1. Delaware Department of Health and Social Services Division of Developmental Disabilities Services Joint Finance Committee Hearing Fiscal Year 2012 Roy A. Lafontaine, Ph.D. Division Director Thursday, March 3, 2011

2. Overview Populations Served: Intellectual Disabilities Autism Prader Willi Syndrome Aspergers Disorder

3. Vision Statement The people we serve live fulfilling lives. Mission Statement To provide leadership for a service system that is responsive to the needs of the people we support by creating opportunities and promoting possibilities for meeting those needs.

4. Overview Serve over 3,100 individuals and their families 938 Residential Services 68 Residents of Stockley Center 2,180 live at home with their families 2.6% increase in number of people served 38 Authorized/Contracted Day and Residential Providers

5. Delaware Health and Social Services Accomplishments Placed 36 people out of 50 budgeted residential placements since July 1, 2010 Placed 92 out of 101 budgeted special school graduates in day program placements to date in FY 2011 Provided respite for 358 people to date this fiscal year

6. Delaware Health and Social Services Accomplishments Received approval of our 1915(c) Waiver renewal application from the U.S. Centers for Medicare and Medicaid Services (CMS) Established Parent/Guardian Forum meetings for public awareness and education in each county

7. Delaware Health and Social Services Accomplishments Initiated a program to standardize quality assurance monitoring and evaluation activities across residential and day services. Established a designated position to develop and manage a division-wide performance measurement system to significantly improve evidence-based planning and decision making.

8. Delaware Health and Social Services We have improved the process whereby we identify and track students who will be exiting special school programs and entering DDDS services Established a standing committee to enhance our working relationship with the Department of Education and other agencies that comprise the Interagency Collaborative Team (ICT) and better ensure the needs of special education students who are eligible for services from the DDDS are being adequately addressed Accomplishments

9. Delaware Health and Social Services Trends An increase in cases of individuals, children and adults, with co-existing mental health and behavioral issues (the “dually diagnosed”) Increasing requests for emergency residential placements

10. Delaware Health and Social Services Complex Cases

11. Delaware Health and Social Services Trends Service constituency that is aging Increase in the number of individuals who have aging caregivers Provider network that is struggling to maintain capacity and quality service Challenges in recruiting and maintaining a competent workforce

12. Delaware Health and Social Services FY 2012 Governor’s Recommended Budget Purchase of Service: Special School Graduates FY 2011 Placements Annualized in FY 2012 FY 2012 Pro-Rated $855.0 3 Months Annualized Funding for 101 Grads in FY 2011 $1,131.9 9 Months Pro-rated Funding for 140 Grads in FY 2012

13. Delaware Health and Social Services FY 2012 Governor’s Recommended Budget Purchase of Service: Residential Placements FY 2011 Placements Annualized in FY 2012 FY 2012 Pro-Rated $1,935.5 6 Months Annualized Funding for 50 Emergency/Urgent Placements $2,534.7 6 Months Pro-rated Funding for 75 New Residential Placements from the Urgent and High Risk Categories of the DDDS Registry

14. Delaware Health and Social Services Thank You