DBHDS Vision: A life of possibilities for all Virginians

Settlement Agreement Update

Peggy BalakDOJ Settlement Advisor

Virginia Department of Behavioral Health and Developmental Service

Slide 2

SA Status Update

Independent Reviewer’s 6th Report to the Court was released on 6/06/15

Of the 122 Provisions historically rated:– 32 received a compliance rating, – 25 received a non-compliance rating, – 1 was deferred, and – 62 were not rated this reporting period.

Slide 3

From the Report

Maintained rating of compliance:– the creation of HCBS waiver slots; �– increased case management and licensing oversight; �– discharge planning and transition services for individuals �

residing in TCs;– developing a statewide crisis services system for adults �

ID/DD.

 Newly achieved compliance ratings: – Virginia’s Plan to Increase Independent Living; �– Offering choice of service providers; – Adult crisis services; and �– Regional Quality Councils.�

Slide 4

From the Report

Continued work needed:– opportunities for individuals to live in most integrated

settings; – transition of children from nursing facilities and large

ICFs; – crisis services for children and adolescents; �– integrated day activities and supported employment; – subsidized community living options; and �– ISP process focused on helping individuals to learn

new skills.

Slide 5

From the Report

Of Note: ‾ Recommendations: 14 recommendations with a request for

an update on them by September 30, 2015. ‾ Individual Reviews: follow up report on the 27 individual

reviews with those on DD Waiver due September 30, 2015. ‾ Exit Interviews conducted with each of the consultants whose

reports can be found in the Appendices of the Report.

http://www.dbhds.virginia.gov/individuals-and-families/developmental-disabilities/doj-settlement-agreement

Slide 6

7th Court Reporting Period

The Independent Reviewer and his consultants will be reviewing the following areas this reporting period:– RST– Quality & Risk Management and QSRs– Crisis with focus on children & most in need– Transportation with focus on quality service delivery

and system management– Individual Reviews: individuals who have

transitioned from Training Centers to living in Regions I and II.

Slide 7

Updates

‾ Outcome Timelines submitted to Judge Gibney on 3/15/15.

‾ DOJ submitted summary findings on Community Behavioral Reviews

‾ Third Status conference with Judge Gibney is scheduled for July 9, 2015

‾ Waiver Redesign:  ‾ Amendments submitted to CMS for approval by July

2016;‾ Consolidated waiver on-line system (IDOLS & Oracle

database successor) in place by July 1, 2016.

Slide 8

Housing and Human Services Consortium

HHS100 Day Challenge launched on June 3-4, 2015 ‾ Goal: to increase access & availability of integrated

independent housing options with appropriate supportive services for people with I/DD

‾ Regional teams: Greater Richmond, Southside, Peninsula and Northern Virginia

‾ Each team defined priorities, developed goals, & establish work plans for regional efforts over the next 100 days

‾ Projected over 100 individuals to transition into independent housing with services within 100 days

Slide 9

Crisis and Behavioral Supports

A comprehensive plan for all Behavior/Crisis Services has been consolidated to include all of the following initiatives:– Provider Development – Provider Competency (DSP, Supervisors and

Interventionist)– First Responder Training–  Adult and Children’s Crisis–  Developmental Disability/Behavioral Health

Collaboration–  Mental Health Hospital/Jail Diversion

DBHDS Vision: A life of possibilities for all Virginians

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