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Published byLisa McLaughlin Modified over 9 years ago
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SW 644: Issues in Developmental Disabilities The Wisconsin Children’s Long-Term Support Service System: Where We’ve Been, Where We Are, and Where We’re Going Lecture Presenters: Beth Wroblewski, DHS DTLC Deputy Administrator & Sally Mather, MSSW Department of Health Services, Bureau of Long-Term Support Children’s Section
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Children’s Long-Term Supports Where we’ve been System focused on adults Institutional settings Colonies Centers Role of Parents
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Educational Services Right to an education for children with disabilities Segregated, self-contained classrooms Legislative Changes Free and Appropriate Education
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Evolution of WI Children’s Long- Term Support (CLTS) Programs Family Support Program Provides goods and services to keep children in their homes Grant funded – Board for People with Developmental Disabilities County expansion Statewide
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Evolution of WI CLTS Programs Katie Beckett Program Parent initiative Tax Equity and Fairness Reform Act Access to Medicaid Wisconsin Forward card Voluntary Benefits Children and families Taxpayer
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Evolution of WI CLTS Programs Katie Beckett Program Partnership Public – Private System – Family Programmatic structure based on partnership Value parents as the experts
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Families’ Experience Historically Disability as a medical condition Disconnection of families Messaging still occurs Evolution of CLTS system
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Normalization & Social Justice Wolf Wolfensberger Community inclusion as a civic issue Values-based training
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Evolution of CLTS continued… Shift in systematic foundational values “light touch” v. comprehensive plans Home and Community Based Service (HCBS) waivers Issue for families: some supports available only in out-of-home placements Redesign of adult support system
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Issues Surrounding Access Fragmentation Coordination Issues when families are involved with multiple systems
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Choice in services Menu: Fitting child to the available programs and service options v. child and family-centered planning Outcome-based language
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Quality Who determines quality? Are needs being met? Are family-based outcomes being achieved?
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Funding Evolution of system + State and Federal regulations = Silos of funding Compass Wisconsin Blending sources of funding More seamless for families
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Concepts of Compass Wisconsin Children and families as the North Star Partnering with families in navigation Example re utilization of Family Support Program Trust Access – Compass Wisconsin Threshold
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Concepts of Compass Wisconsin (continued…) Waiting list reduction Relational v. “Transactional”
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Wisconsin compared to other States Best-practice & value-based Commitment to children and their families Waiting lists Paternalistic language/values and practice reflected Learning opportunities
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Conclusion Continued Professional Development Systematic Challenges Caseload Training Learning conversation opportunities Shift of shared responsibility to entitlement See Transcript for Biographical Information
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