Prepared by:
Susan Stoddard
Stuart Hanson
Tanya Temkin
InfoUse
2560 Ninth Street, Suite 320
Berkeley, CA 94710
(510) 549-6520 (voice)
(510) 549-6523 (TDD)
Prepared for:
Rehabilitation Services Administration
U.S. Department of Education
Contract HR 95034001
February 1999
Individuals with disabilities may obtain this document in an alternative format (e.g. Braille, large print, audiotape, or computer diskette) on request.
For more information, please contact:
U.S. Department of Education
Rehabilitation Services Administration
Switzer Building, Room 3014
Washington, D.C. 20202
E-mail: harold_kay@ed.gov
Telephone: (202) 205-9883
Individuals who use a telecommunications device for the deaf (TDD) may call the Federal Information Relay Service (FIRS) at 1-800-877-8339 between 8 a.m. and 8 p.m., Eastern time, Monday through Friday.
This manual was prepared under ED Contract Number HR95034001. The views expressed herein are those of InfoUse. No official endorsement by the U.S. Department of Education is intended or should be inferred.
Suggested Citation:
Stoddard, S., Hanson, S., and Temkin, T. (1999). Promising Practices in the Choice Demonstration Projects: An Operations Manual. Washington D.C.: U.S. Rehabilitation Services Administration.
The full text of this publication is available at InfoUse's web site: http://www.infouse.com
We would like to thank the people who provided us with assistance and information over the last three years of work with the Choice Demonstration Projects. We are especially indebted to the staff of the Choice projects who responded graciously to our many requests for information. Key contacts included Sterling Hughes and Nancy Sullivan of the Arkansas Rehabilitation Services; Michael Collins and Susan Wells of the Center for Transition and Employment at the University of Vermont; Abby Cooper of the Washington Division of Vocational Rehabilitation; Terry Herkimer of the Center for Independent Living in Berkeley; Lee Lanning and Julie Kovarik of the Southwest Business, Industry, and Rehabilitation Association; Harry Hall, Ann Sayre, and Lynne Gelzer of The Development Team, Inc.; and Leslynn Angel, Paul Landry, Adrian Couvillion, Susan Linders, and Michael Callahan of the United Cerebral Palsy Associations.
We are also grateful to the following members of the study Panel of Experts who reviewed earlier versions of this manual: Linda Anthony, Robert Burns, Stephen Freeman, Deborah Lisi-Baker, Patti Stoneman Lowe, Sallie Rhodes, Patricia Chatman Walker, Susan Wells, and Michael Collins.
We extend our appreciation to the Department of Education members of the Panel of Experts who provide guidance to this project: Curtis Richards, Deputy Assistant Secretary for the Office of Special Education and Rehabilitation Services, Gregory March, Office of the Assistant Secretary (OSERS); and Wava Gregory, Laurie Collins, Sara Abernathy, and Jim Maxwell, Office of the Under Secretary.
Dr. Harold Kay of the Rehabilitation Services Administration served as the Contracting Officer's Technical Representative. Suzanne Tillman, Pamela Martin, and Beverlee Stafford, also of the Rehabilitation Services Administration, provided many helpful comments.
Becky Hayward and Mike Tashjian of Research Triangle Institute provided information on the start-up years of the demonstration projects, as well as data from the Longitudinal Study of the Vocational Rehabilitation Services Program.
The InfoUse project team included Catherine Robards Armstrong, Tessa David, David Gilmartin, Jerry Turem, Willie Collins, Janet Andrews, and Joan Ripple.
Susan Stoddard, Ph.D., Principal Investigator
Stuart Hanson, Project Director
Tanya Temkin, Project Analyst
Consumer choice in vocational goals and services is an important component of vocational rehabilitation in the 1990s. During the past several years, seven organizations-- three state Vocational Rehabilitation (VR) agencies and four non-government agencies-- have experimented with expanding consumer choice options in the rehabilitation process with grant funding from the U.S. Department of Education. InfoUse evaluated processes and outcomes of the demonstration. One outcome of InfoUse's evaluation is this Operations Manual, Promising Practices in the Choice Demonstration Projects. The Manual is designed as a reference document. It is our hope that, as choice is expanded in the rehabilitation system, VR agencies can benefit from the lessons learned in the demonstration projects. The Evaluation of Choice Demonstration Projects: Final Report is available on request from the Rehabilitation Service Administration and on our Web site.
We found that an increased focus on systems supporting Choice leads to high levels of satisfaction and empowerment among consumers with disabilities in the VR system. And we believe that Choice practices could lead to satisfactory vocational outcomes. The practices described in this Manual should contribute to a responsive and flexible rehabilitation program, and to expanded consumer opportunity.
Our staff is in a unique position to provide technical assistance and evaluation services as agencies plan and implement Choice strategies. We believe that our background in disability, rehabilitation and independent living, and our experience with an extensive array of Choice practices, will be valuable as states consider alternatives for Choice in the rehabilitation process. We will be glad to work with interested agencies in determining options for technical assistance and consulting.
InfoUse is interested in your feedback and in learning about examples where these practices are used. You may contact us at: Email; www.infouse.com/Choice (web site); 510/549-6520 (phone); 510/549-6523 (TDD); or 510/549/6512 (fax).
Acknowledgments iii
Preface v
Table of Contents vii
Introduction
Purpose and Design of this Manual
Criteria
Conceptual Framework
Entry
Expedited Eligibility - Consumer Choice Demonstration Project: Vermont Division of Vocational Rehabilitation
Group Orientation - Choice Enhancement and Empowerment Project: Berkeley Center for Independent Living
Empowerment Training
Go for the Gold - Arkansas Rehabilitation Services
Empowerment Seminars - Choice Enhancement and Empowerment Project, Berkeley Center for Independent Living
Empowerment Workshops - Participant Empowerment Project: Washington Division of Vocational Rehabilitation
Employability Assessment Workshop - Client Choice Project: Southwest Business, Industry and Rehabilitation Association
Helpers
Consumer Connectors - Commitment to Client Choice Project: Arkansas Rehabilitation Services
Rehabilitation Team - Participant Empowerment Project, Washington Division of Vocational Rehabilitation
Employment Advisors - Choice Access Project: United Cerebral Palsy Associations
Plan Process and Development
Facilitated Peer Groups - Career Choice Project: The Development Team, Inc.
Self-Employment Plans - Consumer Choice Demonstration Project: Vermont Division of Vocational Rehabilitation
Peer Lending - Consumer Choice Demonstration Project: Vermont Division of Vocational Rehabilitation
Payment Systems
Imprest Cash - Consumer Choice Demonstration Project: Vermont Division of Vocational Rehabilitation
Open Provider Payment System - Choice Enhancement and Empowerment Project: Berkeley Center for Independent Living
Personal Accounts - Choice Access Project: United Cerebral Palsy Associations
Other
Consumer's Counselor Performance Evaluation - Consumer Choice
Demonstration Project: Vermont Division of Vocational Rehabilitation
Title VIII of the Rehabilitation Act of 1992 (P.L. 102-569, Section 802 (g)) provided grants to seven States and nonprofit agencies and organizations to increase client choice in the rehabilitation process, including the selection of providers of vocational rehabilitation services. Eligible clients were defined as individuals with a disability as defined in section 7(8)(A) of the Act, who are not currently receiving vocational rehabilitation services under an individualized written rehabilitation program established through a designated state Vocational Rehabilitation (VR) agency.
The seven demonstration projects and sponsoring agencies funded by the legislation were: Commitment to Client Choice, Arkansas Rehabilitation Services; Consumer Choice Demonstration Project, Vermont Division of Vocational Rehabilitation; Participant Empowerment Project, Washington Division of Vocational Rehabilitation; Choice Enhancement and Empowerment Project, Berkeley Center for Independent Living; Client Choice Project, Southwest Business, Industry and Rehabilitation Association; Career Choice, The Development Team, Incorporated; and Choice Access Project, United Cerebral Palsy Associations, Inc. Brief descriptions of these projects may be found in Evaluation of the Choice Demonstration Projects: Final Report, January 1999.
Each Choice demonstration pioneered specific "practices" from which there is much to learn about implementing choice. In this manual, InfoUse provides descriptions of sixteen representative promising practices that have emerged from the projects as candidates for replication in various contexts.
Purpose and Design of this Manual
This manual is intended for several audiences:
The manual is designed to identify the operational parameters that should be known in order to implement Choice promising practices in other settings. The parameters were identified by Choice project directors, staff, and participants. VR agency administrators, service providers, and others.
Early in its evaluation of the seven demonstration projects, InfoUse identified more than sixty practices as having promise for future replication. Later InfoUse conducted extensive on-site interviews to further understand how these practices had evolved.
From these observations, InfoUse derived a smaller set of sixteen promising practices. For a practice to be included in this group, it had to meet the following criteria:
We also chose practices that are representative of six major components of the Choice models (see below) and are significantly different from each other.
The conceptual framework for this manual reflects the VR system's well-established service process in which individualized consumer planning has been a standard practice. In the VR service process, there are many opportunities for choice, including choice of vocational goals, services, service providers, and alternative models of counseling and facilitating.
In VR, the consumer moves through the rehabilitation process in pursuit of a specified vocational goal that is jointly developed by the consumer and counselor as a sort of "contract." Both parties have responsibilities in implementing that contract, or Individualized Written Rehabilitation Program (IWRP). Federal statute places no limits on the types and number of services that consumers can receive; in fact, the Rehabilitation Act describes a menu of possible services including education, training, physical and mental restoration, counseling and guidance, transportation, maintenance, and services to families. Service plans are to be individually tailored to meet the needs of individual consumers.
The VR process theoretically affords the opportunity for consumer input in planning, in establishing vocational goals, in selecting providers and services, and in seeking and choosing employment in each step of the rehabilitation process. Strategies to increase consumer input and strengthen choice include technical assistance on rights and choice in the rehabilitation process (See Entry), training on consumer skills, training on job-seeking skills (See Empowerment Training), assistance and support in developing a plan and researching vendors (See Helpers), choosing vocational goals and selecting services (See Plan Process and Development), and transfer of spending power and strengthening consumer leverage in dealing with providers (See Payment Systems).
Following the VR process, we identified sixteen Promising Practices and grouped them according to the following areas:
Entry practices include outreach, eligibility determination, and information exchange between applicants and the Choice program. Specific project practices are:
Empowerment Training assists participants to identify and choose their own vocational goals; advocate for themselves; develop vocational plans; choose appropriate services and vendors; and seek, obtain and maintain the employment of their choice. Specific project practices include:
Helpers refers to the formal and informal roles assigned to designated individuals by the participant and the Choice program for the express purpose of empowering and supporting the participant in the choice process. These practices may include assisting participants with choosing goals and services, and in assuming a more empowered consumer role. Specific project practices include:
Plan Process and Development refers to the rehabilitation process which centers around the participant, and which is guided by a written rehabilitation plan. These plans identify goals, strategies for attainment, timelines for intermediate objectives, and specific goods and services to be purchased. Choice projects have introduced innovations in how written rehabilitation plans are developed, especially in terms of participant involvement and control. Specific project practices include:
Payment Systems encompass the various methods used by Choice projects to pay for goods and services included in participants' plans. Systems of accountability are included in this category along with methods of payment such as vouchers, purchase orders, and cash. Specific project payment systems include:
Other promising practices include those that have been implemented and which appear to increase choice, but do not fit well in the other categories described. Specific project practices include:
In the remaining pages of this manual, we provide a short description which identifies the key design and operational elements of each promising practice. These descriptions were derived from interviews with key project staff and others who came into contact with the practice. We also describe other considerations our audience might consider in implementing the practice in another environment. This information originated from Choice project participants, staff, and other stakeholders, including consumers, providers, and state VR staff. Our intention is to identify key conditions that made the practice successful or had to be overcome to facilitate its adoption. We also look at the advantages and disadvantages of each practice from the point of view of participants and their families, counselors, administrators, and providers.
Entry
Entry practices include outreach, eligibility decision-making, and information exchange between applicants and the Choice program.
The Consumer Choice Demonstration project has streamlined the Vermont Division of Vocational Rehabilitation's (DVR) application and eligibility determination process. Established Vermont DVR procedures required that a person call in, answer many questions, provide personal information, and meet with a senior counselor before being assigned to a counselor. The applicant received a health questionnaire and a vocational questionnaire to complete. Once these steps were completed, the applicant needed to see a counselor. The focus was on building the packet and on adequate documentation.
Now, based on the experience of the Choice project, DVR has streamlined its intake and eligibility process for all applicants in the Section 110 Program. Under DVR's "expedited eligibility" procedures, if an applicant is clearly disabled, and in the judgment of the counselor can benefit from DVR's vocational services, then the counselor can use his or her judgment, including personal observations, to deem the person eligible. A "Certification of Eligibility/Ineligibility" form may be used by the counselor to document his/her professional judgment, but the counselor is only required to sign a statement that, in the counselor's professional judgment, the individual is eligible for DVR services. If the participant has not already provided documentation, and the counselor is uncomfortable certifying eligibility, the participant may be required to provide documentation of his/her disability.
As a result of DVR's expedited eligibility procedure, the time between a consumer's application and the completion of the written vocational plan has been dramatically reduced by 37 days, on the average. Expedited eligibility is part of an overall Division strategy to become more responsive to its customers by having the capability to provide an orientation, certify eligibility, complete an IWRP (Individualized Written Vocational Program), and deliver purchased services, all in one day for some consumers (see pages 11-12). (See also Imprest Cash.) In most cases, participants bring documentation of their disability with them to the initial meeting, or the disability is obvious. According to project experience, counselors have rarely (1 in 300 cases) needed to require additional medical documentation. Since the eligibility decision does not commit DVR to commit large sums of money at the initial meeting (the IWRP must be completed for that to happen), there is little financial risk in the expedited eligibility policy.
To implement expedited eligibility, Vermont DVR has issued written rules, entitled: "Certification of Eligibility" and a form "Certification of Eligibility/Ineligibility." These documents are provided below.
Certification of Eligibility
Rules
Index of Sections:
107.1 Definitions
107.2 Basic Conditions of Eligibility
107.3 Presumption of Benefit
107.4 Using Existing Information
107.5 Timeframe for Determining Eligibility
107.1 Definitions:
a. is a relative or guardian; or
b. who lives in the same household as an applicant or eligible person and who has a substantial interest in the well-being of that person.
107.2 Basic conditions of Eligibility:
To be eligible for vocational rehabilitation services a person's situation must meet two criteria. First, the person must be an "individual with a disability" as defined above. Second, the individual must require vocational rehabilitation services to prepare for, enter, engage in, or retain gainful employment.
107.3 Presumption of Benefit:
It shall be presumed that a person can benefit from vocational rehabilitation services in terms of an employment outcome unless clear and convincing evidence demonstrates that the person is incapable of benefiting from such services in terms of an employment outcome. With respect to cases in which the issue concerns the severity of the disability of the individual, the Division shall first conduct an extended evaluation.
107.4 Using Existing Information:
Existing data shall be used whenever possible to expedite the determination of eligibility. In addition to medical/psychological information, existing data may include counselor observations, education records, information provided by the person or his/her family members, information used by the Social Security Administration, and determinations made by officials of other agencies involved with people with disabilities.
107.5 Timeframe for Determining Eligibility:
The eligibility determination shall be made within 60 days after the person has applied for services. Exceptions to this 60-day time frame may occur only if: (1) the person has been notified that circumstances beyond the control of the Division prevent completion of the determination within 60 days and the person agrees that more time is needed, or (2) an extended evaluation is needed to determine eligibility and the nature and scope of services needed.
Certification of Eligibility
P107.2 Basic Conditions of eligibility:
A person who is an "individual with a disability" may still be ineligible for services if he/she does not require services to obtain or retain an employment outcome.
P107.3 Presumption of Benefit:
The presumption of benefit may be negated only by clear and convincing evidence that the person is not capable of benefiting from services in terms of an employment outcome, i.e., no employment outcome is possible even with the provision of services. The standard of "clear and convincing evidence" is the highest used in the American civil system of law. An example of what would not be considered clear and convincing evidence would be the result of a psychological or IQ test, alone, in the case of a person who is mentally retarded. Clear and convincing evidence, however, might be drawn from a such a test coupled with additional data such as an on-site assessment showing that the person is not capable of benefiting from services at this time because he/she, even with needed supports, continues to have frequent angry outbursts, to throw items, and to need constant supervision and retraining to stay on task. In using the results of such assessments, care must be given to assure that the person is provided with needed supports and that the assessment occurs in a real-life setting. If a case is closed due to inability to benefit due to the severity of the disability, the person is entitled to an annual review.
The 1992 Amendments to the Rehabilitation Act, in fact, have an additional requirement before a person can be determined not to be able to benefit in terms of an employment outcome due to the severity of the disability. In such cases, an extended evaluation must first be conducted thereby providing rehab. services to the person for a limited time and the limited purpose of determining eligibility for and the nature and scope of needed services.
P107.4 Using Existing Information:
The rationale for using existing data is to streamline the eligibility process and to expedite access to services. Decisions regarding whether and how specific data are to be used must be made on a case-by-case basis, and while the accuracy and timeliness of existing data are important factors in determining their usefulness, older data can be used if still pertinent.
Information from the Social Security Administration may be used to determine whether or not an individual meets the definition of an "individual with a disability." A person who receives Title II (SSDI) or Title XVI (SSI) of the Social Security Act is (for the purposes of determining eligibility for vocational rehabilitation services) considered to have a physical or mental impairment which and to employment, a counselor certified in accordance with Division rules may determine that a person's disability makes him/her eligible for services as soon as the initial meeting (or as shortly thereafter as possible without using 60 days) in the absence of newly written materials from other sources in many situations such as the following:
If medical/psychological data from another source is not in the record, the counselor must describe the functional limitations posed by the disability and how they interfere with gainful work.
If more than 60 days is needed the record of service should indicate the reason (s) and that the person agrees. Certification of eligibility means that an IWRP can be drafted and that services can begin. Each case may fall into one of three types--In some situations the IWRP may be written at the same time as certification ("fast track"); in some situations more time is needed for planning; in other situations more time is needed for planning as well as service delivery.
Examples:
a. The person is known to the Division, disability-related data is present or easily attainable, the vocational goal, services needed and resources are known and attainable.
b. The person is new to the Division, but other features in the example above are the same, and the counselor feels comfortable with proceeding (after perhaps discussing the situation with a peer, supervisor or consultant).
a The person has acquired a disability in mid-life and must change jobs but doesn't know how, to what, etc. Aptitude testing, etc. may be needed to identify a suitable direction and IWRP.
b. The person receives Workers' Compensation and must work through the Workers'. Compensation "protocol" for returning to work. An IWRP may be written with counseling/guidance re: Workers' Compensation rules and working through the protocol in collaboration with a private rehabilitation worker.
Certification of Eligibility/Ineligibility
Form
Client Name: ______________________________________________
Disability/Code 1. _________________
2. _________________
3. _________________
Functional Loss Indicators
Mobility
___unable to use public transportation (due to disability)
___unable to obtain driver's license due to disability w/o special adaptation or training
___can't travel in unfamiliar places
___needs adaptive equipment to ambulate
___other ______________________________________________________
Communication
___talks excessively; interrupts or intrudes repeatedly
___speech is difficult to understand except to family members
___below 5th grade reading, spelling or math
___difficulty assimilating written, spoken, receptive or expressive information
___other______________________________________________________
Work Tolerance
___easily fatigued, for example unable to climb 12 steps or walk 100 yards w/o pause
___can't stand or sit for more than 3 hours
___can't lift more than 20 lbs (repetitively)
___can't carry more than 10 lbs. (for prolonged periods)
___other_____________________________________________________
Work Skills
___difficulty with written or spoken instructions (not due to hearing loss)
___takes longer to do a job
___can't accept constructive criticism
___is not punctual, can't keep a schedule
___needs concrete and repeated demonstrations
___makes frequent errors
___has difficulty with supervision
___other ____________________________________________________
Self-Care
___unable to handle money/checkbook
___places self at risk due to poor judgement/decisions
___multiple hospitalizations or treatment in a rehab. or detox. unit
___other____________________________________________________
Self-Direction
___easily distracted/short attention span
___impulsive/poor task completion
___difficulty adjusting to new situations
___unaware of consequences of behavior
___difficulty working independently
___difficulty initiating and following through
___other___________________________________________________
Interpersonal Skills
___social isolation/withdrawal/rejection
___poor peer relationships/interactions
___fails to understand obvious social cues
___frequent inappropriate behavior
___history of antisocial behavior
___other___________________________________________________
Dexterity/Coordination
___significant impairment to use of dominant hand
___significant impairment of motor function
___other___________________________________________________
Comments:________________________________________________
___________________________________________________________
Functional Loss: The disability (s) seriously limit the individual from engaging in employment activities dues to chronic functional loss in at least one of the following area(s): (see functional loss indicators on other side).
___mobility ___communication ___work tolerance
___work skills ___self-care ___self-direction
___interpersonal skills ___dexterity/coordination
Severity of Disability (SD): In addition to typical counseling/guidance and placement, the following service(s) are likely to be required for this individual to reach an employment outcome:
___training
___physical restoration
___mental restoration
___home/vehicle/worksite modifications
___substantial counseling/guidance for specific significant issue(s) related to employment
___specialized placement (e.g., needs a job coach; special situation requiring extra effort, such as awareness training with coworkers)
___adaptive equipment/technology
___supported employment
___other substantial service (specify______________)
AND
Over an Extended Period of Time (6 months or longer to be SD) ___will___will not be required for all services to be delivered.
The disability(s):
___results___does not result in a substantial impediment to employment; the individual can benefit in terms of an employment outcome and ___requires___does not require vocational rehabilitation services to prepare for, enter, engage in, or retain gainful employment. If no impediment exists or if services aren't required, this document certifies ineligibility. If both impediment and requirement exist, this document certifies eligibility for regular services. if the individual may be incapable of benefiting from services in terms of an employment outcome, this document certifies eligibility for an extended evaluation.
This is to certify that the above-named individual is:
___eligible___ineligible for services in an employment plan, or
___eligible for services in an extended evaluation plan.
If eligible, the individual's Order of Selection for Services category is:
___Priority I--two or more areas of functional loss requiring multiple services over an extended period of time (most SD).
___Priority II--one area of functional loss requiring multiple services over an extended period (SD) and non-SD public safety officers.
___Priority III--one or more areas of loss not requiring multiple services over an extended period (non-SD).
_________________________ _______________
VR Counselor Date
Michael Collins
Choice Project Coordinator
Division of Vocational Rehabilitation
Department of Aging and Disabilities
103 S. Main Street
Waterbury, VT 05671-2303
(802) 241-2186 (Voice/TTD)
(802) 241-3359 (Fax)
Group Orientation - Choice Enhancement and Empowerment Project: Berkeley Center for Independent Living
When the BCIL Choice Enhancement and Empowerment Project (CEEP) receives inquiries, it conducts a three-question screening and puts all those who are likely to be eligible on a waiting list. The three questions are: (1) is the applicant disabled? (2) is the applicant currently receiving VR services? and (3) is the applicant from within the eligible service area? If the individual has questions, they are answered at this time. These group orientations were conducted approximately every other month, and since November 1997 have been conducted an average of once per month.
At the start of a periodic group intake process, the project holds an orientation meeting for these individuals. Up to 35 participants may attend. Participation is required of all those wishing to become project participants.
Orientation meetings are two hours long. Topics covered include:
1. Informed consumers will find what best suits them,
2. Give price boundaries,
3. Empowerment and advocacy are priorities,
4. Allow room for choices to go wrong. Choices can be evaluated by their real-world consequences;
The intake evaluation is done with all prospective participants to determine their eligibility for the project under the RSA rules. They are also provided information on the Client Assistance Program and the project's internal appeals procedure. The project accepts recent medical records or evidence of eligibility for other disability benefit programs as proof of eligibility.
Before the end of the orientation, project staff distribute application forms to and make appointments with all those who are eligible and interested in entering the project. At these individual meetings, staff complete intakes and may begin to work with these participants on the development of their Individualized Written Rehabilitation Program. Project staff report that 80% of Group Orientation attendees opt to continue in the project.
CEEP staff regard the consistency afforded by the Group Orientation process to be essential to its effectiveness. They stress the importance of imparting the same information in the same format at the same time to ensure that participants receive consistent information.
Initially, CEEP advertised the Group Orientation sessions on a first-come first -served. However, early in the third year of the demonstration project, the project was so popular that large numbers of individuals congregated outside BCIL's doors, and some people had to be turned away. The waiting list has been closed since the end of the project's third year.
Occasionally CEEP has had to modify its Group Orientation approach to accommodate the needs of participants who have environmental illness, severe emotional disabilities, or other disabilities that limit their ability to take part in a group setting. In such cases, CEEP has conducted one-on-one orientations. Project staff also emphasize the need to use multiple formats (written, oral, and graphic) to accommodate participants with learning disabilities or dyslexia.
Project staff believe Group Orientation facilitates establishment of the participant/staff relationship, since participants are linked to staff counselors just after the Orientation session.
The California Department of Rehabilitation (DR) initiated group orientation in its larger offices in early 1997 to ensure consistency of information. DR started this procedure as one of its own Choice strategies after consulting with independent living centers and other constituent groups. One district office that serves the same geographical area as the CEEP reports that it discontinued group orientations after finding that participants disliked being placed on a waiting list and attendance at orientation sessions dropped off. However, group orientation is still used at some other DR offices.
The CEEP "Orientation Guidelines" and "Eligibility Criteria" are provided.
Orientation Guidelines
There are seven choice projects nationwide
--we are the only independent living center
--Florida, Vermont, United CP Association, Arkansas Southwest Arizona, and Seattle
#1 Explain why!
#2 Explain why!
#3 Explain why!
#4 Explain Why or accommodation needs and what the employer is responsible for
#5 Read the "Employment Outcome"
(Consumers can read the rest themselves)
And what does it measure up to be "J O B"
A) Attend an Orientation
B) Sign up with client choice staff for an intake interview and bring documents.
C) At that time we talked on an action plan with you so you can make all your choices in your vocational avenues. Then we will write an individual written plan-which is an agreement of what client will pay for.
D) Plan can be budgeted up to $3,800.00 each.
E) Please inform us on any current job activity so we can document this to the federal government - showing that choice really helps people with disabilities make a difference in the rehabilitation model.
F) Then you're on your way!
Any questions????????????
Sign up with counselors!!!
Thanks for coming and ask for more referrals
Eligibility Criteria
The term of "employment outcome" means, with respect to an individual, entering or retaining full-time or, if appropriate part-time competitive employment in the integrated labor market (including satisfying the vocational outcome of supported employment) or satisfying any other vocational outcome including self-employment.
Terry "Herk" Herkimer
Services Manager
Choice Enhancement and Empowerment Project
Berkeley Center for Independent Living
2539 Telegraph Avenue
Berkeley, CA 94704
(510) 841-4776 (Voice)
(510) 848-3101 (TDD)
(510) 841-6168 (FAX)
Empowerment Training assists participants to identify and choose their own vocational goals; advocate for themselves; develop vocational plans; choose appropriate services and vendors; and seek, obtain and maintain employment of their choice.
Go for the Gold is an empowerment training workshop provided to each participant of the Arkansas Choice project as a basic part of his or her program. The workshop is provided in two sessions totaling five hours to groups of 6 - 10 participants and is led by an experienced motivational trainer. All participants are required to attend at least once, but are not required to attend after the first session. The project made accommodations for anyone wishing to attend the training more than once. The training focuses on six areas:
The Arkansas Choice project's empowerment training is heavily motivational, stressing the importance of attitudes, relationships, and personal responsibility for one's life. Sharing from personal experience is encouraged, and the discussion is repeatedly connected back to employment issues. Participants interviewed felt the training successfully communicated the importance of accepting personal responsibility for what happens in one's life, and of manifesting a positive, "can do" attitude.
Project staff report that people who were still in, or had very recently left, high school were typically not as responsive to or attentive to the material being presented during the "Go for the Gold" training. Those most responsive to the training included participants in their twenties with poor self-esteem and people of all ages who were more seasoned in life's lessons having a strong desire to change their lives.
A 1997 study (N=133) by Dr. Virginia Johnson at the University of Arkansas reported that 77.4% of respondents rated the workshops as very good or good; 81.1% reported the level of knowledge acquired as good or very good; and that 76.5% rated the motivation created as very good or good. The empowerment and communications modules were rated as most helpful. The same study reported significant pre-post test gains in knowledge and attitude.
Initially, "Go for the Gold" was planned as a multi-day event. This was a burden to those who worked and to many participants who had to arrange transportation, a considerable problem in the rural southeast part of Arkansas. Moreover, many participants felt that the training dwelled on changing attitudes rather than imparting practical job-seeking skills. After trying a full eight hour session, the Choice project reduced the workshop to one five-hour session with several breaks in order to accommodate those with health and stamina problems and those who had to travel hours to attend. Project staff also balanced the curriculum to provide specific job-seeking skills training. The Choice project also arranged to provide sessions on Saturday to accommodate participants who attend school during weekdays.
For this manual, we provide the overview to the "Go for the Gold Training" and examples of two modules: "Power of Empowerment" and "Excellent Communication."
Go for the Gold Training
Overview
Format for Training Activities
Training Modules
Power of Empowerment
Module I: The Power of Empowerment
Training Objectives: Participants will learn:
The difference between personal and positional power.
The definition of empowerment
Why empowerment is important to our lives.
How we give up our power.
That being empowered isn't easy. It takes a lot of time and effort!
How we can empower others and ourselves.
Module I: Activity B: Keys to Empowerment
Training Objective: To enable participants to understand the importance of empowerment and how empowerment is achieved.
LEADER INSTRUCTIONS:
The process through which people discover and learn to use the power that exists within themselves to achieve successful careers and lives.
P Positive Attitudes.
O Outstanding Communication.
W Wonderful People Skills.
E Excellent Advocacy Skills.
R Responsible Choices.
MODULE III: Excellent Communication
Training Objectives: Participants will learn:
That communication is the key component of every relationship we have and the most critical skill in our lives.
The importance of eye contact.
That most communication takes place without words.
That listening is the most critical communication skill we can develop.
How our preferences and prejudices affect our ability to listen.
How we can communicate assertively.
Module III: Activity A: Great Communicators
Training Objective:
To enhance participants' understanding of the factors that make communicators excel and the critical role communication plays in our lives and in our jobs.LEADER INSTRUCTIONS: (Contains only major point, not discussion)
A giving or exchanging of information, signals, or
messages by talking, gestures, writing, etc.
Review the words that are suggested as synonyms to "communication" by Roget's Super Thesaurus including: convey, transmit, disclose, impart, pass on, interface, reveal, touch base, tell, report, announce, proclaim, converse, express, correspond, inform, broadcast, enlighten, inform, relate. Communication is a complicated concept that requires hard work and attention.
Nancy Sullivan
Choice Project Consultant & author of "Go for the Gold" curriculum
Empowerment Network Unlimited, Inc.
P.O. Box 25054, Little Rock, AR 72225
(501) 407-0709 (Voice)
(501)407-0703 (Fax)
Email: EmpowNet@aol.com
Sterling Hughes
Project Director
Client Choice Project
Arkansas Rehabilitation Services
2703 W. 28th Street
Pine Bluff, AR 71603
(870) 534-2404 (Voice)
(870) 534-2993 (TTD)
(870) 534-1067 (Fax)
The Choice Enhancement and Empowerment Project (CEEP) at BCIL organizes and presents a series of Empowerment Seminars that provide participants with information on a range of vocational options, job-search skills, and other job-related issues. One goal of these seminars is to empower participants to advocate for quality in the goods and services they choose. These seminars provide participants with information and tools that help them to make meaningful choices.
The most popular Seminars have been on the subject of small business self-employment. One of these was "Women in Small Business," established and led by a former participant; another was presented by the Service Corps of Retired Executives (SCORE). An employment panel that included representatives of three of the Bay Area's largest employers--Bank of America, Nordstrom, and Silicon Graphics, Inc.--was particularly well attended, with over 40 participants.
Other topics have included training on federal and state laws relating to employment, employee rights and responsibilities, the Americans with Disabilities Act (ADA), "How to dress for success," "I hate to budget," "Finding your niche in the workplace," "Personal finance for small business and self," "Stress management," and "Self-advocacy." Some topics are chosen by staff and the project advisory committee; increasingly, topics have been selected by project participants. Presenters include private-sector image consultants, career counselors, non-profit community organizations, operators of small businesses, and others.
Participation in the Seminars is voluntary and at no cost to project participants. Payment to presenters is made as an indirect cost to CEEP rather than from participants' allocations for goods and services.
CEEP has made increasing use of paid rather than volunteer presenters to ensure quality. Staff interview potential presenters to make sure they are sensitive to disability-related issues, have a firm knowledge of the content area, and have conducted similar workshops in the course of their professional careers.
As an additional quality assurance measure, participants are asked to evaluate presenters at the end of each Seminar. This is meant to serve as an assessment of the usefulness of the Seminar topics as well as the quality of the presenters.
We provide a seminar handout entitled "I Hate to Budget." A "Workshop Evaluation" form" completed by participants to assess the quality of Workshop presentations, also is provided.
"I Hate to Budget"
A workshop provided by Consumer Credit Counseling Service of the East Bay, Inc.
Presenter: Tina Powis-Dow, MBA, Marketing & Education Director at Consumer Credit Counseling service, spent 5 years as an auditor in the banking industry and has over 10 years education experience.
Impulsive Spending
What Motivates Us To Overspend
Money is a measuring stick; it represents value and enables buyers and sellers to agree on a price. But money also symbolizes status and power. This allows emotions to distort the measurement of value. Once emotions are involved, money is easily misused. Whether we admit it or not, adults play money games with each other every day. We use money as a lure, a weapon, or a reward with friends, spouses, and our children. Because of money, some people treat us well, while others act as if we didn't matter. Because of money, we can develop self-respect or decide that we are failures.
For some people, self-image is so closely tied to their possessions that they buy things in hopes of feeling better. They become compulsive spenders, showering themselves with things they neither need nor want. When they feel needy or lacking, they splurge on something they cannot afford. They spend impulsively, incur debt, feel guilty, promise never to do it again, only to repeat the same cycle the next time the feeling of "not enough" comes up. An awareness of irrational motives to overspend is the first step in gaining control over a spending problem.
Say "No" To Overspending
Some people overspend because they don't know how to say "no". Have you ever purchased something that you didn't want because you were unable to refuse the salesperson? Have you ever bought an unnecessary item for someone you care about because you didn't know how to turn them down? Have you ever gone shopping with a friend even though you couldn't afford to buy because you didn't know how to decline? If so, you need to learn to say "no".
Feeling hesitant, anxious, or nervous is an indication that you want to say no. Assert your right to ask for more information before making a decision. Give yourself time to evaluate the request. Then practice saying "no"; it will get easier the more you do it.
These are two ways of refusing . One is to say "no" with an explanation (but not an excuse). It lets the other person know the reason behind your decision. The second method is to say "no" with no explanation. This is especially suitable for use with strangers or people you don't care about. Remember, you are not obligated to explain yourself to others, although you may choose to do so. Also, learn to refuse without saying "I'm sorry". Apologies may tempt others to play on your guilt feelings.
Others may not always understand or accept your refusal the first time you offer it. You may have to repeat your message over and over again. This broken record technique is particularly helpful when the other person tries to pressure or manipulate you into changing your mind or deliberately evades giving you a direct response.
Learning to say "no" in an appropriate, assertive way to salespeople, family and friends can help you avoid spending money in an unplanned, unwanted way. It can help prevent you from becoming an overspender.
Ways To Control Impulse Buying
Should You Buy It?
1. Do you really need this item? |
Yes |
No |
2. Is the price reasonable? |
Yes |
No. |
3. Is this the best time to buy the item? |
Yes |
No |
4. If this is a bargain, is it a current model? |
Yes |
No |
5. If "on sale", is the price a true sale price? |
Yes |
No. |
6. Are you sure no less expensive item can be substituted? |
Yes |
No |
7. Are you sure there are no major disadvantages? |
Yes |
No |
8. If excessive in price, will it truly satisfy an inner need? |
Yes |
No. |
9. Have you checked and researched the item? |
Yes |
No |
10. Have you budgeted for this item? |
Yes |
No |
11. Do you know the retailer's reputation? |
Yes |
No. |
12. Does this retailer offer any special services with the item? |
Yes |
No |
Score your answers as follows:
9 - 11 yes -- consider buying the product.
6 - 8 yes --think again.
Fewer than 6 yes -- forget it.
Workshop Evaluation
Name of workshop: ______________________________Date: __________
Please circle the number that best represents your impressions about the seminar and the speaker. Your input helps us get a better sense of your likes & dislikes.
1=Poor 2=Fair 3=Good 4=Very good 5=Excellent
Was speaker knowledgeable? |
1 2 3 4 5 |
Was seminar informative? |
1 2 3 4 5 |
Was speaker receptive to your needs? |
1 2 3 4 5 |
How helpful was Client Choice Staff? |
1 2 3 4 5 |
Was topic essential to your career goal? |
1 2 3 4 5 |
Would you recommend the speaker? |
1 2 3 4 5 |
Would you attend similar workshops in the future? |
1 2 3 4 5 |
How do you rate the speaker overall? |
1 2 3 4 5 |
How do you rate the seminar overall? |
1 2 3 4 5 |
Comments: ____________________________________________________________
____________________________________________________________
____________________________________________________________
Terry "Herk" Herkimer
Services Manager
Choice Enhancement and Empowerment Project
Berkeley Center for Independent Living
2539 Telegraph Avenue
Berkeley, CA 94704
(510) 841-4776 (Voice)
(510) 848-3101 (TDD)
(510) 841-6168 (FAX)
Empowerment Workshops at Washington's PEP Choice project are training sessions for participants, offered monthly by the project. They address topics such as managing case service resources and establishing and working with a rehabilitation team. Some topics are offered more than once and have included:
Attendance at the workshop "How to Run Your Rehabilitation Team" is mandatory. Attendance is optional for all other meetings. Approximately 25% of participants attend these other sessions. Workshop topics are added or discontinued depending on the current interests and preferences of participants. For example, a series of workshops on self-employment was initiated in response to participants' interest in setting up small businesses.
While some workshops are presented by PEP staff, others are presented by consultants and volunteers external to PEP. Image consultants, a dispute resolution service, the local Human Rights Commission, schools, and others have been invited by PEP to offer workshops on topics of interest to participants. Usually, presenters offer these workshops on a volunteer basis.
PEP believes that its practice of eliciting input from participants on possible workshop topics is essential to maintaining a high level of attendance and engagement. PEP staff have also found that participants prefer workshops stressing practical exercises and class assignments rather than lecture formats, so PEP incorporates active learning techniques into its workshops.
The attached handouts are representative of those used in PEP's Empowerment Workshops. These include "What is a Vendor," "How to Choose a Vendor," "Examples of Strengths: Use This to Get Ideas of Your Own Strengths," "A Different Way to Frame Liabilities or Deficits," "When Thinking About or Looking at a Work Environment: Questions to Think About," and "Evaluating What Is Offered."
What Is a Vendor
A vendor is anyone you pay for services that will help you reach your vocational goal.
Things to Remember
All these people charge $35.00 per hour for their services
They are not use to negotiating with participants for services
How to Chose a Vendor
Know What You Want From Them
How do they present themselves?
How do they present other people they serve?
Examples of Strengths: Use This to Get Ideas of Your Own Strengths
PHYSICAL |
Communication |
putting things together |
ability to express yourself |
fixing or repairing |
ability to get across ideas |
building or constructing |
write well |
sports |
|
dance
|
|
SENSES |
ANALYTICAL |
visual |
organized |
observant |
systematizing |
intuitive |
making connections |
mathematical |
|
global thinker |
|
logical
|
|
CREATIVE |
SOCIAL |
problem solving |
pay attention to people |
inventing/creating |
draw people out |
designing/developing |
sensitive to others |
improvise/adaptive |
good sense of humor |
offer support |
|
Adapted from Richard Bolles, The Three Boxes of Life. 1984
A Different Way to Frame Liabilities or Deficits
Slow worker-- --Accurate worker
Sloppy worker Fast worker
Poor with details Good with Overview
ALWAYS USE POSITIVE OR NEUTRAL LANGUAGE
What type of assistance would you need to highlight your strengths??
Who will provide it? Provider? Vendor? Friends? Family?
When Thinking About or Looking at a Work Environment: Questions to Think About
Evaluating What Is Offered
It is okay to say yes, no or may-be to what is offered, if you:
Common Problems in Decision Making
Abby Cooper
Program Director
Participant Empowerment Project
2001 6th Avenue, Suite 2016
Seattle, WA 98122
(206) 587-4444 (Voice)
(206) 587-4439 (TDD)
(206) 534-4447 (F)
At the beginning of their program, SWBIRA Client Choice Project participants must attend a five-day employability workshop conducted by the National Institute for the Disenfranchised, Inc. (NID), an employment services company that is a for-profit subsidiary of the non-profit SWBIRA. The cost of the workshop is $600 per person, a direct cost to the grant from each participant's budget. The purpose of the workshop is to assess the current level of job-seeking skills in order to make the participant a stronger applicant in the eyes of a potential employer.
Over five days, the Job Search Skills Assessment Workshop covers the following topics: (1) Resume preparation; (2) Employment applications; (3) Job lead development; (4) Interviewing techniques; (5) Thank you letters; (6) Transferring present skills; (7) Understanding the local job market; (8) How job developers help you job search; (9) Cover letters; (10) Telephone use; (11) The ADA; (12) Follow-up; (13) References; and (14) Motivation. The curriculum and approach of the Workshop series has remained quite consistent over the life of the Client Choice Project.
The Workshop aims to enable participants to find and retain competitive jobs that do not require extensive training before job placement. SWBIRA and NID staff believe that the Workshop is most successful for clients who are certain about returning to work, want to pursue short-term job placement efforts, and are capable of meeting the Workshop's five-day attendance requirements. Self-employment is not a component of the Workshop curriculum, and SWBIRA's Client Choice Project does not encourage participants to undertake self-employment.
SWBIRA's Client Choice Project offers Employability Assessment Workshops aimed at preparing individuals for competitive, full-time wage employment with a minimum of pre-placement training or education. State Vocational Rehabilitation Agencies, however, are mandated to serve a broader range of participants with a greater range of vocational options.
The "Employability Assessment Workshop Student Workbook" developed by National Institute for the Disenfranchised, Inc. (NID) is used by all participants in SWBIRA's Client Choice Project. The "Letter to Participants" and "Table of Contents" are excerpted from this workbook.
Employability Assessment Workshop
Letter to Participants
Dear Workshop Student:
Welcome to the N.I.D EMPLOYABILITY ASSESSMENT WORKSHOP.
The purpose of this workshop is to identify and assess those skills which you possess which can prove of interest to an employer. Furthermore, your interests in areas of employment will be developed and those skills which you possess will be considered within the framework of the career areas which you identify as being of interest.
In addition, your skills in the area of job seeking and presentation will be identified and discussed as an important aspect of employability. The ability to identify and promote those skills which you possess with potential employers is often as important as the work skills themselves.
You are encouraged to participate fully in both written work and class discussion to obtain the most from the workshop. You are particularly encouraged to ask questions throughout the workshop and to explore how your skills may find application in the workplace. The next page provides an area for you to record those questions which may arise when not in class.
You are neither tested nor graded on your participation - the workshop is designed to assist you, not judge you.
At the conclusion of the workshop, your written materials will be forwarded to your Case Manager for further assessment and application in providing you with the most effective approach to future employment.
We hope you find your workshop experience to be informative, rewarding and enjoyable as well.
Thank you for attending.
Student Workbook
Table of Contents
Transferrable Skills |
CLASS DISCUSSION |
PAGE: 1 |
Checklist of Skills |
ASSESSMENT AID |
PAGE: 2 |
Personal Intro./assessment |
CLASS EXERCISE [1] |
PAGE: 3 |
Prior employment |
|
|
Life Skills to Work |
|
|
Life Skills to Work |
|
|
Preliminary Employment Goals |
CLASS DISCUSSION |
PAGE: 7 |
Preliminary Employment Goals |
CLASS EXERCISE [4] |
PAGE: 8 |
Why I want to return to work |
CLASS DISCUSSION |
PAGE: 9 |
Why I want to return to work |
CLASS EXERCISE [5] |
PAGE: 10 |
Application Skills |
CLASS DISCUSSION |
PAGE: 11 |
Application Skills |
CLASS EXERCISE [6] |
PAGE: 12 |
Interview Questions |
CLASS DISCUSSION |
PAGE: 13 |
Interview Questions |
CLASS EXERCISE [7] |
PAGES: 14-17 |
OTHER ISSUES |
CLASS DISCUSSIONS |
PAGES FOLLOW |
AMERICANS WITH DISABILITIES ACT [ADA] - A GENERAL REVIEW OF THE ADA LAW AND ITS APPLICATION, EMPLOYMENT MARKETS, RESUMES, COVER AND THANK YOU LETTERS, INTERVIEW REMINDERS.
Lee Lanning, Project Director
Client Choice Project
Southwest Business, Industry and Rehablitation Association (SWBIRA)
2222 N. 24th St.
Phoenix, AZ 85008
(602) 275-0180 (Voice)
(602) 275-0390 (F)
Helpers refers to the formal and informal roles assigned to designated individuals by the participant and the Choice program for the express purpose of empowering and supporting the participant in the choice process. These practices may include assisting participants with choosing goals and services, and in assuming a more empowered consumer role.
Arkansas Choice project Consumer Connectors are private providers who are experienced in case management, have satisfactorily completed a competency-based training, and are certified by project staff based on the results of the training and established guidelines. The competency-based training is conducted by experts in the area of facilitating participant choice, and includes an overview of the Client Choice project and the Arkansas Rehabilitation Services system, effective communication skills, decision-making and empowerment, quality assurance, and many other topics. Connectors are paid as independent contractors--$45 per hour out-of-County and $30 per hour in-County which covers all costs, including driving time and gas. They are discouraged from viewing their role as a full-time job.
Participants select their Connector at their initial meeting with the Client Choice Counselor, or shortly thereafter. A listing of Consumer Connectors, with descriptive information, is provided to assist in their selection process. The participant and his/her family, if involved, are encouraged to contact and talk with several Consumer Connectors before making a selection. The selection is made prior to the determination of eligibility. Participants have the right to change Connectors and may choose not to have contact with any Consumer Connector once the career planning process/provider selection process is completed.
Connectors work with participants in ways that complement and supplement counselors. Connectors assist participants in arranging transportation for their evaluations, facilitate the career planning process, and provide job development and placement services. They are also valuable as models of empowered individuals who can share advocacy, problem-solving skills and information.
The role of Consumer Connectors is to assist the individual with severe disabilities to accomplish, at a minimum, the following:
Effective December 15, 1995, Connectors were asked to provide job development and placement services for project customers. Subsequently, this has become their most time-consuming activity.
Almost every participant uses a Consumer Connector; less than 5% of Choice participants choose not to. The average per-participant expenditure is about $500, ranging from $0 to $2,000. These costs do not include bonuses of $500 for finding jobs for participants.
Early in the project, several Consumer Connectors became associated with Independent Case Management (ICM), a Little Rock non-profit organization that serves approximately 400 - 500 children and working-aged adults with disabilities under contract to the state Medicaid agency. Roughly one-third of Choice participants were served by ICM-based Connectors. ICM also provided training and administrative support. However, ICM could not afford to sustain the Connectors on the $30-per-hour fee. To ensure continuity of care, the Connectors working for ICM then contracted directly with ARS's Choice project.
Stakeholders in the Arkansas public rehabilitation system perceive both advantages and disadvantages to Consumer Connectors. Counselors find them helpful in doing the legwork of getting three bids for all purchase items as required by state law. Counselors also think that the Connectors help participants see the reality of their vocational plans in terms of the barriers participants must face to achieve their goals. Thus, the Choice counselors are apt to view the Connector as enhancing their own roles rather than as an added supervisory burden. The line between counselors and Connectors has varied, with some Connectors being involved in "client assessments" and counseling during the plan process. Rather than causing friction, such involvement has been viewed as useful given the Connector's unique knowledge of community resources.
From an administrative perspective, disadvantages include the costs and difficulties of recruiting, training, and supporting the Connectors. ARS currently spends about $1,500 per customer in its Section 110 program. The added cost of $500 per customer for a Consumer Connector is a formidable problem. Counselors and administrators both cite problems in finding skilled and knowledgeable individuals in the more rural areas of the state. Finding just the right combination of skill, knowledge of community resources, and commitment to serving people with disabilities has been a constant problem. When ICM withdrew its support of the Consumer Connector, the project ensured continuity of care by contracting directly with the Connectors. Nevertheless, the Choice project lost a useful recruitment, training, and administrative resource.
Consumers like the Connectors because they are accessible during non-business hours, are supportive during the planning process, and have unique knowledge of local community resources. The latter is particularly important in locating alternative vendors and job placements.
For this manual, we provide Client Choice documents, including "ARS's Consumer Connector System," "Consumer Connector Process," and a participant handout entitled "Consumer Connectors."
ARS's Consumer Connector System
The goal of the Commitment to Client Choice project is to increase informed client choice within vocational rehabilitation services. One of the vehicles through which ARS will work to assure client choice is through the establishment of a consumer connector system. That system will have the following characteristics:
Consumer Connector Process
Client Enters CCC Program
Step 1: Client Meets with CCC Staff, Completes forms, Selects Connector. Sets up Connector Evaluations.
Step 2: Client, Consumer Connector and CCC Staff meet together to review the evaluations.
Step 3: Further assessments are conducted if needed.
Step 4: The CCC Counselor Determines Eligibility.
Step 5: A Career Planning Process is facilitated by the Consumer Connector.
Step 6: Connector assists client in making informed choice of providers for services.
Step 7: The Connector assists the Client in implementing the Client voucher system.
Step 8: The client may choose to continue Consumer Connector services as part of his/her services defined in the Career Plan.
Consumer Connectors
Participant Handout
What is the Consumer Connector program?
Consumer Connectors are provided by the Commitment to Client Choice project to make sure that your choices are heard, loud and clear!
What is a Consumer Connector?
A Consumer Connector is an individual who has been specially trained to help you get the information you need to make and communicate informed choices, then to put your choices into action. Your connector will facilitate your career planning process and connect you to your community and to the resources you need to make your desired future come true! You, your Connector and your Choice Counselor will work as a team to implement the goals and objectives of your career plan.
Is the Connector an employee of the Client Choice Program?
No. You select the Consumer Connector that you want and tell your Choice Counselor. You'll sign a Voucher saying that they can pay the Connector for services to you. The Choice Program pays for the Connector's services out of the money it has to serve you, but the Connector works for you.
Am I required to have a Connector?
The Consumer Connector is a required part of the Choice program through the eligibility and career planning phase of your program. However, once you have been through the career planning process, if you feel you do not need the services of your Connector, you can discontinue the services by telling your Counselor.
When do I select my Connector?
The first time you meet with your Choice Counselor, you will be given this flier which includes the names of people certified as Consumer Connectors. We encourage you to take this list and talk to some of the Connectors to find the one you want. When you decide, you'll sign a Consumer Connector Selection form. Your Choice Counselor will send your name and other information about you to the Connector. After a week or so, your Connector should contact you. Make sure you keep your Connector's name and telephone number handy, in case you need it!
Can I Change Connectors?
Yes, if you would like to change your Consumer Connector, you may do so at any time in the process. Before you make a decision about a new Connector, you should contact several Connectors and talk to them about what they might do to help you, if they work in your area, what their experience has been helping people and whatever else you might want to know about them. A list of certified Connectors is attached to this form.
How Can I Change My Connector?
It's easy. Just contact your Choice Counselor and ask to make the change. You will fill out a Request for Change of Connector form and sign a new Voucher so the Choice program can pay your new Connector. They will stop paying for services with the other Connector.
Can I Have More than One Connector Helping Me?
You may only select one Connector at a time. Having two or three would lead to a lot of confusion, with one not knowing what the others were doing. If you choose a company to provide your Connector services, you may have one individual who serves as your Connector with another person helping out from time to time.
More Questions?
Contact your Choice Counselor at:
Commitment to Client Choice Program
Arkansas Rehabilitation Services
2703 W. 28th Street
Pine Bluff, AR 71603
(870) 534-1372
Sterling Hughes
Project Director
Client Choice Project
Arkansas Rehabilitation Services
2703 W. 28th Street
Pine Bluff, AR 71603
(870) 534-2404 (Voice)
(870) 534-2993 (TTD)
(870) 534-1067 (Fax)
The PEP Rehabilitation Team consists of the participant and people who are part of the participant's support network, including family members, friends, and helping professionals such as a rehabilitation engineer or community service provider. Each participant decides who will be on his or her Rehabilitation Team, including his or her PEP counselor. Many participants request staff assistance in forming and directing their Rehabilitation Teams, learning the resources and strengths needed on the Team, deciding what the participant wants from the Team, and using the Team as a resource.
Typically, the Team has three to seven members; participants are encouraged to include a mix of professionals and non-professionals. In general, Team members participate on a volunteer basis. The Team meets as a group for about five hours over the course of the participant's connection with the program, including an initial meeting of one hour. Members brainstorm together, generating ideas for further consideration, and often maintain telephone contact with each other.
A major goal of the Team is to help the participant gain control of decision-making during the rehabilitation process. This approach is based on the "person-centered planning" technique originally used in the developmental disabilities field. Enabling participants to take control of the rehabilitation process is integral to the Rehabilitation Team approach. Processes used to help participants become empowered include self-assessment, strategizing and problem-solving, advocacy, guidance, and resource expansion.
Another goal of the Rehabilitation Team is to complete a substantive assessment and profile of the participant's needs, allowing participants to provide job developers and other service providers with high-quality information they can use to deliver more effective services, e.g., appropriate job matches. A third goal of the Team is to provide information and support in developing the participant's vocational goal leading to an employment outcome. A final Team goal is to offer information and support to the participant regarding goods and services that may be purchased to implement the vocational plan.
Before the first Rehabilitation Team meeting, the participant meets with a PEP counselor, who helps the participant set the agenda for the first Team meeting, discusses the Team approach, and advises the participant on selecting Team members. Typically, at the first meeting of the Rehabilitation Team, the counselor will facilitate a brainstorming session with Team members, and the main elements of the participant's vocational needs are written down on butcher paper. Team members are encouraged to determine how much time they can dedicate to assisting the participant, help the participant identify past accomplishments and present strengths and skills, and help the participant articulate what "works" and doesn't work for him or her in a job situation. With the Team's help, the participant identifies short- and long-term goals and develops a short-term action plan of concrete steps that specifies what type of assistance each Team member will provide, along with timelines for completion.
Sometimes, another staff member may be invited to facilitate this meeting so that the counselor and participant can participate equally in the brainstorming process. During person-centered planning, issues are brought up in a positive or neutral framework. The participant is responsible for deciding when to hold subsequent Team meetings and ensuring that Team members can attend.
PEP program staff are highly invested in the success of the Rehabilitation Team. Staff report that early meetings are useful for the counselor and participant to get to know each other and for establishing a style of future interaction. Counselors also report that running a Team meeting is a constant challenge. Some participants are not experienced in setting goals and making decisions for themselves, and some Team members have difficulty relinquishing the role of making decisions for participants. Thus, a key to the success of the Team is building the capacity of the participant to lead Team meetings, especially those sessions dealing with goal setting. Person-centered planning assumes each individual will go through a process of learning and using choice-making skills that will mature into a process that works for him or her. Project staff are flexible in giving participants sufficient time to develop preferences and coping skills.
Project staff and others also note that the success of the PEP Rehabilitation Team is highly dependent on proactive participation by all members of the team. Problems arise when the participant really does not want to work with all members of the group or, as happens more frequently, does not have reliable friends and relatives who are willing to participate in each session. A small percentage of participants has requested a waiver of the Rehabilitation Team requirement but, because the program believes strongly in the merit of the Rehabilitation Team, participants are encouraged to try the team at least once before requesting a waiver from PEP's Advisory Board.
Program vendors such as job developers rarely belong to the participant's original Team. Their involvement with the participant's Rehabilitation Team occurs once the vocational plan has been developed and the participant is selecting a service provider. Often, the provider is interviewed by the participant and other members of the Team. The provider's subsequent involvement in the Team varies according to the complexity of the vocational plan. In complex cases where, for example, coordination between job development and assistive technology advisors is necessary, the provider is likely to interact with all members of the team. In simpler situations where, for example, job development is the only service being provided, the provider is not likely to have contact with family, friends, and other outside professionals who are members of the participant's Team.
Originally intended as a cornerstone of PEP's Choice approach, the Rehabilitation Team is perceived as a promising practice by participants and service agencies throughout the Seattle area and other parts of the state. Consequently, the state Division of Vocational Rehabilitation (DVR) has encouraged the use of a modified form of the rehabilitation team approach. The Division does not mandate the use of teams but encourages rehabilitation counselors to utilize them as a service option. The Division has modified PEP's approach by integrating "solution-focused planning" into its counseling technique.
The Division has also redesignated a significant number of clerical staff and other non-professional positions as paraprofessional "counselor aides." Counselor aides are integrated into the VR process by advising participants on basic job-seeking skills such as resume preparation and dressing for job interviews, helping alleviate participants' fears about returning to work, and participating as rehabilitation team members.
"How to Run Your Team" advises participants how to take control of the decision-making process within the Team. "Evaluation of Your Team Meeting" is meant to help participants articulate how well the Team is helping them meet their goals and respecting their choices.
How to Run Your Team
THE TEAM'S ROLE
The team provides information, support and feedback that will allow you to make vocational decisions and choices that are right for who you are.
Your team's goal is to design a vocational plan with you that will result in your becoming successfully employed.
YOUR ROLE
THE MORE ACCURATE THE INFORMATION YOU GIVE YOUR TEAM; THE BETTER THE SERVICE; THE MORE YOU BENEFIT.
WHY???
WHO SHOULD BE ON YOUR TEAM
SET AN AGENDA FOR EACH TEAM MEETING
ESTABLISHING A PARTNERSHIP WITH YOUR TEAM
COMMUNICATION SKILLS
Your Team Meeting
The first team meeting will be a positive brain storming session that will look at the following areas to help you start planning and developing your vocational goals. PEP staff will facilitate the meeting.
WHAT WORKS FOR YOU WHAT DOESN'T WORK
YOUR HOPES AND DREAMS for the
FUTURE BOTH SHORT TERM AND LONG-TERM
GOALS YOU WANT TO SET
OPPORTUNITIES/RESOURCES
AVAILABLE
STRENGTHS/TALENTS/INTERESTS
WORK HISTORY FEARS/CONCERNS
WHERE TO LOOK IN THE COMMUNITY FOR POSSIBLE JOBS/TASKS
THIS PLANNING WILL END WITH AN ACTION PLAN
POSSIBLE JOBS |
WORK HISTORY |
FEARS/ISSUES |
OPPORTUNITIES |
WHERE TO LOOK IN THE COMMUNITY WHO KNOWS PEOPLE WHO CAN HELP |
OTHER |
ACTION PLAN
STRATEGIES WHO WHEN
TASKS DOES DONE
ALL TOPICS NOT NECESSARILY COVERED FOR EACH INDIVIDUAL
EXAMPLES OF STRENGTHS
USE THIS TO GET IDEAS OF YOUR OWN STRENGTHS
PHYSICAL |
Communication |
putting things together |
ability to express yourself |
fixing or repairing |
ability to get across ideas |
building or constructing |
write well |
sports |
|
dance |
|
SENSES |
ANALYTICAL |
visual |
organized |
observant |
systematizing |
intuitive |
making connections |
mathematical |
|
global thinker |
|
logical |
|
CREATIVE |
SOCIAL |
problem solving |
pay attention to people |
inventing/creating |
draw people out |
designing/developing |
sensitive to others |
improvise/adaptive |
good sense of humor |
offer support |
Adapted from Richard Bolles, The Three Boxes of Life. 1984.
Information You May Want to Give Your Team
VOCATIONAL
Work History
Vocational Interest
Vocational Aptitude
SOCIAL
What are your independent living needs?
DISABILITY
How your disability impacts your ability to work--
Evaluation of Your Team Meeting
MONTH/YEAR: __________________________
PEP Staff person(s) involved: ______________________________
1.) How did today's team meeting affect your vocational goals?
2.) What have you learned about yourself as a result of today's meeting?
3.) How did your team members assist you during today's meeting?
4.) How did PEP staff assist you during today's meeting?
5.) Did you set the agenda for your team meeting?
___ Yes If not, why?
___ My counselor set the agenda
___ My team set the agenda
6.) Did you explore job ideas that you had?
___ Yes If not, why?
___ I already have job ideas
___ I didn't have job ideas this month
___ My counselor did not support my job ideas
___ My team did not support my job ideas
7.) How free did you feel to say that you did NOT want to pursue a certain job or job idea?
___ I felt free to decline a job or job idea
I did not feel I could say NO to a job or job idea, because...
___ I felt my counselor would be unhappy with me if I said no to a job or job idea
___ I felt my team would be unhappy with me if I said no to a job or job idea
8.) On a scale of 1-10, how much do you feel your choices were respected?
1 2 3 4 5 6 7 8 9 10
My choices were Every choice I made
ignored and I was was respected and
not listened to by I had control over
PEP or my team. every vocational
decision
Abby Cooper
Program Director
Participant Empowerment Project
2001 6th Avenue, Suite 2016
Seattle, WA 98122
(206) 587-4444 (Voice)
(206) 587-4439 (TDD)
(206) 534-4447 (F)
Jeanne Munro
Director
Department of Social and Health Services
Division of Vocational Rehabilitation
3rd Floor, Building C
4408 7th Ave SE
PO Box 45340
Olympia, WA 98504-5340
(360) 438-8010 (Voice) (TDD)
(360) 438-8007 (F)
The UCPA program requires that each participant hire an Employment Advisor (formerly called "employment facilitator"). The function of the Employment Advisor is to "advise participants through the maze of employment services." To qualify, an Advisor must attend a staff training provided by the project in order to learn about the required forms, project processes, and expected outcomes. The participant hires the Advisor early in the service process, selecting from the project's list of Advisors, a friend, or even a family member. (Only persons who do not share a household with the participant can be paid as an Advisor.)
The UCPA Participant's Handbook provides information on services that may be performed by an Employment Advisor (facilitator). "The main service they offer is to help you explore options and to exercise informed choice." A list of optional services includes:
Initially, Employment Advisors were usually paid a fixed $1,000 fee for service when participants found a job. But UCPA decided that advisors, who assist participants throughout the service process, should not be penalized when providers fail to develop jobs for participants. Now the project recommends negotiating a monthly fee rather than a fixed fee ($100/month), with the method and level of payment to be established in the contract between participant and advisor. Advisors turn in monthly time logs, which are approved by the participant. Advisors usually have other jobs and provide this service for supplemental income.
The project staff reports that this model has been more successful when the advisor is someone who knows the rehabilitation services delivery system, has a disability and has gone through the system themselves. Project staff and providers agree that the family-member-as-advisor option is less successful.
UCPA's employment advisors model was adopted by Michigan Rehabilitation Services' (MRS) "Michigan Renaissance Project." This project is a collaboration between MRS staff, a support team from United Cerebral Palsy Association of Metropolitan Detroit, and MRS customers who elect to participate in the project. Six MRS offices participated in 1997.
By the end of 1997, after one year of experience, 54 of 58 Michigan Renaissance customers had chosen an employment advisor, and 16 had found employment. An evaluation of the Michigan Renaissance program by the Developmental Disabilities Institute of Wayne State University reported that customers found that employment advising and person-centered-planning were the most satisfactory methodologies of the program.
Anecdotal evidence indicates that counselors view employment advisors as effective when they stay in touch with the consumer, follow-up consistently, and maintain professional standards while being there as a friend to the consumer.
Based on nearly five years of UCPA's experience, plus MRS's recent efforts to adopt the practice in its own system, employment advisors are viewed as successfully addressing the vocational rehabilitation needs of customers with multiple severe disabilities. At the same time, MRS officials are concerned that the high cost of maintaining an advisor ($100 per participant per month) for each participant will reduce MRS's ability to purchase other needed services.
Recruiting good advisors who have the skills, commitment, and knowledge of community resources has always been a problem. A strong on-going training program is needed for candidates to grasp the UCPA model and its expected outcomes. Some but not all counselors complain of the extra time needed to support advisors who are less skilled and committed, and to verify that they have completed their assignments.
In Pittsburgh, the UCPA coordinator often found that she relied more on her own knowledge of local resources than on that of the employment advisors chosen by participants. She also relied on her own network of professionals and on the family and friends of participants for some of the services typically provided by employment advisors. Later in the course of the project, the Pittsburgh coordinator began to encourage her participants to hire new employment advisors who are more resourceful.
Included in the manual are materials from Michigan's Rehabilitation Renaissance Program which were adapted from UCPA's manuals. Documents are: "Reason for Advisor," "Advisor Role," and "Renaissance Customer Advisor Responsibilities."
Reason for Advisor
When talking with people who have disabilities, we often hear complaints about the system --- its inability to meet some important needs, its tendency to track people into a narrow range of jobs, difficulties understanding how agencies work and more.
When talking with rehabilitation professionals, we hear of their frustrations with customers who have needs that impact their rehabilitation success. Customers' needs sometimes fall outside the professionals' areas of responsibility (e.g., on-going transportation, personal assistance services, and other personal needs). Frustration also exists when customers' employment goals appear unrealistic or beyond the agencies' capacity to support. Sometimes both professionals and customers do not understand systems completely and how best to use them.
The two groups have similar concerns, expressed from different perspectives. The role of the advisor, when implemented effectively, should be to build a "bridge," connecting the customer to service providers who can address their concerns. The bridge is supported by self-determination leading to informed choice by the customer.
The advisor does not provide direct services. Rather, the advisor assists the customer by gathering information the customer needs in order to make an informed choice regarding the types of rehabilitation services he/she wants.
Some ways an advisor may assist the customer are:
The outcome of the Rehabilitation Renaissance process is self-determination for the customer. It is anticipated that once a customer has had the opportunity to develop and/or enhance skills, he/she will be more apt to use them with little or no assistance from the advisor.
This manual will provide a general framework to be used in developing good advisor skills. The best teacher, we have found, is experience. A good advisor has had experience with systems. An advisor knows the "ins" and "outs," and can offer alternatives to the customer.
Advisor Role
Renaissance Customer Advisor Responsibilities
The Renaissance Customer Advisor (RCA) will assist individuals who are seeking employment through the Rehabilitation Renaissance Project. The RCA will assist the customer to effectively use service systems and other resources to meet his/her employment goals and ensure that each customer is fully informed as possible before making choices.
When advising customers through the maze of employment services, it is important to understand what the rehabilitation agencies have to offer your customer. As needs change so do agencies. Keeping up to date on services available will allow you to better serve your customer.
There are many factors that effect a customer's ability to obtain and keep employment. It is important that the customers you are advising understand their responsibilities when making choices. It is just as important that you understand the rehabilitation counselors' responsibilities so that you can advise your customer on other sources of support when needed. The responsibility of providing supports does not always belong to the Rehabilitation counselor.
Rehabilitation counselors have expressed a need for customers to be more self-motivated, self-reliant, self-advocating and to become problem solvers. Advisors need to assist customers in understanding their own roles and understanding what a rehabilitation counselor will and will not do for them. Customers are new to their roles so advisors need to support their customers during the process. Advisors are in place so that the process keeps moving along with the customer's motivation.
Responsibilities come from making choices. Customers and their support persons must be informed about all areas that are affected by the choices a customer may make regarding social security, personal needs, on-going transportation, maintaining a job, etc. Advisors are in place so that issues can be addressed before they become the reason for a customer losing his/her job.
Customers are not experienced in interviewing and hiring service providers to meet their needs. Advisors should identify areas of concern and address them when customers are interviewing for service providers. It is important that your customers can build relationships with their providers while you monitor the way the services are delivered.
Communication between the service provider, rehabilitation counselor, customer and his/her support persons is very important to this project. Advisors must keep communication between these parties open so that the process keeps moving along. Advisors should become aware of other services that may assist their customer in obtaining a job, assistive technology, Centers for Independent Living and personal attendant services.
Customers need your assistance in making sure that the services which are delivered to them are respectful, prompt, and choice driven. When possible, empower your customer to take the lead role in this process. Some customers may need more assistance than others, so tailor your service to the needs of the customer.
Once services have been delivered a Satisfaction of Services form must be filled out by your customer. It is important that your customer is satisfied with the services he/she has received, as well as the service you are providing. Assist your customer in determining whether or not services were satisfactory. The rehabilitation counselor may assist the customer in documenting the quality of your service. You will need a copy for your payment request.
It is important to document all contacts with service providers, rehabilitation counselors and customers. This information is needed when you are requesting payment for your services. A copy of your monthly logs and Satisfaction of Services form will go to the rehabilitation counselor and the employer of record. Payment will not be made unless your paper work has been completed and received by the rehab. counselor.
Advisors are the link between all three parties and must keep communication lines open. Encourage your customer to make contact with all parties and assist when needed. If he/she is unable to do this even with assistance, then you need to take on that responsibility. Lack of communication will stop the process from moving forward.
Additional training will be offered to advisors on an on-going basis to further their knowledge. Advisors will share their individual experiences with other advisors.
Advisors must be self motivated and willing to keep the flow of the process moving for customers. If you are not doing your job, the process will stop and rehabilitation counselors will have to step in and assume your role. The advisor role is based on morals, values and customer choice. Understand that everyone has a right to be a customer and treated as such.
Michael Callahan
Project Director
UCP Association
4101 Gauthier-Vancleve Road
Gauthier, MS 39553
(601) 497-6999 (Voice)
(601) 497-6966 (Fax)
Leslyn Angel
UCP of Metro Detroit
23077 Greenfield, Suite 205
Southfield, MI 48075-3745
(248) 557-5070 (Voice)
(248) 557-4456 (Fax)
Mary Twiss
Manager
Customer Services Unit
Michigan Jobs Commission
Michigan Rehabilitation Services
P.O. Box 30010
608 W. Allegan, 4th Floor John Hannah Bldg
Lansing, MI 48904
(517) 373-4035 (Voice)
Plan Process and Development refers to the rehabilitation process which centers around the participant, and which is guided by a written rehabilitation plan. These plans identify goals, strategies for attainment, timelines for intermediate objectives, and specific goods and services to be purchased. Choice projects have introduced innovations in how written rehabilitation plans are developed, especially in terms of participant involvement and control.
Each consumer participates in the TDTI Career Choice project as a member of a facilitated peer group of about ten people. Some groups are devoted to individuals with similar disabilities; others are designed for people with different disabilities. Peer groups provide emotional support, feedback, and information. The peer groups are also made responsible for service funds allocation decisions, a practice which is unique among the seven Choice projects. Each group gathers weekly for twelve sessions.
The topics of the twelve sessions are:
Group participants are responsible for conducting a self-evaluation process; developing Plans to Achieve Career Choice (PACC); and defending their plans to the group. When the group ends, the participant is responsible for managing the "seed money" the project provides. The participant is also responsible for his or her own employment outcomes.
Each group is given a budget to pay for goods and services that are part of approved rehabilitation plans. The amount per group is based on a budget of approximately $13,000 per group, or an average of $1,300 per member. A small portion of this amount may be used for payments that ensure participation by group members, e.g., parking fees, public transit reimbursement, child care, etc. No vendor approval system is used although the group does review each participant's choice of provider. Participants identify and discuss potential vendors in sessions five and six.
At the group's eleventh meeting, each participant presents her or his completed rehabilitation plan which identifies that person's employment goal, objectives, and assistance (goods, services) needed for attainment. Group members use a rating system to score each plan. When all presentations have been made, the combined group scores are totaled and averaged, the amounts requested are totaled, and the group uses this information in determining the amount it approves for each plan. The Project Director also reviews the group's decisions.
The 12-week core program is followed by three optional monthly Job Club meetings, where group and staff support continue to be available as participants conduct job search activities.
TDTI's Plan to Achieve Career Choice (PACC) is a dual-purpose document. As the participant's service and administrative record, it contains information gathered during intake and follow-up. Completed worksheets document participation in the various stages of the career planning process and some of them comprise the participant's Individualized Written Rehabilitation Program (IWRP). As a set of worksheets for the individual participant, the PACC serves as a reminder of questions that need answering, a place for jotting work preference information, a framework for writing a vocational plan, and an aid to resumé development and job interviewing.
The PACC includes Self-Assessment materials, such as:
PACC Worksheets from group sessions include questions such as:
Other tools used in the PACC include:
Follow-up forms are used at six-month intervals to monitor progress with the PACC.
The PACC is used each week by participants and can be duplicated as desired, but is kept by the program manager at the group training site. A completed PACC consists of thirty or more pages, nearly all completed by the participant.
TDTI recently completed three cross-disability groups for DVR consumers in Vermont; it is still too early to tell whether these participants have significantly different experiences than participants in homogeneous groups. However, three issues have been raised by the Project Director:
All Vermonters who participated in TDTI's facilitated peer groups completed an official IWRP at the end of the 12 week session in order to conform to Vermont's DVR regulation. The IWRP is derived from the PACC. So far, two participants have amended their IWRPs in order to receive additional services or equipment. Each amendment was precipitated by a significant change in the person's functional status.
Preliminary data based on a survey of 15 of the 20 Vermonters in TDTI's groups shortly after the groups were completed showed that eight participants rated their ability to get a job as better (than prior to the groups), and five persons rated their ability to get a job as "no change." Four participants were working prior to the group and four were working after the groups, two in the same jobs. Most participants rated the overall quality of their experience as "B" or better.
In this manual, we include excerpts from TDTI's Leadership and Participant Manuals. "Career Choice Program Description" and "Overview of Career Choice Group Training Program" describe the organization of the groups. "Organization of Group Sessions," and "Session 8 Worksheet 2" which participants identify goods and services they need to successfully complete their vocational goal.
Career Choice Program Description
The demonstration program is conducted by a trained Leadership Team (2-5 persons) consisting of staff and volunteers and including one or more persons with disabilities.
The program has 3 major segments:
Self-assessment
Group Training (3 months)
Job Search-Career Club (3 months)
Overview of Career Choice Group Training Program
*Milestone: Completion of Personal Readiness Phase of Training Program
*Milestone: Completion of Job Objective Phase of Training Program
*Milestone: Completion of Comprehensive Employment Plan
*Milestone: Completion of Basic Training; Begin to Implement Plan
Organization of Group Sessions
Timing of Sessions - The session outlines are based on a timeframe of 3 hours of substantive work with one 20-minute break. It is not possible to conduct the session in less time.
An outline is provided for each session with a suggested timeline. Some segments will be "hot issues" for each group while others may seem less significant or important to the current group. It is important to address each segment in sequence and not to skip any segments or topics though you may want to spend more or less time on a specific segment that is of interest to the group.
Organization of Each Session
Each session opens with sharing and closes with contracting and an overview of homework assignments. These segments are crucial in helping persons to debrief with each other, and remain focused on the purpose of the group. They are also critical for giving structure and consistency to the program even when events out of the ordinary occur during the session. In the event that you are running out of time, and all segments have not been completed, explain that this is where you'll pick up at the next session. Do not skip the closing. Reserve enough time at the end to properly close with the exercises, refocusing the group on the progress that has been made and the tasks to be accomplished to prepare for the next session.
Program manager, Lead Facilitator and Co-facilitator: attend all sessions. An assistant for clerical tasks may also be part of the team.
The program manager and lead facilitator take primary responsibility for presenting sessions as outlined in the Leadership Manual.
Division of tasks is worked out by the individuals involved. Tasks for each session include: setting up for each session; facilitating the opening discussion and the closing (contracting and take-home assignments); facilitating segments within timeline; greeting arriving guest presenters and introducing them; ensuring that each segment in the timeline is covered.
Session 8: Worksheet #2
Selected Services/Products
Job Objective: ___________________________________________
Product/Service Needed: ___________________________________
For each product or service needed answer the following questions in detail. Use additional paper if necessary. This will be used to peer review your request in session 11.
What obstacle(s) will be addressed by obtaining this service or product?
How will obtaining this product or service help you to obtain your employment objective?
What options have you considered and why did you select this product or service option over others?
How essential is it to you in reaching your goal that Career Choice assist you by paying for this service or product?
Harry L. Hall
President
The Development Team, Inc.
Oceanside Office Center
300 N. 2nd Street. Suite 10C
Jacksonville, Beach, FL 32250
(904) 247-4640 (Voice)
(904) 247-6854 (Fax)
Self-employment goals are common in the Vermont Choice project. When participants opt to pursue self-employment, project counselors honor this choice and are able to work around the constraints normally imposed on self-employment in the Section 110 Program. After a period of implementation, the project leaders were surprised to learn that 25%-33% of all employment outcomes were self-employment (compared with 2% in Vermont's regular VR program).
Many resources in the community are available at little or no cost to assist in the development of business plans and business ideas. One resource made available by the project is "The Beginner's Guide to Developing a Small Business." Another is "The Vermonter's Guide to Doing Business."
The importance of the Self-Employment Plan in the Choice project led to an examination of the general agency policy regarding self-employment. The regulation (304.1) in place discouraged self-employment: "Self-employment will normally be reserved for those individuals with severe handicaps when there are no other suitable placement opportunities available..." New procedures state that "Self-employment is a vocational option which may be considered in the wide array of employment options available to an individual. Such an option recognizes that self-employment is more prevalent in rural areas, and that people with a work disability tend to be self-employed at higher rates than are people without a work disability."
The Consumer Choice project has involved a local bank in the lending process, with DVR guaranteeing loans up to $1,500. The bank, Mascoma Savings Bank in White River Junction, Vermont, offers low interest loans and technical assistance to participants who are members of a "peer loan support group" starting new businesses, or need capital for their existing small businesses. The bank's involvement is expected to result in more direct relationships between participants and the lending institution, and provides participants with the opportunity to build up business credit with an established lender over time. "Many people with disabilities who are trying to become self-employed have not had the opportunity to establish a credit history and this arrangement affords them a way to become established with their local lending institution." Since the original loan (up to $1,500) is guaranteed by DVR, Mascoma Savings Bank assumes no risk at first, but would assume risk for any further loan to a consumer. To date, no Choice participant has submitted an additional loan application to Mascoma Savings Banks beyond the initial $1,500.
During each of the first four years of the Choice project, between 17 and 22 participants chose self-employment goals. In the last year, the number grew to 38 people. In the Middlebury office, approximately 75 Choice participants have opted for self-employment. Of these, one-third have participated in the lending options (Mascoma Savings Bank or the Business Resource Group). Despite the growth of self-employment in the Choice project, the Division is moving cautiously in expanding opportunities for participants in the Section 110 program. Some staff are interested in alternative approaches that would build assets rather than debts for participants. Some staff are concerned that DVR does not overcommit its own resources (mainly counselor time) to supporting peer lending groups.
In this manual, we provide Vermont's "Self-Employment Procedures" which outline the steps taken to develop a business idea. We also provide "Self-Evaluation" and "Personal Evaluation" checklists which indicate how seriously DVR supports self-assessment of entrepreneurial aptitude and skills.
Self-Employment Procedures
January 8, 1997
Self-Employment Chapter 25, Section I
Index of Sections Page
I. Definitions 1
II. Purpose 1
III. Development of a Business Idea 2
A. Assessment of the Person 2
B. Business Research and
Additional Services/Education 2
C. Writing the Business Plan 2
D. Approvals 3
E. Establishing VR Funding Levels 3
IV. Closure and Ongoing Support 4
Section I. Definitions
"Business consultant" means a person who can provide expertise on writing a business plan, planning, financing and starting up a business.
"Start-up costs" mean expenses for equipment for the business, initial stock and supplies, deposits for such things as rent and utilities, payment of rent and utilities for a maximum of 4 months, insurance, improving a site to suit the business, and licenses needed to open a business.
Section II. Purpose
Self-employment is a vocational option which may be considered in the wide array of employment options available to an individual. Such an option recognizes that self-employment is more prevalent in rural areas and that people with a work disability tend to be self-employed at higher rates than do people without a work disability.
The decision to use Division funds to support a business start-up will be based on a variety of factors, including but not being limited to total start-up costs, viability of the business plan, potential for other financial sources, and counselor judgement. If the business plan calls for funds beyond Division spending guidelines, the person may use the potential of Division funds to leverage other funding and as collateral for establishing bank credit.
Section III. Development of a Business Idea
A. Assessment of the Person:
A person who wants to begin a business should take responsibility for determining if he/she has the attributes necessary to operate a successful business. People may participate in a variety of self-assessment activities which can include standardized business assessments (see sample at end of this chapter), interviewing business owners or other creative means of assessing their own business potential.
The counselor will have a variety of material for the consumer to use to explore their own suitability for being self-employed. The person should examine his/her own expertise and skill level for the particular business, ability to work independently, commitment and persistence, and other factors relevant to self-employment. Counselor judgement and data gathered will play important roles in this process since no single factor can determine whether an individual will succeed at a business.
B. Business Research and Additional Services/Education:
A person wanting to start a business needs to look at all the factors that may affect success. Research about the business potential helps the person learn much about the market demand and the financial potential for the business. To assist with this process the person should, in all but the most simple, straight-forward endeavors, choose a business consultant. Some business advice is available at no charge from community sources such as SCORE and the Small Business Development Centers.
During this process, the consumer and the counselor together will determine the need for additional services, education, and resources that may help the person in preparing to operate a business. This analysis may provide the person with information that either helps to affirm this business idea or to begin exploration of other vocational options.
C. Writing a Business Plan:
Through the development of the business plan, the person will investigate and describe many areas, including the type of product or service offered, the market potential, the competition, how the business will be organized and managed, expected personnel, and detailed financial information including cash flow, projections, balance sheet, and profit and loss statements. Capital financing needs and sources will also be outlined.
A business consultant may provide assistance in developing this proposal/plan. Once the research for a business plan is complete and additional services and resources have been explored, the person can write the business plan with the assistance of the consultant and the VR counselor if necessary.
D. Approvals:
The decision to proceed with developing the business will be made jointly with the counselor, the service recipient, and the business consultant. Approval of the Division's financial contribution to the plan will be based on the counselor's judgement that the individual is making an informed decision. If approval is not given, the counselor will give the person a written notice of the appeal process and of the availability of the Client Assistance program.
The name of the business must, if applicable, be registered with Vermont Secretary of State's Office for at least 4 reasons. If name is not registered, the person:
E. Establishing VR Funding Levels:
The Division may provide up to $2,500 for business ventures intended to supplement other income and up to $5,000 for ventures intended to lead to self-sufficiency. In some cases, a business may be developed for less than these guidelines. Costs should be outlined before dollar amounts to be provided by the Division are discussed. The Division's allowable contribution should not be viewed as an automatic "grant". These guidelines may be adjusted to fit the needs of the individual entrepreneur; standards for exception to the guidelines are:
Evaluation costs, consultant costs, and disability-related accommodations are not included in the spending guidelines. Additional costs after business start-up should be outlined as business expenses in the business plan and be part of the overall funding requirements.
During the business plan development the amount of Division support will be determined, and the IWRP can be written to reflect this support. The amount of support will be dependent on the financial information provided in the business plan and the availability of support from other sources.
When the business plan is complete and additional funding is needed for business development beyond what the Division will provide, the plan can be submitted to other funding sources. VR dollars may be used to leverage other support. Release of VR funds is contingent on the receipt of other funds if additional monies are needed for a business start-up.
As the plan is implemented and the business develops, unanticipated expenses may arise beyond what was outlined in the IWRP and the business plan. Additional amounts may be authorized if the individual agrees to voluntarily pay back the funds. The counselor and the individual will jointly write up a loan agreement outlining the terms for payback. Consumer loan groups will be encouraged by the Division as a way for the consumer to establish credit with local lending institutions and to receive ongoing business support and education.
Section IV. Closure and Ongoing Support
Once the business is operational, VR counseling and support may continue since business ventures typically take time to establish. Additional VR funds may be used for continued education and training if needed. A person may receive support and training as a part of a peer loan group if one exists in the locale. The Division will encourage the establishment of peer loan groups where none exist.
A person will continue to receive ongoing support and services for a minimum of 6 months after the new business has begun. Businesses rarely yield large profits in 6 months; in fact, a business will be doing well if it "breaks even" at the end of its 12th month.
There should be a clear understanding at the time the IWRP is written of the criterion to be used for determining success. The criterion will have to be set on an individual basis and may be as simple as "income equals outgo".
When the IWRP has been completed, the person should be informed of the additional support available through post-employment services.
Self-Evaluation
An entrepreneur has special personality traits. It is important for your potential business success to evaluate your own qualities, characteristics, strengths and weaknesses.
Review the following statements and honestly rate yourself on a scale of one to ten with ten being the highest rating. Discuss scores with your counselor and/or consultant.
___ This business is something I really want to do.
___ I am confident of my abilities.
___ I'll keep good records of how much money I'm making/losing.
___ My personal situation is stable so I can focus on my business.
___ I like to sell; I think of ways to market my service/product.
___ I pay my debts on time.
___ I like to work in an independent environment.
___ I am offering a product or service which is needed.
___ I relate well with people
___ I am willing to take reasonable risks.
___ I don't mind working long hours, nights and weekends.
___ I am able to overcome obstacles.
___ I am able to deal with problems as they arise.
___ I am willing to grow day by day and not have it all now.
___ I am a good manager.
___ I am able to make decisions.
___ I am a self-starter.
___ I set and follow schedules and stick to projects 'til done.
___ I know how to plan to meet deadlines.
___ I am willing to accept change.
___ I am persistent and determined to reach my goals.
Personal Evaluation
Step 1: Identify your strengths and weaknesses:
Owning and managing a successful business is a challenging task. A great number of skills are needed in the areas of personal characteristics, business management, and technical aspects of the business. Use the "Skills/Talents Balance Sheet" below to summarize your strengths and possible weaknesses.
Skills/Talents Balance Sheet
Assets (strengths)
Personal Characteristics:
1. ___________________________________________________________
2. ___________________________________________________________
3. ___________________________________________________________
Business Management Skills:
1. ___________________________________________________________
2. ___________________________________________________________
3. ___________________________________________________________
Technical Skills:
1. ___________________________________________________________
2. ___________________________________________________________
3. ___________________________________________________________
How will you make up for identified weaknesses?
Personal Characteristics: _________________________________________
_____________________________________________________________
Business Management Skills: _____________________________________
_____________________________________________________________
Technical Skills: ________________________________________________
_____________________________________________________________
_____________________________________________________________
Looking at Yourself
New Entrepreneurs Exploring a Proposed Business
a. Micro-business Development Progarm (MBDP)
b. Small Business Development Program (SBDP)
c. SCORE
d. Chamber of Commerce
e. Trade Associations
f. Local Business Schools
g. State Agencies
Entrepreneurs with Existing Businesses
Michael Collins
Choice Project Coordinator
Division of Vocational Rehabilitation
Department of Aging and Disabilities
103 S. Main Street
Waterbury, VT 05671-2303
(802) 241-2186 (Voice/TTD)
(802) 241-3359 (Fax)
One "micro-enterprise method" used in the Vermont Consumer Choice demonstration project to help support small business development is the Business Resource Group (BRG). The BRG is intended to provide business services, including access to local bank credit, to small entrepreneurs who have joined together as a group. Individual Choice participants use about $300 worth of case service funds as "tuition" to capitalize the loan fund. Each group member may then apply to the group for a loan. After the group reviews the application, it may approve a loan of $300 for the member. In addition to obtaining loans, members build individual credit histories, exchange ideas and business contacts with each other, and develop stronger business skills.
One group has been developed to date, trained and supported by DVR consultants, mentors, and Consumer Choice staff. Of the twelve original members of that group, eight remain; they have reorganized as FOCUS (Friends Organized to Create Unique Strategies).
Members of FOCUS report much value to participation in the peer-lending group. The group has created bylaws and a structure to qualify for IRS-approved non-profit status in order to attract members who are not DVR consumers. If the group is granted "501 (c) (3)" status, other individuals may make gifts to them which will then be used as capital in the loan process. Until then, people may join as "non-members" for a $35 fee. In return, these new members benefit from the monthly seminars and other activities aimed at increasing participant business skills.
DVR continues to provide meeting space, but has purposefully refrained from continuing other supports, including $10 stipends for meeting attendance to discourage dependency on the agency. According to the group's leader, future success depends on developing individuals who can administer the loan fund, and on the group's ability to attract new members and establish linkages with other economic development resources. The default rate (3 out 12) has also caused concern. In response, the group now requires potential members to attend two meetings before they can join.
In this manual, we provide model bylaws for a peer lending group developed by the members of FOCUS.
BY-LAWS
Revised February 5, 1998
The purposes of this group are:
a. To learn about, organize, and participate in a Peer Group Loan Program;
b. To present educational programs on issues of concern to member business owners; and
c. To offer a forum for feedback and mutual support.
A. Borrowing members will pay a one-time fee of $550.00 to be eligible for loans from the group, or
B. $35.00 for non-borrowing membership status.
There will be four (4) officers elected annually at the first scheduled meeting each April. Officers are elected to one-year terms and may be elected to not more then two consecutive terms in office beginning April 1998. Proposed officers may nominate themselves and are elected by a two-thirds majority of members present. Under special circumstances, a two-thirds majority of members present may vote by paper ballot to remove an officer.
A. To call to order and conduct meetings
B. To set the agenda in coordination with other officers;
C. To initiate collection of delinquent payments.
D. To sign checks;
E. Other duties as needed or assigned.
A. To assume the duties of the Chairperson when necessary;
B. To act as mediator among group members when necessary;
C. To sign checks;
D. Other duties as needed or assigned.
A. To keep accurate financial records;
B. To report delinquencies to the Chairperson;
C. To collect monthly loan payments from members and deposit payments into appropriate accounts;
D. To sign checks;
E. Other duties as needed or assigned.
A. To record the minutes of meetings including attendance;
B. To transmit a photocopy to the Chairperson within one week;
C. To keep the by-laws updated;
D. To sign checks;
E. Other duties as needed or assigned.
Michael Collins
Choice Project Coordinator
Division of Vocational Rehabilitation
Department of Aging and Disabilities
103 S. Main Street
Waterbury, VT 05671-2303
(802) 241-2186 (Voice/TTD)
(802) 241-3359 (Fax)
Payment Systems encompass the various methods used by Choice projects to pay for goods and services included in participants' plans. Systems of accountability are included in this category, along with methods of payment, such as vouchers, purchase orders, and cash.
In the Vermont Choice program, the State "loans" funds to VR field offices. Counselors use this "imprest cash" to write checks for participants. Sometimes, counselors might issue a check on the first visit, the same day eligibility is established. In fact, about 10% of new applicants receive imprest cash on the first visit, usually for clothes, eyeglasses, or transportation. The personal checks are to be used for expenses and services related to the plan and vocational goal. These checks reduce stigma in the community; many who have used a VR purchase order or voucher have experienced some stigma when identified as the recipient of the state services.
Originally, counselors wrote the checks and managed balances, but this created problems. Now, each office using the checks designates an administrative assistant who manages the checkbooks and submits reports monthly to DVR central office staff. There are two people in each office who can write checks, minimizing delays for the participant while ensuring that the books are maintained in good order. This localized check-writing requires a different accountability system; counselors are now more responsible for assuring an audit trail regarding services purchased, dollar amounts, and relevance to the rehabilitation plan.
In Vermont's Section 110 Program, over 80% of checks written for participant services are for $300 or less. Imprest cash is now used throughout the Section 110 program and is expected to result in lower purchased service costs, lower prices, and savings, as demonstrated in the Choice project. A new form has been developed which the participant and field staff fill out when the check is cut; the participant lists where he/she went and why he/she selected the vendor.
The project cites the following advantages of imprest cash checks:
Each local office is allocated $1,000 - $1,500 in imprest cash each month, depending on prior expenditure history for that office. Regional and local office staff report that this amount is adequate about 90% of the time.
Imprest cash is one component of Vermont's direct cash payment system. Other direct cash payments to individuals are made after a payment has been processed through the state Department of Finance in Montpelier. From July 1, 1997, when imprest cash was implemented throughout the Section 110 Program, to March 31, 1998, direct cash payments to individuals (imprest cash plus direct payments from Montpelier) amounted to $88,735 or 67% of all case services expenditures. Imprest cash amounted to $44,740 or 22% of all case service expenditures.
Of all the innovations implemented in Vermont through the Choice project, imprest cash encountered the most resistance. Several problems had to be overcome, including:
To illustrate how Vermont operationalizes its imprest cash program, we provide DVR's "Procedures for Imprest Cash -- Direct Consumer Payments -- April 1998," "Documentation of Decision-Making Process," and "Consumer Grant or Imprest Cash Reimbursement" form.
Procedures for Imprest Cash
Direct Consumer Grants--April, 1998
After three years of successful use of a checkbook system in the Consumer Choice Grant, the Division of Vocational Rehabilitation is phasing in a similar system for use with the Section 110 Imprest Cash accounts. Services may now be purchased using several methods depending, to a large extent, on consumer/counselor informed choice.
The consumer and counselor may more often be able to decide whether funds for a service should be provided by authorizing a vendor to bill us for an item/service (using correct purchasing rules--see "Purchasing Made Easy"), by using the office's Imprest Cash account, or by having a check sent directly from Montpelier to the consumer so he/she can do the purchasing directly.
A. Some considerations in choosing the payment mechanism are:
B. Current and continuing mechanism for payment:
C. New Mechanism:
Issue an Imprest Cash check directly to the consumer or to a vendor (up to $300) or arrange for a check to be sent to the consumer from Montpelier (no maximum) without requiring a receipt but requiring some other type of verification that the money was used as intended.
D. Procedures:
a. A "Documentation of Decision-Making process" form must be completed (by the consumer in all possible instances) and placed in the record of services. The form should be used for each decision/transaction costing $200 or more and for any other decision/transaction involving multiple choices, comparison shopping, or otherwise of significant importance to the person's situation regardless of cost.
b. An authorization and a payment coding form for the Business Office are required.
a. A Consumer Grant or Imprest Cash Reimbursement form ("VR 32 - Trial 3") must be completed and signed by both the consumer and the counselor.
b. If the Imprest Cash account is chosen (i.e., writing a check to consumer or vendor), the money must be replaced in the account so the "Name" and "Address" lines shall always be the office's Imprest Cash account. If payment is to be made through Montpelier, the "Name" and "address" lines should always be that of the consumer. Under no circumstances are these trial forms to be used in place of an invoice to pay a vendor. They are used only when issuing Imprest Cash or a check through Montpelier directly to the consumer.
c. In the "Number of Choices" space, put the number of vendors or alternatives researched or solicited. For example, if a person is looking for a psychologist, he/she may research prices charged by several within a reasonable travel distance so "3 in Central Vermont" may be written in this space. In the "How Chosen?" space put in the answer--for example, "specializes in my disability", or "closest to my home", or "least expensive of the 3".
d. In the "Description of Service" block describe how the funds are to be used by the consumer. Examples: Computer printer purchase - Staples; car repairs - Bob's Service Center; clothing - Ames.
If the service is an allowance, describe how the rate was determined. For example: travel to/from training, 10 miles/day @ $ .31/mile for 30 days.
Copies of the form should be dispersed as soon as possible as indicated on the bottom of the form to initiate replenishment of the account or issuance of a check to the consumer from Montpelier, as applicable.
e. The "Method of Verification" space may be completed immediately or, depending on the situation, the pink copy may have to be placed in a "pending" file.
("Because he took the check" is not adequate verification.)
Documentation of Decision-Making Process
CONSUMER NAME: _____________________________ DATE: _________
Completed by: ________________________________________
Consumer Grant or Imprest Cash Reimbursement
NAME: _______________________________________________________
ADDRESS: ____________________________________________________
______________________________________________________________
CONSUMER: ____________________________ SS#__________________
SERVICE: _____________________________________________________
NUMBER OF CHOICES: __________________________________________
WHY CHOSEN?: ________________________________________________
DATE |
DESCRIPTION OF SERVICE |
TOTAL GRANT |
|
CONSUMER SIGNATURE: ________________________________________
APPROVED: ____________________________________
Counselor Signature
METHOD OF VERIFICATION:
Check written to vendor _______ Receipts (s) attached/filed _______
If neither of above, other method of verification (describe)
Initials of verifier: ________ Date verified: ______
White- C.O. Yellow--C.O. Pink-File Gold-Consumer
Michael Collins
Choice Project Coordinator
Division of Vocational Rehabilitation
Department of Aging and Disabilities
103 S. Main Street
Waterbury, VT 05671-2303
(802) 241-2186 (Voice/TTD)
(802) 241-3359 (Fax)
BCIL participants generally research the costs of goods and services, and the attractiveness of vendors and service providers, before approval of their IWRPs. Cost estimates and preferred vendors are identified in those plans. Based on each plan's budget, each participant receives an allocation of funds (average amount: $3,800) that constitutes the individual's budget for payment of identified goods and services.
Participants are not limited to a pre-selected or approved list of vendors, but rather use an open provider payment system. CEEP staff encourage participants to search on the open market to find the best deal on products, services, added value, etc. Information on some providers' services and costs is available in project files, but staff prefer that each participant does his or her own research and avoid making recommendations to participants. Typically, participants use the Yellow Pages, family members, and other sources to identify potential vendors, whom they then contact and interview for additional information.
However, project staff may require participants to document the vendors' legitimacy, particularly when vendors are very small in scale. In such cases, a participant must submit copies of the vendor's business license and, if applicable, proof of professional licensure.
Consumers may choose to make purchases using vouchers/letters of authorization. The merchant or vendor then bills the project for the purchase, and is reimbursed directly. Alternatively, participants may (by obtaining a quoted price) provide that information to the project in advance of the purchase, have a check cut and given to them, and then give that check to the vendor upon making the purchase. Check requests consistent with the IWRP are forwarded to the project accountant, who cuts checks on a regular weekly schedule. With recently instituted agency-wide financial management systems, turnaround time for check disbursement has slowed somewhat, from about one to two weeks.
Project staff report that vendors have generally been receptive to the use of the open vendor system, although some initially expressed a preference for a vendorized system in which they would be on a preferred provider list. Project staff believe that the open provider system is effective because there was no vendorization system in place that had to be dismantled.
Some plans entail less than $3,800 in expenses, while others require more. Within the project's total service budget, the additional expenses of the higher-cost plans are offset by savings from the lower-cost plans and from uncompleted plans. Project staff believe that participants are helped by knowing they have a finite budget; they are induced to shop around for the best deal.
Because CEEP operates in a non-governmental agency, it is not bound by state procurement rules for purchases of goods and services, as are state rehabilitation agencies in general. Since the agency within which CEEP operates has no recent history of using a vendorization system, the project did not have to contend with possible vendor resistance to the dismantling of an entrenched system.
"Make Informed Choices When Hiring Contractors" is a project publication representative of the project's approach to educating participants to be prudent consumers.
Make Informed Choices When Hiring Contractors!
Independent Contractors by Tara Kelly
As you all know, the Client Choice Enhancement and Empowerment Project is dedicated to bringing you quality service with the greatest flexibility in choice possible. As this project grows older and we work out the kinks, we have become more aware of which guidelines you, as a consumer of services or a small business owner, need to follow in order to make responsible choices while maintaining the greatest amount of independence in your plan.
So as you work on your plan, you will still have the freedom to choose which agency or individual you want to use when purchasing services, equipment, training etc. however, if you are choosing an individual who is not acting as an employee of a larger company etc., you will need to insure that the person you are choosing is an independent contractor.
What is an independent contractor?
As the name implies, an independent contractor is an individual who offers her/his services to the public for a fee. This person is operating on her/his own and not as an employee of a company or agency.
Why do I need to know?
Knowing whether or not the person you plan to hire is an independent contractor is significant to you whether you are starting a small business or simply hiring someone to provide you a service as an individual. There are many state and federal guidelines governing individual contractors and for tax purposes, you must be able to make this determination in order to protect yourself and follow the law.
How do I Know?
Your counselor has available to you a list of questions to ask yourself when hiring an independent contractor. This list of questions were copied directly from literature created by the state regarding independent contractors.
As the organization dispersing the money you will use for your plan, we are also required to follow these guidelines. Therefore, you will need to provide the following documents to us when hiring any individual to provide services to you before our accounting department can process a check:
So, keep creating innovative plans and making wise decisions as you use the resources of the project to achieve your vocational goals.
Center for Independent Living (510) 841-4776
Step 4 - Putting your plan into action
Once you have been approved for funds through the IWRP, you have the responsibility to contact the "vendors" (schools, training programs, stores etc.) to arrange for payment. There are a couple of aspects to consider in doing this:
You can work with any "vendor" you choose provided they are licensed or qualified to perform the work you are hiring them to do. (i.e., they do this for a business and can provide a Tax ID # or a Soc. Sec. #). Ask your counselor for more information about how to determine this.
Only items outlined in your IWRP will be paid for. If you need additional monies for your plan, contact your counselor to do an amended IWRP prior to making any purchases.
You will need documentation for the accounting department before any checks will be issued. Documentation means an invoice or quote from the "vendor" for the equipment service, etc., or a brochure outlining prices for classes. Other documentation may be accepted. Check with your counselor if you have questions.
Once you have documentation of the prices, you should submit them to your counselor who will then write a "check request" to get payment from the accounting department. However, some "vendors" already have accounts set up with us, or will accept a "letter of authorization" from our program in lieu of immediate payment. Explore these options with the "vendor" and your counselor since any requests for payment take approximately 2-3 weeks to be processed by our program.
When your check is ready you can pick it up directly from our accounting department during regular CIL business hours or at your request the check will be mailed directly to the "vendor". In any event, you are expected to get a receipt from the "vendor" for our accounting department's records.
If you have any difficulties in dealing with the "vendors" during this process, please feel free to contact your counselor for assistance. Most "vendors" you will use are not familiar with our program and will often need some sort of explanation or assurance from someone in our agency.
Step 5 - Success!!
Whether you are starting a small business, getting some training, or simply looking for help with job placement the ultimate goal is to become financially independent. We need your help in "measuring" your success. So, let us now when you get that job, finish that training or start getting paid for your independent work. Send us copies of payments made to you for your work as a small business or a pay stub from your first pay period at work. Something that we can then use to say "this person made it." The success of this program and the idea of "choice" in vocational goals for people with disabilities will be determined by your success. So stay in touch and let us know when it works!
Terry "Herk" Herkimer
Services Manager
Choice Enhancement and Empowerment Project
Berkeley Center for Independent Living
2539 Telegraph Avenue
Berkeley, CA 94704
(510) 841-4776 (Voice)
(510) 848-3101 (TDD)
(510) 841-6168 (FAX)
UCPA reinforces the participant choice aspect of the project by designating participant service budgets as "your money." While the value of the service expenditures for any participant will vary depending on the plan and the services hired, the participant manual explains that "we draw down $9,466 from the federal government in your name."
The national UCPA office in Washington administers the funds, writing checks to providers when approved Requests for Payment are submitted. Consumers approve the monthly requests; the project director also approves them. "If you have approved payment for a certain type of service and if you are satisfied that the outcome is acceptable, we will then pay the provider for the service."
A stated advantage of this payment approach is that the UCPA, not the participant, is then responsible for FICA, 1099s, and other tax and reporting requirements of hiring providers.
While participants are encouraged to negotiate the fees and arrangements for service, the project provides guidelines for expenditure in the plans:
$1,200 Allocated to the Choice Coordinator's Salary
1,000 Employment Advisor
750 For development of a Vocational Profile (Job Developer)
250 Profile meeting (Job Developer)
2,000 For Job Development--finding you the job before you start
250 For a Job/Technology Analysis of your job, before you start
5,216 For Job Site supports (job coaching), equipment,
personal assistance services and any other
legitimate, job related expense
_________
$10,666 Total
- 1,200 Coordinator salary (withheld from each
participant's budget)
________
=$9,466 "Your money"
Several restrictions apply to how the money can be spent:
Fewer restrictions apply to "enhancement credits." For participants who are stabilized on the job, and who have not required the entire budget for their employment goal, fifty-percent of the remaining budget may be expended on employment-related items. One participant interviewed had purchased a car for transportation to his job, using "enhancement" funds. The participant manual also suggests buying a computer, attending a conference, buying work clothing, purchasing items for the work area, or repairs to a vehicle needed for work transportation, as uses of appropriate "enhancement credits."
The Local Referral Committee makes decisions about eligibility for enhancement credits. The Committee can also amend the budget if more resources are needed, if the participant loses the job, or if she or he needs additional services or "big ticket" equipment items such as power wheelchairs.
"Your Money" personal accounts were not adopted in the Michigan Rehabilitation Services (MRS) "Rehabilitation Renaissance" program, even though most other components of the UCPA Choice model were. The reason is that MRS does not set limits on individual customer budgets. However, even though "your money" does not appear in Rehabilitation Renaissance's participant manual, MRS does provide funds for case services and uses informed choice in selecting advisors and other vendors of goods and services.
In the Pittsburgh site, individualized budgets resembling UCPA's personal accounts are under consideration in Allegheny County's public mental health/mental retardation system as a flexible vehicle to pay for personal supports on a hourly basis.
A crucial aspect of UCPA's payment system is the ability to pay employment advisors and other vendors on a timely basis. In response to long delays in getting payments to vendors (some as long as 60 days), each local UCPA Choice project established procedures with the central UCPA office to process payments within 28 days of receipt of the bill. When federal budget negotiations failed in 1995, UCPA was unable to pay vendors on a timely basis, and the "your money" concept lost some of its credibility. Unreimbursed providers complained not to the consumer, but to the UCPA affiliate.
Included in this manual is the "Your Money" excerpt from UCPA's Choice Access Project Manual.
Your Money
The money set aside for you in this project is the most innovative aspect of this new way of assisting people with disabilities to become employed. In developing the federal proposal which we submitted to receive funding for this project, we had to estimate the amount of money it takes for an average person with severe physical disabilities to become employed. We also had to include the price of certain equipment and other services such as transportation and personal assistance services, that might be necessary for employment. We came up with an average of $10,666 per person. This amount was based on our experiences over the past eight years in UCPA's national employment projects. The following section describes how we suggested to the federal funding agency that the $10,666 per person would be spent:
1,200 Allocated to the Choice Coordinator's salary for direct services
1,000 For payment of the employment facilitator through all phases of service
750 For development of the vocational profile
250 For the Profile Meeting
2,000 For Job Development -- finding you the job that you want
250 For a Job/Technology Analysis of your job, before you start work
5,216 For Job Site supports (job coaching), equipment, personal assistance
$10,666 services and any other legitimate, job related expense
This means that you have direct control over approximately $9,466. This is federal money which would typically go to vocational rehabilitation state agencies, but under this new project, it goes to meet your individual needs.
Your Personal Account
Once the Local Referral Committee informs the project office of your participant status, we draw down $9,466 from the federal government in your name. We then set up an account in your name in our computer from which we will play for the services you need to become employed. Each month we receive Request for Payment forms from providers. If you have approved payment for a certain type of service and if you are satisfied that the outcome is acceptable, we will then pay the provider for the service. You may request from the project office a copy of your account at any time. The Voucher Accountant in the Gautier, Mississippi, project office is Sonia Hester. Her phone number is (601) 497-6999.
Even though service providers should treat you as their employer or customer, you do not have an employee/employer relationship for Federal or State Income Tax purposes. This means that you do not need to worry about withholding FICA or issuing a "1099" sub-contractor form. UCPA handles all that for you. This is the reason we hold your money in our account in Washington, DC. By doing this, we not only can assure that the money is spent appropriately, we keep you from having to report to the IRS on your payments to providers and facilitators.
Cost of Services
The rates to be paid to providers can vary and you are free to negotiate for the most reasonable cost for any unit of service. However, the rates suggested above are a fair average cost of service in the three project cities. If you are successful in negotiating for a less expensive service, place that amount in the appropriate blank on the Voucher Contract Form (see page 27 for example).
No further approval is necessary to proceed. If you and the provider agree on the suggested rates, simply check the blank space and no further approval is needed. If the provider which you have chosen requests an increased rate, and if you are willing to pay that rate, write the rate in the appropriate blank and forward the contract to the Choice Coordinator for approval. Contracts written for more than the suggested rates are not valid until approved by the Choice Coordinator. We will generally approve reasonable charges for more than the suggested costs, but we want to insure that you realize that services of equal quality might be available at a lesser cost from another provider.
Important note: We will not approve any open-ended, hourly rate for any service. The Vocational Profile, Profile Meeting, Job Development and Job Analysis may be paid only with a fixed rate, agreed in advance. The Employer-Directed Job Site support plan is to be re-negotiated monthly, but is paid on an hourly rate. Therapy, rehabilitation technology, personal assistance services and transportation may be paid for hourly, but it is necessary to submit a monthly contract with a firm estimate for service. This protects you from having a provider run up a large number of hours, without your knowledge, and thus depleting your account.
Can I Purchase Equipment with My Money?
Yes, although there are some strings attached. Many persons with severe physical disabilities need power wheelchairs, communication devices, and specialized equipment or job stations. This project can pay for such items, but it is clear that a power wheelchair could use up most of the money which has been allotted for you. Therefore, it is our policy that participants must clearly demonstrate that they have used every other means possible to purchase these "big ticket" items. Your Employment Facilitator and Choice Coordinator can assist you to apply to Medicaid, to develop a PASS plan with Social Security or to present a proposal to a foundation or local charity. If these efforts are unsuccessful, or have already been tried, you may request a major equipment purchase through your Choice Coordinator.
Your personal choice will be supported to the greatest degree possible, but you will have to submit to a bidding process mandated by the UCPA purchasing policies. In the event of a disagreement concerning the purchase of a "big ticket" item (any item costing $2,000 or more), the Local Referral Committee in your area will be asked to intervene and make recommendations to the Project Director. In the event that a major equipment purchase zeroes out your account, see the next section.
Michael Callahan
Project Director
UCP Association
4101 Gauthier-Vancleve Road
Gauthier, MS 39553
(601) 497-6999 (Voice)
(601) 497-6966 (Fax)
Leslynn Angel
UCP of Metro Detroit
23077 Greenfield, Suite 205
Southfield, MI 48075-3745
(248) 557-5070 (Voice)
(248) 557-4456 (Fax)
Mary Twiss
Manager
Customer Services Unit
Michigan Jobs Commission'
Michigan Reabilitation Services
P.O. Box 30010
608 W. Allegan, 4th Floor John Hannah Bldg
Lansing, MI 48904
(517) 373-4035
Other promising practices include those that have been implemented and which appear to increase choice, but do not fit well in the other categories described.
In the Vermont Choice project, feedback on counselor performance from participants is formalized in the annual Consumer's Counselor Performance Evaluation. As the evaluation report states, "The contribution to the (counselor's) annual evaluation from the Choice project is derived totally from the participant interviews conducted." The example evaluation reviewed in our study was based on 82 surveys collected over a 12-month period. The surveys were conducted by independent contractors. The evaluation covered the following areas of participant feedback:
This form of evaluation, based on participant feedback, is designed to ensure that the system and the service provision is responsive to the participant.
The Choice project's "Consumer's Counselor Performance Evaluation" is a component of Vermont's new "360 Degree Evaluation" system which, in turn, is a component of the division's "Vision 2000" reform initiative. This performance review system uses feedback from consumers, supervisors, referral sources, vendors, and others to evaluate counselor performance on an annual basis. A sample of a counselor's caseload is selected at random. An independent third party, Macro International, surveys the consumers via the telephone and also follows up with referral sources and vendors identified in the case. DVR reviews data from the telephone survey along with input from the counselor's supervisor and peers. By asking very specific and carefully worded questions, and by using an independent party to conduct the consumer telephone interviews, the Division has attempted to reduce the tendency for consumers to provide favorable ratings for fear that services might be withheld.
To illustrate how the Vermont Choice project has operationalized the counselor performance evaluation, we provide a "Consumers' Counselor Performance Evaluation" example incorporating the data from the telephone survey and a blank "Consumer Choice Participant Survey."
Consumers' Counselor Performance Evaluation
To: Casework Supervisor
SRO
From: Michael Collins
Coordinator
Choice Project
Re: Final Evaluation/Annual Evaluation
Date: 12/16/96
The contribution to annual evaluation from the Choice project is derived totally from the consumer interviews conducted over the past year. A total of 82 surveys were collected from caseload during the previous 12 months ending November 14, 1996. Also, as with last year's contribution, the feedback is packaged by the three categories of: 1) Empowerment; 2) Satisfaction with assistance; and 3) New skills and abilities.
Empowerment and Control
Consumers were asked to rate services according to the standard school grading system. "A" indicates "very satisfied" and "F" indicates "very dissatisfied".
95 96
I choose them myself 30% 37%
My counselor chose them 16% 10%
We chose them together 54% 47%
95 96
A 74% 74%
B 26% 20%
C 0% 5%
D 0% 1%
F 0% 0%
95 96
A 73% 74%
B 20% 18%
C 5% 6%
D 2% 0%
F 0% 3%
As with last year's evaluation, there is tremendous amount of variation in the selection process but a high degree of satisfaction with the various processes. Ninety five responses represent 37 surveys, while the 96 data is based on 82 surveys. Our overall level of confidence in the accuracy of these perceptions increases greatly with the increased input, but the overall picture of performance remains outstanding from the consumer viewpoint.
Satisfaction with assistance received
A B C D F
1) quality of assistance 95 67% 29% 2% 2% 0%
96 66% 28% 4% 1% 0%
2) timeliness 95 75% 22% 2% 0% 0%
96 72% 19% 6% 3% 1%
3) adequacy of support 95 79% 19% 0% 0% 2%
96 71% 21% 4% 3% 1%
There is very little room for comment on these perceptions. The consumer feedback remains very uniform and with the tremendous increase in number of surveys, the perceptions of consumers remain steadily enthusiastic. By combining the A's and B's, the approval rating is constantly near the 95th percentile.
New Skills and abilities Better No Change Worse
1) making decisions on your own 95 61% 29% 10%
96 62% 22% 16%
2) identifying resources on your own95 63% 27% 10%
96 68% 17% 15%
3) Planning for your future 95 66% 24% 10%
96 67% 19% 15%
The 15% of consumers who have indicated that they now have less skills and abilities are an interesting sub-group identified through this annual evaluation exercise. The implication is that something we have done with 15% of our consumers (represents 12 of the 82 surveys done this past year from R's caseload) has resulted in a decreased ability to make decisions, identify resources and plan for their future. This finding is consistent across all of our counselors. Therefore, we have identified a programmatic need to investigate what happened with these people. (Statewide, the figure is approximately 12% or 44.) This finding, because it is not unique to caseload, identifies either a problem in the overall program design or a problem with the way we are surveying our consumers. (i.e. how we ask the question)
Over 60% of caseload are indicating an increased ability to take control and plan for their future. As skills teaching was an area that we chose to focus on in the Choice program, it indicates that is making significant progress towards the achievement of that goal.
Finally, 98% of those surveyed would use assistance again and 99% would recommend it to a friend. This is an overwhelmingly positive picture of the quality of services as portrayed by her consumers. My only regret is that this represents her final evaluation.
Consumer Choice Participant Survey
Rev. 3/28/96
NAME: _____________________ DATE: ________
Review: ___ 6 month ___1 year ___18 months ___closure ___follow-up
___information |
___counseling |
___school |
___medical equipment |
___training |
___technical support |
___referrals |
___money |
___job search |
___mentor |
___vendor |
___other |
Explain: ______________________________________________________
_____________________________________________________________
1a. How satisfied were you with the amount of choice and control you have in working with your counselor to achieve your vocational goals?
___very |
___somewhat |
___somewhat |
___very |
satisfied |
satisfied |
dissatisfied |
dissatisfied |
Why? ________________________________________________________
_____________________________________________________________
___self |
___counselor |
___together |
___other |
Explain: ______________________________________________________
___very satisfied |
___somewhat satisfied |
___somewhat dissatisfied |
___very dissatisfied |
Why? ____________________________________________________
____________________________________________________
the quality of the assistance you have received?
__A excellent) |
__B (good) |
__C (average) |
__D (poor) |
__F (very poor |
the timeliness of the assistance?
__A excellent) |
__B (good) |
__C (average) |
__D (poor) |
__F (very poor |
the support you have received?
__A excellent) |
__B (good) |
__C (average) |
__D (poor) |
__F (very poor |
________________________________________________________
________________________________________________________
a. your ability to make good decisions on your own
__better __no change __worse
b. your ability to identify helpful resources on your own
__better __no change __worse
c. Your ability to plan for your future on your own
__better __no change __worse
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
Michael Collins
Choice Project Coordinator
Division of Vocational Rehabilitation
Department of Aging and Disabilities
103 S. Main Street
Waterbury, VT 05671-2303
(802) 241-2186 (Voice/TTD)
(802) 241-3359 (Fax)