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RSA-227 for FY-2021: Submission #1168

Missouri
09/30/2021
General Information
Designated Agency Identification
Missouri Protection & Advocacy Services
925 South Country Club Drive, Suite B
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Jefferson City
Missouri
65109
http://www.moadvocacy.org
573-893-3333
866-777-7199
800-735-2966
Operating Agency (if different from Designated Agency)
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Additional Information
Daniel Cayou, Director of Advocacy Services
Shawn T. de Loyola, Executive Director
573-298-4556
shawnloyola@hotmail.com
Part I. Non-case Services
A. Information and Referral Services (I&R)
10
0
0
1
0
8
19
B. Training Activities
6
85
Summary of Training Sessions: Mo P&A advocacy and legal staff conducted six (6) training sessions to CAP-related consumer groups and service providers this year. Total estimated attendance was eighty-five (85). The audiences included individuals who were Vocational Rehabilitation eligible, Independent Living eligible, university students, transition age students, professionals, providers, family members of consumers, Vocational Rehabilitation Counselors, and the general public. Presentations reported here described the agency services, employment-related legal rights, successful self-advocacy, WIOA, transition services, and CAP advocacy intervention. They included a description of the CAP program and clients’ rights to rehabilitation services. Some presentations were geared solely to CAP when the audience was appropriate, like New Counselor Orientations for Vocational Rehabilitation and Rehabilitation Services for the Blind.
C. Agency Outreach
Mo P&A has identified rural populations and inner-city minority populations in St. Louis and Kansas City as traditionally un-served/underserved populations. The agency maintained outreach home offices in two rural locations, Columbia and Fulton, and two physical offices, one each in Jefferson City and Springfield, to provide access to the underserved rural population. Our physical offices in Kansas City and St. Louis, the two major urban areas of the state, have been temporarily closed due to COVID-19 issues. Legal and advocacy staff in both metropolitan areas are currently working from home. It is expected that once the COVID-19 pandemic abates, new office space will be secured. Mo P&A's priority is to ensure easy accessibility to public transportation, and offices located in racially-diverse/minority populated neighborhoods. Mo P&A has the capacity to translate program brochures and documents into foreign languages and Braille using computer-based translating programs. The agency subscribes to Language Line Services, which provides foreign language interpretation for telephone conversations. Additionally, our agency maintains a toll-free telephone line for the Application Unit, Jefferson City office, and Springfield office. Every home office has Voice over Internet Protocol phones. We strive to maintain a competent and culturally-diverse staff to serve clients in a sensitive manner.
D. Information Disseminated To The Public By Your Agency
0
0
0
207
0
0
Not applicable
E. Information Disseminated About Your Agency By External Media Coverage
Not applicable
Part II. Individual Case Services
A. Individuals served
13
11
24
0
14
B. Problem areas
1
12
19
2
0
4
1
0
C. Intervention Strategies for closed cases
2
0
8
0
0
0
10
D. Reasons for closing individuals' case files
7
1
2
0
0
0
0
0
0
0
0
0
Not applicable
E. Results achieved for individuals
1
0
2
0
3
2
0
2
0
0
Not applicable
Part III. Program Data
A. Age
1
0
3
13
7
24
B. Gender
16
8
24
C. Race/ethnicity of Individuals Served
0
1
0
7
0
16
0
0
D. Primary disabling condition of individuals served
0
1
0
0
0
2
0
0
4
2
0
1
0
1
1
0
0
0
0
0
6
1
0
3
1
1
0
0
0
0
0
0
0
0
24
E. Types of Individuals Served
7
0
17
0
1
0
Part IV. Systemic Activities and Litigation
A. Non-Litigation Systemic Activities
1
Issue: Implementation of Workforce Innovation and Opportunity Act by Vocational Rehabilitation and Rehabilitation Services for the Blind.

CAP engages Vocational Rehabilitation (VR) and Rehabilitation Services for the Blind in quarterly meetings to discuss the agencies’ plans, implementation, policy changes due to WIOA in order to ensure agency policy is in compliance with the statute, its regulations and its intention. CAP continues to engage VR in discussions about having more involvement in the transition process for students and youth with disabilities, particularly participation in the IEP process as early as appropriate and more opportunities for students and youth to engage in integrated employment experiences. CAP continues to engage VR in discussions regarding Pre-employment Transition Services availability and capacity. VR recognizing the need and benefits of these services as well, and continues to build on its services via the Hook Center at the University of Missouri and has expanded applications for youth. CAP also continues to engaged VR in discussions regarding the VR process for the annual review for individuals employed at sub-minimum wage. VR has engaged with a task force with the Missouri Department of Mental and the Missouri Association of Sheltered Workshops in regards to future practices of Sheltered Workshops in Missouri. CAP continues to seek to ensure whether VR provides sufficient individual attention in the group presentations given by VR at “Sheltered Workshops.”


Issue: Vocational Rehabilitation Order of Selection CAP engages Vocational Rehabilitation (VR) in quarterly meetings to discuss VR’s use of its Order of Selection.

VR had been under an Order of Selection for years. VR provides quarterly updates on the number of individuals under Order of Selection per category, the number of individuals moved into service status, the average length of time an individual is placed under Order of Selection, and the frequency in which releases from Order of Selection are conducted. CAP continues to monitor VR’s use of Order of Selection and ensures VR informs individuals placed under Order of Selection about CAP services. CAP ensures individuals are informed of their rights under Order of Selection.


Issue: Vocational Rehabilitation (VR) requiring Clients initially to pay Transportation Costs that are properly provided in an IPE as funded by VR. Clients then must seek reimbursement from VR.

CAP has been in discussions regarding the practice of VR to require Clients to make the initial payout of costs for transportation, such as flights, via a credit card and then to seek reimbursement from VR. Some Clients do not have access to a credit card due to poor financial status from disability for many years or the difficulty minorities may have in obtaining credit. VR has indicated this reimbursement requirement is from the Missouri State Office of Administration but CAP has not noted this requirement applied in the past. VR has been seeking to rectify the issue by obtaining a third party, such as a travel agent, that may act as a vendor.
B. Litigation
0
0
0
Not applicable
Part V. Agency Information
A. Designated Agency
External-Protection and Advocacy agency
Missouri Protection & Advocacy Services
No
Not applicable
B. Staff Employed
Number of Person-Years: During fiscal year 2021, Mo P&A had thirty-four (34) positions that were paid partially by Section 112 funds. Thirty-three positions (33) were full-time and one (1) position was part-time, accounting for 33.5 person-years. Ten (10) Attorneys accounted for 10.0 person-years. Eighteen (18) Advocacy Specialists accounted for 18.0 person-years. Attorneys and Advocacy Specialists split their time between the Client Assistance Program and other protection and advocacy programs. Six (6) full-time Administrative positions accounted for 6.0 person-years. Each received a share of Client Assistance Program funding based upon Mo P&A's approved Work Hours Basis Cost Allocation Plan.

Please note: All Legal, Advocacy, Application Unit, and administrative staff are required to participate in NDRN CAP-related training modules during the NDRN Annual TASC Conference. Only four (4) Advocacy Specialist and one (1) Attorney participated client casework-related work product during FY 2021.
Part VI. Case Examples
Case Examples
CAP Advocacy Case 19-015: Vocational Rehabilitation Services
A CAP eligible 33 year-old African American male diagnosed with muscular skeletal impairments resulting from a past fracture of the lumbar spine, a left shoulder gunshot wound and right foot drop contacted CAP for assistance in obtaining services from Vocational Rehabilitation (VR). VR had issues serving Client due to his behavior. Advocate obtained Client’s records and discussed self-advocacy strategies with Client. Advocate arranged for and participated with Client in meetings with VR. Client and VR agreed Client would complete anger management classes. Client’s IPE was developed and VR agreed to provide Employment Support Provider assistance including interviewing skills and job search placement.


CAP Advocacy Case 19-024: Vocational Rehabilitation Services
A CAP eligible 50 year-old Caucasian female diagnosed with neurological disorders, cognitive impairments, depression, anxiety, PTSD and bipolar disorder contacted CAP for assistance in obtaining services from Vocational Rehabilitation VR. Client specifically sought help in getting her message therapy license renewed. Advocate obtained Client’s records and discussed the process and case strategy with Client. Advocate arranged and assisted Client at meetings with VR. VR developed Client’s Individualized Plan for Employment and assisted her in submitting her application to the State Board of Therapeutic Massage. VR agreed to pay for application fees and other additional fees. VR also agreed to pay for scrubs, shoes, and a day planner. VR agreed to include services for mock interviews for Client in the IPE. Additionally VR agreed to pay for the first four months of liability insurance, which insurance was required for Client to obtain her license.


CAP Advocacy Case 20-008: Vocational Rehabilitation Services
A CAP eligible 67 year-old African American female diagnosed with orthopedic impairments and vertigo contacted CAP for assistance in obtaining Vocational Rehabilitation (VR) services. Client was finding it difficult to communicate with VR and begin the process. Client particularly sought employment search and placement services from VR. Advocate obtained Client’s records and discussed self-advocacy strategies with Client. Advocate assisted Client by setting a meeting with VR and communicating her needs. An Individualized Plan for Employment was created and VR assisted Client in obtaining employment in a desk position that provide accommodations for Client’s needs. Client was pleased with the outcome and thanked Advocate for her assistance in communicating with VR.


CAP Advocacy Case 21-004: Rehabilitation Services for the Blind
A CAP eligible 81 year-old Caucasian male diagnosed with macular degeneration, cardiovascular disease, past strokes, COPD, and arthritis contacted CAP for assistance in obtaining services from Rehabilitation Services for the Blind (RSB). Client sought to obtain some assistive technology and other independent services from RSB. Advocate obtained Client’s records and discussed self-advocacy strategies including documentation and effective communication. Advocate assisted Client at a meeting with RSB’s regional supervisor and negotiated on behalf of Client for services to meet his needs. RSB agreed to provide Client a special phone, magnifier, audio clock, liquid level indicator, color identifier for clothes, stickers used to identify items, audio labels, and oven gloves and training for independent living to use the above items.
Certification
Approved
Shawn T. de Loyola
Executive Director
2021-12-30
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