1. February 22, 2018 Hosted by Pulford Community Living Services
CLDS Day Services Status Update and Future Work Information Session for Day Services Providers
February 22, 2018
Hosted by Pulford Community Living Services

2. Purpose and Scope The Purpose of Today’s Presentation and Discussion
Today’s forum is intended to provide you with:
An update regarding the implementation of the new Day Services funding guidelines in July 2017
The process for supporting new entrants in July 2018
Information on the next two phases of the changes to Day Services
An opportunity to ask questions and share ideas about the current state and future direction of Day Services
Contact information should you have follow-up questions

3. New Day Services Funding Guidelines July 2017 Roll-Out
In 2017, approximately 330 CLDS participants across the province turned 21 and became eligible for day services on July 2nd.
Of those, 176 participants chose to access day services.
As at February 20, 2018, 16 requests for a day services exception review had been submitted.
12 were approved
4 were not approved
Two individuals each made two requests:
Individual A: Both requests were approved.
Individual B: First request was denied. Second was approved.

4. July 2018 Implementation Definition of New Entrants
IN SCOPE
OUT OF SCOPE
New Graduates: CLDS participants graduating from school at age 21 in the 2018 calendar year.
New CLDS Participants: Individuals older than age 21 and eligible for CLDS for the first time.
Existing CLDS Participants New to Day Services: CLDS participants receiving other services (e.g. residential, respite) and who will be receiving day services for the first time.
Existing CLDS Participants Experiencing a Change in Need: CLDS participants who are receiving day services but requesting a change to their service plan due to changing needs.
All Other Existing CLDS Participants: CLDS participants currently receiving day services who will not be experiencing a change to their service plan.

5. July 2018 Implementation Breakdown of CLDS Participants by Region
For 2018, the program is anticipating that 333 CLDS participants across the province will turn 21 and become eligible for day services on July 2nd.
Of those turning 21, it is anticipated that 170 to 180 participants will choose to access day services.
Region 
# CLDS Participants
Turning 21
Central 26
Eastman 38
Interlake 17
Northern 11
Parkland 7
Westman 24
Winnipeg
210
Total
333

6. July 2018 Implementation SIS Assessment Completion Rate by Region
The SIS team has prioritized completing SIS assessments for all participants who will become eligible for day services in July 2018.
As of January 15, 2018, just over 50% of individuals had participated in a SIS assessment.

7. July 2018 Implementation Process for Supporting New Entrants
Process for new entrants accessing day services:
Individual completes a SIS interview
A Supports Budget Level is calculated
CLDS distributes information package to individual
Individual/support team engages with CSW to:
Review SIS results (important “to” and “for”)
Review the Supports Budget Level (1 through 7)
Commence Service Planning Conversation with Corresponding Per Diem Funding (Personal Supports Budget)
Engage in a Person-Centred Planning process (includes connecting with prospective service provider)
Day Service plan is confirmed; service provider submits confirmation of funding (e.g. Funding Proposal with Personal Supports Budget) to CSW.

8. July 2018 Implementation Planning Without a Supports Budget Level
If a Supports Budget Level has not been determined, CLDS will rely on the professional judgement of the CSW and the service provider to determine the most appropriate participant: staff ratio to support that individual given the information available.
Once the participant: staff ratio has been agreed upon, the corresponding per diem provided in the guidelines can be temporarily approved for up to six months.
The funding amount will be reviewed once the SIS assessment is completed.

9. Changes to Day Services Phase 2: Manitoba Education and Training and Families
Under Manitoba Education and Training (MET), a new Workforce Development Agreement has been negotiated with the federal government that will provide funding to support employment-focused services for persons with a disability.
Department of Families and MET established a Joint Working Group to explore services that will promote employment outcomes for Manitobans experiencing barriers to accessing employment.
The Joint Working Group is exploring opportunities to leverage the federal funding to offer innovative employment-focussed programming and opportunities for individuals with an intellectual disability leaving the school system upon graduation.

10. Changes to Day Services Phase 3: Adopting an Employment First Approach to Day Services
In partnership with the agencies participating on the Day Services Review Advisory Committee, CLDS has been tasked with:
Developing an Employment First policy statement
Identifying the employment-focussed service models that will be supported
Developing service definitions for these models
Developing a funding model that incentivizes employment-focussed services
Aligning outcome measures with the work being led by Abilities Manitoba
The goal is to begin implementation in the spring of 2019.

11. Changes to Day Services Phase 3: Service Models and Employment Outcomes
The Gold Standard: Competitive Employment in the Community
Full integration in a community-based work setting
Individual receives a competitive wage (minimum wage or higher) and benefits
Opportunities for career advancement, professional development, skills training are available
Employer is not the support provider
Time limited support provided from a paid support worker
Daily support provided by co-workers, supervisor and others at the place of employment

12. Changes to Day Services Phase 3: Service Models and Employment Outcomes
Social Enterprises
Long-term employment AND/OR
Short-term training opportunity
Service provider must also function as business owner
Agency as both employer and support provider
Rate of compensation for participants?
Potentially a place of employment for others in the community?

13. Changes to Day Services Phase 3: Service Models and Employment Outcomes
Other service models currently supported in the province:
Work Experience (Time Limited)
Project SEARCH, Lunch Bell Café
Facility-Based Work
Contract Work (Agency has a contract to produce goods/services)
Project Work (Agency has in-house projects to support its operations)
Volunteer Opportunities in the Community
Self Employment
When incentivizing service models, it is important to consider the differences between rural, northern and urban communities.

14. Changes to Day Services Phase 3: Investing in Strategies that will Promote Employment First
Recruiting and Retaining Staff
Position descriptions and rate of compensation for DSWs hired to provide job coaching, job mentoring, and support to employers
Engaging with the Business Community
Making the business case for hiring a person with a disability
Expanding Natural Support Networks
Public Awareness
Increasing work expectations amongst:
Individuals and Families
School System
Business Community
Society

15. Changes to Day Services Phase 3: Questions for Discussion
How will we support individuals who are capable of working, but choose not to?
Does person-centred mean choice without parameters?
How do we pursue the gold standard of fully integrated, competitive employment in those communities with limited community-based employment opportunities?
What service models are we prepared to support?
Are there some service models that should end? If yes, what does transitioning away from those models look like?
What are the implications of potentially paying DSWs who deliver employment supports (e.g. job coach) a higher wage than other DSWs?

16. Questions Please ask any questions or share comments.
If you wish to follow-up after today’s sessions, please contact:
Andrea Thibault-McNeill, Manager
Strategic Projects and Agency Relations
or (204)
Thank you.