This is the story of how spending less gets the people of Illinois more. But, are we spending less in the right places? If it costs the state more to care for a person with disabilities or mental illness than a community agency, why would we cut the more efficient service delivery system? Well why would we?

1. People with Disabilities Living in the Community: The Efficiency Story

2. What effect do Community Services Agencies have on Illinois’ ability to care for people with disabilities?

3. What effect do Community Services Agencies have on Illinois’ ability to care for people with disabilities? Let’s take a look at just one area: Efficiency

4. What effect do Community Services Agencies have on Illinois’ ability to care for people with disabilities? Efficiency: How effective are they when it comes to value: providing the most service for the least cost ?

5. As efficiency goes up, costs come down. Highest efficiency Lowest cost People with disabilities living in the community cost taxpayers less than ¼ the cost of living in an institution. Fact:

6. Community services allow more people to live in the community

7. Community services allow more people to live in the community Group homes add savings and quality of life

8. Community services allow more people to live in the community Group homes add savings and quality of life Through time, forced efficiencies save $, but add no quality of life

15. As efficiency goes up, costs come down.

16. As efficiency goes up, costs come down. Until we reach a certain point

17. Diminishing Returns Low wages = high turnover

18. Diminishing Returns State pays at least 4 months late = high interest cost on loans waiting for state $ Low wages = high turnover

19. Diminishing Returns Medicaid cuts = more emergency room visits Low wages = high turnover State pays at least 4 months late = high interest cost on loans waiting for state $

20. Diminishing Returns Low wages = high turnover State pays at least 4 months late = high interest cost on loans waiting for state $ Medicaid cuts = more emergency room visits Shrinking community care = more institutional care = MUCH higher costs

21. Diminishing Returns As efficiency goes up, costs come down.

22. Diminishing Returns As efficiency goes up, costs come down. Until we reach a certain point

23. Diminishing Returns As efficiency goes up, costs come down. Until we reach a certain point

24. Diminishing Returns As efficiency goes up, costs come down. Until we reach a certain point Where cuts in services lead to drastic costs to quality of life

25. Diminishing Returns As efficiency goes up, costs come down. Until we reach a certain point Where cuts in services lead to drastic costs to quality of life For people who can’t advocate for themselves

26. Diminishing Returns Until we reach a certain point As efficiency goes up, costs come down. Where cuts in services lead to drastic costs to quality of life For people who can’t advocate for themselves We are at that point!

27. Some Interesting Facts… Illinois ranks 4 th in number of individuals with developmental disabilities in state institutions. Illinois state institution budgets will increase $30 million in Fiscal Year 2012. Illinois ranks 47 th in community spending for children and adults with developmental disabilities. Illinois ranks 51 st in number of small group homes for children and adults with developmental disabilities.

28. Our Governor and state legislators can say a lot about cutting vital human services: “ The state budget will be balanced.” “ There will be no new taxes.” “ State workers will receive their raises.” * * In 2011, state employees will receive 8.2% in wage increases.

29. Here’s what you will NEVER hear them say: “ We’re doing this to increase (or even maintain) quality of life for people with disabilities.”

30. “ We’re doing this to increase (or even maintain) quality of life for people with disabilities.” “ We’re doing this so that direct contact staff will have a decent standard of living.” Here’s what you will NEVER hear them say:

31. “ We’re doing this to increase (or even maintain) quality of life for people with disabilities.” “ We’re doing this so that direct contact staff will have a decent standard of living.” “ We’re doing this in order to make the system more efficient and effective at meeting the needs of people with disabilities.” Here’s what you will NEVER hear them say:

32. “ We’re doing this to increase (or even maintain) quality of life for people with disabilities.” “ We’re doing this so that direct contact staff will have a decent standard of living.” “ We’re doing this in order to make the system more efficient and effective at meeting the needs of people with disabilities.” “ We’re doing this to care for the most vulnerable among us: those who count on us because they cannot advocate for themselves.” Here’s what you will NEVER hear them say: