NENA's 9th Annual National Training Conference September ... · NENA's 9th Annual National Training Conference New Orleans, LA September 2019 2 David Leon Deputy Director of Workforce

NENA's 9th Annual National Training ConferenceNew Orleans, LA

September 2019

1

David Leon and Rachel Hoffman

EntertainKeep everyone entertained by making witty comparisons to the 90’s MS-DOS computer game “The Oregon Trail”

Community Partners

Identify at least five key partners who could collaborate with your organization to increase beneficiary success and program reimbursement

IRT Explain the value and purpose of integrated service teams

BuildDemonstrate an understanding of methods for building community relationships, such as resource mapping and networking

The Oregon Trail is a retro MS-DOS

computer game produced by MECC in

1974. The original game was designed to

teach school children about U.S.

Geography and 19th century pioneer life

on the Oregon Trail… and dysentery.

The player assumes the role of a wagon

leader guiding his party of settlers from

Independence, Missouri, to Oregon's

Willamette Valley in 1848.

Despite the fact that this has NOTHING

to do with Ticket to Work…


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David Leon

Deputy Director of Workforce Programs and Ticket to Work Coordinator for the Virginia Department for Aging and Rehabilitative Services (DARS)

Rachel Hoffman

Ticket to Work Manager for The Choice Group

EN

You may be looking for ways to:

1. Increase beneficiary success/ outcomes2. Increase program reimbursement3. Maximize your organization’s resources4. Market your services to community

partners

What is your choice? _

What type of service provider are you?

Be Vocational Rehabilitation Be an Employment NetworkBe an American Job CenterFind out the differences between these choices

Many types of people made it to The 2019 NENA AnnualNational Training Conference:

The EN Trail:Not an easy

journey

The return to work following disability is challenging & full of obstacles for beneficiaries

In addition to disability, beneficiaries may have additional barriers to employment (ex: education, transportation, criminal record).

The goal of our services is to increase the likelihood of success and make the journey less intimidating


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NENA’s General Store

Benefits CounselingContinuing EducationCareer CounselingPlacement ServicesResume Writing

NENA’s General StoreDiscussion:

1. Share which services/resources your group picked.

2. What other services do you think should be up here?

3. How many other groups/ agencies provide employment services?

4. How many other groups/ agencies provide services and supports to the same population?

Work smarter not harder

There are more than 45 federal programs budgeted at more than $4 billion to address employment: Health and Human Services,

Labor, Education, Veterans Affairs, SSA, Commerce, Transportation, Small Business Association, Office of Personnel Management, National Counsel on Disability, EEOC

Are we duplicating services?

Are we providing the right services that will lead to beneficiary success?

You are working with a beneficiary who has been through employment programs with VR, EN & AJC over the last 2 years without success. She can’t maintain employment… why? She does not have reliable transportation.


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You don’t have to forge the river alone.

We all come up against obstacles when serving

beneficiaries (i.e. criminal record, transportation,

client education or experience).

How do we overcome obstacles on the EN Trail? How can we maximize our

resources to facilitate a successful outcome?

You have reached the Big Blue River

CrossingWhat would you like to do?

Cost effective (Access resources we wouldn’t otherwise be able to provide)

Wrap around services foster long term success for the beneficiary – about more than just employment

Person centered/ Interventions address the client as a whole person rather than focusing only on program objectives

Less confusing for the client when partnerships work

Community partnership leads to increased awareness of TTW and increase in referrals

Access specialized knowledge you may not have in-house

Interdisciplinary learning for service providers

Financial Health Assessment and Programs

Vocational Rehabilitation

Physical therapist

Occupational therapist

Veterans administration

In-home counselor

Case manager

Internship programs

Vocational programs (i.e. Journeyman, apprenticeship)

Post-secondary education

Employer

American Job Centers

Residential Services

Behavioral Coach

Psychiatrist

Medicaid Eligibility Workers

SSA Office

Addiction Counselors

Personal Care Attendants

Families

Employment Network

Center for Independent Living

Managed Care Organizations

Recruiters

Temp agencies

Partnership Plus

Employer Training Programs

Employer Accommodations Liaison

Disability Recruitment Departments

Ability One Programs

503 Employers

Federal Employers

Non-profit programs to assist with childcare, housing and transportation

PABSS/Legal services

Waiver Services

Community Service Board

TANF Services

Specialized Transportation

Public Transportation

Department of Social Services

Emergency housing assistance

Domestic abuse center

English for Speakers of other Languages (ESOL)

Clothes closet/ professional clothing consignment

Professional Networking Associations


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Developing Community Partnerships

Resource Mapping: Identify your organization’s resources and barriers in order to determine what community partnerships will be most advantageous:

What resources do you have already?

What resources do you need?

Networking

Informational Interviews about partner organizations

211 Sheet

Be intentional and strategic

Don’t think of them as competitors, but partners!

Few examples/models to follow

Different reimbursement

Different lingo

Different program goals & outcome measures

Resistance to change

Communication

Confidentiality/PII

Time investment

Stakeholder buy-in

Knowing who the players are

Fostering successful collaborations leads to a shared approach and outcomes that benefit all… especially the beneficiary!

Powis, N. & Ralston, D. (2019). Braiding and Leveraging Resources: Building Systemic Capacity Through the Use of the Integrated Resource Team . (IRT) Model. Live Training PowerPoint. Retrieved September 2019


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�An IRT is initiated on behalf of an individual consumer who is experiencing multiple challenges to employment in order to address that one individual’s specific needs.

�It brings together a team of diversified service providers, including community and partner agencies and other core partners, who work together with the individual consumer to strategize on how services can be coordinated to reach and maintain an employment goal.

�The consumer along with the team of service providers come together to establish three main components:

�Consumer-identified, mutually agreed upon, employment goal

�Lines of Communication

�Sequence of Services

�The Integrated Resource Team is an informal agreement between a consumer and the systems providing services to that consumer, allowing the members to coordinate services at the individual consumer level around a shared employment goal.

�This “team” approach promotes greater systems collaboration and increases cross-agency education and accountability of all parties involved in the IRT, including the consumer.

�Additionally, all IRT members may collectively gain credit for the consumer’s employment outcome.

• Enhance cross-agency, cross-system, collaboration and communication to better leverage available resources in a seamless way for an individual consumer.

• It promotes informal collaboration and relationship building by bringing together public and private sector representatives from the community to work together to assist an individual in meeting their employment goal.

• Allows the members to coordinate resources, both financial and non financial, at a customer level around a shared employment goal


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• Promotes core rehabilitation values. The IRT is a consumer driven approach, where the consumer participates in the IRT as an integral member of the team, as the consumer determines their personal work goal and members of the team are based on the consumer’s unique needs, thus it aligns with and promotes Self Determination and Informed Choice.

• The IRT, through its collaborative and coordinated approach to service delivery with its shared customers, shared resources and shared outcomes, creates a mechanism for shared accountability.

• Additionally, by sharing consumers, agencies can share resources and ultimately are able to address the needs of more consumers.

An IRT may consist of members from a wide array of core partners and other community programs and service providers including but not limited to:

• Workforce Partners (Titles 1 and 3 WIOA)

• Mental Health

• Independent Living Center

• Programs for Deaf and Hard of Hearing

• Commission for the Blind

• Vocational Rehabilitation

• TANF

• Supported Employment Specialists

• Housing Providers

• Community Work Incentives Coordinators

• Developmental Disability Providers

• Veterans administration

• Natural Supports/Volunteers

An IRT may consist of members from a wide array of core partners and other community programs and service providers including but not limited to:

Workforce Partners (Titles 1 and 3 WIOA)

Mental Health Independent Living Center Programs for Deaf and Hard of

Hearing Commission for the Blind Vocational Rehabilitation TANF Supported Employment Specialists Housing Providers Community Work Incentives

Coordinators Developmental Disability Providers Veterans administration Natural Supports/Volunteers

You have arrived at Ft. Kearney. Time to meet your IRT.


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Blending and Braiding are often used interchangeably, but are very different

Blending: funds or resources combined and are not discernable.

Braiding: funds and resources are coordinated from multiple agencies to benefit a single consumer, but remain attached to that agency.

Example: one agency may pay for training while another pays for transportation. individual plans reflect who is covering what need.

Braiding is a tangible way to leverage resources from a bottom-up approach as each agency offers or commits only what is directly in their control. Braiding does not require an agency to do anything differently or asked to cover disallowed costs.


An IRT is an approach used for an INDIVIDUAL

consumer.

• An IRT is NOT an interagency committee consisting of various disability/community agencies that focus on systems collaboration.

The main purpose of an IRT is EMPLOYMENT

• The main purpose of an IRT is NOT resource mapping or to assist an individual to learn about various agency resources.


IRT at work!Case

Studies


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Waiver (Commonwealth Catholic Charities, DBHDS)

Case Management ADL support and AT in-home Resource coordination Personal Attendant Services

High School/ VR Transition Services IEP Career Counseling

Vocational Rehabilitation (DARS) College Placement Supported Employment Benefits Counseling Assistive Technology Reasonable Accommodations

Employment Network (The Choice Group) 1619b Medicaid Works Overpayment

VALERIE

Employment Network (The Choice Group)

• Benefits Counseling

• Work Incentives (IRWE, Subsidy)

• Reasonable Accommodations

• Transportation (Paratransit)

PABSS (Disability Law Center)

• Assistance with employer accommodations

Employment Network (The Choice Group)

• Negotiate time off due to disability

• Expedited Reinstatement

VR (DARS)

• Second ticket

• Supported Employment

• Assistive Technology

EN Partnership Plus (The Choice Group)

• Maintain Employment

• Ongoing benefits counseling

Veterans Administration Services

• Physical rehab

• Pre-employment support & support with plans for career re-entry

• Veterans benefits information

Employment Network

• Referrals to AJC for continuing education

• Benefits Counseling

AJC

• CDL

• Access to job fairs and networking opportunities

Employment Network

• Placement in related field

• Support to maintain employment


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SAM


Active Resource Coordination & referrals to partner agencies

Benefits counseling with partner EN

AJC Adult Education Partners

CDL Training


Placement in position earning $20/hour

Financial Empowerment

• Getting ahead in a getting by world

• Wrap around services for family financial planning

Employment Network

TTW Protections

Ongoing services and supports to maintain employment

EN: Successful placement and retention, maximum outcome payments, able to serve more beneficiaries (PP and TTW community referral)

VR: Successful placement and closure, cost reimbursement, good numbers (wage/industry) for common performance measures

AJC: Successful completion of training program, employment in a related field, wages for common performance measures

DBHDS/Waiver: Goals of client service plan met

PABSS: Beneficiary provided with resources and information, Issue resolved in beneficiary favor

Grant funded programs: Specific outcome measures met which lead to further grant funding

Support with activities of daily living and navigating resources

Career counseling to identify a meaningful career trajectory

Benefits Counseling to understand and anticipate changes to benefits

Continuing education to increase opportunity and earnings potential

Support to find and train on the right job (including AT and Accommodations)

Maintain attendant care services while working

Retention of employment

Maximize work incentives to increase financial incentives for working

Avoid overpayment

Safety net should employment change

Resources for self-advocacy

Quality of life: social integration, sense of self-worth, improved mental health, access to employer benefits


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THE END

Documents

NENA's 9th Annual National Training Conference September ... · NENA's 9th Annual National Training Conference New Orleans, LA September 2019 2 David Leon Deputy Director of Workforce