RSA-227 for FY-2019: Submission #1059

Idaho
9/30/2019
General Information
Designated Agency Identification
DisAbility Rights Idaho, Inc.
4477 Emerald Street
Suite B-100
Boise
ID
83706-2066
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(866) 262-3462
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Operating Agency (if different from Designated Agency)
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Additional Information
Angela Eandi
Angela Eandi
(208) 336-5353
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Part I. Non-case Services
A. Information and Referral Services (I&R)
3
1
0
0
1
0
5
B. Training Activities
20
420
Idaho Protection & Advocacy (P&A) System, Disability Rights Idaho (DRI), provided outreach and training(s) at the 2019 annual Tools for Life Transition Conference. Training(s) were presented in power point and lecture format with Q&A time periods allotted to 133 primarily transitionaged students with disabilities, parents, teachers, Vocational Rehabilitation Counselors (VRCs), providers, and attorneys. Information about DRI & CAP services were provided and brochures disseminated with DRI contact information, at each training. DRI provided the following five (5) transition topic training(s): <p><p>&ldquo;Making Your Dreams Come True&rdquo; provided information explaining what a Self-Advocate is, elements of Self-Advocacy, when/where you can utilize Self-Advocacy, using Self-Advocacy when developing Individual Education Plan (IEP) transition planning and what supports and goals can be included in transition plans. Packets of information were provided which included a copy of the presentation with URL referrals, worksheet to help develop self-awareness, worksheet to begin developing goals, a blank Transition Plan sample form, a sample transition plan for college bound students, and a sample transition plan for exploring careers. <p><p>&ldquo;Transitioning from School to Work&rdquo; provided information regarding transition planning in IEPs, its importance, and the student and other IEP team member roles to consider in IEP transition planning development. <p><p>&ldquo;Supported Decision-Making (SDM) and Alternatives to Guardianship&rdquo; provided information on the SDM process as an alternative to guardianship, a review of rights in guardianship proceedings, and updates on recent changes to Idaho Guardianship laws. Packets of information were disseminated which included &ldquo;My Rights&rdquo; and &ldquo;Alternatives to Guardianship&rdquo; flyers and &ldquo;My Choice Matters&rdquo; cards. <p><p>&ldquo;Turning 18! Rights & Choices&rdquo; provided information on the rights and responsibilities for transition age youth when they turn 18. Information on rights at 18, voting, adult independence planning, daily living skills, services and supports for independent living and employment, Social Security benefits and Medicaid paid services were discussed. The Advocacy Director, a licensed attorney, participated to answer questions regarding legal rights, when applicable. <p><p>&ldquo;Hot Topics in Employment&rdquo; provided information on employment discrimination and basic rights of employees with disabilities under the Americans with Disabilities Act (ADA) Title 1, Rehab Act of 1973 & the Idaho Human Rights Act. <p><p>In addition to transition training provided at the 2019 Tools for Life Transition Conference, DRI provided outreach and transition training at (2) High Schools and five (5) Transitions Fairs. This training was provided at Highland High School (twice) and Boise High School and at Transition Fairs in Kimberly, McCall, Burle
C. Agency Outreach
Outreach to Native American communities: CAP conducted four (4) outreach activities to Idaho&rsquo;s Native American tribes and participated at a Center for Independent Living (CIL) Conference hosted by the Disability Action Center (DAC) titled &ldquo;Making a World of Difference&rdquo; in northern Idaho: CAP visited the Coeur d&rsquo; Alene Vocational Rehabilitation (VR) Program in Plummer, Idaho, meeting with its Tribal VR Director. CAP was asked and provided a review of DRI&rsquo;s CAP & P&A programs since they recently hired new VRCs. Information about CAP & DRI&rsquo;s P&A programs and services were provided. CAP, P&A, and Protection and Advocacy for Voter Accessibility (PAVA) brochures were provided for dissemination. <p><p>CAP visited the Nez Perce Tribal VR Program in Lapwai, Idaho. CAP advocates met with its VR Director and provided a review of CAP and DRI&rsquo;s P&A programs. CAP, P&A, and PAVA brochures were left, for dissemination. The VR Director agreed to provide DRI&rsquo;s brochures at their STEP Education Program and at its Indian Health Service Clinic. <p><p>CAP participated as a vendor at the northern Idaho Center for Independent Living (CIL) Disability Action Center (DAC) hosted &ldquo;Making a World of Difference&rdquo; Conference at the Coeur d&rsquo; Alene Tribal Casino in Worley, Idaho. Over 100 participants attended, many from the Coeur d&rsquo; Alene and Nez Perce Tribes. Information about DRI & CAP Services were provided, as well as voter registration forms. <p><p>CAP Advocate who lives on the Fort Hall Indian reservation, home of the Shoshone-Bannock Tribes (known as Sho-Ban), helped facilitate a meeting at the Tribal VR Program with surrounding VR staff from offices in Blackfoot, Pocatello, Preston, and Idaho Falls. CAP Advocate, six (6) Tribal VR staff and 20 VR staff from surrounding offices attended. CAP Advocate was able to provide information about CAP and DRI services. CAP, PAVA, & P&A brochures were disseminated and contact information exchanged. <p><p>CAP/DRI Advocate assisted a Sho-Ban Tribal member placed at a state psychiatric facility in receiving a tribal blessing as part of their treatment plan. The facility Administrator contacted DRI asking for help incorporating this ceremony into the patient&rsquo;s treatment. Initially, DRI Advocate met with the Fort Hall Tribal Business Council, requesting that an Elder perform this ceremonial blessing, on behalf of this Tribal member. She was then directed to meet with a Tribal Leader who requested information about DRI and her request to facilitate the requested ceremony. Information was provided about P&As, CAP, & DRI services explaining that DRI provides legally based advocacy. A review of all of the service types DRI provides were discussed, and CAP, P&A, PAVA brochures, and copies of DRI&rsquo;s FY 2019 priorities were provided. The Council Leader provided information on the items the Elder would need and DRI Advocate agreed to educate the fa
D. Information Disseminated To The Public By Your Agency
1
0
0
8339
14
20508
There were 17417 facebook hits and 3091 Blog hits on the P&A/CAP (disabilityrightsidaho.org) website. <P><p>
E. Information Disseminated About Your Agency By External Media Coverage
DRI&rsquo;s published public report on its investigation into systemic abuse and neglect at a state facility was released at a facilitated media conference (Noted above in section D. 1. Agency Staff Interviewed or Featured on Radio and TV).<p>Eleven (11) newspaper articles were published during FY 2019 with information from & about DisAbility Rights Idaho (DRI), Idaho&rsquo;s Protection & Advocacy (P&A) System that operates Client Assistance Program (CAP):<p>Idaho Statesman published an article explaining how Medicaid expansion will improve access to mental health services for persons with mental illness in Idaho with an excerpt from DRI Executive Director (ED), projecting the number of Idahoans that will have improved access to Mental Health Services as a result of Medicaid expansion.<p>Idaho Press published a Guest Opinion article written by DRI ED regarding harmful consequences of a legislative proposal to get a waiver adding work requirements to qualify for Medicaid.<p>Idaho press published an article about DRI ED testifying against a proposed federal waiver adding work reporting requirements to Medicaid Expansion.<p>Idaho Statesman published an article about an in home health consumer who died after being burned in a bathtub of scalding water while a Medicaid paid home health provider was providing services. An excerpt from DRI ED was included providing information about lack of training and low Medicaid reimbursement rates.<p>Idaho Statesman published two (2) articles with excerpts from DRI staff about its ongoing systemic abuse & neglect investigation at a state ran facility.<p>Idaho Tribune published two (2) articles with excerpts from DRI about its ongoing systemic investigation.<p>The Associated Press published an article about systemic abuse & neglect at the state ran facility including excerpts from DRI about its systemic investigation results.<p>Idaho Press published two (2) articles regarding polling place accessibility in Ada & Canyon County including excerpts from DRI staff about its polling place assessments resulting in improvements. <p><p>
Part II. Individual Case Services
A. Individuals served
7
17
24
2
3
B. Problem areas
1
7
6
8
0
3
0
1
C. Intervention Strategies for closed cases
22
0
1
0
0
0
23
D. Reasons for closing individuals' case files
9
1
1
0
0
8
0
1
3
0
0
0
<P><p>
E. Results achieved for individuals
3
1
1
1
2
3
3
0
0
9
1.Client refused to cooperate with Vocational Rehabilitation Counselor (VRC) & Client Assistance Program (CAP). VRC allowed for additional time for client to choose a job coach provider before closing case.<p>2.Client seeking hearing aid access to retain his employment, was provided with technical assistance on Vocational Rehabilitation (VR) application, eligibility and services, including accessing VR Effective Communication Services. Referral to CAP provided in case eligibility or services he is seeking is denied.<p>3.Client receiving VR services experiencing difficulties with VRC communication asked CAP to not contact his guardians for consent to open a CAP case since privileges' were denied when CAP last contacted guardians. CAP referred this issue to P&A/DRI since it met priority.<p>4.After being interviewed by CAP advocate & receiving technical assistance on VR eligibility and Individual Plan of Employment (IPE) development process and CAP services processes in which releases and service agreements had to be signed, client withdrew her VR complaint as she determined she was not ready to move forward with accessing needed VR services, at this time.<p>5.After being interviewed by CAP advocate & receiving detailed information on client&rsquo;s rights & responsibilities, client requested that his complaint be withdrawn.<p>6.CAP met with client and VRC to clarify Self-Employment Policy and provided VR appeal policy information and provided CAP assistance to appeal. Client relocated to California and withdrew her VR complaint.<p>7.VR and SS recipient who previously utilized his Ticket to Work (TTW) was provided inaccurate information from previous VRC receiving an over-payment notice. Client requested help with over-payment from VR and CAP. CAP interviewed client, determined that his VRC was changed and provided accurate information about TTW processes and responsibilities. Since current VRC was assisting with over-payment appeal, client determined he had no current issues with VR and requested that his complaint be withdrawn.<p>8.Communication was re-established with VRC, however, the client walked out of one evaluation and missed another altogether and then refused to cooperate with VR or CAP.<p>9.After being interviewed by CAP advocate & receiving detailed information on client&rsquo;s rights & responsibilities, client requested that his complaint be withdrawn. <p><p>"
Part III. Program Data
A. Age
0
1
4
18
1
24
B. Gender
13
11
24
C. Race/ethnicity of Individuals Served
0
1
0
0
0
20
2
1
D. Primary disabling condition of individuals served
2
1
0
1
1
0
2
1
0
0
0
0
0
4
0
0
0
0
0
1
6
0
0
0
0
2
0
0
0
0
0
0
0
3
24
E. Types of Individuals Served
18
0
3
2
0
1
Part IV. Systemic Activities and Litigation
A. Non-Litigation Systemic Activities
2
1) Idaho State Rehabilitation Council: The previous CAP Coordinator for DisAbility Rights Idaho (DRI) was a member and Co-Chair of the Idaho State Rehabilitation Council (SRC). After her resignation as DRI&rsquo;s CAP Coordinator during March 2019, the newly appointed DRI CAP Coordinator submitted her application and was approved and is now the CAP representative on the Council. All four (4) SRC meetings during FY 2019 were attended by DRI&rsquo;s CAP Coordinator(s) as the mandated CAP representative on the SRC and also attended Idaho Vocational Rehabilitation&rsquo;s (IDVR) annual in-service training. This training is provided for all Vocational Rehabilitation Administrators, Counselors and Specialists reviewing survey input and agency data for consideration in the development of IDVR&rsquo;s portion of the three (3) year Combined State Plan. During FY 2019, the SRC requested for CAP&rsquo;s review of case types and systemic issues identified to be added to SRC quarterly meeting agenda items. CAP as a member of the SRC provided input regarding proposed changes to IDVR rules; and provided recommendations for needed goals and priorities in the IDVR Portion of the Combined Plan to improve Pre-Employment Transition Services (Pre-ETS) Summer Work Programs; Transition Services; Community Rehabilitation Provider (CRP) services; and the quality and retention of Vocational Rehabilitation Counselors and Specialists. IDVR&rsquo;s Portion of the Combined Plan will be completed and approved during FY 2020. DRI&rsquo;s previous CAP Coordinator, the SRC Co-Chair at that time, attended the National Council of State Rehabilitation Councils (NCSRC) annual meeting in Washington DC, in April, 2018. Information and training orientation materials were collected then reviewed with Idaho&rsquo;s SRC. During FY 2019, DRI&rsquo;s CAP Coordinator/SRC Co-Chair worked with the SRC Chair and developed SRC Orientation Training Modules, which were provided to all SRC members to review for training provided at the July 2019 SRV quarterly meeting. These Orientation Training Modules are now the established training practice in place for Idaho&rsquo;s SRC provided to all current members; and to be provided to future Idaho SRC members so that they clearly understand the SRC&rsquo;s role and purpose, and the responsibilities of the SRC in the VR-SRC partnership. 2) Idaho Interagency Council on Secondary Transition (IICST): IICST is made up of multiple agencies including the State Department of Education, the Idaho Assistive Technology Project, Idaho Vocational Rehabilitation (IDVR), DisAbility Rights Idaho/CAP, Idaho Parents Unlimited, the Idaho Council on Developmental Disabilities (ICDD), the State Independent Living Council (SILC), employers, providers, and others involved in the education and employment of transition-aged students and youth. The Council is currently revising the Moving On Binder, which provides transition information, training, and guidance curriculum to tran
B. Litigation
0
0
0
NA <P><p>
Part V. Agency Information
A. Designated Agency
External-Protection and Advocacy agency
DisAbility Rights Idaho, Inc.
No
NA
B. Staff Employed
Professional Full time - N/A <p><p>Professional Part-time .89 FTE; 83.33% of year filled; .73 person years <p><p>Professional Vacant 4.92 FTE; 40,97% of year filled; 2.01 person years <p><p>Clerical Full time - N/A <p><p>Clerical Part-time .39 FTE; 83.33% of year filled; .35 person years <p><p>Clerical Vacant 1.83 FTE; 15.28% of year filled; .28 person years <p><p>
Part VI. Case Examples
Case Examples
1)CAP/DRI assisted a 19-year-old, European-American female diagnosed with mild to moderate Autism address an Idaho Vocational Rehabilitation (IDVR) eligibility and services denial. Client has a Transition Plan on her Individual Education Plan (IEP) to become employed in a Summer Work Program and to pursue post-graduate education needed for her employment goal. Client applied for IVDR services in 2017 to receive job coaching services for the summer work program in 2018 but was denied by her assigned Vocational Rehabilitation Counselor (VRC) on the basis of not being a Social Security beneficiary. Her IDVR case was closed even though her Transition Plan stated that she would participate in IDVR&rsquo;s summer work program(s). During FY 2019, client and her guardian/mom contacted CAP requesting assistance with IDVR eligibility to receive needed services and participate in a Summer Work program. CAP Advocate reviewed pertinent federal regulations and IDVR&rsquo;s Policy Manual section on the application and eligibility process verifying that IDVR recipients do not have to be Social Security (SS) beneficiaries to receive IDVR services. CAP opened case and after needed forms were signed and received, reviewed client&rsquo;s previous case files determining that her previously assigned VRC did not follow IDVR policy and/or federal regulations in that VR services are not dependent upon receipt of SS disability benefits even though her previous VRC had informed client & guardian this was a requirement. CAP confirmed that the previously assigned VRC was no longer employed at IDVR and provided client with IDVR policy information regarding its application processes and eligibility requirements. The client resubmitted her application and was reassigned to a different VRC. Client was determined eligible for IDVR services, her Individual Plan of Employment (IPE) was completed and the client was able to participate in the summer work program. Client received the services she asked for and will be completing her Summer Work program requirement in time for enrolling in post-secondary education. CAP Coordinator/DRI&rsquo;s Advocacy Director reviewed this case with IDVR&rsquo;s Chief of Field Services addressing the systemic need for further accurate training to be provided to all IDVR Counselors and Specialists and CAP was told that plans to improve access to on-going needed training for all IDVR staff will be implemented. <p><p>2)CAP/DRI assisted a 52-year-old non-Hispanic/Latino, white male with hearing deficits, a developmentally delay and a mental illness with applying for IDVR services. His friend called asking for assistance on his behalf with applying for Idaho Division of Vocational Rehabilitation (IDVR) services explaining that in the past his attempts to complete the IDVR application process were unsuccessful. CAP Advocate contacted the client who clarified that he would like CAP to help him apply for IDVR services. CAP Advocate located and pri
Certification
Approved
Amy Cunningham
Executive Director
2019-12-28
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