2015 Report to the Community
Hamilton County DD Services Board Members
President Nestor Melnyk, AIA, LEED AP BD+C
Vice President Andy Magenheim, Ph.D.
Secretary April Flagler, Esq., MBA
Rene Brinson
Paul Haffner, Esq.
Robert Harris
Ken Wilson, MGS
Agency Administration
Superintendent Alice Pavey
Office of Budget and Administrative Operations Rick Ratterman
Human Resources
Information Technology Shawn Garver
Brian Knight
Office of Medicaid, Contracts and SSA Jennifer Becknell
Service and Support Administration Melissa Haas
Office of Planning, Innovation and Quality Dawn Freudenberg
Advocacy Support John Romer
Community Relations Jenny Dexter
Innovation and Quality Eric Metzger
Office of Integrated Services Adult Services
Early Intervention
General Assembly Office of Inclusion and Collaboration Major Unusual Incident and Prevention Matt Briner
Melissa Morelli
Pheetta Wilkinson
Chris Miller
Kristee Griffith
Jennie Flowers
Our Report to the Community
Our year was filled with strategic planning and first steps in an ongoing journey toward a future of integrated
community services for people with disabilities that looks vastly different from the past. Federal and state forces
continue to converge, and we, along with other county boards across Ohio, have been studying and planning for
these issues, which will drive significant change for years to come.
Despite uncertainty in these unprecedented times, 2015 was about accomplishment and
moving forward, as you will see throughout this publication. In January, we hit the ground
running with comprehensive communications to reach every person connected to us with
the realities of our movement away from traditional services.
We continued to share information about these changes and plan for the future,
culminating in the September announcement to consolidate four adult centers into
three, closing E. Roger Jackson Adult Center.
This decision followed a significant ruling by
Issues driving sweeping system
the federal Centers for Medicare and Medicaid
change locally and across Ohio
Services to give County Boards of DD in Ohio
until 2024 to stop providing direct services.
The consolidation of adult centers began what will be a long process of
decisions to shape our future that may be painful and bumpy. We pulled
together a group of stakeholders—families, people served, providers, and
staff—shortly after the consolidation announcement to provide input
for future decision making. They gave us five priorities and a total of 25
recommendations to consider as we move forward. Like life for all of us,
some decisions and transitions may be smooth and some may not. In all
of these tough times, our long-standing tradition of caring about people
with disabilities and their families is not going away.
While difficult, these changes will lead to services that best fit each person’s
needs in community settings. We will be at every step to help those we
serve and their families through whatever transitions are necessary.
Alice C. Pavey
Superintendent
2
• Ohio Department of DD response
to Gov. John Kasich’s Employment
First Initiative requiring every
person served to seek or consider
community employment.
• The Centers for Medicare and
Medicaid Services (CMS) 2014 rule
eliminating waiver funding for
segregated services by 2019.
• The CMS requirement that a
provider of services should not also
be a provider of case management.
• Ongoing legal enforcement by the
Department of Justice and Disability
Rights Ohio of the Supreme Court’s
Olmstead Decision of 1999 and
ADA of 1990 requiring services to
be provided in community settings
instead of segregated settings.
Agency at a glance
Revenues
We serve 8,523 people in
Hamilton County
» 4,135 adults
» 3,138 children
» 1,250 babies and toddlers
Tax Levy
Federal
State
Miscellaneous
$73,981,839
$11,406,435
$7,506,563
$4,762,216
Total: $97,657,053
Expenses
Waivers
SSA
Adults
Children
Administration
Total: $96,857,805
$39,616,968
$14,800,920
$21,695,269
$13,549,924
$7,194,724
3
In the Community
•
In 2015, we debuted a new blog called “Employment Spotlight” to increase awareness of employment opportunities for
people with disabilities and to showcase their abilities and contributions to the workplace. In the first year, our blog had
more than 8,500 views and won a Silver Award from the Greater Cincinnati Public Relations Society of America (PRSA).
•
250 people attended the “State of the Agency” communication forums where Superintendent Alice Pavey gave an
overview of issues facing the developmental disabilities system in Ohio, the agency’s new management structure, and the
Board’s strategic direction. About 70 percent of those who attended were families and people served.
•
Hamilton County was well represented at the annual Ohio Public Images (OPI) Awareness Awards. Famed Reds batboy
Ted Kremer was honored for Personal Achievement; Logan Brinson won the Self-Advocate award; former Ohio Sen. Eric
Kearney was honored with the Community/Elected Official award for his efforts to remove “mental retardation” from
Ohio state laws; and People For DD Services won an award for public relations efforts during the 2014 levy campaign.
•
Advocate Diana Mairose, on behalf of the Ohio Self-Determination Association, gave testimony about the state budget
during an Ohio Senate hearing. She was president of that statewide organization at the time.
•
Members of the Advocacy Leadership Network (ALN) and Leaders in Action (LIA) heavily supported Cincinnati’s July 27
celebration of the 25th anniversary of the American with Disabilities Act on Fountain Square. Superintendent Alice Pavey
spoke during the main program; the agency had an informational booth; and several advocates were featured in local
media outlets following the event.
•
In July, Sheryl Fairbanks competed in multiple bocce ball events at the Special Olympics World Games in Los Angeles.
She won a gold medal with Team USA and a silver medal in the singles match.
From left: James Harley and Linda Kunick at the ADA 25th anniversary celebration; Sheryl Fairbanks with her Special Olympics
medals; and Eric Kearney, Jenny Dexter, Alice Pavey, Ted Kremer and Logan Brinson at the OPI awards in March.
4
•
In the Community
• Family Liaison Lynne
Calloway, along with
advocates Diana Mairose
and Robert Shuemak,
were featured guests
on the WAIF (88.3 FM)
program “I Hear U.” They
spoke with host Senovia
Byndon about disabilities
and inclusion.
Connections help land community job
Twice a week Latasha Walker gets a ride to the Seven Hills LaRosa’s
Pizzeria where she clocks in and heads back to the kitchen. Walker
washes dishes from the dining room and prep stations during her
shift and also folds pizza boxes for delivery orders. “I wanted a job to
make more money and meet more people,” she said.
It’s her first job in the community, and Walker, 40, said she likes it.
•
Nakiea Spaulding was featured in an Ohio
Developmental Disabilities Council brochure,
“Transition to Independence,” about living
and working in the community. Nakiea owns a
condo and has worked at Cincinnati Children’s
Hospital for more than 15 years.
•
The Special Olympics Hamilton County
Unified Softball team won Ohio’s state
championship in September. Unified Sports
pairs people with disabilities and their peers
without disabilities on the same team. This
team, coached by SSA Jerome Hawthorne, had
seven Special Olympians and eight partners.
•
•
Advocacy Support Specialist Sonja Day,
Advocate Diana Mairose and Rico Isaacs, who
is a person served by HCDDS, were quoted
in a WCPO story about a Cincinnati Human
Relations Commission dinner that promoted
diversity and inclusion.
Hamilton County DD Services sponsored
and promoted ReelAbilities Film Festival, the
largest film festival in the country dedicated to
sharing the art, stories, and lives of people who
experience disabilities.
“Tasha is a good worker and we believed she could get a job in the
community,” said Randi Moore, a habilitation specialist at Beckman
Adult Center, where Walker
has attended since 2012.
“We took her to LaRosa’s,
talked to the managers
and helped her fill out the
application.”
For Ray Nye, the manager
of that location, the timing
couldn’t have been better.
“We were looking for
someone to help out during
the busy lunch rush,” he
said. “They approached us with the opportunity and we took it.”
Nye added that his personal connection to Beckman – his aunt
attended there and he had previously employed another worker
from that adult center – made him more open to hiring Walker.
During her first few months on the job, Walker has been getting
help from Tina Back, a job coach at Goodwill, who said she is always
willing to learn and asks for other duties. “Latasha is doing a good
job,” Nye said. “She’s very pleasant and shows up happy to be here.”
5
Working Together
•
In March, the Southwestern Ohio Council of Governments (SWOCOG), which
includes the County Boards of DD in Butler, Clermont, Hamilton and Warren
counties, featured four people with disabilities who are successfully employed
in the community on billboards and in newspaper ads. The campaign also led
to an opportunity to film television commercials with the billboard stars that
aired on Local 12, and each person was interviewed and featured during a Star
64 movie marathon. The Greater Cincinnati PRSA recognized this public service
announcement campaign with its Silver Award.
•
More than 80 people signed up to be part of a family advocacy group started in February. The goal was to connect families
to state legislators and issues. The group was part of an initiative started by the Ohio Association of County Boards of
Developmental Disabilities.
•
The HCDDS Innovation and Quality Team launched an intensive integration initiative
focused on genuine engagement and community inclusion for people with disabilities.
Seven providers made a strong commitment to accept and fully implement the robust,
“can do” approach toward integration.
Advocating for
Accessible, Affordable
Housing in Cincinnati
•
Grants from The Greater Cincinnati Foundation helped bring arts
experiences to the Bobbie B. Fairfax and Margaret B. Rost schools.
At Fairfax, the grant brought the Children’s Theatre of Cincinnati
to the school for a special performance of “Little Red Riding
Hood.” At Rost, the grant added an art- and musicrelated computer group to an existing partnership with
neighboring St. Jude School.
Michael Denlinger, a Leaders in Action member and strong
housing advocate, has lived successfully in the community
for 10 years in an apartment retrofitted by our agency to
meet accessibility needs. Denlinger and his roommate had
a Tenant Based Rental Assistance voucher from Hamilton
County, which also made their home affordable.
Denlinger
6
When Hamilton County’s new housing coordinator
determined the vouchers were supposed to be temporary,
Denlinger spoke up about how these vouchers help him
and his roommate maintain their home. Due to his strong
advocacy, including speaking to the local housing authority
Board, Hamilton County residents will receive new housing
vouchers to make their homes affordable again.
• 30 provider agencies and 60 families
attended an information fair for day program
options in the community.
• Mahalia Stoneman, who receives
services from HCDDS, was featured
in an Ohio Department of DD
video, shared on YouTube, about
the state’s “Strong Families, Safe
Communities” grant.
Working Together
•
In May, the SWOCOG hosted an information session for area
legislators to share the impact of the various national and state driving
forces of change. The session also featured Chip Gerhardt, a local
lobbyist who helped get the federal Achieving a Better Life Experience
(ABLE) Act passed. Gerhardt has a daughter with Down syndrome and
championed this legislation to help people with disabilities and their
families to prepare financially for the future.
•
Advocate and Metro bus customer Robert Shuemak led efforts to
move a bus stop in front of the Support Center on Madison Road in
East Walnut Hills. He worked with Metro and Greater Cincinnati
Behavioral Health to move the bus stop from its previous location
at an intersection to a safer area up the street. The new stop is more
accessible and provides shelter for those waiting for the bus.
•
Hundreds of families, people served and providers attended a forum
conducted by the Ohio Department of Developmental Disabilities
(DODD) about the CMS transition plan. The forum was held in
January at Beckman Adult Center.
•
In November, Theresa Faison and her grandchildren were featured in
The Cincinnati Enquirer as part of the annual Wish List, coordinated
by the United Way of Greater Cincinnati. At age 70, Ms. Faison
became the sole provider for three of her grandchildren, who all have
developmental delays. The Cincinnati community overwhelmingly
responded by providing the family with much-needed beds, furniture,
clothing and other items.
•
Board President Nestor Melnyk was elected as a trustee for the Ohio
Association of County Boards of Developmental Disabilities (OACB).
Photos (from top): Chip Gerhardt speaks at the legislative breakfast; Robert
Shuemak, James Harley and Sonja Day at the new Metro stop ribbon cutting;
and Theresa Faison with her grandsons and the HCDDS volunteers who
helped deliver Wish List donations. Previous page: Andy Schwertman talks
with Star 64 movie marathon host Storm Bennett.
7
Providing Services
•
HCDDS earned a fourth three-year accreditation from the Commission on Accreditation of Rehabilitation Facilities
(CARF). The review covered 36 areas, including accessibility, strategic planning and community integration.
•
Added a new role of Employment Coordinator to connect local employers who have a business need to people with
developmental disabilities who want to work in the community.
•
10 participants in job exploration club for high-risk individuals with dual diagnosis and/or court involvement.
•
Agency staff became part of the new Cincinnati Public Schools’ task force focused on transition planning for students
with disabilities. This group is collaborating with social service agencies on best practices.
•
Six students graduated from Margaret B. Rost School, and five students graduated from Bobbie B. Fairfax School.
•
Individuals who attend agency adult centers and are interested in office work began job trials at the centers and other
parts of the agency, in both paid and unpaid roles.
•
At Franks Adult Center, 11 people graduated from the Cafeteria Prep Program, a two-week, paid “in-house” training to
teach individuals skills that could easily transfer to a restaurant setting.
•
At Jackson Adult Center, three people graduated from an inventory/stocking program, a six-week training to develop
skills that could transfer to community employment.
•
Kidd Adult Center’s Garden Group, which includes staff and individuals, created and maintained a sensory garden
outside the building. The garden has flowers with different textures, smells and colors, as well as a bird bath and chimes.
From left: Anna Marie receives advice on her résumé; Kidd Center Activity Supervisor Kim Neff visits the sensory garden with
Cheryl and Michelle; Chad receives his diploma from Rost Principal Duerk Zinn
8
Providing Services
Helping shape Ohio’s DD system
Many staff, leadership team members, and advocates help shape
the future of services in Ohio through ongoing participation in
statewide workgroups.
•
Management positions in the adult centers
underwent significant restructuring. The center
director role became a manager title, and one
director position was created to oversee all the
adult center managers.
•
18 individuals were assisted by Service and
Support Administrators (SSAs) to transition
from state developmental centers into
community living.
•
In September, the agency announced plans to
consolidate the four adult centers into three
by March 2016. Transition planning for the 113
adults who attend Jackson was completed by
December.
•
Following the consolidation announcement, a
stakeholder group of people served, families,
providers, and staff was formed to help shape
future decisions. This group developed 25
recommendations to help families of people
served in adult centers as they navigate changes
in how direct services are provided.
Superintendent Alice Pavey has been part of several, including the
Ohio Association of County Board’s (OACB) Strategic Planning
Leadership Group. This group published “Life Map,” a quickreference guide to help families and people served to understand
how the system of services in Ohio operates. Other groups Alice has
worked with have impacted the state budget, decided the process
of allocating waivers, and
made plans to transform
the future of Ohio’s service
delivery.
Alice also was a panelist
with Ohio DODD
Director John Martin
and Ohio Mental Health
and Addiction Services
Director Tracy Plouck
during a virtual town hall
about the Strong Families, Safe Communities grant. The session,
pictured above, included a video conference with other grant
recipients across Ohio to share the success of the various projects.
Other staff were involved in a range of workgroups on various
topics, such as employment, early intervention, rules and
regulations, residential services, funding, data-gathering, provider
certification, public awareness, and major unusual incidents.
Members of the Advocacy Leadership Network and Leaders in
Action met with local, state, and national lawmakers to advocate
for improvements in community services for all people with
developmental disabilities.
9
2015 Hamilton County DD Services
4,652
2,862
1,259
Community experiences
for people who attend
agency adult centers
Adults attended
community providers
during the day
Investigations of abuse,
neglect & other major
unusual incidents
462
931
240
People employed in
community jobs
People used Family
Services and Support
People received
behavior support
137
Students from 22 local districts who
attended HCDDS schools
398 youth
542 adults
1,119
10
Supported in finding work and other
services after high school
Attended agency adult centers
throughout Hamilton County
Average monthly Early Intervention
visits with babies & toddlers
631
Agency and
Independent
Providers in the
Community
Supports and Needs By the Numbers
• 1,322 people went through the eligibility process
• 5,740 people receive Service and Support Administration (SSA)
• 2,562 people are enrolled on a waiver to help pay for services. Waiver services are
paid for by approximately 60 percent federal funds and 40 percent local funds.
• 431 people receive residential or community respite
• 2,110 people have support for living in the community
• 4,049 people have transportation support for daily living*
*numbers may be duplicated
11
2016 Annual Plan Goals
Promote Integrated Employment Opportunities
1. Expand community collaboration model to engage
new local businesses so community employment
options expand for people with DD.
2. Increase, from current rate of 9 percent to 30 percent,
the number of transitioning youth who are employed
in the community.
3. Use person-centered tools and
plans to generate meaningful
outcomes for day/home life and
to promote self-advocacy.
4. Track/analyze employment
successes, job losses and
demographic trends to build
strategies for successful
employment.
5. Manage and improve online
employment module to more
accurately capture local
employment data.
6. Support at least 10 percent of
people currently attending
HCDDS adult centers to select a
community provider.
7. 90 percent of adults leaving HCDDS adult centers
who have selected a community provider will indicate
satisfaction with their transition to new provider.
12
8. Identify gaps in community provider capacity to
support people with specialized needs and develop
supports to address these. Develop creative and
effective ways for DD Services to offer consultation
and supports (e.g. nursing, behavior support) to
ensure services offered by community providers
are consistent with those currently
provided in HCDDS adult centers.
9. Families and transitioning youth
in the local school work/study
program will indicate what’s working
or not working in their support for
community employment to inform
best practices locally.
10. Host forums highlighting peers
who have recently left the adult
center for community employment so
peers remaining at the adult centers
consider community options.
11. Assist at least 15 agencies who
request support to offer more
integrated community experiences
so people served are more likely to
be connected to work and volunteer
opportunities.
12. Strengthen collaboration with leaders supporting school children so community-based school
programs are better equipped to serve students with
more complex needs.
2016 Annual Plan Goals
Build Capacity for an Aging Population
1. Use adapted “Future is Now” curriculum to support families with aging caregivers from adult centers develop
an action plan for the future of their family member.
2. 95 percent of people interviewed will indicate satisfaction with plans developed from “Future is Now.”
3. Develop a collaborative framework to support families over the life course, from babies to seniors, so multiple
organizations and family networks contribute to identified needs.
4. Implement routine dementia screening for people who are older than age 50 or age 35 for
those with Down syndrome.
5. Network with 20 high quality aging services and their point people, so
people with DD who are seniors* have a wider range of options for
quality care.
6. Develop and distribute media kit to explain current
availability of affordable, accessible housing for all
stages in life.
* By 2018, the number of
adults served who are age 66
or older is expected to double
What is the “Future is
Now” curriculum?
A newly adapted “Future is Now” initiative
supports families in learning about and
planning for the future of their family
member with a developmental disability.
In addition, Service and
Support Administrators
(SSAs) and Adult
Center staff are trained
to communicate with
caregivers about future
planning. This includes
exploring options for
assisting aging caregivers
to make sustainable arrangements that allow their family
member with a disability to continue to live in the family home.
13
2016 Annual Plan Goals
Strengthen Collaborations to Improve Health
1. Convene a Trauma-Informed Care* Workgroup to review existing practices and make recommendations for
enhancing the quality of trauma-informed practices throughout the organization.
2. Use best practice transition principles so people leaving Developmental Centers and Intermediate Care Facilities
for Individuals with Intellectual Disabilities (ICF-IID) remain in community placement/homes.
3. Use behavior support expertise to safely reduce staffing for people who receive 2-to-1 support so those people have
greater independence.
4.
Ensure newly selected independent providers understand their roles and
responsibilities to support the health and My Plan outcomes of individuals served.
5.
Understanding the
effect of trauma
Support the development and communication of the provider “Gold
Standard” so individuals and families can have informed access to
high-quality providers.
As a result of a state grant, Hamilton County
DD Services began a resilience project that includes
trauma-informed care training for staff and providers.
Direct Services staff, Service
and Support Administrators
(SSAs), Early Intervention
teams and Adult Center staff
spent hours learning about
these new tools to create a safe
and healing environment.
Mahalia and Stacia, her SSA, talk about
how a mentor and support program
helped her make safer and better choices.
14
This training can help DD staff build
resilience and create healing experiences
through positive relationships. In
2016, we will continue to build on this
important work.
* Trauma-informed care
focuses on how past trauma
may affect an individual’s
life, response to services
and coping skills.
2016 Annual Plan Goals
Manage Resources Fairly and Wisely
1. Update analysis of how we do our work, including
structure, processes, and human resources.
2. Implement recommendations from agency analysis
so work is streamlined, positions are aligned, and
savings are achieved. Complete “what’s working/not
working” analysis of restructured areas.
3. Train and support Service and Support
Administrators (SSAs) to
facilitate Cost Projection
Tool meetings to assure costs
are contained and quality
assured.
4. Complete refinancing of
remaining 50 percent of
people receiving locally
funded services.
5. Study/use strategies from
other counties to successfully
reduce the number of people
receiving residential services who live alone.
6. Analyze housing network and group home vacancies.
Implement plan to reduce vacancy rate by 10 percent.
7. Implement Communication Plan for all stakeholders
that explains ongoing changes and the role of HCDDS
in assuring quality supports for people with DD.
8. Share information with families about changes
coming to all Medicaid-funded day services so
families understand that provider programs may
change in response to federal and state requirements.
9. Strengthen and communicate the role of the SSA
as the point person to guide the planning process,
particularly during times of transition.
10. Provide community
connections to people currently
on the waiting list so families can
be linked to alternative supports
to meet current needs.
11. Create a Quality Council,
inclusive of family members,
focused on reviewing surveys and
provider quality reviews.
12. Create a user-friendly and
accurate database of providers
searchable by criteria of interest
to families and SSAs, such as behavior support,
nursing services, community experiences, etc.
13. Assist providers to navigate the services/supports
and rate add-ons in the Adult Day Array Funding
Redesign to most effectively support people with
intense support needs and advocate for any additional
changes that may be needed.
15
Connect with us!
Hamilton County Developmental Disabilities Services shares news,
photos and information on a variety of platforms, including:
Facebook
Twitter
YouTube
16
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Read it: Bit.ly/HCDDSblog
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Sign up: Bit.ly/HCDDSnews
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Viaquest Behavioral Health
ViaQuest Day Services, LLC
ViaQuest Home Health LLC
ViaQuest Residential Services
Visionaries and Voices
Vogel Woodworking LLC
Walk Of Joy LLC
WELLNESS RESIDENTIAL SERVICES
Westside Residential LLC
Winton Transportation Inc.
Wrap Around Supportive Living
Wynn-Reeth, Inc.
YMCA Camp Kern
Yosi International, Inc.
You First Supported Living, LLC
Zang General Contractors, Inc.
Vision
Community integration for all people with
developmental disabilities
Mission
Promote and support opportunities for people
with developmental disabilities to live, work, learn
and fully participate in their communities.
1520 Madison Road
Cincinnati, OH 45206
(513) 794-3300
www.hamiltondds.org