1. VOCATIONAL REHABILITATION PROGRAM PERFORMANCE FEDERAL FISCAL YEAR 2016
Kathryn Hayfield, M.S.
Assistant Commissioner, Virginia Department for Aging and Rehabilitative Services
Barbara J. Burkett, Ph.D., M.S.P.H.
Lead Agency Analyst, Virginia Department for Aging and Rehabilitative Services

2. Presentation Objectives
Review and Discuss:
Characteristics of Clients Served in 2016
Program Outcomes for Clients
Cost Variables
Timeliness of Service
Examine Waiting List Dates and Update on Closure of Categories
Discuss Trends in Our Data
Director’s Comments

3. Characteristics of Clients Served In FFY2016 October 1, 2015 through September 30, 2016

4. Slight Increase in Clients Served1 in FFY16 (n=+407)
29,399 clients were served in FFY16.
28,929 clients were served in FFY15.
1(“Clients served” is defined as clients in application through post employment.)
Application to Closure, Including PES
14,651 (49.8% were transition age)

5. New eligibilities in ffy16
Ex: Anxiety, personality disorders, compulsive. Influence of psychological factors and environmental factor have on mental wellness and ability to function.
New eligibilities in ffy16
Adds up to 101% due to rounding. Raw numbers are.
Blind Vision: 0.6%
Deaf/Hearing: 4.8%
Communicative: 1.3%
Ortho/Neuro/Mobility: 4.7%
Physical/Resp/Fatigue: 9.46%
Cognitive: 48.6%
Psychosocial: 30.7%
Relating to mental processes of perception, judgment, memory or reasoning: Autism, ADHD, TBI

6. Serious Mental Illness Intellectual Disability
Selected Populations Trends FFY14-16 Based on Number of Clients Served and Their Primary Impairment
Program Type
FFY 2014
FFY 2015
FFY 2016
% Change FFY15 to FFY16
Autism
2,659
3,097
3,461
11.8%
Serious Mental Illness
1,608
1,657
1,634
-1.4%
Transition
14,269
14,514
14,651
0.9%
Intellectual Disability
11,560
11,810
12,121
2.6%
Did not put total as categories are not mutually exclusive.For example there may be vets who have tbi and are substance abusers.
SMI is defined as those with an SMI counselor.
Intellectual disability defined in table is primary impairment of “Cognitive Impairments” if you want a primary cause of “Intellectual Disability” the numbers are
FFY 2014: 3,939
FFY 2015: 4,107
FFY 2016: 4,265
Change 15-16: 3.8%
Categories are not mutually exclusive.

7. Severity of Disability FFY16 87
Severity of Disability FFY % of the total population of clients were categorized as MSD A higher percentage of transition clients were categorized as msd @ 92% compared to 83.7% of non-transition clients categorized as msd
Severity
Non
Transition
MSD
83.7%
92.0%
SD - 2
10.8%
6.5%
SD - 1
5.3%
1.4%
NSD
0.2%
0.1%
More transition are msd.
MSD decreased a small amount from last year. NSD is still roughly the same.
The msd population decreased slightly from the previous year (88.6% in FFY15). NSD has remained the same.

8. Percentage of Clients Determined MSD FFY01-16

9. Applications To DARS Increased in 2016 (n=+843)
Applicants in FFY16= 10,488
Applicants in FFY15 = 9,645
Percentage Change = 8.7%
Historical data analysis has indicated that it takes 10,000 applicants to have 4,000 successful closures per year.

10. Decrease in the Number of Clients Determined Ineligible For Services
FFY
% Ineligible
FFY10
10.9% (n=1389)
FFY11
8.3% (n=854)
FFY12
9.8% (n=895)
FFY13
8.3% (n=820)
FFY14
7.5% (n=803)
FFY15
6.0% (n=580)
FFY16
4.2% (n=439)
40% No longer interested in services/22% moved 8%disability to significant
Used ffy that client applied

11. Client Outcomes FFY16 Met all 5 Targets

12. DARS Found Employment for 4,060 Virginians with Disabilities in FFY16
DARS achieved 101.5% of the yearly goal of 4,000.
21 offices met their employment goals.
The rehabilitation rate was 56.0%
Rehabilitation Rate = #successful closures/(#unsuccessful closures +#successful closures)
Leesburg, Manassas, Fairfax, Culpeper, Warsaw, Henrico, Petersburg, Hampton/Newport News, Williamsburg, Franklin, Eastern Shore, South Hampton Roads, Harrisonburg, Martinsville, Danville, South Boston, Christiansburg, Abingdon, Pounding Mill, Norton and Wytheville.
Offices meeting this goal in FFY 2016 (scorecard goals) are Leesburg, Manassas, Fairfax, Culpeper, Warsaw, Henrico, Petersburg, Hampton/Newport News, Williamsburg, Franklin, Eastern Shore, South Hampton Roads, Harrisonburg, Martinsville, Danville, South Boston, Christiansburg, Abingdon, Pounding Mill, Norton and Wytheville.

13. Successful Closures in FFY16 by Caseload Type Very little change in the number of successful closures from 2015 to 2016 by caseload type a slight decrease in deaf and hard of hearing cases by .3% and transition by.04%
Caseload Type
# of Successful Closures
% of all Successful Closures FFY16
% of all Successful Closures FFY15
Change FFY15 to FFY16
General Caseload
2348
57.8%
57.4%
+0.4%
Dedicated
Transition
792
19.5%
19.1%
Deaf and Hard of Hearing (Rehab. Counselor for Deaf)
218
5.4%
5.7%
-0.3%
TANF Caseload 38
0.9%
1.3%
-0.4%
Substance Abuse Caseload
438
10.8%
10.3%
+0.5%
Serious Mentally Ill Caseload
226
5.6%
6.2%
-0.6%
Total
4060
100%

14. Individualized Plans For Employment 2,5 84 more than Previous Year
8,380 (120% above target of 7,000)
5,796 (80% of target in 7,000 target in FFY16

15. Cold Case Initiative
Program began in August of 2012 and has had a total of 4,157 clients referred to the unit.
In FFY 2016 a total of 1,492 consumers were referred to the “Cold Case Project” and:
639 (42.8%) clients are now back receiving DARS services.
Cold case was able to successfully re-engage these clients.
456 clients became successful closures
535 clients we were unable to locate
535 cases referred to cold case were closed unable to locate this year. Including cases referred prior to FFY 2016.

16. Rehabilitation Rate FFY10-16 by Client Age
Transition

17. Average Hourly Earnings at Closure FFY16
Average hourly wage at closure was $10.24
This was an increase from $10.08 in FFY15.
$9.50 Average Hourly Wage for Transition Age Clients
$10.86 Average Hourly Wage for Non-Transition Age Clients
Transition increased from $9.29 in FFY 2015, Non transition up $0.19 from $10.67.

18. Trend in Average Hourly Wage @ Closure
Transition V. Non-Transition FFY11-FFY16
Tran.
Wages for Transition have always been lower but continue to increase yearly.

19. Hours Worked Decreased Slightly in 2016
Closure
Transition
Non-Transition
All Clients
FFY14
27.3
29.2
28.4
FFY15
27.9
29.1
28.6
FFY16
27.7
-.2
No Change
28.5
-.1
.Decreased a 10th of an hour for all clients, and 2 tenths for transition clients, non-transition remained the same
In 2016 average number of hours for manufacturing jobs was 40.8 hours and 34.4 hours for non farm jobs.

20. All successful closures.
Recession
82% of Americans worked full time in General population show decrease in hours in 2008 but rebounded by 2012.

21. NonTransition Competitively Closed Transition Competitively Closed
Competitive Employment Rate 99.1% Unchanged from 2015 Target FFY16 = 98%
99.2% All clients in FFY16
99.1% Transition aged clients
99.3% Non-Transition aged clients
Steady increase for all clients from 2013
FFY
NonTransition Competitively Closed
Transition Competitively Closed
FFY13
96.4%
97.0%
FFY14
97.6%
98.1%
FFY15
98.6%
99.1%
FFY16
99.3%
Competitive Employment is defined as: The 1992 and 1998 Amendments to the Rehabilitation Act placed increased emphasis on competitive employment outcomes, i.e., employment in the competitive labor market that is performed on a full-time or part-time basis in an integrated setting and for which the individual is compensated at or above the minimum wage, but not less than the customary wage and level of benefits paid by the employer for the same or similar work performed by individuals who are not disabled. The regulations that promulgated the evaluation standards and performance indicators for the VR program in June 2000 also placed priority on this type of employment outcome in the VR program. In this context, this section of the service record review is designed to assess the degree to which the competitive employment outcomes reported by the State VR agency meet the criteria of 34 CFR
Increased steadily since ffy09 in both categories.

22. Cost of Client Services 2016

23. Case Service Cost SFY16 $20 Million
The total amount spent on all clients in SFY16 was $20.0 million
The amount spent was $2.5 million less than in SFY15.
Average cost of non-transition aged client successfully closed was $2,335 in SFY 2016
Average cost for transition aged client closed successfully was $3,556 in SFY 2016
Expenditures for successfully closed in SFY 2016 includes only money spent in SFY 2016 for SFY 2016 closures. Life of case costs are $3, for non transition, $5, for transition
All cases: $2, for SFY 2016 closures in SFY 2016, $4, life of case.
SFY corresponds to budget year.

24. Expenditure Categories SFY16
Category
Total Spent
% Of Total
Supported Employment and Job Coach Training
$13,165,693.09
Up 1.8% to 65.8%
Training, including Tuition
$1,460,432.94
7.3%
Non Medical Supplies and Services
$877,972.86
4.4%
Medical and Therapeutic
$674,767.67
3.4%
Work Adjustment Training
$631,228.21
3.2%
Fuel, Travel and Transportation
$623,573.73
3.1%
Maintenance - Room and Board
$518,798.34
2.6%
Durable Medical Equipment
$496,169.39
2.5%
Work Incentive Services
$448,300.00
2.2%
Interpretive Services
$303,726.27
1.5%
Community Support Services
$259,519.81
1.3%
Attendant Care and PAS Payment for Payroll
$225,828.96
1.1%
Modifications - Home/Vehicle and Rehab Engineering
$225,776.59
Self Employment including Tools and Equipment
$37,270.02
0.2%
Services to Family Members
$15,576.37
0.1%
Diagnostics
$13,912.56
Independent Living Services
$13,288.07
Other - Not Used
$6,668.40
0.0%
Total
$19,998,503.28
100.0%
These are major categories not all inclusive
No significant changes we continue to pay over 60% on se, up from 64% last year (FY15)

25. Timeliness of Service Provision

26. Timeliness of Service Status Requirement Average FFY15 Average FFY16
Length of time from application to eligibility-days
60 days
26.3 days
28.4 days
+2.1 day increase
Length of time from Plan to successful closure
None
18.6 months
19 months
+4 month increase
App-Elg doesn’t count for cases that have extended eval, trial work or a waiver
Length of time plan-closure counts cases closed during listed FFY.

27. Waiting List Openings and Closings
November 1, 2015: Opened waiting list to consumers who applied prior to 9/1/2015
December 1, 2015: Opened waiting list to consumers who applied prior to 10/1/2015
January 1, 2016: Opened waiting list to consumers who applied prior to 11/1/2015
February 1, 2015: Opened waiting list to consumers who applied prior to 2/1/2015

28. Waiting List Openings and Closings Part 2
March 1, 2016: Opened MSD Category, Opened SD-2 to consumers who applied prior to 7/1/15
April 1, 2016: Opened waiting list to consumers who applied prior to 10/1/2015
January 1, 2016: Opened SD-2 and SD-1 Categories, opened NSD to consumers who applied prior to 4/1/16
September 1, 2016: Closed SD-2 and SD-1 Categories
November 1, 2016 Closed MSD