ࡱ>      ` fbjbjss [Xv6&a   TP 4X4X4XXXYTP [p\"\\\-gg4hz||||||$hA sf@-gss \\[ 52yyys p\ \zyszyy?l V\[ n(4XItf^vgXuV V +hlyn4p+h+h+hIyd+h+h+hssssP P P K4XP P P 4XP P P   THIRD ANNUAL REPORT Of The COMMUNITY INTEGRATION IMPLEMENTATION TEAM To The COMMUNITY INTEGRATION OLMSTEAD OVERSIGHT ADVISORY BOARD Submitted Pursuant to Executive Order 2 (2006) Community Integration for Virginians with Disabilities July 15, 2006 Table of Contents Page I. Executive Summary 1 II. Introduction to the Team: An Update 2 III. Strategic Planning for Community Integration For Virginians with Disabilities.. 4 IV. The Commonwealths Community Integration Status, Initiatives, Accomplishments and Continuing Challenges: Goals #1 and #2.. 8 V. The Teams Progress in Achieving Goal #3 29 APPENDICES Appendix I: Executive Order 2 (2006) A-I . Appendix II: Comprehensive, Cross-Governmental Strategic Plan To Assure Continued Community Integration for Virginians with Disabilities.. A-II Appendix III: Community Integration Vision... A-III i. Executive Summary This Third Annual Implementation Team Report to the Oversight Advisory Board (Board) is submitted pursuant to Executive Order (EO) 2 (January 14, 2006) (Appendix I). The Team made similar reports in both 2004 (EO 61) and 2005 (EO 84). This year, membership on the Team grew to 22 state agencies, four Secretariats, and two Councils. The Team has worked collaboratively with agency staff and the 21-member stakeholder Board to develop Virginias first Cross-Governmental Strategic Plan to Assure Continued Integration of Virginians with Disabilities into the Community, a copy of which is transmitted as Appendix II to this Report. The Strategic Plan was developed from the Vision statement within the Olmstead Task Force Report (September 2003) (Appendix III), which has been ratified each year since. Three important goals have been set: #1: Virginians with disabilities who currently reside in a state mental health, mental retardation, nursing or assisted living facility will have the opportunity to choose to move from these facilities to an appropriate, more integrated setting and stay there. #2: Virginians with disabilities who are at risk of unwanted admission to a state mental health, mental retardation, nursing or assisted living facility, will have the opportunity to receive services and supports that prevent admission. #3: The Commonwealth will be successful in creating opportunities that implement Goals #1 and #2. Critical success factors for community integration, including factors relating to the Teams success in achieving these goals, have been identified. A series of action plans, each of which describes expectations, measurable outcomes, steps, time lines, and responsible agencies, has been developed for each critical success factor. Action steps will next be incorporated into the strategic planning processes of each agency represented on the Team. While this Report documents that much progress has been made over the past year, it is clear that the vision of community integration will be realized only when people with disabilities can: Plan, fully understand and choose among services and supports they need, self-directing them to the extent possible; Choose among individuals and agencies qualified to provide the services and supports they select; Locate and obtain housing appropriate to their needs and preferences; Locate and obtain a job if appropriate; Access transportation appropriate to their needs; If they lack capacity to make decisions, have the same choices, options and benefits as other Virginians with disabilities through a surrogate decision-maker qualified to act on their behalf; and Access ongoing supports in order to stay in the most integrated setting of choice, self-directing them to the extent possible. Only through the ongoing collaboration of Secretariats, agencies and Councils represented on the Team can we meet our goals. There is much more to be accomplished, and the Team looks forward to working with the newly codified Community Integration Advisory Commission in the coming years to continue to move Virginia forward. II. Introduction to the Implementation Team: An Update The Teams Charge. In EO 2 (Appendix 1), Governor Tim Kaine instructed the Implementation Team to: Develop and annually update a comprehensive, cross-governmental strategic plan, the purpose of which is to assure continued community integration of Virginians with disabilities; Seek advice and input from the Olmstead Community Integration Oversight Advisory Board as the strategic plan is developed; Develop budget and legislative proposals that support implementation of the strategic plan; and Report by July 15, 2006, to the Board on the status of community integration of Virginians with disabilities. The Teams Composition. Eighteen of the original 19 agencies comprising the Team pursuant to EOs 61 (2004) and 84 (2005) continue to be represented, and the Secretaries of Commerce and Trade, Education, Health and Human Resources, and Transportation, or their designees, continue to serve as ex officio, voting members. EO 2 added three additional entities to the Team in 2006: the Statewide Independent Living Council (SILC), the Virginia Community Colleges System (VCCS), and the Department of Veterans Services (DVS). In February 2006, the Department of General Services (DGS) joined the Team. Julie A. Stanley, J.D., Director of Community Integration for People with Disabilities, chairs the Team. Bill Fuller, Ph.D., Housing Initiatives Officer at the Virginia Housing Development Authority (VHDA), has continued as the elected Vice Chair for the third year. Team membership through May 2006 follows below. STATE ENTITYREPRESENTATIVEDepartment for the Blind and Vision Impaired (DBVI)Susan Payne, Vocational Rehabilitation DirectorDepartment of Education (DOE)Karen Trump, Director, Office of State SchoolsDepartment of General Services (DGS)Ernie Forrest, Assistant Director for Policy and Planning, Division of Engineering and BuildingsDepartment of Housing and Community Development (DHCD)Basil Gooden, Chief Deputy DirectorDepartment of Medical Assistance Services (DMAS)Teja Stokes, Long Term Care Policy AnalystDepartment of Mental Health, Mental Retardation and Substance Abuse Services (DMHMRAS)Frank Tetrick, Assistant Commissioner for Community ServicesDepartment of Professional and Occupational Regulation (DPOR)Liz Hayes, Director, Virginia Fair Housing OfficeDepartment of Rail and Public Transportation (DRPT)Neil Sherman, Specialized Program ManagerDepartment of Rehabilitative Services (DRS)Theresa Preda, Director of Independent Living ServicesDepartment of Social Services (DSS)Barbara Cotter, Inter-Governmental LiaisonDepartment of Veterans Services (DVS)Steven Combs, Director of Policy and PlanningCommunity Integration for People with Disabilities (Director)Julie Stanley, J.D., DirectorOffice of Comprehensive Services for At-Risk Youth and Families (OCS)Alan Saunders, Chief Executive AdvisorSpecial Advisor to the Governor for Workforce DevelopmentDaniel LeBlancState Council of Higher Education for Virginia (SCHEV)Gary Krapf, Senior Associate for Academic Affairs/ GEARUP Project DirectorStatewide Independent Living Council (SILC)Lisa Grubb, Executive DirectorVirginia Board for People with Disabilities (VBPD)Heidi Lawyer, Executive DirectorVirginia Community Colleges System (VCCS)Gloria Westerman, Director, Educational Career Transitional ProgramsVirginia Department for the Aging (VDA)E. Janet Riddick, Director, Center for Elder RightsVirginia Department for the Deaf and Hard of Hearing (VDDHH)Leslie Hutcheson Prince, Policy and Planning ManagerVirginia Department of Health (VDH)David Suttle, M.D., Director, Office of Family Health ServicesVirginia Department of Transportation (VDOT)Alexis Thornton-Crump, Assistant Division Administrator for Internal Programs, Civil Rights DivisionVirginia Housing Development Authority (VHDA)Bill Fuller, Ph.D., Housing Initiatives OfficerEX OFFICIO VOTING MEMBERSSecretary, Commerce and Trade (SCT)The Honorable Patrick O. GottschalkSecretary, Education (SEd)The Honorable Thomas R. Morris, Ph.D.Secretary, Health and Human Resources (SHHR)The Honorable Marilyn B. TavennerSecretary, Transportation (ST)The Honorable Pierce R. Homer  New Team Agencies. Three additional entities were added to the Team in June 2006: the Department of Health Professions (DHP), the Virginia Employment Commission (VEC), and the Mental Health Planning Council (MHPC). Other Participating Agencies. All executive branch agencies of the Commonwealth were asked to support the activities of the Team upon request. The following agencies have been called upon to assist the Team with its work: Department of Planning and Budget (DPB) Office of the Secretary of the Commonwealth (OSC) Virginia Information Technologies Agency (VITA) Team Meetings. In the past year, the Team held the following meetings: July 26, 2005, 11:00 to 4:00 VHDA (Jointly with EO 84 Committee) August 23, 2005, 1:00 to 4:00: Wythe Building (Jointly with EO 84 Committee) September 29, 2005, 1:00 to 4:00 DBVI October 25, 2005, 1:00 to 4:00 VHDA November 29, 2005, 1:00 to 4:00 VHDA December 20, 2005, 1:00 to 4:00 VHDA February 22, 2006, 1:00 to 4:00 VHDA March 21, 2006, 1:00 to 4:00 DRS April 21, 2006, 9:00 to 5:00 Wythe Building May 2, 2006, 9:00 to 12:00 DRS May 16, 2006, 11:00 to 4:00 Wythe Building (Jointly with EO 2 Board) June 20, 2006, 11:00 to 4:00 Henrico County CSB (Jointly with EO 2 Board) III. Strategic Planning for Community Integration for Virginians with Disabilities Executive Order 2 defined an important mission for moving community integration efforts forward: With the ongoing input and advice of the Board, the Team was charged to develop a comprehensive, cross-governmental strategic plan, the purpose of which is to assure continued community integration of Virginians with disabilities. The process used to develop this Strategic Plan (the Plan) is described below, and the final draft Plan appears at Appendix II. The Vision. Both the Board and the Team are committed to Virginias community integration Vision, first articulated by the Olmstead Task Force. The EO 61, EO 84, and EO 2 stakeholder Oversight Advisory groups have ratified this Vision each year since submission of the Task Force Report in September 2003:  Early this year, the Team discussed this Vision in depth and related its various components to the vision and mission of each agency represented on the Team. The Planning Model. The Team then considered various strategic planning models and adopted a critical success factors model (Figure 1, page 6). This model provides the best means for ensuring that the entire Team remains focused on both this Vision and the Teams unique role in achieving community integration for Virginians with disabilities. It is designed to enable the Team to accomplish its mission in a logical and systematic way by identifying specific goals and strategies that must be achieved within a specific period of time. These strategies are based on the expectations of people with disabilities and are transformed into Action Plans that include measurable outcomes and specific implementation actions, time lines and costs to be implemented by identified agencies represented on the Team. However, the Team strongly believes that setting community integration goals and developing plans to achieve them is only one factor in accomplishing the Teams mission. Also, the Team itself must perform well in a few key areas that are unique to its mission and to the environment in which it operates. Failure of the Team to perform well in these areas is believed to constitute a major barrier to achieving community integration goals. The Goals. Recognizing the importance of narrowing the focus of Virginias community integration initiative, the Team adopted the following goals in order to benefit those Virginians with disabilities who will most likely need the Commonwealths assistance in order to achieve community integration: #1: Virginians with disabilities who currently reside in a state mental health, mental retardation, nursing or assisted living facility will have the opportunity to choose to move from these facilities to an appropriate, more integrated setting and stay there. #2: Virginians with disabilities who are at risk of unwanted admission to a state mental health, mental retardation, nursing or assisted living facility, will have the opportunity to receive services and supports that prevent admission. #3: The Commonwealth will be successful in creating opportunities that implement the Goals #1 and #2 Action Plans. Application of the Model to the Vision and Goals. In an all-day meeting April 21, Team members and agency representatives involved in each agencys strategic planning process met to draft Action Plans for all three goals. The Action Plans for Goals #1 and #2 were organized within seven major critical success factors, derived from the components of the Vision statement (see Appendix III) and are designed to assure that Virginians with disabilities can: Plan, fully understand and choose among services and supports they need, self-directing them to the extent possible; Choose among individuals and agencies qualified to provide the services and supports they select; Locate and obtain housing appropriate to their needs and preferences; Locate and obtain a job if appropriate; Access transportation appropriate to their needs; If they lack capacity to make decisions, have the same choices, options and benefits as other Virginians with disabilities through a surrogate decision-maker qualified to act on their behalf; and Access ongoing supports in order to stay in the most integrated setting of choice, self-directing them to the extent possible. The Action Plans for Goal #3 were organized within six major critical success factors for the Teams success: Every state agency identified in EO 2 is actively involved in the Teams work; Every Team member has the agency heads authority to represent the agency in the Teams work; Each Team member understands the EO 2 strategic planning directive, the critical success factors approach to developing the strategic plan, and their agencys role in the process; The Teams work on critical success factors for Virginians with disabilities is incorporated into agency strategic planning, and every Team member supports every other Team member in achieving this; Figure 1. Strategic Planning Model  SHAPE \* MERGEFORMAT  The Team agrees on methods of measuring the Commonwealths progress in implementing Action Plans for each critical success factor for Virginians with disabilities and takes whatever steps are needed, both as a Team and within their agencies, to enable regular and accurate measurements; and The Team works to secure a long-term commitment by the Executive and Legislative branches of government to community integration for Virginians with disabilities. All Action Plans are built on the premise that Team member agencies share responsibility for reaching Goals #1 and #2 and will do by 1) incorporating applicable Goal #1 and #2 strategies and implementation actions into their own agency strategic plans when those plans are revised, and 2) implementing a series of strategies and actions related to the success of the Team itself in order to achieve Goal #3. In the process of developing the Action Plans, the Team considered a variety of existing information, including Task Force Report issues and recommendations, the 2004 and 2005 Team and Board reports, priorities developed in 2005, existing agency strategic plans, various legislative studies, and other relevant topical information. Throughout this process, the Team remained cognizant of the Boards advice that the Team should: Be aware of the diverse range of functioning of people with disabilities; Take notice of what consumer-driven means and of the draft principles of recovery contained in the Center for Mental Health Services national consensus statements; Consider money follows the person, recently adopted by the United States Congress, as an Action Plan option; Integrate new state legislation into the Plan; Do everything possible to remove the institutional bias; Develop an action plan for training people with disabilities to make their own decisions; and Recognize that ongoing supports are needed in order for people to stay in the most integrated setting of choice. The Resulting Plan. At joint meetings of the Board and Team on May 16 and June 20, 2006, and with the assistance and recommendations of six joint Subgroups comprised of Board and Team members working between these two meetings, the Board considered and adopted advice specific to each Action Plan. The Team accepted all Board advice, and both the Team and Board adopted the final draft Plan (Appendix II). Future Work. Once existing agency initiatives have been incorporated into the Plan, the Team will focus intensively, with the ongoing input of the Community Integration Advisory Commission, on refining outcomes and developing baselines so that progress can be measured over time. It is the Teams hope that these outcomes will be considered an important component of the objectives developed by the Council on Virginias Future. The Commonwealths Community Integration Status, Initiatives, Accomplishments and Continuing Challenges: Goals #1 and #2 This section sets out the Commonwealths Fiscal Year (FY) 2006 community integration status, initiatives, accomplishments and continuing challenges as they relate to Goals #1 and #2 of the Plan. A. Goals # 1 and #2 Initiatives and Accomplishments 1. Virginians with disabilities plan, fully understand and choose among services and supports they need, self-directing them to the extent possible. %DMHMRSAS and DMAS have continued to work together to distribute all 700 community and 160 facility mental retardation (MR) Waiver slots allocated in the 2004 General Assembly (GA) Session. Discharge plans are developed, and individuals are moving out of the MR training centers to communities. (Action Plan # 1.2, also related to Action Plans # 1.1 and 3.3) %The Choice in Consumer Living Grant, awarded to DMHMRSAS by VBPD, is a unique practice model that supports individuals moving from institutions to the community. DMHMRSAS awarded sub-grants to 1) Region Ten Community Services Board (CSB) (which was looking at several innovative residential options for individuals moving out of state MR training centers; the grant has since been cancelled at the request of Region Ten CSB), and 2) Community Opportunities, Inc. in Southwest Virginia, which is working on the role of circles of support in guardianship and decision-making for transition to community living. The micro boards will soon begin to approach the judicial system with a test case. This project will have vital implications as Virginia considers improvements to guardianship laws and regulations and alternatives that may reduce Virginias general fund (GF) investments through building a community participative model to support individuals to live in the community with the support of individuals whom they consider important. All funds have been allocated, and DMHMRSAS is working closely with VBPD and the sub-grantee, making site visits and monitoring progress. (Action Plan # 1.1, also related to Action Plans # 1.2 and 3.3) %A Subcommittee of the MHPC, consisting of consumers and providers, developed white papers on the evidence-based practices (EBP) of Illness Management and Recovery (IMR) and Supported Employment (SE). Papers included background and recommendations for implementation in Virginia. Subsequent Consensus Statements on the issues were developed and approved by DMHMRSAS, DMAS and DRS. DMHMRSAS is currently working on implementation options for SE and IMR under Medicaid and options and implementation strategies for Peer Specialist Training. A successful conference on the EBP of Peer Support was held in February 2006. (Action Plan # 1.1, also related to Action Plans # 1.2 and 2.1) %A Positive Behavioral Supports (PBS) II grant from VBPD to the Partnership for People with Disabilities (PPD) has successfully allowed development of a PBS curriculum, established the curriculum within a University for course credit, and formed an Endorsement Board with a mentoring and portfolio development process that can be reimbursed under the MR Waiver. DHP and DMAS provided assistance in determining whether reimbursement was possible, and DMAS and DMHMRSAS served on the advisory board. There are plans to pay for PBS within the Developmental Disabilities (DD) Waiver after regulatory changes are made. This grant will ensure that this service can be funded through the waivers. As of June 2006, 59 individuals had completed the training, and nine individuals had completed the endorsement process. This grant has achieved sustainability, as DMHMRSAS invested an additional $200,000 over the next year, and DRS is considering further investments in the area of Brain Injury Services. This project is an example of the vital role VBPD plays in facilitating systems capacity building in Virginia. (Action Plan # 1.1, also related to Action Plans # 1.2 and 2.1) %Virginia recently used a multi-agency grant-writing group to apply for a Real Choice Systems Change Systems Transformation Grant from the Center for Medicare and Medicaid Services (CMS) that includes implementation of individualized budgeting as a part of the Elderly or Disabled Consumer-Directed (EDCD), MR, DD, and HIV/AIDS waivers. Represented on this group were DMAS, DMHMRSAS, VBPD, VDA, OSHHR, and the Director of Community Integration. (Action Plan # 1.2) %VBPD funded a Nursing Home Outreach grant beginning July 2005, to the Virginia Association of Independent Living Centers (VACIL). Thus far, this grant has established a methodology and protocol for visitation and outreach to nursing homes in Virginia, promoted concepts of independent living, developed a Best Practices draft manual that will result in improved information sharing to residents about choice of community living, and compiled a statistical summary that estimates 5,971 individuals are interested in transitioning back to the community. Empowerment workgroups have been assembled on a regional level, and a protocol for visitation processes has been agreed to. One of the most beneficial outcomes to date includes the engagement of nursing home administrators through their representative association news letters, making sure that each nursing home is involved in specific outreach activities best suited to their facilities. Agencies participating on the grants Steering Committee include DMAS, DMHMRSAS, DRS, VBPD, DRPT, and the Director of Community Integration. (Action Plan # 1.1, also related to Action Plan # 1.2) %The two new MR Regional Community Support Centers (RCSCs) at Central Virginia Training Center and Southwestern Training Center have started operations. Services are being provided, demand continues to grow, and state facility directors and recipients alike are pleased with the progress. DMHMRSAS continues to pursue opportunities to add resources to the RCSCs. For example, a sustainability grant from DMHMRSAS to the PPD will provide the training and endorsement needed to add behavioral specialists to the RCSCs. (Action Plan # 1.2, also related to Action Plans # 1.1 and 7.1) %130 new mental health (MH) facility discharge assistance plans (DAP) for long-term, extended rehabilitation patients who face extraordinary barriers to placement in the community, and who need highly specialized services to leave the hospital, have been developed. DMHMRSAS worked with the seven Regional Partnership Planning Groups, comprised of CSB and state facility leadership, to allocate these funds to each region. The following table reflects FY 2006 accomplishments. Region# PlansHPR I - Western State Hospital Region6 new DAP plans; 3 current, expanded plansHPR II - Northern Virginia MH Institute21 new DAP plans; 4 current, expanded plansCatawba Hospital Region7 new DAP plans; 2 current, expanded plansSouthern Virginia MH Institute Region28 new DAP plansSouthwest Virginia MH Institute Region16 new DAP plans; 2 current, expanded plansHPR IV - Central State Hospital Region11 new DAP plansHPR V - Eastern State Hospital Region39 new DAP plans; 8 current, expanded plansTOTAL130 new DAP plans; 19 current, expanded plans(Action Plan # 1.2) %DMHMRSAS continues to contract with the Mental Health Association of Virginia (MHAV) to provide Consumer Empowerment Leadership Training (CELT) to Virginians with mental illness (three events per year). Previous CELT graduates now participate in many local, regional and state-level planning groups, councils, Human Rights Committees, and other groups. (Action Plan # 1.1, also related to Action Plan # 1.2) %The Mount Rogers Program of Assertive Community Treatment (PACT), which began operation in November 2004, currently serves 50 individuals receiving mental health (MH) services. The Chesapeake/Portsmouth PACT, which began in May 2005, currently serves 42 individuals. The Danville-Pittsylvania PACT began in October 2005 and currently serves 14 individuals. As of May 31, 2006, these programs have avoided 54 state hospital admissions and saved 4,200 state hospital bed days for participating PACT consumers. These teams are eventually expected to serve approximately 80 individuals. (Action Plan # 1.2) %From July 1, 2005 through June 7, 2006, DMHMRSAS licensed 66 new MH, MR, substance abuse (SA), and DD services. DMHMRSAS has been conducting licensing studies to determine the most appropriate way to license brain injury services. (Action Plan # 1.1, also related to Action Plans # 1.2) %In the 2006 Session, the GA allocated funding in the amount of $320,000 for Centers for Independent Living (CILs). DRS will distribute the funds granted equally among the existing 16 CILs and two Satellite CILs. (Action Plan # 1.2) %The GA added $150,000 GF to address the waiting list for long-term rehabilitation case management services to assist persons with physical disabilities in locating and obtaining needed services. Funding for this program will implement a recommendation of the Olmstead Advisory Committee (Action Plan # 1.2, also related to Action Plans # 4.2) %DOE provides transition grant opportunities to school divisions to implement systems change for more effective services. In addition, DOE and DRS jointly plan and implement a state training conference that attracts over 1,000 participants annually. Most recently, DOE initiated the Transition Outcomes Project (TOP), which uses a data-driven model to empower school divisions to make changes in systems, processes, forms, programs and approaches through development and implementation of a strategic improvement plan for transition services to students with disabilities. The focus of this initiative is to: Identify and evaluate current practices used to meet transition requirements; Include baseline data from students' Individualized Education Programs (IEPs) as the context for goal setting, strategy development, and implementing a local school improvement plan; Promote an IEP process driven by the student's post-school goals; and Emphasize improving transition services, increasing graduation rates, showing results and increasing the likelihood that student with disabilities will graduate and be employed. DOE is in the process of developing a new request for proposals for transition grants to school divisions. A planning team is in place for the next transition state conference. The TOP project now serves 76 schools in 26 school divisions. Over 300 staff have participated in training, and over 2,000 student files have been reviewed. Virginia is one of 23 states in the nation that currently participate in this initiative. (Action Plan # 1.1) %DOE plans to develop materials for elementary, middle and high school over the next three years for the Self-Determination Project. Web shops will also be established on the Technical and Training Assistance Centers (T/TAC) on-line resource. (Action Plan # 1.1) %The DMAS-administered EDCD Waiver, effective February 1, 2005, currently serves over 12,000 individuals. The combination of two previous waivers allowed for consumer direction for specific services. As a result, over 1,000 individuals are directing their own care for EDCD personal care and respite services. (Action Plan # 1.1) %VBPD published a comprehensive Biennial Assessment of the Disability Service System in Virginia in April 2006. This Assessment describes agencies and programs, identifies critical issues and makes recommendations for improvement, many of which relate to areas in this report (e.g., employment, community living, education, housing and transportation.) (Action Plan # 1.1) %HB 1824 and SB 1184 (2005) broadened the Commonwealth's newborn screening program for genetic disorders to include approximately 30 or more conditions that cause MR, serious disability, or death if left untreated. VDH initiated the expanded panel of newborn screening tests on March 1, 2006. Recommendation 38 of the Olmstead Task Force Report is now fully implemented. (Action Plan # 1.2, also related to Action Plan # 7.1) 2. Virginians with disabilities choose among individuals and agencies qualified to provide the services and supports they select. %VDH has been working on the Health Promotion for People with Disabilities initiative under a federal grant. The Commonwealth s Five-Year State Plan for Health Promotion for People with Disabilities was completed in Spring 2006. The initiative s Advisory Committee is systematically implementing the plan. Related programs are continuing, and some are expanding. (Action Plan # 2.1, also related to Action Plan # 7.1) %Medicaid reimbursement rates have been increased as follows: A 5% increase over 2004 rates for MR and DD Waiver providers; A 5% across the board rate increase for personal care (PC) providers in 2005; A 2% increase for PC and adult day health care providers under the waiver programs, effective May 1, 2006; and DMAS received an appropriation in the biennium budget to increase rates for several waiver programs and services. Funds were allocated to increase: MR Waiver congregate residential rates by 10% effective July 1, 2006; Unique MR and DD Waiver rates by 5% effective July 1, 2006; Skilled nursing rates in the HIV/AIDS and Technology Assisted Waivers by 5% effective July 1, 2006; Adult day health care rates by 5% on January 1, 2007; and PC reimbursement rates by 3% on July 1, 2007. (Action Plan # 2.1.3) %General funds of $1 million enabled two collaborative community programs to demonstrate EBP within a system of care framework to start in September 2005. Richmond Behavioral Health Authority (RBHA) implemented Multi Systemic Therapy, an intensive family- and community- based treatment that addresses the multiple determinants of serious antisocial behavior in juvenile offenders. Planning District 1 implemented Functional Family Therapy, a family-based prevention and intervention program that has been applied successfully in a variety of situations to assist youth and their families. Eight CSBs are currently providing MH and substance abuse services in juvenile detention centers. CSBs provide a clinician and a case manager at the local juvenile detention centers to provide MH screening and assessment and other MH and substance abuse services as indicated by the initial intake and assessments. Five of the projects (Chesapeake CSB, Crossroads CSB, Planning District I, RBHA and Valley CSB) are funded with a combination of federal and state funding. Three CSBs (Central Virginia, Norfolk and Chesterfield) are fully funded with state GF. Total funding for the eight sites is $685,000 in both federal and state funds. (Action Plan # 2.1) %DMHMRSAS used new funding to improve Registered Nurse (RN) pay parity for nurses who have been employed by the state facilities over five years. The increases depended on a number of factors, including length of employment, level of education, specialty area of study and years of nursing experience. The Clinical Ladder is being developed by the Board of Nurse Executives. (Action Plan # 2.1) %Information about all licensed Assisted Living Facilities (ALFs) in Virginia is now being posted on the VDSS website at  HYPERLINK "http://www.dss.state.va.us/facility/search/alf.cgi" http://www.dss.state.va.us/facility/search/alf.cgi. The website can be searched by browsing a list of all ALFs, or by searching for a facility by name, zip code, city, or type of services offered. The information dates back to July 2003 and includes license status, dates of inspections, whether the inspection was generated by a complaint, violations of state law and regulations found by regulators, inspectors' notes, and actions required to be taken by the facility. (Action Plan # 2.1) %The DMHMRSAS Office of Licensing has revamped its information system, and increased information is now available on its website about licensed MR, MH, SA and DD providers. The next step is to put the inspection history on the web site. (Action Plan # 2.1) 3. Virginians with disabilities locate and obtain housing appropriate to their needs and preferences. %In 2005 VHDA, DRS and the Assistive Technology Loan Fund Authority (ATLFA) collaborated to produce a Universal Design (UD) CD, over 3,000 copies of which have been distributed to date. The CD highlights UD concepts, materials and appliances to promote a better understanding of how the design technique can be used to enhance accessibility. (Action Plan # 3.1) %DRS, DPOR, and VHDA collaborated to sponsor a design competition involving the University of Virginia, Virginia Tech and Hampton schools of architecture in designing The New American Front Door. The competition served to introduce students to the concepts of UD and how they can be used to overcome physical barriers. It will be held again this year. (Action Plan # 3.1) %Thirty eight (38) individuals received grant funding under DHCD s home modification pilot program; the grant ended October 31, 2005, with total expenditures of $349,479 (including administrative costs), and $9,252.85 remaining in grant funds. DHCD gave approval for ATLFA to expend the funds that were returned for purposes of providing ramps to individuals who were previously approved for funding under the pilot program without funds to award to them. This was a pilot program funded by a one-time allocation through the sale of the Housing Partnership Fund. Any additional programmatic activities related to this pilot initiative will require identification of an adequate funding source. (Action Plan # 3.3) %In FY 2006, VHDA awarded $53,515 in home modification grant funds to make home accessibility improvements for 55 Virginians with disabilities, with an additional 16 modifications pending completion. (Action Plan # 3.1) %Granting Freedom is a grant program that pays for modifications to make living spaces more accessible for service men or women who sustained injury during service in a combat theatre of operations. These funds can be used to widen doorways and add ramps to make a home wheelchair accessible, to install grab bars in a bathroom, or to make other modifications that help eligible recipients feel more at home. Currently, over $1 million in funding is available to pay for modifications to houses and apartments. VDHA, in cooperation with DHCD, has four grants reserved, and two have been disbursed. All grants are $4,000 each, for a total of $16,000. (Action Plan # 3.1) %Former Secretary of OSHHR Jane Woods directed DRS to be the lead agency for the completion of House Document No. 86,  Report on Housing Opportunities for Persons with Disabilities in Virginia. DRS coordinated with the EO 84 Oversight Advisory Committee, VHDA, DMHMRSAS, and DHCD and received significant input and assistance from numerous advocacy groups, local municipalities and community based organizations. A comprehensive analysis providing significant information to assist the Commonwealth in addressing the issues of affordable and accessible housing options for Virginians with disabilities resulted. (Action Plan # 3.2) %VHDA and VDDHH collaborated on a daylong symposium for developers and health services providers to discuss the need for housing designed to meet the needs of people with hearing limitations. (Action Plan # 3.3) %During FY 2006, 67 local building code officials and 384 technical assistants received mandated three-day advanced training on the administration and application of Virginias Uniform Statewide Building Code and Statewide Fire Prevention Code. This training provided general information on accessibility-related issues. Some 255 code officials, registered design professionals, builders and plan reviewers received training on the new International Existing Building Code that can be used to rehabilitate existing buildings in a more reasonable and cost effective manner. (Action Plan # 3.3) %The housing registry website,  HYPERLINK "http://www.accessva.org" www.accessva.org, is operational and received 17,660  hits in FY 2006. This initiative was developed by VHDA through a grant from VBPD. (Action Plan # 3.3) %The Fair Housing Office (FHO) obtained presenters for a pre-conference workshop for the 2005 Governor s Housing Conference. The workshop provided participants with information on the types of transactions and protected classes covered by the Virginia Fair Housing Law. Rex Pace with the Center for Universal Design at North Carolina State University, walked participants through the seven principles of UD, discussing UD solutions and marketing strategies. Michael Toalson, Executive Vice-President of the Home Builders Association, discussed that organizations partnership with FHO and their work with builders to ensure they meet the accessibility requirements of the Virginia Fair Housing Law. As of April 30, 2006, 1,899 people have become certified fair housing specialists. In 2005 four additional classes on accessibility, visitability and universal design were taught throughout the state to licensed architects through an extension of the agreement with the American Institute of Architects (AIA). (Action Plan # 3.1) %VHDA continues to hold UD training seminars quarterly. In the past year, these seminars have taken place in Woodbridge, Salem and Richmond (twice), each with and average attendance of 40 participants. Beginning in 2006, the seminars have been expanded to include green building and fair housing training. VHDA added a category to the Qualified Allocation Plan that awarded five points to design professionals who attended UD training and five points for those who attended Fair Housing Training. (Previously only five points were available for Fair Housing training.) VHDA also made a presentation on UD at the Brain Injury Conference held June 8-9. (Action Plan # 3.1) %VHDA has continued to provide Mainstream Vouchers awarded from the U.S. Housing Development Authority (HUD). VHDA has a total of 241 Mainstream Vouchers. Seventeen (17) of the 43 agencies for which VHDA administers the vouchers have a preference for people with disabilities, assuring that they move to the top of waiting lists. VHDA e can subsidize the families to the fullest extent permitted. (Action Plan # 3.1) 4. Virginians with disabilities locate and obtain a job if appropriate. %As of June 30, 2006, VCU had completed Phase II customization of WorkWorld and trained DRS as well as several community partners. DRS is continuing to further customize the software to address the needs of VDSS staff who work with people with disabilities. A number of agencies, including VBPD, DOE and DBVI, participated in this initiative. (Action Plan # 4.1) %The main focus of a grant by VBPD for  Business Awareness: Chamber and Small Business Outreach, which began July 1, 2005, is to promote the abilities of people with disabilities among Chambers of Commerce and small businesses. The Hampton Roads Chamber of Commerce (HRCC) is conducting training sessions for local chambers of commerce that educate businesses about employment of people with disabilities and dispel many misconceptions about hiring, accommodating and retaining people with disabilities. HRCC, in collaboration with DRS, Goodwill, Eggleston Services, EARN and the CILs, will train more than 22 local chambers throughout the state. They will also develop two databases to identify small businesses owned by people with disabilities and businesses that routinely hire people with disabilities. To date, 72 people have completed the training. Many agencies and organizations, including DRS, participate on the project s Advisory Council. (Action Plan # 4.3) %The 2006 GA directed DMAS to amend the State Plan for Medical Assistance Services to implement a Medicaid Buy-in Program on January 1, 2007, within allocated limits ($632,938 GF; $632,938 non-GF for the biennium). At the time of enrollment in the program, individuals must either be current Medicaid recipients or meet the income, asset and eligibility requirements for the Medicaid-covered group for individuals age 65 or older, blind or disabled who have incomes that do not exceed 80 percent of the federal poverty income guidelines. DMAS is to promulgate emergency regulations within 280 days or less from enactment. (Action Plan # 4.3) %New 2007 funding for Brain Injury Services was allocated by the GA as follows: $285,000 for expansion of Brain Injury Services in Southwest Virginia; $725,000 for funding of Brain Injury Services in un-served and under-served regions; and $150,000 for Brain Injury Case Management in underserved regions. (Action Plan # 4.3) %The main focus of  Employment and Benefits Outreach: Project Work Incentive Training, sponsored through a grant from VBPD, is to enhance the availability, outreach and opportunities to access training for benefits specialists in the provision of benefits planning and assistance for people with disabilities interested in going to work. Because of the complexity associated with benefits planning, benefits specialists will receive additional training as benefits information and regulations change or as technological tools are developed to assist the career planning process. At least 10 intensive two-day trainings for professionals, people with disabilities and their family members will be conducted throughout the state. In conjunction with the two-day training, Saturday clinics are offered for people with disabilities and family members. From October 2005 through March 2006, 175 people completed the training, including people with disabilities, family members and professionals. (Action Plan # 4.1 also related to Action Plan # 1.2) %The grantees for VBPD s Facilitating Transition to College Grant are the ARC of Northern Shenandoah Valley (ARC-NSV) and the Thomas Jefferson Planning District Commission (TJPDC). The purposes of each grant are to improve awareness of and access to transition-related services available in the respective region for students with disabilities in middle and secondary schools, and to provide a resource tool for young adults with disabilities and their families. Each has created a website map that enables youth and their families to identify transition resources in their locality. Efforts are being made to promote the transition map to agencies and professional and family networks. The ARC-NSV website, which can be accessed at  HYPERLINK "http://valleyresourcenet.org" http://valleyresourcenet.org, identifies the types of services available at agencies in each community of the region, including a description of eligibility and contact information. TJPDC, whose website is Life after High School, at  HYPERLINK "http://www.LifeAfterHS.org" www.LifeAfterHS.org, is developing a how-to manual for replicating its project. This website offers guidance on practical steps to take in planning for adulthood and a career. (Action Plan # 4.1) %The 2006 GA approved new funding in the amount of $763,550 for Long Term Employment Supports (LTESS) to support the long-term employment needs of people with significant disabilities. (Action Plan # 4.3) 5. Virginians with disabilities access transportation appropriate to their needs. %DRPT has completed the United We Ride survey, and the final report will be available by July 30, 2006. A Human Services Transportation committee, including members from DRPT, DRS, DMAS, DSS, VDA and other HHR agencies, has been working on the grant in a joint effort to establish a human service State coordination transportation plan for this, the second year of the grant. (Action Plan # 5.3) %The interdependence of housing and transportation for active community participation and involvement is unmistakable. VBPD awarded the Thomas Jefferson Planning District Commission (TJPDC) a grant to develop a collaborative Transportation and Housing Alliance (THA). The THA steering committee has broad and representative stakeholder support, including housing and transportation public and private agencies and individuals with disabilities. DRPT is actively involved. The steering committee has met four times for the purpose of developing an assessment toolkit that can be used by Planning Districts throughout Virginia to assess the housing and transportation needs in their districts, project future needs and identify overlapping issues and opportunities. The THA has been working with a graduate class at the University of Virginia to map census block and other data using GIS technology. This information allows planners to clearly see where people with disabilities live, work and access public transportation. The toolkit, once completed, will include a mechanism for analysis of the data and provide guidance to localities on using GIS technology. The assessment tool will augment planning for community development and improvements in the areas of housing and transportation for people with disabilities. The THA and the assessment toolkit will be featured at statewide housing and transportation conferences this summer and fall. (Action Plan # 5.1, also related to Action Plans # 5.2 and 3.1) %VDOT s Transportation and Mobility Planning Division will assist in preparing and implementing public involvement plans and programs to ensure that all population groups are adequately informed of VTRANs planning activities, and provide reasonable accommodations for people with disabilities to participate in the transportation planning process. VTRANS has considered people with disabilities in the development of goals and objectives and will develop performance measures and targets for providing services, access and infrastructure. One of the objectives for the mobility, accessibility and connectivity goal is to meet basic transportation needs for certain populations, including people with disabilities). Also, in the performance report currently under development, the same goal has the following strategies: Consider [people with disabilities] in the planning, design, and construction of transportation facilities and services. Integrate transportation and land-use planning by promoting mixed land-uses that would serve the accessibility needs of persons with disabilities. Set mobility goals for seniors. These strategies are suggestions and have not been formally accepted and, therefore, are subject to change. (Action Plan # 5.3) %HB 226 and SB 663 (2006) require the Commonwealth Transportation Board, in cooperation with other local, regional, or statewide agencies and entities vested with transportation planning responsibilities, to establish specific mobility goals for addressing the transportation needs of populations with limited mobility and incorporate such goals in the development and implementation of the Statewide Transportation Plan required by Va. Code 33.1-23.03. In association with VTRANS, VDOT staff has begun developing goals and performance measures to address the needs of populations with limited mobility. VDOT has been and will continue coordinating with DRPT on development of comments to the federal rulemaking dockets on Transportation Planning. These programs have relevance to VDOT-wide planning, construction, operations and maintenance programs. Examples include, but are not limited to, the recent VDOT bicycle and pedestrian accommodations policy, the maintenance of sidewalks, context sensitive design, and safe routes to schools. (Action Plan # 5.3) 6. Virginians with disabilities--if they lack capacity to make decisions--have the same choices, options and benefits as other Virginians with disabilities through a surrogate decision-maker qualified to act on their behalf. %The Public Guardianship and Conservator Program serves adults age 18 and older who do not have the resources, family, or friends able to make decisions with regard to their own care. Funds appropriated by the 2004 GA were allocated to existing programs to serve additional clients and localities. Additional funds appropriated by the 2005 GA were allocated to two new programs that will serve people with MR and MI exclusively. In the 2006 GA Session, $150,000 GF annually was allocated to develop programs in areas throughout the Commonwealth that do not yet have a program. Approximately 60 additional indigent individuals who require guardian services will be served through the 2006 expansion. (Action Plan # 6.1) 7. Virginians with disabilities access ongoing supports in order to stay in the most integrated setting of choice, self-directing them to the extent possible. %The Governor and GA strongly supported a MH community transformation initiative that will expand community-based services by providing targeted funding increases to CSBs (for 2007, $18.4 million GF, and for 2008, $20.5 million GF). A portion of the funds is directly related to a projected reduction in census at Eastern State Hospital; another portion will be used to reduce pressure for community placement in Health Planning Regions I and II; and the remainder will be used statewide for DAP plans, MH services for children and adolescents, and community-based recovery support services. The GA added $500,000 each year for jail diversion services. %Additionally, the Governor and GA strongly supported a MR community transformation initiative that provides additional MR Waiver funds by adding: 1) 523 slots for facility discharges (229 slots for both years and community diversion to transition current residents at Southeastern and Central Virginia Training Centers into community placements as the facilities are being replaced and 294 slots for persons residing in the community); 2) a 10% rate increase to providers of congregate homes for waiver recipients; 3) a 5% increase for providers of other waiver services; and 4) start-up costs incurred by new waiver recipients as well as guardianship services. (Action Plan # 7.3) %The Governor and GA also added funding for an additional 110 slots for the MR waiver to eliminate the urgent care waiting list for children under six years of age ($2.5 million GF, $2.5 million non-GF for 2007, and $2.9 million GF; $2.9 million non-GF for 2008). Children under the age of six will receive waiver services even without a diagnosis of MR and will automatically be transferred to the DD waiver at the age of seven. %The DD Waiver has a total of 428 approved available slots as of June 7, 2006. The 2006 GA added 65 DD Waiver slots for the biennium. (Action Plan # 7.3) %The MR Day Support Waiver has a total of 300 slots available, with 300 enrolled and obligated/assigned. The 2006 GA has directed DMAS to add Supported Employment as a service to this waiver. (Action Plan # 7.3) %The Alzheimer s Assisted Living waiver, administered by DMAS, began accepting candidate applications on June 1, 2006. (Action Plan # 7.3) %Effective July 1, 2006, DMAS is directed to amend the MR and DD waivers to ensure that applied behavioral analysis for individuals with autism or autistic spectrum disorders and positive behavioral supports for individuals with severe behavioral difficulties are covered under therapeutic consultation services. %The GA provided $150,000 GF each year for the creation of four satellite offices for Commonwealth Autism Services. The offices will be located in Northern Virginia, Tidewater, Southside Virginia and Southwest Virginia. %The GA has directed DMAS, in cooperation with DMHMRSAS, the VACSB, the ARC of Virginia, and other stakeholders, to jointly review the current MR Waiver Program to determine how it can be improved to provide a person-centered, individualized support focus. In conducting the review, DMAS is directed to assess the need to upgrade availability of therapeutic behavioral consultation, skilled nursing, medical and other specialized supports for individuals who are served through the waiver. DMAS will also review successful models of waiver-funded community supports used by other states to serve individuals with MR for potential application to Virginia. A report and recommendations for changes and cost implications is due by December 1, 2006 to the Governor and the Chairmen of the House Appropriations and Senate Finance Committees. %The 2006 GA added three inspector positions to the DMHMRSAS Office of Licensing to meet statutory licensing requirements for providers of MH, MR, SA, DD and brain injury services. In the last five years, the number of licensed providers has increased by 65 percent, while the number of inspectors has increased by only 25 percent. This funding will ensure providers are inspected and licensed as required by the Code of Virginia. %DMAS, DMHMRSAS, VDA, VBPD, the Office of Community Integration, and OSHHR recently collaborated to apply for a Systems Transformation Grant from CMS that includes the expansion of Aging and Disability Resources Centers (ADRCs), the implementation of self direction and individualized budgeting, and information technology upgrades to bring about web-based systems for the MR and Day Support Waivers and Critical Incident management. Future grant opportunities relating to Money Follows the Person will be considered later this year. (Action Plan # 7.2) %The VDSS Caregivers Grant Program was expanded again when the 2006 GA appropriated an additional $150,000 and increased available funds to $500,000 for FY 2006 and FY 2007. This program now provides up to $500 each year for eligible caregivers whose income is under $50,000 and who provide unreimbursed care for a person who is aged, infirm, or has a disability. By June 2006, VDSS had received 1406 grant applications (an increase of 56% from 2005) and approved 1190 caregivers (a 48% increase). Combined with funds remaining from the 2005 grant cycle, it is expected that all approved applicants will again receive the full $500 grant. VDSS expects to distribute grant funds by November 1, 2006. In addition, HB 2303 (2005) added the Caregivers Grant Fund to the list of entities entitled to voluntary contributions that appear on the individual income tax return form. SB 935 (2005) extended the period for which grants under the program can be provided from December 31, 2005, to December 31, 2010. VDSS works closely with VDA, DMHMRSAS, and DMAS in this program. (Action Plan # 7.5) %The 2006 GA increased the personal maintenance allowance (PMA) from 100% to 165% of Supplemental Security Income (SSI). The increase will become effective upon promulgation of emergency regulations, which DMAS believes will occur by September at the latest. (Action Plan # 7.2) %Funding in 2005 was expanded for community hospital bed purchases and crisis stabilization programs for people with mental illness. DMHMRSAS received funding for seven MH and substance abuse crisis stabilization programs. As of May 28, 2006, 52 of 80 planned new crisis beds were operational; 1,011 individuals had been served; and 8,177 bed days of service had been provided. The projected annual capacity of all programs is 27,995. (Action Plan # 7.4) %An SA community transformation initiative builds on efforts in the 2005 budget to increase availability of crisis stabilization services. Funding in the amount of $6.3 million GF each year will allow existing sites to expand their array of services and will permit creation of two additional crisis stabilization sites. Expansion of these services will aid in the diversion of individuals who would otherwise be placed in state facilities. The GA added $534,000 each year for alternative treatment pilot projects for opiate addiction. B. Initiatives and Accomplishments Related to Goals #1 and #2 The Team believes that it is important to recognize several examples of initiatives and accomplishments that, while not directly related to the Plan, serve to enhance and support opportunities for people with disabilities to live in the community. Agencies represented on the Team reported these initiatives and accomplishments, which serve as examples of promising opportunities. The listing is not all-inclusive. %HB 854 (2006) requires the head of each state agency to designate an existing employee to be responsible for reviewing policy and program decisions under consideration by the agency in light of the effect of such decisions on senior citizens and adults with disabilities. The designated employee is to advise and alert the agency head of opportunities to make policies, programs, and regulations senior-friendly and disability-friendly. State agencies have been asked to provide their designees contact information (including email address) to VDA. The following individuals have been designated with regard to adults with disabilities by agencies represented on the Team: State AgencyDesignated Employee DBVIJoe Bowman, Commissioner, and Jim Taylor, Chief Deputy CommissionerDOEH. Douglas Cox, Assistant Superintendent for Special Education and Student ServicesDGSErnie Forrest, Assistant Director for Policy and Planning, Division of Engineering and BuildingsDHCDBill Ernst, Policy Office ManagerDHPElaine Yeatts, Senior Regulatory Analyst\Regulatory CoordinatorDMASTeja Stokes, Long Term Care Policy AnalystDMHMRASCharline Davidson, Director of Planning and DevelopmentDPORDawn Waters, Policy DirectorDRPTNeil I. Sherman, Specialized Program ManagerDRSBill Rhodenhiser, Personal Assistance Services ManagerDSSGail Nardi, Program Manager of Adult Services and Adult Protective ServicesDVSSteven Combs, Director of Policy and PlanningOCSCharles SavageSCHEVGary Krapf, Senior Associate for Academic Affairs/GEARUP Project DirectorVBPDLinda Redmond, Research, Evaluation and Program ManagerVCCSPeter BlakeVDABill PetersonVDDHHLeslie Hutcheson PrinceVDHDavid Suttle, M.D., Director, Office of Family Health ServicesVDOTAlexis Thornton-Crump, Civil Rights Assistant Division AdministratorVECShirley Bray-SledgeVHDATBD %DOE and DRS have sponsored the Virginia Intercommunity Transition Council (VITC) since 1990. It is an inter-agency initiative that ensures the effective coordination of transition services for youth and young adults with disabilities, thereby increasing the accessibility, availability, and quality of transition services across the Commonwealth. Accomplishments of this initiative include ongoing recognition of Virginia as a national leader in transition, consistent cross-agency policy and procedures to promote the effective provision of transition services, reduction in duplication of services, and development of funding resources and agreements for meeting the transition needs of students and their families. Fifteen (15) state agencies and numerous related state coalitions or boards participate in the VITC. The VITC created Transition Fact Sheets for dissemination in high schools that are now maintained on the DOE and DRS web sites. The VITC continues to function as an integral interagency initiative. (Action Plan # 1.1) %VDSS has continued to implement SB 318 and HB 952 (2004), the Adult Protective Services (APS) Act, which expands the list of mandated reporters; requires referral to law enforcement in the event of criminal activity or bodily injury; requires referral to the medical examiner for suspicious deaths; authorizes the VDSS Commissioner to impose civil money penalties for cases of non-reporting by all mandated reporters except law enforcement officers; and requires development of protocols and procedures for the operation of adult fatality review teams. In response to the last item, the Secretary of HHR, with VDSS and the VDH Office of the Chief Medical Examiner, submitted a report to the GA (House Document No. 30, 2004) that addressed the need for a statewide adult fatality review team, defined preliminary protocols, and estimated costs. Recently the Chief Examiner received a small grant to initiate some data review, establish a review team, and begin developing rules and regulations. In addition, a partnership of VDSS, the Family and Childrens Trust Fund, and the Young Lawyers Committee of the Virginia State Bar produced a training video for APS mandated reporters in FY 2005, and VDSS distributed it to mandated reporter groups and agencies statewide in FY 2006. Some of the video information is on the VDSS website. VDSS completed a comprehensive update of all APS and Adult Services regulations and policy in FY 2006; it is expected that new regulations and policy will be sent to all local departments of social services early FY 2007. %HB 1351 (2006) requires local departments of social services or the APS hotline, upon receiving an initial report pursuant to 63.2-1606, to notify the local law-enforcement agency directly in any cases of (i) sexual abuse as defined in 18.2-67.10, (ii) serious bodily injury or disease as defined in 18.2-369 that is believed to be the result of abuse or neglect, or (iii) any other criminal activity involving abuse or neglect that places the adult in imminent danger of death or serious bodily harm. %VDSS policies for the Temporary Assistance for Needy Families (TANF) programs and its Virginia Initiative for Employment not Welfare (VIEW) have been revised to include a more thorough assessment for hidden barriers to employment, a revised sanction policy to ensure that non-compliance with program requirements as a result of a disability does not result in a sanction, and the ability of front-line social service staff to adjust expectations for TANF recipients as a reasonable accommodation of a disability. In addition, VDSS awarded over $3 million for services that will help TANF clients with disabilities obtain and maintain employment. DRS received $1.1 million for 18 months; as of February 2006, they had served 969 individuals and offered a wide array of diagnostic and specialized employment services that will help individuals overcome functional limitations created by their disabilities. For a 12-month period beginning June 2006, DRS received $726,584 to serve 875 individuals. Other recipients of funds include employment service organizations (ESOs) and CSBs, which received about $4 million to offer additional services. %A State Incentive Grant (SIG) initiative addresses complex policy, service delivery, and academic improvement challenges faced by middle and high school youth with mild to moderate disabilities and their families. Grounded in Virginia's revised standards of learning and accountability system are high expectations for academic achievement for all students, including students with disabilities. The specific objectives for this project are to: Promote improved access to, and success with, the general education curriculum and content for students with disabilities; Sustain the use and statewide development of evidence-based instructional practices; Recognize and retain qualified educators through enhancement of general and special educators' knowledge, skills, and abilities; Disseminate and promote the use of EBP by all general education core academic content teachers and special educators; Promote knowledge of, and participation in, educational planning processes that occur between middle and high school and high school and post-school options; and Promote systemic change and reform for middle and high school services for students with disabilities through the creation of a community of practice. The U.S. Department of Education awarded $1.5 million a year to DOE s SIG grant (SIG2), totaling $4.6 million over the next three years. %DOE maintains extensive resources about transition services on its website, located at  HYPERLINK "http://www.pen.k12.va.us/VDOE/sped/transition" http://www.pen.k12.va.us/VDOE/sped/transition. These resources include contacts for courses and training on the Internet, national and state organizations for transition, and resources for college planning; school-to-work; employment; rehabilitation; and vocational and career assessment. The College Planning Guide was recently revised. Other efforts continue. %DOE supports youth leadership for students with disabilities by providing opportunities for them to play an active part in state initiatives. For example, a student representative is recruited as a member of the State Special Education Advisory Committee. Students with disabilities are recruited to attend and present at the state transition conference. DOE also assists with the promotion of materials for youth leadership offered through other agencies and their counterparts. One such effort is sponsored by VBPD. The Forums goals are to educate students with disabilities about the principles of leadership, build their self-confidence and advocacy skills, and better prepare them for future career choices. Rising high school juniors and seniors who want to become leaders in their schools and communities are strongly encouraged to apply. Efforts continue to include students with disabilities in planning activities and participation on boards and task force groups at DOE and other agencies. %As part of DOE s initial commitment to transition in the 1990 s, specialists in transition were designated for each T/TAC in Virginia. These transition specialists coordinate with middle and high school special education T/TAC services to ensure the proper incorporation of transition services to existing instructional assistance efforts. T/TAC transition specialists partner with career and technical state staff for the development and implementation of training efforts for educators. Dr. Patricia Abrams continues to provide oversight and coordination of training and technical assistance from T/TAC staff to align it with DOEs initiatives. %DOE promotes career and technical education through a variety of initiatives (see  HYPERLINK "http://www.pen.k12.va.us/VDOE/Instruction/CTE" http://www.pen.k12.va.us/VDOE/Instruction/CTE). The DOE also partners with the Virginia Career Education Foundation, a non-profit organization, to bridge the gap between the large number of career and technical positions available throughout Virginia and the comparatively small number of qualified applicants to fill these positions. Through public-private partnerships, the Foundation promotes and supports initiatives that facilitate greater awareness of career and technical employment opportunities, quality career and technical programs, and the many positive benefits of these training programs and career choices. DOE maintains a calendar of major activities on its Internet site. %HB 2407 (identical to SB 1238) adds provisions regarding seniors, people with disabilities, age-restricted housing, nursing homes and ALFs to the statutory guidelines for local comprehensive plans. The bill provides that localities must implement these provisions by July 1, 2008. As this legislation does not take effect until July 2008, there has been no significant DHCD activity regarding this requirement. %DMAS, the State Corporation Commission Bureau of Insurance and VDSS have begun preliminary work to implement HB 759 (2006) regarding a public-private long-term care partnership program. The agencies will be able to develop the program once federal regulations are promulgated that provide specific guidance concerning development of partnerships. It is anticipated that states will receive these regulations and the necessary documents to make state plan changes by December 2006. %In response to HB 758 (2006), DMAS has convened a Medicaid Revitalization Committee consisting of 15 stakeholders as described in the legislation. The Committee began its work July 14, 2006. All meetings will be open to the public. %HB 761 (2006), small employer health group pooling, could help small businesses provide health insurance to more employees. To the extent that additional low-income families obtain health insurance, it could help reduce future costs for DMAS, although it is not expected to have a very large impact on DMAS. It does not require any action on DMAS part. %DMHMRSAS submitted a cost and feasibility study as required by Item 330 P of the 2005 Appropriation Act, House Document 76, to the Chairmen of the Senate Finance and House Appropriations Committees. The feasibility study report includes an overview of Virginias MR system: its vision, values, progress, and challenges, the process used for completing the study, a description of the findings, and identification of the most feasible and cost effective option, with strategies and related costs. The study reinforced that the Commonwealths MR system is under-funded, many Virginians with MR are under-served or un-served, and the dual system that exists (state MR training centers and community MR services) is difficult to coordinate and not the most efficient or effective approach to support. DMHMRSAS believes that the most feasible, cost-effective option for Virginia is the combination of developing community alternatives, reducing the size of the state MR training centers by re-focusing their purpose and function, and making renovations to these centers necessary for the maintenance of safety standards and increased efficiency. %VDSS received $70,000 annually for dementia-specific training of long-term care workers (ALFs, adult day care, and nursing home) and has contracted with the Alzheimer s Association (National Capitol Area) to offer a 12-hour training program throughout the state, with 1,000 individuals trained every two years. Four-hour dementia training sessions are also held regularly throughout the state. VDSS funded the curriculum, and Alzheimers chapters offer the training at no cost. In collaboration with the Greater Richmond Chapter of the Association, VDSS offered the 40-hour curriculum focused on activities programming for ALF and adult day care residents with dementia (June, 2005; 20 participants). Other training included: Caring for Others, Helping Yourself: Mental Illness and Dementia (8 sessions; 125 individuals trained) and Caring for Individuals with Special Healthcare Needs (8 sessions; 194 individuals trained). Each Licensing Office has a Video-Lending Library of 70 training videos (18 on MH issues); videos are available at no cost for ALFs and adult day care centers to use for in-service training. % Auxiliary Grant (AG) rates increased to $1010 per month in most localities and $1,062 in Planning District 8 (a 15% differential), effective July 1, 2006. Additional funds were allocated to cover Medicaid costs for higher enrollment associated with increased ALF rates. %Adult foster care (AFC) continues to gain attention as an important option for reducing institutional care and providing quality residential and care settings. The GA increased funding for AFC to $1010 per month in most localities, and $1062 in Planning District 8 (a 15% differential), as these rates are now linked to AG rates and rate increases. In FY 2005, approved AFC homes provided care to 62 adults. VDSS continues to work with Child Foster Care and Independent Living programs to transition children who have disabilities and age out of child foster care into adult foster care. %Under contract with VDSS, Virginia Tech completed a study of SSI assistance services in local social service departments, best practices nationally, employment incentives, and funding options. VDSS is now operating several pilot projects to determine the most cost-effective strategies for helping TANF and foster care clients with significant impairments to accessing SSI and related employment services. %The Virginia Commission for National and Community Service is located within VDSS. Recruiting and enga"LNW + 0  % + . @ A F |húɥ|tm h7CJ]h75\] h7\aJ h7\]h7\]h h76\ h7\h h76h7 h75aJ h7\ h75h75CJ(aJ( h7CJ h76]h7CJ \]aJh75CJ aJ0h75CJ0aJ0h75CJ aJ h75CJ@aJ@* !"8LMNUVW   $xa$$a$ެe   0 e f g h   ! d  ^ 0^`0 ! !   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The Commission has replaced the monthly disability publications with a blog page in order to increase interaction between the site and its users. The site is still called disABILITY BITS and continues to post disability articles of interest and trends. The Commission has also continued to promote volunteerism for persons with disabilities through the work with Project Inclusion, a national training organization focusing on disability, as well as DRS and community organizations. The Commission has been actively promoting AmeriCorps to the states eighteen DRS Workforce Networks as a viable alternative for the clients they serve. Other disability organizations such as the CILs, have also been asked to partner with the Commission. In addition to acting as a referral source for prospective AmeriCorps members, CILs will begin to assist the Commission with accessibility compliance with its AmeriCorps programs offices and service sites. The Commission also assists the Governors Virginia Corps by examining ways AmeriCorps members can assist in times of disaster when appropriate. One of the Commissions goals is to fund an AmeriCorps program in the next request for proposals that serves persons with disabilities, whereby both clients and AmeriCorps members will benefit. %VDSS has administered an Information & Referral (I&R) system for 25 years; with the new 2-1-1 VIRGINIA, a simple number to remember, referrals are on the rise. Since its launch in February 2006, call volume to I&R centers has increased, rising 32% from 2005. The GA directed VDSS, in conjunction with VITA and the Virginia I&R providers, to review the I&R Web site and propose a plan to make it more thorough and user-friendly. A new site has been created that allows the user to search by a preference of keyword or zip code. It offers a comprehensive all of Virginia search. Additionally, the GA directed VDSS to work with I&R providers and other public and private partners to market and promote 2-1-1 VIRGINIA. Press coverage for the February 2006 launch was high and featured Governor Kaine placing the first call to the service. To maintain visibility, VDSS has purchased statewide newspaper advertising and billboard space in key markets. Partnerships with other state agencies are being explored; the Virginia Department of Emergency Management (VDEM) has expressed interest in linking to the 2-1-1 VIRGINIA database and utilizing call center services. In addition, VDSS is directed to request that any agency or entity that receives state GF and provides services to families and youth provide information to the 2-1-1 VIRGINIA database. The Secretaries of HHR, Education and Public Safety are assisting in this effort by requesting all affected agencies within their Secretariats to submit information and ensure that the information is accurate and updated annually. Local and regional offices will receive electronic mailings regarding changes at least biannually. %HJ 60 (2006) directs JLARC to evaluate the administration of the Comprehensive Services Act and issue a report. In conducting this two-year study, JLARC will 1) evaluate the costs, quality, and reimbursement of children's residential services; 2) examine the interdepartmental regulation of these facilities; 3) assess the administration of the CSA by state and local governments; 4) evaluate the quality and capacity of services available to and provided for CSA children; and 5) determine whether CSA children receive appropriate care, case management, education, and supervision. In each year of the study, JLARC will brief the Joint Subcommittee to Study the Cost Effectiveness of the Comprehensive Services for At-Risk Youth and Families Program established pursuant to SJR 96 (2006), and the chairmen of the House and Senate money and health committees. This study was a recommendation of the Joint Subcommittee Studying Private Youth and Single Family Group Homes in the Commonwealth pursuant to HJR 685 (2005). JLARC has begun to review the data available through the OCS web site and has preliminarily identified a group of localities to interview for the study. %VDDHH s Strategic Plan includes an objective related to enhancing awareness of communications access issues for persons who are deaf or hard of hearing in facilities or in community placements. %VHDA Executive Director Susan Dewey had an article published in the December 2005 issue of Affordable Housing Finance, a housing industry subscription magazine, about Olmstead housing issues and actions that VHDA is taking to address them. This article is referenced in the November issue of VHDA s e-News letter. %The GA has directed DMHMRSAS, with the assistance of DHCD, to report on the extent to which local zoning ordinances in Virginia accommodate innovative housing initiatives for the benefit of Virginians with MI, such as Single Room Occupancy residential units, and investigate the availability of state or federal funds for such initiatives. The report is also to examine the feasibility of developing a model Virginia zoning ordinance that permits Single Room Occupancy residential units for persons with MI. A report is due to the Chairmen of the House Appropriation and Senate Finance Committees and the Joint Commission on Health Care by September 1, 2007. %A concurrent session on the EO 2 Community Integration Initiative and its housing priorities will be presented at the 2006 Governor s Housing Conference in Norfolk November 29-December 1, 2006. %VDA received $756,670 (over three years beginning on October 1, 2005) from the ADRC Grant Program jointly administered by the federal Administration on Aging (AoA) and CMS. Virginias grant proposes to implement a model no wrong door approach to long-term support through creation of decentralized Resource Centers to improve client and community level outcomes for older adults and for adults 18 and over with physical disabilities. These centers will be piloted initially in three regions of the state (the Richmond metro region, Harrisonburg and the central Shenandoah region, and Newport News and the Peninsula region). The decentralized model will not create new physical centers (bricks and mortar), but will enhance the capacity of existing service providers. By empowering local coalitions with a comprehensive, statewide database of public and private referral programs and a powerful web-based information system that reflects the data gathered through Virginias Uniform Assessment Instrument (UAI), the three Resource Centers will offer many right doors to citizens in need of long-term support, whether they seek information via the Internet, by telephone, or in person. The grant attempts to unite all public sector components of Virginias long-term support system in partnership with the private sector, including SeniorNavigator, Dominion Virginia Power, RTZ Associates of California, three local Area Agencies on Aging (AAAs), and many local private service providers. SeniorNavigator, the statewide private sector partner, will help each region coordinate its information and referral function by maintaining and expanding its online database and by implementing and supporting a web-based information system. Each region will demonstrate a public-private partnership model incorporating the UAI, SeniorNavigators online database, GetCare (RTZ Associates web-based care management system), and local multi-disciplinary coalitions of public and private service providers. The second and third years of the project will bring six additional regions into the statewide system being proposed under this grant. The Gerontology Center at Virginia Tech will conduct an ongoing evaluation of the outcomes achieved through this grant. Currently, each of the initial pilot communities is taking a different approach in creating its ADRC. All three communities have formed local ADRC advisory councils with broad stakeholder representation. Each pilot is developing (or has already developed) memoranda of understanding (MOUs) with the other key community service providers to create the no wrong door concept. These local MOUs address a variety of challenges in creating a no wrong door to long-term support services, including information sharing under HIPAA and confidentiality laws, refining the GetCare tool to collect all the information on the UAI, refining the ability of the GetCare tool to share data among participating agencies, and defining individual agency roles and expectations. Additional leadership for the ADRC and for the Commonwealths overall no wrong door approach to services will come from soon to be reactivated statewide leadership council that will operate under the direction of the Secretary of HHR, with operational leadership provided by VDA. %Partners in Policymaking is sponsored by VBPD. Its participants are people who live in Virginia, have a DD or are parents of young children with a DD. Individuals participate in advocacy skill workshops, resource development, and leadership training. Participants build networks with state and national leaders as well as with one another. They are educated on current issues, state-of-the-art approaches and best practices in many areas including: History of Disability Movements, Self-Advocacy, Independent Living, Inclusive Education, Supported Employment, Personal Futures Planning, Building Inclusive Communities, Natural Supports, Assistive Technology and Legislative Process and Strategies. Over 200 program graduates have been appointed to leadership positions on state and local board and commissions and have created systems change in their communities and on a state level. %VBPD s Youth Leadership Forum (YLF) seeks to empower young people with disabilities to further develop their leadership skills. Students, serving as Delegates from communities throughout Virginia, participate in a wide range of activities and learning experiences during the four-day YLF set on a university campus. The YLF curriculum includes training and development of individual career and life-goals, leadership skills, social skills, and self-esteem. Delegates benefit from sharing the experience of an energetic and socially enriched environment with other Delegates, distinguished guests, mentors, and highly motivated volunteer staff. Over 130 young adults have graduated from this program, which is recognized as a national model. %HB 743 and SB 244 (2006) authorizes the SILC to accept grants, gifts, donations, and bequests. Any moneys received is to be credited to the Statewide Independent Living Fund, created in the bill. T he Fund is to be used to carry out activities enumerated in the State Plan for Independent Living, developed pursuant to the federal Rehabilitation Act of 1973 (29 U.S.C. 796 et seq.). %HB 997 and SB 668 (2006) changed the sunset date for the Alzheimer's Disease and Related Disorders Commission from July 1, 2006, to July 1, 2009. %HB 1266 (2006) provides that any employer of persons whose employment requires that they enter the homes of others may acquire those persons' criminal history record information for the purpose of screening those individuals. %HJ 36 (2006) designates the third week of May, in 2006 and in each succeeding year, as Angelman Syndrome Awareness Week in Virginia. %HJ 96 and SJ 125 (2006) encourage DOE, DMHMRSAS, their Boards and other relevant entities to take certain actions to improve the education and treatment of individuals with autism spectrum disorders. The Board and DOE are urged to continue to implement regulatory initiatives designed to strengthen teacher qualifications, to include preservice and inservice professional development opportunities relating to the effective treatment of autism spectrum disorders and to examine appropriate educational placements considering the IEPs of autistic students, the effects of mainstreaming, and the feasibility of alternative placements in public and private schools having qualified staff and adequate facilities. The Board and DMHMRSAS are urged to continue to expand training opportunities that include approaches specifically addressing the needs of children with autism spectrum disorders. %SB 400 (2006) creates a grant fund to be distributed to nonprofit organizations that sell donated goods and spend at least 75% of their revenues employing or training people with disabilities or people with a workplace disadvantage. The term "people with a workplace disadvantage" is defined as people who have had felony convictions or past alcohol or substance abuse problems. Continuing Challenges to Achieving Goals #1 and #2 In reviewing this draft Report, the Team wished to make special note of the following continuing challenges: %As the community integration continues to be achieved, there will more and more people with disabilities living in the community some in congregate settings, others in independent living settings. The safety and security of all people with disabilities who live in the community is of utmost importance, and a critical component of their safety in the community involves effective evacuation and sheltering in an emergency. Therefore, there is a need for the Team and the Community Integration Advisory Commission to be educated about the statewide emergency plan and the roles of both VDEM and the Office of Commonwealth Preparedness and to provide active input and support into this planning process. State agencies also need to learn from each other what the roles of other agencies are in the process. A major portion of the August 22 Team meeting will be devoted to this topic. %The MR Waiver waiting list continues to grow. In 2006, there are more people on the Urgent List than on the Non-Urgent List. Approximately one person a day is added to the MR Waiver s Urgent Wait List. %At the time of this report, the DD waiver had a waiting list of 307 individuals. %Transition waiver benefits for people leaving institutions were unsuccessful in the legislative process in 2005. DMAS continues to work on adding transition benefits to five of the seven waivers within existing appropriations. (Action Plan # 1.2) %The 2-1-1 VIRGINIA program is not yet TTY accessible for people who are deaf or hard of hearing. %The GA directed JLARC to report on the impact of new ALF regulations on the cost of providing services, residents' access to providers and services, including Medicaid-funded MH and other services, and tangible improvements in the quality of care delivered. DMHMRSAS, VDSS and DMAS are involved in the study. An interim report was issued November 21, 2005, and can be accessed at  HYPERLINK "http://jlarc.state.va.us/Reports/Rpt325.pdf" http://jlarc.state.va.us/Reports/Rpt325.pdf. A final report was due by June 30, 2006, however the 2005 report recommended that the study be extended beyond 2006 because a number of key provisions of the legislation responsible for regulatory changes do not take effect within the original study timeframe. On July 11, JLARC reported its key findings to the Joint Commission on Health Care: As the new law and regulations phase in, some ALFs continue to experience problems in the areas of medication administration, staffing, and mental health services; Case management services for public pay residents with mental disabilities appear to have improved; and The new law and regulations impose added costs on ALFs and ALF staff, although adequate adjustments to auxiliary grant rate have not been made. The full report can be accessed at  HYPERLINK "http://legis.state.va.us/jchc/LTC7.11.06JLARC.pdf" http://legis.state.va.us/jchc/LTC7.11.06JLARC.pdf. (Action Plan # 2.1) %The GA directed JLARC to report on the adequacy of Virginia's Medicaid reimbursement rates to health care providers. The review included an examination of the impact of reimbursement levels on access to care for the Medicaid recipient population and covered home and community-based services (HCBS) care providers. This report was completed as directed and included a variety of recommendations related to the need for increased reimbursement rates. The report may be accessed at  HYPERLINK "http://jlarc.state.va.us/Reports/Rpt324.pdf" http://jlarc.state.va.us/Reports/Rpt324.pdf. (Action Plan # 2.1.2) %In May, DMHMRSAS submitted a Job to Career Grant application to the Robert Wood Johnson Foundation with goals and objectives to: 1) develop employer and education partnerships; 2) increase competencies of direct support associates (DSAs); 3) improve the quality of care of people with disabilities through work-based and web-based learning; 4) develop a developmental career path for direct support professionals (DSPs); and 5) provide incentives for improvement and retention. Strategies included developing a Direct Support Career Council (DSCC) to formalize partnerships, improve access to the College of Direct Support (CDS), and reward completion of training with increased pay. The DSCC would have provided a forum for discussion and consensus, identified systemic issues and provided guidance for, review training content, process, and outcomes, and report policy and procedure recommendations to the DMHMRSAS Commissioner and VCCS Chancellor. SCHEV assisted. The grant would have been for $575,000 over three years, and would have built on the work with the CDS. Competition was extremely heavy, with 190 applications submitted. Unfortunately DMHMRSAS did not receive the grant, but intends to continue to seek opportunities with the Foundation, the U.S. Department of Labor, and the U.S. DHHS Services (Action Plan # 2.1) V. The Teams Progress in Achieving Goal #3 This section summarizes progress is implementing action plans for Goal #3 of the Plan, which addresses critical factors for the Teams success. Every state agency identified in EO 2 is actively involved in the Teams work. Under EO 2, support of the Teams work by agencies, councils and Secretariats has been consistently strong. Team members have actively participated in all Team meetings and activities, including the preparation of the final draft Plan and this Report. All agency strategic plans have been reviewed at this time. Every Team member has the agency heads authority to represent the agency in the Teams work. With the assistance of the Chief of Staff, all cabinet Secretaries and agency heads have been requested to designate their representatives to the Team in writing. Each Team member understands the EO 2 strategic planning directive, the critical success factors approach to developing the strategic plan, and their agencys role in the process. The Team has devoted six meetings in 2006 to various stages of the strategic planning process. Agencies roles in the process have been explained and discussed with both Team members and agency heads. The plan will be updated annually in future Team meetings, in conjunction with the Community Integration Advisory Commission. The Teams work on critical success factors for Virginians with disabilities is incorporated into agency strategic planning, andCC C CC#CFrFGH&H*K,KLLTMZMNVVZZ__TcVcfftff&g(ghhi iiixmnn}pprrvvxxxxx.y0y {${,{r}ǻ h7aJh76>*] h75 h7]^J h7\ h7^Jh756\] h76] h7\] h76 h756h7Hhh7?Z_Tc.e&ghiym|p}ppqvx.y"{{7CӀe:;$a$ & F%<7$8$H$x7$8$H$ $ & F'a$xxxr}s}}}}}}ҀӀ678ij KL:=?hiH7Gqh Zzգ󶯦󐞯󐎐 h7\U h75\ h75]h75\]h75CJ \ h7\]h75CJ ]je-h7U h756j(,h7U h7aJ h70Jj+h7Uh7jh7U3;hiH7Gqh ҡ&۬ܬ(x7$8$H$  & F+ !x !xx & F+x$a$ every Team member supports every other Team member in achieving this. The final draft Plan will be transmitted to Cabinet Secretaries and agency heads in late summer, with a request to schedule individual meetings with the Director, the agencys representative to the Team, and the applicable Cabinet Secretary to discuss the Plan and agency roles in implementing it. The Team agrees on methods of measuring the Commonwealths progress in implementing Action Plans for each critical success factor for Virginians with disabilities and takes whatever steps are needed, both as a Team and within their agencies, to enable regular and accurate measurements. The Team recognizes that the establishment of measurable outcomes, so that progress can be consistently and accurately measured, must be a priority. The Plan contains many measurable outcomes, and community integration initiatives within current agency strategic plans contain many others. Existing outcomes are being collected for the Teams use in establishing baselines and further refining outcomes later this year, when the Team will focus in depth on this issue. The Team works to secure a long-term commitment by the Executive and Legislative branches of government to community integration for Virginians with disabilities. The Team is pleased to report that, in 2006, support for community integration for Virginians with disabilities in both the Executive and Legislative branches of state government has steadily grown. Issued on the day Governor Kaine was inaugurated, EO 2 itself clearly evidences the importance of the initiative to the Executive Branch. Cabinet Secretaries, agency heads and Team members were honored to have an opportunity for Governor Kaine to address them personally regarding the high priority of the initiative at a meeting June 22. With the passage of SB 182 (2006), introduced by Governor Warner, strongly supported by Governor Kaine, patroned by Senator Linda Puller, and enacted by the General Assembly, a Community Integration Advisory Commission has now been codified (See Code 2-2.2524 et seq.) to monitor the progress of all executive branch state agencies toward community integration of Virginians with disabilities. The Commission consists of 21 non-legislative citizen members, the majority of whom who have a disability; the balance is comprised of family members, service providers and advocates. The Commission is required to monitor the implementation of state and federal laws pertaining to community integration of persons with disabilities and make appropriate recommendations to the Governor. It is believed that Virginia is the only state to have enacted such important legislation. The Team looks forward to its work with the Commission in the coming years. The Governors proposed budget added $233,398 each year to ensure that adequate resources were available to support the Community Integration Advisory Commission ; however the GA removed the funding.  The entire Vision statement, as ratified by the Board March 7, 2006, appears at Appendix III.  The wording of this goal resulted from extensive and robust deliberations among Team and Board members and serves as an excellent example of how consensus can be achieved through open debate and consideration of all possible options.  Effective July 1, 2006, Va. Code 2.2-2524 through 2.2-2529, establishing a Community Integration Advisory Commission, superseded the provisions of EO 2 that had established the Board.  In previous Team reports, status reports, initiatives and accomplishments were related to specific Task Force Report recommendations. Although these recommendations remain the basis of all community integration activity, this Section of the Team Report focuses on initiatives, accomplishments and continuing challenges as they relate to the newly adopted Plan. Subsection A addresses initiatives and accomplishments directly related to the Plan, and the Action Plan/s to which each item relates appear in parentheses at the end of each paragraph. Subsection B includes initiatives and accomplishments that, while not related directly to the Plan, are important in the overall commitment of the Team toward community integration for people with disabilities. Subsection C addresses continuing challenges.     PAGE  PAGE 30 We envision Virginia as one community for all citizensone that welcomes individuals with disabilities and supports them as active members of their own communities. By own community, we mean any location an individual with a disability chooses that affords the individual the opportunity for maximum possible autonomy over his or her daily life. We believe that individuals, of all ages and with any disabilities, have the right to decide where to live, and live as independently as possible, in the most integrated setting. This is the same right--no more and no lessenjoyed by individuals who do not have disabilities. 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" # $ % & ' ( ) * + Oh+'00      (LStrategic Planning for Community Integration for People with Disabilities JSTANLEY|This Third Annual Implementation Team Report to the Oversight Advisory Board (Board) is submitted pursuant to Executive Order (EO) 2 (January 14, 2006) (Appendix I). The Team made similar reports in both 2004 (EO 61) and 2005 (EO 84). This year, membership on the Team grew to 22 state agencies, four Secretariats, and two Councils. The Team has worked collaboratively with agency staff and the 21-member stakeholder Board to develop Virginias first Cross-Governmental Strategic Plan to Assure Continued Integration of Virginians with Disabilities into the Community, a copy of which is transmitted as Appendix II to this Report.Normal soquebrl45Microsoft Office Word@۝@H@Z|(7>՜.+,D՜.+,D hp  &VA Dept of MH, MR & SAS~zt JStrategic Planning for Community Integration for People with Disabilities Title 8@ _PID_HLINKSA6zb,http://jlarc.state.va.us/Reports/Rpt324.pdf 2http://legis.state.va.us/jchc/LTC7.11.06JLARC.pdf {b,http://jlarc.state.va.us/Reports/Rpt325.pdf Q^.http://www.pen.k12.va.us/VDOE/Instruction/CTE .http://www.pen.k12.va.us/VDOE/sped/transition k= http://www.lifeafterhs.org/ YQ http://valleyresourcenet.org/ L_http://www.accessva.org/ { 3http://www.dss.state.va.us/facility/search/alf.cgi   !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]_`abcdefghijklmnopqrstuwxyz{|}~Root Entry F(Data ^.1TablevWordDocument[SummaryInformation(DocumentSummaryInformation8CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q