Ramsey County Disability Services Who we are Who

Ramsey County Disability Services Who we are, Who we Serve, How we Support May 17, 2018

Who We Are and How We Provide Support q 270 Social Workers/Case Managers, Support Staff and Management employed by Ramsey County and 15 contracted community agencies. q Responsible for providing case management to nearly 7500 people, 1200 under the age of 21. q Charged with implementing the tenants of the Federal Olmstead Decision, the Minnesota Olmstead Plan and the Jensen Settlement. 2

How We Support Olmstead: Community Integration for Everyone q In 2009, the Civil Rights Division launched an aggressive effort to enforce the Supreme Court's decision in Olmstead v. L. C. , a ruling that requires states to eliminate unnecessary segregation of persons with disabilities and to ensure that persons with disabilities receive services in the most integrated setting appropriate to their needs. q Lois Curtis and Elaine Wilson- were confined in an institution for several years after their treatment was completed. q On June 22, 1999, the United States Supreme County Held that Olmstead v LC that unjustified segregation of person with disabilities constitutes discrimination in violation of title II of the Americans with Disabilities Act. q President Obama issued a proclamation launching the "Year of Community Living, " and directed the Administration to redouble enforcement efforts. ADA. gov 3

How We Support Jensen Settlement- Class Action Lawsuit q The Jensen Settlement Agreement is the result of a lawsuit filed against the DHS in 2009 alleging that residents of the former Minnesota Extended Treatment Options (METO) program were unlawfully and unconstitutionally secluded and restrained. q Rather than a trial, on Dec. 5, 2011, the U. S. District Court for the District of Minnesota adopted a Settlement Agreement (PDF). The settlement is intended to bring significant improvements to the care and treatment of individuals with developmental and other disabilities in the state of Minnesota. q Olmstead/Jensen are essentially about ensuring civil rights and mandating integration for people with disabilities. MN. gov/dhs 4

How We Support Minnesota's Olmstead Plan goal: That Minnesota will be a place where people with disabilities are living, learning, working, and enjoying life in the most integrated setting. MN. gov/dhs 5

How We Support Minnesota Olmstead Plan Responsibilities For counties, providers and other service organization q To create a disability services infrastructure that ensures Minnesotans with disabilities have access to opportunities for living, learning, working, and enjoying life in the environment of their choices. q It is not simply a matter of creating an independent environment for people with disabilities, but rather to allow them the power to make decisions about the direction of their lives. q This power is evidenced by people who are integrated into the community of their choice, having control of the services they receive and funding sources, and having access to transportation and equal employment, education and housing opportunities 6

How We Support Civil Rights and the Dignity of Risk Ramsey’s Efforts q Transform our part of the service delivery system from one which protects people to one that supports people in making their own choices. q Focus is on helping people and their families see the possibilities for their lives beyond what is typically expected for people with disabilities. q Adjust our approach to focus on what support someone needs to live their life in the manner they choose. 7

Who We Serve Disability Services Race and Ethnicity 2017 8

Who We Serve 9

Who We Serve Disability Services Children and Youth 10

How We Support Equity and Inclusion In Action • Changing the way that we view people with disabilities = changing the way that we serve people with disabilities. • • Strength and identity-based approach to service provision. • • Disability is a characteristic, not a label. Services that are directed, not dictated. Expanding our services – they should be representative of the community we serve. • Community Engagement • Culturally-specific case management • Provider recruitment 11

How We Support Accessing Community and Home Services First Steps This Photo by Unknown Author is licensed under CC BY 12

Contact Us! MNChoice Intake Line: Call (651) 266 -3613 13

Community and Home Services: • • • Personal Care Assistance (PCA) Community Support Grant: (CSG) Family Support Grant (FSG) Moving Home MN Alternative Care (for those over age 65 non MA) Elderly Waiver (for those over 65), 14

More Community and Home Services • 185/IDD Case Management: • Disability Waivers, including CADI, CAC, Brain Injury (CCB) and DD. 15

DD Waiver Services • • 24 -hour emergency assistance • • Adult day services bath • • Assistive technology • • Caregiver living expenses • • Case management/service coordination • • Case management aide • • Chore services • • Consumer directed community supports (CDCS) • • Crisis respite • • Day training and habilitation • • Environmental accessibility adaptations • • Extended personal care assistance dhs. state. mn. us- CBSM 16

DD Waiver Services (continued) • • Family adult day services • • Family training and counseling • • Home-delivered meals • • Homemaker • • Housing access coordination • • Night supervision • • Personal support • • Residential habilitation (in-home family support, SLS) • • Respite • • Specialist services • • Supported employment services • • Transitional services • • Transportation. dhs. state. mn. us- CBSM 17

CADI Waiver Services • • 24 -hour emergency assistance • • Adult companion services • • Adult day services (includes family adult day services) • • Adult day services bath • • Behavioral support • • Caregiver living expenses • • Case management aide • • Chore services • • Crisis respite • • Consumer directed community supports (CDCS) • • Customized living 24 -hour • • Environmental accessibility adaptations • • Extended home care services dhs. state. mn. us- CBSM 18

CADI Waiver Services (continued) • • Family training and counseling • • Foster care • • Home-delivered meals • • Homemaker • • Housing access coordination • • Independent living skills (ILS) training • • In-home family supports • • Night supervision services • • Prevocational services • • Residential care services • • Respite • • Specialist services • • Specialized equipment and supplies • • Supported employment services • • Transitional services • • Transportation. dhs. state. mn. us- CBSM 19

MNCHOICE Assessment • Mn. CHOICES is a single, comprehensive, webbased application that integrates assessment and support planning for all persons seeking access to Minnesota’s long-term services and supports. This Photo by Unknown Author is licensed under CC BY-NC-ND dhs. state. mn. us- CBSM 20

Contact Us! MNChoice Intake Line: Call (651) 266 -3613 21

How We Support What is Case Management? Case management include but not limited to the following: • • Coordinate services Develop a service plan based on people’s assessed needs and preferences Evaluate and monitor services identified in the service plan Help people access needed services Help people identify potential service providers Inform people or their legal representative of service options Provide information about resources to the participants and/or the guardian. dhs. state. mn. us- CBSM 22

How We Support What should people expect? Case managers are required to use person centered practices and to ensure informed choice when service planning. In other words, help people lead lives that are meaningful to them. dhs. state. mn. us- CBSM 23

Questions? 24

Who We Are Contact Us Beth Pierce I Manager Social Services Department, Adult Services Ramsey County 160 East Kellogg Blvd. Saint Paul, MN 55101 651 -266 -4206 www. ramseycounty. us Beth. Pierce@co. ramsey. mn. us Maina Ngunyi I Interim Supervisor Social Services Department, Adult Services Ramsey County 160 East Kellogg Blvd. Saint Paul, MN 55101 Tel. 651 -266 -3845 I Fax: 651 -266 -4495 www. ramseycounty. us maina. ngunyi@co. ramsey. mn. us Brent Floren I Supervisor Social Services Department, Adult Services Ramsey County 160 East Kellogg Blvd. Saint Paul, MN 55101 Tel. 651 -266 -4262 I Fax: 651 -266 -4495 www. ramseycounty. us Brent. Floren@co. ramsey. mn. us Kevin Williams I Planning Specialist Health and Wellness Administration Ramsey County 160 East Kellogg Blvd. Saint Paul, MN 55101 Tel. 651 -266 -4194 www. ramseycounty. us Kevin. Williams@co. ramsey. mn. us 25

Thank you! 26