My Annual Employment goal Process · 2014-07-10 · MY CDP Section 1: Selecting ODDS Employment Services Section 2: Other Documentation Section 3: Resume/Work History Section 4: Important

MY ANNUAL

EMPLOYMENT

GOAL PROCESS

1

Office of Developmental Disability Services,

Oregon Department of Human Services

July 10, 2014

CONTENTS

Instructions for “My Annual Declaration of My Employment Goals

for My ISP Year” (My Declaration)

Instructions for “My Career Development Plan and Vocational

Assessment” (CDP)

Instructions for “My Decision Not to Explore, Pursue, Obtain or

Maintain Community Employment For My Upcoming ISP Year and

in the Future and Vocational Assessment” (MDE)

2

MY ANNUAL DECLARATION

OF MY EMPLOYMENT GOALS

FOR MY ISP YEAR

(MY DECLARATION)

3

OREGON’S EMPLOYMENT FIRST

POLICY STATEMENT

Employment opportunities in fully integrated

work settings shall be the first and priority

option explored in the service planning for

working age adults with developmental

disabilities.

4

OREGON’S EMPLOYMENT FIRST

POLICY STATEMENT

For people who successfully achieve the goal of employment in an

integrated setting, planning must focus on maintaining employment

as well as the consideration of additional career or advancement

opportunities.

For people not yet achieving employment, annual service planning

must include and reflect employment opportunities as the first and

priority service option explored.

5

KEY TENETS OF OREGON’S

EMPLOYMENT FIRST POLICY:

Everyone can work and there is a job for everyone. Our job is to be creative

and tenacious in providing support.

Not working should be the exception. All individuals, schools, families and

businesses must raise their expectations.

People will be hired because of their ability not because they have a

disability.

People are healthier, safer and happiest with meaningful work.

Everyone has something to contribute and needs to contribute.

6

WAIVER-FUNDED EMPLOYMENT SERVICES

AS OF JULY 1, 2014

The Comprehensive Waiver and the Support Services Waiver fund these

employment services:

Discovery/Career Exploration

Employment Path Community

Employment Path Facility

Small Group Employment

Individual Job Coaching Initial

Individual Job Coaching Ongoing

Job Development

7

WHAT IF THE INDIVIDUAL DOES NOT WANT TO

WORK NOW AND IN THE FUTURE?

None of the waiver-funded employment services would be requested. The person may want to consider these K-Plan services:

1. Day Support Activities Community – Also referred to as “Non-Work Community”

2. Day Support Activities Facility – Also referred to as “Non-Work Facility”

8

TO RECEIVE AN EMPLOYMENT PATH

SERVICE, YOU MUST HAVE:

Employment-related goals in [your] person-centered services and

supports plan; the general habilitation activities must be designed

to support such employment goals.

~ CMS Informational Bulletin, September 16, 2011

From Cindy J. Mann

9

INTRODUCTION

Effective July 1, 2014-December 31, 2014, “My Declaration” and the

accompanying CDP and/or MDE shall be applied to:

People who are currently in sheltered workshops; and

Transition Age Youth (18-21) within 1 year of exiting High School or

a High School Transition Program; and

Anyone who is at least 18 and wants a CDP and is seeking

integrated employment.

10

A NOTE ABOUT AGE

If a person is 18-22 years old, is still in school, and they choose not to explore,

pursue, obtain or maintain community employment for their ISP Year and in the

future in their “My Declaration,” they do not need to complete an MDE.

If a person is 60, or will be 60 in their ISP year, and they choose not to explore,

pursue, obtain or maintain community employment for their ISP Year and in the

future in their “My Declaration,” they do not need to complete an MDE.

People who are 60 years old or older may complete a “My Declaration” and a

CDP. If they choose, they may complete an MDE.

11

MY ANNUAL DECLARATION OF

MY EMPLOYMENT GOALS FOR MY ISP YEAR

(“MY DECLARATION”)

Section 1: The Funding Source for Your Current ODDS Services

Section 2: Your Current Employment Status

Section 3: Your Employment Goals for Your Upcoming ISP Year

Section 4: People Who Were Involved in Helping Me to Create

and/or Decide on My Employment Goals

12

SECTION 1: FUNDING SOURCE

This section is important because employment services are

funded through the Comprehensive Waiver and/or Support

Services Waiver. The Services Coordinator (SC) or Personal

Agent (PA) should check all boxes that apply for any ODDS

funded services.

If a person cannot receive services through either the

Comprehensive Waiver or the Support Services Waiver, their SC

or PA should refer them to other employment resources such as

Vocational Rehabilitation (VR) or their local Career Center.

13

SECTION 2: CURRENT

EMPLOYMENT STATUS

2A. Select the waiver-funded employment services the person has

participated in for the last 90 days. Multiple selections may be

made. If the person is authorized for a service but does not

currently participate in it, do not select it. For example, Sam is

authorized to receive initial job coaching support through the

waiver. However, because he is not yet employed, he has not used

the service. So, “Individual Employment*” should not be selected.

Please refer to the service descriptions on the next slide when

selecting services in Section 2.

* Both Initial Job Coaching and Ongoing Job Coaching are listed as services under the category of “Individual

Employment” in Oregon’s proposed waiver definitions

14

SECTION 2: CURRENT EMPLOYMENT STATUS

Choices for Question 2A.:

Individual Employment: Individual, integrated employment and earns a wage. This is

also referred to as “job coaching.”

Small Group Employment: Works with a group of 2-8 people with disabilities. Earns a

wage.

Employment Path Community: Services that provide learning and work experiences,

where the person can develop general, non-job-task-specific strengths and skills that

contribute to employability in integrated employment.

Employment Path Facility: Same as above, except services occur in a facility setting.

Historically, this setting has been referred to as a sheltered workshop.

Discovery/Career Exploration: Developing a Discovery Profile.

15


2B. Pertains to people who are employed but do not use the applicable ODDS

employment service for support in their job.

2C. For each service selected in 2A., provide the requested information on the

form. If the person has received the same service from more than one provider

during the last 90 days, please list those providers in the applicable row. Also,

indicate if the individual continues to receive this service.

For example, Joe received Employment Path Community from Sertoma from 9/1/14-

10/1/14. However, he chose to discontinue receiving that service from Sertoma and

began receiving the service from Impact on 10/2/14. Please list the information for both

providers in the Employment Path Community category by adding another row. The only

differences would be the dates of service and that in Sertoma’s row, you would check “no”

in the last column. Please note, you are only listing both providers because Joe has

received this service from both providers during the last 90 days.

16


The purpose of 2D. And 2E. is to specify what, if any K-Plan funded Day

Support Activities services the person has participated in for the last 90 days.

There are two types of Day Support Activities Services:

Day Support Activities Community: Also known as “Non-Work Community.” Person is engaged

in non-work activities in a community setting.

Day Support Activities Facility: Also known as “Non-Work Facility.” Please note that this

service is not the same as “Employment Path Facility.” Person is engaged in non-work

activities in a community setting.

The procedures for filling out 2E. are the same as those for filling out 2C.

17

SECTION 3: YOUR EMPLOYMENT GOALS

FOR YOUR ISP YEAR

This section consists of a number of choices that are designed so

people may clearly communicate what they want to happen in

regard to employment for their ISP year.

In regard to the CDP, it is critical that the person understands that

what they select in Section 3 will be the basis for their employment

-related supports for the upcoming ISP year. A person is free to

change their mind and career development goals/plan at any time.

18


FOR YOUR ISP YEAR

The SC/PA, individual, and those who the individual would

like to participate, should complete an MDE rather than a

CDP if the individual does not want to explore, pursue,

obtain or maintain in community employment during this

ISP year and in the future.

19


FOR YOUR ISP YEAR

A person may request a CDP at any time – they do not have to

wait for their annual ISP meeting to create or update their CDP.

Additionally, per Executive Order 13-04, “The provision of

Employment Services by ODDS will not be delayed or denied

due to the lack of a [CDP].”

20


FOR YOUR UPCOMING ISP YEAR

A Note About Age: Some people exit high school prior to age 20

while others exit at 22. Section 3 is divided into two categories,

each with their own age criteria.

However, as stated on the declaration form, there are exceptions

to the age criteria. If someone attends high school and they are

21 or 22 years old, select the “Transition Age Student” category.

In contrast, if a person is 18 and has exited high school, select

the “Working Age Adults” category.

21


FOR YOUR UPCOMING ISP YEAR

Students (age 18-20)

More information on how and when funding from ODDS can be accessed

for students (18 and over) who are still in school is in ODDS Policy

Transmittal APD-PT-13-016 (Comprehensive Services) or APD-PT-13-011

(Brokerage Services).

Students who are 18 and over and still in school: If a student chooses to

work, complete a CDP. If they choose not to work, review this choice again

at the next ISP and/or IEP meeting.

For the Working Age Adults Category, please follow the directions on the “My

Declaration” form.

22

SECTION 4: PEOPLE WHO HELPED ME TO

CREATE “MY DECLARATION”

Record who was involved in helping the individual to create the “My

Declaration.” Examples of titles to include in “The Role in My Life”

include, but are not limited to:

- Mother, Father, Sister, Brother, etc.

- Friend

- Employment Provider

- Services Coordinator or Personal Agent

The name of the person’s employer only needs to be included when the

person is paid to provide ODDS or VR services to the individual.

23

MY CAREER DEVELOPMENT PLAN &

VOCATIONAL ASSESSMENT (CDP)

24

MY CDP

Section 1: Selecting ODDS Employment Services

Section 2: Other Documentation

Section 3: Resume/Work History

Section 4: Important information I want my employment providers to know

Section 5: Potential barriers and/or areas that need special consideration

Section 6: People who helped me to create my CDP

25

SECTION 1: SELECT ODDS

EMPLOYMENT SERVICES

This section is important because employment services are funded through

the Comprehensive Waiver and Support Services Waiver.

Additionally, the CDP documents services requested and employment-related

goals.

Select the employment service(s) that the individual wants to participate in

during their ISP year. The individual may select multiple services.

26

SECTION 1: AN OVERVIEW

For each service selected, the individual will need to choose a provider. It is

fine to select the service before the individual chooses the provider. A CDP

often spurs people to consider things for the first time. After a provider is

selected, the individual’s SC or PA can update the CDP. It may be helpful to

review the ODDS employment data before selecting an employment provider

(s). The data is at http://www.oregon.gov/DHS/dd/Pages/index.aspx

The term “providers” is used in this process to refer to organizations that

deliver employment services. It also extends to PSWs who provide

employment services.

27

http://www.oregon.gov/DHS/dd/Pages/index.aspx



SECTION 1: AN OVERVIEW

With the exception of Discovery/Career Exploration, every service

provides a prompt to select a prepared goal or the individual and

their team can create their own. After each selected goal, there

are two boxes. The first box is for the individual and their SC or

PA to document what the individual wants to accomplish in this

service. The second box allows the individual and the provider to

document how they will work together to accomplish the goal.

28

AN EXAMPLE OF DIFFERENT EMPLOYMENT SERVICE

PROVIDERS SERVING THE SAME PERSON

Joe currently receives Employment Path Facility from Sertoma

Services. While Joe enjoys his time at Sertoma, the organization

has not been successful in helping many people to become

employed. After researching employment providers in his

community, Joe and his PA learn that Bazelon Employment

Services has a strong track record of helping people to become

employed. While he decides to continue receiving Employment

Path Facility Services from Sertoma, he selects Bazelon

Employment Services to provide him with Discovery/Career

Exploration, as well as Employment Path Community.

29

WHEN DIFFERENT EMPLOYMENT PROVIDERS SERVE THE

SAME PERSON, COORDINATION IS A MUST

In the previous example, Joe, Sertoma, Bazelon and his PA must

have regular communication to ensure that the services he

receives from Sertoma and Bazelon are complimentary and

coordinated in their outcomes. Outcomes must be employment-

related so that Joe will achieve his employment goals.

30

SECTION 1: EMPLOYMENT SERVICES:

DISCOVERY/CAREER EXPLORATION (D/CES)

The optimal and expected outcomes of this service are:

A Discovery Profile; and

An application to VR – This is not needed if the

individual will get a job without using DD or VR

funding.

31


EMPLOYMENT PATH

Path services are provided to individuals who are expected to be

able to join the general work force with the assistance of

supported employment services;

To select a Employment Path Service, the individual must have a

goal of achieving at least one of these: exploring, pursuing,

obtaining or advancing in community employment

The individual may select one or both of the Path Services.

Specify the anticipated time period that the individual will

receive this time-limited service.

32

SECTION 1: EMPLOYMENT PATH SERVICES

Employment Path Community: The expected outcomes of this

service are a referral to VR and integrated, individual employment.

The service is primarily directed at teaching non-job task specific

skills that will lead to greater opportunities for competitive and

integrated employment and career advancement at or above the

state’s minimum wage, but not less than the customary wage and

level of benefits paid by the employer for the same or similar work

performed by individuals without disabilities.

Employment Path Facility: Same as Employment Path Community,

except the service is delivered in a facility. Expected outcomes are a

referral to VR and integrated, individual employment.

33


EMPLOYMENT PATH

To make completing the CDP easier, we have included these prepared goals

which may be achieved either in a facility setting or in a community setting.

To develop my skills to communicate effectively with supervisors, co-workers, customers.

To become knowledgeable of generally accepted workplace conduct and dress.

To gain greater mobility by receiving mobility skills training.

Other (specify your own goal or goals): Remember, they must further the goal of integrated

employment.

34


To make completing the CDP easier, we have included these prepared goals

which may be achieved in a community setting only:

To volunteer at a community organization.*

To participate in services provided by my local career center: Examples of

include becoming aware of occupations that are “in-demand” by local

employers, attending employment-related classes such as tips for

interviewing, etc.

To tour businesses to learn about employment opportunities.

* Volunteering is not to be at organizations that provide the individual with ODDS-funded services.

35


The individual and their team may use all, some, or none of the prepared

goals. However, if none of the prepared goals are used, the individual

and their team must create at least one goal.

Nearly all of the prepared goals were derived from the CMS September

16, 2011 memo from Cindy Mann. A listing of the goals that are given as

examples for Employment Path services in that memo appear on the

next slide. Please note that these goals apply to both Employment Path

Community and Employment Path Facility.

36


Ability to communicate effectively with supervisors, co-workers and customers;

Generally accepted community workplace conduct and dress;

Ability to follow directions;

Ability to attend to tasks;

Workplace problem-solving skills and strategies;

General workplace safety and mobility training;

*Source: September 16, 2011, CMS Memo from Cindy Mann, p. 7

37


SHOULD LEAD TO:

Sustained paid employment and work experience leading to

further career development and individual integrated

employment for which an individual is compensated at or

above the state’s minimum wage, with a goal of not less than

the customary wage and level of benefits paid by the employer

for the same or similar work performed by individuals without

disabilities.

*Language from Proposed Comprehensive Waiver & Support Services Waiver

38

SECTION 1: SMALL GROUP

EMPLOYMENT DEFINITION:

Services and training activities provided in regular business,

industry and community settings for groups of two (2) to eight (8)

individuals with disabilities. Examples include mobile crews and

other business-based workgroups.

Services and training activities must be provided in a manner

that promotes integration into the workplace and interaction with

people without disabilities in those workplaces.


39

SECTION 1: SMALL GROUP EMPLOYMENT

CMS does not consider Small Group Employment to be an end

goal. Rather, CMS’s expected and optimal outcome for Small

Group Employment is:

. . . sustained paid employment and work experience leading to further

career development and individual integrated community-based

employment for which an individual is compensated at or above the

minimum wage, but not less than the customary wage and level of

benefits paid by the employer for the same or similar work performed by

individuals without disabilities.

*Source: September 16, 2011, CMS Memo from Cindy Mann, p.11

40


If an individual selects this service, they may want to consider the

following as they decide what they want to achieve in this service:

1. This service is not an end in and of itself, but rather is a

stepping stone to individual, integrated employment.

However, Small Group Employment is not, nor should it ever

be thought of, as a necessary pre-requisite to individual,

integrated employment.

41


2. What they would like the job coach to do, so they will realize the

integrated employment outcome that is in their ISP. Some

examples of areas that a person might want to invest their time

in, include, but are not limited to:

Communicate effectively with supervisors, co-workers and others.

Follow directions and attend to tasks.

Address work place problem solving skills.

Be safe at work.

Navigate the workplace (mobility training, etc.); or

Learn new job skills or hone existing skills at your current job.

42

SECTION 1: JOB COACHING

Please note that the official name of Job Coaching is “Supported

Employment Individual” but for the sake of clarity we call it “Job

Coaching” in the CDP.

There are two types of Job Coaching:

Initial Job Coaching

Ongoing Job Coaching

43


Job Coaching*, Initial and/or Ongoing may be used for**:

Individuals working in an individualized job in an integrated setting and

earning at least minimum wage;

Individuals working in an individualized job in an integrated setting who are

working toward earning at least minimum wage.

Identification and delivery of services and supports that assist the individual in

maintaining self-employment through the operation of a business. Medicaid

funds may not be used to defray the expenses associated with operating a

business.

*Neither Job Coaching Initial nor Ongoing is used for Small Group Employment

**Language from Proposed Comprehensive Waiver & Support Services Waiver

44


Initial Job Coaching may include short term supports needed to

assist the individual as they begin to learn their new job. This is a

time-limited service.

Ongoing Job Coaching is designed to provide support needed to

assist the individual in maintaining the job long-term.

45


Here are a few examples of supports that an individual may want to consider when

developing the job coaching service in their CDP.

I would like my job coach to:

Develop a good relationship with my supervisor and co-workers,

Help me to connect to a Benefits Counselor at least annually to ensure

coordination with Social Security and/or Medicaid,

Keep my SC or PA updated about any changes or notable events,

Coordinate with others who provide me with paid supports and/or family

members to ensure that I am prepared for work – examples include meals,

grooming, making sure people know when I need to be at work, etc.

46


The motto of a successful job coach is

“the less I am needed, the more I have

succeeded.”

47

SECTION 1: JOB DEVELOPMENT IS

SUPPORT TO:

Obtain a job in an integrated employment setting in the general

workforce for which an individual is compensated at or above the

minimum wage, but ideally not less than the customary wage and

level of benefits paid by the employer for the same or similar work

performed by individuals without disabilities.

Assist the individual in an individualized job in an integrated

setting who is not earning at least minimum wage and who needs

a different job to earn at least minimum wage.


48

SECTION 1: JOB DEVELOPMENT IS

SUPPORT TO:

Assist the person to identify potential self-employment business opportunities and assistance in the development of a self-employment business plan, including potential sources of business financing and other assistance in developing and launching a business. Medicaid funds may not be used to defray the expenses associated with starting up a business.

Receive ODDS-funded job development services when VR has denied the person services.


49

SECTION 2: OTHER DOCUMENTATION

Please select the documents that the individual has that would

be helpful to inform the next steps. Documents may include an

Individual Education Plan, Individual Plan for Employment,

Summary of Performance, etc. Such documents can be a

valuable source of information for the person and those who are

supporting the person to be employed in the community.

50

SECTIONS 3 & 4:

Please provide as much information as possible in these sections,

as it will be valuable to the individual and their employment

provider(s).

Remember, information should be provided on a strength-based

approach. For example, if an individual is most successful in a

setting with limited noise, note this.

51

SECTION 5: POTENTIAL BARRIERS AND/OR AREAS

THAT NEED SPECIAL CONSIDERATION

If there are barriers that the individual needs help solving, bring

these to the attention of the applicable employment service

provider(s). Update this section with important developments – for

example, when a possible solution has been tried and has not

worked – or, the best scenario – when you and your team have

solved the problem.

52

SECTION 6: SIGNATURES

Section 6 is designed to identify who was involved in helping to

create the CDP. This must include the individual and the individual’s

SC/PA, but may also include others the individual chooses such as

ISP team members, employment providers, etc.

53

REMEMBER:

A CDP is a document that will evolve over time.

The SC or PA and applicable employment

provider(s) are responsible for keeping it

up-to-date.

54

MY DECISION NOT TO EXPLORE,

PURSUE, OBTAIN OR MAINTAIN

COMMUNITY EMPLOYMENT FOR MY

UPCOMING ISP YEAR AND IN THE

FUTURE & VOCATIONAL ASSESSMENT

(MDE)

55

WHEN TO COMPLETE THE MDE

If an individual does not have a goal of exploring, pursuing,

obtaining or maintaining community employment now and

in the future, the MDE must be completed.

There are two exceptions to this:

If an individual is 60 or will be 60 in their ISP year and they do not wish to explore, pursue,

obtain or maintain community employment, they will not have to complete a CDP or MDE.

If an individual is 18-21 and they are still in school and do not wish to explore, pursue, obtain

or maintain community employment, they will not have to complete a MDE.

56

WHO PARTICIPATES IN

THE COMPLETION OF THE MDE?

At a minimum, the individual and their SC or PA.

The people important to the individual, including any organization

that is currently, or has been providing, the individual with ODDS or

VR employment services.

57

THE PURPOSE OF THE MDE IS TO:

Identify barriers that are keeping the individual from working –

with the purpose of generating discussion about solutions.

Document why and how the individual and, if the individual

chooses, their ISP team made this decision.

58

THE MDE: QUESTIONS 1-7

Review questions 1-7 with the individual and those they have chosen to

participate in the MDE. This may include the ISP team, family, friends, etc.

Questions 1 & 2 address if an individual believes they can work now and in the

future. If the answer is no to #1 and/or #2, please explain why in Question 3.

Question 4 addresses if an individual wants to work now and Question 5

addresses if the individual wants to work in the future. If the answer is no to #4

and/or #5, please explain why in Question 6.

Question 7 If you answered “yes” to one or both of the questions below, do not

finish the MDE, instead, complete a CDP. If the answer is “no” to BOTH of these

questions, explain why you have chosen not to explore, pursue, obtain or

maintain integrated employment now or in the future.

Would you like to work in integrated employment, sometimes called a community job?

Would you like to learn more about integrated employment?

59

THE MDE: QUESTIONS 8 - 10

Questions 8 A-F are designed to address issues related to transportation to and

from work, skills, interests and/or abilities, Social Security, behavior, health

issues and change in routine. Each category (A-F) has suggested solutions that

may be discussed or implemented now or in the future.

Question 8G and Question 9 are designed to identify any other potential barriers

to employment.

Question 10 identifies the people who helped the person to create the MDE.

This must include the individual and the SC/PA, but may also include others the

individual chooses such as ISP team members, employment providers, etc.

60

A FINAL WORD

In the spirit of Employment First, this process will be

re-visited annually for people 18-60 years of age and for

people who are over 60 years of age and want to work.

61