For People w ith D evelopmental Dis abi lities - MACDDSmacdds.org/Counties/Lincoln_County/community_opportunities_annual... · Our Mission Our Goals ACCR EDIT ED ... jru [email protected]

VOLUME 11 –11 PAGES PHONE/FAX: 636-462-7695

44 Opportunity Court Troy, Missouri 63379 P.O. Box 420 Troy, Missouri 63379 WWW.COMMUNITYOPPORTUNITIES.US

For People with Developmental Disabilities

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Fiscal Year 2009-2010

WWW.COMMUNITYOPPORTUNITIES.US P.2 FY ’09-’10 Annual Report

Who We Are Community Opportunities for People with Developmental Disabilities (LCSB 40) is a tax-exemptpolitical subdivision that is enabled by the citizens of Lincoln County to provide and/or contract forservices for individuals with mental retardation and/or other developmental disabilities. The Board iscomprised of nine members appointed by the County Commission.

Our Commitment to ExcellenceResidential, Community & Employment and Transition Services are nationally accredited by CARFInternational (The Rehabilitation Accreditation Commission). CARF is a private, not-for-profit organi-zation that establishes standards for quality services available to people with disabilities.

Adherence to these standards is measured through an on-site review. CARF accreditation demon-strates Community Opportunities’ on-going commitment to providing individuals with developmentaldisabilities services of the highest quality. Our agency has successfully completed seven CARFsurveys, each resulting in the highest level of accreditation. Our 2010 survey will be the first surveyof our newly developed Case Management Services.

Exceeding the Standards All of our staff meet and/or exceed the standards set forth by our contracting state agencies andreceive a minimum of 80 hours training upon hire. All staff maintain current certifications in CPR,First Aid and have training in Abuse & Neglect prevention, working with difficult behaviors, HIPAA(confidentiality) and Emergency Preparedness. All direct-care staff are required to complete Posi-tive Behavior Support through the College of Direct Support on-line curriculum within their first 90day of employment. Staff are offered the opportunity to complete the College of Direct Support anon-line curriculum for direct support professionals. All staff that administer medications are certifiedin Level I Medication Administration.

Services are developed and actively supervised by Qualified Developmental Disability Profession-als (QDDPs). Our Job Consultants are Certified Employment Training Specialists.

Our Mission Our Goals

ACCREDITED

The Mission of CommunityOpportunities is to conduct programs

and/or provide opportunities thatsecure services and promote the

general welfare of citizens with mentalretardation and/or developmental

disabilities (MR/DD) primarily from theLincoln County area.

To include people with disabilities intothe community; To employ and develop

quality staff; To educate the publicabout available services and educatethe public about individuals who havedevelopmental disabilities; To develop

an array of services and a variety of funding sources.


Our Board of DirectorsThe nine member board is appointed by the County Commis-sion. Our enabling legislation states two Members shall berelated by blood or marriage within the third degree to a per-son who has a handicap as defined in Section 205.968 RSMoand four shall be public members. Board Members are ap-pointed for three-year terms and may be re-appointed tosuccessive terms.

Board Meetings are held at the main office (#44 Opportunity Court, Troy) thesecond Thursday of the following months: February, April, June, August,October, November & December, and begin at 7:30 p.m., unless otherwisenoted.

2010-2011 Board Members (pictured above front row left to right):Shirley Kelly; Harriet Zuroweste-President; Mike Miller; (back row): SarahBurkemper; Gary Kreuger-Vice-President; Cheri Rountree-Secretary; Dolores Fink-Treasurer; and Diane Campbell; (not pictured) Teddi Michler

Special Thanks to Past Board Members: Wayne R. Wehde and Warren Muzzey whose terms ended 7/22/09. Wayneserved a total of 18 years on the Board and Warren served 6 years.

Gina Dunard, B.S.Director of Residential Services636/528-7695 ext. 134E-mail: [email protected]

Susan Mudd, B.S.Director of Quality & Education636/528-7695 ext. 121E-mail: [email protected]

Darla Gamble, C.R.A., E.T.S.Director of Community &Employment Services636/528-7695 ext. 135E-mail: [email protected]

Jim Ruedin, B.S.Director of Case Management636/528-7695 ext. 105E-mail: [email protected]

Our Department Directors


EExxeeccuuttiivvee DDiirreeccttoorr’’ss MMeessssaaggee

We continue to work diligently to provide necessary supports andservices to as many people with developmental disabilities as possible. Wehave had budget cuts due to the significant decline in state revenue, butthrough our local tax levy we have tried to reduce the negative impact onthe people we support. Even in these difficult financial times we strive tomeet the needs of families in Lincoln County who have members withdevelopmental disabilities.

Through expanding our partnership with the Department of Mental Health-Division of Develop-mental Disabilities we are embarking on a new initiative, the Prevention Waiver. The PreventionWaiver is designed to assist families in meeting the needs of their loved ones with developmentaldisabilities to prevent premature costly out of home placements and other more costly services. Ifyou offer assistance at the right time, some people can be successfully supported at minimalcosts.

Additionally, we have expanded our Case Management Services to include supporting individu-als starting at age 12. Working with children and their families at this young age we can helpto start the transition process—helping to think about the future and the possibilities for adultlife.

Community Opportunities continues to be actively involved in state-wide organizations thathelp us continue to implement best practices and share ideas. We have an extensive networklocally and across the state. Through partnering we can identify supports and resources to meetthe many challenges that families face. We have re-established our community educationefforts by offering monthly programs on various topics of interest to families and individualswith developmental disabilities.

As our focus continues to be supporting those with developmental disabilities and their families,we encourage you to become actively involved in getting to know your legislators, the issues theysupport and how this affects lives of people with developmental disabilities. Our senator, ScottRupp listened to the concerns of numerous families experiencing autism and was successful inpassing legislation requiring insurance companies to cover therapies for children with autism.Voicing your needs and telling your stories to our legislators and the Governor is the only wayto prevent further funding cuts and loss of services to people with developmental disabilities.

Mary Sullivan-Thomas, B.S.Executive Director


STRATEGIC PLANNING FYs ‘11-’13

After completing various strategic planning activities, including a public andstaff focus group meetings, reviewing survey feedback from clients, staff, par-ents/guardians and stakeholders, the following goals were developed:

Human Resources – Continue to hire and train excellent staff.

Supports – Provide supports to meet the needs of people in Lincoln Countywith developmental disabilities.

Public Education - Continue to expand public education efforts and distributea consistent message about the resources and services our agency provides.

Financial - The agency shall continue to be fiscally responsible.

We annually report progress towards each goal in our Business Improvement Strategy Report which is available upon request.

Satisfaction Survey Results (Consumer/Family/Stakeholder)

Satisfaction info is based on surveys from the first half of the fiscal year.

Goal ResultEmp. Svcs. 95% 98%Emp. Svcs. 95% 89%Trans. Svcs 100% 98%Trans. Svcs 100% 89%Comm. Svc 95% 100%Comm. Svc 95% 100%Res. Svcs. 95% 100%Res. Svcs. 100% 100%TCM Svcs. 90% 96%TCM Svcs. 95% 96%TCM Svcs. 95% 100%

0%

20%

40%

60%

80%

100%

120%

140%

Emp. Svcs.(Consumer)

Emp. Svcs.(Stkhldr.)

Trans. Svcs.(Conumer)

Trans. Svcs.(Stkhldr.)

Comm. Svcs.(Consumer)

Comm. Svcs.(Stkhldr.)

Res. Svcs.(Consumer)

Res. Svcs.(Family)

TCM Svcs.(Communication)

TCM Svcs.(Consumer)

TCM Svcs.(Stkhldr.)

Goal

ResultFY ‘09-’10 Overall Satisfaction of Services Results


Service Delivery Improvement Plan Results for FY ‘09-’10

Employment ServicesEmployment Services assists adults with developmental disabilities who require the provision of on-goingsupport both on and off the job, which may or may not be time limited; to choose, obtain, and retain paid em-ployment in integrated work settings. Employment, which includes Transition Services, receives funding from the Department of Elementary andSecondary Education, Division of Vocational Rehabilitation, and Lincoln County tax dollars.

Employment Services assisted approximately 47 individuals last fiscal year (14 of the individuals re-ceiving employment services were transition students).

Progress #1: 75% of individuals will be placed on jobs within 180 days of completing job assessments.Result: 50% Outcome #1: 80% of clients placed through Employment Svcs. will maintain integrated employment for at least 6 mos.Result: 60% Outcome #2: 90% of clients employed through Employment Svcs. will obtain positions that pay at least $7.25/hr.Result: 100%

Outcome #3: 80% of clients referred will be placed into competitive employment within 3 months.Result: 80% Efficiency/Svc. Access #1: 25 individuals will receive employment services during each report period (follow-alongservices not included).Result: 188% (47)


Transition ServicesTransition Services is designed to assess the abilities of junior and senior year high school students withlimited or no work experience.

Transition Services assisted approximately 14 individuals.

Progress #1: 75% of students will be placed on jobs within 180 days of completing CTA.Result: 80% Outcome #1: 70% of students will maintain employment for at least 6 months.Result: 100%

Outcome #2: 80% of students employed through Employment Svcs. will obtain positions that pay at least $7.25/hr.Result: 100%

Outcome #3: 75% of students referred to Employment Svcs. will achieve competitive employment within 6 months.Result: 100%

Efficiency/Svc, Access #1: Sixteen students will receive employment services. Result: 113% (18)

Consumer Satisfaction: 100% of consumers surveyed will express satisfaction (rating of 90% or higher) with theprogram.Result: 98% Stakeholder Satisfaction: 100% of stakeholders surveyed will express satisfaction (rating of 90% or higher) withthe employment services provided to their student/client/family member.Result: 89%


Community Services Community Services provides services organized to develop, maintain and maximize independent func-tioning and/or community participation of adults with developmental disabilities through training in personal,social and educational functioning.

Community Services receives funding from the Department of Mental Health - Division of DD, through theMedicaid Waiver Program, Purchase of Service (POS) Agreement, and Lincoln County tax dollars.

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Progress #1: 70% of program time will be spent in community settings.Result: 51% Outcome #1: Individuals will be referred to employment of their choice (i.e., S.E., sheltered workshop, etc.)Result: 100%

Efficiency #1: Contractual income will cover 100% of expenses.Result: 84% Service Access #1: 20 individuals will receive Personal Assistance services. Result: 110% (22)

Consumer Satisfaction: 95% of consumers surveyed will express satisfaction (rating of 100% on the survey) withthe program.Result: 100%

Stakeholder Satisfaction: 95% of stakeholders surveyed will express satisfaction (rating of 90% or higher on thesurvey) with community services provided to their client/family member.Result: 100%


Residential ServicesResidential Service’s goal is to provide an array of housing options, training and support services to adultswith developmental disabilities in order to assist them in reaching their desired level of independence and inbecoming active members of their community. Residential Services receives funding from the Department of Mental Health - Division of DD, through theMedicaid Waiver Program. Residential Services assisted approximately 31 individuals.

Outcome 1: 70% of clients will participate in community activities with people who are not paid staff.Result: 52% Outcome 2: Maximize client achievement of habilitative outcomes in IP’s by completing 90% of outcomes.Result: 91% Outcome 3: Maximize client achievement of service outcomes in IP’s by completing 95% of outcomes.Result: 98% Outcome 4: 85% of clients will participate in community-based activities with non-disabled peers.Result: 87% Efficiency 1: Expenses for Residential Services will be 100% covered by contractual revenue.Result: 95% Service Access: 90% of individuals accepted into residential services will begin receiving services within 45 days ofacceptance..Result: N/A –no new clients this fiscal year

Consumer Satisfaction: Persons served will express a satisfaction rating of 95%.Result: 100%

Family Satisfaction: Individuals’ family members will express a satisfaction rating of 95%.Result: 100%

Stakeholder Satisfaction 3: Stakeholders (funding sources) will express a satisfaction rating of 100%.Result: N/A –No surveys returned


Targeted Case Management Targeted Case Management (TCM) is a group of activities that assist individuals to gain access to the careand services they need. Case Managers are also responsible for monitoring the effectiveness of the ser-vices and supports being given. Case Management activities may take place in or out of the presence of theindividual being assisted, and may include contacts with others, assessments, planning, monitoring anddocumenting on behalf of that individual.

Community Opportunities Case Management is partially funded through the Department of Mental Health, Division of DD, Medicaid and Lincoln County tax dollars.

Community Opportunities TCM provided services to approximately 146 individuals last fiscal year.

Outcome #1: 90% of individuals served reported that they are satisfied with the implementation of their support plan.Result: 96% Outcome #2: 80% of consumers expressed that they have been referred to the services they requested.Result: 96% Efficiency #1: Based on caseload size, the TCM staff will log 70% of their available time.Result: 79% Service Access: 100% of consumers will have a face-to-face meeting within 30 days of initial personal contact withthe Case Manager.Result: 79% Consumer Satisfaction #1: 90% of individuals served report timely communication with their Case Manager.Result: 96% Consumer Satisfaction #2: 95% of consumers express overall satisfaction with their Case Manager.Result: 96% Stakeholder Satisfaction: 95% of stakeholders express overall satisfaction with Community Opportunities CaseManagement.Result: 100%


COUNTY TAX DOLLAR EXPENDITURESIn August 1977, the SB40 tax levy was passed to provide residential and other related ser-vices to people with mental retardation/developmental disabilities in Lincoln County. Eachyear, this portion of the tax levy is collected and disbursed to Community Opportunities,then is split 70/30 with Earthwise Industries (sheltered workshop). During Fiscal Year ‘09-’10 Community Opportunities served approximately 306 Individuals with developmental dis-abilities with collected tax dollars. Earthwise Industries provided sheltered employment ser-vices to 28 individuals with developmental disabilities.

2009-2010 Tax Income ExpendituresTax Income: $626,089.01-collected year end 6/30/10

Additional funds from Depreciation/Reserves: $101,702.58

44%

4%

15%.5%

36.5%

Services Directly Provided

Contracted Services

Family Reimbursement

Residential Waiver Match

Public Education

2010-2011 Tax Income BudgetEstimated Tax Income: $641,199.00

Additional funds from Depreation/Reserves: $192,690.44

53%

4%

16%1%

26%Services Directly Provided

Contracted Services

Family Reimbursement

Residential Waiver Match

Public Education

*Contracted Services Funded:

Earthwise Industries $184,570.20Family Support Svcs. $7,452.10ShowMe Aquatics $7,485.79Boone Center, Inc. $47,162.49OATS/Linc Transp. $49,188.09Options for Justice $4,934.75Behavior Solutions, Inc. $16,146.00Community Living, Inc. $153.80

*Contracted Services Budgeted:

Earthwise Industries $192,359.70Family Support Svcs. $25,000.00ShowMe Aquatics $34,000.00Boone Center, Inc. $84,136.34OATS/Linc Transp. $49,600.00Options for Justice $6,000.00Behavior Solutions, Inc. $30,956.40Community Living, Inc. $3,072.00

44 Opportunity Court Troy, Missouri 63379 P.O. Box 420 Troy, Missouri 63379 WWW.COMMUNITYOPPORTUNITIES.US

In addition to the array of services directly provided, Community Opportunities providesfunds directly to families though the Family Reimbursement Program. This program reim-burses families for temporary residential services (temporary relief for the primary caregiver)and other goods and services that are directly related to an individual’s developmental dis-ability that are not funded through other state or federal programs. Twenty-eight individualsreceived assistance through this program this year. Additionally, our agency contracts with avariety of service providers:

BBeehhaavviioorr SSoolluuttiioonnss,, IInncc.. to teaching families of persons with developmental disabilities strate-gies to managing problematic behaviors 636-265-0407

BBoooonnee CCeenntteerr,, IInnccoorrppoorraatteedd for sheltered employment opportunities 636-978-4300

CCoommmmuunniittyy LLiivviinngg,, IInncc.. for out of home temporary residential services; and for recreationbased programs for youth during summer break through their SOAR program, and out of home temporary residential services 636-970-2800 or [email protected]

EEaarrtthhwwiissee IInndduussttrriieess for sheltered employment opportunities 636-528-8869

OOAATTSS for day program transportation 800-654-6287

OOppttiioonnss ffoorr JJuussttiiccee for liaison/support services for people with developmental disabilities whoencounter the criminal justice system or may be at risk. Options for Justice offers three maincomponents: direct service case coordination; education and training; and information/referral. Any agency or department in the county can request education and trainingservices free of charge 314-721-6161

SShhoowwMMee AAqquuaattiiccss && FFiittnneessss for aquatic OT & PT water therapies 636-896-0999

TThhee LLIINNCC for public transportation 866-261-5462

Contracted Service Providers

Documents

For People w ith D evelopmental Dis abi lities - MACDDSmacdds.org/Counties/Lincoln_County/community_opportunities_annual... · Our Mission Our Goals ACCR EDIT ED ... jru [email protected]