1. Oregon Supported Employment Center for Excellence presents: Implementation- The most helpful information we can share. This presentation was sponsored in part by The Oregon Competitive Employment Project, which is part of the Oregon State Department of Human Services, Office of Vocational Rehabilitation Services, is funded through a Medicaid Infrastructure Grant from the U.S. Centers for Medicare and Medicaid Services (CFDA #93.768).

2. Oregon Supported Employment Center for Excellence (OSECE) Provides Supported Employment Technical Assistance to EBSE providers in OregonProvides Supported Employment Technical Assistance to EBSE providers in Oregon Funded by State Addiction and Mental Health (AMH), Oregon Vocational Rehabilitation Services (OVRS) through the Medicaid Infrastructure Grant (MIG)Funded by State Addiction and Mental Health (AMH), Oregon Vocational Rehabilitation Services (OVRS) through the Medicaid Infrastructure Grant (MIG) Partners with Portland State University-Regional Research Institute for peer support, curriculum development, data collection, and researchPartners with Portland State University-Regional Research Institute for peer support, curriculum development, data collection, and research Began statewide program in January 2008- the same time as statewide EBSE funding beganBegan statewide program in January 2008- the same time as statewide EBSE funding began

3. Oregon EBSE current status 16 EBSE sites, 2 more pending16 EBSE sites, 2 more pending Last quarter 670 clients served, 265 worked (40%) 98 new jobs last quarterLast quarter 670 clients served, 265 worked (40%) 98 new jobs last quarter 14 sites met fidelity benchmark = 100 of 12514 sites met fidelity benchmark = 100 of 125 Sites that met fidelity are in contract with VRSites that met fidelity are in contract with VR Sites agreed to Ticket to Work partnership starting Jan. 1, 2010Sites agreed to Ticket to Work partnership starting Jan. 1, 2010 Plans for focused outreach to remainder of statePlans for focused outreach to remainder of state

4. When and how did Oregon approach implementing EBSE? In 2000 Oregon received 2 Community Action grantsIn 2000 Oregon received 2 Community Action grants Decided on IPS modelDecided on IPS model Stakeholders meetingsStakeholders meetings Between 2000 and 2008- pilot project successBetween 2000 and 2008- pilot project success Limited funding and technical assistance for sites outside of funded pilot sitesLimited funding and technical assistance for sites outside of funded pilot sites 2008 major statewide implementation2008 major statewide implementation

5. When and how did Oregon approach implementing EBSE? In 2000 implementation was about building consensus with community stakeholdersIn 2000 implementation was about building consensus with community stakeholders 2000- 2008 State AMH and OVRS funded two pilots Lifeworks NW and Options, others on smaller scale2000- 2008 State AMH and OVRS funded two pilots Lifeworks NW and Options, others on smaller scale Dartmouth J&J provided TA and startup funding to additional sitesDartmouth J&J provided TA and startup funding to additional sites Sustainable funding not present in stateSustainable funding not present in state EBPs became state lawEBPs became state law 2008 State Block grant + Fee for Service code + OSECE. SE takes off big time!!!!2008 State Block grant + Fee for Service code + OSECE. SE takes off big time!!!!

6. What was the reaction of the Centers? Community? 2000 some uncertainty, willingness to try, disappointment over lack of state support2000 some uncertainty, willingness to try, disappointment over lack of state support 2000-2008 Interest grew, outcomes were compiled, significant provider turnover2000-2008 Interest grew, outcomes were compiled, significant provider turnover 2008 strong interest- 0 provider turnover2008 strong interest- 0 provider turnover Community support has grown over time. In 2000 there were more reservations than today. Success stories in media help reduce stigma, as does employer satisfaction and participation in recovery. NAMI, employers, media, agencies, and politicians are part of community development planCommunity support has grown over time. In 2000 there were more reservations than today. Success stories in media help reduce stigma, as does employer satisfaction and participation in recovery. NAMI, employers, media, agencies, and politicians are part of community development plan

7. Relationship with Oregon Vocational Rehabilitation Partner since 2000 helped build consensusPartner since 2000 helped build consensus Funded program startupFunded program startup Currently developed mechanism to get all programs into contractCurrently developed mechanism to get all programs into contract Collaborates on trainingCollaborates on training TTW partnerTTW partner Director is on Dartmouth and OSECE advisory boardDirector is on Dartmouth and OSECE advisory board Recent Announcement- surprise!Recent Announcement- surprise!

8. Relationship with Oregon Vocational Rehabilitation (MIG) Funds OSECEFunds OSECE Director is on OSECE advisory boardDirector is on OSECE advisory board Developed WIN benefits counseling programs, who partner with SE sitesDeveloped WIN benefits counseling programs, who partner with SE sites Purchased laptops for all SE sitesPurchased laptops for all SE sites Partners on trainings and researchPartners on trainings and research

9. Best Tools and Lessons Learned Positive Partnership development is a processPositive Partnership development is a process Infrastructure needs developmentInfrastructure needs development Provide multiple lucrative funding mechanismsProvide multiple lucrative funding mechanisms Give SE programs decision making powerGive SE programs decision making power Focus on successFocus on success Build team spiritBuild team spirit Use competitive RFP process to locate providers; fund programs that are willing and ableUse competitive RFP process to locate providers; fund programs that are willing and able Address larger system issues with SE as part of solutionAddress larger system issues with SE as part of solution

10. Best Tools and Lessons Learned Use competitive RFP process to locate providers, fund programs that are willing and ableUse competitive RFP process to locate providers, fund programs that are willing and able Data transparencyData transparency Determination and friendly competitionDetermination and friendly competition Technical Assistance that develops rapport with SE programs, state agencies, and CMHC directorsTechnical Assistance that develops rapport with SE programs, state agencies, and CMHC directors Legislative AdvocacyLegislative Advocacy Media is a powerful allyMedia is a powerful ally OSECE advisory teamOSECE advisory team

11. Best Tools and Lessons Learned Seek empowerment for all involvedSeek empowerment for all involved Celebrate when things work well- give recognition and awardsCelebrate when things work well- give recognition and awards Relentlessly promote client successRelentlessly promote client success Participate in researchParticipate in research Consider learning collaborative modelConsider learning collaborative model Find ways to make funding sustainable, obtainable, and lucrative!!!Find ways to make funding sustainable, obtainable, and lucrative!!!