Organizational change from facility based to community based employment services
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Organizational Change From Facility-based to Community-based Employment Services. Pat Rogan, Ph.D. Indiana University October 4, 2013. AGENDA. Introduction & current status Critical features of states with high employment outcomes. Organizational change processes & outcomes

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Organizational Change From Facility-based to Community-based Employment Services

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Organizational change from facility based to community based employment services

Organizational Change From Facility-based to Community-based Employment Services

Pat Rogan, Ph.D.

Indiana University

October 4, 2013


Agenda

AGENDA

  • Introduction & current status

    • Critical features of states with high employment outcomes.

  • Organizational change processes & outcomes

    • Strategies & tips to address barriers

  • Q & A

  • Resources & contacts


Why have organizations changed from sheltered to integrated employment

Why Have Organizations Changed from Sheltered to Integrated Employment?

  • Leadership within the organization

    (“It’s the right thing to do.”)

  • People receiving services dissatisfied (Most want a job.)

  • Poor quality services & outcomes of sheltered

    facilities (“make work”, low wages, artificial setting; poor models)

  • Push from federal and state agencies

    • RSA (no funding for workshop placements)

    • Olmstead (“Most integrated setting”)

    • Employment First initiatives


How are we doing

How Are We Doing?

  • 27% of people with IDD in integrated jobs

  • Increased segregation + non-work community activities.

  • >625,000 in sheltered facilities earning subminimum wages.

  • The rate of movement from sheltered to integrated work: a mere 1-5%.

    State Data 2012 (Butterworth et al. ICI)


How are we doing1

How are we Doing?

  • Medicaid spends 4X more money on segregated adult day programs than supported employment.

  • No preference for integrated employment within the Medicaid program.

  • Migliore 2007 – 63% of people with disabilities would like to work outside the facility.


Top tier states

Top Tier States

  • Washington

  • Oklahoma

  • Vermont

  • New Hampshire

    + Growing Number of

    “Employment First” States


Critical features of states

Critical Features of States

  • Positive philosophy, policies, & adequate funding

  • Capacity building & advocacy efforts

  • Strong, consistent leadership

  • Data based decisions

  • Employment First policies & systems change initiatives


Understanding what to change

Understanding What to Change

The Organization


Lessons for organizational change butterworth et al t tap mentor guide

Lessons For Organizational Change (Butterworth et al – T-TAP Mentor Guide)


Establish clear goals

Establish Clear Goals

  • By June 2014 we will place 40 people in individualized and integrated jobs that pay at least minimum wage average 20 hours per week.

  • By October 2014 we will cease all new entries into our sheltered facility, and cease all backfilling.


Clearly communicate expectations often

Clearly Communicate Expectations & Often!

  • Newsletters, website, presentations, etc.

    • Does your organization’s name convey your focus on employment?

    • Does your language focus on individuals’ capacities vs. deficits?

  • Celebrate successes!


Reallocate restructure resources

Reallocate & Restructure Resources

  • Flatten the organizational structure

  • Unload “sunk” costs (buildings, equipment)

  • Restructure job descriptions

  • Empower front line staff (“community builders”) to make decisions.

  • Focus on staff development & mentoring.


Find jobs one person at a time

Find Jobs One Person at a Time


Effective employment strategies

Effective Employment Strategies

Positive Community Services

  • No need to “get ready” - Teach in community.

  • Person-centered planning – Capacity search.

Traditional Services

  • Focus on readiness

  • Move through the continuum

  • Deficit-based voc.

    evaluation


Effective strategies cont

Effective Strategies (cont.)

Community Services

  • Individual orientation

  • Design supports around person

  • Tap generic services & natural supports

Traditional Services

  • Group orientation

  • Fit to programs

  • Human services orientation

  • “Special” services


Develop partnerships

Develop Partnerships

  • Engage key stakeholders from the start:

    • Parents

    • Board members

    • Case Managers

    • Funders

    • etc

  • Develop external partnerships:

    • Voc Rehab & DD

    • Community Living orgs

    • Business Leadership Network (BLN)

    • Benefits planning (BPAO)


Major barriers tips for change

Major Barriers & Tips for Change

  • Negative attitudes

  • Funding

  • Lack of expertise

  • Lack of leadership

  • Transportation

  • Safety net


Innovations in state waivers

Innovations in State Waivers

  • Vermont: Waiver is a model for managing supports for participants.

  • Connecticut: Flexible in terms of individual budgeting and self-determination.

  • Washington State: 4 Waivers are tailored to individual needs.

  • Indiana: One of 16 states with Supports Waivers, emphasizing employment, support brokers, financial management services and person-directed goods and services.

    Braddock et al, 2013


Tips from those who have been there

Tips from Those Who Have Been There

  • Involve all levels in discussion of vision & values.

  • Invest heavily in training.

  • Use the vision & inherent values to evaluate everything.

  • Communicate, communicate, communicate!

  • Use individual planning for all…tie the agency’s success to your customers’.


Organizational change from facility based to community based employment services

Q & A


Organizational change from facility based to community based employment services

THOSE WHO SAY

IT CAN’T BE DONE

SHOULD GET OUT OF THE WAY

OF THOSE WHO ARE DOING IT!


Organizational change from facility based to community based employment services

You’re Invited!

7th National Organizational Change Forum 

A Time for Change...

Sheltered Workshop Conversion

October 22-23, 2013

Burlington, Vermont


Resources

Resources

  • Nancy Brooks-Lane @Cobb/Douglas Community Services Boards –([email protected])

  • John Butterworth @ ICI Boston ([email protected])

  • Bryan Dague @ U. Vermont ([email protected])

  • Suzi Hutcheson @ Helping People Succeed, Inc. ([email protected])

  • Don Lavin @ Rise, Inc. ([email protected])

  • Pat Rogan @ Indiana University ([email protected])


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