Carbon-Monroe-PikeCarbon-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.

Carbon-Monroe-Pike serves Carbon-Monroe-Pike serves over 1,400 Intellectually over 1,400 Intellectually

Disabled individuals each year!Disabled individuals each year!

Supports Coordination Supports Coordination OrganizationOrganization

FundingFunding

◦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%

Profile of a typical Support Profile of a typical Support Coordinator Coordinator

26 years of ageRecent College graduateApproximately 1 year of direct

service experience (TSS)Limited work experience

A Day in the Life of a A Day in the Life of a Supports Supports Coordinator…Coordinator…

Information Vital to an SC’s Information Vital to an SC’s Job:Job:

Beginning to End – The SC’s Beginning to End – The SC’s RoleRole1. Intake2. Schedule an Appointment (20

days)3. Meeting

a) Abbreviated ISPb) PUNS?c) Consentsd) MA Application?4. What’s next?5. Questions

INDIVIDUAL SUPPORT INDIVIDUAL SUPPORT PLANNINGPLANNING

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

Individual Preferences Individual Preferences

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

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

Health and Safety 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

Supervision Care Needs 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

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

To Finish up the ISP 3 hours To Finish up the ISP 3 hours later…later…Financial Financial Information Financial Management Issues Financial Resources Services and Supports Outcome Summary Outcome Actions Monitoring

Questions?

Prioritization of Urgency of Need for Services (PUNS)

Monitoring…Monitoring…

Monitoring ScheduleMonitoring Schedule

Additional forms:Additional forms:Authorization to Provide Case

Management ServicesRelease of InformationEmployment SupplementResponsibilities for Waiver

ServicesService Authorization FormNumerous letters to be sent as

mandated by the State

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.

Added stressors:Added stressors:

61% of CMP DS consumers are 30 years of age 61% of CMP DS consumers are 30 years of age and under.and under.

In F.Y. 09/10, CMP had 61new intakes.In F.Y. 09/10, CMP had 61new intakes.

Ages3-10

Ages11-20

Ages21-30

Ages31-40

Ages41-50

Ages51-60

Ages61-70

Ages71 to

80

Ages81 to

90Number 98 267 240 128 101 95 54 17 3

0

50

100

150

200

250

300

Fre

quen

cy

Carbon-Monroe-Pike Consumers by Age Group

Largest Group: 267 11-20 year olds.

The Waiting ListThe Waiting ListThe 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

Waiting list continued….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

We need to re-think the We need to re-think the paradigmparadigmPAAP SC work GroupISPSISMonitoring demands/caseloadPUNSTechnologyFunding model