1. VOCATIONAL REHABILITATION PROGRAM PERFORMANCE FEDERAL FISCAL YEAR 2017
Barbara J. Burkett, Ph.D., M.S.P.H.
Virginia Department for Aging and Rehabilitative Services

2. Presentation Objectives
Review and Discuss:
Characteristics of Clients Served in 2017
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. Division of Rehabilitative Services Districts
Northern – Mark Fletcher
Blue Ridge – Roxanne Slaughter
Rappahannock – Tracy Harrington
Capitol – Sherrina Sewell
Hampton Roads – Kim Shepard
New River – Michele Wells
Southwest – Cindy Matney
Wilson Workforce and Rehabilitation Center
Field offices

4. Characteristics of Clients Served In FFY2017 October 1, 2016 through September 30, 2017

5. Slight Decrease in Clients Served1 in FFY17 (n=-507)
28,892 clients were served in FFY17.
29,399 clients were served in FFY16.
1(“Clients served” is defined as clients in application through post employment.)
Application to Closure, Including PES
14,651 (49.8% were transition age)

6. New eligibilities in ffy17 Total Adds up to 101% due to rounding
Ex: Anxiety, personality disorders, compulsive obsessive disorders.. Influence of psychological factors and environmental factor have on mental wellness and ability to function.
New eligibilities in ffy17
Total Adds up to 101% due to rounding
Raw numbers are.
Blind Vision: 0.5%
Deaf/Hearing: 4.4%
Communicative: 1.3%
Ortho/Neuro/Mobility: 4.8%
Physical/Resp/Fatigue: 8.6%
Cognitive: 48.6%
Psychosocial: 31.8%
Relating to mental processes of perception, judgment, memory or reasoning: Autism, ADHD, TBI

7. Selected Populations Trends FFY15-17 Based on Number of Clients Served and Their Primary Impairment
Program Type
FFY 2015
FFY 2016
FFY 2017
% Change FFY16 to FFY17
Autism
3,097
3,461
3,883
12.2%
Serious Mental Illness
(Defined as SMI Caseload)
1,665
1,664
1,738
4.4%
Transition (old coding 14-24)
14,514
14,651
14,460
-1.3%
SWD (14-21 at application )
12,626
12,761
12,561
-1.5%
Intellectual Disability
11,810
12,121
11,944
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.
SWD Eligible is at application for this report
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
FFY 2017: 5,383
Change 15-16: 3.8%
Categories are not mutually exclusive.

8. MSD (3+functional limitations SD (1-2 functional limitations)
Severity of Disability FFY17 In FFY % of the total population of clients were categorized as MSD A higher percentage of transition clients were categorized as msd @ 91.9% compared to 84.6% of non-transition clients categorized as msd
Severity
Non
Transition
Transition
SWD 14-21
MSD (3+functional limitations
84.6%
91.9%
SD (1-2 functional limitations)
15.3%
8.0%
8.1%
NSD
0.1%
0.0%*
0.0%
More transition are msd.
MSD decreased a small amount from last year. NSD is still roughly the same.
SD-2 and SD-1 are now combined. Transition age is still for this table, there are NSD Transition, but only 6 out of 14,000+ so it rounds to 0.0%
The msd population increased slightly from the previous year (87.9% in FFY16). NSD has declined slightly. There are 6 NSD Transition cases.

10. Applications To DARS Decreased in 2017 (n=-187, -1.8%)
Applicants in FFY17= 10,301
Applicants in FFY16 = 10,488
Percentage Change = -1.8%
Historical data analysis has indicated that it takes 10,000 applicants to have 4,000 successful closures per year.

11. Decrease in the Number of Clients Determined Ineligible For Services
FFY
% Ineligible
FFY11
8.4% (n=855)
FFY12
9.8% (n=896)
FFY13
8.3% (n=823)
FFY14
7.6% (n=809)
FFY15
6.7% (n=650)
FFY16
7.6% (n=793)
FFY17
4.2% (n=429)
Used ffy that client applied

12. Client Outcomes FFY17 Met 4 of 6 Targets Successful Closures Plans Median Earnings Mean Earnings
Met: Successful Closures, Plans, Median Earnings, Mean Earnings
Did Not Meet: Competitive Rate (99.7%), Rehab Rate (55.3%)

13. DARS Found Employment for 4,037 Virginians with Disabilities in FFY17
DARS achieved 100.9% of the yearly goal of 4,000.
19 offices met their employment goals.
The rehabilitation rate was 55.3%
Rehabilitation Rate = #successful closures/(#unsuccessful closures +#successful closures)
Winchester, Alexandria, Leesburg, Manassas, Fairfax, Culpeper, Fredericksburg, Henrico, Hampton/Newport News, Williamsburg, Portsmouth, South Hampton Roads, Eastern Shore, Martinsville, Danville, Christiansburg, Pounding Mill, Norton, Wytheville
Offices meeting the successful closure goal in FFY 2017 (scorecard goals) are Winchester, Alexandria, Leesburg, Manassas, Fairfax, Culpeper, Fredericksburg, Henrico, Hampton/Newport News, Williamsburg, Portsmouth, South Hampton Roads, Eastern Shore, Martinsville, Danville, Christiansburg, Pounding Mill, Norton, Wytheville

14. Successful Closures in FFY17 by Primary Impairment
Primary Impairment Type
# of Successful Closures
% of all Successful Closures FFY17
% of all Successful Closures FFY16
Change FFY16 to FFY17
Cognitive or Other Mental
1957
48.5%
50.0%
-1.5%
Psychosocial
1180
29.2%
28.8%
+0.4%
Physical, Respiratory, Fatigue
332
8.2%
8.4%
-0.2%
Deaf/Hearing Impairments (Including Deaf-Blind)
273
6.8%
6.4%
Orthopedic, Neurological, Mobility/Dexterity
216
5.4%
4.6%
+0.8%
Communicative Impairments, Expressive/Receptive 62
1.5%
1.3%
+0.2%
Blind/Vision Impairments 17
0.4%
0.5%
-0.1%
Total
4037
100%

15. Individualized Plans For Employment 888 fewer than Previous Year
7,492 (107% above target of 7,000) in FFY17
8,380 (120% above target of 7,000) in FFY16

16. Cold Case Initiative
Program began in August of 2012 and has had a total of 5,604 clients referred to the unit.
In FFY 2017 a total of 1,447 consumers were referred to the “Cold Case Project” and:
857 (59.2%) clients are now back receiving DARS services.
Cold case was able to successfully re-engage these clients.
491 clients became successful closures
489 clients we were unable to locate
489 cases referred to cold case were closed unable to locate this year. Including cases referred prior to FFY 2017.
857 cases back receiving services includes 475 cases in Service Status, 46 Employed and 336 who were referred in FFY 2017 and closed successfully in FFY 2017.

17. Rehabilitation Rate FFY10-17 by Client Age
Transition
Clients SWD at plan Signature is slightly higher at 57.6%. This includes only those with goals and IPE/504, if you include goals without IPE/504 the number is 54.8%
Age at app lags slightly behind at application

18. Median Hourly Earnings at Closure FFY17
Median hourly wage at closure was $9.50
This was an increase from $9.00 in FFY16.
$9.00 Median Hourly Wage for Transition Age Clients
$10.00 Median Hourly Wage for Non-Transition Age Clients
Mean Hourly Wages if Needed:
Total, $10.77 up from $10.24 in FFY 2016
>24 at App: $11.42 up from $10.86 in FFY 2016
14-24 at App: $9.90 up from $9.50 in FFY 2016

19. Trend in Median Hourly Wage @ Closure
Transition V. Non-Transition FFY13-FFY17
Tran.
Wages for Transition have always been lower but continue to increase yearly.
Transition is in this table.
SWD Eligible is in this table.

20. Hours Worked Increased Slightly in 2017
Closure
Transition
Non-Transition
All Clients
FFY15
27.9
29.1
28.6
FFY16
27.7
28.5
FFY17
28.1
+.4
29.0
-.1
+.1
.Increased a 10th of an hour for all clients, and 4 tenths for transition clients, non-transition decreased 1 10th of an hour
Manufacturing jobs are ONET BLS Categories 51 – Production Occupations
Non Farm is all Onet BLS Categories except 45 – Farming Fishing and Forestry Occupations
In 2017 average number of hours for manufacturing jobs was 34.5 hours and 28.6 hours for non farm jobs.

21. All successful closures.
Slight Uptick in FFY 2017, first time over 30% since 2013 (2015 rounds to 30% but was below)
Recession
82% of Americans worked full time in General population show decrease in hours in 2008 but rebounded by 2012.

22. 99.8% Transition aged clients 99.5% Non-Transition aged clients
Competitive Employment Rate 99.7% Up 0.5% from FFY 2016 Target FFY17 = 100%
99.7% All clients in FFY17
99.8% Transition aged clients
99.5% Non-Transition aged clients
Steady increase for all clients from 2014
FFY
NonTransition Competitively Closed
Transition Competitively Closed
SWD Eligible Competitively Closed
FFY14
97.6%
98.1%
98.2%
FFY15
98.6%
99.1%
99.2%
FFY16
99.3%
FFY17
99.5%
99.8%
99.9%
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.

23. Cost of Client Services 2016

24. Case Service Cost SFY17 $23.4 Million
The total amount spent on all clients in SFY17 was $23.4 million
The amount spent was $3.4 million more than in SFY16.
Average cost of non-transition aged client successfully closed was $2,624 in SFY 2017
Average cost for transition aged client closed successfully was $3,512 in SFY 2017
Expenditures for successfully closed in SFY 2017 includes only money spent in SFY 2017 for SFY 2017 closures. Life of case costs are $3, for non transition, $4, for transition. Costs for Transition are down this year.
SFY 2017 closures that were SWD eligible at application: $3, for SFY 2017 costs, $4, life of case.
SFY corresponds to budget year.
Transition on the graph includes all the costs from SWD Eligible plus cases (except those turning 22 during the school year in accordance with DOE policy).

25. Expenditure Categories SFY17
Category
Total Spent
% Of Total
Supported Employment and Job Coach Training
$15,679,761.04
(Up 1.3% from FFY 2016) 67.1%
Training, including Tuition
$1,422,636.21
6.1%
Non Medical Supplies and Services
$940,057.64
4.0%
Medical and Therapeutic
$883,691.36
3.8%
Fuel, Travel and Transportation
$668,708.56
2.9%
Modifications - Home/Vehicle and Rehab Engineering
$626,878.41
2.7%
Work Adjustment Training
$559,157.95
2.4%
Durable Medical Equipment
$544,952.47
2.3%
Work Incentive Services
$462,600.00
2.0%
Community Support Services
$461,533.49
Maintenance - Room and Board
$445,345.24
1.9%
Interpretive Services
$330,183.88
1.4%
Attendant Care and PAS Payment for Payroll
$254,062.70
1.1%
Self Employment including Tools and Equipment
$29,092.27
0.1%
Independent Living Services
$16,103.92
Other - Not Used
$13,906.92
Services to Family Members
$13,385.73
Diagnostics
$10,667.40
0.0%
Total
$23,362,725.19
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)
SE Expenditures up 15.9% from SFY 2016, Up 1.3% of total expenditures. Total Expenditures up 13% (from $19,998,503.28)
Does not include $30,405 authorized to WWRC service item codes, they don’t fit into VR categories and may be miscodes.

27. Timeliness of Service Provision

28. Timeliness of Service Status Requirement Average FFY16 Average FFY17
Length of time from application to eligibility-days
60 days
28.4 days
29.2 days
+0.8 day increase
Length of time from Plan to successful closure
None
19 months
18.3 months
-0.7 month decrease
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.

29. Waiting List Openings and Closings
February 15, 2017: Opened MSD waiting list to consumers who applied prior to 12/1/2016
March 15, 2017: Opened waiting list to all MSD consumers
April 15, 2017: Opened waiting list to all SD consumers
September 1, 2017: Closed waiting list to SD consumers
NSD remained Closed during FFY 2017
MSD Closed on November 1, 2017

30. Director’s Comments