Components of a Comprehensive Plan
Olmstead Decision
 
Presented by: Tony Records

Components of a Comprehensive Plan

? Plan Accountability
? Involvement of Stakeholders
? Baseline Information
? Assessment Process
? Transition Supports
? Review of Community Capacity
? Budget and Infrastructure
? Quality Assurance


Plan Accountability

? Mission Statement with clear understanding of Olmstead

? List of Issues and Challenges in Compliance with Olmstead

? List of MEASUREABLE Objectives and Activities

? Identification of Specific Individuals (by name or title) Responsible for Implementation of each Objective

? Identification of Resources or Specific Strategy to Obtain Resources

? Identifies Lead Agency Responsible for Plan Coordination

? Process for Approval/Finalization of Plan(s)

? Process for Plan Modification

? Process for Plan Evaluation


Involvement of Stakeholders	

? APPROPRIATE STATE AGENCIES
– Human Services
– Health Services
– Mental Health
– Substance Abuse
– Aging Services
– Transportation
– Education and Special Education
– Medicaid
– Housing
– Employment
– Corrections & Juvenile Justice

? People with ALL Different Disabilities

? People and/or Families of ALL Ages

? Advocates and Advocacy Agencies

? Community Providers

? Local and State Politicians


Baseline Information

? SPECIFIC LISTINGS OF RESIDENTIAL FACILITIES AND CENSUS

? Serving Children and Youth
– Residential Schools
– State Schools for Deaf and Blind
– Out-of-State Residential Schools
– Youth Correction Facilities
– Facilities for Youth with HIV/AIDS

? Nursing Homes
– State and County Nursing Homes
– Privately Operated/Publicly Funded
– Rehabilitation Facilities
– Veteran Homes
– Rest Homes

? Serving People with Developmental Disabilities
– Public ICFs/MR
– Private ICFs/MR
– DD Units in Nursing Homes
– DD Units in Psychiatric Hospitals


? Serving People with Mental Illness
– Public Psychiatric Hospitals
– Private Psychiatric Hospitals
– Homeless Shelters
– Forensic Halfway Houses
– Publicly Funded Board & Care Homes
– Crisis Care Units


Assessment Process

? Describes Process for Assessing People in Restrictive Settings

? Includes Assessment for Eligibility, Need and Transition to Most Integrated Setting

? Provides Information to Individuals Regarding Community Services

? Assessments are Written in Setting-Neutral Terms

? Identifies Risks Relevant to the Person's Safety and Health and How They may                       be Accommodated

? Ensures that the Assessors are Qualified

? Informs Individuals of their Right

? Allows Individuals to Reject Presented Options and Select Alternatives

? Provides for Transition which includes:
– Health Services
– Housing
– Social Support
– Transportation
– Advocacy


Review of Community Capacity

? Reviews Current and Projected Capacity of  HCBS Waivers, Home Health Services and other Sources of Funding for Community Services

? Identifies the Costs of Exiting and New Community Supports

? Provides a Strategy for the Expansion and/or Restructuring of Community Services Consistent with Statement of Need

? Includes Waiting List(s) Data as a Primary Basis for Planning

Quality Assurance

? Includes a System of Measurement and Quality Improvement Activities for all Populations in Community

? Describes the Availability of Advocates, Ombudsman or other Individual Representatives in the Community

? Identifies Established Principles, Expectations and Standards for all types of Community Services

? Includes an Independent System of Monitoring and Evaluating Community Services
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