RSA-227 for FY-2016: Submission #895

Missouri
9/30/2016
General Information
Designated Agency Identification
Missouri Protection & Advocacy Services
925 S. Country Club Dr.
{Empty}
Jefferson City
MO
65109
http://www.moadvocacy.org
(800) 392-8667
(800) 735-2966
Operating Agency (if different from Designated Agency)
Missouri Protection & Advocacy Services
925 S. Country Club Dr.
{Empty}
Jefferson City
65109
{Empty}
mopasjc@earthlink.net
http://www.moadvocacy.org
(800) 392-8667
(800) 735-2966
Additional Information
Shawn T. de Loyola
Shawn T. de Loyola
(573) 893-3333
{Empty}
Part I. Non-case Services
A. Information and Referral Services (I&R)
31
0
0
0
0
12
43
B. Training Activities
8
290
Summary of Training Sessions: Mo P&A advocacy and legal staff conducted eight (8) training sessions to CAP-related consumer groups and service providers this year. Total estimated attendance was 290. The audiences included individuals who were Vocational Rehabilitation eligible, Independent Living eligible, university students, transition age students, professionals, providers, family members of consumers, 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. <p><p>
C. Agency Outreach
Mo P&A has identified rural populations and inner-city minority populations in St. Louis and Kansas City as traditionally unserved/underserved populations. The agency maintained outreach offices in five rural locations to provide access to the underserved rural population. Our offices in Kansas City and St. Louis, the two major urban areas of the state, are easily accessible by public transportation, and are located in racially-diverse/minority populated neighborhoods. Missouri 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 provide foreign language interpretation for telephone conversations. Additionally, our agency maintains a toll-free telephone line for each office. We strive to maintain a competent and culturally-diverse staff to serve clients in a sensitive manner. <p><p>
D. Information Disseminated To The Public By Your Agency
0
0
0
161000
20
{Empty}
Not Applicable <p><p>
E. Information Disseminated About Your Agency By External Media Coverage
Not Applicable <p><p>
Part II. Individual Case Services
A. Individuals served
22
32
54
0
20
B. Problem areas
5
25
44
11
0
24
0
1
C. Intervention Strategies for closed cases
2
0
29
0
1
1
34
D. Reasons for closing individuals' case files
18
13
2
0
0
0
1
0
0
0
0
{Empty}
Not Applicable <p><p>
E. Results achieved for individuals
9
3
0
1
9
11
0
1
0
{Empty}
Not Applicable <p><p>
Part III. Program Data
A. Age
1
2
14
33
4
54
B. Gender
25
29
54
C. Race/ethnicity of Individuals Served
0
1
1
15
0
36
1
0
D. Primary disabling condition of individuals served
5
0
1
0
0
0
0
0
6
3
0
0
2
1
0
1
0
0
1
4
18
0
0
0
4
4
0
0
0
3
1
0
0
0
54
E. Types of Individuals Served
15
0
39
0
0
0
Part IV. Systemic Activities and Litigation
A. Non-Litigation Systemic Activities
3
Issue 1: Sufficient variety of Vocational Rehabilitation and Rehabilitation Services for the Blind Due Process Hearing Officers. <p><p>CAP continues to engage with Vocational Rehabilitation and Rehabilitation Services for the Blind in obtaining additional qualified hearing officers, SRC review of hearing officer qualifications, and SRC review of hearing officer decisions to ensure hearing officers act consistently with the Rehabilitation Act. <p><p>Issue 2: Implementation of Workforce Innovation and Opportunity Act by Vocational Rehabilitation and Rehabilitation Services for the Blind. <p><p>CAP engages Vocational Rehabilitation (VR) and Rehabilitation Services for the Blind in quarterly meetings to discuss the agencies plans, implementation, changes in policy 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 engaged VR in discussions regarding Pre-employment Transition Services availability and capacity as there were concerns expressed by individuals that individuals were denied these services. VR recognizing the need and benefits of these services as well, increased the service capacity by adding additional staff via the Hook Center at the University of Missouri. CAP has also engaged VR in discussions regarding the VR process for the annual review for individuals employed at sub-minimum wage. VR intends to contract out such reviews and that such reviews will likely take place in a group presentation setting with individual attention upon request. CAP has raised concerns of whether sufficient individual attention can be provided in the group presentations and will continue discussions as VR develops the details of these group presentations. <p><p>Issue 3: Vocational Rehabilitation timely processing of applications. <p><p>CAP engages Vocational Rehabilitation (VR) in quarterly meetings to discuss various systemic case processing issues. CAP has been engaging VR in discussions regarding timely processing of applications when clients initially request services. On November 3, 2016, VR reported at the State Rehabilitation Council meeting the average time in application status is 32 days. CAP clients and advocates have noted initial application reception taking multiple meetings; applications not being processed in the system at all for a period of time; VR requesting clients obtain a psychiatric or medical evaluation before an application is initiated and even though the client is receiving SSI/SSDI; and clients being asked to follow a medication or other therapy plan before an application is initiated for processing. While VR indicates this may be the work of indi
B. Litigation
0
1
0
CAP Legal Case L15-17, U. S. District Court, Eastern District of Missouri, Appeal from St. Louis Vocational Rehabilitation (VR) Fair Hearing <p><p>Client alleges Missouri VR violated the Rehabilitation Act and the ADA by closing her case for being too disabled to benefit from services. Client, age 46, is an African-American woman with diagnoses of trigeminal neuralgia, peripheral neuropathy, and degenerative disc disease; impairing her ability to type, hold a telephone to her ear, and lift her arms at a 90-degree or less angle; lift heavy items; and bend or stoop for extended periods. Client has a B.S. in psychology and an MBA. Clients employment goal of Speech Language Pathologist requires some undergraduate work and a Masters degree. Clients doctor states she can perform this work with reasonable accommodations (i.e., breaks, a telephone headset). VR disagrees that Client needs additional training, refused to develop her IPE, and rejected her completed job shadowing experience. A ruling is pending. <p><p>
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 2016, Mo P&A had thirty-two (32) employees who were paid partially by Section 112 funds. All thirty-two (32) employees were full-time and accounted for 31.1 person-years. Ten (10) Attorneys accounted for 9.5 person-years. Sixteen (16) Advocacy Specialists accounted for 15.6 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 staff accounted for 6.0 person-years. Each received a share of Client Assistance Program funding based upon the approved allocation plan. <p><p>
Part VI. Case Examples
Case Examples
CAP Advocacy Case 15-007: A 43-year-old Asian female diagnosed with multiple sclerosis and orthopedic impairments contacted CAP for assistance in obtaining proper bathroom modifications and proper installation of a stair lift from Vocational Rehabilitation (VR). Client indicated the shower chair was installed too high and, when the contractor tried to remedy the height by turning it around, it left no room to sit on the chair. Client also indicated the stair lift was set to be installed too high. <p><p>Advocate visited Client at home to discuss the issues and reviewed the work done by the contractors. Advocated reviewed the VR record and assisted Client at an IPE meeting to discuss the concerns. VR agreed to have further contractor assessments and requested the assistance of an Occupational Therapist Evaluator (OT). Advocate assisted Client at two assessment meetings with the contractors and the OT. Following the assessments, VR agreed to pay for modifications to the bathroom and basement (stair lift). VR also agreed to pay for a wheelchair for basement use. VR changed their policy to involve the use of specialists for evaluations in the field when modifications are over a predetermined dollar amount. Client reported the contractors completed all the modifications as she requested, and she is happy with the work done, because she is now able to safely go about her daily routine. <p><p>CAP Advocacy Case 15-028: A 41-year-old African American female diagnosed with blindness and fibromyalgia contacted CAP for assistance with Rehabilitation Services for the Blind (RSB) because RSB rescinded their determination to provide funding for Client to pursue a Masters degree in social work. Advocate met with Client to discuss the issues and gathered Clients records from RSB. Advocate assisted the Client in setting a meeting with RSB to discuss the issue and assisted Client at the meeting to negotiate payment of tuition. Advocate convinced RSB to continue the previously approved agreement to fund tuition for Client as she was close to completing her Masters in Social Work. RSB agreed to pay for Summer 2015, Fall 2015, Spring 2016, Summer 2016 and training through graduation. <p><p>CAP Advocacy Case 16-024: A 45-year-old Caucasian male diagnosed with bi-polar disorder, PTSD, TBI, HIV, and substance use disorder contacted CAP for assistance in obtaining services from Vocational Rehabilitation (VR). Client indicated VR was pressuring him to accept part-time employment that was not in the field of his choice and Client desired to pursue his Masters degree as a Registered Dietician. Client had applied for VR services but had been informally denied. Advocate assisted Client in applying for VR in a meeting with VR. After meeting for the application, VR continued to delay and deny services. Advocate submitted multiple requests for Clients VR records, and, after more delay submitted a demand letter for VR to process Clients application
Certification
Approved
Shawn T. de Loyola
Executive Director
2016-11-16
OMB Notice

OMB Control Number: 1820-0528, approved for use through 07/31/2023

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. Public reporting burden for this collection of information is estimated to average 16 hours per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The obligation to respond to this collection is required to obtain or retain a benefit (Section 13 of the Rehabilitation Act, as amended). Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to U.S. Department of Education, Washington, D.C. 20202-4537 or email ICDocketMgr@ed.gov and reference the OMB Control Number 1820-0528. Note: Please do not return the completed form to this address.