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Overview

Developmental Disabilities in Washington: Increasing Access and Equality Presenting to the Joint Legislative Audit and Review Committee August 14, 2013 David Dean, Deputy Director of Performance Audit Shauna Good, Senior Performance Auditor. Overview.

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Overview

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  1. Developmental Disabilities in Washington: Increasing Access and EqualityPresenting to the Joint Legislative Audit and Review CommitteeAugust 14, 2013David Dean, Deputy Director of PerformanceAuditShauna Good, Senior Performance Auditor

  2. Overview Does Washington’s Developmental Disabilities Program provide effective services for people with developmental disabilities? • Most people who do receive services pleased with results • However, many eligible applicants receive no services • Widely varying costs to serve people with similar support needs What steps can Washington take to improve its Developmental Disabilities Program? • Recommendations aimed toward increasing access and equality

  3. Integrated Services Integrated services are those that allow clients the greatest opportunities to interact with people who do not have developmental disabilities. Segregated Integrated Home Home Job Job Job

  4. Employment First has made Washington a national leader Washington provides integrated employment to more of its clients than comparable states Institute on Community Inclusion, 2012 United States average = 20% Washington outcomes vary by county 25% 5% 28% 89%

  5. Overall, clients are satisfied with their services Choice is an important indicator of satisfaction National Core Indicators consumer survey, 2009-2010 53% 45% 56% 40% 87% 85% 86% 64% 89% 63% 79% 60% 74% 58%

  6. Access to services is Washington’s greatest challenge Of the 35,150 people who have applied and are eligible for services… 15,100 peopleare on thewaitlist 12,250 peoplereceive fullservices 7,800 peoplereceive partialservices

  7. Washington serves fewer people than other states Per 100,000

  8. Washington serves more people in state operated facilities United States average = 10.1 Per 100,000

  9. Most people with complex needs are supported in the community Most clients with the highest support needs live with parents or relatives Supported living 12.9% Community/residential 10.2% Parent/family home 60.2% Parent/family home 60.2% Parent/family home 60.2% RHCs 10.2% Ownhome 6.6%

  10. Supporting clients in RHCs is more expensive 798 clients with the most complex support needs live in all residential settings, where they receive varying levels of state support and care $193,042 $102,058 $52,818 $40,104 $37,660 Parent/family home Own home Community residential Supported living RHCs Annual cost per person

  11. Washington relies on RHCs for crisis stabilization services How Washington uses its RHCs Washington United States Respite 18% Respite 4% Evaluation 7% Long-term care 94% Long-term care 74% Evaluation 2% Crisishousing 1% Crisis housing0.2%

  12. Recommendations The Administration give counties financial incentives to equalize access to integrated, individual employment The Legislature set policy to reduce the number of eligible people awaiting services: • Set targets and deadlines for increasing the number of people served • Direct the Administration to develop strategies and a budget proposal that will allow it to prioritize the waitlist by clients’ needs. The Legislature set policy to maximize cost-effective service options. Strategies may include: • Reducing the number of Residential Habilitation Centers (RHCs) • Expanding crisis stabilization and emergency respite services in the community • Providing resources to build community peer support networks

  13. Contact Information • Shauna Good • Senior Performance Auditor • (360) 725-9724 • Shauna.Good@sao.wa.gov Website:www.sao.wa.gov

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