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COMMUNITY BASED SERVICES DIVISION

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Title: COMMUNITY BASED SERVICES DIVISION


1
COMMUNITY BASED SERVICES DIVISION
Director Mary-Margaret Cash Program
Managers Patricia Goodall, Richard Kriner,
Theresa Preda, William Rhodenhiser, Carolyn
Turner
2
DRS Mission Statement
In partnership with people with disabilities and
their families, the Virginia Department of
Rehabilitative Services collaborates with the
public and private sectors to provide and
advocate for the highest quality services that
empower individuals with disabilities to maximize
their employment, independence and full inclusion
into society.
3
FOUR DIVISIONS OF DRS
Field Rehabilitation Services (FRS) Community Based Services (CBS)
Woodrow Wilson Rehabilitation Center (WWRC) Disability Determination Services (DDS)
4
Community Based Services Division (CBS DIV)
  • Mission Statement
  • Respectfully creating real life solutions that
    maximize the employment, independence, and full
    inclusion of people with severe disabilities.

5

Community Based Services Division (CBS DIV)
  • Brain Injury Services Coordination (BISC)
  • Community Rehabilitation Case Management Services
    (CRCMS)
  • Disability Services Boards (DSBs)
  • Independent Living Services (ILS)
  • Personal Assistance Services (PAS)
  • Rehabilitation Services Incentive Fund (RSIF)

6
Community Based Services (CBS) Division
Managers Front Row Theresa Preda, Richard
Kriner, Patricia Goodall Second Row Carolyn
Turner, Bill Rhodenhiser, and Mary-Margaret Cash,
Director
7
History of Community Based Services Division (CBS
DIV)
  • DRS Commissioner Susan Urofsky was instrumental
    in advocating for the establishment of a state
    level disability commission appointed by
    Governor
  • 1990 General Assembly passed House Joint
    Resolution (HJR) 45 patroned by Del. Alan Mayer
    to establish the Commission on the Coordination
    of the Delivery of Services to Facilitate the
    Self-Sufficiency and Support of Persons with
    Physical and Sensory Disabilities
  • Known as the Disability Commission

8
History of Community Based Services Division
(CBS DIV) contd.
  • Disability Commission initiatives led to Code
    of VA changes
  • One of first to designate a lead agency DRS -
    to coordinate services for people with physical
    and sensory disabilities, including traumatic
    brain injury (1992)
  • One of first to establish state-funded long-term
    case management (est. 1988, in Code 1992), now
    called Community Rehabilitation Case Management
    Services Program (CRCMS) - serves people with
    brain injury as well as other disability groups
  • One of first to establish a central registry for
    mandatory statewide reporting by all Virginia
    hospitals of anyone treated for brain injury and
    spinal cord injury (1984)

9
History of Community Based Services Division
(CBS DIV) contd.
  • DRS is responsible for administering state funds
    for programs and services established through
    Disability Commission-related legislation and
    budget amendments for this population (physical
    and sensory impairments)
  • DRS also carries out legislative study
    resolutions
  • DRS Community Based Services Division manages
    state-funded programs providing services for
    people with physical and sensory disabilities
    (non VR)

10
Community Based Services Division (CBS DIV)
  • Provides services for individuals with the most
    significant disabilities
  • Individuals do not have to be eligible for DRS
    Vocational Rehabilitation services however
  • CBS does collaborate with Field Rehabilitation
    Services when person is receiving VR services
  • CBS programs are often the fund of last resort
  • CBS programs provide information and referral
  • goods and services and financial assistance

11
Community Based Services Division (CBS DIV)
  • In addition to Program Management
  • responsibilities, CBS staff work
  • collaboratively by
  • Serving on work groups,
  • task forces, advisory committees
  • Participating in federal/state grant activities
  • Providing information to legislators and
    advocates and
  • Providing training and technical assistance to
    professionals, family members, and the public.

12
Community Based Services Division (CBS DIV)
  • Mission Statement
  • Respectfully creating real life solutions that
    maximize the employment, independence, and full
    inclusion of people with severe disabilities.

13

Community Based Services Division (CBS DIV)
  • Brain Injury Services Coordination (BISC)
  • Community Rehabilitation Case Management Services
    (CRCM)
  • Disability Services Boards (DSBs) Independent
    Living Services (ILS)
  • Personal Assistance Services (PAS)
  • Rehabilitation Services Incentive Fund (RSIF)

14
Brain Injury Services Coordination Unit
  • Program Manager Patricia Goodall
  • Phone 804/662-7615
  • Email Patti.Goodall_at_drs.virginia.gov

15
Brain Injury Services Coordination (BISC) Unit
  • DRS Brain Injury Services staff first hired in
    1992
  • BISC Unit administers over 6 million a year in
    state-funded programs and services
  • State general funds - appropriated by the General
    Assembly are used for
  • case management services (adults and children)
  • specialized clubhouse and day program
  • community support services (e.g., life skills
    training)
  • regional resource coordinators, and
  • supported residential services (Northern
    Virginia)

16
Pediatric Case Management
17
Adult Case Management Services
18
Therapeutic services
19
Business Unit of theWestwood Clubhouse
20
Clubhouse members report on personal goals at end
of the day
21
Clubhouse membersand staff work together
22
Brain Injury Services Coordination (BISC) Unit
contd.
  • BISC provides staff support to the Virginia Brain
    Injury Council (VBIC), an advisory group to the
    DRS Commissioner
  • Initially established in 1986 by Virginias then
    Secretary of Health and Human Resources, Eva Teig
  • 2006 budget amendment directed DRS to consider
    Council recommendations regarding the use of new
    state funding for brain injury services
  • BISC works with VBIC, Virginia Alliance of Brain
    Injury Service Providers (VaBISP), and other
    advocacy and advisory groups to develop and
    monitor a state brain injury action plan

23
Brain Injury Services Coordination (BISC) Unit
contd.
  • Manages the Commonwealth Neurotrauma Initiative
    (CNI) Trust Fund (www.vacni.org), a Code of
    Virginia mandated program that administers nearly
    2 million in grant funds annually for research
    and rehabilitative programs for people with brain
    and spinal cord injury
  • Manages a federal TBI Act grant (2006-09)
    focusing on developing the states infrastructure
    for the delivery of brain injury services
    SOSBIS applying for 2010-13 federal TBI Act
    grant funding

24
Community Rehabilitation Case Management Services
Program
  • Program Manager Carolyn Turner
  • Phone 804/662-7107
  • Email Carolyn.Turner_at_drs.virginia.gov

25
Community Rehabilitation Case Management
Services (CRCMS)
  • Established in 1988 by the General Assembly to
    provide service coordination for individuals with
    severe physical and sensory disabilities put
    into the of Virginia in 1992.
  • Formerly known as the Long Term Rehabilitation
    Case Management Program (LTRCM).
  • Currently merged with OBRA (Omnibus Budget
    Reconciliation Act of 1987) which provides
    specialized services to eligible people in
    nursing facilities.
  • Approved to provide Service Coordination under
    Developmental Disabilities Medicaid Waiver

26
Community Rehabilitation Case Management Services
(CRCMS) contd.
  • Individual must have a documented disability that
    includes but is not limited to the following
  • traumatic brain injury
  • spinal cord injury
  • cerebral palsy
  • arthritis
  • muscular dystrophy
  • multiple sclerosis
  • Prader-Willi
  • systemic lupus

27
Specialized Services
  • Consumer using an LCD touch screen and
    indestructible keyboard mounted on a custom tilt
    frame with copy holder.

28
Specialized Services
  • Consumer using a custom over the bed LCD monitor
    mount with a head pointing device as his means of
    access.

29
Disability Services Boards andRehabilitation
Services Incentive Fund
  • Program Manager Richard Kriner
  • Phone 804/662-7059
  • Email Richard.Kriner_at_drs.virginia.gov

30
Disability Services Boards (DSBs)
  • Established by the General Assembly in 1992
  • Duties
  • Assess local needs and priorities of people with
    physical and sensory disabilities
  • Administer Rehabilitation Services Incentive Fund
    (RSIF)
  • Advise local and state government
  • Educate and inform local community
  • Members
  • Appointed by local government
  • Local official from each participating
    jurisdiction
  • Two representatives from business community
  • People with physical and sensory disabilities or
    their family members

31
Rehabilitation Services Incentive Fund (RSIF)
  • Established by General Assembly in 1994 to Meet
    programmatic and individual recipient needs not
    otherwise met through existing federal, state, or
    local programsand develop community programs to
    meet the needs of persons with physical and
    sensory disabilities.
  • RSIF funds allocated to DSBs for grant proposals.
    Limited funds available for DSB-related
    administrative tasks.
  • Funding of RSIF grant applications based on needs
    assessments conducted by local DSB.

32
Independent Living Services
  • Program Manager Theresa Preda
  • Phone 804-662-7078
  • Email Theresa.Preda_at_drs.virginia.gov

33
Independent Living Services (ILS)
  • What is a CIL? Centers for Independent Living
    or CILs - are non-residential places of action
    and coalition where people with disabilities
    develop skills that empower them to make life
    style choices.
  • What do CILs do? CILs provide services to
  • individuals with significant disabilities
    information and referral, peer counseling,
    independent living skills training, and
    individual and systems advocacy.
  • communities disability awareness, technical
    assistance regarding accessibility and legal
    issues, and general disability related
    information.

34
Learning Independent Living Skills
  • Tub with Lift. CILs teach consumers how to
    purchase and use adaptive items for personal
    hygiene.

35
  • Accessible Shower

36
Independent Living Skills (continued)
  • CIL Accessible Kitchen Many CILs teach meal
    preparation as well as practical applications for
    adaptive kitchen equipment.

37
Independent Living Skills (continued)
  • CIL Accessible Kitchen

38
Independent Living Services (ILS) contd.
  • Where are CILs located? CILs are in 16 of the 23
    Planning Districts. Per capita, Virginia has one
    of the largest numbers of Centers in the country.
  • How are CILs created? CILs are created through
    the local efforts of people with disabilities,
    family members, friends, and others. Establishing
    a CIL requires building a coalition of people
    willing to become involved in the empowerment of
    people with disabilities.
  • How are CILs funded? CILs are funded with state,
    federal, local, and private funds. Nearly 6
    million in state and federal dollars operate
    Virginias 16 CILs.

39
Personal Assistance Services
  • Program Manager William Rhodenhiser
  • Phone 804-662-7070
  • Email William.Rhodenhiser_at_drs.virginia.gov

40
Personal Assistance Services (PAS)
  • PAS - sometimes called attendant care is the
    provision of services such as bathing, eating,
    dressing, transferring, and other necessary
    activities of daily living. It is literally
    hands on assistance. DRS supplements the cost
    but does not provide the services directly. The
    consumer hires their own personal assistants.
  • Services are provided to individuals with
    physical disabilities (such as spinal cord
    injury, cerebral palsy, and muscular dystrophy)
    who require assistance from another person to
    perform non-medical activities of daily living.

41
Some PAS activities
  • Assistance with grooming

42
  • Assistance with laundry

43
  • Assistance with repositioning

44
  • Assistance with dressing

45
Personal Assistance Services (PAS) contd.
  • DRS funds personal assistance services in three
    ways
  • 1. Vocational Rehabilitation PAS (VR-PAS)
  • funded through Title I of the Federal
    Rehabilitation Act
  • Consumer-directed PAS - available to VR consumers
    who are interested in and able to manage a
    personal assistant
  • Agency-managed PAS - available to VR consumers
    who do not wish or are not able to manage their
    own assistant
  • 2. State PAS
  • funded through State General Funds there is a
    waiting list
  • consumer-directed only
  • available to individuals who do not qualify for
    personal assistance under VR-PAS, Medicaid
    Works, or any of the Medicaid Waivers, Social
    Services Home Based Care, or other comparable
    source

46
Personal Assistance Services(PAS) contd.
  • 3. PAS for Individuals with Brain Injury (PAS/BI)
  • funded through State General Funds
  • very limited amount of funding, therefore serves
    a small number of people (less than 6)
  • consumer-directed in structure, however
    individual designates a personal representative
    to help with overall direction of PAS services
  • available to individuals with brain injury who do
    not qualify for personal assistance under any
    other source

47
Community-BasedServices Division (CBS)
  • For more information about CBS Division programs
    and services, visit the DRS website
  • http//www.vadrs.org/community.htm
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