Service Area Strategic Plan
11/23/2009   4:45 pm
Department of Behavioral Health and Developmental Services (720)
Biennium: 2008-10
Service Area 1 of 1
Facility-Based Education and Skills Training (720 197 08)
Description

Facility-Based Education and Skills Training Services consist of vocational, pre-vocational, and work training offered to individuals served in the five state training centers and educational services provided to individuals receiving state facility services who are 22 years of age or younger and covered by the federal Individuals with Disabilities Education Act (IDEA).
Background Information
Mission Alignment and Authority
  • Describe how this service supports the agency mission
    Facility-Based Education and Skills Training Services promote dignity, choice, independence, and the highest possible level of participation in paid or non-paid (volunteer) work. These services are designed to improve an individual's person-centered work skills and to promote choice, self-worth, and satisfaction.
  • Describe the Statutory Authority of this Service
    Chapter 3 of Title 37.2 of the Code of Virginia establishes the Department of Behavioral Health and Developmental Services.
    • § 37.2-304 outlines the duties of the Commissioner, including supervising and managing the Department and its state facilities (including education and training programs for school-age consumers); and
    • § 37.2-312 requires the Department, in cooperation with the Department of Education, to provide for education and training of school-age consumers in state facilities.

    The Individuals with Disabilities Education Act defines who receives special education services in state facilities.
Customers
Agency Customer Group Customer Customers served annually Potential annual customers
Children and adolescents receiving state hospital services Children and adolescents in state hospitals receiving educational services 581 764
Individuals participating in training center vocational or educational services Individivuals participating in training center vocational or educational services 700 1,175

Anticipated Changes To Agency Customer Base
o Virginia’s population is increasing, becoming more culturally diverse, and growing older. The customer base for state facilities will change to reflect these demographic trends.

o Most training center residents (90 percent) are between 22 and 65 years of age, with only two percent below the age of 22 and eight percent over age 65. The average age of these individuals served in training centers is 48 years of age, which is likely to increase as the average length of stay of current residents is just less than 30 years.

o With the expansion of community services capacity and bed reductions resulting from the Medicaid Money Follows the Person (MFP) initiative and a smaller (75 bed) new SEVTC; training centers will increasingly serve two very distinct populations with intellectual disability: individuals with co-occurring physical risk factors or medical conditions such as seizures, scoliosis, or gastrointestinal problems and individuals with co-occurring mental illness and challenging behaviors.

o Most training center residents have either a hearing or visual deficit, or both, or one or more neurological conditions in addition to their intellectual disability. Many are non-ambulatory (requiring specialized wheelchairs) or need significant staff assistance to walk. A significant portion (34 percent) has at least one psychiatric diagnosis.

o Admissions to training centers will be due primarily to one of two factors: there are changes in the behavioral patterns presented by the individual that are risking the health and safety of the individual or others in his or her community environment; or the individual has no place to go to receive supports needed to maintain his or her health and safety and funding does not exist for these supports to be provided in the community.
Partners
Partner Description
Community services boards and behavioral health authority (CSBs): Training centers contract with CSBs to provide sheltered workshop opportunities for individuals receiving training center services.
Community vocational providers and employers: Training centers contract with community providers of vocational and developmental day services to provide vocational and off campus opportunities for individuals receiving training center services. Some private employers also employ individuals who reside at the training centers.
Virginia Department of Education and local school boards: The Department partners with local school boards to provide educational services for individuals who meet the criteria for vocational or academic education.
Products and Services
  • Factors Impacting the Products and/or Services:
    Provision of pre-vocational and vocational training and employment services will be affected by the:

    o Increasing age of individuals receiving training center services.

    o Increasing physical needs and challenging behaviors of individuals served by training centers.

    o Continuing decrease in the residential census of most training centers.

    o Lack of competitive employment opportunities that are available to individuals receiving training center services.
  • Anticipated Changes to the Products and/or Services
    o Training centers will increasingly provide services and supports for individuals who: present complex medical needs that cannot currently be met in community residences until an appropriate community residence is available; present behavioral challenges that require short-term, intensive intervention to return to the community; require short-term respite and/or stabilization; or require short-term medication stabilization. Training centers also will provide services and supports through the Regional Community Support Centers to individuals receiving facility or community services and supports.

    o Training centers will continue to provide vocational and pre-vocational training and work programs on campus. For the majority of individuals, minimal changes to these services are anticipated and would be based on individual needs.

    o As increasing numbers of training center residents reach "retirement" age, educational and vocational services must change to accommodate the interests of individuals who choose to pursue “senior activities."

    o Access to competitive employment and other community vocational opportunities will be more limited and expensive. Training centers may need to expand their on-campus vocational and educational services if the economic downturn further reduces the availability these resources in the surrounding communities.

    o Costs for center-based vocational and skills training and employment services and associated materials are expected to increase as staffing and transportation costs continue to rise.

    o State facility reimbursements to local public school systems for their provision of educational services are anticipated to increase.
  • Listing of Products and/or Services
    • Habilitation Services: occupational therapy, physical therapy, music and speech therapy, recreation therapy, therapeutic horseback riding
    • Vocational and Employment Services: prevocational skills development, sheltered workshop, work readiness training, community based employment
    • Educational Services: education services required to implement the Individual Education Plan (for individuals 22 years of age and under)
Finance
  • Financial Overview
    This service area is funded with 88 percent general funds and 12 percent non-general funds. Approximately 84 percent of the non-general funds of the non-general funds are from the collection of fees from Medicaid, Medicare, private insurance, private payments, and Federal entitlement programs related to indirect services costs of patient care. Other non-general funds are Federal funds appropriated for supplies, field trips and other education-related activities.
  • Financial Breakdown
    FY 2009    FY 2010
      General Fund     Nongeneral Fund        General Fund     Nongeneral Fund  
    Base Budget $7,987,115 $953,373    $7,987,115 $953,373
    Change To Base $0 $155,850    $0 $155,850
               
    Service Area Total   $7,987,115  $1,109,223     $7,987,115  $1,109,223 
Service Area Objectives
 
  • Continue to provide appropriate training, education, and transition services to all eligible individuals.
    Objective Description
    This service is mandated by state and federal regulations that apply to special education services and vocational services for individuals served in the state facilities.
    Alignment to Agency Goals
    • Agency Goal: Expand and sustain services capacity necessary to provide services when and where they are needed, in appropriate amounts, and for appropriate durations.
    Objective Strategies
    • Assess the extent to which current vocational and pre-vocational training and employment services address the needs of a training center population that is growing older and has severe physical and medical conditions or challenging behaviors.
    • Work with CSBs and other vocational and employment services providers to increase access to community-based vocational and employment services for individuals receiving training center services.
    • Develop or modify current vocational and pre-vocational training and employment services to respond to changing training center demographics
    • Assess and assign individuals receiving training center services to appropriate vocational and pre-vocational training and employment programs.
    • Re-assess the ability of individuals receiving training center services to work in vocational programs, day support, or supported employment programs during their annual reviews
    Objective Measures
    • Percentage of individuals in training centers receiving vocational training or educational services.
      Measure Class:
      Other
      Measure Type:
      Outcome
      Measure Frequency:
      Annual
      Preferred Trend:
      Up

      Frequency Comment: Fiscal year

      Measure Baseline Value:
      43.7
      Date:
      6/30/2006

      Measure Baseline Description: Percentage of individuals receiving vocational training or educational services

      Measure Target Value:
      50
      Date:
      6/30/2010

      Measure Target Description: Percentage of individuals receiving vocational training or educational services

      Data Source and Calculation: Source: Training center end of fiscal year counts of consumers involved in paid or non-paid work activities Calculation: Number of qualifying individuals receiving vocational training or employment services on June 30 divided by the total number of individuals served.


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