1. Kim Capps Janessa Gerber Options Bloomington, Indiana September 23, 2010 Holistic Services within a Team Structure

2. Mission Partnering with people with disabilities and our communities to bring about self-directed and fulfilled lives through education, information, and support.

3. Options Services Supported Living Group Homes Community Habilitation Supported Employment Behavior Support Respite Affordable Housing Technology Supports

4. Who We Serve: 300 people in South-central Indiana Mental Retardation 36% Autism 20% Cerebral Palsy 7% Psychiatric Disability 5% Traumatic Brain Injury 3% Physical Disability 3% Sensory 1% Other Disability 24% 0-5 4% 6-17 17% 18-40 43% 41-65 28% 66-85 4% 86+ 2% Unknown 2% DisabilityAge

5. Options facilitates personal independence and engagement of people in civic and social life The outcomes…people have: Jobs Homes Relationships Individuals Work Volunteer Participate in government Purchase goods and services Vote

6. Our Values Holistic Individual needs versus programs Community works best The people who know someone best are best able to support them

7. Services Structure Network 6 Network 1 Network 5 Network 2 3 Supported Employment Managers, Supported Employment Coordinator, 2 Directors of Services, Ancillary Staff Network 3 Network Coordinator 4 Team Managers Network Coordinator 4 Team Managers Network Coordinator 3 Team Managers Network Coordinator 4 Team Managers Network Coordinator 5 Team Managers

8. Options and Supported Employment A little about the agency when we first started Employment Services: Less than $3 mill annual budget Around 100 employees Good reputation in living services but no employment focus Financially unstable

9. Options Now Around $8 million per year Over 300 employees Employment well established Waiver services still the major driver

10. Think of one person you serve Write down all the people who work with that person Add them up How did we get here?

11. Why Supported Employment People said that they wanted it. Fit our mission Partnering with people with disabilities and our communities to bring about self-directed and enriched lives through education, information and support Represented our values

12. Influencing Factors Staff capacity Local resources Good jobs Desire to improve quality of lives

13. Barriers Limited experience Residential focus…hard to redirect people to jobs Limited financial resources Being the little kid on the block Winning over your funders

14. How It Works Team based Cross functional Resource persons In other words… It’s everybody’s job

15. Dennis Residential staff Employment supports

16. Mindy’s Story Ongoing supports DSPs provide direct support Employment staff provide oversight and support to DSPs.

17. The How To… Assess strengths and weaknesses Determine whether it fits Gather information Determine the financial impact Plan, market, follow through TRAIN Just do it!

18. Tackling the External Challenges Competition Skeptical Funders & Referral Sources

19. Tackling the External Challenges CARF Business Climate Knowledge of Supported Employment Economy

20. Tackling the Internal Challenges Lack of Comfort with Change Expertise/Confidence Experience Other Priorities Hiring Practices

21. Tackling the Internal Challenges Providing Holistic Services Integrating systems Training Staff Buy-In

22. Experiencing Success Community Diversity Works Business Leadership Network Community Transition Councils Networking for Support Vocational Rehabilitation

23. Experiencing Success Board Leadership Staff Buy-In Outcomes

24. 34% have jobs 25% have their own homes 85% say they spend a great deal of time in the community 96% say services have made a positive difference Average Employment Tenure is 2.4 years

25. Final Thoughts Start Slowly.. But Start Prepare and Support Staff Be Prepared for a Slow Financial Start Meet Regularly and Celebrate Success breeds success