The document describes several case studies of individuals who were able to transition from nursing homes or other facilities to living at home with support from the Money Follows the Person program in North Carolina. It discusses how MFP provided funding for in-home care, medical equipment, and home modifications that allowed Alyssa, Sam, Etta, Jacqueline Lee, Mandy, Alex, Evelyn, and Nettie to return to their families and communities. The stories highlight the improved quality of life and happiness for both the individuals and their families as a result of the support services provided by MFP.
The Southern Tier AIDS Program held a World AIDS Day event to benefit Jifahamu Kenya Foundation. This was the slide show presentation created for the event.
The Southern Tier AIDS Program held a World AIDS Day event to benefit Jifahamu Kenya Foundation. This was the slide show presentation created for the event.
Sub-Soil Investigation of a Proposed Construction Site at Kyami District, Abu...iosrjce
Sub-soil investigation of a proposed construction site located at Kyami district of the Federal Capital
Territory (F.C.T.) Abuja, Nigeria, was carried out to determine the suitability of the soil to host civil
engineering structures. The investigation involved excavation of trial pits and obtaining both disturbed and
undisturbed samples for laboratory analysis. Classification tests carried out showed that about half of the soil
samples analysed is composed mainly of clayey sand (SC), with the remaining half composed of silty sand (SM)
and non-plastic sand respectively; each occurring inalmost equal proportion. Analysis showed that the soil has
low plasticity characteristics. This implies that the potential for swelling and shrinking when wet and dry that
could have negative impact on the stability of structures placed on them is low.The soils therefore have fair to
good engineering characteristics necessary for construction work and with a mean allowable bearing capacity
of 137.8KPa the soils have moderate strength capable of carrying normal civil engineering structures.
IDCC 2596 Avenant n 39 sur la clause de non concurrence 15 juin 2016Société Tripalio
Un avenant relatif à la clause de non concurrence dans la CCN de la Coiffure (IDCC 2596) a été signé le 15 juin 2016.
La jurisprudence ne matière de clause de non concurrence ayant évolué, l'avenant a pour objet de supprimer l'article 7-2-4 de la CCN de la Coiffure devenu obsolète.
Les signataires de l'avenant sont les organisations patronales l'Union nationale des entreprises de la coiffure et le Conseil national des entreprises de coiffure; pour les organisations salariales, les signataires sont la FGTA/FO, la Fédération CSFV/CFTC et la fédération des commerces et des services UNSA.
La pénibilité theos consulting maj 01 07 16Johnny Keire
Le compte pénibilité : mise à jour du document du mois de mars 2016 avec les nouvelles dispositions au 1er juillet 2016.
Cette synthèse va vous aider a mettre en place le compte pénibilité à la fois un point synthétique des lois en cours, un point technique et des enjeux de ce compte. Je reste a votre disposition sur mon site: www.theos.fr
This slide is about some steps that you can take to save the tigers of sunderban. The tigers of sunderban are threatened by several activities. So we have to take some necessary steps to save the tigers of sunderban.
This PPT gives to u clear ideas about Solar power generation and its importance in future life.Here i mentioned various types of applications of PV CELLS
MATLAB/SIMULINK for Engineering Applications day 2:Introduction to simulinkreddyprasad reddyvari
3 days Hands on workshop on MATLAB/SIMULINK for Engineering Applications:
this workshop aims to make students to aware of MATLAB to do own projects in engineering life with best available technology E-Simulink Softwares and tools.
Janine Edwards; Nillumbik Community Health Centre
The necessity for long term planning, individual case studies
Presentation at field Ageing and Disability Forum held on Thursday 17 June 2010.
Further information visit www.field.org.au
Family Support Service connections to mental health counseling and other community engagement activities are essential for strengthening resiliency & protective factors for a child undergoing emotional turmoil and/or are in need of trauma-informed care. Inclusivity involving context experts lived experience provide some of the backstories to my public administration advocacy, zeal and support for community partnerships, differential response and collective impact approach, especially for parents, children & youths.
Social Work Research Using Multiple Assessments Lucil.docxsamuel699872
Social Work Research: Using Multiple
Assessments
Lucille is a 68-year-old, Caucasian female. Her husband of 43 years passed away 4 years ago
after a long and debilitating illness during which Lucille was his primary caregiver. During their
marriage, he worked at the sanitation department, and she was a homemaker. She continues to live
in the house where she and her husband raised their three children. Lucille receives a limited
income of approximately $2,100/month from her husband’s retirement pension
and Social Security; she owns her home and has no major outstanding debts. She receives
Medicare to cover her major medical expenses and a small supplemental health plan to cover any
outstanding medical costs. Her physical health is good, and she has not had any major illnesses or
surgeries, although she has not had a complete physical in over two years. Her favorite hobbies
are gardening and cooking. Lucille has two sons and one daughter, each living away from home
with their own families. Lucille’s daughter and one son reside in the local area; her other son lives
in another state.
Lucille’s major concern is about her daughter, Alice (33), who has battled substance abuse and
alcoholism since adolescence. At present, Alice is not employed and has had several encounters
with law enforcement for drug possession and intent to sell illegal substances. Alice has admitted
that she has used cocaine as well as other substances in the past. She has made several attempts to
go into drug rehabilitation, but she has never completed a program. Her siblings have essentially
disowned her. Alice has three children, Michael (6), Rachael (4), and Randy (18 months), who
was recently diagnosed with fetal alcohol effects (FAE). Lucille is not certain who is the father of
her grandchildren; it is a subject Alice refuses to discuss. Alice has repeatedly left her children
alone for several hours in their tiny apartment, and once she was gone for several days. Child
Welfare has interceded, but Alice continues to have custody of her children. Whenever Lucille
visits her daughter and grandchildren, the living conditions are filthy, there is little food in the
house, and there is talk of constant “visitors” to the house well into the night. Because of Alice’s
instability, Lucille has taken physical custody of her grandchildren without any redress from Alice.
Lucille’s family members are not aware of the stress Lucille is feeling about possibly having to
spend the rest of her life raising her grandchildren, including one with a disability. This causes
Lucille to often feel “down in the dumps,” resulting in overeating because, as she stated, “comfort
food makes me feel better.” Within 2 months, she gained 15 pounds.
Lucille heard about a counseling program at the local community center for grandparents
raising grandchildren. The program provides support, group meetings, parenting classes,
individual counselin.
Sub-Soil Investigation of a Proposed Construction Site at Kyami District, Abu...iosrjce
Sub-soil investigation of a proposed construction site located at Kyami district of the Federal Capital
Territory (F.C.T.) Abuja, Nigeria, was carried out to determine the suitability of the soil to host civil
engineering structures. The investigation involved excavation of trial pits and obtaining both disturbed and
undisturbed samples for laboratory analysis. Classification tests carried out showed that about half of the soil
samples analysed is composed mainly of clayey sand (SC), with the remaining half composed of silty sand (SM)
and non-plastic sand respectively; each occurring inalmost equal proportion. Analysis showed that the soil has
low plasticity characteristics. This implies that the potential for swelling and shrinking when wet and dry that
could have negative impact on the stability of structures placed on them is low.The soils therefore have fair to
good engineering characteristics necessary for construction work and with a mean allowable bearing capacity
of 137.8KPa the soils have moderate strength capable of carrying normal civil engineering structures.
IDCC 2596 Avenant n 39 sur la clause de non concurrence 15 juin 2016Société Tripalio
Un avenant relatif à la clause de non concurrence dans la CCN de la Coiffure (IDCC 2596) a été signé le 15 juin 2016.
La jurisprudence ne matière de clause de non concurrence ayant évolué, l'avenant a pour objet de supprimer l'article 7-2-4 de la CCN de la Coiffure devenu obsolète.
Les signataires de l'avenant sont les organisations patronales l'Union nationale des entreprises de la coiffure et le Conseil national des entreprises de coiffure; pour les organisations salariales, les signataires sont la FGTA/FO, la Fédération CSFV/CFTC et la fédération des commerces et des services UNSA.
La pénibilité theos consulting maj 01 07 16Johnny Keire
Le compte pénibilité : mise à jour du document du mois de mars 2016 avec les nouvelles dispositions au 1er juillet 2016.
Cette synthèse va vous aider a mettre en place le compte pénibilité à la fois un point synthétique des lois en cours, un point technique et des enjeux de ce compte. Je reste a votre disposition sur mon site: www.theos.fr
This slide is about some steps that you can take to save the tigers of sunderban. The tigers of sunderban are threatened by several activities. So we have to take some necessary steps to save the tigers of sunderban.
This PPT gives to u clear ideas about Solar power generation and its importance in future life.Here i mentioned various types of applications of PV CELLS
MATLAB/SIMULINK for Engineering Applications day 2:Introduction to simulinkreddyprasad reddyvari
3 days Hands on workshop on MATLAB/SIMULINK for Engineering Applications:
this workshop aims to make students to aware of MATLAB to do own projects in engineering life with best available technology E-Simulink Softwares and tools.
Janine Edwards; Nillumbik Community Health Centre
The necessity for long term planning, individual case studies
Presentation at field Ageing and Disability Forum held on Thursday 17 June 2010.
Further information visit www.field.org.au
Family Support Service connections to mental health counseling and other community engagement activities are essential for strengthening resiliency & protective factors for a child undergoing emotional turmoil and/or are in need of trauma-informed care. Inclusivity involving context experts lived experience provide some of the backstories to my public administration advocacy, zeal and support for community partnerships, differential response and collective impact approach, especially for parents, children & youths.
Social Work Research Using Multiple Assessments Lucil.docxsamuel699872
Social Work Research: Using Multiple
Assessments
Lucille is a 68-year-old, Caucasian female. Her husband of 43 years passed away 4 years ago
after a long and debilitating illness during which Lucille was his primary caregiver. During their
marriage, he worked at the sanitation department, and she was a homemaker. She continues to live
in the house where she and her husband raised their three children. Lucille receives a limited
income of approximately $2,100/month from her husband’s retirement pension
and Social Security; she owns her home and has no major outstanding debts. She receives
Medicare to cover her major medical expenses and a small supplemental health plan to cover any
outstanding medical costs. Her physical health is good, and she has not had any major illnesses or
surgeries, although she has not had a complete physical in over two years. Her favorite hobbies
are gardening and cooking. Lucille has two sons and one daughter, each living away from home
with their own families. Lucille’s daughter and one son reside in the local area; her other son lives
in another state.
Lucille’s major concern is about her daughter, Alice (33), who has battled substance abuse and
alcoholism since adolescence. At present, Alice is not employed and has had several encounters
with law enforcement for drug possession and intent to sell illegal substances. Alice has admitted
that she has used cocaine as well as other substances in the past. She has made several attempts to
go into drug rehabilitation, but she has never completed a program. Her siblings have essentially
disowned her. Alice has three children, Michael (6), Rachael (4), and Randy (18 months), who
was recently diagnosed with fetal alcohol effects (FAE). Lucille is not certain who is the father of
her grandchildren; it is a subject Alice refuses to discuss. Alice has repeatedly left her children
alone for several hours in their tiny apartment, and once she was gone for several days. Child
Welfare has interceded, but Alice continues to have custody of her children. Whenever Lucille
visits her daughter and grandchildren, the living conditions are filthy, there is little food in the
house, and there is talk of constant “visitors” to the house well into the night. Because of Alice’s
instability, Lucille has taken physical custody of her grandchildren without any redress from Alice.
Lucille’s family members are not aware of the stress Lucille is feeling about possibly having to
spend the rest of her life raising her grandchildren, including one with a disability. This causes
Lucille to often feel “down in the dumps,” resulting in overeating because, as she stated, “comfort
food makes me feel better.” Within 2 months, she gained 15 pounds.
Lucille heard about a counseling program at the local community center for grandparents
raising grandchildren. The program provides support, group meetings, parenting classes,
individual counselin.
Communicating their powerful stories: Strategies for helping under-represente...Rebecca Joseph
This is a new version of my college application essay writing powerpoint with more examples and strategies to help kids write pieces that push their powerful identities. We want kids to show how they are empowering themselves, their families, their schools, and their communities. Go to our website: www.allcollegeessays.org for more strategies.
ISocw 6000 week 6Discussions posted by students1.Dorel.docxchristiandean12115
I
Socw 6000 week 6
Discussions posted by students
1.
Dorella Fountain
RE: Discussion 1 - Week 6
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Top of Form
Total views: 40 (Your views: 2)
An outsider might not know that I’m a lesbian and that I am married to a woman. Social Workers additional knowledge of the culture of a member of the LGBTQ community would be very beneficial for not only the Social Worker but more importantly the client. King et al. (2007) argues that (as cited in Alessi, 2013, p. 224)” therapists and counselors still require specialized knowledge to understand how to support a range of sexual identities such as bisexuality; how sexuality is understood by families and how they respond; the difficulties encountered by sexual minority youth; therapist expertise and sensitivity regarding LGBTQ issues; and the effect of therapists’ sexual orientation on the treatment process.” LGBTQ community members endure unique difficulties as those of other cultures so it is very important for Social Worker and others in the helping profession to be culturally aware.
While is it almost impossible to know every single detail regarding a specific culture, having the aware of the differences between cultures is important. Some potential consequences due to a lack of cultural awareness would be possible loss of clients trust and cooperation, doing more harm than good to clients, possible loss of job and even license. Social Workers who are not culturally aware could unintentionally make a discriminatory or prejudice statement resulting in the client/Social Worker relationship being harmed.
Reference
Alessi, E., J. (2013). Acknowledging the impact of social forces on sexual minority clients: Introduction to the special issue on clinical practice with LGBTQ populations. Clin Soc Work J, 41, 223-227. DOI 10.1007/s10615-013-0458-x
2. Demetria Smith
Demetria Smith
RE: Discussion 1 - Week 6
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Total views: 26 (Your views: 1)
A social worker would need to know about what your race, religion, ethnicity, sexual orientation, and socioeconomic status. I am an African American female. I was raised up in church. I am a Christian. I believe in the power of prayer. The foods that I grew up eating are collard greens, peas, pig tails, pig feet, corn bread, chicken, neckbones, and pork chop. I was talk to respect everyone no matter what their age are. My mother did not work. She received food stamps, TANF, and Medicaid to help provide for her family. My mother also received child support. My grandmother and uncle raised me because my mother was always going somewhere. Some consequences of a lack of cultural awareness on the social worker’s part are if you do not know about different religions, you might say something wrong without knowing it. A social worker may offend a client without knowing it by talking to them using a certain tone of voice. You must to set aside culture differences. You cannot be judgmental. You must to be empathetic.
REFERENCES
Laureate Education (P.
Remove or Replace Header Is Not Doc TitleRivera Family Case Stu.docxlillie234567
Remove or Replace: Header Is Not Doc TitleRivera Family Case Study
Rivera Family Case Study Part 1
Please read the Rivera family case study to develop a diagnosis for Miguel Rivera age 10 based on the information provided. Follow the scoring guide and utilize the DSM 5. Identify any ethical considerations or laws. Please use the AAMFT code of ethics, HIPAA (if necessary) and your state laws or statutes. Please identify which systemic treatment you would utilize for this client and family.
The Rivera Family Demographics
The Rivera family is Puerto Rican, and they live in RiverBend City, Florida in a single-family home that they own. The family is middle class, and both parents work outside of the home.
Sosa Perez’s mother came to live with them 8 years ago after being widowed, she assists with childcare and housekeeping.
Family Demographics
·
Mother: Sosa Perez de Rivera, age 44, born in Puerto Rico, teacher at RiverBend City high school
· Sosa is pragmatic and practical, yet she takes time to nurture her children when they need it.
·
Father: Jose Rivera, age 45, born in Florida, orthodontist in group practice in River City
· Jose is funny and tells jokes to lighten the mood.
·
Son: Pedro Rivera, age 16, born in Puerto Rico, 10th grade, RiverBend City high school
· Pedro is very serious and studious and wants to be a surgeon. He is busy with school, after school activities, and looking for good pre-med programs.
·
Daughter: Tisha Rivera, age 14, born in Florida, 9th grade, RiverBend City high school
· Tisha is popular at school, is class president, and a cheerleader. She wants to be a teacher like her mother and work in a high school.
·
Daughter: Maria Rivera, age 12, born in Florida, 7th grade, Palms elementary and middle school
· Maria is artistic and a dreamer. She loves butterflies and fairies and wears purple a lot.
·
Son: Miguel Rivera, age 10, born in Florida, 5th grade, Palms elementary and middle school
· Miguel is a perfectionist who has to do “everything right”. He gives up when things don’t work out the way he had planned. His room is orderly.
·
Maternal grandmother: Magdalena Cortez de Perez, age 71, widowed, born in the Dominican Republic, in-home child care provider and housekeeping.
· Magdalena has always been “the rock” of the family, pragmatic, practical, and stoic. She allows “no-nonsense” or emotional outbursts from anyone.
Family history:
Sosa and Jose Rivera met in Puerto Rico when they were in high school together. Jose’s parents had moved to Puerto Rico from Florida when he was 12 for his father’s work as an engineer. Sosa and Jose got married after graduating, then both moved to Florida to attend college. Sosa received her teaching credentials in mathematics and chemistry and Jose attended dental school and received his orthodontic specialization. .
1. Social Work Research Couples CounselingKathleen is a 37-year.docxbraycarissa250
1. Social Work Research: Couples Counseling
Kathleen is a 37-year-old, Caucasian female of Irish descent, and her partner, Lisa, is a 38-year-old, Caucasian female with a Hungarian ethnic background. Kathleen reports that she has a long family history of substance use but has never used alcohol or drugs herself. She does not have a criminal history and utilized counseling services 10 years ago for family issues regarding her father’s alcohol use. Kathleen works as a nurse in a local hospital on the cardiac floor where she has been employed for 8 years.
Lisa reports experimenting with substances during college. She currently drinks wine on occasion. Lisa does not have a criminal history. Lisa has had many jobs and stated that she was unable to find her niche until recently when she took out a loan and opened a small Hungarian restaurant serving her grandmother’s recipes. Her restaurant has been open 1 year. Lisa reports that while she enjoys the work and has found her niche, she must work constantly to be successful, and she is worried the business might fail.
Kathleen and Lisa have been together for over 15 years. They have a close group of friends and see their families on major holidays. They came to outpatient counseling at a nonprofit agency to examine the possibility of starting a family together. They were both feeling ambivalent about it, and it had been the source of more than a few arguments, so they decided to come to counseling to address their concerns in a more productive way. They said they chose this agency because it was recognized as lesbian, gay, bisexual, and transgender (LGBT) friendly. They asked about my sexual orientation and my history because they were concerned about my level of experience working with the issues they were presenting.
I thanked Kathleen and Lisa for sharing this concern, and I informed them of various programs I had worked in within the agency, including supportive services for LGBT youth in schools and in the community. I also shared our agency philosophy and mission, which includes outcome measures and engaging clients in feedback to evaluate practice.
I explained the tools we used to measure outcomes. The first form measures how each of them are feeling with regard to their life and current circumstances. There are four different scales to measure aspects of their lives, such as social, family, emotional health, etc. I also provided the chart on which I score the scales and track progress. I explained that the purpose was to see where they began to demonstrate progress with the work we were doing.
The second form measures how well I am providing treatment. I demonstrated the four scales that measure if the client feels heard and understood and if we addressed in session what they wanted to. I explained that this should address their concern about my ability to assist them. Because we would be evaluating both how they felt and how the sessions were going each week, we could make adjustments on.
1. Social Work Research Couples CounselingKathleen is a 37-year.docxjeremylockett77
1. Social Work Research: Couples Counseling
Kathleen is a 37-year-old, Caucasian female of Irish descent, and her partner, Lisa, is a 38-year-old, Caucasian female with a Hungarian ethnic background. Kathleen reports that she has a long family history of substance use but has never used alcohol or drugs herself. She does not have a criminal history and utilized counseling services 10 years ago for family issues regarding her father’s alcohol use. Kathleen works as a nurse in a local hospital on the cardiac floor where she has been employed for 8 years.
Lisa reports experimenting with substances during college. She currently drinks wine on occasion. Lisa does not have a criminal history. Lisa has had many jobs and stated that she was unable to find her niche until recently when she took out a loan and opened a small Hungarian restaurant serving her grandmother’s recipes. Her restaurant has been open 1 year. Lisa reports that while she enjoys the work and has found her niche, she must work constantly to be successful, and she is worried the business might fail.
Kathleen and Lisa have been together for over 15 years. They have a close group of friends and see their families on major holidays. They came to outpatient counseling at a nonprofit agency to examine the possibility of starting a family together. They were both feeling ambivalent about it, and it had been the source of more than a few arguments, so they decided to come to counseling to address their concerns in a more productive way. They said they chose this agency because it was recognized as lesbian, gay, bisexual, and transgender (LGBT) friendly. They asked about my sexual orientation and my history because they were concerned about my level of experience working with the issues they were presenting.
I thanked Kathleen and Lisa for sharing this concern, and I informed them of various programs I had worked in within the agency, including supportive services for LGBT youth in schools and in the community. I also shared our agency philosophy and mission, which includes outcome measures and engaging clients in feedback to evaluate practice.
I explained the tools we used to measure outcomes. The first form measures how each of them are feeling with regard to their life and current circumstances. There are four different scales to measure aspects of their lives, such as social, family, emotional health, etc. I also provided the chart on which I score the scales and track progress. I explained that the purpose was to see where they began to demonstrate progress with the work we were doing.
The second form measures how well I am providing treatment. I demonstrated the four scales that measure if the client feels heard and understood and if we addressed in session what they wanted to. I explained that this should address their concern about my ability to assist them. Because we would be evaluating both how they felt and how the sessions were going each week, we could make adjustments on ...
Similar to Money-Follows-the-Person-Success_Stories (20)
2. It’s difficult to believe that Alyssa, a smiling 10-
year-old with a loving family, could have a
personal history that caused deep stress and
ultimately led to a crisis placement in a state
facility.
But thanks to Money Follows the Person (MFP),
the story has a happy ending.
As a toddler, Alyssa was diagnosed with autism.
Her parents became very involved with the
TEACCH Autism Program at UNC Chapel Hill. But
Alyssa wasn’t progressing as hoped. Before she
was 4-years-old, Alyssa started to have seizures
and her behavioral challenges were exacerbated.
It was difficult for Alyssa’s older sister to see her
struggling. Alyssa’s father was often deployed with
the military, leaving her mother alone with the girls. It became clear the family needed another option; so
they reluctantly enrolled Alyssa in The Murdoch Developmental Center (The Murdoch Center) in Butner.
Alyssa was at The Murdoch Center for four months when the family learned about the Money Follows the
Person (MFP) program through Dena Cannon, MFP Transitional Coordinator/Olmstead Liaison from
Alliance Behavioral Healthcare, who was on Alyssa’s interdisciplinary team. She convinced the family that,
through MFP and the Innovations Waiver, Alyssa could come home with the support she needed.
“Dena was very present and an amazing advocate. She did everything possible to push the process forward
and make it all happen,” Alyssa’s mother said.
A month later Alyssa did come home, but this time the family had specially trained staff support for 31 hours
a week – divided up between before-school, after-school and weekend assistance.
The family now has a dedicated caregiver who accompanies Alyssa wherever she goes. In addition, MFP-
funded technology helps Alyssa communicate and is used in conjunction with her school-based speech and
occupational therapy.
“We want her to continue to grow and become as independent as realistically possible, and the staff
member she has works on those goals every day,” Alyssa’s mother said. “Alyssa surprises us every week
with what she can do. The staff person never underestimates what’s possible and rejoices with us when
Alyssa accomplishes new things.”
In the summer of 2014, the family was able to spend a relaxing vacation in Disney World together.
“MFP and the Innovations waiver has given us help in the home that we didn’t have,” Alyssa’s mother said.
“Alyssa’s happiness, a routine with staff every day; it has made the whole family happier. All we want is for
her to be happy and know she is loved. That is more important than anything else in the world.”
Alyssa’s Story
Alyssa (second from left) and her family
3. Sam, is a quiet, 69-year-old man with FragileX, a genetic
intellectual disability. Sam lived with his parents in Wilkes
County until he was 50. Because he is very mechanical,
Sam often helped his father with the chicken coops and
other chores at home.
Sam’s father became sick; his mother was overwhelmed.
With help from the Smoky Mountain Center, Sam moved
into an Intermediate Care Facility (ICF) associated with
Community Alternatives, which provides a continuum of
community-based services for people with physical and
mental disabilities.
While at the ICF, Sam had a part-time job working in a
grocery store and took odd jobs fixing mechanical items,
such as lawn mowers. While at the ICF, Sam became very
close to a support person named Megan.
As Sam aged, he developed Parkinson’s disease and was
not able to do as many physical tasks. During that time, Sam
became more and more withdrawn. Most of his family
interaction had dissipated.
Sam then moved into a group home, where he lived for 16
years. A doctor believed Sam was headed for a nursing home. But Sam, Megan and Community
Alternatives created a better option. Megan became authorized to provide services to Sam as an Alternative
Family Living provider* and invited Sam to live with her and her family.
MFP was a crucial part of making the transition happen.
Since Sam moved in 2011, he has become a regular at the Ruby Pardue Blackburn Adult Day Health Center
in Wilkesboro and has developed a friendship with a staff member who takes Sam to dinner and other
places.
Sam has become part of Megan’s family, showing a playful side he often keeps hidden from strangers.
Three of Megan’s sons work in group homes and the youngest volunteers at the Ruby Pardue Blackburn
Adult Day Health Center. Megan’s family is embarking on a major home project in pursuit of a second AFL,
and Sam is in charge of painting.
Last summer the entire family (including Sam) went to a wedding in Missouri. This was the first time Sam
has ever been on a plane and may have been his first real vacation.
“I know how much this has changed him to come home,” Megan said.
Sam’s Story
Megan and Sam
* Alternative Family Living (AFL) is a support option allowed under the Innovations waiver that
enables an individual to live with a paid caregiver and the caregiver’s family.
4. Money Follows the Person supports both participants and
the family members (caregivers) who love them.
In 2012 almost 30% of the U.S. population provided unpaid
caregiving services to a loved one who was ill, disabled or
aged.* Unpaid caregiving services were valued at $450
billion per year in 2009 – up from $375 billion in 2007.**
Etta, 86 and her daughter, Lulu, 70, are an example of such
a family. Etta was living
with Lulu when she
became sick and unable
to walk. After two weeks
in the hospital, Etta spent
nine months in
Woodhaven Nursing
Center in Lumberton,
N.C.
Etta’s illness took its toll
on both the mother and
daughter. Both wanted
Etta to return home, but
Lulu was concerned that she and her husband could not meet all of her mother’s needs. Lulu was getting
mixed messages from both friends and professionals, ranging from “this will be very, very hard for you” to
“it’s possible to do this.”.
Then a social worker told Lulu about the Money Follows the Person (MFP) program. After some prayerful
thinking, Lulu decided it was time for her mother to come home. MFP and New Hanover CAP/DA Waiver
Program made that decision a reality.
The program provides Etta with a Certified Nursing Assistant (CNA) to help with bathing and other activities
of daily living and she uses a specialized van to get to medical appointments.
“She’s been no trouble, not sick, just fine,” Lulu said. “Without MFP, I’d probably be sick and she’d probably
be sick. Now she’s happy and I’m happy.”
Etta’s Story
Etta and her daughter, Lulu
* "Caregiving in the U.S.," The National Alliance for Caregiving and AARP (2009) - Updated:
November 2012
** "Valuing the Invaluable: 2011 Update, The Economic Value of Family Caregiving," AARP Public
Policy Institute. - Updated: November 2012
Without MFP, I’d probably be sick and she’d probably be sick.
Now she’s happy and I’m happy.” - Etta’s daughter, Lulu
In 2012, 30% of
US population
provided unpaid
caregiving services
to a loved one *
5. Jacqueline Lee (Jackie Lee) had diabetes for about 15 years, but at
age 57 her life was going well. She was living in beautiful rural Franklin,
NC, working in a job she loved. But then she lost her job, health
insurance, and soon became unable to afford her essential
medications. As a result Jackie Lee became very sick. She was falling
often and had peripheral neuropathy (pain and numbness in her feet).
Eventually it became difficult for her to even stand up.
Despite the support of her sisters, Jackie Lee could no longer live in her
non-wheelchair accessible house. Jackie Lee moved into a nursing
home for a month of post-acute rehab, but she had no safe place to
return home. She applied for subsidized housing vouchers, but the
waiting list was between two and three years long. Other potential
housing options also fell through. A year later, Jackie Lee was still living
in the nursing home.
Jackie Lee described her experience in the nursing home as akin to
homelessness. “I had nowhere to go and no hope of having anyplace
to go home to,” she said. “I felt forsaken and didn’t see anyway out. I
was in tears 100 percent of the time, always waiting for the other shoe
to drop.”
Then she found out about the CAP/DA and Money Follows the Person programs through the Local Contact
Agency Options Counselor, Donna Case, and Independent Living Transitions Coordinator, Lori
Massey. Through their help, she was able to obtain affordable housing at Life House, a 20-unit transitional
housing complex for people living with disabilities.
“Life is fabulous here,” Jackie Lee said. “It is safe, quiet and very secure. The people who live here – it’s a
community. We watch out for each other.”
The MFP program also helped her find home furnishings and affordable primary medical care. Her new
primary care doctor “prescribed” a cat to help with anxiety and depression. That is how she got Tony, a
gray-and-white tabby who – after living in a shelter for a year – was also seeking a “forever home.”
Looking ahead, Jackie Lee wants to volunteer at the nursing home where she once lived, and assist at the
local Meals on Wheels program. She hopes one day to drive again and actually deliver meals to
homebound residents.
“None of this could have been possible without the support system I have – case workers, nursing,” she
said. “I’m totally in awe of the ongoing support system.”
Jaqueline Lee’s Story
(First and Middle Name)
Jaqueline Lee and Tony
“None of this could have been possible without the support
system I have – case workers, nursing. I’m totally in awe
of the ongoing support system.”
6. Mandy, is a gentle, soft-spoken 35-year-old woman with
cerebral palsy. She resided in a group home in Wilkes
County for 11 years prior to moving to an Intermediate
Care Facility (ICF) for medical reasons in 2011.
Mandy’s greatest love is animals, and the ICF could not
permit animals due to allergies among the other
residents. Mandy liked the ICF but longed for a home
where she could be around animals. Smoky Mountain
Center, in collaboration with Community Alternatives,
which provides a continuum of community-based services
for people with physical and mental disabilities, informed
her about Money Follows the Person (MFP).
Community Alternatives introduced Mandy to Clara, who
was authorized to provide services as an Alternative
Family Living provider.* Clara invited Mandy to live with
her and her family.
MFP coordinated the transition to the AFL, including
making several accessibility upgrades so Mandy could
live there safely. Mandy moved into Clara’s home in
2013.
On a typical day, Mandy gets dressed and puts on her leg braces. Then she goes to Wilkes Vocational
Workshop, where she works while socializing with the other employees. On Tuesdays, she looks forward to
spending a half-day working with the animals in a veterinarian’s office. When Mandy is not working, she
likes to watch cooking shows on TV and experiment in the kitchen. She enjoys going to church on
Sundays, taking walks around the neighborhood and catching up on the neighborhood “news.”
Last summer, Clara, Mandy and Clara’s niece took a trip together to Washington DC.
“This is a real home, compared to the other place,” Mandy said.
Mandy’s Story
* Alternative Family Living (AFL) is a support option allowed under the Innovations waiver that
enables an individual to live with a paid caregiver and the caregiver’s family.
When Mandy is not working, she likes to watch
cooking shows on TV and experiment in the kitchen.
She enjoys going to church on Sundays, taking walks
around the neighborhood and catching up on the
neighborhood “news.”
Mandy with Pocahontas
7. Read More about Evelyn in The Wilmington StarNews
Evelyn was in her late 50s/early 60s when she was brought to the
hospital for severe leg pain. This was the beginning of a painful
odyssey which resulted in her moving into a nursing facility in New
York City and was told she would never again live on her own.
Eventually, she moved to a facility in Wilmington, N.C. to be closer
to her children and grandchildren. But she never felt comfortable
having them visit her at a skilled nursing facility. She loved the
nursing home staff, but wanted her own home.
A social worker told her about the Money Follows the Person
Program. By that time, she had been living in nursing homes for
seven years. With the help of MFP and the New Hanover CAP/DA
Waiver program, she was able to move into her own home.
“I was a little scared of the world now because I’m in a chair now
and the world looks go big,” she said. “But I’m in a lovely place, a
little house with a garden.
“It was a huge adjustment from going, going, going (before the
illness) to sitting in a wheelchair. I thank God that I can make little
things to eat and appreciate the sun, the garden, the people around me.”
Evelyn says her goals are modest – to see her grandchildren grow into teenagers, to sit in her garden,
maybe to get a computer and learn to drive again.
In addition to helping her, Evelyn believes Money Follows the Person provided a special inheritance for her
family.
“I want my children, my grandchildren, my great-grandchildren to never give up,” she said. “I want to leave
that legacy behind.
Evelyn’s Story
Evelyn
Evelyn believes Money Follows the Person provided a special
inheritance for her family.
“I want my children, my grandchildren, my great-grandchildren
to never give up. I want to leave that legacy behind.”
8. Alex, 24, has Wilson’s disease, a condition similar
to Lou Gehrig’s disease, which affects motor
functioning but not mental abilities. Though non-
verbal, Alex can answer yes/no questions with the
help of a communication board.
Alex had lived in nursing facilities in Siler City and
Durham for almost two years after being an
inpatient in an acute rehab hospital in Raleigh.
“I always wanted him to come home,” said his
mother, Marianne, “but as he deteriorated more, it
was difficult to care for him. I felt daunted and
depressed to have him at the skilled nursing
facility and not be able to have him home.
“I wanted to give him better care than the nursing
home was able to give him. And it was wearing
the family out going back and forth.”
MFP and the Wake County CAP/DA Waiver
program helped Alex get the care he needed to
move back home. Alex now lives in Pittsboro with
his family and a caregiver who helps him with
activities of daily living from 8:30 a.m. to 5:30 p.m.
Marianne said the difference in Alex since leaving
the facility is like “night and day.”
“He never really ‘lived’ in the nursing home,” she
said. “Home is where he belongs. He would cry
when he had to go back. And I don’t have to worry about him like I did when he lived in the nursing home.
The caregiver is just a phone call away.”
Alex recently got an accessible van so he can get out into the community more often, and is currently
looking into taking college courses.
“I just knew that he could not stay in the nursing home forever and I needed to do anything I could to get
him home,” Marianne said. “MFP was the ticket!”
Alex’s Story
“I always wanted him to come home, but as he
deteriorated more, it was difficult to care for him. I felt
daunted and depressed to have him at the skilled
nursing facility and not be able to have him home.”
Alex
9. Nettie, an intelligent, communicative 69-year-old
woman, from Caldwell County, reared three
children in the small town of Hudson, N.C.
In her 30s, she had three small strokes and had
arthritis. After breaking her leg and with her
arthritis advancing, she began to use a wheelchair.
She lived for 13 years in an accessible home
before moving to a nursing home.
Nettie lived a nursing facility for 15 years. During
that time, her children did their best to balance the
demands of working, supporting their mother and
raising their own small children.
Nettie learned about Money Follows the Person
(MFP) through a social worker at her nursing
home. She immediately began advocating for
herself through the county’s Vocational
Rehabilitation-Independent Living Program (VR-
ILP).
“Nettie is all about making her own choices – down
to food products and the clothes she wears,” says
MFP Transitions Coordinator Tara Williams.
However, finding affordable and accessible
housing proved to be a challenge and it took nearly
two years before the transition took place. Working
with other family members, Nettie found a doctor
and her daughter, Nancy, agreed that “it was time” for Nettie to move in with her.
Nettie transitioned out of the nursing home on October, 14, 2015. She was packed and ready to go two
months before the date.
Nettie now lives in a private home with her daughter and grand-daughter and is receiving home support
through the N.C. Medicaid Community Alternatives Program (CAP).
“I love it here because of my daughter and my family and because I have more choices,” Nettie says.
Nettie can’t stop praising the MFP program and her two transitions coordinators, Williams and Keisha
Mack with the state’s Community Alternatives Program for Disabled Adults (CAP-DA). “She thanked us a
thousand times,” Williams said.
Nettie’s Story
Nettie (front, center), Tara Williams, MFP
Transition Coordinator (rear, left) and daughter,
Nancy
10. Dylan, 18, was removed from his mother’s
home due to neglect and abuse when he
was 4-years-old. Misunderstood behaviors
associated with his childhood experiences,
intellectual/developmental disabilities (I/
DD) and mental health issues led to
placement in more than 60 facilities over
14 years, including foster homes, group
homes, hospitals, and even prison.
Thanks to the Money Follows the
Person (MFP) program, Dylan now has
a stable and loving family home.
Dylan was living in a Psychiatric
Residential Treatment Facility (PRTF) in a
border county of South Carolina* when he
met Jen Branham, MFP Transitions
Coordinator at Smoky Mountain Center.
Branham supported and encouraged
Dylan to move back to North Carolina
under the MFP program.
Branham was able to coordinate both Dylan’s mental health and I/DD care – allowing his service providers
to better understand his needs and desires.
As a result, Dylan has been living at an Alternative Family Living (AFL)** home in Asheville for the past
three months.
“I got to choose where to go this time. In the past, they didn’t even let me choose,” he said enthusiastically.
“Life is fun now. I get to go outside, go to football games, get to do things I’ve never gotten to do.”
Dylan has a full schedule of volunteering with local service providers (such as Meals on Wheels) and
playing in the adult football league. He will soon begin supportive employment to gain job skills. He also
has become good friends with another young man with developmental disabilities living in the same AFL.
“I’m the one that helps him,” Dylan said, “I just try to make him laugh.”
Dylan’s goals for the future include getting a driver’s license, a job, a girlfriend and a place of his own.
Dylan’s Story
Dylan with Jen Branham, MFP Transitions Coordinator
* N.C. Medicaid sometimes uses PRTFs within 80 miles of the N.C. border.
** AFL is a support option allowed under the Innovations waiver that enables an individual to live with a
paid caregiver and the caregiver’s family.
11. Teresa is a 59-year-old person with
quadriplegia resulting from a car
accident 33 years ago. She lived in a
nursing home for two years “and 23
long days” before she successfully
transitioned to living in a one-
bedroom apartment in Greensboro.
She contacted her advisor and then
Greensboro Social Services, who
referred her to Mark Steele in the
Division of Vocational Rehabilitation
Services’ (DVRS) Independent Living
program. Mark referred her to the
MFP program and recommended a
Sure Hands ceiling lift to assist her in
getting in and out of bed. Each day
she receives five hours of personal
assistance services to help her
perform various activities of daily
living.
“Being on my own has just been
incredible,” says Teresa. She has
more money now than she had in the
nursing home, allowing her to purchase newspapers to do Sudoku puzzles and clip coupons. She enjoys
shopping for her sister and niece’s families and passing her savings on to them. Teresa also has Internet
access, something she did not have in the nursing home, and enjoys growing her own tomatoes.
When asked about the impact MFP had on her life, she commented that, without MFP, “I would have been
stuck in the nursing home – could not have done anything in a manual wheelchair in a nursing home.” She
now feels “wonderfully blessed” and stated, “This program is a life changer.”
Teresa’s Story
“I would have been stuck in the nursing home – could not have
done anything in a manual wheelchair in a nursing home…
This program is a life changer.”
Teresa with Mark Steele, N.C. Division of Vocational
Rehabilitation Services, Independent Living Program
12. Growing up in Benson, N.C., Sherwood made a living doing
farming, landscaping, bricklaying and carpentry in Raleigh.
At age 33, he started a family and now has a 14 year old
daughter - a straight-A student who is a source of pride for
her dad
His active lifestyle changed abruptly when he had a stroke at
age 48. He lived in Warsaw Rehabilitation Center for more
than a year while working hard to regain his previous
strength and abilities. He can now speak clearly, use both
hands, manage stairs and ambulate with a walker for 250
feet.
As his abilities returned, Sherwood wanted to return to an
apartment of his own. He learned about the Money Follows
the Person (MFP) Program from a social worker at the
rehabilitation facility.
On April 6, 2016, he was able to move into his own
apartment with personal care services – such as meal
preparation, help around the house and running errands –
five days a week. The move was supported through a
collaboration of MFP, Eastern Carolina Council (ECC) Area
Agency on Aging, N.C. Office of Housing and Homelessness
Regional Housing Targeting Program, N.C. Division of
Vocational Rehabilitation Independent Living Program and N.C. Medicaid’s Community Alternatives
Program for Disabled Adults (CAP/DA) waiver.
“I have more privacy,” he says. “I come and go as I please. I get to cook what I like to cook – like
potatoes, fried chicken, vegetables and spaghetti.” He loves being part of the community and enjoys
watching TV, sitting outside his building and talking with people, going out with friends – and buying hats.
He also has a supportive girlfriend who comes over several times a week and whose family feels like
family to Sherwood. “Having her in my life has been wonderful. She has really stuck her neck out for me.”
His future goals include walking longer distances, going to the gym and being able to drive again. “If
there’s a will, there’s a way,” he says. “You’ve got to try. It is not good to sit around and watch TV.”
When asked what he would tell others living in a facility who want to move home, he said, “If you ever get
in a situation like this, don’t let other people tell you that you can’t make it. You can do it if you put your
mind to it.”
Andi Reese, Transition Coordinator with ECC, said Sherwood’s perseverance inspired others in the
facility to make positive changes in their own lives. Sherwood’s thinks equally highly of Andi.
“Andi has been a great help and encouragement to me,” he said. “I mean that from the heart. Since I’ve
been at this place, I really feel like I’m home. It’s a blessing!”
Sherwood’s Story
Sherwood in his new home with
Transition Coordinator Andi Reese
13. All Oshin really wanted for Christmas 2013 was to go back home to Asheville.
She received her gift shortly before Thanksgiving Day.
Born in Jamaica in 1994, Oshin had medical issues from birth. These were
complicated by a Traumatic Brain Injury (TBI) caused by brain surgery at the
age of 5. Eventually Oshin was placed in an institution in Swannanoa.
Oshin was lonely, as there were not many people at the group home her age.
She was placed in a sheltered workplace and given menial tasks. Oshin was
very unhappy at the institution and wanted to go back home to live with her
mother. She stopped eating, lost weight and was given nutritional supplements.
The institution contacted Oshin’s mother about the Money Follows the Person
(MFP) program. The goal was set to have her home by Thanksgiving. Thanks
for MFP and the support of Smoky Mountains MCO, Oshin was able to access
the Innovations slot and was home with three days to spare!
Once home, Oshin has become healthier and now sells her art!
Oshin’s long-term goals include returning to an earlier hobby of making baby clothes for dolls – and
perhaps one day owning her own boutique and/or hair salon.
According to her Care Coordinator, Robin Shaw, Oshin is smiling much more and is very animated. “Her
facial expression alone tells you it is a success,” she said.
Oshin’s Story
Christina’s Story
Oshin
“She is so much happier now,” said Patti, the mother of 33-year-old
Christina, who is unable to speak, roll over, or raise her arms much
above table level.
Patti says she could not get a smile from her daughter when she would
visit her in the institutional group home, but now “she smiles, she laughs
and she sings.
“She’s home and she can decide what she wants to do.”
Christina
“She’s so much happier now.”
“Her facial expression alone tells you it is a success.”
14. Henry, 69, had lived in an institutional group home in Charlotte after his
family had become unable to provide him with the care that was
needed. He was able to move to his own home with the help of MFP and
the Innovations waiver program. He now lives with one of his favorite
people, Anthony – his support provider.
Since he moved, the county social worker reports she has seen
tremendous change; that his demeanor and attitude have become more
free and relaxed. Henry now attends classes and takes part in a day
program.
Anthony reports that Henry is comfortable in the new setting and helps
with laundry and other household tasks, but really enjoys going out to
community events and “getting out” on long trips.”
The MFP Demonstration Project is founded on the principle of individuals
having the right to choose where they receive their long-term support services. As the social worker notes,
“people have a great desire to have control over their day-to-day activities, to lead self-determined lives and
to be included in their local communities.”
Cece, 53, has an eating disorder which caused various medical
problems, including problems with walking, bathing and other
personal care issues. Following weight reduction surgery, she
lived in a rehabilitation center in Ohio for four years, followed by
seven months in a rehabilitation center near Morganton, North
Carolina.
Though Cece enjoyed the staff in both centers, it was hard for her
family to visit and she missed them terribly. Thanks to the Money
Follows the Person and Catawba County CAP/DA Waiver
program, she now lives in her own home near Hickory – reunited
with her husband of 15 years, as well as other friends and family.
“It is awesome here at home,” she said.” I can go outside and get
sunburned. I love the animals. My neighbors have dogs, my mama
has dogs. I would love to have a dog, but it would be hard here.”
Her personal care assistant says CeCe is much happier at home with her own possessions, including an
extensive collection of NASCAR collectibles, especially Jeff Gordon, memorabilia.
CeCe’s Story
Henry’s Story
CeCe
Henry
15. Jabreel, 21, has autism and lived at home until two years ago when he
moved to a group home. His mother soon saw that he was becoming
depressed and that his communication and social skills were declining.
Because of MFP and the Guilford County CAP/DA Waiver program,
Jabreel moved out of an institutional group home to an apartment in
Greensboro where he lives with Kevin, his support provider. The
experience has been liberating. Now Jabreel has an opportunity to
share his interest in sports with friends and enjoys singing and dancing.
Jabreel and Kevin travel to New York often, typically to attend sports
events, and also are actively involved in the Greensboro community.
“My son now has a warm, broad network of people in his life, and there
are more opportunities for normalcy for my son,” his mother, Shelia,
said.Jabreel
Ronald lived at home until he was 14 and then moved to a
group home. He lived the next 20 years in an institutional
setting. Ronald is deaf, has autism, a seizure disorder, and
does not use words to communicate.
A year and a half ago, with the help of the MFP and
Catawba County CAP/DA Waiver program, he moved to the
Hickory area, where he lives with his mother, Ruth.
Formerly frustrated and uncommunicative, Ronald now
interacts with his mother and sisters and goes out in the
community, with regular visits to a nearby Starbucks.
He is active in the visual arts and his painting and drawing have been recognized at the district and state
level. Ronald regularly participates in a day training program. He is now on fewer medications. Ronald
recently went on his first family vacation since he was a young child!
Ronald's sister once worked at the institution where he lived for 20 years and understood the limitations of
institutional life. She advocated continuously for him to come out of the institution. Tears well up in her
eyes as she recounts the changes that have happened because of MFP, and observes: “We are a family
again, and you can see how much this new freedom means to him.”
Ronald and his family
Ronald’s Story
Jabreel’s Story