APSE 2015 Presented by Community Integrated Services Angelina Bush Marcos Rios Estelle Gilliams Mission Community Integrated Services mission is to empower people with disabilities through individualized employment opportunities that foster selfsustainability equality and community ID: 653538
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Slide1
Supported Risk Taking
Promoting Dignity Of Risk Through Innovative Practices
APSE 2015
Presented by Community Integrated Services
Angelina Bush
Marcos Rios
Estelle GilliamsSlide2
Mission
Community Integrated Services’ mission is to empower people with disabilities through individualized employment opportunities that foster self-sustainability, equality, and community. Through partnerships with area businesses and organizations, CIS works to find jobs that fulfill the employment goals and desires for the people they serve. Slide3
Vision
We believe that all people have the right and responsibility to be an active part of their community, regardless of their disability, and Community Integrated Services helps people with disabilities Live an Everyday Life through employment. Slide4
Community Integrated Services
Non-Profit organization 501(c)3 Established in 1991 in Philadelphia, PA
25 individuals/ $250,000 budget
Supported Employment Agency in Philadelphia, PA, surrounding counties, and the state of Delaware
Employment First Agency
25 staff who have obtained CESP
47 staff who are ACRE CertifiedSlide5
Community Integrated Services
Currently serve 756 individuals 248 Job Placements in 2014Employment
for Everyone!
6.2
m (F.Y
. 2013) vs. 7.8
m
(F.Y. 2014
)Slide6
Community Integrated Services
Diversified Funding Sources
Medicaid Waivers
(
Intellectual
Disability, Autism, and Office of Long Term Living)
Vocational Rehabilitation
School Districts
Ticket
to
Work
Settlements and Trust Agreements
Private Pay
SSA Work Incentives
Grants
Braided funding approachSlide7
Risks People Take in their LivesSlide8
We all Take Risks
Crossing StreetTeaching our sons and daughters to driveSending our children to school
Driving
Going out on that big date involving a ring
Attempting to get that prom date
Are all these risks any different from the people we work with?Slide9
Dignity of Risk
The Dignity of Risk is the right to take risks when engaging in life experiences, and the right to fail in taking these.
Slide10
Financial Risks
Working vs. Not WorkingSlide11
Financial Risks
Not WorkingExpectation to stay on benefits
No financial gain
Not able to purchase goods/services
Not paying taxes, not building for retirement
Non-complacent in general
Mental health deterioration
Isolation
Lack of daily routineSlide12
Financial Risks
WorkingWhat makes sense financially?
Will there be a loss in benefits?
If so, by how much?
What happens if I stop working?Slide13
Elevating Practice & Supporting People
Realizing individuals have unanswered questions about working and SSA benefits.Misinformation
Confusing information
Lack of guidance on application process
Work Incentive Counseling at CIS
Currently have 3 Fully Certified Staff, 1 Provisionally Certified (CWIC)
Assist individuals across agency (756 people)Slide14
Proactive Case Management
Work Incentive Counseling since 2011
Upfront and ongoing process
100% of individuals offered Benefits Counseling Services
97% of individuals receive Benefits Counseling Services
3% of individuals refuse Benefits Counseling ServicesSlide15
Proactive Case Management
Individuals receive assistance withApplying for benefits
(eligibility and appeals)
Verifying benefits
Understanding how work impacts benefits
SSA, Medicaid, Medicare, SNAP, HUD, Childcare
Help with reporting work to SSA
Developing and implementing work incentives to SSA (IRWE, PASS, Subsidy & Special Conditions, BWE, and SEIE)
Understanding overpayments
Rectifying issues on SSA recordsSlide16
Meet Andy
Receives SSDI & Medicare based on his work historyReceives the Medicaid Adult Autism Waiver
Benefits Counseling while in job development
Started working full time as a Machinist at an Engineering company
Benefits Frustration and Nightmare!!!Slide17
Current Nationally Supported Model:
Work Incentive Planning and Assistance (WIPA)SSA funded program to help individuals receiving SSA Disability Benefits who are working or thinking about going to work.
Individuals are prioritized to get services.
Promote the Ticket to Work Program and Self Sufficiency.
Conduct WISE (Work Incentive Seminars) for Beneficiaries
93 WIPA programs across the United States (in 2014)
11.3
m adults ages 18-64 on SSDI or SSI based on disability in United States as of
04/2015.
Not including children
.
http://www.ssa.gov/policy/docs/quickfacts/stat_snapshot/index.html?qsSlide18
Local Level WIPA- Philadelphia Region
Philadelphia area WIPA Disability Rights Network of PACovers Philadelphia County and 3 surrounding Counties.
3 Staff members
184,782 of individuals ages 18-64 on SSA disability based benefits (SSDI and SSI)
61,594 individuals per WIPA Staff
http://
www.ssa.gov/policy/docs/statcomps/ssi_sc/2012/ssi_sc12.pdf
http://
www.ssa.gov/policy/docs/statcomps/oasdi_sc/2012/oasdi_sc12.pdfSlide19
Limitations of WIPA
Sheer VolumeKnowledge of WIPA/ Find WIPA/ Initiate ContactNot Proactive
Locations of WIPA
Employment team not included
Timeliness of Services
No help with application for benefitsSlide20
Communication Barriers & Risks Slide21
Perceived Risks of Hiring Those With
A Language Barrier
Unable
to train
Take too much time to train
Miscommunication
Perceived comprehension difficulties Slide22
Perceived Risk of Working Where No One Speaks Your Language
Not fitting in
Not
understandingSlide23
People
1ST
Language Vs The Deaf Community
PEOPLE 1
ST
POLICY
Emphasis on the person 1
st
and the disability 2
nd
THE DEAF COMMUNITY
Emphasis on “deaf” or “hard of hearing” first before the person
A person who has an intellectual
disAbility
A person who has autism
Deaf person
Hard
of hearing person Slide24
DEAF CULTURE
Straight forward Conversational storytelling
Home signs
Strong community
Some differences
within the community
Deaf
Hard of Hearing
Hearing Aides
Cochlear ImplantSlide25
Number Of Deaf Consumers And Staff Fluent In ASL At CIS
33 currently active hearing impaired consumers7 staff fluent in ASL but not certified interpreters Slide26
Advantages Of Using A Job Coach Fluent In ASL Rather Than Interpreters
Relationship w/ the consumerUnderstands what the consumer means and can explain that rather than doing a straight interpretation which might not be what is the intended point
Understanding supported employment service
Cost efficientSlide27
Other Communication Barriers And Associated Risks
Consumers who: Have limited speech
Use assistive technology
S
peak another language
U
se augmentative and alternative communicationSlide28
23 CIS Staff Who Speak Another Languages
13
Spanish
7
Staff Fluent in ASL
6 others
(
Croatian,
Laotion
, Slovakian
Czech, Brazilian Portuguese, Norwegian, and French)Slide29
Bilingual Consumers
23 individuals CIS supports are bilingual or speak another language .
PA Department of Education Grant for 5 students this past school year
Needed to be bilingual
Needed to be at risk for dropping out of school.
Needed to have an IEP Slide30
Meet Eric
Student from PA Dept of Ed Grant
Interested in working with his hands
Working as a Carpenter’s ApprenticeSlide31
Accommodations and Assistive Technology
Used to assist individuals to be as independent at work as possibleMake things easier on the individualCan be something simple or complex
What do we use in our lives to be more efficient and makes things easier?
Reminders and calendars in cell phone
Alarm clocks/watches
Automatic bill paySlide32
Meet Chris
Is deaf with a cochlear implant, is legally blind, and is on the spectrum.Is currently in Job Development and had some recent interviews.
Uses ASL and an iPad
to
communicate
Benefits counseling Slide33
Meet Esther
Extensive stroke history from a young ageBecame a nurseSuffered a traumatic brain injury during surgery
Caused a speech disability
Uses voice-over machine on MacBook
Currently
is a Nurse Researcher Associate Slide34
Accommodations and Assistive Technology
Task list checkerText alerts for breaksTip counter (to help report earnings)Voice over on Apple phone
Point of service
Picture book
Zoom textSlide35
Transportation Risks
Safety ConcernsGetting lost, following street signals, safeness of routeBeing lured by a stranger
Skill level with travel training
Transfers with public transportation, walking distance
Modes of transportation
Public transportation, CCT/Paratransit, Rideshare, walking, taxi, biking, family or community members
Reasonable commute
Travel time, transfers, and cost
Paying for travel
Individual, Medicaid waiver, SSA work incentives, reduced public transportation fareSlide36
Transportation Risks
con’tLooking for employment based on reasonable commute for particular personTravel training consumers to ensure knowledge and competence of route.
Staying safe and teaching safeness while traveling
Stakeouts
Financial
assistance with travel costs initiallySlide37
Different Models of Employment
Traditional wage jobResource ownershipIndependent Contractor
Entrepreneurship
Artists and Artisans
Each model has it’s own risksSlide38
Risks of Employment ModelsGoing through HR Interview
process
Fitting in with co-workers
Being singled out based on disability
Negotiating with employerSlide39
Reducing Risks Of Non-traditional Employment Models
Customized employmentDiscovery and determining what makes sense for the individualDevelopment of small business advisory council
Taxes Implications (accounting assistance)
Business Legality (licenses, business structure)
Banking and finances (acquiring loans, profitability)
Benefits Specialist (SSA benefits guidance)
Research and Marketing (business feasibility and guidance)Slide40
Meet Christian
Comic Man Comics on CBS newsSlide41
Connecting With The Community
To become fully successful at work, other things in life also need to be addressed:Interview and work clothes
C
oordination
and help with other services and benefits
received
D
aycare help
F
inancial counseling
Budgeting
H
ousingSlide42
Community Supportive Partners
Community Behavioral HealthClient Assistance ProgramSocial Security Administration
Department of Human Services
Career Wardrobe, Dress for Success,
MenzFit
, WAY
Child Care Information Services & Emergency Daycare
The Benefits Bank
PA Health Law Project
Financial Empowerment,
Clarifi
, LIFT,
Benephilly
PHASE group, Project HOME, PHA
Broad Street
Ministries (food pantry)Slide43
Wrapping up
The individuals that we support have the same desires in life that we do!Dignity of Risk
We take the same risks!Slide44
Any questions or comments?
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