1. Carbon-Monroe-Pike Developmental Services Department The region encompassed by C-M-P is comprised of 1,557 miles. Estimated average driving time from one end of the region to the other is approximately 2.5 hours. The estimated 2008 census population of the three counties is 290,000.

2. Carbon-Monroe-Pike serves over 1,400 Intellectually Disabled individuals each year!

3. Supports Coordination Organization The SCO consists of an SCO Director, 3 SC Supervisors and 21 Supports Coordinators. The DS Department serves over 1,000 consumers in a year.

4. Funding ◦ Supports Coordination is funded through the promise FFS ◦ Units of service vary from $14.00 to $30.00 a unit statewide ◦ CMP rate is $18.60 a unit ◦ Travel is not billable ◦ Productivity range is 50-65%

5. Profile of a typical Support Coordinator 26 years of age Recent College graduate Approximately 1 year of direct service experience (TSS) Limited work experience

6. A Day in the Life of a Supports Coordinator…

7. Information Vital to an SC’s Job:

8. Beginning to End – The SC’s Role 1. Intake 2. Schedule an Appointment (20 days) 3. Meeting a)Abbreviated ISP b)PUNS? c)Consents d)MA Application? 4.What’s next? 5.Questions

9. INDIVIDUAL SUPPORT PLANNING Information gathered in this section includes an assessment of health and safety issues, individual preferences, priorities and needs that promotes a person centered planning process in developing outcomes and positive approaches in supporting the individual. To be completed at first meeting

10. Individual Preferences ◦ Like and Admire ◦ Know and Do ◦ Desired Activities ◦ Important to Individual ◦ What Makes Sense

11. Medical Medications/Supplements Allergies Health Evaluations Medical Contacts Medical History Current Health Status Developmental Information Psychosocial Information Physical Assessment Immunization/Booster

12. Health and Safety Focus Area General Health & Safety Risks Fire Safety Traffic Cooking/Appliance Use Outdoor Appliances Water Safety Safety Precautions Knowledge of Self-Identifying Information Stranger Awareness Sensory Concerns Meals/Eating

13. Supervision Care Needs Reasons for Intensive Staffing Staffing Ratio – Day Staffing Ratio – Home Staffing Ratio Behavioral Support Plan Crisis Support Plan Health Care Health Promotion

14. Functional Information Functional Level Physical Development Adaptive/Self-Help Learning/Cognition Communication Social/Emotional Information Educational/Vocational Information Employment/Volunteer Understanding Communication Other Non-Medical Evaluation

15. To Finish up the ISP 3 hours later… Financial Financial Information Financial Management Issues Financial Resources Services and Supports Outcome Summary Outcome Actions Monitoring Questions?

16. Prioritization of Urgency of Need for Services (PUNS)

24. Monitoring…

26. Monitoring Schedule

27. Additional forms: Authorization to Provide Case Management Services Release of Information Employment Supplement Responsibilities for Waiver Services Service Authorization Form Numerous letters to be sent as mandated by the State

28. Due to the growing number of teens and young adults with Intellectual Disabilities, SCs must prepare for transition into the community and workforce. This challenge is further complicated by the fact that there is a lack of funding available to provide the necessary supports. This often leaves those who graduate sitting at home watching television. Added stressors:

29. 61% of CMP DS consumers are 30 years of age and under. In F.Y. 09/10, CMP had 61new intakes. Largest Group: 267 11-20 year olds.

30. The Waiting List The counties estimate that there are approximately 1,600 people who will present as unanticipated emergencies in the next 6 months, this includes graduates from the special education system and children leaving the CYS RTF settings It is estimated by the PA waiting list campaign that there are over 16,000 people waiting for services

31. Waiting list continued…. Support Coordinators are the front line of professionals who intimately know the waiting list consumers and families and advocate for these people

32. We need to re-think the paradigm PAAP SC work Group ISP SIS Monitoring demands/caseload PUNS Technology Funding model