Program Authorization: Act 659 of the 1983 Legislature to R.S. 28:380 et. seq.
The mission of the Community Support Program is to provide a statewide person-centered system of MR/DD services and supports for individuals with developmental disabilities who live in the community.
The goals of the Community Support Program are:
1. Provide a broad array of community based services and supports to developmentally disabled adults and children to ensure access to preventive and habilitative services for individuals with developmental disabilities.
2. Enhance the client's capacity to live, work and participate in the community, while maintaining accountability and continuity of services.
OBJECTIVES AND PERFORMANCE INDICATORS
Key performance information for this program is under development.
1. In FY 1998-99, the Community Support Program will provide person-centered family support to 2,843 individuals with developmental disabilities and their families.
1 Slots refer to the capacity to serve a certain number of families for a full 12 month period. The actual number served will be higher due to movement into and out of the program. As an individual turns 18, he/she is no longer eligible. The next person on the waiting list receives the subsidy in the first month following exit of the original person.
2 Subsequent to the increase, funds were transferred tot he Capital Area Human Services District and the Jefferson Parish Human Services Authority. Totals reflect these activities.
3 The decrease in the number served is due to the transfer of funds to Capital Area Human Service Authority.
4 The dramatic drop from FY 1996-97 is a result of a change in the definition of "contracts" that allows for better data collection.
5 These are the costs to OCDD only. Multiple funding sources contribute to the Part H Program that is administered by the Department of Education.
6 Combined totals of cash subsidy, family supports, extended family living an infants/toddlers.
2. In FY 1998-99, the Community Support Program will provide vocational and/or residential services to 1,705 adults with developmental disabilities.
1 This was not an activity in FY 1996-97. Begining in FY 1997-98 monitoring is planned for all individuals in Supported Living whether funded by OCDD or through the MR/DD Waiver
2 The decrease in the number served is due to the transfer of funds to the Capital Area Human Service Authority.
3 The increase in costs is due to efforts to improve the quality of life for individuals in supported living arrangements.
3. In FY 1998-99, the Community Support Program will support advocacy efforts on behalf of 1,184 constituents (individuals with developmental disabilities, their relatives and the people who serve them).
1 Program not in full operation during this period.
2 New activity. Data to be collected by the end of FY 1997-98.
4. In FY 1998-99, the Community Support Program will expedite the entry into and maintain the eligibility for the MR/DD services system for 2,428 persons with developmental disabilities and their families.
5. In FY 1998-99, the Community Support Program will reduce the number of individuals with developmental disabilities who are waiting for services by 338 persons.
1 Activity not funded in FY 1996-97.
2 This cost includes the cost of any necessary eveluations, personal support coordination (case management) and services/supports.
RESOURCE ALLOCATION FOR THE PROGRAM
SOURCE OF FUNDING
The Community Support program is funded with general fund, interagency transfers and fees and self-generated revenue. Interagency transfers means of financing includes Title XIX for services provided to Medicaid eligible clients received through the Department of Health and Hospitals, Office of the Secretary, and funds from the Department of Education for Part H -ChildNet Services. Fees and self-generated revenue consists of payments from clients for services provided based on a sliding fee scale.
ANALYSIS OF RECOMMENDATION
The total means of financing for this program is recommended at 104.9% of the existing operating budget. It represents 57.6% of the total request ($52,315,086) for this program. The net increase in expenditure authority for this program is primarily due to increasing interagency transfer means of financing by $400,000 and adding 27 positions in order to provide case management to those individuals already transitioned to community settings. Also, increased interagency transfer means of financing by $150,000 and added ten positions in order to transition additional individuals from Hammond Developmental Center and Pinecrest Developmental Center to community settings. Increased general fund by $743,904 for salaries and related benefits in order to fully fund all 145 recommended positions. In addition, professional services were reduced to provide the necessary funding adjustments needed in the salaries and related benefits categories, and the recommended funding level includes an adjustment to reflect an attrition factor of four percent.
Adult Habilitation - provides long-term employment and related services to those individuals who have exited the school system, serving to maintain them in their home communities as contributing citizens. Services include sheltered workshops, mobile work crews, enclaves and long-term supports for persons working in regular jobs.
Community and Family Support (Act 378 of 1989) - a $258 per month cash subsidy, provides a means for families to keep their developmentally disabled child at home, increasing the family's capacity to provide care and preventing more costly out-of-home placement
In-home and Family Support - provides financial assistance for goods and services to families to meet the needs of their developmentally disabled children regardless of the child's age. These supports allow the developmentally disabled individual to remain in the family home
Respite Care Services - provides temporary in-home or out-of-home care to an individual with disabilities on a short-term basis to give a family relief from the care of the disabled family member. These services may be provided on either an emergency or planned basis
Supported Living (Supervised Apartments) - allows adults with developmental disabilities to live in the community as independently as possible and to prevent entry into institutional care. Individuals are supported in efforts to achieve and maintain employment, receive training in self-advocacy and are provided with other necessary supports to daily life based on individual need.
Extended Family Living (Substitute Family Care Services) - provides a residential living arrangement with a foster family as an alternative to institualization. Surrogate parents assume direct responsibility for the individual's physical, social, and emotional well-being
Guardianship Services - provides guardians who make medical, financial, and legal decisions for the individual with developmental disabilities. Guardians also serve as spokes persons for individuals with developmental disabilities in order to protect their legal rights when no family member is available to do so
Specialized Services including Diagnosis and Evaluation, Residential Services, OB/GYN Services, Behavioral Support and Individual Service Planning, Protective Service/Ombudsman, Families Helping Families, Home of Your Own Initiative and Preventive Dentistry
ACQUISITIONS AND MAJOR REPAIRS
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