1. 0 Department of Developmental Services: ASD Services  To promote & support families’ ability to maintain family member at home  To provide information, referral and specialized programs  To provide specialized service to address core symptoms of autism Goal

2. 1 DDS ASD Services Children’s Services  33 Family Support Centers – Statewide  10 Culturally Diverse Family Support Centers – Statewide  7 Autism Support Centers – Statewide  Autism Waiver  DESE-DDS Programs

3. 2 Additional Support for Families (DDS)  7 Regional Autism Support Centers  Social Skills and Sensory Based Programs, Vacation Programs, Family Training, Sibling Support Groups  New service addition: small group family clinics  More than 5,000 children & families annually  Information & Referral – 6000 calls/yr

4. 3 DESE/DDS Program  Interagency agreement between the Department of Elementary and Secondary Education and the Department of Developmental Services  Major source of support to families through wrap-around services  319 current participants approximately 2/3 with autistic disorder

5. 4 Eligibility 4 types of children’s eligibility DDS determines eligibility for first three:  Global Developmental Delay – birth – 4 th birthday  Significant Developmental Disability 5- 17th birthday  Autism Waiver – Significant Developmental Disability – namely an autism spectrum disorder – ages birth – 8 th birthday and meet Level of Care for Intermediate Care Facility for individuals with intellectual disability  Autism Division – verification of autism spectrum disorder  DDS does not charge fees for any service for children  DDS tracks children with significant developmental disabilities but does not track by specific developmental disability

6. 5  1:1 behavioral, social & communication interventions through Expanded Educational Habilitation Services: 6-10 hours per week  Community integration activities, respite, family training  Home & vehicle modification  Expanded Educational Habilitation Services limited to 3 years or until age 9; ancillary supports available until age 9  Autism Support Centers & Support Brokers  New as of October 2010: OT, PT, Speech Therapy & Behavioral Supports & consultation  Participant Directed Service model Number Served 130 at any point in time - 170/year (unduplicated count) Reserved capacity for 3yr olds 580 applications in 10 days in 2010 1146 applications in 10 days in 2007 DDS – Autism Services Waiver Initiated: October 2007; 5 year Renewal: October 2010 Services

7. 6 Funding All State Appropriation:  Funding in Family Support decreased in FY10 and increased in FY 11, but below FY 09 levels FY08 FY09 FY10 FY11 FS $55,044,228 $55,504,714 $45,681,593 $46,521,184  Funding in Autism Division has varied over last few fiscal years; reduced in FY 10 and maintained in FY 11 FY08 FY09 FY10 FY11 Autism $3,277,627 $4,460,244 $4,128,480 $4,128,480

8. 7 Quality Management  Licensing or certification of providers  Performance Based Objectives  The National Core Indicator survey instruments  Heller Research on study on Autism Waiver  Provider satisfaction surveys DDS has robust quality assurance system which includes the following:

9. 8 GAPS  Individuals with Higher Functioning Autism and Aspergers are rarely eligible for DDS services  Development of services for Higher Functioning Autism and Aspergers individuals  Expansion of Autism Waiver both in terms of numbers of children who can participate and an expansion of the age limits  The need to develop continuity of services for children – birth – age 17