Barriers to Community Integration People with
Description: Barriers to Community Integration People with Physical andor Sensory Disabilities April 11, 2023 Maureen Hollowell Virginia Association of Centers for Independent Living www.vacil.org Virginia Centers for Independent Living Controlled by
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slide1. Barriers to Community Integration People with Physical and/or Sensory Disabilities April 11, 2023
Maureen Hollowell
Virginia Association of Centers for Independent Living
www.vacil.org<br>
slide2. Virginia Centers for Independent Living Controlled by People with Disabilities
Community Based
Cross Disability
Nonprofit
Nonresidential
Systems Change
Technical Assistance
Individual Services 2<br>
slide3. Five Core Independent Living Services Services to individuals
Peer Mentoring
Independent Living Skills Training
Advocacy
Information and Referral
Transition
Out of institutions
Prevent institutionalization
Youth 3<br>
slide4. Community Integration Housing
Transportation
Personal Assistance
Employment
Nursing Facilities
Sign Language Interpreting
Technology 4<br>
slide5. Housing Affordability
SSI maximum $914 monthly (30% is $275)
SSDI average $1,358 monthly (30% is $407)
Access
Virginia Housing Grants, $8,000
Rental Unit Accessibility Modification (renters only)
Granting Freedom (veterans who rent or homeowners)
Virginia Liveable Home Tax Credit
Planning
State and Local Consolidated Plans 5<br>
slide6. Housing Homeless Shelters
Lack of accessibility
Problematic requirements
Transfers
No assistance
Lack of privacy
Planning
State and Local Consolidated Plans
Virginia Statewide Building Code
Type A Units to be fully accessible 6<br>
slide7. Housing Action State supplement to SSI for housing
Allow auxiliary grant to be used for individual housing
Study of housing affordability
Increase required number of accessible Type A units in Statewide Building Code
Increase amount for Virginia Housing modification grants
Expand use of Consolidated Plan, Community Development Block Grants for accessible modifications by homeowners
Increase Liveable Home Tax Credit
Assess shelters and provide them with technical assistance
Remove barriers to work (transportation, personal assistance, technology) 7<br>
slide8. Transportation Rural Transportation
Unavailable
Limited, when available
Regular Route Bus Service
Bus stops not accessible
Drivers not accommodating
Paratransit unreliable
Transportation Network Companies
Accessible vehicles 8<br>
slide9. Transportation Action Permanent state/regional/local funding for rural transportation
Fund projects to identify and resolve regular route barriers
Fund projects to monitor and resolve paratransit issues
Incentivize a percentage of TNC operators to use accessible vehicles
Amtrak expansion 9<br>
slide10. Personal Assistance Support (PAS) Medicaid
Provider shortage
Rate paid to attendants
Flexibility
Dept for Aging and Rehabilitative Services
Consumer-directed personal assistance (CD PAS)
Wait list
Rate paid to attendants 10<br>
slide11. PAS Action Increase Medicaid attendant wages
Increase funding for DARS CD PAS
Fund training and outreach to recruit new attendants
Increase focus of services facilitation on attendant recruitment and retention
Sanctions for agencies that consistently understaff or fail to staff as scheduled 11<br>
slide12. Employment Transportation
Reliability
Personal Assistance
Ability of individual to schedule when they will use the restroom or need for other personal assistance
Medicaid Works
Lack of awareness
Education and Vocational Preparation
Focus on academics
Vocational support that is realistic and driven by the individual
Cost of Getting Started
Clothing, transportation until first pay 12<br>
slide13. Nursing Facilities Easy to get in
Screening not required
Once in, hard to get out
Housing
Establishing services
Medicaid average cost is $8,000 a month
Money Follows the Person
Minimum Data Set, Section Q 13<br>
slide14. Nursing Facility Action Improve long term care screening process
Require screening prior to admission
Educate screeners about community services
Enforce MDS, Section Q requirements
Re-establish transition coordination as a Medicaid service 14<br>
slide15. Sign Language Interpreting Funding for activities
Average Cost
Typically two hour minimum
Average hourly cost is $70, plus travel time and mileage
Lack of Availability
Different Levels of Qualifications
Live versus Virtual
Captioning 15<br>
slide16. Sign Language Interpreting Action Fund community interpreting services
Income based
Annual individual limit
Funerals, weddings, other major life activities
Expand interpreter training programs 16<br>
slide17. Technology Print
Captions
Websites
State websites
Public accommodations
Kiosks
Self-service 17<br>
slide18. Technology Action Monitor and improve state website access
Fund a public awareness campaign about technology access 18<br>
Maureen Hollowell
Virginia Association of Centers for Independent Living
www.vacil.org<br>
slide2. Virginia Centers for Independent Living Controlled by People with Disabilities
Community Based
Cross Disability
Nonprofit
Nonresidential
Systems Change
Technical Assistance
Individual Services 2<br>
slide3. Five Core Independent Living Services Services to individuals
Peer Mentoring
Independent Living Skills Training
Advocacy
Information and Referral
Transition
Out of institutions
Prevent institutionalization
Youth 3<br>
slide4. Community Integration Housing
Transportation
Personal Assistance
Employment
Nursing Facilities
Sign Language Interpreting
Technology 4<br>
slide5. Housing Affordability
SSI maximum $914 monthly (30% is $275)
SSDI average $1,358 monthly (30% is $407)
Access
Virginia Housing Grants, $8,000
Rental Unit Accessibility Modification (renters only)
Granting Freedom (veterans who rent or homeowners)
Virginia Liveable Home Tax Credit
Planning
State and Local Consolidated Plans 5<br>
slide6. Housing Homeless Shelters
Lack of accessibility
Problematic requirements
Transfers
No assistance
Lack of privacy
Planning
State and Local Consolidated Plans
Virginia Statewide Building Code
Type A Units to be fully accessible 6<br>
slide7. Housing Action State supplement to SSI for housing
Allow auxiliary grant to be used for individual housing
Study of housing affordability
Increase required number of accessible Type A units in Statewide Building Code
Increase amount for Virginia Housing modification grants
Expand use of Consolidated Plan, Community Development Block Grants for accessible modifications by homeowners
Increase Liveable Home Tax Credit
Assess shelters and provide them with technical assistance
Remove barriers to work (transportation, personal assistance, technology) 7<br>
slide8. Transportation Rural Transportation
Unavailable
Limited, when available
Regular Route Bus Service
Bus stops not accessible
Drivers not accommodating
Paratransit unreliable
Transportation Network Companies
Accessible vehicles 8<br>
slide9. Transportation Action Permanent state/regional/local funding for rural transportation
Fund projects to identify and resolve regular route barriers
Fund projects to monitor and resolve paratransit issues
Incentivize a percentage of TNC operators to use accessible vehicles
Amtrak expansion 9<br>
slide10. Personal Assistance Support (PAS) Medicaid
Provider shortage
Rate paid to attendants
Flexibility
Dept for Aging and Rehabilitative Services
Consumer-directed personal assistance (CD PAS)
Wait list
Rate paid to attendants 10<br>
slide11. PAS Action Increase Medicaid attendant wages
Increase funding for DARS CD PAS
Fund training and outreach to recruit new attendants
Increase focus of services facilitation on attendant recruitment and retention
Sanctions for agencies that consistently understaff or fail to staff as scheduled 11<br>
slide12. Employment Transportation
Reliability
Personal Assistance
Ability of individual to schedule when they will use the restroom or need for other personal assistance
Medicaid Works
Lack of awareness
Education and Vocational Preparation
Focus on academics
Vocational support that is realistic and driven by the individual
Cost of Getting Started
Clothing, transportation until first pay 12<br>
slide13. Nursing Facilities Easy to get in
Screening not required
Once in, hard to get out
Housing
Establishing services
Medicaid average cost is $8,000 a month
Money Follows the Person
Minimum Data Set, Section Q 13<br>
slide14. Nursing Facility Action Improve long term care screening process
Require screening prior to admission
Educate screeners about community services
Enforce MDS, Section Q requirements
Re-establish transition coordination as a Medicaid service 14<br>
slide15. Sign Language Interpreting Funding for activities
Average Cost
Typically two hour minimum
Average hourly cost is $70, plus travel time and mileage
Lack of Availability
Different Levels of Qualifications
Live versus Virtual
Captioning 15<br>
slide16. Sign Language Interpreting Action Fund community interpreting services
Income based
Annual individual limit
Funerals, weddings, other major life activities
Expand interpreter training programs 16<br>
slide17. Technology Print
Captions
Websites
State websites
Public accommodations
Kiosks
Self-service 17<br>
slide18. Technology Action Monitor and improve state website access
Fund a public awareness campaign about technology access 18<br>