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Program B: Community Support

Program Authorization: Act 659 of the 1983 Legislature to R.S. 28:380 et. seq.

PROGRAM DESCRIPTION

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

GENERAL FUND

TOTAL

T.O.

 

DESCRIPTION

 

 

 

 

 

$28,525,692

$29,945,871

106

 

ACT 18 FISCAL YEAR 1997-1998

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

($552,334)

($552,334)

0

 

Transfer State General Fund from Office for Citizens with Developmental Disabilities, Community Support Program to Jefferson Parish Human Services Authority

($675,533)

($675,533)

0

 

Transfer State General Fund from Office for Citizens with Developmental Disabilities, Community Support Program to Capital Area Human Services District

 

 

 

 

 

$27,297,825

$28,718,004

106

 

EXISTING OPERATING BUDGET - December 10, 1997

 

 

 

 

 

$0

$0

0

 

Equipment/Major Repairs Adjustment(s) (Non-recurring: -$37,678; Replacement/New: +$37,678)

$79,937

$79,937

0

 

Annualization of 1997 -'98 Merit Pay Adjustment(s)

$81,535

$81,535

0

 

1998 -'99 Merit Pay Adjustment(s)

$685,390

$685,390

0

 

Attrition Adjustment(s)

($19,050)

($19,050)

0

 

Retirement Rate Adjustment(s)

$0

$400,000

27

 

Additional funding to maintain clients already transitioned to community settings

$0

$150,000

10

 

Additional funding to transition additional clients from Pinecrest and Hammond Developmental Centers

$125,000

$125,000

2

 

Additional funding for a Management Information Services position and a Court Liaison position

($102,958)

($102,958)

0

 

Personnel Reduction(s)

 

 

 

 

 

$28,147,679

$30,117,858

145

 

TOTAL RECOMMENDED

 

 

 

 

 

$849,854

$1,399,854

39

 

DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET)

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.

PROFESSIONAL SERVICES

This program does not have funding for Professional Services for Fiscal Year 1998-1999.

OTHER CHARGES

$23,292

 

Community Services (Regional Administration) - provides technical support and training for computer programs

$9,311,241

 

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.

 

 

$2,268,380

 

Infant Habilitation (Early Intervention services) - provides developmentally appropriate services to infants and toddlers with disabilities, from birth until age 36 months

$2,953,841

 

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

$1,492,676

 

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

$1,449,220

 

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

$995,615

 

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.

$1,455,653

 

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

$114,000

 

Special Olympics - offers a year-round program of 23 Olympic-style sports which provide motor training and athletic competition to individuals with mental retardation/developmental disabilities

$174,700

 

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

$2,979,480

 

Waiting List Reduction - provides a variety of waiver services to those individuals who have been on the waiver waiting list since 1992

$1,375,640

 

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

 

 

 

$24,593,738

 

TOTAL OTHER CHARGES

 

 

 

 

 

Interagency Transfers:

$16,293

 

Office of the Secretary - departmental supplies

$8,207

 

Office of the Secretary - providing interagency coordination for receiving goods and services

 

 

 

$24,500

 

TOTAL INTERAGENCY TRANSFERS

ACQUISITIONS AND MAJOR REPAIRS

$37,678

 

Funding for replacement of inoperable and obsolete office and computer equipment

 

 

 

$37,678

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS


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