, DS and JOBS supported employment programs. Goal and Priority Areas Addressed: 9 and 10 Planned Activities
• DVR is near the end of the second year of performance-based grants with the supported employment programs which include financial incentives and penalties. The performance standards include rehabilitation targets, employment rate targets and consumer earnings targets. The grants include a corrective action and earn-back provision, allowing programs to recoup penalties if they demonstrate significant improvement. DVR has seen significant improvement as a result of these grants and many programs have been able to obtain significant financial benefits because of increased outcomes.
Strategy 5: DVR will increase vertical and horizontal communication within VR through implementation of videoconferencing in all twelve districts and central office. Goal and Priority Areas Addressed: 5 and 6 Planned Activities • DVR implemented videoconferencing technology in six DVR district offices and central office. This technology will be used for staff training, cross-district team meetings (transition counselors, benefits counselors, etc.), regional manager meetings, and for statewide all-staff meetings. It will also allow district offices to meet with each other for medical consults, peer review and sharing of best practices. The system had to be put on hold due to Hurricane Irene and the flooding of the State Office Complex in Waterbury where the DVR Central Office is located. DVR is working to restore the capacity for the six sites in addition to central office and plans to expand to all twelve district offices. DVR expects to enter into an agreement soon with the VT Agency of Education to provide bridge services for all our sites and has entered into a contract with a company to provide equipment support. The additional six video conference systems have been purchased and delivered to the DVR district offices. All twelve sites plus Central Office in Williston will be operational by summer of 2013.
Strategy 6: DVR will increase capacity to serve underserved populations through the implementation of special projects. Goal and Priority Area: 7 Planned Activities • DVR has implemented the General Assistance (GA) Project statewide with six GA VR counselors and eight VABIR employment specialists. The Vermont General Assistance program provides emergency assistance for individuals with no other source of support. DVR and the Vermont Division of Economic Services (ESD) have determined that up to 90% of chronic GA participants are persons with disabilities and thus are VR-eligible. For VR-eligible individuals, the GA project provides general VR services plus intensive job placement supports through designated employment specialists. The outcomes have been very positive, and DVR will continue to make improvements to the program as needed. • DVR recently implemented Youth Employment Specialists (YES) in four sites paired with transition counselors. Since 2000, DVR has substantially increased the number of specialized DVR rehabilitation counselors serving youth in transition. This has resulted in a major expansion in the number of youth in transition served by DVR from 828 in 2000 to 2,338 in 2010. DVR will continue the four pilot sites and will add two additional YES positions in SFY 2014. DVR has contracted with TransCen to evaluate this pilot. • DVR was approached by the Office of Child Support (OCS) to join the CWS efforts. OCS indicated that judges have no recourse for unemployed individuals owing child support. DVR believes this is another population of individuals with significant barriers to employment. DVR has begun to pilot a statewide model of assessment through Invest EAP and referral to DVR for those individuals with disabilities. To date, about 120 individuals have participated in the program with about a 20% rate of engagement back into employment. This compares to about a 10% rate of engagement nationally. DVR continues to develop this pilot and make changes in the model.
Strategy 7: DVR will continue to become a data-driven organization. Goal and Priority Areas: All Planned Activities • DVR continues the development of a flexible and user-friendly electronic case management system. DVR signed a contract for the development of an electronic case management system with S3 Incorporated on May 2, 2011. Development of the case management system is taking longer than anticipated due to the complexity of the process and DVR’s commitment to ensure a quality product that will be effectively used by DVR staff. DVR is close to the field testing phase and anticipates roll-out of the system in FFY 2014. • DVR will develop and implement a “dashboard” to track case service expenditures and Ticket to Work payments by region, district and counselor.
Strategy 8: DVR will systematically recognize exemplary staff performance throughout DVR, and will recognize the roles of all team members in supporting the customer. Goal and Priority Areas: 5 & 6 Planned Activities • The DVR Training Coordinator will seek staff input through the Implementation Team and the staff satisfaction survey to help define high performance and identify meaningful methods of recognition. • The DVR management team will increase use of the merit bonus system. • DVR will develop a systematic mechanism to collect local success stories and best practices and share what works within the organization. Strategy 9: DVR will explore strategies to diversify the DVR caseload. Goal and Priority Areas: 1, 2, 3 and 4 Planned Activities • With increased employer outreach through CWS, DVR is finding more and more job opportunities that the agency cannot provide consumers to fill. Anecdotal reports suggest VR-eligible individuals with higher levels of training and education are not accessing the VR program, even though they could benefit from it. DVR conducted a pilot to increase outreach to the medical provider community in two districts. Based on the experience from these pilots, DVR recently developed a small poster and an accompanying fact sheet for Regional Managers to distribute to medical offices in their regions. DVR will continue to look for ways to outreach to various constituencies.
Strategy 10: DVR will implement strategies designed to enable VR consumers to access higher wage employment through short-term training and better use of labor market data. Goal and Priority Areas: 1, 2, 3, 4 & 6 Planned Activities • Since FFY 2009, DVR has set aside funds to support short-term training opportunities such as CDL and LNA programs. DVR studied the data this past year and determined that putting set aside funds toward short-term training is very cost effective and leads to better outcomes. The average cost per training set-aside is $773; the average cost per case is $840. The rehab rate is 68%, and almost 60% closed with full time work, which is much higher than average. The average hourly wage is higher than the average as well. DVR has determined that more training options are needed. During SFY 2014, DVR managers will engage local technical centers to explore ways to develop training programs geared to the local labor market. • In FFY 2014, DVR will continue to emphasize the use of labor market information to help consumers make the best possible decisions regarding their career choices. Last year, DVR contracted with nationally-recognized expert Paul Harrington to train counselors and employment staff on the use of labor market information. DVR is now working with TransCen to develop a training curriculum for employment staff that will include many strategies for assisting VR consumers to access better jobs, including the use of labor market information.
Strategy 11: DVR will implement activities designed to reduce the number of individuals who are closed in a status 28 (not employed). Goal and Priority Areas: 1, 3, 6 & 7 Planned Activities • DVR has recently done a comprehensive evaluation of status 28 closures to identify any specific trends or issues that DVR might need to address. This information was provided to the SRC Performance Review Committee very recently, and they will continue to look at this issue in SFY 2014. • It was identified in the Needs Assessment that individuals with alcohol and substance abuse disorders have significantly worse outcomes than other populations. Through the DVR training grant, DVR will provide training options for DVR staff around providing effective services for this population. This training will be a priority for SFY 2014.
Strategy 12: DVR will partner with the Vermont Department of Labor around employer outreach and providing employment training options for dual VR/DOL customers. Goal and Priority Areas: 4 & 8 Planned Activities • DVR and DOL will, where appropriate, implement coordinated approach to employer outreach through CWS.
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.
The VT Assistive Technology Program is housed within DVR and provides assessment for individuals with disabilities to determine appropriate AT for home and the workplace. The AT Program also operates two try-out centers that provide statewide coverage. VR Counselors are able to refer individuals for assessment and equipment loans/try-outs.
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.
Most of the minorities living in VT reside within Chittenden County, served by the Burlington district office. There are several organizations within Burlington that serve individuals who are minorities, and their employment staff are members of the local CWS team. As members, they are able to assist their consumers to find employment and benefit from the team outreach to local employers.
If applicable, identify plans for establishing, developing, or improving community rehabilitation programs within the state.
DVR has a close working relationship with the VT Association for Business, Industry and Rehabilitation (VABIR), with their employment staff co-located within DVR district offices. The VABIR Director attends monthly meetings of the DVR Management Team. Vermont has a system of Designated Agencies that provide supported employment services to individuals with developmental disabilities and individuals with severe and persistent mental illness. DVR provides annual grants to these agencies to provide supported employment services to DVR customers. DVR has recently initiated performance-based grants to VABIR and the Designated Agencies that seek to improve outcomes for the individuals they serve.
Describe strategies to improve the performance of the state with respect to the evaluation standards and performance indicators.
One of the strategies described above is to analyze data on those individuals closed unsuccessfully in status 28. In collaboration with the SRC, DVR will look for any trends that might inform a change in procedures or services and increase the percentage of individuals closing with successful employment outcomes.
Describe strategies for assisting other components of the statewide workforce investment system in assisting individuals with disabilities.
DVR has reached out to the VR Dept. of Labor to coordinate employer outreach and braid progressive employment options. Currently, DVR holds the grant to VDOL to provide services to the Reach Up population, and these staff sit on the Creative Workforce Solutions employment teams. DVR and VDOL managers at the local level continue to collaborate wherever possible to serve the employer customer.
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.
See the first section of this attachment above. Strategies described include: * Efforts to achieve the goals and priorities identified in Attachment 4.11(c)(1) * Continued efforts to solidify Creative Workforce Solutions, an innovation and expansion activity * Efforts to increase the employment outcomes of individuals served in the supported employment programs
This screen was last updated on Jun 21 2013 1:31PM by savtwellss
Attachment 4.11(e)(2) Evaluation and Reports of Progress
Vocational Rehabilitation (VR) and Supported Employment (SE) Goals
4.11 (e) (2) Evaluation and reports of progress: Evaluation of the extent to which goals in 4.11 (c) (1) identified in the FFY 2012 State Plan were achieved.
The following summary provides an update on Vermont DVR’s progress toward achieving the goals and priorities identified in the FFY 2012 State Plan.
Goal and Priority 1: Consumer satisfaction with DVR services will increase
Measure: Biennial consumer satisfaction survey.
Target: DVR will maintain overall consumer satisfaction at or above the 2011 level of 91% in the 2013 survey.
Actual Data for 2012: No new data.
Next Data Point: This survey will be repeated in the spring of 2013 and results will be published by the end of June, 2013.
Goal and Priority 2: Consumer earnings will increase beyond the rate of inflation
Measures: RSA Performance Indicator 1.5: DVR wages compared to state average, and 1.6: own income as primary source of support.
Targets: RSA Performance Indicator 1.5: DVR consumer wages will increase from 62% of state average in 2010 to 64% of state average in 2012.
RSA Performance Indicator 1.6: DVR will increase the percentage of consumers achieving self-support from 43.9% in 2010 to 46% in 2012.
Actual Data for FFY 2012: RSA Performance Indicator 1.5 for FFY 2012: 61%, a drop from 62% in FFY 2010.
DVR did not achieve the 64% goal and actually saw a one percentage point drop. We believe this continues to be due to the economic downturn and that wages has been essentially flat. However, DVR exceeds the federal standard and we expect this percentage to rise as the economy improves.
RSA Performance Indicator 1.6 for FFY 2012: 45.9%, basically meeting the 46% goal.
As stated in last year’s State Plan, DVR has not been able to meet the federal standard. We have analyzed this issue over the years and found that two Vermont VR practices impact this measure:
• The high proportion of consumers served through supported employment. Many of the individuals served through supported employment programs have very significant developmental or mental health disabilities. A high proportion work very part-time to supplement their benefits. • DVR serves a significant proportion of consumers who are already working and who are already self-supporting. These individuals cannot be included in the calculation.
To meet this standard DVR would have to reduce the number of individuals served in these two categories. We do not believe this would be the right thing to do.
Goal and Priority 3: More consumers will be employed and the rate at which consumers maintain employment will increase
Measures: RSA Performance Indicator 1.2: Percentage of DVR consumers achieving an employment outcome.
Vermont Unemployment Insurance wage data to track employment retention post-DVR closure.
Targets: RSA Performance Indicator 1.2: DVR consumers achieving an employment outcome will increase from 60% in 2010 to 65% in 2012.
Percentage of DVR consumers who retain employment two years post-closure will increase from 70% to 72%.
Actual Data for FFY 2012:
RSA Performance Indicator 1.2: DVR consumers achieving an employment outcome for FFY 2012 was 58%.
DVR data in this performance indicator has steadily declined from 66.77% in FFY 2008 to 58% in FFY 2012. We have no doubt the economic downturn contributed to this decline. Regardless, DVR and the SRC have committed in the FFY 2012 State Plan to take a deeper look at consumers closed without an employment outcome and to implement strategies to address the issue.
In this context it is also important to note the total number of employment outcomes DVR has achieved has remained steady or actually increased over the past five years from 1,523 in FFY 2008 to 1,791 in FFY 2012, a 17.6% increase in the same period.
Percentage of DVR consumers who retain employment two years post-closure: For the period of 2007-2009, 64% of VR consumers closed successfully were still employed after 2 years.
Goal and Priority 4: Vermont employers will increase their use of DVR as an employment agency through Creative Workforce Solutions.
Measure: DVR tracking of employer contacts and employers hiring DVR consumers statewide.
Targets: DVR established in FFY 2010 a data system for tracking employer contacts. This system will be used by employment consultants statewide to track employer contacts. This serves as a good indicator of employer use of CWS.
Actual Data for FFY 2012:
As noted in other sections of the State Plan Amendment, DVR selected a commercial solution for tracking employer outreach. Salesforce is a commercial customer relations tool that is used extensively for sales and marketing in the private sector.
In FFY 2014 we will continue to collect data on employer contacts across Agency of Human Services programs including VR, supported employment for individuals with psychiatric and developmental disabilities, and TANF programs. Data for the calendar year 2012 indicate there were over 5,000 unique employer contacts entered into Salesforce.
Goal and Priority 5: DVR employees will be satisfied with their jobs
Measures: Results from biennial DVR staff satisfaction survey.
Targets: DVR staff satisfaction will be maintained at 92% (2010 rating) or higher.
Actual Data for FFY 2012:
Staff are surveyed every two years, with the most recent survey conducted in the fall of 2012. The findings below are from the 2012 staff satisfaction survey as reported in last year’s State Plan. • 93.8% indicated they were satisfied with their jobs. (up from 92%) • 88.2% agreed they got enough information to do their jobs properly. (up from 86%) • 96.6% had a clear understanding of how their work contributed to the mission of the agency. (up from 94%) • 95.2% felt supported by co-workers. (up from 93%) • 90.3% had trust and confidence in the organization. (up from 82%) • 96.6% felt that customer service was a priority for the organization. (approximately the same of 97%)
Goal and Priority 6: All DVR staff will have the skills and competencies to do their jobs
Measures: Feedback from staff on biennial DVR staff satisfaction survey
Feedback from consumers on biennial consumer satisfaction survey
Targets: In 2010, 93% of staff said they had enough information to do their jobs. This will increase to 95% by 2012. [Note that the actual percent of staff indicating they had enough information to do their jobs was 86%. This error was not noticed at the time of the report.]
Actual Data for FFY 2012:
In 2012 the percentage of staff who said they had enough information to do their jobs increased to from 86% in the 2010 survey to 88%.
Goal and Priority 7: Increase capacity to serve un-served or underserved populations, specifically:
• Individuals with measured IQs between 70 and 80 • Individuals with TBI • Individuals with psychiatric disabilities • Individuals in the Autism Spectrum range of disorders • Individuals with other significant disabilities who require case management services • Individuals exiting the correctional system • Individuals with alcohol/substance dependence/abuse disorders (AODA) • Individuals with disabilities who are veterans • Individuals with disabilities who are not primary English speakers
Measures: Implementation of services targeted at underserved populations.
Targets: a) Through Creative Workforce Solutions, partner with Department of Corrections to replicate VABIR/VR pilot designed to provide job placement for individuals with disabilities who are exiting the correctional system. b) Implement the Youth Employment Specialist model to serve youth with cross-disabilities statewide. c) Increase the % of AODA consumers who achieve plan status from 57% (FFY 2009) to 62% by FFY 2013. Increase the rehabilitation rate of AODA consumers from 47% (FFY 2009) to 55% by FFY 2013. d) Increase the post plan closures for eligible veterans from 137 in FFY 2010 to 200 by FFY 2012. e) Increase the post plan closure for individuals with disabilities who are not primary English speakers from 42 in FFY 2010 to 80 by FFY 2013.
Actual Outcomes: a) Pilots were launched in five sites in FFY 2011. These pilots will be ended in FFY 2013 due to lack of long term funding b) The Youth Employment Specialist model was implemented in four sites with expansion to two more sites planned. c) Percent of AODA consumers who achieve plan status: No new data available. Rehabilitation rate of AODA consumers: FFY 2012 – 61% (132 closed employed, 85 closed but not employed) d) Number of post-plan closures for eligible veterans: 149 (81 employed, 68 not employed) e) Individuals with disabilities who are not primary English speakers: No new data available
Goal and Priority 8: DVR will work in collaboration with the VT Department of Labor (VDOL) to ensure people with disabilities have access to services through the state workforce investment system
Measures: Implementation of coordinated employer outreach Implementation of a continuum of progressive employment options with VR and WIA funds
Targets: By the end of FFY 2012 all VDOL staff conducting employer outreach on behalf of the VT Agency of Human Services consumers will use Salesforce to track employer outreach. By the end of FFY 2012 DVR and VDOL will have an operational agreement around the blending of VR and WIA funds for progressive employment.
Actual Outcomes: Use of Saleforce – goal achieved. Agreement for blending of funds – not initiated
Goal and Priority 9: DVR will work to improve the outcomes of community-supported employment providers serving individuals with developmental disabilities and cross disabilities.
Measures: Number of status 26 closures achieved through the supported employment programs
Total number of people with developmental disabilities employed with supports
Targets: Total status 26 closures in State Fiscal Year 2011: 137 Status 26 closure goal for State Fiscal Year 2012: 200
In State Fiscal Year 2011 a total of 973 people were working in supported employment programs. This will increase to 1,000 by State Fiscal Year 2012 and to 1,030 by SFY 2013.
Actual Outcomes: The total number of VR consumers achieving an employment outcome (status 26 closures) increased from 163 in SFY 2008 to 178 in SFY 2009, and decreased to 170 in SFY 2010 and again to 137 during SFY 2011. Because of a set of funding incentives and standard put into the supported employment grants this past year, DVR was able to exceed the target of 200. The actual number of 26 closures was 226. The total number of people with developmental disabilities working in supported employment in Vermont increased from 973 during SFY 2011 to 1,060 in SFY 2012, exceeding the target of 1,030.
Goal and Priority 10: DVR will work to improve the outcomes of community providers serving individuals with severe mental illness
Measures: Number of status 26 closures achieved through supported employment programs for adults with psychiatric disabilities
Total number of people with psychiatric disabilities employed with supports
Targets: Total 26 closures in SFY 2011: 78 26 closure goal for State Fiscal Year 2012: 150 Number of people working in supported employment programs will increase from 552 in SFY 2010 to 900 by SFY 2012
Actual Outcomes: 26 closures for SFY 2012: 137 Number of people working in supported employment programs for SFY 2012 = 540.
Goal and Priority 10: DVR will work to improve the outcomes of community providers serving individuals with severe mental illness
Measures: Number of status 26 closures achieved through supported employment programs for adults with psychiatric disabilities
Total number of people with psychiatric disabilities employed with supports
Targets: Total 26 closures in SFY 2011: 78 26 closure goal for State Fiscal Year 2012: 150 Number of people working in supported employment programs will increase from 552 in SFY 2010 to 900 by SFY 2012
Actual Outcomes: 26 closures for SFY 2012: 137 Number of people working in supported employment programs for SFY 2012 = 540
The VR Program Evaluation Unit (PEU) and Jerry Wood, the Supported Employment Coordinator, have been working together to improve the data collection and reporting procedures in order to eliminate the errors reported on in the FFY09 state plan. We believe the increased focus on accurate data collection and reporting is resulting in more accurate information. A current report indicates that during SFY12 VR served 473 individuals with psychiatric disabilities through supported employment programs with 137 resulting rehabilitations.
We have good data on the other measure, the total number of people with severe psychiatric disabilities who are employed. The total number of individuals with mental illness supported in employment decreased from 678 in SFY 2009 to 552 in SFY 2010 to 516 in SFY11 to 473 in SFY12. It is noteworthy that the overall enrollment of individuals with mental health disorders in Vermont’s CRT programs (community mental health programs which house Vermont’s supported employment programs for people with mental illness) decreased from 2928 individuals in SFY 2008 to 2,736 individuals in SFY 2010 to 2,701 individuals in SFY12. The employment rate reflects a steady decrease in the percentage of CRT participants supported in employment from 26% in SFY 2008 to 20% in SFY12. DVR believes the overall number of individuals supported in employment is by far the more important measure of progress. The decrease is worrying because it suggests fewer individuals are getting jobs, let alone sustaining them. The Vermont Department of Mental Health (DMH) is working closely with VR to facilitate a turnaround in this employment rate trend.
Information from the DVR/SRC Needs Assessment and anecdotal reports from field staff suggest that there are not sufficient numbers of employment staff within the community mental health agencies to provide the necessary supports. In addition, there continues to be significant turnover in some programs which represents a loss of experienced staff. During calendar year 2011 DMH increased the Medicaid unit rate for employment services to begin to address the disproportionate turnover of employment staff versus case management staff. It is too early to tell what impact this has had on provider agency wages or turnover of employment staff. Also it has been reported that some agencies or agency staff do not value employment as a core mental health service.
During the FFY11, DMH asked VR for help as it applied for and received what is known as the Mental Health Transformation Grant which aims to engage persons aged 18 – 26 in adult mental health services. Surveys indicate that young people tend not to want to engage with the adult mental health system and their top priority tends to be becoming employed. DVR is sharing the funding of employment specialist position at two peer-operated agencies. The goal is to develop and provide a more engaging employment resource for individuals with mental illness.
In response to the overall decrease in overall employment of individuals with mental illness along with the noted capacity issues, DVR has implemented a number of overlapping strategies including a DVR/DMH Mental Health and Employment Leadership Committee made up of state and agency staff and consumer representation. With financial assistance from Vermont’s Medicaid Infrastructure Grant (MIG), the Leadership Group successfully framed and guided a statewide strategic planning process that has led to a rollout of a five-year strategic plan. The MIG supported this rollout by providing incentives and technical assistance for a community mental health provider who volunteers to develop a local strategic plan and/or an employment program action improvement plan which is based upon the results of an IPS (Individual Placement and Support) Fidelity Review. All ten of Vermont’s mental health supported employment providers participated in this MIG-sponsored statewide routine implementation of IPS Fidelity Reviews to support the consistent implementation of supported employment processes which are based on the SAMHSA evidenced-based practice.
Additional continuous improvement activities are occurring to support the increase of successful supported employment outcomes for people with mental illness. DVR did a SWOT analysis of supported employment efforts specifically focusing on VR processes that lead to good outcomes. As a result, VR affirmed a set of process practices for VR counselors, managers and administrators which were formally implemented on October 1, 2009. At a one year statewide review in October 2010, VR managers and counselors affirmed that the DVR supported process practices have been implemented statewide. VR and DMH have performed a preliminary review of the results of the State Health Authority Yardstick (SHAY) which is an evaluation of how well the state supports employment related activities within its mental health system. Recommendations received through the SHAY are informing DVR and DMH as they work with community mental health in improvement activities.
Vermont DVR’s and DMH’s concern about the declining employment participation rate of individuals with mental illness was validated in the recommendations of the SHAY. In partnership with DMH, DVR developed an array of performance incentives which were implemented July 1, 2010. Community mental health CRT programs are able to earn performance incentive payments based upon three measures: the percentage of CRT participants who are employed; the mean earnings of employed participants; and the percentage of employed participants who were unemployed more than six months before starting work. DVR and DMH developed a points system for determining the incentive amount. DMH and DVR evaluated the first year implementation of these performance standards with mixed conclusions. DVR was asked by the Vermont Agency of Human Services to spearhead an initiative to develop meaningful performance expectations for all AHS employment initiatives.
In concert with DMH the previously mentioned performance expectations were modified. The agreed upon measures were: the percentage of CRT participants employed; the average earnings per employed person per quarter; and the number of participants achieving successful employment (using the VR rehabilitation criteria as the standard of success). Both penalty and incentive target levels were set for each supported employment program related to incremental improvement based upon SFY11 results. SFY12 results indicate that successful employment outcomes of VR consumers in these employment programs have significantly improved. Over time DVR believes more successful employment outcomes within CRT programs will lead to increasing the employment participation rate of participants with mental illness.
DVR and DMH are collaborating in the hiring of an additional State level employment specialist. This individual will increase the State’s technical assistance capacity. This will lead to more frequent and meaningful technical assistance to Supported Employment programs which will lead to better continuous improvement implementation and better results for individuals with mental illness.
In addition, DVR and DMH continue to support training and technical assistance in evidence-based supported employment practices through the New Hampshire/Dartmouth Psychiatric Research Center.
Performance Indicator 1.1: Number of Rehabs in Current Fiscal Year - DVR achieved 1,791, 169 more than FFY 2011. DVR is pleased with this result.
Performance Indicator 1.2: Percentage Achieving An Employment Outcome - 58% compared to the federal standard of 55.8%. Although this meets the standard, this is a decline from last year. This may be a continuation of a poor economy. The SRC has looked at data of 28 closures but has not determined any significant trend.
Performance Indicator 1.3: Percentage Rehabilitated With Minimum Wage - 97% compared to the federal standard of 72.6%. DVR consistently meets this standard. Vermont DVR does not support sheltered or non-competitive employment.
Performance Indicator 1.4: Percentage Competitive and SD - 100% compared to the federal standard of 62.4%. Because DVR has been in an order of selection, we serve very few individuals who do not have a significant disability.
Performance Indicator 1.5: Ratio to State’s Hourly Wage - 0.61 compared to the federal standard of 0.52. DVR’s ratio remains above the federal standard.
Performance Indicator 1.6: Own Income As Primary Source of Support at Closure - 70.619% Own Income As Primary Source of Support at Intake: - 24.685% Difference = 45.934% compared to the federal standard of 53%. This indicator is still below the federal standard but has continued to improve from 40% in FFY 2009, 44% in FFY 2010, and 45% in FFY 2011. We are now just about 46%. DVR feels that we do not meet this standard because: a) The high proportion of consumers served through supported employment. Many of the individuals served through supported employment programs have very significant developmental or mental health disabilities. A high proportion of consumers works very part-time to supplement their benefits. b) DVR serves a significant proportion of consumers who are already working and who are already self-supporting. These individuals cannot be included in the calculation. To meet this standard, DVR would have to reduce the number of individuals served in these two categories. We do not believe this would be the right thing to do.
DVR continues to support the consolidated and coordinated approach to employment services under a single entity called Creative Workforce Solutions (CWS). The goal of CWS is to provide equal access to meaningful work in the competitive job market for all AHS program participants. It also offers employers a point of contact for coordinated job development and placement services across AHS programs. This model has proved very beneficial to AHS participants, a very high percentage of whom have disabilities.
Additionally, DVR has had tremendous success with the use of Progressive Employment, which is a series of employment options to introduce employers to our customers and provide those individuals with a way to increase their work experience, add to their resumes, explore career options, and develop skills. Employers are not required to commit to a hire, and individuals are do not have to commit to a permanent job. Progressive employment options range from a job shadow or company tour to short-term work experiences to OJT placements. Data shows a very positive effect on outcomes, as shown by the increase in 26 closures in the last several years despite a poor economy. This model is the focus of a NIDRR grant to export this employment strategy nationally.
This screen was last updated on Jun 21 2013 2:32PM by savtwellss
Attachment 6.3 Quality, Scope, and Extent of Supported Employment Services
- 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
6.3 Quality, scope, and extent of supported employment services (Section 625(b)(3) of the Act; 34 CFR 363.11(c) and .50(b)(2))
In State Fiscal Year 2012, the Vermont Division of Vocational Rehabilitation funded thirty-seven (37) Supported Employment grants serving four distinct disability groups: 1) fourteen (14) programs for individuals with developmental disabilities; 2) ten (10) programs for adults with significant mental illness; 3) fourteen (12) programs for youth with emotional and behavioral disabilities; and 4) one (1) programs for individuals with traumatic brain injury. This funding resulted in 1,540 people with significant disabilities being served in supported employment with 490 people becoming employed in the competitive job market.
DVR is able to support individuals with the most significant disabilities to find and keep stable competitive work through its valuable relationship with the Division of Disability and Aging Services (DDAS) and the Department of Mental Health (DMH).
Individuals with Developmental Disabilities DVR works closely with DDAS to provide supported employment services and DVR funds are viewed, along with Medicaid funds, as an integral part of the overall employment budget for individuals with developmental disabilities. This funding blends DVR funding with individual Medicaid Waiver funds to create a seamless structure of upfront and ongoing support. DVR funds are specifically allocated to provide assessment, training, and placement services until closure, with Medicaid Waiver funds providing the necessary long-term follow-up.
DVR and DDAS have no supported employment workshops since Vermont closed its last workshop for individuals with developmental disabilities in 2002. That same year, Vermont was ranked 1 in the nation in the number of people with developmental disabilities who received supported employment to work per 100,000 of the state population.1 In the past two years, the numbers of individuals with developmental disabilities employed in competitive jobs have continued to increase. Adults with Significant Mental Illness DVR has also worked closely with DMH to support the integration of employment into the broad array of clinical mental health services available to individuals with significant mental health issues. Similar to its relationship with DDAS, DVR funding is blended with DMH capitated Medicaid to provide a seamless structure of upfront and ongoing support. DVR funds are specifically allocated to provide assessment, training, and placement services until closure, with the DMH capitated Medicaid funds providing the necessary long-term follow-up.
In 2002, the Vermont Performance Indicator Project noted that the employment rate for individuals who received VR services combined with mental health services (through DMH) was more than twice the rate of individuals who only received mental health services.2 More recent studies show that individuals in the community mental health system who receive employment services (the preponderance become consumers of VR services) achieve an employment outcome more than twice as often as people who do not receive employment services.
DVR and DMH continue to worked together closely to support evidence based supported employment. Vermont was the first state to pilot a Johnson and Johnson-Dartmouth initiative, now in 13 states, which continues to demonstrate that adherence to the principles of evidence based supported employment are key to increasing employment rates.
Youth with Emotional and Behavioral Disturbances The JOBS Program is an innovative supported employment and intensive case management service for youth with emotional and behavioral disturbances (EBD) that uses work as a means to reach this challenging population. As a result of a unique partnership between the Department of Mental Health’s Child, Adolescent and Family Unit (CAFU), the Department for Children and Families, the Department of Corrections, the Division of Vocational Rehabilitation, and contract agencies, the JOBS Program is operational in twelve (12) sites across the state.
JOBS is funded through a combination of Global Commitment (Medicaid funds) and a VR grant, for a total of $1.4m, with about 42% coming from Voc Rehab Federal 110 Funds. In SFY 2012, 544 youth were served through this program.
JOBS involves employers and the business community in meeting the needs of youth through intensive job development, placement, and on and off-site training support. JOBS differs from other traditional employment models by providing intensive case management services to assist in meeting other areas of need in a young person’s life, e.g., dealing with legal issues, homelessness, drug/alcohol abuse, and probation and parole.
Within this model, DVR funds are used to provide the employment focus and upfront employment assessment, training, and placement services, while the case management and ongoing support is provided through state general funds (contributed by the different state departments noted above) which are matched to Medicaid through a fee-for-service arrangement with the CAFU in DMH.
Starting in July, 2011, the JOBS Program, along with other community supported employment programs funded through AHS, were given employment goals for participants that they were required to achieve. If they exceeded the stated goal, they would receive bonus funds from Voc Rehab; if they failed to meet the goal, funds would be withheld. For the state fiscal year that ended in June 2012, ALL JOBS program either met or exceeded their employment goals!
Individuals with Traumatic Brain Injury DVR also works with the Division of Disability and Aging Services (DDAS) to provide seamless employment support to individuals with Traumatic Brain Injury. Similar to the collaboration that serves individuals with developmental disabilities, the DVR funds are used for the up-front assessment, training, and placement services, while individual Medicaid waiver funds are used to provide the ongoing support.
1 The State of the States in Developmental Disabilities: 2002 Study Summary, Coleman Institute for Cognitive Disabilities & Department of Psychiatry, University f Colorado, January 2004.
2 Vermont Mental Health Performance Indicator Project, Vocational Rehabilitation and CRT Employment, November, 2002.
This screen was last updated on Jun 21 2013 2:52PM by savtwellss