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DOCUMENT RESUME. )
ED 117 897 . EC 081 248 ..//
. . . .,
f .TITLE . A Design for 4.ving: The PARC Plat. Report of thePARC Ad Hoc Planting. Committee for 4ResolutiOn II,
, , fici-eilipr 14, 1974.
-liaerisbarg,go
Oct 14
A LE FROM Pennsylvania Association for Retarded Citizens, 1500-North Second Street, Barrisburg, Pennsylvania1710 2
ME-SOS 83 Plus Pdstage. HC Not Available f_ EDRS.DESCRIPTORS : Clothing; Evalgation; Exceptional Child Educat n;
Exceptional Child Services; Facilities; HealthServices; *Hospitale; *Institutional EnvironMent; .
*Mentally Handicapped; Needs Assessment; Nutrition;- Program Development; *Residential Programs; *School
Services; Staff Improvement;'State AgenciesIDENTIFIERS . *Pennsylvania
EDRE PRICE
ABSTRACTPresented is the PARC (Penpsylvania Association for
- Retarded Citizens) Plan which resulted from, a 3-month survey ofPennsylvaMia's institutional system-and whiCh was designed to improveliving conditions and programs of state schools and hospitals servingthe menta4y retarded. Detailed are specific recommendations for theachievement of annual gdals (from 1975 to 1980) in the folloMingareas (goal examples are in parentheses):, population (assess the
i n'
needs of each resident in state schools and hospi,t4(develop anand develop
individualized programs) ; staffing and staff trainservicR training progral); food services (achieve excellence indiet, food preparation, and food handling); liten and clothingservice (provide clean, neat, fashionablet, appropriate,individualized clothing as well as individual storage'space); brogram(develop a uniform accountability procedure with a mechanism for
.Co#ection of defects); housing (complete renovations to` meet'Safety Code and Medical Assistance requirements); healthcare(provide corrective and preventive measures for each individual);monitoring (develop a uniform procedure for making and writingreviews of state schObls). Included in each section is an-implementition schedule for each program area and statem§nts on the
, goals, actions required, funding sources, and.PARC4actions andresponses for each year. A section on additional recomm4ndations.contains discussions of such topics as the develop*ent of family caretraining homes. (SB). . .
./1.-4
,
Documen ts acquired by ERIC include many inform al unpublished materials not available from other sources. ERIC makes everyeffort to obtain the best copy,available.Neverthelesi, items of marginal reproducibility are often encountered and this affects thequality of the microfiche and hardcopy reproductions ERIC makes available via the ERIC Document Reproduction Service (EDRS).
::_EDRS is not responsible for the qu ty of the original document. Reproductions stipplied by EDRS are the best that can bernade from 1
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14
f7INTRODUCTION
Figure 1: Progress Assessment Chart 6
POPULATION .12
PROGRAM 26
STAFFING AND STAFF TRAINING 35
HOUSING 46
HEALTH CAKE 55,
FOOD SERVICE. 65__
LINEN AND CLOTHING SERVICES 74
MONITORING 81
ADDITIONAL RECOMMENDATIONS 86. -
PARC ACTION_ . : . . . . ..... 95
COMMITTEE MEMBERS 98
GLOSSARY OF TERMS 100
BIBLIOGRAPHY 101
4.."'
3(
#
INTRODUC,TION"A Desi. fortLiving -- The PARC Plian" is the result of a th'ree-
month studyfand survey of PennSylyaniaiSinstitutional system. The Plgn,
as conceived here, has.as its specific objective the improvement of
living conditions and progrAmq Rt Pennsylvania's State Schools and Hos-wah institutional rc orm
and deinstitutionalization, as well as commiiiiitY-IITAYig-Alt-ernatives-to
State Schools.
"A Design for Living a le
which will gather dust on the shelves. It is a workable document which'-takes into consideration many of the problems which have historically
stood in the way of institutional reform. The report is specific in'its recommendatrions for achieving these objectives and presents a realis-
t,ic time table for their attainment.
A. BACKGROUND
In June 1974, delegate's to the 24th'annual conyention',,of the Penn-
sylvania Association for Retarded Citizens stated in a resolution that,
"the existence of unsafe, unsanitary conditions at State Schools andHospitals continues to debase and degrade the citizens who areretardedwho must reside in them." In order to alleviate these,dehUmanizingconditions at the State Schools, the membership charged he Association
to "develop a comprehensive plan to provide decent, humane and normaliz-ingprogirs and housing for residents of State School."
Resolution II clearly states the intent of the Plan, as Kell as what
the Plan should include: \,,N
s"wHEREAS, the exiatence oli unsalie, unsanitanyconditions at State Schoots and HospLtatz
continue-to debase and degkade the c,itizen4 who axe ketat4ed who must &aide in
them; and"WHEREAS, the ketocation oli citizen4 who ate ketanded -in he commUmity iA ptoving'
to bestowek than anticipated; and ' -\
"WHEREAS, it .1.2. pkemauxe to speak in tekm.6 oli comptetety ceasing exiating insti-
tiltion4;.and r . ,_,
.
"WHEREAS, we cannot .ignore the 0.e:sent dehumanizing conditions undet which residents
o6 State Sehoo4 and Hospitatz continue to exist; and ...
"WHEREAS, the Department oi PubtLc Netiake has liaLted in dta obligation under the-
1966 Wi /MR Act to pkovide a compkehensive ptan-'6ok apptoptate cane and tuift-
, ing oiS imstautionatized.citizen4 who axe ketaAded. -
"NOV THEREFORE BE TT RESOLVED, that PARC 4hatt develop a eompteheniive an to pro-
.vide decent,, humane, and rammatizi.ng ptognamasand hou4ing lion the kesidenti
` "RESOLVED;' that this ptan shaft .contain at .Least the liottowag items:',96 State Sehoot4 and.Hospdaa, .and be it 4utthek
a: Specige.objective4 to be achieved .4ox each State $ehoot and Hospital.
,
.
b. Specige method4 fox the achievement Q4 .each 06 the above objectiva.2 including speciiication o6 6unding dou4Ced.
' c. A time tabte box the mptementation of the above objectiva,
V. and be it 6uAthek .
" MED, that this ptan shatt be presented to the October 1974 Boa/Ed meeting box
apptovat and -Emptementation and be it pkthek
R OLVED, that the Pkesident shictt appoint'a committee uptuentative oli et v40-
po.ints'on this .issue, and be it 6ukthek . . i
4
I I...
"RESOLVED, that this committee wilt be nequi.h.ed to contact the4an.ent' groups oeeach o6 the State SchooLs and Hospitatz and include ihthi. needs in,the plan; .and be it 6witheA,
"RESOLVED, that this committee exptoke eveity atteAnative that tate provide decenthousing and devetopmentat4 apikopniate. pnognrunming az napictty as possib,ee. eon.att institutionatized citizens (oho aii,e /Le-tattled, .inetuding, necessary ,inindivitittert
-castht. temponzvEy use exikti-fige-ouniectAO t
PE., IP ft a ". aala...r121MODIENINErniffainriAliri7;11.1:1trikiriAniNalif a
V.-(45- with th- co A!. 4. 1' Its' Icreased; and he it 6uxtheit
"RESOLVED, that (vitae dehumaniLingwith &cat ARC's concerned, skate take sweat and immediate acti,on to tectitiythe si,tuation, with the appkovat oe the Board oe Di.A.e.c:tonz PARC, in con-
,
junc,tion with the lioijmuta,t,Zon o the ptan; and be. it 4inatly"RESOLVED, that it is not the intent this ke,sotation to de-emphasize the negd
eon. comicality placement as the most appnopniate atteAnative to ,institutiohali-zatifon.
"Duty enacted this eighth day oe June, nineteen hundred and seventy-ioive."
An Ad Hoc Planning Committee (hereinafter "Committee") for Resolu-tion II was convened in July 19Th. The following is the course and re-sult of their deliberations.
f,, I all
B. SOURCES OF DATA
The Ctmmittee attempted to involve all persons concerned in the de-.livery of residential services to retarded citizens. The Department ofPublic Welfare was asked to supply population and budgetary data, aswell as specific information on problems and deficiencies in each StateSchool and Hospital. Other state agencies involved with the physicalPlants of State Schools, such as the Department of Labor and Industry,were also asked to supply data concerning each institution.
It was feat that the Superintendents of the State Schools were animpOrtant sourde of data since they must work with the system and knowwhere the strengths and weaknesses of their institution lie. As pro-fessionals in the field, their input was essential to developing a real-istic -and workable plan.
In order to determine the feelings and opinions of. those involvedpersons 'in the ARC movement, local .ARC Chapters and PARC Regional Viceresidents were asked to outline the climate of opinion for community -
ing alternatives in their counties and to make recommendations toi-
Ithe Committee on -the basis .of t4elr experiences.
/.
til
Represe tatives of each organized parents' group at State Schoolswere invit d to meet with e Cotmittee to share their concerns aboutspecific S ate Schools. Their contributions were essential to the develop-ment of a plan which considers solutions to problems at-these State in-stitutions. . /
,
Because the County MH/MR Program is,the functional unit responsible__for the delivery of residential services to retarded persons, the CouptyMH/MR Administrators were asked to identify specific barriers which mightblock the delivery of servi'des.to persons returning from State Schoolsto the community..
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The JCAH /ACFMR Staftdards were used as abase line for Upgradingspecific problem area in State Schools, such as environment, staffing,
programs, services, and'so forth.
The MH/MR Act of 1966 and the 5200- regulations concerning CountyMH/MR programs have mandated a comprehensive service delivery system for
ns of the Act, since they have beenmandated legislatively, provi ed the basis for many of the recommendations
in the Plan._ _
C SCOPE- or THE PLAN
The focus of this Plan is the individual and his particularneed at any given point in time, emoves the traditional' moldingof the retarded individual Lnto existin rograms, services or facilitiesregardless of his or her individual needs. ing a uniform evaluationtechnique to determine the individual's needs, ropriate,programS,services, staffing and housing shall be logically de' oiled in the
interest of and 'to thelbenefit of each individual.-
This Plan presents specific recommendations for the achievement of
goals irk the following areas:
. . PrOgram
. . Population
. . Health Care
. . Tood Service
. . Linen and Clothing Services
. . Housing
. . Monitoring
. . Funding
. . Staffing and Stafk Training
A time table for the implementation of 61,1 goals is specified; as
are the actions required to achieve the6e goads, Rec mmendations havealso been included to insure accountabi4ity through DPW service deliveryreviews and continuous monitoring by PARC.
D. BASES FOR THE PLAN
Three major inter-related documents ha.,L provided the bases for this
Plan." It is the intent of this.Plan that they,be used in conjunction
with each ofher and carried out simultaneously. They are:
1. 'Standards of the Joint Com4ssion'on Accreditation ofHospitals, Accreditation'Council'for Facilities-forthe mentally Retarded (JCAH/ACFMR).-
2. Component.Programl Office of Mental' Retardation,Department of Public- Welfare, daft' dated July 8, 1974.
-3- itis,r1
1104")
Oa
t
3. The Progress Assessment Chart.of Social andPersonal Development (PAC) by H. C. Gunzburg,-- Ph.D.,
Joint Commission on Accreditation of Hospitals/Accreditation Councilfor Facilities for the Mentally/Retarded
Aeereditation- of residential facilities for mentally retarded per-sons is a goal being pursued_ by many public and private facilities-- --throughout the United Statcs-. a ion is an e a a iulla d eva Lid"'tion process that all_facilities_and_agericies_can_use to improve- their--= ,-
i'-v-ing-ectrtS-146---o-f-the" imes.
The need ,tor Pe nsylvania to seek Accreditation for facilities forretarded persons was also addressed by the delegates at the 1974 PARCConvention when they passed Resolution XIII requiring that the Common-wealth apply for accreditation of alAktate Schools and Hospitals underthese standards. This process must be initiated immediately.
Accreditation goes much further. than licensing. ,Licensing,govetnmental activity,'is usually concerned with enforcing minimumstandards of health and safety. Accreditation is a voluntary, act' ity'in which` a facility, first surveys itself and then.is surveyed by teamsof experts to determine deficiencies and plan corrective actions. Theobjective of acereditation is to 'establish minimum standards' of qualityin n environment, programs, and services for retarded persons.
The process of evaluation under JCAH/ACFMR is like ah X-ray, itallows'the unknown to become known.' It shows a superintendent wherehis deficiencies are and establishes'a change ftom warehouSing and massmanagement of retarded,persons to individualizedprograms and'servi es...It can help the facility to meet-the natioial objectives of Anstitu ionalreform and deinstitutionalization by helping to assure that each re 1-dent receives a minimum of qualqy in services consistent with hisdevelopmental, needs in'the least, restrictivaenvironment'possible. e
Therefore, the ComMitteeconcluded that it is imperative that thegoals outlined by the JCAH/ACTIR Standards be achieved by the State 'Schools and Hospitals in Pennsylvania as quickly as possible. 'Meetingthe Standards implies that a Rublic or private, agency base.its program-ming on the developmental modal of retardation, which affirms that eachretarded individual, is considered to be capable of growth, learning anddevelopment, no matter how handicapPed he may be.
The Component Program .Office of Mental Retardation,Department of Public Welfare
The proposed Component Program, as outlined by the Office of MentalRetardation of the Department of Public Welfare, has used the JCAH/ '
ACFMR Standards as a basis for the delivery of services to mentally re7tarded Citizens living in Penn 0.vania's State Schools and Hoipitals.
Briefly, the Component Program divides program in Stiate SchoqlS intosix "levels" orecomPonents.".
Specific goals are outlined for each of the components, based onthe developmeht of an ipdividual program plan (IPP) for each mentallyretarded perSon. ,Under'such a program, persons will be able to movefrom one component to another as individual performance improves arid_specified goals are met. Thp,emphasis in the State Schools would be onspecific programs which develpp skills, rather than, mere custodial care.
/ . \._
paTo this end, the Dertmnt of- Public- - Welfare CompWertmrecommends that an individua- rogram plan be prepared-fier all mesonsin residential facilities. Each pl wou on Y en agree-
_,ments_between_ the-State _School,_the_ ama.ly, _arid- co.= g.ratt,-,4gg r1PThe IPP would specify the /engt o esidence, specifrd pais to beaccomplished, and parties iresponeibe for accomplishing these goals.The Component Program recommends that the social service staff at theState Schools work closely with community agencies to return residents -
to their home communities. This wo ld include those individuals whorequire skilled nursing and 24-hour residential care.
The Component Progiaam is an att mpt -be place people in a programbased on their developmental needs. It defines who shall be placed in.each component and why; what kinds f programs will be provided;what goals are to hp-achieved; and he kinds of staff and servicesneeded.in each component.
It is important to note that tie JCAH/ACFMR Standards also requirean individual program plan for each resident, regardless of age or-.developmental level. According to/JCAH/ACFMR, review and revision ofthe IPP must be a.continuous and self-correcting process. Thus, theComponent PrOgram, as drafted by the Office of Mental Retardation,prgsents a forward step in meeting JCAH/ACFMR Standards for program-
, ming in facilities housing retard d persons.
Componentis not, at the present
Schools: The CoMnent Programime, any such comprehensive Program
pian existing in Pennsylvania'swould assure that every resident of every State School would be in a
program:based on his or her individual needs.
The Progress Assessment hart of Social and Personal Development
- The Progress Assessment Chart (PAC) is an evaluative tool that canbe used.to assess a retarded person's level of social and personaldevelopment. It is-not an-arbitrar.tool that asse,ssas only one aspectcof.an individual's development, su h as an I.Q. tett which merelyplaces an individual's' numerical test score at a certain point on aset spale without regard-to their behavior, social deVelopment, ormaturity.- PAC is a method by which a person's behavior, growth and '
development are observed in a variety of-sitUtions.
' Specifically, the PAC instrument is used Ito record an individual'sabilities -in the following.areas:
. . SELF-'HELP (such as table;habits,i mobility,toi,,lefine, washing, dressing ,cleanliness;)
.$
. . . COMMUNICATION (S h-as:,
' r I..:p Uage, know
:of time, number , money, AdAng, sting,understanding of'Concre yilab ractdifferences;) .
-5- °7
. . . SOCIALIZATION .(such as: play or recreatactivities,soq41 awareness, social rel tion-ships, activities at home;)
. . . OCCUPATION ,(such as: hand dexterity; gr ssmotor-control, manualtactivities-,--cookncl aning.)
oval
/ * There arc :-.,.cparatc P .. -,,..v.t. . . - . -.social development from very primary and_basic_skills,__through_suc_ _skins
:::-:=_-1-_---ja,s-shotiping,,- s-6---6-1-aCes-5--e-ri-Ellialid-l-Frtgritoliey.
To Chart the information for each individual in each developme tal5area, the PAC assessment tool uses circles, divided into areas wh'ch havebeen further divided into blocks.
Model, Progress Assessment Chart:
Name.
a
Age_
FIGURE L
P a 13"C A A a C 0 11111 4
ovs,111111111",I,
.10% AV*42P
OCI47\71:41°41:ama4Fis4r A ,-
7
1", 041:;144.:wv, 4.41047r.s.
000. sp;(
e''''''. ,J f
Prom: Pi;/ogre's Assessment Chart of Social Developthaht,,: ::Form 1, 11th edition by H. C. GunzburgCopyright 1963, 197'3 '.
.I'Vetmitslon pending ti
'Oz.',,,
.
-6- (,`.
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Each block repretents a skill which has b4n complete. After acomplete PAC evaluation of the individual, some\blocks would be filledin and others blank. By looking at the chart, a teacher, aide, or staffperson could, ellISmmediately Lust where the person is'functioning atthe time of the evaluation an4 which skills need development throughspecific program activities. /Thus, the PAC assessment tool providesthe basis fqr-developng am-individual program plan for-each-resident,based.on-where he is- unctioning and what type of programming he needs
rto move tb-r-Tard develo mentally, and provides .t d eVa ua ian on a
read 'and-easilyundectood
There 4,s no uniform assessment tool prea,Intly Used in PennsylvaniaState Schools and Hospitals. Individuals have been placed in programsin many different ways -- some merely onthe basis of I.Q. score,others'ollZhe basieof-physical INndicaps or. limitatidns. Indeed,there is 'hokuniform method being used throughout the Commonwealth toplace mentally retarded people in programs based on their current level
of functioning and on their vrojected future needs for habilitation.
Allethree of these inter-related documents have been integrated intoa worAble Plan to pride the base for a "Design for Living" which willinsuretrthat:
.
qs. .,. every' resident In'everir State Sc hool shall
be .assessed by a'reliable assessment in-ventory, b4sed on his social and personaldevelopment, as well ,as his habilitative
. , needs;,.,'/'
.C:'
, i.
. . . the development of an individual programplan that shall be. based ,Opon the.PA p.
Assessment of that individual's needs.,
. . . individuals-shall be placed in ComponentPrograms existing dniforffily in each StateSchool On the ,basis of the ialividuars
J .k
program plan. .
. the,individual program; plan, linked withthe Component PrograM-"pUtlined by DPW,shall be'the first stet,-.toward meaningfulself-evaluation in State Schools andHospital with JCAH/ACFMR Accreditation asan interim goal.
In alsimple diagram; these relationships babe demonstrated.
4).Ac':'
ASSE$SMENT
[NDIVIDUALf'kOGRAM'
PLAN
-7--
ID
,PLACEMENTINSOMPONENT(pROGRAM.
E. SUMMARY OF THE PLAN
T1 implementation of the recommendations made in this Plan shalllead to the achievement of the followinggoals by 1980:
N.
Accreditation. .
By July 1, 1977, each State School and Hospital shall achieVe
ropulaiion1. The needs of every residentin each State School and Hospital
shall have been assessed and individual programs developed.
2. The population of each State School and Hospital shall bereduced to a minimum of 50% of the January 1, 1975 population.
3. Provisions of the MH/MR Act of 1966 for mandated Mental Re-tardation programs shall be enforced,
4. There shall be amincrease'in appropriate community livingalternatives, to accommodate the minimum of a 50% reduction'ofresidents in eagil State School and Hospital as well as thosepersons from thecommunity.
Food Services
Achieve excellence in diet, food preparation and 'food handling.
Linen, and Clothing Service
Clean, neat, fashionable, appropriate, individualized clothing shallbe provided, as well as individual storage space.
4
Program,N
1. Full compliance with the Right to Education in all publicand private facilitieS housing retarded persons.
2. Individual progitam plans based on a uniform evaluation qt:each individual.-
3. Establishment and operation of Program Components in eachState School and Hospital as indicated by individual needs.
4. Development and 'prdmulgation of uniform procedures 4:nvolvingthe BLSU, the individual, and his parents or guardians in allfacets of residential placement.
Development of uniform accountability procedure with,mechanismfor correction of defects.
/ .
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Housing
1. Cleah; comfortable and well-decorateil'fa0 ities.
2. Renovations, currently underway to meet Lifg Safety Code andMedical Assistanbe requirements completed.
. (.1CAH/ACEMF.Ac-credita=t-fon_ in -design, -layingiitt-efkaftee.
Iferai-tit-e-a7r
Lr
1. Tull:fhySical examination'of each resident.
2. Development of a health care plah for each individual.
Corrective.and preventive measures provi d for each dividual. .
Other Recommendations
1. Avq4j.d.any involvement of the General State Authority in pro-grams to.renovate.or, replace old, unsafe buildings at State.
\ Schools. ,,
2. Elimination of the current concept of "interim care" as a i,-\
.
form of residential service. t /.
The developmentof DPW regulations for State SOhools andHospitals based on JCAH/ACFMR Standards.
4. Halt all court commitments to State Schools and Hospit6.1s.Court Commilments shall be the responsibility 'Of,County Adminis,
5. Revise structure, selection, qualification and authority ofBoards of Trustees.
6. Development of-Family Care Training Homes (foster care.)
PARC Action
On-goirig,monitoring by PARC to assure implementAtion Of t e Planby State Government.
14%
(s
01
.
0
'GOALS 0,
ACTIONS
REQUIRED
FUNDING
PARC
ACTION
t;SUMN ARY
oe
1
it
0r
STAGE'
st
I
./1/75
T H E.,N
P,
STAGE
II
7/1/75
PA
N
STAGA
\I/V/6
0 STAGE
IV
7/1//7
A
wM
,
STAGE
'..STAGE
STAGE
V,
VI
VII
7%1/78
7/1/79
7/1/80
,,,
-
* JCAH/ACWMAAccreditation
* POINIOIO
duction of
50Va5t ea
State School
* INDIVIDU
PROGRAM placement with
PAC and
W Component
Program --i
*UNIFORM PROCEDURES to be
developed
for residential placement; service
contracts between State Schools,'
BSU, parent/guardian and
individual
* STAFF to beInvolved in On-goin
training programs
* FACILITIES
to be well - decorated! and
meet JCAH/ACFMR Standards
* CLOTHING iO'be
appropriate
ft. Improved HEALTH CARE
i-
,
kImproved FOOD SERVICE -'
..
i
*% Improved LINEN SERVICE
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,
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:0L N R A N G E
°P L A N
'N I,
N G F 0'
R
1980-
19.85
'.
, .
, 1 1
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-,s
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'
..
ADDITIONAL RECOMMENDATIONS
i 1
.
,
4
..
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,
..
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.
.
.
.
.
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.
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'1
--,.
*Avoid G.S.A. nvolvement
g)
of
*Eliminate c
cept
"Interim Care "
.
*Halt 'court commitments to
State Schools
1
*Develop alternatives to State
Schools and Hospitals
"
*Restructure Boards of Trustees
I
ActionsR quired bathe State:
i V
(
. .-
.
-
..
.
i f.
Row
.Plan-
ning
Commit-
tpa .
.
1----
i.
Identify what has to be done,
when, and by whom
,
0
Identify where funds can be
obtained to carry ogt goals
r.
.
Ogtlines monitoring actions
by
,
PARC membership to see that...the
Plan is implemented
'
.
4
-
. ..
"A DESIGN FOR LIVING ". .
The following section presents the Plan in detail.
Specific reCcimMendations in each of the ...Separateare outlined on a tite table in which milestones arepietion on oxbeforeigiven dates, from 1975 to_080
The time table 18 further expandedeach item listed on th'e
I
. -:
/..1
areas of the Planspe4fiebtfOr com-
.
for each goal.
a narrative that explains
I,
r
O
e
-1
4
7
POPULATIO_N-
4.
t
15.itt
r
POPU-
LATION
.41
/4.
O
1/31 7
Apply for JCAH
evaltiation
/
Apply fOr JCAH
B.
evaluation
'
ACTIONS
REQUIRED
DPW
FUNDING
SOURCES
/
1 75
1.PA
Eval
nl
2.COmPleti
tf,
dam
!self -survoy
Roquost su ro
by
JCAH team
1-Acquiro &Agit. J.;.
bate PAC
:
2.In-servico tra
,
ing in use of PA
3.Application of jAC
4.Survey of` physical
plant
5.Admissions closed
ascent transfori
1.Cost:
a.MatSrials
b.Consultant f es
c.Training by
PW
-staff
2.Funding lources:
a.HEW, BVR, Devel.
-t
Disabilities
b.Emergoncy appro-
prIation
c.DPW
1 1 76
1.IPR's complotod
2.Dovolopmontal
Units operational
.Placemont
4.10% minimum
re-
duction in oach
Stato School
Hospital basod on
1975 population
lAdontification of
rosidonts
2.Idontification of
physical plant
areas
3.Increaso ift\com-
munity altornpiivses
4.Admissions closod
complotoly
CLA funds --
y.
7 1 77
1.DPW Accountability
completod
2.An additional 10%
Minimum reduction at
Bach State School fi
Hospital based on
Choir 1975 pop.
I.Moot JCAH Standards
IDPW self-survoy
2.Incroaso in com-
munity altornativos
J3.DPWanforcemept of -
programs ('66
`Co.
II/MR Act)
OW budget
A04 funds
j2.UVR ihnotD.,
3.Agoncy
Sor
coPurchase
7178
1.DPW accountability
complotod
2.An addition
1-10%
minimum roduct
at
oach Stato Schoo
Hospital based
thoir 1975 population
3,.Moot JCAN-atandards
1.DPW golf-survey
2.Incroaso in cam-
munitios altornativos
3sDPW onforcomont of
CO. programs ('66
MH/MR Act)
1.1976 Budgot:
DPW 4- Co. monoyi
1.1977 Budget:
DPW +Co. monoy:
MA funds
2.BVR funds
3.Agoncy Sorvico
Purchase
47
79
.,,,
N,....
7/1/dit
1.Es ablish'popillatim Min:..mdm raductionof
'1
goals for 1980-85
50%;of the total 1675----
2.DPW 4Oview
bas6 population in.
3.An additiona/p1O%
'Ilach Stata School..4
,
minimum redUctIon
tat
!HosPital;MUst be'
,ouch State School
completed ,
.
Hospital based on
thoir 1975 population
4.RoJaspess PARC Plan
1.ReView of rocords,
1.Contrhued,implemenr-
'staff pIaccupant
tenon of.pOpulation
2.Jo -survoy df popula- goa s for 1980:45
tion
2r
juatMonts accord-
3.5urvoying of bldgs. .ingito 1979 re-
4.Staffing requirements'astossment
5.DpW solf -$urvoy
6.Increaso'in community
L
altornativos
E.
1978 Budgot"
1979 Budgot
Stato
Stato
Fodoral
Fodoral
Privato
sPriVato
,
1.PR & PI cam-
D. PARC' paign
ACTIONS 4 2.Legislativo'
RESPONSES actiOn
i
0
1.Publication
ofPARC Plan
2. Pi & PI
3.Logislative
action.
Local political
prossUr0
1,Co.BSU liaison
2.Public education
3.Parentoducation
4.Political.pros-t
auro
-
6.PARC monitoring
6:Legislation and
zoningltaction on
1.Chapter prossure
on B.SU's
2.Public oducatiO
3.0n-site monitoring
4.Logislation
5.Political prossuro
1.Chapter pressure
on 13SU's
2.Public education
3.On-site monitoring
4.Legislation
5.Political prossuro
N
1.monitoring
2.Politicakproo4uro
3.40
giol
otto
o4.Public oducation
.1
e
1.M6nitoring
2.Pplitical prossuro
3.LiagislatiOn
4.Publc oducation
I
0
P 0.P U'L A'T I 0 N
COMPLETION BY: JANUARY 3,1975
A. GOALS
By 'January 1, 1975, each State School and Hospital Shall apply forJCAH /ACFMR evaluation.
B. ACTIONS REQUIRED
Each State School and Hospital shall send a letter to the JointCommission on Accreditation of Hospitals -- Accreditation Councilfor Facilities for the Mentally Retarded (JCAH/ACFMR) requestingsurvey and evaluation.
C. FUNDING SOURCES
Department of Public Welfare.
D. PARC ACTIONS AND RESPONSES
1. Publication of PARC Plan..
2. Public relatiOns andrpublic information campaign.
3. Legislative action and local.political.presSure.
SO
-17
-14-
ti
A. GdALS
:1. By July 1, 1975 the Department of Public Welfare shall haveas.s_ass.egt eack_indi .4.dual_ _each...S_tat.e _S_chool _an_d_Ho4p.rtal housingretarded residents, sing the PAC Assessment Tool. This informationshall also be transferred to a computer program for complete assess-ment of the total population of retarded residents in each oftheCommonwealth's State Schools. This information shall be availableforon-going evaluation of residents. In short, the OMR will thenhave all the data it needs for planning prograM needs and for futureplipning.
2. By this date, each State School and Hospital shall have com-geted the JCAH/ACFMR self-survey. At this time, each State Schooland Hospital shall request a survey by a team of professionals-desig-nated by the JCAH/ACFMR.
B. ACTIONS REQUIRED
1. The PAC materials shall be purchased and distributed to eachState School and Hospital.
". Each superintendent shall develop an in-service training program
POPULATIONCOMPLETION BY:. JULY 1, 1975'-,
r/
in the use pfthe PAC. .
3: Each resident shall- be assessed
4. Physical plant shall be assessed to determine locationCto include.building, ward, s ecial equipment and program area
L. All admissions to Statexcept. transfers between theseWoodhaven Center.
C. FUNDING SOURCES
1. Coat
a: Cost of materials
b. -Consultant fees (if nee -d for training the "trainers.")
of unitsneeds.)
Schools and Hospitals ,shall be closed,. _
nstitutionse The exception to .this is
c. Training by DPW staff..
-2. Funding sources
a. DPW can solicit funding fro' Health, Education and Welfare,Bureau of Vocational Rehabilitation a d Developmental Disabilitiesfor Training and consultation.'
b. Emergency appropriations for readjustment in staffing to meet'staffing needs 'of DPIATA Component Prograii.
Si" C? DPW training, funds..
Pop.. , oV.
7/1/75
'D. PARC ACTIONS AND RESPONSES, .
. .
1. PARC must convince the DPW (or State Government), to then releasedetails of ,the PAC assessment, DPW's Component Program, and short andlong,rangegoals.-
a.' If DPW'refuses-, PARC shall present its Pldh itself, viamass media and a well - planned public relations campaign.
2. The public, through a Public Information program, shall b'etfiroughly briefed on the Plan.
3. Legislators shall be thoroughly briefed on the Plan.
4. Local Politicians shall become acquainted with the Plan throughlocal chapters.
1
if
POPULATfONCOMPLETION BY: JULY 1, 1976,
A. GOALS
---------lw---An-EndIAlidual-P-rogram-Plan URFA:,shall be completed fcr each resident.
2. All' Developmental Units (as Outlined igram), Shall be staffed, located and in operati
3. Each resident shall be placed i flis or her
Unit.
on the PAC Assessment,
DPW's Component Pro-
4. A minimum of an additional 10% reduction inon the number of persons in residenc 'as of Januarycompleted ,by each State School' and ispital.
B. 'ACTIONS REQUIRED'
1. Each resident shall be i
roper Developmental
population (based1, 1975) shall be
ntified and placed inan appropriateDevlopmental Unit according to!! he PAC Assessment tool. i
.
2. Physical surroundings eeded for realization of goals of Devel*-mental'Units shall be located, furnished and staffed. 47
/
,,
`3. ThePe shall be an increase in appropriate community living alter-,
natives to accomodate the minimum of, a 10% reduction of residents' in eachState School and Hospital, as well as those persons in t& communityneeding residential services. Residents' needs, county by county, shallbe identified by data available from computer input based on PAC evalua-
tion.
C. FUNDING SOURCES
DPW Budget -- State Community Living Arrangements Program, Private
cefunds, County funds for community liVing alternatives.
St
D. PARC ACTIONS AND RESPONSES
1. Caunty-BSU Liaison: ARC's.shall have established a close workingrelationship with County personnel to insure:
a. that planning is taking.place for projected CLA needs;
b. that .services mandated by the 1966 MH/MR Act are. being pro-
videp.. ., .,A.
x-..,,'').-2., Public education (via community groups and the media ,concerning.
the Flap -- explaining what it is and' what,it is not.
3. Parent education: Through the Pennsylvania Message, a syi-lopsis
of PARC's Plan mailed to parents, state-wide meetings and seminarsS This'includes the involvement of Parent Groups at State Schools and Hospitals,PARC'regional and local representatives, PARC CommitteeS, Regional Advi='.
.
soryCommittees with DPW and so,forth.... -
.
20.
7 -17-,.,
Pop. 7/1/76
4. Support and presspreon local officials -t19, rce4is,tically planfor community living alternatived', job opportunities, ,Sheltered work-shops, etc. in the Community, as mandated by the MH/MR,Act of 1966.We must keep applying the mandates of the Act and imply tiiat legal
,
redress will be sought .if the letteroof the law is not followed.
5. Goals Stated are to be completed specified dates.. .LocalARC's shall make certain that these goals are being implemented,- perhapsthrough their Residential Services Committees,or through special' taskforces or teams.
6. Seek, beginning immediately, some unified legal process toconfront the zoning problem, with' legislation pending-if possible, byJuly 1,,1976.
2
IPOPUL\4Tf.ON-
COMPLETION BY:s JULY 1, '1977
A. 'GOALS
I. DPW atcountabillty review shall be completed. This shall bean,in-house DPW review of the effectiveness of its component Program in:
a. setting up, program units;
b. the, effectivenes's 'off Wets in achieving' state goals;
, c. .the effectiveness of the PAC assessment ,tool for on-goingevaluation; .
. A
d. the effectiveness of dispersal based on PAC and the Comr'ponent Program.
2. ,A minimum of an additional l0%,-Teduction in population (based onthe number of persons in residence as of January 1, 1975) shall be com-pleted by-each State School and Hospital.
B. ACTIONS REQUIRED
1. The DPW Self-survey shall include a review by State and RegionalOffices of all programs in institutions and counties.,
'2. There shall be an increase in appropriate community living alter-natives to accomodate the minimum of a 10% reduction of residents ineach State School and Hospital, as well as those persons in the community.'
needing residential services. Residents' needs, county by county, shallbe identified by data available fr.= computer input based on PAC evalua-tion.
3. Mechanism for DPW enforcement of 1966 MH/MR Act in effect. (Thispresupposes test cases in 1976 to bring counties in compliance.
C. FUNDING SOURCES
1. DP141976-77 Budget shall include an increase in Community funds.There will be a decrease in,,the appropriatiOn to State Schools and Hospi-tals because of availability of Medical Assistance (MA) funds.
2. Full use of funds from the Bureau ofVocational Rehabilitation(BVR).
3. Service purchase agrements with private agencies.
D. PARC ACTIONS. AND RESPONStS. .
1. County Chapters still exerting pressure on'BSU's for,communityliving alternatives, job placeMent, development of recreational facili-
ties, etc.
-(-2. Public information and education as needed.
22-19-
'Pop.t -.,
.
3. PAR Regional monitoring- teams, as per 1976.
.4. Appropriate legislation as needed.
: , ,
_c 5; Political pressure.
tr
c.
-I
rt
-
A. GOALS
P.OPULATION.
COMPLETION BY: JULY 1, 1978
1. DPW accountabiin- house DPW,review of the effectiven
review shall be completed. This shall be anof its Component Program in:
a. setting up program units;, , 0
..
b. the effectivenes4 of Units in achieving state goals;1-
c. the effectiveness of the PAC assessment toorTor on-going'evaluation;
t,
%,
t '7
d. the effectiveness of dispersal based on PAC and`,the Com-.ponent Program. / %,
.
2. A minimum of an additional 10% reduction in population (based o-the number of persons in residence as of January 1, 1975) shall be com-pleted by each State School and'Hospital.
B. ACTIONS REQUIRED
1.-The DPW Self-survey shall include a review by State and RegionalOffice of all programs in institutions and counties,.
2. There shall be an increase in appropriate community living alter-natives to accomodate the minimum of a 10% reduction of residents ineach State School and Hospital, as well as ithose persons in the communityneeding residential services. Residents' needs, countyby'county, shallbe identified by data .available from, computer,input based on PAC e/allia-
3. Mechanism for DPW enforcement of 1966 MHYMR Act in effeCt. (Thispresupposes test cases in 1976 to bring counties in compliance.)
C. FUNDING SOURCES
1.. DPW 1976-77 Budget'sharl include an increase in Community fund's.There will be a decreaserin the appropriation to State Sdhools and Hospi-tals-because of availability of, Medical Assistance (MA) funds.
, .
0 . . .
, 2. Full use of funds from the Bureau of Vo4tional Rehabilitation(BVR).
.
3. Service purchase agreements with priVate_agencies.
. PARC ACTIONS AND RESPONSES
1. County Chapters.still exerting pressure on BSU's for communityliving alternatives, job placement, development of recreational fabili-
ties, atd.-
,2. ..Public information and. education as needed.
O24
-21-
Pop.
3. JytRC Regional monitoring teams, as per 1976.
4. ApprOpriate legiSlation as needed.
Political pressure .
r-
a:
.a
A. GOALS
,
POPULATT 0.N
COMPLEtTONBY: JULY 1 1913I 4
/
1. Establish population goals for,196035, based on DPW'sBelf=survey, County.Responses and PARC Monitoring.
2. On-going accountability review by DPW.
A minimum of an additional 10% reduction in population' (based'3.
on the number of persons in residence of - January 1, 1975) shall be
completed by each State School and Hospital.
4. Reassess the PARC Plan.
v.'
B. ACTIONS REQUIRED
1. State School and Hospital staff review of records, data, place-
ment, etc.
2. Resurvey of population, using computer print-out of recordskept after initial PAC asSessment,of 1975.
3. Survey of physical plant-completed, wits recommendations for useold buildings, e eta
4. Projected staf,f, requirements for State Schools, and HospitalS
and community living alte natives. (This mght,include a freeze onhiring in State Schools and. Hospitals or a change from traditidnalhiring patterns.) .
(
5. On -going DTMrinhouse-salf=aurvey:-
6. There be an increase in appro r community living alter-natives toaccomodate thet minimum of reduction of residents in eachState School and Hospitarl as well as those persons in the communityneeding residential services. ReSidents' needs, county by county, willbe-identified by data,available from computer input' based on PAC evalua-
tion.
C.. FUNDING SOURCES, , \
1. State Schools and Hospitals: Higher' ercentage of Federal Medi-
cal Assistance fundk.'
2. ,Appropriatkon requested shall reflect-increased'State money forCounty programs With 100% State funding of County Programs in effect:
7 4..
I D. PARC ACTIONS. 'AND REPO SES
1. .0n-ioling mg by PARC through Regional COmmittees, Codnty-
' BSU liaison, etc-
2. PoiitiCal pre sure, locally, where necessary:
26(-23-
A
A0
A
Pop.
a .
,4
.
. Appropriate legislation as needed.
4. **Public edubation and information.
,
7
, ,
O 1.
1-
^S.
0
ti
Ce
0
cs,
Yeti
-
, A"POPULATION,
COMPLETION BY: JULY 1, 1980
A. GOALS
A minimum reduction Qf 50% of the total 1975 base population ineach State--5611661- ahtTTIOSpital
B. -ACTIONS REQUIRED
1. Continued implementation of population goalsestablished by July 1, 1979).
2. adjustments in programt staffing; consolidatization of physical plant, and expansion of communityaccording to the 1979 re-assessment of the PARC PlanProgram.
C. FUNDING SOURCES
for 1980-85 (as
on of units, utili-living.alternatiepsand DPW's Component
1. State Schools and Hospitals: Federal Medical Assistance monies.A
2, Increased State money for County'programs with 100% State fundingof County programs in effect. ,
'D. PARC ACTIONS AND RESPONSES
.1. On-going monitoring by PARC through Regional Committees; County-.
BSU liaison, etc.
2. Political' pressure, locally, where necessary.
.3. Appropriate legislation needed.
4. .Public education and information.,
/
-`J
CY
PROGRAM
1/31/75
A.
,1:Component pro-
'gram is DPW
GOALS
policy
I2.Apply for 4CAH
evaluation ref
garding program
3.State Schools
I.must be in .full
compliance with
Rt. to Ed mandate
4.PAC concept
adopted
5.Contract for
service con-
cent adooted
I.
t1.Staffing levels
ACTIONS
must be proposed
RE-14'
developed
examined and re-
QUI
e-,
.7/1/75 ",
1.PAC Evaluation is
Completed for each
resident
2,ComPlete JCAH
selfnsurvey
3.Reguest survey
by JCAH Team
1)
7/1/76
1.IPP is completed for
each resident."I
2.People are pieced
in their appropriate
programs
3.All levels devel.
units are operational
4.Level II eki. module
is phased, out.
!
5. Contracts on IPP's
completed
.
4
7/1/
777/1/78
7/100.
(7/1/80
,
1. Level V Exit
1.Levey III Exit
1.R0-as'3esem4n.
1.Anhual'reviewby DPW
module phased out
mo4.0*.phased out
of goals for
"24mplamentationof
2.Annual"Reviews
2.Annual review
1980-85 4y PAC/
rebommendationsbased
(reexamine the
by DPW
DPW.'
:*
on
1979 reassessment
si,tuation and pro -
ject.goals)
2. Annualiev MN
by DPW.
.
Each State
School must meet,
JCAH standards for
program
1.Recruit eta!!
for prograes:
orientation"; in-
service training
programs for
staff
1.Community placement
for infants & c 'hildren
to ago 5.
2.MH/MR towrie IPP
for infants & c4tildren
under age 5
1
D ev. of community.
living and employ-
ment placements
1.CoMMUnity living
alternatives,Avail-
able.
2.Community clas-
ses in operation
1.Review by.inst.
& pountyt
2.Re=s*v y with'
PAC
3.Survey
f
& coem4n ty pro-
grams'
Impleibunt 7.979
refolmendationa'
,I
I
:{
1.DPW.Institu-
('
tion budget.
FUNDING
2. Dept. of
IEducation
1. DPW
2.Dept. of
Education
County MH/HR Program:
1.90% DPW
2.10% Local,
1.rederal
2.State
3.Local
1.DPW
2.Dept. of Educa-
tion
DPW
:
:12. PARC
ACTIONS.
4. RE-
1.
2* SPOUSES
o
1.Analyxe the
proposed,
staffing
levels'
idtetermine how
PARC will
monitor
progress
1.Monitoring &
on-site visita-
tion
2.Due process
hearings
1.Referral of infant
& children to BSU
2.County Chapter
monitoring
3.0n-site inspec-
tion
1.Legislative
action to se-
cure single
' bream funding
2.Monitoring com-
munity programs
3.0n7site visits
to SS&H's
1.Determine people
and procedure for
.
forthcoming PARC
assessment
2.Monitoring of
educational place-
ments under Rt. to
Education.
3.0n-site visits
to SS&B's.
4.Monitor community
residential place-
ments
rJ
1.participate in
rerasisessment,
2.Report to mem-
bership & p4relit
groups;,
.
3.PUbl'ic inform* -,
tion re suocesses,
1,,1
or failure of'Pl
4.Monitorfng
SS&H'i,copmunity.
-programs
.
1
A
,L
I
I
Monitoring of
spit,
and community ..
:p
s.
icinformationt
9P ROGRAM
COMPLETION BY: jANUARY. 31, 1975
A. GOALS
{.1
1. The CoMponent Program concept shall have been adopted by the-of-EdudatiOn and-the Office of Mental Retardation.as the
uniform state-wide programmatic policy for all mentally retarded per-sons living in a State School and Hospital.
2: By this time, application shall have been made by the Officeof Mental Retardtion, Depaftment of Public Welfare, to the Joint Com-.mission on-Accreditation of Hospitals/Accreditation.Council for Facil-itieg for the Mentally Retarded (JCAH/ACFMR) to initiate self- surveysof all State Schools and Hospitals as a first step in seeking accredi-tatiOn.
3. All State Schools and'Hospitals shall'have been brought intofull compliance with the Right to,Education Consent Decree through acooperative effort,by DPW-OMR andiOr the Bureau of Special Educationof the Department Of Education to ensure that each mentally' retardedschdol-age child is in a school-sponsored program appropriate to hisor her needs.
4. The Gunzburg,Progress Assessment Chart (PAC) shall have beenadopted by'the DPW-OMR as the uniform state-wide assessment tool forthe individual evaluation of each mentally retarded person living ina State School.
concept5. The rvice Delivery Contractt' shall have been adoptedby DPW-OMR a first step in es clear program goals, assi.gn-t -
,
mente/of spedific responsibilities for the delivery of the services,and an accountability factor for the..performaace of the_stated_reeponsi- _____
b'lities in behalf of every mentally retarded Pennsylvanian living inState School-. .
B. ACTION REQUIRED .I. Staffing needs for Right to Education compliance must be iden-
tified. ,
\\'''
2.'
(Department
of Education and DPW must analyze staffing needs andbegin recruitment. -
,,)
C. FUNDING 'SOURCES -.
. 01,
1. °DPW Institutional Budget.,
0
2,' Department of Education.
D. PARC ACTIONS AND RESPONSES-,
_ 9
- 1. Right to Education Committee and Local Task Forces will analyzestaffing requests and- programs.
. .. .
2. Establishing monitoring procedure for-on-site 'visits to allState Schoolt and Hospitals. .
31
I; ) vs-
G R M
COMPLETION BY:_s.JULY '1, 105.
A. GOALS
1. Progress Assessment Cliarts shdll have been completed on eachmentally' retarded individual residing in a'State School and Hospital.A computerized_system for storage and retrieval of this information '
shall be initiated and used on an on-going'basis.
2. All JOAH/ACFMR self-surveys 'shall have been completed on allState-Schools-and Hospitals. 4
.
3. Applicition shallhave been madeby DPW-OMR to JCAHIACFMR foran evaluation of each Siate,SChool and Hospital by the JCAH/ACFMR eval-
. .uaiion team.
B.. ACTION REQUIRED..
Staff shall be recruited or oriented anain-service training mustbe completed so that classes'oan begin in Septembets.
C. FUNDING SOURCES
1. Department Of Public Welfare'
2. Department of EducatiOn
"PARC ACTIONS. AND RESPONSES
1. On-going monitoring,through on-site visitations to State Schoolsand Hospitals. - '.
2, Advise pareits and on due process hearings f6r the Right/
to Education:
a
PROGAMCOMPLETION BY: JULY 1, 1976
A. .0ALS
-4.-.
1. 'Individual program planb based_mthe_P_rogress_AssessMentCliari (PAC), shall have been formulated for each mentally retarded ,citizen living in a state-owned facility.
. : ... '
4
. Retarded individuals shall have been placed in appro. late pro-gram components according to the polidy that components avai able inthe community are preferred over components in State S o61
3. All Component program developmental units shall haveibeen es-tablished and shall be operational in each State School and Hospital,except for the infant and child development components. (See #4.)
4. All infant and child development components shall have beenestablished in the community in suitable facilities and shall be',.operational. With the phase-out of Level II, children aged S orunder shall no longer.be residing at State Schools.
6. All contracts on service delivery, in accordance withvidual program plans, shall be completed and in force.
B. ACTIONS REQUIRED
1. All infants and children under age 5Rhal1 be placed in com-munity-based facilities/residences.
2. MH/MR, through theBase Service Unit's Mental Retardation staff,shall develop an individual program plan for each child. This Planshall include complete diagnostic evaluation. Parents/guarditans shallbe consulted in the development of the Plan.
.
.C. '`FUNDING SOURCES
County MH/MR Program: 1. 90% - DPW2. 10% - County Funds
D. PARC ACTIONS AND RESPONSES.
1. Referral of infants and'children-to base ServicelUnits:
2. Monitoring by local PARC Chapters concerning the development of`individual program plans.
3. On-site inspections at State Schools and Hospitals to make.certain that infants and children have been placed in community settingsand that State School residents are. receiving appropriate programs.
4,
33:-30-
A.',GOALS
PROGRAMCOMPLETION BY: JULY 1, 1977
e
_ 1.._ .JLEL _supervised_occUpetion.41 _experience _c9g1RoPenp_(Level V)
shall have been transferred and be operational in the community..
2. An annual review shall have been completed by State School and
Hospital staff and DPW staff which will re-examine the component pro-gram to deter;mine whether or not the goals have been accomplished.Recommendations for revisions or other actions shall be made as a re-sult 6f 'this review.
3. JCAH/ACFMR Standards for program shall have been met.
B. ACTIONS REQUIREDr-4
Development'of community living alternatives, employment slots and
workshop programs for persons leaving State Schools..
C. FUNDING SOURCES
1. Federal
2. State
3. Local
D. PARC ACTIONS AND ESPONSES
1. Seek legislation on Federal and State lever for single stream
-funding.-
2- Monitor community living alternatives and placement work-
shops, jobs, etc.
"3. Continue on-site visits-to State Schools and Hospitals-toassure compliance with the Plan.
led
PROGkAM,COMPLETION BY: JULY 1, 1978
1. The Level III Component shall have_been_phased_out._-A2-1-rasidStitS 15-dWedh ages and 2-shall have been placed in community-based facilities and school programs operated by ,the local IntermediateUnits.
2. Annual review (on-going review by DPW of its Component Program).
B. ACTIONS REQUIRED
1. Establishment of community living alternaties for all childrenand young adults from ages 5 to 21.
2. The local "Intermediate Unit, under the Right to Education, mustprovide a program of education and training in the local community forchildren,and adults age 5 - 214
C. FUNDING SOURCES
1. DPW funding,for community placements.
2. Department of Education - Educational programs at the localI.U. level.
D. PARC ACTION AND RESPONSES.
1. PARC shall select representatives and adopt procedures forassessing the Plan.
2. The Right to Education Committee an&Local Task Fdrces shallanalyze staffing requests and program.
3. Establishing monitoring procedure for site visits to all StateSchools and. Hospitals.
4. Monitor community residential placements.
4
35 .
PROGRAMCOMPLETION BY: JULY 1, 1979,
A. GOALS
1. Re-assessment'of progr;am goals for 1980-85 based on joint re-view by 'PARC and DPW.
2. On -going annual review and self-survey of Component Programby(DN.
S. ACTIONS REQUIRED
1. Review of records, data, placement, etc. by institutionalstaff, as well as County MH/MR personnel. 6
2. Re-survey and updates of population based bn PAC'Assessment.
3. Survey of community residences, community work programs and-schoolp,rograms.
C.' FUNDING SOURCES
.Department of Public Welfare
D. PARC .ACTIONS AND RESPONSES
1.. Participation in re-assessment study.
2. Complete report to membership and parent groups on success orfailure of Plan.
3. Public information on progress of the Plah and any new-projec-tions, recommendations, etc.
4. On-going op-site visits and monitoring of State Schools andHospitals and placements inthe community.
of I
II
PROGRAMCOMPLETION BY: JULY 1, 1980
A. GOALS
1. On-going annual reviews by
2. Implementation of recommendations made in the area of program-ming., based on the 1979 re-assessment,
B. ACTIONS REQUIRED
Implement 1979 Recommendations (adjustments, in program, staffing,consolidation of units, physical plslAt use, etc,) on the basis of 1979re-assessment of the Component Program.
C. FUNDING SOURCES
Department of Public Welfare t4''')
D. PARC ACTIONS AND RESPONSES
1. On-going monitoring of State Schools a d\Hospitals and6place-ments in the community.
2. Public information.
v.
I
.37
ci
S,TAFFING
AND
STAFF TRAINING-
I
,38
-35-
4
tr
STAFFING
& STAFF
TRAINING
A GOALS
B.;
ACTIONS
REQUIRED
1./31/75
1.Seaffing ratios
determined
2.Staff training inn
use of,PAC
3.Apply for JCAH
Accreditation
1.New staff re-
cruited or trans-
ferred
2.In-service
training program
developed
3. Consultants in
training, PAC, etc.
hired
7/1/75
,7/1/76
011
1.Evaluation of training
procedures
2.Staff;evaluation
3. Request staffing & trng
programS'surveyed by JCAH
team
1.All staff using PAC
2.All staff in place
in Component Program
3.All staff in dev.
of Ipp's.
4.In-service train -
ing developed
5.Self-survey on
JCAH staffing Stand.
6.Proniisional status
'employees recruited
1.Training in use
of PAC
2.Assignment to Com-
ponent Program.
3.Direct care staff
plus interdiscipli-
nary team & BSU in-
volved in IPP
4.Career counseling
,for provisional em-
.
,bloyees
1.Development of_stand-
arized performance
rating technique
2.Salary & promotional
incentives for training
participation
3.Career counseling for
staff to move to com-
munity
7/1/77
1.Recommendation for
additional staff trn.
2.JCAH staffing &
training standards
met.
3.Staff shift to
communityprOgram
1.Review of new
developments in MR
2.Inclusion of new
proven trng. tech-
nique in future
service training
program.
3.0n-grounds trng.
for future house-
parents,' community
work, etc.'
7/1/78
1.0ngoing assess-
ment of training
program.
2.0n-going as-
sessment of
staff perform-
an
shift to
-community prog.
1.New'technique
information,
knowledge inclu-
ding trng. progs.
2. Career
counseling
3.Salary
incentives
7/1/7
1.New training
program in
,
effect on baO.s
of1978 recom-
mendations
-
2.0n -going as-
sessment of
staff perform-
ance.
3.Staff'shift
to community;
prog.
7/100
1.Assessment of
.
training program
2.0n-going asses§-
ment of staff per-
3.St
shift to
community program.
1.All employees 1.Career
in new tang.`
counseling
program.
2.Salary
2.Career
'Incentives
counseling
3.Salary
incentives
C. FUNDING
DPW training
SOURCES
funds
1.DPW training funds
1.DPW training funds
2.Federal funds
'2.Federal grants
1.DPW trng. funds
2.Federal grants
-1.DPW trng.funds .1.DPW trng
2.Federal grants
funds
2.Fed. grants
2.Fed. grantS
1.DPW trng. funds
D. PARC
ACTIONS
RESPONSES
1.Request staff-
ing ratio report
2.Observe staff
involvement in
,
training
3.On-site
visits & reports
to PARC Office,
ARC's & parent
groups
.
1.Monitor staffing,
training, placement
in Component programs
Z.On-site visits.&
reports to Parent
Groups.
ARC's.
PARC Office
l.On -site monitoring of
program; staffing ratios,
etc,
2.Reports of visits to
Parent\Groups.
ARC's.
PARC Office
1.NARC Consultaott
to recommend new
techniques of
training, etc.
2.On-site monitor-
ing of program,
staffing ratios,etc
3:Repovts to Parent
Groups,
local ARC's
& PARC Office
1.Suggest consul-
tants to DPW
2.On-site moni-
toring of program
sta fing ratios
jam'
.
3,Reports to
parent groups,
ARC's, & PARC
office
1.Review'riew, 1.0n-site monitoring
training pro-7
of program, staf-
gram with con-
fing ratios, etc.
sultants
,2.Reports to
2.On-site
Parent Groups,ARC's
monitor4g of
& PARC Office
program, staf-
fing ratios,etc.
3.Reports to
Parent Groups,ARC's,
& PARC Office
trng
training
dev- development
prog. program
49%
STAFFING AND STAFF TRAININGCOMPLETION BY:'JANUARY 31, 1975
A.. GOALS
1. Staffing ratios must be based on JCAH/ACFMR Standardsor federal. .
regulatidns rather than the staffing ratio recommended by the DPW, ComponentProgram. There is a danger in building large staffing components intoVarious units at State Schools as recommended by the DPW Component Plan.This would clearly lead to the problem of excessive staffing as the popu-lations at State Sehools decrease.
As a rule of thumb in developing staffing patterns for the variouscomponents or units, it appears both feasible and practical to utilize'those standards set forth by the Federal Government in their 1974 Inter-mediate Care regulations for facilities for retarded persons. Theseregulations call for:
a. A staffing tatio of one staff member for every two childrenfor young, severely and profoundly retarded children who exhibit'hyperactive behavior or other types of behvior problems. ,
N
b. Units serving moderately retarded residents who require habit ,
training would need a staffing ratio of one staff person for every2.5 individuals.
c. Those units serving residents in vocational training programs,such as adults who work in sheltered environments,,would require astaffing ratio of one staff member for every five residents.
2. Staff training in the use of th AC tool shall have beencompleted;
3. Begin JCAH/ACFMR-Sta'ffing ratio y by applying for JCAH/ACFMaccreditation in staffing and staff training.
B. -ACTIONS REQUIRED
.
1. On the basis `of needs in Component Lev ls, new staff may needto'be recruited. Existing staff shall be tran ferred or reassigned tospecific component programs, on the basis of experience, expertise andpreference.
2. In-service training programs shall be developed in order toprovide training necessary for all staff to utilize the PAC Assessmenttool.
3. Cohsultants familiar with PAC and consultants wifh expertise indevelopment of training programs Oran. have been hired.
C. *tFUNDING SOURCES
DPW training Budget'
IIk
40-37-
717
SSST
D. PARC ACTIONriNb RESPONSES
1.? PARC will request
2._ PARC and regionalshall visit State Schoolsin ;training and-determine
3. .Reports pfvisitsand' the PARC Office.
6
a
1/3115
staffing atio report.
and count) Residential Serviced CoMmitteesand,Hospitals to observe staff involvementif such traihin& is taking place.
shall be sent to local ARC's, parent groupd,
0
4138 /
STAFFING AND SiTAF.F TRAININGCOMPLETION BY: JULY I, 1975
A. GOALS'
1, All staff sballbe familiariwith and using the PAC AssessmentTool in_ observing and-morking_withLresidents-
2. All staff assignments to Component Programs levels shall becompleted with staff in place and on the job in the unit..
3. All staff shall be involved in the development of individualprogram plans for each resident in the Unit.
4'. An in-service training 'program for staff shall have beendeveloped.
With the development of various coMponent,units with clearcut developmental and programmatical goals, staff expectation andperformance should be rated and evaluated in terms of set criteria.Therefore, an intensive staff training and developmental program isindicated. Such training shall be individualized in terms of ,thecomponent unit and shall reflect the needs of the individual residentswith each unit.
When the PAC assessment tool is adopted, the various componen.qof the assessment scale could beutilized as areas for potentialtraining of staff. Staff shall be trained not only in the use ofbehavior modification and various other techniques to assist indiyid--uals in developing the necessary skill components but shall also beinvolved in the actual assessment procedure itself: Ward personnelshall become active parts of the interdisciplinary teams to be utilizedwithin each component. Since they Will spend the majority of theirtime with individual 'residents,- they-are in an excellent position tobe involved in both skilled training and the assessment of skills.
,..,-
Something that must be built into the system and trainingprogram is a recognition of outstanding performance by individualstaff people. In this way,'there is an incentive for individuals toexcel. Such recognition should come in terms of increasing responsi-bility as well as monetary reimbursement. 4
In addition to the necessary skill training that is pro idedto component unit personnel, a good deal of ideology and philosophy,shall also be incorporated into their training programs. In/otherwords, one of the clear goals of their training should be ;he movementof individuals into the community and, in turn, the movement of staff .
Fif
itself froi the traditional institution to community pos-tions. Thus,as individuals progress and are reintegrated into the mmunity, thesize of the staff remaining in the State School can also'be decreased.,,
// . ,,.
,
5. JCAHTACFMR Self-survey in staffing and sta Ping ratios shallhave beencompleted. ....
,
r.
`.)
,"
6. A "provisional sta 'us". emp loyee Category shall have beenestablished with written j b descriptions and a provisional staffrecruiter. Tiis role req Tres new methods of evaluation that differmarkedly from those currently existing under the Civil Service, pro-visions. New staff,persons that_are hired in order.to bring StateSchool programs up to recommended ICF or Skilled Nursing standards§acttild-, possible,,behirea-ufider some-kind of provisional status,-Such provisions should not be time limited but should instead belimited in terms of where these individuals' services will be utilizedat given points in the/future. In other words, staff may be hired fora period of time to be utilized in the State School. However; as thepopulation begins to develop some skills necessaryfOr transition intocommunity program5, the staff might be hired drtransferred to developingor merging community programs. Likewise, staff who are already on boardmay be givene option of relocating their position to one in thecommunity. S ch procedures would allow for an orderly reduction ofState School resident populations and staff. At the same time, it wouldpermit ma um coverage for individuals as needed.
B. ACTIONS REQUIRED
All training,in the use of the PAC as anon-going assessmentto61 shall have been completed. Staff shall be-using the Progressssessment Charts as basis for daily programming.
2., All assignments to Component programs shall'have been completedon the basis,of experience, expertise and preference'to work in aspecific Component level. Job descriptions for all personnel,shallhave been written, and shall include specific duties, techniques; etc.
3. Direct care staff shall be involved with interdisciplinary staffas well as BSU Staff in the development of individual program plans foreach resident in each Component Program level.
4: Career counseling shall be available for provisional employees.The basis of this counseling shall be the preparation of these'emploYeesto move into positions in the community..
C: FUNDING SOURCES
1. DPW Training.F.unds .
2. Possible Federal Funds for Training andCareer_Counseling
D. PARC ACTIONS & RESPONSES, f,r1. PARC, local Chapters, local and regional Residential Services
C ommittees shall monitor staffing through requesting complement reports,.staffing ratios in each levaplicirn-service training reports,.manu s, etc.
,
--- .< ...t"1"
2. On-site visits by PARC, local county, and regional Residenti4Service Committee to insure that all units are properly staffed and thatstaff has been trained, IPP's written and developmentalunits Operational.Reports of these visits will be sent, to the PARC Office, Local ARC's-and Parent Groups.i/.n
tAilD
-40-
STAF,TING AND STAFF TRAINING'COMPLETION BY: JULY 1, 1976
A. GOALS
1. An evaluation of training procedures shall have been completed.This shall include an evaluation of training beipg given to newemployees and provisional employees, as well as evaluation or on-goingin-service training. ,
2. An evaluation of staff perforthance shall have been completed.This shall include recommendations for further training.
3. Survey by JCAR/AFMR team in area .of Staffing and Staff Trainingshall be requested.
B. ACTIONS REQUIRED'
1. A standardized performance rating procedure, based on jobdescription, duties, etc. shall have been developed..
2. Salary and promotional incentives shall have been developedfor staff participating in on-going training, improvement in jobschools, further education, etc.
3. Career counseling and placement for staff moving into communityprograms shall' be provided.
C. FUNDING SOURCES
1. DPW
2. Federal Funds
3. Special Grants
D. PARC ACTIONS AND RESPONSES
1. PARC, local Chapters, local and regimial Residential ServicesCommittees should monitor staffing through requesting complement reports,staffing ratios in each level, in- service training reports, manuals, etc.
2. An-site visits by PARC, local county, and,regional ResidentialService Committees to insure that all,units are properly staffed andthat staff has been trained, IPP's written and developmental units'operational. ,Reports'of tilbse visits shall-be sent to the PARC Office,Local ARC's and Parent Groups,
O
1 4 4
ST.AFFING AWD STAFF TRAININGCOMPLETION BY:., JULY 14_1977,
A. GOALS
1. Recommendations for additional staff training shall have beencompleted. These recommendations shall- "be the result of evaluation oftraining program and performance evaluations of staff done-duiMg theprevious year.
2. JCAH/ACFMR Accreditation in Staffing and Staff Tea Ming.-
3. Provisional staff and other staff shall move-into communityprograms, as a result of a shift in population.
B. ACTIONS REQUIRED
1. A review of new developments in the field of mental retardationshall have been completed.
2. New and proven training techniques shall be included inrecommendations for future training programs..
. .Orr-site training for house parents, aides in community programs,etc. shall be developed, along with continuing career counseling.
C. FUNDIWSOURCES
1. DPI.- Trainirig
2. Federal Funds_
D. PARC ACTIONS. AND RESPONSES
1. Recommend NARC Consultants to DPW to assist in developing trainingprograms.. 1
-
2. On-site monitoring of program, staffing ratios, training program,by PARC, Regional and Local Residential Service Committees.
3. Repprts of on-site visits sent to the PARC Office, local ARC'F.and parent groups.
P
0
,c)
STAFFING AND STAFF TRAININGCOMPLETION BY:: JULY 1,.1918
A. GOALS
1.!
On -going assessment ,of training, program for 1977 -78 shall beompleted:
2. On-going assessment of staff performance in Component Programsshall continue.
3. Provisional staff and other staff shall Move in to, communityprograms, as a result of resident-movement to community-based facilitiesand programs.
B. ACTIONS REQUIRED
1. New techniques, information and knowledge explored in the 197'7study of training programs shall be ihcluded in the 1978 training programsand shall provide the basis of a comparative analysis of the trainingprogram.
2. Career counseling shall be made available for staff, as well asplacement in community programs.
3. Salary and promotional incentives shall be provided for staffon the bais of continuance in on-going training, development of skills,and job performance.
0'. 'FUNDING SOURCES
1. DPW
2. Federal grants
D. PARC ACTIONS AND RESPONSES
1. PARC should continue to suggest nationally known consultants toDPW to assure that training techniques and programs reflect new knowl-edge and techniques in working with retarded persons.
2. On-site monitoring of, program, staffing,,ratios, training program,'by PARC, kegional and local Residential Services Committee.
3. Reports of on-site visits sent to the PARC Office, Local ARC'sand parent groups. 0 0
c-
o
S -TAPPING AND STAFF TRAINING,COMPLETION BY: JULY], 1979.
. GOALS
1. New training programs shall be ih"gffect and based on the 1978reassessment and resulting recommendations, as well as recommendationsof rational_ consiatants_in_the field of Mental Retardation. '
2. On-going assessment a.staff performance shall continue.
3. Staff shift to commi-rnitx, programs shall continue.
B. ACTIONS REQUIRED.r.
1. All emp16-:yees shall be jInvolyed in the new training program.This will insure that they are utilAzing new techniques and knowledgein "on the job- situations .-- .
-
. 2. Career counseling shall Abe made available for staff, as well asplacement in community programs.
3. Salary and promotional incentives shailbe provided for staffon the basis of continuance in on-going training, development of skills,and job performance. 4
C. FUNDING SOURCES
1. DPW
2: Federal grants
D. PARC ACTIONS. AND RESPONSES
Review-of-new-training prognamswith_conSuitants.
2. On-site monitoring of programs, staffing ratios, and trainingprogram by PARC, Regional and Local Residential Services Committees.
3* Reports of on-site visitssent,to the PARC Office, Local ARC's-and parent groups.
1.
A.
STAFF,ING AND STAFF, _TRAI,NING
'COMPLETION BY': JULY 1, 1980
A. GOALS
1. An assessment of the training program shall have been completed.
2) Oh-going assessment of staff performance shall continue.
-3. Staff shift to community programs shall 'continue.
B. ACTIONS REQUIRED.
1. .Career counseling shall be made available for. staff as well asplacement in community programs;
2. Salary and promotional incentives shall be provided for staffon the basis of continuance in on-going-training, development of skills,and job performance.
C. "FUNDING SpURCES
1. DPW
2. Federal Grants4
D. PARC ACTIONS AND RESPONSES
1. On-site monitoring of programs, staffing ratios, training program,by PARC, Regional and Local Residential Services Committees.
2. Reports of on-site visits sent to the PARC Office, local ARC'sand parent groups..
11 48
1)
0zH
(10
7
1/4
HOUSING
A.
1/31/75
I.Clean up facili-
ties
GOALS
2.Plans to improve
comfort, attractive-
ness of interior
completed
3.Apply for JCAH
Accreditation
.1.
7/1/75
1. Redecorate' interior
2.Provide privacy in
toilets
3.Complete JCAH self -
survey & request sur-
vey by expert team
7/1/76
1.Meet Life Safety
Code & Medical Assie..
tance Standards
2.JCAH team survey
completed,
7/1/77
Meet JCAH stan-
dards on living
units, safety, sani-
tation, housekeeping
& maintenance
7/1/78
1.Maintain JCAH
Standards on living
units,' safety, sani-
tation, housekeeping
&maintenance.
2.Each State School
accredited by JCAH
3.Reassess.housing
requirements for
(1980-85)
7/1/79
Each State Schoo
accredited by
JCAH & main-
taining stands;
1
rds
7/1/80'
Each State,
School accre-
dited by JCAH &
maintaining
standards
' 'Z.
I.DPW issue direc-
AcrIONS
tive on housekeep-
REQUIXED
ing.
2.Supt. personally
verify cleanliness
3.DPW retain decor-
ator & deiign con-.
sultant,
4.DPW make unan-
nounced spot checks
1.DPW
2.Grant for
design consultant
.,
C.
'FUNDING
'SOURCES
.3D. PARC
ACTIONS
SPONSES
1.State Schools plan
improvements
2.State Schools carry
out redecoration &
verify completion
3. DPW make unannounced
spot checks
1.State Schools
carry outirenova.,
tions & verify com-
pletion.
2.Proper agencies
inspect for com-
pliance with
standards;
3.DPW make unan-
nounced spot cheOk
1.State Schools sub-
mit-plan for com-
pliance.'
2.DPW provide funds
for renovations.
3.DPW require JCAH
re-survey
3.DPW make unan-
nounced'spot checks
1.DPW initiate
study to_review re -
quirements,and
revise housing plan
2. DPWmake unan-
nounced spot checks
.DPW ;make un-
announced spot 1-
checks
DPWmake un-
announced
spot checks
DPW
DPW
DPW
DPW
'DPW
DPW
1.Take part in
spot checks
2. Reports to PARC
Office, local ARC's
& parent groups
1.PARC plan for moni-
toring compliance
2.Take part in spot
checks
3.Reports to PARC
Office, local ARC'S
& parent groups
1.Notification of
compliance, from DPW
2.Take paTt in spot
checks.
3.Reportsito PARC
Office, lOcal ARC's
& parent groups
1.Request to review
plan for compliance
& monitor progress
2.Take part in spOt
checks
3.Reports to PARC/
Office, local ARC's
& parent groups '
1.Take part in DPW
study
2.Take part in spot
checks
3.Reports to PARC
Office, local ARC's .
& parent groups
1.Take part in
spot checks
2.Reports to
PARC Office,
local ARC's &
parent groups
1.Take part in
spot checks
2.Reports to
PARC Office,'
local ARC's &
parent groups
4
A. GOALS
. H O U S I N G
COMPLETION BY: JANUARY 31, 1975
r .
'l. Each State School and Hospital shall have undergone a thorough-"housecleaning."
'2. Plans to improve the comfort and attractiveness of interiorsand resident-living areas in state institutions shall have been com-pleted. These plans shall include recommendations for painting,draperies, carpeting, furniShings, etc.
3. Each State School and Hospital shall have applied for JCAH/ACFMRAccreditation in living units, safety, sanitation, housekeeping andmaintenance.
B. ACTIONS REQUIRED
1. Department of Public Welfare shall issue a directive on !regularhousekeeping and, maintenance procedures which will ensure that the in-stitution is maintained in a safe, clean and attractive condition."(Order of U.S. District Court re Partlow State School and Hospital,Alabama, in the case of Wyatt v. Stickney, April 13, 1972.)
2. The Superintendent of each State School shall. personally verifythe cleanliness of his facility and report to the Department of Public
W fare that .the directive has been complied with.
41/I3. The Department'o 'PublicPublic Welfare shall retain the services of a.
decorator and design consultant to advise each Superintendent and staffOn ways to make living'areas more comfortable and attractive areasonable cost.
4. Department of Public Welfare shall make spot checks at ach StateSchool to verify cleanliness.
C. FUNDING SOURCES:',.
7
1. Departmenof,11,yablic Welfare, Institutional budget.
,2. Possible',:grant'for retention of design consultant.,, , \ --. , ,
. D. PARC ACTIONSiANhrRESPONSES
1. PARC ch4ptrs'shall take part in spot checks of institutionsfor cleanlineSs2::-
2. Results of spot checks shall'he reported to the PARC Office,parent groups of State Schools and local ARC's.
1'1
-48-
1.1 0 U_S I N G
. COMPLETION BY:.. JULY 1 ,1975.
. "GOALS
1. Interiors and-living areas shall be redecorated by the abovedate:-
2. State Schools.shgll have met JCAH/ACFMR Standards on privacyand convenience in toilet areas (Section 2.7.5)
4
9. JCAH/AcFMR_Self70Suryey shall have been completed and a survey-by JCAH /ACFMR Survey Team shall be requested.
B, ACTIONS REQUIRED
1. A plan shall be submitted to the Department of Public Welfarespecifying the improvements to beade based on recommendations of adecorator and design consultant. After review and approval, fundsshall be provided for lighting, drapes, chairs, rugs, furnishings, etc.Where ruge are not feasible, the floors shall have a."resilient, coth-
fortable, attractive, nonabrasive, and slip-resistant surface" ascalled for in the JCAH/ACEMR Standards.
2. Redecoration shall have been completed and verified by on-siteobservations and reports by Superintendents by July 1, 1975.
3. Department of Public Welfare qhall make spbt checks at eachState School to verify compliance.
C. FUNDING SOURCES
. Department of Public Welfare'InstitUtional budget.A,C
D. PARC ACTIONS AND RESPONSES
1. PARC, through its State Residential Services Committee (andLocal and Regional Residential Services Committees,) shall developand review a plan to monitor compliance with redecorating plans and
the housekeeping directive.
2. "PARC chapters shall take part in spot checks of State Schools
and Hospitals for cleanliness.
3. Results of spot checks shall be reported to the PARC Office,parent groups of State Schools and local ARC,'s.
COMPLETION BY: JULY I, .1976
1. Allbuildings housing residents,shall meet Life Safety Codeand-federal-Medical-Assistance-standards,
'2. JCAH /ACFMR Team- Survey, shali, have been completed.
B. ACTIONS-REQUIRED
. I. By this date, the renovations currently being made accordingto Life Safety Code and Medical Assistahce requirements shall be com-pleted. Each Superintendent shall verify complption of the renovation.
2. Proper state and local agencies and authorities shall inspect .
each facility for compliance with the requirements.
3. Department of Public Welfare shall conduct spot surveys toassure compliance.
.C. FUNDING SOURCES
Department of Public Welfare Institutional budget
D. PARC ACTIONS AND.RESPONSES/
I. PARC shall receive reportt of compliance from the Department ofPdbgc Welfare.
2.% PARC Chapters shall take partlin spot'checks in Stat4chools.J
3.7--Reports of these sp-dt dhecks-ghalI7be sent-=E5-the PARC Office,parent groups at State,Schools, and loscalARCls.
'A. GOALSc
JCAH/ACFMR Standards on design andfequip ng of living units,saf4V, sanitation, housekeeping and mainten e shall have been metin-oaph State School.
HOUSINGCOMPLETION BY: JULY 1, 1977
1'
B., ACTIONS REQUIRED,
1. Prior to compliance, with JCAH/ACFMR Standards, each State Schoolshall have submitted to Deptment of Publit'\Welfare a plan for com-pliance with JCAH/ACFMR Standards, based on the results of the previousself-survey.
2. Department of Publlc Welfare shall have provided funds for n4ces-sry renovations.
3. Ascertain if possible construction is required to meet the pro-- gram needs of individuals as determined by the assessment tools estab-
liiied in thid Plan and in accordance with:
a, The JCAH/ACFMR Standards;
b. The population and progr rojections as set forth inx this Plan, including population redu ion and the possib5lity of
transfer;
i.'
c. . Con ideration of the time. frame required for oonstruction;
d. Commitment, of resources and supportive services for pro-gramming.
.,,
4. Department of Public Welfare shall require a JCAH/ACFMR re7survey after the workhas been completed.
assureDepartment of Public Welfare shall continue:to make spot checks
ato ssure compliance.
C. FUNDING,SOURCES
,
Department of Public Welfare Institutional budget.
D. PARC ACTIONS AND RESPONSES
. 1. PARC shall request' to review the plan Submitted to Department.of Public Welfare by each State School for compliance with JCAH/ACFMRStandar;ds.
2. PARC local chapters shall continue to take part in spot checks. of State Schools and Hospitals.
3. Results of spot checks shall be reported to the PARC Office,Parent groups and local ARC's.
H 0 U-S` I',N G
COMP-LETION- By: JULY- 1 1§78
5-
.A.4 GOALS.
-1. Each State School shall continue to meetiall JCAHIACFMR Standards.on living units, safety, sanitation, housekeeping and maintenance.
2. Each. State School shall,have been accredited by JCAB/ACFMR.
3. it re-assessmentof housing requirements' for 198a. - 1985, based'on population reductions and future needs, shall begin.
B. AGTTONS REQUTRED1
1. _Department of Public Welfare shall initiate a study to reviewthe entire plan set forth in this 'section in the light of nearly fouryears' experience and shall rd-assess the housing requirements for theperiod of 1980-85.
'2. The Depaitient of Rklblic Welfare shall continue)On -site spotchecks to assure compliancee
C. FUNDING SOURCES
Department of PubliC Welfare
D. PAAC44TIONS-AND RESPONSES
1. PARC shall be part of the team which initiates the above study.Residents And parent groups from State Schools'sfiall also be involved.
'2. PARC lodal chapters shall 14e part in spot checks of StateSchools and Hospitals, .\
3. ,Results of these spot checks silfillbe reported to the PARC.
Office; parent groups of State' Schools and local ARC's.
.4
.
.(
, .
,
/z'
A. GOALS
;
HOUSING'COMPLETION JULY 1, 1971
/Each State School shall
tation Standards.,'
B. ACTIONS REQUIRED
continue to melt all JCAH/ACFMR Accredi-
:A
/Department of Public Welfare shall/continue to make spot checks to
assure continued compliance with JCAB/A5FMR Standards.
C. FUNDING SOURCES
Department of Public Welf
D, PARC ACTIONS AND RESPON
1. PARC local chapterSchools, and. Hospitals.
.
shall continue to do spot checks in State
2. Reports ofthese spot checks-shall be shared with thegPARC'Office, parent groups and local ARC'S. .
564
t
-53-
''HOUSINGCOMPLETION BY: JULY 1, 1980
A. GOALS
Each State School shall continue to meet, all JCAH1ACFMR Accredi-tation Standards.
4
B. 'ACTIONS REQUIRED
Department of Public Welfare shall continue to make spot checks. toassure Continued compliance with JCAH/ACFMR Standards.
C. FUNDING SOURCES
Department of PubX"Welfare
D. PARC ACTIONS AND RESPONSES
1.
Schools
2.
`Office,
PARC local chapter's shall,continue toand Hospitals.
Reports of these spot checks shall beparent groups and local ARC's.
.1
do spot checks in State
shaied with the PARC
57,
-54-
4
I
4.
"
/
1
V
s'
HEALTH -CARE
58-55-
.1'
1
B.
I itn
1/31,/75,
1/1/76
7/1/76
7../1
/77
7/1/79
7/1/79
Appii far
1.H4alth care p/an'for
JCAH cer-
each resident
tification
eluding dental)
, 2.initiats treatment
plans
3.Critical review Of
1.0n-going treatment
to inblude;
,prevention
correction
.
2.Annual medical
dental Checkups
1.0n-going treatment 1.0n -going treatment
1.Re-assess Health
to includes
to includes
care plans
prevention
,prevention
2.0n -going treatment
correction
correction
3.Annual medical
2.Annual medical a
2.Annual medical a
dental, checkups
dental checkups
dental checkups
tindividual drug
3.JCAM hospital
, programs
4.Prescriptive.foot
apkoval
)
care plan for each:
'resident
9.Prostheticide
vices supplied
6.JCAH seff.liurvey
7.Beguest JCAM
survey team
Apply for
1.Haalth care team*
JCAM survey established;
1.
& eyalua-
21 Consultative
ti-n
services establishes
3.All physicians
licensed
4.Madical treatment'
plan conferencei
S.Podiatry. contracts
6.Increase budget
7.DPW directives re
druel
r.t
1.DPW
2.MA Funds
D. PARC
ACTIONS
RESPONSES
)
1.Publica-
Lion of
Plan
2.PR & PI,$
campaign .
3.Legisla-
tivo &.po-
liticaI
action
I.:Monitoring
2.Recommended Decker
System
3.Contact AMA a U.,
Medical Schools
l.Salaxy increase
for physicians
2.Liaison with
Universities &
AMA, ADA, etc.
iL
.3.Sufgiclent medi,
%sal, dental 6: co-
.1.Specialists
Board certified'
'
2.Sufficient medical,.
dental & 'consultant
staff
3.Internship progrevis
1.Sufficient medi-
cal, dental & con
lultant staff
2.Internship
programs
7/1/00
1.Treetient based:on
1979 re-assestmeat
2.Annual:mediCal a ,
dental checkups
1.Sufficient medical,
dental a consultant
ostaff :
2.enternship pile/rams
3.Conferences'with
paiente, staff
1.Sufficient Medical,
dental & consultant
staff
2.Interrnship-prOgams
Aultant staff
1.DPW
.s, 2.MA Funds
1.DPW
2.MA Funds
,
1.DPW
2.NA Funds
2.MA Funds
0
1.DPW
2.MA Funds
1.Monitoring
2.Recoamended
Decker System
3.Contact AMA &
U. Medical Schools
Monitoring
1.Monitoring
2.Survey of in-
ternship program'
'1.MCCiltoring'
2.Asatiss AMA & Uni--
vereitY Medical
..SchooinvolVement
-
1.Monitoring
2.Parent lurks*,
h.r
HEALTH' CARE 0-SERV-ICESCOMPLETION BY: JANUARY 31, 1975
A. GOALS
Each State SchOol and Hospital shall have applied for JCAH/ACFMRAccreditation.
B. ACTIONS REQUIRED
Each State ,School.and Hospital shall send a letter to JCAH/ACFMR.'requesting survey and evaluation:
C. 'FUNDING SOURCES
D6partment of Public Welfare.
D. PARC ACTIONS AND REPONSES
1. Publication of PARC Plan.
2. -Public,relations and public information campaign.
3. Legislative action and local political pressure.
IZ
60 1 -
-57-
1
A
A. "GOALS!
.
H CA.R r-CES
COMPLETION'BY: -JANUARY 1, 1976,
. , .
1. A health care plan for each resident shall be written, based on
a complete medical and dental examination of each regident. This `'plan
shall be discussed with parents aid guardimasof the resident; andspecific needs of the reOdent shall be identified.
,.
2. Treatment plans, based on the health dare,plan, shall be initiated.
_A critical review of individual drug programs shall be completed
and reviewed on the basis of the needs of the indiiiiddaI:" 11116 excessive `'-=
use of drugs or the use of drugs merely for staff convenience shall be
'eliminated.
4. A presdriptive foot care plan shall be written for each resident,based on podiatry examinations.
5. Prosthetiddevides (glasses, hearing:laids,,dentureS, brace's, etc.)
shall be provided'on the basis of the health care and treatment plans.
6. Each State School and Hospital shall begin a JCAH/ACFMR self-
survey.
7. Each State School and -Hospital shall request survey by a ,JCAII/ACFMR survey team in the Health Cape area.
S. ACTIONS REQUIRED
1. A healthcare team shall be provided to serve each unit. This
would include direct dare and. consulting specialty staffs.
2. Consultative services sh-a41-be established-both-in-and-outsideof the institution and shallAinclude the use of all specialities.
3. All physicips and rjurses shall be licensed to pragtide in theCommonwealth of Pennsylvania. . ,7
,C
4.- Conferences with program anddiredt-darestaff shall be arranged.
in order to insure implementVi.on of the he,Slth dare plan. Parehts,
nurses, doctors and____*ogram, staff shall be presen at,each conference.
5. Purchase of service don4iacts with podiatrists,shall be nego-.
tiated for each State School and Hospital.
Provisions,shall be made in the institutional budget for upgracling
the quality of medical staff, consultative services, etc.
.. 1. DPW a directive concerning the appropriate'use'of
dmi4s. Superintendents shall be responsible for compliance.
*61
H.C.S.
C. FUNDING SOURCES
1., _DPW Institutional Budget
2. Medical Assistance Funds
DTPARC ACTIONSNDRESPONSES
1. PARC shall monitor,the State Schools and Hospitals to insure,that health plans are Written, medical and dental checkups are, given,treatment plans are initiated, and 'drug abuse is eliminated.
2. Recommend the use of the Decker, Plan fOi; Use State Schoolsand'Hospitals. The Decker Plan outlines a "system for planning and
. achieving comprehensive health care in residential institutions for thementally retarded." It provides for a clinical evaluation of each'resident's health status, the establishment of individual health andhabilitation goals, and the development of a health care plan 'for eachresident.
3. Contact shall 'be made with the Pennsylvania Medical Society toinsure that only licensed physicians are practicing in State Schools andAospitais., PARC.looal Chapters shall also attempt to interest UniversityMedical Schools in establishing internships in State Schools and,Hospi-,tals and including courses in Mental Retardation in Medical SchoolCurricula.
rti
A
. r
A. GOALS'1
.
1. On-going medical and dental treatment shall be provided Viz,'
each State School and Hospital resident, including preventioh andcorrect-ion-programs.
Annual medical and dental checkups shall be done for eachresident.
H E-AITH CARE' 'SERIICE,S
COMPLETION BY :' JULY 1, 1976
. 3. The Hospital and'Health Care Services shall,be JCAH/ACFMRaccredited. .. 1.
B. ACTIONS REQUIRED
1-. Salary increase for physicians, in order to attract competentmedical staff.
f
2. Liaison to be established with Medical School Universities,the American Medical Association (AMA), and the America DentalAssociation '(ADA) for the initiation of an internship progi"am at.State Schools.. cp
3. Sufficient medical, dental and sPecialtrconsu ant staff shall,,,
, . i
, 14-,f ,
be available at rates agreeable to DPW,- phybicians, and dentists., ..e.-
1 . -------6. FUNDING SOURCES
1. Department of Public Welfare
2. Medical AsSistance Funds
---D-TPARC-AOTIONS-AND-RESPONSES
1. Monitoring to'insure that: health plans are'written, medical anddehtal checkups are given, treatment plans are initiated, and drug abuse
is eliminated. PARC shall also contact Parent Groups and individualparents of residents to.find out if this is being done.
2. Recommend the use of,the Decker Plan for use in all State Schoolo
and Hospitals:
3. Contact shall be made with the Pennsylvania Medical Society to'insure that only licensed physicians are practicing in State Schools andHospitals.- PARC and d-local County Chapters shall also attempt-tO interestUniversity Medical Schools in establishing internships in State Schoolband Hofspitals-,and including'courtses.ih Mental Retardation in Medical
School curricula.
6'3
60-
r
A. GOALS ti
1. On-goingState School andrograms.
E -A H C A R -E ,t;"
COMPLETION BY: AMU 1, 1977'
medical and dental treatment shall be 'provided for eac,Hospital resident, including prevention and correction;
2. Annual medical and dental checkups shall be ,done fordent..
ACTIONS REQUIRED
1. All specialists working with residents of State Schools and v,
Hospitals shall be Board certified.
each resi-,
2. Sufficient medical, dental and consultant staff shall be main-_tained. 1-4-1.-r
3. A university-related internshipall State Schools and Hospitals.
C: FUNDING SOURCES
.1. Department of Public Welfare
2. Medical Assistance
3. Possible Foundation or Private money for Internship program.
program shall be in operation a
D. PARC ACTION AND RESPONSES
Mpnitoringe
64
GOALS
H.EALTH CARE SERVICES'COMPLETION BY: JULY 1, 1978
1. On-going medical and dental treatment shall be provided for
each State Schooland Hospital resident, including prevention and
cormction-pro#ais-.AY, ,.4%.V
,2. Annual medical and den al checkups shall be done for each
. resident.
B. ACTIONS REQUIRED
1. Sufficient medical, dental and consultant staff shall be maiA-
tained.
2. Internship gram in operation.
C. FUNDING SOURCES
1. Department of Public Welfare
2. Medical Assistance ,
D. PARC ACTIONS AND RESPONSES
1. Monitoring
V
2. PARC shall set up a committee, consisting df professional con-sultants, staff--and volunteers, to survey and report on 'the internship
program.:
-62-
5
_
'H E A L.TH C A R E, S E'R V.I C E.'S'
COMPLETION BY: JULY 1, 1979(
A. .GOALS
1. .Re- assess medical and dental,care plans and project needs forfurther:treatment.
. 'er
/.
:2. On-going medical and dental treatment.
3. Annual medical and dental checkups.
ACTIONS REQUIRED
1.
'2. Main in internship program, if it has been effective.
Sufficient medical, dental and consultant staff.
3.. Conferences with program and direct-care staff, on the basis ofre-assessment of health care plans. This shall include parents, physi-cians, specialists, nurses and a new plan if necessary.
C: FUNDING SOURCES
1.- Department of Public Welfare.
2. Medical Assistance
D. PARC'ACTIONS AND RESPONSES
Monitoring
'2. Survey of internship program.. AsseSsment of AMA, ADA and 4niver-siby medica school involvement.
,
A. GOALS
HEAL-T'll CARE SERVICES./C COMPLETION BY: JULY 1, 1980
*1. Treatment_program being provided on basis'of 1979 re-assessm
and; -- medical ..and dental. treatment_plans.
2. Annual Medical and dentalicheck
B. ACTIONS REQUIRED
1. Maintain medical, dental and consultant staff-
2. Maintain internship program.
C. FUNDING SOURCES
1. .Department of Public Welfare
2. Medical Assistance
D. PARC ACTIONS AND RESPONSES
1. Monitoring
1
2. Survey of parents and Parent Groups concerning the health carereceived by their children in State Schools and Hospitals.
r.
61
FOOD SERVICE
..4 Vo4. , r,
-68
- 6 51
ii
(
,-FOOD
SERVICE&
,
A.COALS
1/31/75
- 7/3/75
110
7/1/
777/1/70
1.Apply for JCAM
1.4(ealth Dept. approval
Diet Viand sating
accreditation
of diotaryoperation
habits part of IPP
241iminate practice2Aisview of dietary
2. Request survey
of residents feeding
needs:ofiresidents
by JCAH ;survey team
residents
3.Food service improved
3.Initiate family-
4.JCAH Self - survey
1-
style' dining
where possible
JCAH Accredi-
tation ift Food
Service
1. Rs -svalualts feeding
Maintai
goals
Stand*
2.24aintain .7C-AB
Standards
7/1/S0
JCA24
NNAttain
SCAB
St
dards
N,
0 '1
'
,kl.Policy state -
,aCTIONS"'Aefit on feeding
.REQUIRED '2.Re -adjustment
.of cafeteria
schedillo
1.Health Dept. juris-
Direct care
Meet
diction over dietary
and diet
staffs
Standards
area established with
involved in teed-
coordination of En-
vironmental gesources.
Department
2.Dietary conference,
'for each resident
3.COnsultation with
caterers, food service
ing program
.I
.
1.Dirict care,
4Maintain JCAM
Maintain JCAlt
dietary, professional
Standards
Standards
staff review indivi -
&al program
2.NeN;goals
defined
I.
experts
C.
DM
1DPw
DPW
141
bPw
DPW
DPW
1.DPW
FUNDING
2:FederaI Giant
SOUPtES.
.
D.PARC
1.0h-site Visits:
X. Request DER £
X.On -site
1. On -site
1. On-site
'1.0n-site
1. On -site'
ACTIONS
2.Reporti to PARC'
Health Depts. reports
visits
1visits
visits
visits
visits
AND
Office, ARC's,
iP.spowsparent groups-
:
2.0n-site visits
3.Suremylparent
gimps'
4.Repgrt to PARC
2.Riports'to
PARC Office,
parent
groups
2. Reports to
PARC Office,
ARC's., parent
groups,'
2. Reports to
PARC Office,
AM's., parent
groups
2. Reports10.
2.
Rep
orts
to
PARC Office,
PARC Offiom.,
ARC's, parent
ARC's, parent
groups
groups
Office, ARC's,
parent groups
C;)
.4
4.
F 0 OD SERVICE,COMPLETION' BY: -JANUARY 31, 1975
A, GOALS
1. Each State School and Hospital shall apply for JCAH/ACFMR,.Accreditation in Food Services.
2. Each State School and Hospital shall eliminate tie practice ofA "resident6 feeding other residents.
3. Each State School and Hospital' shall initiate family-styledirp.ng, where possible.
B.: ACTIONS REQUIRED
1. Policy statement on feeding of residents by staff to be issuedby DPW.
2. Re- adjustment of cafeteria' schedules to accommodate family-styledining.
C. FUNDING SOURCES
*DPW Institutional Budget
D. PARC ACTIONS AND,RESPONSES
1. On-site visit* during meal' hours by PARC-local chapters.
2. Reports to PARC office, parents ,groups, and lodal chapters onresults of visit. '
A.
.
c
i
.44
04
SERVICE 't
COMPLETION BY: JULY 1, 19'75
. A. GOALS
1. Health Department approval of dietary operation, includingkitchen area_an_d_food; storage and service areas. (When these Areas'are outside of the central dietary area, room, unit or war inspection.shall take place, as well as the designation of specific areas in rooms,.units, wards where food is to be eaten and served.)
2. Each State School and Hospital shall review the dietary needs Ofall residents.. .The Dietary program and-nutritional needs of each resi-dent shall be reviewed by direct care, medical and nursing staff inconjunction with dietary staff. Individual diet plans shall be devel-oped for each resident, including recommendations for adaptive feedingutensils as needed.
3. Food services shall be improved in such areas as: temperatureof food wiien it is served; seledtion of various foods to be 4vailableto residents who are on general diets; appearance of food to be enhanced;taste of food to be enhanced by use of condiments (where permissible);adaptive utensils to be available.
4. JCAH/ACFMR Self-survey of Food Services shall be completed.
B. ACTIONS REQUIRED
1. Department of Health shall establish jurisdiction over inspec-tion and licensing of all areas where food is stored, prepared and
served. This shall be coordinated with the Deparment of Environmental
Resources.
_be_held_ between dietitians, direct care staff,medical and nursing personnel to review dietary needs of each residentand develop a complete dietary plan.
3. Consultants in the area of food services (caterers, food serviceexperts, home economists, dietitanb, etc.) shall be enlisted to makerecommendations for each State School.rJ
C. FUNDING SOURCES.
1. DPW Institutional Budget...
2. Possible Federal Grant for DietaryConsultant tment of- Agriculture or the Food and Drug Administration.
D. PARCAtTIONS AND RESPONSES
1. Request that Department of Health,and the Department of Envir-
onmental Resources inspection reports be ufade available to PARC.. .
2. On-site visits by Residential Services Committee,--Local.andRegional teams to observe cleanliness and lquality of:food
Depart-
t
7 1
-68-'56
-
.
3. Survey-parent groups at to quality of food, development ofdietary plans for each resident, cleanliness, availability of adaptiveutensils, etc. *,
4. .Reports to PARC Office, parent groups and 16cal ARC's onings of on-site V-itits.
-69-
.e 00%.
cr,4.
*
-
FOOD- SERTI,CE,
COMPLETION. $Y; JULY_1, 1976
I. Diet and, programming regardimi self-feeding 'skills, proper eatinghabits, and table manners shall be part of the Individual Program Planfor each resident of a State 'School and Hospital,
2. Each State School and Hospital shall reVuest'a survey by JCAH/ACFMR survey team in area of Foqd Service.
-B.- ACTIONS REQUIRED
Direct care and dietary staffs shll be.involved in feeding programsin Component Units on the basis of AC evaluations and IPP1s.
C.' FUNDING SOURCES
DPW Institutional Budget
D. PARC ACTIONS AND RESPONSES.
1. On:-site visits by PARC Chap -ers to obstrve cleanliness, qualityof food, programming, etc.
2. Reports to PARC office, local ARC's, 'and parent groups on results
of visits.
I
...457
FOOD ,SERVICECOMPLETION BY: JULY 1, 1977
A., GOALS:
JCAH/ACFMR Accredilttion shall haire been attained in area of .Foodervices-and Feeding-PrOgrams
'B. ACTIONS REQUIRED
Meet JCAH/ACFMR Standards.
C. FUNDING SOURCES
Department of Public, Welfare
D. PARC ACTIONS AND RESPONSEScr;
1. On-site visits by PARC Chapters to observe cleanlineqs, quality I,a.
of food, programming; etc.
2. Reports to the PARC Office, Lopal ARC4s and pai,ent groups onresults of the visits.
vs-
74
-71-
.
CF. 00.D SERVICECOMPLETION BY: JULY 1, 1978
GOALS
1. A complete review and re-assessment Of the.dietary and eding____skills_pr_ogram, of -each _resident be_Oompleted. _
JCAWACFAR Standards maintained. -
B. ACTIONS REQUIRED"
1. Involvement of direct care, dietary, medical and nursing staffin a review of'each person's dietary needs, and programming needs inself-feeding.
2. On the basis of the above review, new goals the area ofself-feeding, table manners, etc. will be defined for each resident.
C. FUNDING SOURCES
DPW Institutional Budget
D. PARC ACTIONS AND RESPONSES
1. On-site visits to observe cleanliness, uality of food, pro-gramming, etc.
V
2. Reports to PARC Office, Local ARC'''s and Parents Groups on resultof visits.
. .
..7 5
-7 2 -*
. _
FOOD SERVICECOMPLETION BY: JULY 1, 1979
JULY 1,. 1980
A. GOALS
-Maintain-JCAVACFMR Standard-s in "Food S,ervibes.
. ACTIONS REQUIRED'
Maintain JCAHACFMR Standards in Food Services.
. FUNDING SOURCES
DPW Institutional Budget
D. PARC ACTIONS AND REPONSES
1. On-site visits to obse"ivegramming, etc.
2. Reportsof visits.
cleanliness, quality of food, pro-
to PARC Office, Local ARCM's and Parent Groups on result
7
of
LINEN ND
CL9SHING SERVICE
-714=
.i
r
.
,
1.11
01 &
moll=
SERVICE
.
'.
. .
.
1/31/75
7/1/75
.
.,
.
t
'7/1/76
.
.
,
1/1/77
.,
7/1/78
. ..
,
7/1/79
.
,
.,
.
,
;.
..
..
. '
.
.
,
.
A. GOALS
.
0
1.Apply for JCAH 1.Individual clothing
. certi4ication
supply nontransferable
.2.Inventory'of
2.Clean sheets as needed
clothfng storage or at least semi- weekly
space, linen
3.Olean washcloths &
supply
towels daily
4.Clean, neat clothing
0daily
5.JCAH self-iurvey
-
1.Elimination
State-made
clothing
2.Request JOAN.
survey team
of 1
%JCAH accreditation
in Linen a Clothing
Service
-.
.
Maintain JCAH
standaids re
linen and
clothing
.
.
Maintain JCAH
standarcia re
linen and
clothing
...
\.
Maintain JCAH
standards re
lizi and
clothing
.e
.
;
B. ACTIONS
REQUIRED
, 1___
:
'1.Inventory,Of
1.Personal clothing
-individual
allowance
.clothing supply
2.Private storage
2.Storage space
space
inventory
3.Clothiig consultant
3. Linen
4.Consult with 'Ameri-
inventory
can Laundry Assn.
..
.
1.Clothing to
purchased from
wholesale garment
source
2.Resident pur-
chase /selection
of clothing
,
be
Meet .CAM
Standards
1
-4
Maintain JCAM
Standards
.
.
Maintain JCAH
Standards
.
_
.
Maintain
Standards
..
JCAH
..
,1
C. ?UNDING
.
SOURCES'
.
.
DPW
.DPW
n,.
..
.,
..
1.DPW
2:Resident's
funds
,...
.
1.DPW
2.Reeident's
funds
'
1.DPW
2.Resident's
funds
1.DPW
2.Risident's
funds
.
.
1. DpW
24 Resident's
rands
.
'
D.
PARC
ACTIONS &
.RESPONSES
.
.
Parents to
1.0n-site inspections
check on
.2.Reports to PARC
clothing
Office, ARC'S &,parent
inventories
groups
.
.,
1.0n-site in-
spections
2. Reports to
PARC 0fficei
.AMC's S parent
groups
'
.
1.0[1.1-site inspec-
tions
,
2.Reports to PARC
'Office, ARC's &
parent groups
.
1.On-site
inspections
2.Reports to
PARC Office,
ARC's S
.
.parent groups
1.On-site in-
spections
2.Reports to
PARC office,
ARd's S
parent groups
1.0n...site
2.Re4orts
Office,
parent
.
inspections.
to PARC
ARC's and
,
groups '
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LINEN AND' C.COTHING- SERVICE
A. GOALS
COMPLETION BY: JANUARY '31, 1975
1. Each State School and Hospital shall apply for JCAH/ACFMR'Accreditation in Linen and Clothing_Servioe. 4,----.
1 , ,.
2. Complete inentories of individual'clothing supplies storageDace; fuliniture,_adlii-19n supplies shall be made by each State Schooland Hospital. ,
B. ACTIONS REQUIRED
1. An inventory shall be made of each resident's clothing supply.
2. An-inventory of available clothing, storage space,'availablefurniture for storing a clothing, etc. shall be made.
43. A complete inventory of linen supplies shall be completed.
C. FUNDING souRcTs_
Department of Public Welfare 'Institutional Budget
PARC ACTIONS 111) RESPONSES
r-icourAge parents to check on all-inventories of their children'soloihing bb visiting the State School, requesting an inventory from theState School, 'etc.
4.
79
-76-
A. -GOALS
LINEN AND *CLOTHING SERVIC.E.
COMPLETION BY: JULY 1, 1975
Eadia_individual_shaiI_Jaa_ve his own clothing supply; individuallymarked and nontransferable.
2. Clean sheets shallbe provided asneeded and not less thansemi-weekly.
3.. Each resident Shall receive clean wash cloths and towels daily.
4. Each resident shall have a complete set of clothing availabledaily, which has been cleaned and ironed..
.5. JCAH/ACFMR Self - survey shall have begun in area of Linen andClothing Service.
. B. ACTIONS REQUIRED
1. Each individual shall be given a clothing allowance of neat,fashionable and properly fitted clothing.
2. Each person shall have private storage space for all of his
. personal clothing.
3. A clothing consultant shall be retained to advise on designand future purchase of clothingand to make recommendations for thedesign of special clothing for handicapped persons.
4. A laundry consultant, or consultation with the American LaundryAssociation shall be initiated-in any State School where laundryproblems exist.
C. FUNDING SOURCES
Department of Public Welfare Institutional Budget
D. PARC ACTIONS AND RESPONSES '
1. On-site inspections by PARC Residential Services Committee and
local ARC's to take note of resident's clothing and storage space, as
well as available linen supply.
2. Reports of these visits shall be sent to PARC Office, parent
groups and local ARC's.
0
'80
-777
,0
V
LiNEN AND .CLOTHING SERVICECOMPLETION BY: JULY 1, 1976
A. GOALS
1. Elimination of institutional state clothing_for residents ofState Schools. ,These clothes have proven over the years to be poor;lymade, ill fitting, drab and without style. All residents shall have afull supply of properly fitting, commercially manufactured clothing bTthe above date.
2. Each State School shall request a survey of the Linen and Cloth-ing Service by a JCAH/ACFMR Survey Team.
B. ACTIONS REQUIRED
1. Clothing shall be designed and manufactured by a prOfessional.clothing firm'and purchased from a wholesale garment house,
2. Residents shall be encouraged to purChase, ,or at least select,their own clothing Cwith the assistance of direct care and programstaff, if necessary.)
C. FUNDING SOURCES
1. `Department Of Public Welfare -.Separate line item for newclothing reflected in the 1975 Budget request.
2. Resident's personal funds.
D: PARC ACTIONS AND' RESPONSES
1. On -site inspections by_' PARC Residential5ervices_Committee;__local ARC's to take note of resAdent's clothing and'storage space,as well as available linen supply, .
2. Reports of these visits shall be sent to PARC Office, parentgroups and-localrARC's.
S`
81
-78-
'LINEN AND CLOTHING SERVICECOMPLETION BY JULY 1, 1977'
A. GOALSA
JCAH/ACFMR Accreditation in Linen and Clothing Service shall beattained.
B. ACTIONS, REQUIRED
Meet JCAH/ACFMR Standards
C. FUNDING SOURCES
1. Department of Public Welfare
2. Resident's personal funds
D. PARCACTIONS AND RESPONSES
1. On-site inspections by PARC Residential Services'Committee;local ARC's to take note of resident's clothing and storage space,as well as available linen supply.
2.. Reports of these visits shall be sent to the PARC Office,parerlt groups and local. ARC's.
IP '7
8 2
t
-79-
°
A
K.
.os
LIN-E-N--'AND CLOTHING "-SERVICES43
,
COMPLETION BY: JULY-1, 1978-THROUGli JULY 1, 1980
A.,:.:'GOAta
" _____'Ipintain.JCAH/ACFMA Accreditation' Standards for Linen and Clothing
Service throu: .1980. _,
B. ACTIONS- UIRED
+feet JCAHiACFMR Standards
C. FUNDING SOURCES"
,2. Department of Publie Welfarekt.
2. Resident's perional-funds
D. PARC ACTIONS AND RESPONSES
1. .0n-site inspections by PARC Residential Services Committee;. ARC's to take note of resident's clothing and storage
as well as.available linen supply:4 .
2. Reports.of thesegroupi and local ARC's
qi6 4
`%.
A
%
- .
visits shall be sent to PARC Office,,pa'rent')_.
6"
1t3
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1-10NITORTIIG'.
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-81-
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'MONITORING
. .
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/1/76.
74./7
7
40
7/1/78
A.
GOATS.
ACTIONS
REQUIRED
1
1
.6
'Develop uniform
rocedure,for
MARing.& writing
reviews of :.State
Schools
b cedu
.!.241egul
State Sch
.Annusl.raitiew on
is of 1975 pro-
one for
is
UnannOunced on-
site reviews
Unannounced on-site
reviews
,7/
1/79
7/11/80
Unannounced otrmite
reviews A
i
4.
'
44 Identify deficiencies
2.RecOmm4ad cor7
ructions
'
.3.Specify,date for,
corrections.
4.Publiah reViews
14dentify defi--
qiencion,
A.Rdcommond
.0orrectiOns
3.SpecifS, date for
corrections
-4.Publisb reviews
1.Identify de-
ficiencies
2.RecCmmend
corrections
3.Speicify date
for corrections
4.Publish reviews
1.Identify de-
ficiencies
cor-
cor-
rections.
rections,
3.Specify date
for corrections
4.4ublish reviews
1.Identify de -
ficioncies
2.Recommend
corrections
3.Specify date
for corrections
4.Publish review*
Unannounced on-site
reviews
1.Id htify de-
fici
cies
2.Re
mmend
cor
Ctions
3.Spe9ify date
for corrections
',4.PubIlah reviews
C.
,FUNDING
SOURCES,
CO
.1
PARC
I.
&'
4ESPONSES
DPW
DPW
,
DPW
DPW
DPW
DPW
1.Access to Dept: of.
Public WeXiare..rdview
2.Note defiaienCies
0.InspeCtionS. to note
.correcpiOnstrepotti
'to PARC Office., local
Aec'S & parent grOuph
4:Politic/a 4 legal
pressera if, nedrisary
1.idVi*Ory -"DPW Rags...
for SS&R.
2.Reactions to Rego.
3.Accesi,to DPW reviews
4 Note deficiencies
5. OnLsite inspections
6.Reports to PARC
Of
ce, local ARC's, &
ants groups
.1*
7
1.Acdess to DPW
reviews
2.Noie'deficienciey
3.0n4site iaspec-
tionti
4.Rekte.to PARC
Office, local ARC'il
& parent* groups
l.Access to DPW
reviews
..
2.Note deficiencies
3.On-site inspections
4. Reports to PARC
Office, local ARC's
& parents groups
1.Accoss to DPW re-
views
2.Note deficiencies
3.On-site insOec-
'tions
.
4.Reports to PARC
Office, local ARC's
& parent groups
1.Access to DPW revien,
2.Note; deficiencies
3.0n -diteinspections
4.Report* to PARC
Office, local ARC's'
& parcints groups
-b
dr.
A. 'GOALS
M 0--N-T T- -0
COMPLETION BY: JULY 1, 1975
1. The Department of Public Welfare shall develop uniform proceduresfor on-site reviews and surveys of State Schools. These procedures shallbe based on JCAWACFMR Self-survey Corms and shall ihclude the areasof program, housing, health care, clothing and linen service, foodservice, staffing and.administration.
B. ACTIONS'REQUIRED i)
1.. Deficiencies shall-be identified-in each Stag School and Hos-pital.
Appropriate corrections sha'll be recommended'.
3. A date for correcting.deficiencies shall be presented to theState School.
4. Staff shall be informed of deficiencies and-shall develop plansto correct them by the'date specified above.
5. Reqults of the State School and Hospital Reviews, includingdeficiencies-and plans for correction, shall be availablirto the public.
C. FUNDING SOURCES
4- Department of Public Welfare -1:- Obtaimecces to DPW State School and Hospital Reviews.
2- *cote deficiencies..
L-)- 3. -PeriodiO'on-site visits to observe'w ether corrective action isbeing taken. Reports to the_PARC ()Mop; 10o4 ARC's ande,Parents Groups.
,4. Political and.aegal pressure if corrections are not made by,dates specified.
..
,
_
-.\. .7;7 7, , _ _
:
. 8 6:
. -83- :
COMPLETION BY: JULY '1, 1976
1. The Deparime nt of Publi are shall establish regulationsfor State Schools. DPW currently has regulations for Private LebensedFacilities, Intermediate Care and Skilled Nursing Facilities. TheDepartment has not established similar regulAtions for State Schools.In January, 1973, the Federal Government published Medical AssistanceStandards for facilities housing retarded person's. The Departmentshall adopt-regulations for State Schools and_Hospitals on the basisof these federal regulations as well as JCAH/ACFMR standards.
2. Annual monitoring based on site survey procedures written in
July, 1975.
R. ACTIONS REQpIRED
1. Deficiencies shall be identified in each State School.
--J
2. Corrections shalrbe recommended:.-.:
3. A date for correcting deficiencies shall be presented to theState Schools and liospitdig".4 N.
,
, .
--,..._Ai 4. Staff shall be informed of deficiencies and must develop plansto correct them by the date specified above.'
ti
5.' Results of the State School and Hospital Reviews, including,defirEncies and plans for corrections, shall be available to -Ehe'publiC.-
-1,13NmaNG-souReEs1,
Department of Public Welfare.
D. PARC ACTONS AND RESPONSES -
i1. Participate. in advisory capacity in development of DPW regula-tiOns" for'StAte Schools and Hospitals.
2. React .to proposed regillations.-.
.3. Requqst access to DPW AnnualsReviews.._
1:4", A., Note deficiencies At each StateSchool and HOspital2
S., Periodic 9n-site, visits to observe wheth4i corrective action iseing. tAken:11+..
. Repo ts-to the PARC Office,'local ARC's and Parents Groups.
0(4,,
8?
-84-
44.
A. GOALS
M 0 -1,1 I T-0 Rft N G
COMPLETION BY: JULY 1, 1977,JULY 1, 1978JULY 1; 1979-JULY 19ao-
The Department of Publid Welfare shall make unannounced,on-sitevisits to each State School and Hospital and shall provide a writtenreview of each: -
B. ACTIONS REQUIRED
1. Deficiencies identified.
2. Corrections recommended:
3. Staff informed of deficiencies, corrections to be made, date by.which corrections are to made, etc.
44: Publish resulteof*.reviews for interested group's.
C.- FUNDING SOURCES
Department'of Public Welfare
PARC ACTIONS AND RESPONSES .
.1. .Request access to Insti qtionaI Review.
------------2-. 'Nate deficiencies.:
,*
3. Make periddic on--,M_ visits to-observe whether correctiveaction is be -
4. Re or,s to the:PARC Office, local AR0's and'Parenis Grdups:,
. ' r M1c .
.8
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ADDI.TIO N AL
RE'COMM-ENT7ATIO'NS
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-86-
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-.
ADDITICNAL_RECOMMENDAT-IONS
1
-
o 'Avoid any involi/ement of the General State Authority in programsto renovate or_replace old, unsafe_buil4ings.at_State_Schools-.
Building programs involving GSA at State Schools are generallymarked by excessive delay, high cost, obsolete design and poor workman-ship. As an example, the ten modular units now being built at Pennhurstwere originally, scheduled to be completed by December 1972;.by mid-summer 1974, the completion date. was indefinite. The original cost wasto be approximately $150,000 per unit; the cost at the present time is$190,000. Many discrepancies in construction have been uncovered, such ,
as:
..,Improper grading caused runoff water to flow throughcracks in the foundation walls'and into heating andcooling"ducts.
.Steel-bathtubS were installed and.later had to bereplaced with the iron and procIlaln ones_ calledfor_in the specifications.
. .Door bucks, the framework against which the doorscloSe,..were made.-of wood'instead of metal and hadto bep4eplaced.-
, . .Voltage required for-heating units didn't match4. -that already wired into the buildings.
4
This is nol:t-an isolated occurrefice,by any means. It leads one toquesciola the competence of GSA to perform its function, especially in-light oftherrecent-disclosure that political contributions were de-manded from engineers and architects by GSA as the price for the awardof a- contract.
:-Senate Bill 95.6 transfer's the fbncfions of GSA, as well as certainfunctions of the Department of Property and Supplies, to.a newly-
' created Department of Building Construction. This Bill was introduced,in June 1973 and has moved throughtfinal passage on.July'll, 1974,tO.thelnse, where it is pi.d-Sently in the State: Government Committee. It_appears almos,t certain that this Bill will acComplish_hothing,exceptthename change ofthe General State Authority. The time - consuming and in-efficient practices will very_likely conttinue undiMinished.
-Citizen inVolvement'and review of building plans, as well as of theactual constructiono may help ,to alleviate some of these problems inthe future, but there is no assurance that dither GSA or any _other govern-ment agency wiil-heed-the ;complaints and warnings of:these citizens.Factory -built unitsyshould be studied further as a theans oT,prwildingsafe, economical housing during the transitional period of deinstitu-,tionalization'end inStitutonal reform;
o Eliminate the concept of "interim care."
o Allocate state funds according to thetype of service the retardedizen receives and net according to a arbitrary classification
of the facility.
o',Develop a consistent set of fire and safe stadeeds and capabilities of the residents.
sed on the
A continuum of residential services is required'if the range of pro-grams and environments that willmeet_the needs of..all retarded citizensis to be available. The necessity for this continuum has been recog-nized in defining nine different types of facilities under the currentDPW Community Living Arrangement (CLA) Program. Most private licensedfacilities would fall under one Or the other of these nine types. There
ii is no longer any need for maintaining a-separate category for "interimcare" facilities now that the C1Z Program has been established. Theorttinal purpose of-interim care was to .provide a temporary residencefor those on the waiting list to enter a State School. This is if-cr.longer a valid purpose given the present emphasis on deinstitutionali-zation. The term "interim care" always was a misnomer because theplacement was more likely to be permanent than temporary.
The present classification discrimin es against the private li-..
c n ed facility (PLF) on the basis of funding and on the basis of(s an ards applied by the State. ThelELF receives $11.00 per diem for
eab resident; the cost at State Schools for similar retarded citizensis 30.00 a day and upward.' Group hbmes are program-funded to covert it entire cost; including mortgage or rental.payments and the pur-ch se of furniture and equipment. The FIX must seek other funds forcover the cost_of the prop ty_and__the_furnishings- ,
In terms, of standards, the PLF must conform to Labor and IndustryStandards for C-1 occupancy or face immediate closure, despite thefact, that many persons in PLF's.do not require -the constant care thatthese standards imply. The State Schools are also supposed to conform,to. the C-1 standards. None of them do, but th State has not moved to -,.close them k For 'example; at Pennhurst it is timated that renovationsto meet Life safety Code Standards will take approximately three yearsto complete. Meanwhile,the buildings in q Pstion remain in use.
/ . .,
For these reasons, the teith "interim bare" and all that.it impliesshouldlpe abolished. Private licensed facilities should,be treated on
,
/an equitable basis with-the other community facilities with regard tofunding and standards. *The cost should be based on the actual servicesprovided,to the resident, not on a- concept o-f service or on an arbi-trary classification of the facility: The Life Safet31;,Standardsshould also be based-on-the actual nee and capabilities of the resi-
etandards leading to JCAH/ACFMR .sere itatiorf,'anb tlimpfacilities shoUjd,?Is,,denty All- facilities should be evalu ted.periodically on.the basis of
. ,
be moved ih the direction of obtaining'such accreditation. Tie reportof the LTCAWACFMR evaluation I should be made available tb the public.T Regional commissioner 1,-,A...,,,ly .,sAould be held accountabe for taking
ropriate action on r",c --1",:,; .,1 iOs made in the eyaluaion report.am.. ,..,
2 ,
o Imtediately establish separateunits for retarded persons living
in State mental hospitals.
o Establishment of transitional programs at state institutionssuch as Marcy and Embreeville that have been acquired to alle-viate over-crowding in State Schools and Hospitals.
o As deinstitutionaliiation proqeeds, plans shall be developed'to phase out these placements and*place the retarded citizensin appropriate alternati e facilities which are conducive totheir growth and develop ent.
In September 1913, DPW publicized that separate units were beingestablished on the grounds of State mental hospitals for retarded per-
sons who were residents there. The unit would be administratively se-parate from the hospital, with programs directed toward the s- pecific
needs of the retarded residents. The objective of this prograt was toprepare as many of ,the retarded residents as possible for a return to'
sr\
community living.G
A Departmental Policy Guide covering the establiShment and opera-,tion of these units was published. The Policy Guide stated that the
establishment of these units was a high-priority activity fbrtheRegional Offices. Despite the laudable goals and the note of urgency,
very little has been accOmplished in the past year since the new policy
.w,p)announced.
At Norristown State Hospital, for example; no separate unit has been
established for the. 200 retarded citizens who reside there. There is'no
__program specifically serving.the retarded population.
Similar.circumstances currently exist at Embreeville and are Bevel-
; oping at Marcy: The acquisition of appropriate staff at Marcy to carry
out proposed program plans has not occurred. The slow return of Em-breeville residents to the comminity and the lack-of transitional plan-
ning at that institution indicate that proper planning to phase out these
units is not occurring.
In each case,- DPW has proposed a policy, but has failed to estab-
lish a schedule, provide proper funding, and enforce the policy. Such
failures can only serve to.undermine the authority of the Department.
A precedent has now been established for ignoring ally diredtiVe issued
by DPW: -
. N
Everyone agrees that a mental hospital or a former TB hospital is
a highly undesirable place for a retarded person.. The fact remains,
however, that there are hundreds of retarded persons presently residing
in State mentaI-hosp4als and (DyA.r.ciowded State Schools and Hospitals. ,
While they arg-there,-every effor2t hold be made to provide an environ-
ment that will facilitate prograts, and to provide programs that will
facilitate their leaving as soon as'possible.
A
o Urge the State government to buy suitable property and to. lease it to private agencies for the establishment. of -com-munity living alternatives.
Community placement of the residents of State Schoolg has been -ex-tremely slow.- One of the primary reasons for the slow development ofcommunity living alternatives is nonacceptance by the community. ZoningBoard hearings have invariably gone against potential operators, despitethe support of local ARC's and other civic organizations. Even whenproper4has been available, the difficulty of obtaining purchase moneythrough private resources has impeded the development of Community al-.ternatives:
,For'these reasons, the State government should acquire properties,
for the development of community living alternatives. Insofar as possible, the State should exert its right to eminent domain to obtainthese properties. The State should coordinate these efforts with eachcounty MH/MR office to determine the number of types of_community'living alternatives that will be needed, both now and in the future.At the same time, the State in conjunction with the Cotinty MH/MR Pro-gram should develop sheltered workshops and any other supportivefacilities that'are required to meet the developmental needs of thecommunity residents.
930
A
A
A /
_Halt all court commitments,to State Schools, regardless ofthe reason for making the commitment,
o Establish immediately at least one Type 4 (Structured--Correctional)-gLA in eachRegion.
OP
Court commitments to State Schools have been made for a varietyof reasons.' In some cases, it is no loriger possible for the retardedperson to remain in his or her natural home for example, due to thedeath of a parent.) In other cases, the retarded person may have ex-,hibited anti - social behavior. It is always inappropriate to commitan individual to'a State School by court order, but never More so thanwhen the individual has a serious behavior problem.- First, StateSchools do not provide'the program of behavior modification that isrequired to develop acceptable behavior by the individual committed.Second, persons committed to State Schools by court order, oftenconstitute a hazard to other resident's and to staff members becauseof their unacceptable behavior. Third, such commitments increasethe crowded conditions in State Schools and rillify efforts to reducethe population.
'
For these reasons, at least one Type 4 CLA should be establishedin each DPW Region. The Type 4 CLA is specifically designed to meetthe needs .of individuals requiring a program of behavior modification.The courts should be advised that all future commitments of any natureshould be made through the proper county MH/MR Administrator.
t
0
/
4
/ -91-
o
1
.1
.
4
o _.Thedevelopment.of Famady-Gare-Tr
-nos
Foster Care r children and adults w s are mentally retarded and_presently residing in State -Schools Can b: one-Of the beSt communityplacements.
of
In border to ma e this a suc essful pro ram, we need:
1. . Negotiatioi with the Office of,Chi dren and Youth of theDepartments f Public Welfa in der that the County,MH/MR can h ve responsibility for placement and mainte-nance. (Pr sently Child Welfare has the legal right'Sfor placeme t of all children under 18 years of age.)
2.. An adequate -raining program for foster parentsbefore place ent followed by a continuing trainingprogram.
.
3. Staff,must'b available to provide continuing supportof the foster family. Daily visitation is often re-quired initia ly. Trained staff is necessary-
4. Adequate fund ng must be available for payment tofdster, parent in order, to fund and maintain good
'placements. (Presently a maximum-of $11.00. per diem'is permissible. This is not sufficient, especially-.
for placeMent f profOundly or severely mentally re-tarded individhals, and multiply handicapped childrenand adults.) er diems should be based onfdegree ofhandicap in fo ter placement.em . .----,
5. The term "Family Care,Training,Homes" has been usedelsewhere and is more appropriate for this programi
. I
<,_,
It is assumed that the natural parents will be involved previous to-.
,
foster placement and'continually involved with, the program.
It is also assumed t at an individual program plan has beendeveloped for.each'person before such placements.
,
The priority for foster placement of those persons whip are mentallyretarded should be with the County'MH/MR Program,., This Program has thecapacity to provide the supporting staff through the Community LivingArrangements Program and other Co my services.
9 5
1
I-
o The establishmeht ofdelivery systenv anaAct of 1966..
Committee to study in depth the serVipes-funaing as established by the MH/MR
The focus of this study should be-on providing a continuum ofservices for each mentally retarded Pennsylvanian, based on his orherfdeYelOpmental needs%
0
N
r
'
96
-93-
4
.0
41,
.
1).
4
PAR C A C I O N .T
f d
.
1'
98
/
is
-PARC ACTIONThe "Design for Living" presents a. challenge to the, Pennsylvania
Association for Retarded Citizens. This Plan is not a "pie in-the sky"approach to solving present-day problems in the 'State Schools and
_pitals. Instead, it is rea1i tic in that it considers the existinginstitutional system and what can be done within workable and iqd$onable-
-; limi -bpi
_ . 7
tion of each resident in each State School, according to hii7her pre:sentand future needs.
Second, it calls for the placement of residents in programs basedoh their needsanit abilities. Such programs are already being plannedfor all State Schools by the Department, of Public Welfare.,
Third, the -P-lan is both goal and time specific. Certain goals areto be achieved by certain dates. This represents an approach to problemsolving which focuses on present needs and future /planning.
FoUrth, implementation of this Planwill not.require a vast increasedexpenditure of tax dollars. It does require creative and imaginative-approaches in such areas as improving the environment. While theresponsibility for such action lies with the Department of Public Wel-fare, there are manpower resources such as parent grroups, ARC'S, YouthPARC, Civic groups, service clubs, and volunteers who can be utilizedin the areas of "cosmetic" improvement at State Schools. The imaginativeuse of this resource has never been attempted. There is very littleinvolvement,of community groups and volunteers in actually helping toimprove the physical surroundings of residents in State Schools..
Lastly, this Plan does call for direct involvement of the communitythrough BSU contact and the establishment of community living alterna-tives, community h'abilitative services, and community work programs.
Thus., this Plan presents.to the Pennsylvania Association fdr_Retarded Citizens a step -by -step; goal-by-goal, date-by-date "desigp",fOr assuring that, residential services across the State - Whetr)er inState Schools or the community - truly meet the needs of the personsreceiving the services. l
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This Plan.can be implemented trough and ccareful moni='toring by the PARC membership. The lan, a$ outlined,. can providedirection foP the establishment of a\workable, state -wide network ofResidential Servtices,Committees on t,e State, Regional and Local levels.
The Plan clearly outlines a charge to the State Residential ServicesCommittee-. That charge is to provide loeal'ARC's with 'a-"hew to do it"type of direction in order to monitor T.11 of the Plan's recommendations.This indicates the need:for a Residential Services Committee in everyARC Chapter. Local Chapters are'composed of people who are there - inthe counties, experiencing the problems -and developing strhtegies foroverdoming obstacles. Local Chapters a e aware of their prOlems' rela-tion to: local policies; community atti udes; and lack of staff, money,expertise? etc. These problems mustibe the concern of the State Asso-ciation,,and in the area of residential services, a Statk Committee.
99-96-
P.A.
. Interest, coficern, knowledge and involvement must be developed on thelocal level. .2.trategies, plans and responses to local problems shouldbe provided by the State Association upon the request of local chapters.
lncal network must then be expanded to include /designated 1
PARC Regions. Within each Region,:evOry type of residential servicet._- S-13-AP Srsllev")1q,-tr-,;va÷p cae,i14tiPS, grOlar. r ^m is
apartments, foster homes, skilled nursing facilities. A RegionalgroriliTTTp Tre composprP qea
of each .looal'county chapter with input from Parent Groups from StateSchools and Hospitals anti, professionals.
Z1M-110(.41:44 * Elat:3
This Regional' Committee would provide the basis for the on-sitevisits and on-going monitoring of the recommendations outlined in'thisPlan. The Regional composition is necessary, since it, hopefully,will represent all local ARC's with each county representative reportingback to his local chapter, and subsequently, to the local MH/MR programand the Base Service Unit.
In order to assure the implementation of this Plan, specificguidelines for monitoring all of the recommendations madeby the Planmust be developed by the PARC Residential Services Committee. Theseguidelines must be specific and uniform and should elp Regional teamsto identify specific deficiencies, as well as recomme ding,actions tobe taken to bring these deficiencies to the attention f the DPW, orany other responsible State agency for solution. Thesereports shallalso suggest further actions to be taken by PARC, whether they belegislative, legal, etc.
The implementation of this Plan is dependent on these factors:
1. Acceptance of the Plan by the membership of PARC.
2. Agreement and acceptance of the Plan by the DPW.
3. Involvement of local 'chapters, regional residenV.al servicecommittees, and the State Residential Services Committee.
COmmitment on the part of PARC to support and apt on recom-mendations of the Residential Service Committee to assurestate-wide implementation.,
s
Cooppration among DPW; State School residents and parentgroups; the Pennsylvania Association of Reiidences for theRet(rded (PARR>' and, the PARC membership in the fuftherdevelopment of this Plan.':
6. Liaison between,PARC Chapters and respective BSU's. PARCmonitoring of each BSU.
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MEMBERS, AD HOC 'PLANNING
COMMITTEE FOR'RESOLUTION 114-
. July October 1974I
Mrs. Harry P. Clapp
Jerome -Rixnstein_Mrs. Philip Elkin
Mrs. Eleanor J. Kephart
Dr. Michael M. Eisman
21 Mrs. Virginia Thornburgh
Ms. Ann Buchholtz
Ms. Sandra Thompson
Mr. Thomas Sayer
Mrs. Marlene Burda
Mr. L. Steuart Brown
Mrs. Elsie Schmidt, Chairwoman
PARC STAFF CONSULTANTS
Mr. Peter P. Polloni
Ms: Diane.J. Phillips
1 0 1
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CONSULTANTS TO THE
. Pl(ReAD HOC PLANNING COMMITTEE
E,..--Gene Patterson--71-1FFOTor,Pogram ServiOpc
National Association for Retarded Citizens
2. Harry Wilkinson ')
Northeast'Regional RepresentativeNatipnal Aqso6iatiOn for, Retarded Citizens
3. Sheldon R. Gelman, Ph.D.Assistant PrOfessor, Social WelfarePennsylvania State University
4. Charles J. Seevers, Ph.D.Executive Director.Elkhart tounty,Associatiop foil the IltardedIndiana *
5. Alexander Hersh, Ph.D. c
Member, Sociology FacultyUniversity of PennsylvaniaPhiladelphia-
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GLOSSARY OF TEAMS
COMMUNITY LIVING ALTERNATIVES:
Appropriate i-esidential placements in thecommunity. These alternaIFITITEBTo ly-group-homes-; but also skilled-nursingfacilities, foster care, apartment'livingl
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sons remaining in their natural homes: t.
EXIT MODULE:
A unit ofthe CompOnent P gram in'a-StateSchool and"Hospital which'Prepares the rbsi-dent for his/her return to the community.
SERVICE DELIVERY CONTRACT:
A written agreement between facility (oragency):personnel, the resident and.bis,or her darent or guaqian"which outlinesspecific developmental goals to be achievedby the resident withinia specific time frame.
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BIBIi0 G RA(13}CYArthur Bolton Associates, An Analysis of Pennsylvaniails.PiogniMi
i- for theMentally Retarded, Harrisburg, Pa:, April 1,1974-1,t
:
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a
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O'Connor,Gail and Sitkei, George E., The Study of a New Frontier inCommunity Services: Residential Facilities for DevelopmentallyDisabled Persans,.University of Oregon, Wcirking Paper No. 72., '
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1-ti
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.Pa. Department of .Public Velfare, Per Diem Ratesfor State Scoolsand Hospitals, March 8, 1974 k
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