Carbon-Monroe-Pike

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Carbon-Monroe-Pike

• Developmental Services Department
• The region encompassed by C-M-P is comprised of
  1,557 miles. Estimated average driving time from
  one end of the region to the other is
  approximately 2.5 hours. The estimated 2008
  census population of the three counties is
  290,000.

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Carbon-Monroe-Pike serves over 1,400
Intellectually Disabled individuals each year!
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Supports Coordination Organization
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Funding

• Supports Coordination is funded through the
  promise FFS
• Units of service vary from 14.00 to 30.00 a
  unit statewide
• CMP rate is 18.60 a unit
• Travel is not billable
• Productivity range is 50-65

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Profile of a typical Support Coordinator

• 26 years of age
• Recent College graduate
• Approximately 1 year of direct service experience
  (TSS)
• Limited work experience

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A Day in the Life of a Supports Coordinator
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Information Vital to an SCs Job
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Beginning to End The SCs Role

• Intake
• Schedule an Appointment (20 days)
• Meeting
• Abbreviated ISP
• PUNS?
• Consents
• MA Application?
• Whats next?
• Questions

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INDIVIDUAL SUPPORT PLANNING

• Information gathered in this section includes an
  assessment of health and safety issues,
  individual preferences, priorities and needs that
  promotes a person centered planning process in
  developing outcomes and positive approaches in
  supporting the individual.
• To be completed at first meeting

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Individual Preferences

• Like and Admire
• Know and Do
• Desired Activities
• Important to Individual
• What Makes Sense

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Medical

• Medications/Supplements
• Allergies
• Health Evaluations
• Medical Contacts
• Medical History
• Current Health Status
• Developmental Information
• Psychosocial Information
• Physical Assessment
• Immunization/Booster

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Health and Safety

• Focus Area
• General Health Safety Risks
• Fire Safety
• Traffic
• Cooking/Appliance Use
• Outdoor Appliances
• Water Safety
• Safety Precautions Knowledge of Self-Identifying
  Information
• Stranger Awareness
• Sensory Concerns
• Meals/Eating

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Supervision Care Needs

• Reasons for Intensive Staffing
• Staffing Ratio Day
• Staffing Ratio Home
• Staffing Ratio
• Behavioral Support Plan
• Crisis Support Plan
• Health Care
• Health Promotion

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Functional Information

• Functional Level
• Physical Development
• Adaptive/Self-Help
• Learning/Cognition
• Communication
• Social/Emotional Information
• Educational/Vocational Information
• Employment/Volunteer
• Understanding Communication
• Other Non-Medical Evaluation

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To Finish up the ISP 3 hours later

• Financial
• Financial Information
• Financial Management Issues
• Financial Resources
• Services and Supports
• Outcome Summary
• Outcome Actions
• Monitoring
• Questions?

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Prioritization of Urgency of Need for Services
(PUNS)
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Monitoring
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Monitoring Schedule
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Additional forms

• Authorization to Provide Case Management Services
• Release of Information
• Employment Supplement
• Responsibilities for Waiver Services
• Service Authorization Form
• Numerous letters to be sent as mandated by the
  State

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Added stressors

• Due to the growing number of teens and young
  adults with Intellectual Disabilities, SCs must
  prepare for transition into the community and
  workforce. This challenge is further complicated
  by the fact that there is a lack of funding
  available to provide the necessary supports.
  This often leaves those who graduate sitting at
  home watching television.

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61 of CMP DS consumers are 30 years of age and
under.In F.Y. 09/10, CMP had 61new intakes.
Largest Group 267 11-20 year olds.
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The Waiting List

• The counties estimate that there are
  approximately 1,600 people who will present as
  unanticipated emergencies in the next 6 months,
  this includes graduates from the special
  education system and children leaving the CYS RTF
  settings
• It is estimated by the PA waiting list campaign
  that there are over 16,000 people waiting for
  services

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Waiting list continued.

• Support Coordinators are the front line of
  professionals who intimately know the waiting
  list consumers and families and advocate for
  these people

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We need to re-think the paradigm

• PAAP SC work Group
• ISP
• SIS
• Monitoring demands/caseload
• PUNS
• Technology
• Funding model

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