WELCOME

Among those of us who care deeply for and about people with developmental disabilities, I hope to hear emerge a new voice, ours, rising together for the benefit of all, harmonizing with reason, respect and hope, and transcending divisions, giving birth to a new era of creative cooperation.

Toward this potential, DD EXCHANGE is for conversation, civil sounding off, sharing of stories, experience, information, resources, and inspiration, giving and receiving support, and creative problem solving.


Finding Your Way Around

TO SEE OTHER'S INPUT: below each post on the right, click "links to this post;" or in the left side column, under "Labels," click the discussion link that interests you.

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Showing posts with label DDD funding. Show all posts
Showing posts with label DDD funding. Show all posts

Saturday, February 19, 2011





Because We Care - Beyond Inclusion


HOW CAN THIS HAPPEN?


The scenario below is true. The client was 14 at the time. He has a rare genetic syndrome which causes a global developmental delay, early onset pediatric dementia (his brain is shrinking), behavior problems coupled with manic and psychotic episodes. This was after his 5th hospital admission in 1 - 1/2 years.

He was on a Home and Community Based Service Waiver at the time.


12/2008 - Admitted to Seattle Children’s - 2 week admission (4th Admission for this child to Inpatient Psychiatric Unit)

12/2008 - readmit (5th Admission) - Psychiatrist recommended out-of-home placement for safety and health of child and his family. RSN stated “would not approve” readmission again


1/2009 - DDD Region 4 Children’s Manager told client’s DDD caseworker - “Do not offer them anything”


1/2009 - Discharge meeting at Seattle Children’s, DDD Psychologist, DDD caseworker, MD, Teacher, Nurse and discharge planner present. No availability in DDD residential system. Mental Health Residential placement would not be appropriate for him.


When asked about next crisis due to readmission being denied, only solution offered to parents by this group was to

“CALL THE POLICE”


It got worse before it got better:


He now lives at Fircrest, an RHC, he’s safe, happy, well cared for and healthy – a CHOICE that was denied to him for over a year.


Why does DDD want to deny a safe and healthy life to those they are supposed to help?

Thursday, April 29, 2010

KCDDD 3 Year Draft Plan

Parent Comments
by
Cheryl Felak

(Tomorrow, end of business, is the deadline for written public comment on the proposed King County DDD 3 year plan. Have you written & sent your input? If not, your voice is important!
For access to the draft plan and submission info, click on this post's title.)

Cheryl is a parent whose son with dd lived at home until it recently became too difficult for everyone concerned. She reports that he is now thriving in an RHC (residential habilitation center). Here are her comments:

Improve after-school programs for disabled children - maybe right at the school. Needing to be home every afternoon at 2:30 to get my child off the bus made it impossible for me to work. Since our son is not independent in toileting, many of the afterschool programs, ie: Boys and Girls Clubs, would not take him. Respite providers generally were not available after school – many of them work in the schools and can not get to a respite job in time to get a child off the bus.


• Why are our public monies going to agencies that do not support the needs and choices of ALL disabled? For instance, the Arc of King County is adamant in the rapid closure of the Residential Habilitation Centers. These centers are indeed communities and they are the best option for many of our disabled family members. I would like to see our money spent on promoting a continuum of care and realizing that each individual has specific needs that cannot always be accommodated by a system that does not have the continuum of services in place.


• KCDD Mission – what is the definition of “community life” here? Community is a buzz word that has taken on the meaning of “non-institution”. People need to realize that living in an institution is also a community and one can lead a full life in that setting also.

• Natural Supports – these are much easier to utilize when the child is young. Once the child is a teenager and needs total assist for personal care the supports tend to fall away. This may be more of a problem with those DD children who also have a mental illness. Friends and family members become afraid of the person and are unable to help. This is also probably more of an issue with the need for pervasive support intensity.


• Waiver – make it easier for the client to access the funds – huge waste of time, effort and money trying to find a contracted provider. If money was available to the client, could get needed durable medical equipment, personal care items for a better price and not have to pay a huge mark-up to a third party in order to acquire the needed items. A doctor’s prescription, OT recommendation, etc, should be adequate documentation that equipment is needed – why so much hassle to prove that item is needed for client?


• SOLA – states “providing instruction and support to clients” what about health and safety of the client?


• Huge issues of DD clients who also have mental illness – where do they get services? This is not an issue for behavior management – these need to be handled by coordinated team of a psychiatrist and another healthcare professional who is familiar with the issues of the DD client. Most psychiatrists are only trained in dealing with typically developed children who are mentally ill, not DD children who need total assist for activities of daily living. 


• Outreach, information and Assistance Services – Why is the Arc of King Count y the only agency that KDCCC contracts with? Again, the Arc discriminates against those who need the RHC services to remain safe and healthy – this is a biased position and in order to be an advocate, it is important to look at all alternatives that may benefit the client.


• Advocacy and Leadership Training – Again, KCDDD contracts only with the Arc of King County. “King County Parent Coalition for DD for parents and family members to advocate for a better future in the community for all individuals with DD, learn advocacy skills and network with other family members in King County.” This is a false statement. The Arc of King County does not advocate for ALL disabled. As stated previously, that organization only advocates for those that benefit from living in small, residential homes and excludes those who need the services of the RHCs.


• Seattle Parks and Recreation has been a tremendous benefit to us. Our son has gone to the Saturday activities programs and day camps for years. He absolutely loves them. He has been able to go places and do things that he would never have been able to do if it was up to us, his family, to provide that. PLEASE fund more of this program – they are the best!!!


I have a few more comments in regards to the draft of Developmental Disabilites Services. This may get a little graphic, but I would really like people to understand about the issues and how important Active Treatment is in the care of our family members.

Our son is 16 years old. He has DD/Bipolar Disorder and possibly some schizoaffective disorder. He needs total assist for all personal care. His fine motor skills are extremely poor - he can't write his name, pull up his pants, put on his shoes, etc not only due to motor skills but also due to lack of attention and visual deficits. He does not feel pain sensations.

It takes time and effort and much encouragement to get him to try to put his shoes on. Once they are on, if we don't leave and go where we are going, they will be taken off again and you have to start all over. He needs someone to constantly be aware of where he is and what he is doing to maintain his health and safety.

It took us 2 years of daily trials to get him to sit on the toilet for 1 minute. At this point we are still trying to get him to inform someone of when he needs to have a BM and have a diaper put on. So far, the only time that he succeeds with this skill is for me - at other times he is incontinent. He is very reluctant to inform caregivers of his personal needs if he is even aware of them. It takes a very intuitive caregiver to communicate with Thomas in order to understand what he needs. One needs to watch his movements carefully - this is what indicates if he might be in pain. This care takes time and focus. Without this, it becomes too easy to just do everything for him.

I'm concerned about issues with children like ours who live in a group home or SOLAs. The staffing is not adequate to provide for active treatment. Active treatment is critical in order for progression to be made. Without this part of the care provided, children with needs similar to our son's, would lose skills that they have worked so hard to attain. This would also decrease their potential to be active participants in jobs and or social activites.
Provided for posting by Cheryl Felak as provided to the King County DDD as comments on the draft 3 year proposal.

***

The notice below was first posted April 20. Tomorrow, April 30, by "close of business" is the deadline for comments. Here it is, again, for submission details as well as time and place of public meeting.

Tuesday, April 20, 2010

PUBLIC INPUT NEEDED: 3 YEAR PLAN


KING COUNTY PLAN
2010-2013 Services
For People with Developmental Disabilities
Including
Children : Birth To 3 years

Letter :
From: Campbell, Jane [mailto:Jane.Campbell@kingcounty.gov]
Sent: Monday, April 19, 2010 3:29 PM
Subject: Public Input to King County DDD 2010-2013 Plan

The King County Developmental Disabilities Division (KC DDD) has released the draft Plan for Developmental Disabilities Services for public review and comment at http://www.kingcounty.gov/healthservices/DDD/plansAndPolicies/2010-2013DDPlan.aspx .

The plan covers the period of July 1, 2010 through June 30, 2013.

The plan covers
early intervention services provided for children ages birth to three who have a developmental delay or a developmental disability,

and also

those services and supports provided to individuals with a developmental disability
who are enrolled in the Washington State Department of Social and Health Services Division of Developmental Disabilities who are living in the King County community.


King County invites and welcomes public comment on the proposed draft plan.

~ Written public comment will be received through close of business, Friday, April 30, 2010. A link is available on the DDD website so you can email your thoughts. (click on title of this article to open web page: find download of plan button + input button on right side of web page)

~ A public meeting to discuss the plan will be held by the King County Board for Developmental Disabilities

Wednesday, May 5, 2010 from 9:30 to 11:30 a.m.
Washington State DSHS Division of Developmental Disabilities
Region 4 Office,
1700 East Cherry Street,
2nd Floor Meeting Room,
Seattle.
The meeting location is wheelchair accessible.
Jane E. Campbell
Assistant Division Director
King County Developmental Disabilities Division
401 Fifth Avenue, Suite 520
Seattle, Washington 98104
206-263-9017

Saturday, April 17, 2010

BUDGET NEWS: GOOD, BAD, & NEUTRAL

The Washington State 2010 Supplemental Budget has been released after a long, extended session. It now remains for our governor to sign it or send it back.

Readers from other states are invited to submit lists for their own states similar to the one, below, for Washington. It could give us all a sense of being part of something bigger and some orientation related to how our states compare.

Washington State:
State run-residential habilitation centers (RHCs)
Bad news:
~ 1% across-the- board cut over and above deep cuts sustained last year.
Good news:
~ only a 1% across-the-board cut and not the closure of 2 facilities as had been proposed at the onset of the session.
Neutral news:
~Funding is provided to the Office of Financial Management to conduct assessment of individual resident needs at each residential habilitation center. The reason this is neutral news is that RHC resident-centered, minutely detailed, needs assessments are done routinely as required by Federal law.

In home services:
Bad news: net 300,000 hour cut additional home care service cuts:
Good news: this represented a partial restoration; (It is too complicated for this list)

Bad news: $.13/hour decrease in agency in-home provider pay (about $52/year).
Good news: ~Authorization to add some people to the home and community based waiver services program

Bad news: elimination of the Home Care Quality Authority

Out-of-home "community" placement
Good News
:
~ Funding for Expanded "community" residential services with faster phase-in for those listed in this biennium's budget.

Staffing, equipment and service
Bad news
:
~continued freeze on state hiring, salaries, equipment and personal services contracts.
~requires layoffs and compensation of exempt and Washington Management Services employees (plan has not been developed.) ("Washington Management Services" is on the order of a union for management.)

Work & day programs
Bad news:
~Elimination of County funding for Jobs 21 partnership
Good News
~Additional funds for employment and day programs for students with dd leaving high school
~See next blog entry for unrelated new funding for employment & day programs for these youth.

Dental and healthcare services:
Bad News:
~ The Federal Health Resources & Services Administration (HRSA) budget reduces payment for dental services.
Good News:
~Other services were not cut.


How do you anticipate these changes affecting you or your loved ones, students, patients or clients?

Thanks in advance for sharing!
Saskia