Oregon Supported Employment Center for Excellence presents:

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 Oregon • 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 research • Began statewide program in January 2008- the same time as statewide EBSE funding began

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

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

5. When and how did Oregon approach implementing EBSE? • In 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 scale • Dartmouth J&J provided TA and startup funding to additional sites • Sustainable funding not present in state • EBPs became state law • 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 support • 2000-2008 Interest grew, outcomes were compiled, significant provider turnover • 2008 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 plan

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

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

9. Best Tools and Lessons Learned • Positive Partnership development is a process • Infrastructure needs development • Provide multiple lucrative funding mechanisms • Give SE programs decision making power • Focus on success • Build team spirit • Use competitive RFP process to locate providers; fund programs that are willing and able • Address 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 able • Data transparency • Determination and friendly competition • Technical Assistance that develops rapport with SE programs, state agencies, and CMHC directors • Legislative Advocacy • Media is a powerful ally • OSECE advisory team

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