Massachusetts Rehabilitation Commission by yaofenjin


									Massachusetts Rehabilitation

             Commissioner Charles Carr
             Autism Commission Overview
             January 24, 2011

 The Massachusetts Rehabilitation
 Commission (MRC) is dedicated to provide
 comprehensive services to people with
 disabilities that maximize their quality of life
 and economic self-sufficiency in the

         MRC Agency Review – January, 2011   (page 2)

  MRC promotes equality, empowerment and
 productive independence for individuals with
 disabilities. These goals are achieved
 through enhancing and encouraging
 personal choice and competencies in the
 pursuit of independence and employment in
 the community.

      MRC Agency Review – January, 2011   (page 3)
Organizational Structure

MRC has three divisions:
 Community Living (CL)
 Vocational Rehabilitation (VR), and
 Disability Determination Services (DDS)
MRC has:
 26 Area VR Offices as points of service delivery
 2 DDS offices in Boston and Worcester

         MRC Agency Review – January, 2011   (page 4)
Who We Serve
Broad Eligibility: VR & Community Living services - not based on type of disability*

Community Living
     –    Through a combination of its providers and staff assisted 18,381 consumers to live in
          community based alternatives to institutions.
     –     assisted 145 people with disabilities to get out of nursing homes and live independently in the
          community with supports this past fiscal year.
Vocational Rehabilitation –
     –    Served 20,678 consumers aged 16 years and up with significant disabilities.
     –    There were 14,396 consumers enrolled in post secondary education and active training
          services with Individualized Plans for Employment (IPE).
     –    Over 3,200 consumers achieved competitive employment this past federal fiscal year.
Disability Determination Services
     –    Processed 85,713 new claims for SSI/SSDI
     –     determined 86,505 people eligible for new benefits or continuation of benefits.

* People who are blind & participate in the vocational rehabilitation program are required to receive
    services at the Massachusetts Commission for the Blind (MCB).

                      MRC Agency Review – January, 2011         (page 5)
Major Services Provided
Service Types      # Served       Funding        Notes
  Community           18,381        $36.1M       Includes ILC’s, Head Injury,
    Living                                       T22, Home Care, Assistive
                                                 Tech., Supported Living;
                                                 including Rolland non MR/DD
  Vocational          20,678        $49.3M       Federal VR Program plus
 Rehabilitation                                  CIES, SSA reimbursement

   Disability         86,505        $42.3M       Basic federal DDS program
 Determination                                   including CDI’s, and HIV, and
   Services                                      Homelessness outreach

             MRC Agency Review – January, 2011   (page 6)
    Key Accomplishments
   Deployed Transition Works Grant & State as Model Employer
    Summer Youth Programs
     –   served 29 youth consumers to date in paid summer internships.
     –    used promising practices to develop statewide model where every
         VR office has a counselor in every high school in their area.
    ARRA On-the-Job Training (OJT) Initiative:
     –   served 85 consumers, with 60 successfully completed trainings
         and 35 consumers have successfully entered into employment to
         date. Consumers are earning $12.39/hour on average.
   Initiated the deployment of an Adaptive Evaluation and Training
    Van and Assistive Technology Toolkits to assist consumers to
    go to work.

                   MRC Agency Review – January, 2011   (page 7)
    Key Accomplishments (cont’d)
   Aligned MRC area offices to 5 Regional Employment
    Collaborative projects and Career Centers.
     –    established close links to the Executive Office of Labor and Workforce
         Development, Department of Transitional Assistance, sister agencies
         offering employment services and the nonprofit community to better
         coordinate job development and shared employment opportunities.
   Re-alignment of Sheltered Employment Services to provide
    ongoing community support services.
     –    moved agency away from placing its consumers in segregated
         subminimum wage jobs to competitive employment in integrated settings
         as a standardized business practice.

                    MRC Agency Review – January, 2011   (page 8)
    Key Accomplishments (cont’d)

   Successfully placed 3,200 people in competitive employment at
    an average hourly rate of $12.28.
     –   consumers worked an average of 25.9 hours per week generating annual
         earnings of $50.1 million.
   Provided 453 consumers with Community Based Employment
    Services (CBES)
     –   on-going support services assisted them in maintaining competitive
    Initiated a restructuring planning process of the T22/688 program.
     –    improved outreach to high school students and guardians to assure appropriate
         688 ITPs
     –    closer coordination, targeted funding and outcome requirements to providers to
         support employment and independent living goals in IEPs.

                      MRC Agency Review – January, 2011    (page 9)
Innovative Programs

   Acquired Brain Injury (ABI)
     –   will assist 300 consumers transitioning from nursing homes to community living
         and working opportunities.
     –   developed performance measurement system to monitor and provide oversight
         of the quantitative and qualitative services provided.
   Assistive Technology
     –   lead state agency for the federal Assistive Technology Act
     –   innovative loan program that provides low interest loan assistance for items
         such as communications systems, vehicle modifications, etc.
     –   since its inception five years ago, the program has loaned over $7.6M to 427
   Community Based Housing Program
     –   In the last two years, 90 units of bond funded accessible and affordable
         housing units were built or modified and are now occupied by individuals with
         disabilities who were institutionalized or are at risk of institutionalization.

                  MRC Agency Review – January, 2011   (page 10)
Numbers of Consumers Served
on the Autism Spectrum in VR
    Out of a base of 14,000 active consumers with
    IPEs, 502 or approximately 3% have a diagnosis of
    Autism or Autism Spectrum Disorder.
    26 consumers with an Autism diagnosis were
    successfully placed in competitive integrated
    employment in FY 2010.
    Based on MRC’s commitment to assure counselor
    coverage at all high schools and alternative
    schools, both the number of active consumers and
    the number of successful closures are anticipated
    to increase in the months and years ahead.

                 MRC Agency Review – January, 2011 (page 11)
    Challenges To Successful
    Employment Outcomes
    Many with an Autism diagnosis enroll in junior colleges where
    enrollment is open without a formal application process. In some
    instances, this is not the best modality for successful employment
    outcomes. Many become isolated in the college setting and although
    they may do well academically, they do not develop the skills necessary
    to obtain and maintain employment.
    Significant lack of social supports in the community.
    Differing eligibility criteria with other state agencies resulting in a lack
    of support services needed to achieve competitive work and
    There is a lack of on going support services once a consumer is placed
    in competitive, integrated employment.
    Very few training initiatives for the employer community who lack an
    understanding of the Autism diagnosis.

                       MRC Agency Review – January, 2011   (page 12)
    Anticipated Future Initiatives
   Counselors who serve as transition resources to
    school systems require additional training in terms
    of the specific needs of this population.
   MRC must provide additional outreach to
    alternative schools that serve students on the
   Eligibility issues must be further refined so that
    other agencies are permitted to provide community
    based and work support services.
   Greater emphasis must be paced to assure that
    consumers receive on going support services to
    maintain employment.

                MRC Agency Review – January, 2011   (page 13)

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