RSA-227 for FY-2017: Submission #952

Missouri
9/30/2017
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
Missouri
admin@mo-pa.org
http://www.moadvocacy.org
(800) 392-8667
(800) 735-2966
Additional Information
Daniel Cayou
Shawn de Loyola
(573) 893-3333
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Part I. Non-case Services
A. Information and Referral Services (I&R)
18
0
0
0
2
18
38
B. Training Activities
12
390
Summary of Training Sessions: Mo P&A advocacy and legal staff conducted twelve (12) training sessions for CAP-related consumer groups and service providers this year. Total estimated attendance was 390. 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 describe the agency services, employment-related legal rights, successful self-advocacy, WIOA, transition services, and CAP advocacy intervention. They include a description of the CAP program and clients&rsquo; 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 four 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. 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 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
15300
24
{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
20
43
63
0
28
B. Problem areas
3
37
42
16
0
20
1
1
C. Intervention Strategies for closed cases
6
0
26
2
0
0
35
D. Reasons for closing individuals' case files
20
13
1
0
0
0
1
0
0
0
0
0
<P><p>
E. Results achieved for individuals
7
5
0
3
12
5
2
1
0
0
<P><p>
Part III. Program Data
A. Age
1
8
15
35
4
63
B. Gender
39
24
63
C. Race/ethnicity of Individuals Served
3
1
1
15
0
43
0
0
D. Primary disabling condition of individuals served
7
1
1
0
0
3
3
0
4
4
1
2
4
0
0
0
0
0
3
5
13
1
1
2
2
3
1
0
0
2
0
0
0
0
63
E. Types of Individuals Served
17
2
46
1
0
0
Part IV. Systemic Activities and Litigation
A. Non-Litigation Systemic Activities
2
FY 2017 CAP quarterly meetings with CAP and RSB. <p><p>Issue 1: CAP engages Vocational Rehabilitation (VR) and Rehabilitation Services for the Blind (RSB) in quarterly meetings to discuss the plans, implementation, and changes in policy due to the Workforce Innovation and Opportunity Act (WIOA). CAP continues to engage VR in discussions about having more involvement with students and youth with disabilities in the transition process. The need for early intervention in the transition process was stressed by CAP. The opportunities for students to engage in integrated employment experiences was a major point of discussions. <p><p>Issue 2: CAP discussed concerns about the recruitment and retention of VR and RSB staff on behalf of clients whose services are impacted by the availability of counselors. <p><p>
B. Litigation
0
1
1
CAP Legal Case L15-17, U. S. District Court, Eastern District of Missouri, Appeal from St. Louis Vocational Rehabilitation (&ldquo;VR&rdquo;) Fair Hearing<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. Client&rsquo;s employment goal of Speech Language Pathologist requires some undergraduate work and a Master&rsquo;s degree. Client&rsquo;s 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. The court did not rule in the client&rsquo;s favor. <p><p><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 2017, Mo P&A had twenty-seven (27) employees who were paid partially by Section 112 funds. All twenty-seven (27) employees were full-time and accounted for 22.7 person-years. Seven (7) Attorneys accounted for 6.1 person-years. Fourteen (14) Advocacy Specialists accounted for 10.6 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 17-002: Communication Problems between Client and Counselor, Conflict about Services to be Provided, Related to Application / Eligibility Process <p><p>A CAP eligible 45 year-old African American female diagnosed with a developmental disability, congenital deafness, diabetes, mental illness, hypertension, sleep apnea, and anemia contacted CAP for assistance with communication with Vocational Rehabilitation (VR). Client had been served by VR to obtain a job as a stocker, but Client began to have difficulties with attendance and communication with the employer when the job coach began to phase out. Client was eventually terminated due to absenteeism. <p><p>After termination, VR suggested Client go to the sheltered workshop or volunteer in the community to work on job skills. VR suggested Client work with her Deaf-Services Behavioral Health Case Manager, Social Worker and Developmental Disabilities Case Manager on job readiness skills and they would refer her back to VR when they felt she was ready. However, Client continued to look for employment independently but struggled due to disabilities and lack of interpreter services. <p><p>Advocate drafted a letter requesting continuation of VR services, requesting a new VR counselor and new Community Rehabilitation Provider (CRP). Advocate coordinated meetings with Client&rsquo;s VR counselor, VR district supervisor, Deaf-Services Behavioral Health Case Manager, Social Worker and Developmental Disabilities Case Manager. Initially, VR was hesitant even to provide deaf interpreter services for VR meetings. However, Advocate convinced VR it was a necessary service and VR had agreed to provide such under the current IPE. Advocate enlisted the assistance of Client&rsquo;s Deaf-Services Behavioral Health Case Manager, Social Worker and Developmental Disabilities Case Manager in writing letters of support. Client was able to receive VR services, and with Advocate&rsquo;s assistance, a new IPE was developed which included a new CRP, deaf-interpreter services, transportation, job development, job search assistance, job placement, and job coaching. <p><p>Client had an issue with some criminal history, which limited Client&rsquo;s ability to obtain jobs requiring a background check of the Family Care Safety Registry. With the assistance of Client&rsquo;s Deaf-Services Behavioral Health Case Manager, Social Worker and Developmental Disabilities Case Manager, Client applied for and received a Good-Cause waiver. With services from VR, Client was able to obtain employment and begin training at a downtown 4-star hotel where she began busing tables. The kitchen manager of the hotel has a deaf family member, knows some sign language, and is familiar with deaf culture. Client expressed her gratitude to Advocate for her assistance in getting a &ldquo;cool&rdquo; job she &ldquo;love[s]&rdquo; in a busy hotel. <p><p>CAP Advocacy Case 16-029: Conflict about Services to be Provided
Certification
Approved
Shawn T. de Loyola
Executive Director
2017-12-27
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