This document summarizes presentations from a rehabilitation summit. It discusses the background and future threats and opportunities for day support programs. It provides statistics on the people served and services provided by two organizations, Brunswick Center Services and Community Inclusion Project. These include the number of people served, their ages, support needs, and types of services received. The document notes both external directives like heightened ADA scrutiny and new PCP regulations, as well as internal issues around balancing mission and mechanics when designing services. A panel discussion addressed viewing these as opportunities rather than threats.
4. Brunswick Center Services
1989:
Brunswick
Center Day
Treatment
1993:
Restructuring into 4
team model
1998:
Supported work demo
project
2004:
Conversion from
Day Treatment to
Day Hab. First out
of home day hab
2011:
Introduction of the
Individualized
Supports Team
2013:
Boutique
Model of
Services
5. Number of people served 104
Average Age 50% are aged 50 years old or older.
Physical Support Needs 39% of people require some amount of
mobility assistance
Communication 55% of people served have limited
communication or are non-verbal
Behavioral support 54% of people supported have some type
of behavioral support plan or strategies
Meal time supports 70 people served require some assistance
with dining.
6. # of people served at Brunswick Center 104
# of people in blended services:
including some combination of GDH, Supp GDH, SEMP,
and/or Comm Hab
16
# of people supported by Individualized SupportsTeam 20
# of people served in Day Hab from Home arrangement 12
# of community sites regularly supported within
traditional team model
50
7. Community Inclusion Project
1993:
18 people;
Workshop
Downsizing
&Targeted
Model
2007:
OPTS Funding;
switched from
individual to group
funding
1995:
Added Employment
(additional coaches,
hybrid supports)
2012:
Young Adults; PCP
for all; Opened
Classes to Public
2000:
Stakeholder Feedback
& Model Change:
Longer days, classes
2014:
Conversion to
standard DH,
CH, SEMP;
Workshop
Closure I
8. # of people in Group Day Hab only 26/47%
# of people Community Hab only 6/11%
# of people in GDH and SEMP 15/27%
# of people in Community Hab and SEMP 8/15%
# of people supported with day and SEMP 23/42%
# of people in SGDH 8/15%
9. Number of people served 55
Age Range 30 and under = 13/24%
30-55 = 25/45%
55+ = 17/31%
Living Arrangements Family = 19/33%
CR = 34/62%
Independent (ISS)= 3/5%
Weekly Involvement
Hours
Individual = 380/58%
Group = 274/42%
Weekly PT/FT Hours 2-10 hrs. = 23/42%
10-20 hrs. = 21/38%
20 hrs. + = 11/20%
15. Same language 01 to 16: PCP, Discovery,
flexible funding sources, community
contribution “real life”, etc
…except that 2016 are external directives
(heightened scrutiny via CMS/OPWDD;
managed care/MCO)
Want to have to?
16. • Strengths: people are present; full days;
“mathematics”
• Weaknesses: : Are we getting stuck by “What”
and “How” and losing sight of the “Why” (Our
Work’s Mission)?
• How do we get back to the Mission?
• Simon Sinek’s Golden Circle – ATool
• Not as Stuck?
17.
18.
19.
20. Mission drives mechanics (Why)
Acknowledge compromises (Why)
PCP will continually shape services (How)
Flexibility is key (How)
Mix funding streams for more options (What)
Start where people are at (What)
21. Why:We want people to
live “good lives” in
communities of mutuality.
How: People’s days are
designed with their
capacities, interests and
passions at the center.
What:We provide day
supports using a variety of
funding streams.
38. Hongwei Zhang, Director of Finance
Will Foland MS, Community Inclusion Project
Crystal Ladd, Brunswick Center Services
Eric Burke, QA
Overview
Questions
