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American Indian
Vocational Rehabilitation
Training and
Technical Assistance Center
The contents of this PowerPoint were developed under a grant from the Department of Education. However, those contents do not necessarily represent
the policy of the Department of Education, and you should not assume endorsement by the Federal Government. (Authority: 20 U.S.C. 1221e - 3 and
3474)
Delivery of Services to American Indian and Alaskan Natives with Disabilities
Suzanne Malson, M.S.
VR Training and TA Specialist
Dr. Lee R. Gaseoma, Ed.D
Project Director
Thank you to
John McDermott
Dana Cihelkova
Darold Joseph
Georgie Ann Reblin
• Video placeholder
Grand Canyon
Suzanne Malson, M.S.
Vocational Rehabilitation Training & TA Specialist
Over fifteen years of work experience in Tribal Vocational Rehabilitation!
The contents of this PowerPoint were developed under a grant from the Department of Education. However, those contents do not necessarily represent the policy of the Department of Education, and you should not assume endorsement by the Federal Government. (Authority: 20 U.S.C. 1221e - 3 and
3474)
Lee R. Gaseoma, Ed.D.,
Hopi Tribal Member
AIVRTTAC Project Director
Ed.D - Educational Leadership
Over twenty years of work experience providing training and TA to the AIVRS programs.
The contents of this PowerPoint were developed under a grant from the Department of Education. However, those contents do not necessarily represent the policy of the Department of Education, and you should not assume endorsement by the Federal Government. (Authority: 20 U.S.C. 1221e - 3 and
3474)
Learning Objectives
AIVRS STAFF WILL BE ABLE…
LO1 …to gain insight into one example of the AIVRS process model
LO2 …to understand the importance of a systematic and sequential documentation of the delivery of consumer services
LO3…to understand the benefit of conducting a comprehensive assessment of the applicants’ impediment to employment fordetermining eligibility
LO4 …to gain an understanding of the holistic approach to the provision of Tribal consumer services
LO5…to understand the importance of the joint development of the IPE by the consumer and the VR Counselor focusing on consumers’ informed choice
LO6 …to provide VR services as described in the IPE
LO7 …to determine the criteria for Post Employment Services
Orientation Intake Application Eligibility
Case OpenIndividualized Plan
for EmploymentCase Close
Tracking & PostEmployment Services
Vocational Rehabilitation Processes
Examples of linking processes...
Intake and Application Process
The application process for
a potential consumer begins
with a referral by oneself,
a family member, or an
organization.
Intake and Application Process
The Intake is the most vital part of an AIVRS program because this is the first formal meeting between a VR Counselor and a potential consumer who may be uneasy about the vocational rehabilitation (VR) process
Intake and Application Process
What happens during an Intake Interview…
a. Building of trust through program hospitality
b. Sharing program information
c. Gathering applicant data and information
d. Filling out and signing forms
e. Explaining the VR Process
Informing applicants a. Applicant Rights to…
Privacy; Access records (request must be in writing); Amendment to records; Rights and Remedies; a Tribal Fair Hearing (Established a Tribal Resolution)
b. Responsibilities of ApplicantKeep appointment, Gather documents, Family involvement
c. Responsibilities of AIVRS program is to…Inform, Ethically conscientious, and Traditionally sensitive
d. Client Assistance Program (CAP)e. Confidentiality, and to arrange for…f. Comparable Services and Benefits
Intake and Application Process
Intake is a comprehensive process to determine how an individual’s disability is an impediment to employment
VR counselors need to observe potential consumer closely for signs of weariness or hunger -schedule another appointment if necessary
.
The person sitting opposite you could be a diabetic and may require a sugar snack
Invite your consumer to sit comfortably and avoid barriers, such as a desk
To ease the anxiety of applicants, VR counselor’s ought to be practicing good listening skills
Intake and Application Process
Is your AIVRS program sensitive to the needs of your people with disabilities?
Contemplate the “holistic” approach to services that makes AIVRS different from the State VR agencies
Physical Mental
Spiritual Emotional
• Embracing the holistic approach to services means that your AIVRS program is observing and considering the internal and external environment of people with disabilities
• Examples of internal and external factors…• Cultural traditions
• Remoteness and lack of resources
• Employment and educational opportunities or the lack of opportunities
• The lack of economic development, and
• Rural vs Urban…
Is your AIVRS program sensitive to the needs of your people with disabilities?
About AIVRS• Inform your potential consumer about your AIVRS program; handouts are helpful tools, such as a Consumer Hand Book, a Brochure, and the AIVRS Success Wheel
• Talk about program personnel, ethics and confidentiality
• Discuss applicants’ work history and educational background
Intake and Application Process
Carlisle Pupils
Outside evaluation is considered when a VR Counselor is unable to verify or determine a disability or requires additional information to determine eligibility
Intake and Application Process
Documents that are required to determine eligibility that must be administered during the application process are…
• Medical records
• School records
• SSI and/or SSDI documentation
• Presumptive eligibility is the rule with either SSI or SSDI documentation, and
• Documentation from outside professional vocational assessment
Intake and Application Process
Determining Eligibility is a comprehensive assessment using the following criteria:
• The eligibility of a potential consumer is the responsibility VR Counselor
• Documents proving applicants eligibility must be linked to case notes
Eligibility
Eligibility
• An individual is “Presumed to Benefit” under The Rehabilitation Act of 1973 as amended in 1998 section c102.
• Presumptive Eligibility refers to an individual who is receiving Social Security Disability Insurance, (SSDI) or Supplemental Security Income, (SSI)
• Presumptive Eligibility for VR services is when an individual is receiving Social Security benefits Title II (SSI) or Title XVI (SSDI).
Five criteria to Determine Eligibility
1. Individual applying for service is a Tribal member of a federal or state recognized American Indian Tribe or Alaska Native
2. Person must reside on or near the reservation or in the designated geographic service area
3. Person must have a mental or physical impairment, which constitutes or results in a substantial impediment to employment; and…
Eligibility
Five criteria to Determine Eligibility
4. Vocational rehabilitation services are required to prepare for, secure, retain or regain employment consistent with the applicant’s unique strengths, resources, priorities, concerns, abilities, capabilities, interests, and informed choice;
5. The applicant can benefit from the provided services to achieve an employment outcome from Tribal vocational rehabilitation services
Eligibility
Before a final decision is determined about the provision of services for Tribal consumers too severe to benefit from Tribal VR services, consider acquiring an outside evaluation and a technological resource procedure to better identify an individual's vocational abilities
Eligibility
Evaluation Options from External Sources
• Psychological evaluation
• Assistive technology assessment
• Reasonable Accommodations and evaluations at work sites to assess the more severely disabled
Eligibility
Documents required for eligibility and the timeline for determining eligibility
• Tribal Certification - Identification Card or CIB (Certificate of Indian Blood)
• Residence Certification; and
• Tribal VR has 60-days maximum to Determine Eligibility
Eligibility
Ineligibility
Determination of Applicant’s Ineligibility
If an individual who applies for vocational rehabilitation is determined NOT to be eligible for services, the ineligibility determination involved shall be made only after providing an opportunity for full consultation with the individual or, the individual's representative.
A case is opened when a VR Counselor determines an applicant eligible for VR services
The VR Counselor signs off on an eligibility statement and/or creates a case note to support decision
All internal documents and external eligibility documents are placed in consumers’ file
Case Open
• The IPE is the written plan outlining a consumers’ goals and the services required to reach those goals
• The IPE is written based on the VR Counselor’s assessment and/or an external assessment and consumer’s input
Individualized Plan for Employment (IPE)
• The Plan is design to recognize an individuals’ strengths, resources, priorities, concerns, abilities, capabilities, interests, and informed choice
• The implementation of the IPE should begin within 30-calendar days of signatures; if more time is required written justification for extension must be provided and the IPE and/or the situation must be reviewed every 30-days from that point on
Individualized Plan for Employment (IPE)
• The IPE is developed in collaboration and partnership with the participant or their representative, as appropriate and the VR Counselor
• Family can participate in the process if necessary at the request of the consumer
• The IPE must be reviewed annually
Individualized Plan for Employment (IPE)
IPE Criteria
a. Employment goals
b. Objectives to meet goals
c. Services needed to reach consumer goals, includes the services from other agencies, if available
d. Traditional Healing services as appropriate
e. Responsibilities of consumer
f. Responsibility of AIVRS program
g. Comparable services and benefits
h. The VR Counselor will assist in the development of an IPE
Individualized Plan for Employment (IPE)
Vital information VR Counselor’s need from consumer for joint development of an IPE
• Gather information on education, employment history, and health
• Assess individual’s functional capacities
• Explore vocational options
• Investigate the details of multiple vocations that may be of interest
• Explore education and training opportunities
Individualized Plan for Employment (IPE)
Expectations from Consumer Informed Choices
• A desired outcome of employment in a competitive integrated work setting
• Expectation of achieving the goals in the IPE that leads to employment
• The Vocational Services required to achieve the goals of the IPE
• Know and understand the responsibilities of AIVRS, as well as the cost associated with the planned services
Individualized Plan for Employment (IPE)
• Provision of consumer services is based on the IPE
• IPE is monitored to determine if there is a need for an amendment to the IPE, and this is based on a consumer’s changing situation or progression of a disability
• The IPE can be amended at any time during the consumers relationship with AIVRS; however,
• It is mandatory to meet with a consumer once a year to review the IPE, and this is to insure that the goals of the IPE are met and if required a revision to the exiting IPE be implemented
Provision of VR Services
• Successful 90 day employment in the consumers’ choice of a work environment
• Provide reasonable accommodation for consumers to perform their duties effectively and efficiently
• Determination of appropriate job placement in an integrated setting to the satisfaction of the consumer and employer
Employment and Case Closure
• Meet with consumer and consider if Post Employment Services will be required
• Conduct a exit interview with consumer and have consumer complete a satisfaction survey
• Celebrate the consumer’s successful employment outcome with staff, family, Council members, and employer
Employment and Case Closure
Tracking a Successful Closure
• Three months • Six months, and • One year after closure
The AIVRS methods for internal data collection must be able to provide the 3-month, 6-month, and one year tracking for successful employment outcomes for the annual performance report.
Employment and Case Closure
Other reasons for closure
• If a consumer indicates they are no longer interested in the services of the AIVRS Program;
• If the AIVRS counselor is unable to locate or contact consumer;
• If a consumer is no longer available to receive services;
• If a consumer cannot achieve suitable employment;
• If a consumer fails to cooperate.
Employment and Case Closure
Consumers are eligible for post-employment services for the NEXT twelve (12) months after a case is closed successfully
The rational for opening a new case would be to learn that an individuals’ disability has progressed and is now presenting a different set of impediments to maintaining or retaining employment
If so, there may be a need for the consumer to explore a different vocational goal in relation to their functional abilities and career interests
Post-Employment Services (PES)
Responsibility of AIVRS to Social Security Administration (SSA) regarding closure:
If a consumer is currently receiving SSA benefits and has failed to achieve employment, AIVRS Programs are required to submit a disclosure report regarding information on a consumers’ status to the Social Security
Administration.
Post-Employment Services (PES)
Delivery of Services to American Indian and Alaska Natives with Disabilities
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