Assurance: This attachment summarizes the public comments on the State Plan and its Supported Employment supplement, including comments on revisions to the State Plan and its supplement, and DRS’ response to those comments.
The Virginia Department of Rehabilitative Services (DRS) provided members of the public with the opportunity to participate in developing the 1999 State Plan for Vocational Rehabilitation (VR) and Supported Employment (SE) and the 1999-2002 Independent Living (IL) State Plan. Public hearings were conducted at six locations throughout the Commonwealth during March and April 1998. The State Rehabilitation Advisory Council (SRAC) and the Statewide Independent Living Council (SILC) co-hosted each public hearing. Additionally, mailed, faxed, and telephoned public responses were solicited and accepted through April 6, 1998 for this State Plan. Independent Living Public Comments are being reported separately in the IL State Plan.
To promote participation in the public hearings, DRS distributed more than 2,000 notices to organizations, consumers, disability advocacy groups, service providers, Virginia's Native American tribes, and other interested parties in accordance with the Rehabilitation Act and federal regulations [CFR 361.20 and 361.34]. The department also promoted the State Plan public hearings via local radio, TV, newspapers, and through promotions by local DRS staff.
The following list of public comments on the State Plan has been arranged by subject matter. In some cases, comments on the same subtopic are grouped together and given a "consolidated" response from DRS. Comments are reported verbatim, with some limited editing for clarity.
General Comments. Virginia Goodwill Coalition commends DRS on placement pilot projects like that now operating in Roanoke that has already served almost 30 consumers. These models work but need to be expanded with better coordination between the vendors and the local DRS offices. DRS leadership to support appropriate referrals and solid coordination between your offices and local vendors is essential to this program that has already proven successful in certain locations.
Agency response: Thank you for your remarks. Your input will be considered in the DRS decision-making regarding placement.
The Economic Development Grant our ESO receives from DRS has had enormous positive impact. We use it to develop partnerships with business.
Agency response: The department’s Economic Development Fund provides funding and project oversight for new and continuing projects and technical assistance activities for eligible ESOs. The purpose of the Economic Development Grant Fund is to improve the overall employment opportunities for persons with disabilities served through ESOs. Specifically, the funds are used to :
I am with the Jackson River Enterprise which serves Bath County and Covington. Jackson River works with individuals with mental health illnesses, mental retardation, substance abuse, and head injuries. I have appreciated the relationship with DRS staff who treat these individuals with dignity and respect. I’ve also appreciated the support DRS has shown for my organization.
Agency response: DRS works with ESOs to develop and maintain quality programs. We will continue to be available to ESOs to provide technical support. Your comment is appreciated.
On-Going Supports. Supported Employment needs to develop job expansion, transferable skills, cross training, job advancement, etc. There is a big problem that, once individuals are placed and closed by VR, they remain in the same job rather than experiencing change and advancement, and they burnout and lose interest in the job. This affects their productivity and attendance.
The problem with the Supported Employment program is that consumers need ongoing support services, and funds are not available to provide them. We need more Long-Term Employment Support Services (LTESS) funding as well as LTESS funding for a wide range of disabilities. I suggest DRS adjust its annual budget request for inflation.
LTESS funds have gone a long way to help provide follow-along and training services to people with severe disabilities. (2 people)
We participate with DRS and the local Community Services Board (CSB) to provide SE. There is a need for more funds for training so we can place more people into community placement.
I’d like to correct a misunderstanding, LTESS does not take away CSB follow-along funds.
Supported employment is the best avenue for people with severe disabilities to get into competitive employment. It’s very important to have follow-along and training.
Agency response: DRS recognizes the benefits of SE for many people with the most severe disabilities, and the need for funds to train and otherwise prepare SE customers for community-based placement. More and more dollars are being spent on providing SE for customers with the most severe disabilities, and DRS continues to budget local office funds and develop case services budgets according to projections and utilization trends, re-assigning administrative funds to case service dollars wherever possible. Training is provided on an ongoing basis and often includes funding for registration and other costs for DRS and vendor staff.
With the addition of more LTESS dollars, the agency is working to ensure fair and appropriate allocation to the vendors providing these services. LTESS funds have served individuals for whom no other source of long-term follow-along exists. A Steering Committee, composed of representatives from the Virginia Association of Community Rehabilitation Providers (VaCRP), the Virginia Association of Persons in Supported Employment (VaAPSE), other representatives of ESOs, and DRS staff meets every spring to review and monitor the flow of these limited funds and to recommend new allocations. The final decision on the allocation plan is made by the DRS Commissioner. The Steering Committee re-convenes in the fall to assure that these funds are going where they are needed. LTESS funds received by DRS are not carried over from one year to the next, and what is not spent reverts back to the General Fund. The LTESS funds were received because of efforts of many ESOs supporting the initiative. CSBs were part of that effort and are included in any distribution, and now have two representatives appointed to the Steering Committee. The DRS Office of Employment Services Organizations and Special Programs (OESSP) administers the LTESS dollars in the recommended fashion as determined by the Steering Committee. Ongoing technical assistance is available in the use of LTESS. Refresher training on the history, purpose, use and allocation of procedures for LTESS funds is being coordinated through OESSP for VR and ESO staff.
It is a required part of the VR process that customers, with agency staff, do both short-term and long-term planning for meeting their employment goals. For those in SE, there are procedural checks and balances prior to case closure to ensure the quality of their job placement; if they are dissatisfied or unsuitably placed, the VR counselor works with the customer and the vendor to remedy this. Once a VR case is closed, it is the responsibility of the customer and/or vendor to alert DRS if the case needs to be re-opened for the customer to obtain further agency assistance. It is required that counselors discuss post-closure options with each customer at the beginning of their VR program and again at the time of case closure. Although counselors are required to put this in writing for the customer only when the case is opened, many counselors also do so when the case is closed.
ESO Standards. What does DRS hope to obtain in having CARF (Commission on Accreditation of Rehabilitation Facilities) accreditation? The present standards are sufficient.
Is CARF the only national accrediting organization? If not, what are the choices? Accreditation by CARF would cost our organization about $4,000-$5,000. Will there be help available to pay for this? Would it be possible to use outcomes to measure quality, instead of standards? A staff of the Virginia Goodwill Coalition stated that DRS has built a solid infrastructure of ESOs - like the Goodwills - to provide employment services. Getting them accredited to assure certain degrees of quality and safety and then using them to maximize their impact and increase the employment options for consumers is where we stand ready to work with you for even better results.
Virginia Goodwill Coalition strongly encourages DRS to initiate measures to require some type of accreditation such as that offered by CARF or by organizations like Goodwill International. The Goodwills accredit their own facilities. It is a similar process to CARF. Not to accredit the ESOs would be shirking our responsibility to provide services for consumers in appropriate and safe environments that respond to individual consumer needs with competent staff.
I think accreditation would be a good idea.
Quality of services is important. My organization [an ESO] monitors this through quality assurance. We remain aware of the needs of our consumers and try to meet these needs to the highest level. I think it is a good idea to have accreditation across the board. The cost of CARF would break my budget, but if DRS provided financial incentives we would become accredited. Even if, for example, DRS could fund $2,000 to a small facility to become accredited, that probably would not cover expenses associated with the accreditation review.
ESO accreditation is not a nicety but something that should be done. DRS and the ESOs have kicked the idea of accreditation around for about 15 years. Certain incentives are needed to have facilities/vendors be accredited by a viable organization. Accreditation ensures that basic health and safety concerns are addressed and ensures a certain quality of staff. DRS and the ESOs need to address accreditation now.
My ESO receives DRS support for less than 22 percent of our 120 employees. There is pressure to provide some kind of evaluation and accreditation plan for all ESOs that results in very costly barriers to the operation of many smaller and rural ESOs. Very large ESOs in urban areas that receive millions of dollars from Community Services Boards are accredited by CARF. Their budgets allow them to employ staff specialists (e.g. case managers, social workers, behavior modification specialists), that allow them to meet CARF criteria. Many of us in rural Virginia do not have that funding and have very slim prospects of being able to meet CARF standards. We do not believe that well financed ESOs should be setting the trend and demanding that the state office require all of us to be accredited by CARF. There obviously needs to be some review and evaluation of the service provided, quality and quantity, by each of these organizations receiving state funds. However, the provision of locally needed services provided, differing missions of each ESO, and the varying formulas of financial support systems challenge the applicability of a single accreditation system. In 1997, Vector Industries took every dollar that the State of Virginia provided and generated $13.32 to put in the pockets of our employees with severe disabilities. We think that this is the most important accreditation standard.
Those who favor unified ESO accreditation standards maintain that benefits including improved quality services will justify the process. We know that the one doesn’t necessarily follow the other. Accreditation-involved requirements such as revised policies, procedures, staff functions, forms, meetings, and amended client records can be in place but that might not drive positive outcomes. If the organization doesn’t have the philosophy, doesn’t have the corporate culture, and doesn’t do what those elements demand of it, standards could produce no-value-added expenses and misleading expectations.
Goodwill Industries of Tenneva Area, Inc. recommends that each ESO use their accreditation standards. For example, we have just completed our three-year certification review conducted by Goodwill International. We will forward a copy of our certification to you when it is finalized. We definitely do not wish to go with CARF certification and wish to continue using our own certification.
Our Community Services Board is now looking at the accreditation issue. We are struggling with the cost/benefit of any accreditation decision. If DRS would provide financial assistance to meet the costs of accreditation, then accreditation would be less objectionable.
National accreditation is expensive for ESOs. Obtaining and maintaining accreditation will be incredibly difficult for smaller ESOs to afford. The result will probably be mergers and fewer vendors.
Agency response: DRS was pleased to provide the opportunity to receive public comment through the public hearing process on the issue of standards for ESOs and greatly appreciated the thoughtful input which was given. Federal law requires DRS to establish, maintain, make available to the public, and implement written minimum standards for the various types of facilities and providers of services used to provide VR services. Examples of how this may be accomplished are issuance of standards with reviews for compliance and/or the requirement of national accreditation through a recognized vocational rehabilitation accrediting body. The present DRS system accepts national accreditation as an indicator that providers are meeting minimum standards. Organizations that are not nationally accredited in vocational services are subject to DRS on-site standards reviews. DRS in the past has accepted Goodwill International Certification in lieu of national accreditation or the completion of a review by DRS.
The issue which continues to face DRS is how to effectively and efficiently adhere to the federal requirements for community service provider standards. In researching the alternatives for ESO standards, DRS learned that 32 state VR agencies require CARF accreditation. Another 9 states recognize CARF in lieu of state reviews. CARF has been identified as the most widely recognized accrediting body for vocational rehabilitation programs. The average cost of organizations currently accredited by CARF is $5,870 with an average of $1,950 per surveyed site because some organizations have multiple sites. When these figures are spread over a 3-year period of time, it averages $652 per site. DRS has noted that the ESOs currently accredited are large ESOs with multiple sites. It is estimated that an average accreditation cost in Virginia would be approximately $5,000.
DRS agrees that quality service provision is desired by all and acknowledges the concern of smaller organizations regarding the cost of national accreditation. In determining whether to require national accreditation for providers, DRS seriously will consider and address technical assistance support, financial incentives to offset portions of the initial cost, and acceptance of the ongoing costs of accreditation as valid costs of doing business in determining fees for services rates for individual programs.
Youth and Young Adults with Disabilities. I am a school psychologist and transition coordinator with the Salem Schools and I have appreciated the working relationship with DRS in serving youth in transition. The assessment services from DRS have been excellent. This year we doubled our request for assessments and we will need more help as this population grows. More counselors are needed in the middle schools to provide assistance to this age group in order to prepare them early for vocational rehabilitation.
Agency response: DRS values the cooperation in local school systems across the State. It is only through collaboration and genuine partnerships that we can maximize our resources and use our respective service capacities in ways that will lead to desired vocational outcomes for our shared consumers.
We have proposed several pilot projects that would open the door for earlier intervention for youth in transition. Implementation of these projects is contingent upon grant funding. Local schools provide services to mutual consumers, such as transportation for students to WWRC’s PERT program, or direct match funds for creative vocational programs such as those in Scott and Smyth Counties. Smyth County Public Schools and DRS have partnered to purchase a Clear Floor Auto Lift to improve and expand the Auto Reconditioning and Detailing Program training curriculum. Auto Detailing jobs have been designated for students completing this program. The Scott County schools and DRS have partnered to purchase equipment to instruct students with disabilities in welding. They then become employed at Fluor Daniel Construction Company. To date 5 students have become employed as welders, earning over $14 dollars per hour.
Recent changes in IDEA change the age at which local schools have to begin addressing transition issues from 16 to 14, which is usually middle school. DRS must develop strategies for assisting with this. Ideas include: counselors making presentations once a year to middle school students about DRS and what to expect after they enter high school; upgrading our resource information to include videos, discs or other multi media information which introduce DRS without having to have a counselor there; and resource fairs beginning in middle school rather than high school. Currently, it is not feasible for counselors to begin working with all 14 year olds.
Consumer Choice. Move DRS to a system of consumer choice when more than one vendor is available. Do more to make consumers aware of their choices. Facts provided to consumers on vendors could include the vendor’s history of success, customers’ outcomes, etc.
Agency response: Where there are multiple vendors and multiple choices of employment specialists, counselors assist customers in choosing their services and service providers. We agree that a vendor’s track record is important for meaningful consumer informed choice. The 1997 amendments to the Rehabilitation Act mandate that the scope of services included in an Individualized Written Rehabilitation Program (IWRP) must be, among other things, consistent with the individual's informed choice. The Act specifies that the IWRP must include statements concerning how the individual or his/her representative was informed about and involved in choosing among alternative service providers. The customer considers many factors in choosing service providers. Last year, DRS made information available to all field staff for the first time, about the rates, expenditures, and customer outcomes of all SE vendors. This information will be disseminated again this year and adds an additional component to the information to be shared with consumers.
Need for Pre-IWRP Cost Services. The vocational rehabilitation system needs to be changed to allow for customers to receive services needed for employment before the finalizing of an IWRP. Often customers have to wait for equipment being purchased by DRS before they can start their employment. Employers are not going to wait for individuals to receive needed equipment. The equipment needs to be in the hands of the customer so that they can immediately start to work when the job offer is made.
Agency response: Only assessment services and those services needed by an individual to participate in an assessment may be provided prior to development of an IWRP. We have worked hard in the past year to streamline the VR system in an attempt to eliminate delays in service planning and provision. An alternative, which has been emphasized with counselors, is the use of a general occupational goal that allows for earlier plan development based upon interest in a broad category of occupations rather than a specific job. We believe that the VR system can and must be responsive in meeting customer needs when jobs are at stake.. We encourage customers to work closely with their rehabilitation counselors to be proactive in the IWRP development process to identify goals as quickly as possible. It is difficult to document that an individual needs service to enter employment without having spent some time focusing on what that employment should be. Once the employment goal is established, it should not take long to plan for those services that are needed.
Employment. I have been a DRS client since 1968 and it is important that there be support for people who need to get an education before seeking employment.
Agency response: DRS agrees. DRS’ training and education expenditures have significantly increased during the 1990s. We are applying available resources to individualized training needs appropriate to the vocational goals selected by customers. DRS services are provided under an IWRP that identifies with the customer those services needed for the individual to reach his vocational goal. Educational services, vocational training, medical services, transportation services and job placement services are examples of specific services that may be appropriate. The inclusion of any of these services in an IWRP is dependent upon the vocational goal for the individual and the relationship of the service to achievement of the goal. DRS supports vocationally necessary education. Federal and state financial aid programs exist to assist financially eligible individuals to pursue educational programs that are not directly job related.
DRS is another barrier to employment: 1) staff discourage clients by advising them that working may jeopardize SSA benefits, 2) staff don't have the systems needed to place clients in high tech jobs inside the Beltway, and 3) the policy that Woodrow Wilson services are not taken from the counselor’s case service funds, but community-based services are taken from case service dollars, encourages the counselor to use WWRC even when consumer would be better served (or wishes to be served) in home community (natural supports, learning to re-function in home and community environment, etc.).
Agency response: 1) Part of informed choice is understanding the consequences of participating in a return to work program. It would be irresponsible for DRS counselors to overlook the potential loss of disability benefits, both public and private, associated with employment success. We don't advocate that customers not return to work because of potential benefit loss. Instead, we advise customers of SSA work incentives as well as disincentives. Only with his information can the customer make choices in his/her best interest. 2) DRS has tested a new job placement approach in Northern Virginia during the last 18-24 months. In this approach, DRS has dedicated 2 employment services specialists to serve employers. Reports have been promising in demonstrating timely response to employers with manpower needs, even when the needs are in high-tech fields. Employment Resource Centers also have emerged as a vehicle for connecting customers electronically with job leads. Customers using the Resource Centers can learn about job openings and submit resumes and applications via the Internet in one sitting. Marketing and placement staff in Northern Virginia and throughout Virginia are committed to finding appropriate jobs consistent with customer strengths and interests. 3) It is true that WWRC services are not a part of the counselor's case service budget. This, however, does not mean that WWRC services are free. Instead payment occurs through another mechanism There is no reason that a customer would be encouraged to choose WWRC services over comparable services in the community. At the time, decisions are affected by availability of services and of ancillary support services such as transportation. In the end, the customer has a choice about the provider of services.
DRS and WWRC vocational evaluation doesn't adequately assess people's computer capabilities - it is too focused on work samples. DRS should put the person in front of a computer to assess whether the person has the aptitude for spreadsheets, for example. The DRS rehabilitation process takes too long. There are many high tech companies, like America Online, with many vacancies inside the Beltway. DRS and WWRC need to link with these employers to find out what computer skills are needed and develop a system to quickly place clients in these vacant jobs after training.
Agency response: DRS has purchased computer software (QUIZ) that will allow evaluators to test the customer's knowledge and proficiency on various types of computer software This software is the package of choice for many temporary agencies and is preferred for the testing of customers who are being evaluated for jobs. We look forward to using this software as a means of ensuring that our customers meet industry standards.
Business Leadership Network. CRESTAR joined forces with the President's Committee on Employment for People with Disabilities. We have two main goals: 1) to make services more accessible for customers with disabilities, and 2) to improve opportunities in employment for persons with disabilities. DRS has been very supportive in getting this project started.
Agency response: DRS has provided situational assessments and job analyses for various positions in CRESTAR and has placed customers in jobs there. Customers are prepared for positions and employers have been invited to recruit at no cost. In April, DRS presented a training seminar to the human resource managers of CRESTAR to assist them in identifying VR customers for positions. Other businesses will probably utilize the pool of qualified DRS customers for their positions. DRS is pleased with this emerging partnership that serves the business community and creates employment opportunities for DRS customers with severe disabilities. We commend CRESTAR for taking a leadership role in this endeavor.
Mode of Communication. DRS’ program to train/hire job coaches in American Sign Language has improved service delivery quality. DRS should hire service providers who are bilingual in Spanish and English to better serve growing Hispanic population in Northern Virginia without having to use an interpreter.
Agency response: The program to train job coaches in American Sign Language has been very well received with the local Employment Service Organizations. DRS plans to continue this endeavor to increase job coach services for our customers who are deaf. In addition, based on customer need, DRS can work to identify services providers to serve our Hispanic customers.
Outreach to Minorities and Equal Treatment. Because the Black community is largely and disproportionately underrepresented in vocational rehabilitation, DRS needs to provide better outreach to this population so that they become knowledgeable about DRS services. In addition, DRS needs to ensure that minorities are not discriminated against in the vocational rehabilitation process.
Agency response: Twenty-nine percent of the people accepted for services in State Fiscal Year 1997 were African-American, significantly more than the percentage of African-Americans in Virginia (23%). Irginiaivcroepole Figures for DRS’ employment of staff are similar, and show high levels of African-Americans hired and promoted. While we are proud of these successes, there is more that can be done. DRS is working to initiate an agreement with Norfolk State University, an Historically Black College, to provide training to minority graduate students planning to enter the vocational rehabilitation field. In addition, DRS’ Southwest Region is entering into partnerships with inner-city organizations to make information on DRS and VR more available to minorities. This will involve outreach efforts in subsidized housing areas.
Counselor Kudos. The VR counselor became a valuable asset in my recovery process. The Department of Rehabilitative Services has assisted with college tuition, eye glasses and with dental care. My counselor in Franklin should be commended for her competence, devotion to her clients and the professionalism she exhibits. She should be rewarded for her hard work and long hours. She suggested early in my recovery process that I should consider going to Woodrow Wilson Rehabilitative Center. So, in May 1997, I entered Woodrow Wilson and had vocational evaluations performed and, in October of 1997, I became a full-time student at Woodrow Wilson. DRS has offered me a chance at a new life, an education and to prepare me for future employment.
The most important thing that DRS has offered me is to prove that I can live independently. This has occurred through raising my self-esteem and helping me to believe that it is possible to make my dreams become a reality. I realize that it is primarily the high school’s responsibility to prepare students for junior college or college level courses; however, I believe that some students here could use preparatory courses for junior college or college. This should include a prep course for the SAT college entrance examination for those who want to get more of a managerial type job, similar to the GED preparatory course that is currently offered here.
My local counselor sent me to the Project Access Program at WWRC. Project Access is a three-month computer course teaching how to efficiently use the Microsoft Works computer program. Following the completion of this course I was able to obtain a part-time job at Retired Person Series, a pharmaceutical company in Roanoke. Six weeks later I was hired at another catalog company in Roanoke, this position eventually become a full-time position.
My local counselor gave me an opportunity to go to just about any school I wanted. I did a lot of research and found that a lot of companies preferred a certificate from WWRC to those from a lot of computer schools. They thought WWRC was a lot better. I came to WWRC for an evaluation. I was surprised with what I saw – a lot of talent, a lot of good people there - staff as well as students. WWRC is an excellent school.
Agency response: These are examples of the kind of rehabilitation outcomes we like to see. It is a testament to the Field Rehabilitation Program and the Woodrow Wilson Rehabilitation Center working in tandem to help customers reach an employment goal. It is always gratifying to hear about customers with successful outcomes and about counselors and other DRS staff who perform their jobs in an exemplary fashion. We happen to believe that we have a staff that is outstanding in their commitment to serving people with disabilities and in their knowledge of public and private resources. SAT college entrance preparation has been, and continues to be, available at WWRC through our academic support staff, who are fully licensed and credentialed through the Virginia Department of Education. There are no plans to reduce this support service.
Our son has chronic pain and couldn't continue drafting training at WWRC. We are frustrated because none of the hospitals (MCV, UVa) could help him. I want WWRC/State of Virginia to help us locate medical treatment to help our son with chronic pain so he can continue job training.
Agency response: Chronic pain, like many serious disabilities can be extremely frustrating to individuals, their families, and to service providers. Follow-up conversations between these parents and the DRS Commissioner are continuing. Local DRS staff, in consultation with medical staff at WWRC, are looking at alternatives to address the issues that caused an interruption in training services.
DRS is not doing enough to help consumers learn to use personal computers. DRS should use CILs to provide hands on familiarity with personal computers.
Agency response: DRS has added regional rehabilitation engineers and is looking for partners (CILs, ESOs, etc.) that want to provide community-based services to provide assistive technology assessment, computer training, etc., for our customers.
Long Term Mental Illness (LTMI) Program. The International Association of Psycho-Social Rehabilitation Services (IAPSRS) commends DRS for hiring creative field workers who are willing to learn more about psychiatric disabilities and serve this population well. We would like to encourage DRS to support these workers and to ensure that they have the resources necessary to provide quality services to individuals with psychiatric disorders. Recent tools and technology to move citizens with severe mental illnesses from permanent disability to recovery are available and are improving. As an example, the Patient Outcomes Research Team (PORT) survey of patients with schizophrenia contains important treatment recommendations that include the inclusion of vocational rehabilitation services. We know that for psychiatrically impaired individuals with professional or technical skills, a 70 percent return to work rate can be achieved. We know this because 60 such individuals achieved this rate of success in a Demonstration Project fund RSA here in Virginia. We encourage DRS to consider using the IAPSRS tool kit for assessing outcomes for individuals with severe mental illness across various domains including the vocational. The LTMI clubhouse setting, in our opinion, has provided positive employment outcomes for our population. Consequently, we urge DRS to expand the number of club house vendorships for Transitional Employment and SE as well as to expand the number of field workers located within clubhouses across Virginia. One area of concern is the documented need for Long Term Employment Support Services for our population. Funding for extended follow-along services is critical for individuals to maintain employment. In this context, we urge DRS to continue commitment to Long Term Employment Support Services dollars and we will continue our advocacy with the General Assembly on this crucial issue.
IAPSRS shares DRS’ concern that purchased services need to be held to standards. We encourage DRS to follow the direction of other states in expecting vendors to have documented certification/accreditation. Such accreditation acknowledges that differing disability groups require differing rehabilitation services, avoids expensive duplication of multiple licensing/ certifications, and also avoids the risk of handing off the decision-making process to one outside, generic organization. IAPSRS has nationally field tested and approved Practice Guidelines that are being implemented by many of our member organizations in Virginia. A National Registry has been developed to meet the needs of programs, payers, and consumers to have a benchmark of practitioner experience and knowledge. A code of Ethics and a Statement of Principles of Multi-cultural Psychiatric Rehabilitation Services is available and is in use in member agencies. We suggest that this plus licensing policies and procedures developed by DMHMRSAS is enough to ensure the quality of DRS purchases. JCAHO, CARF, and other accreditors may be more appropriate for DRS vendors that work with other populations.
Agency response: DRS would like to apply the most effective tools and technologies for evaluation/assessment as well as service delivery for persons with severe mental illnesses. We will contact IAPSRS to learn more about the PORT survey and other available assessment tools to determine appropriateness for our purposes.
DRS has committed 12 counselors to work primarily with clubhouses across the state. DRS field counselors can provide services to clubhouses, but it would be only one of many referral sources. The comments about expanding staff in clubhouses are being explored with the DRS Regional Directors, who are responsible for the allocation of staff resources within the limited number of staff positions allowed DRS.
DRS has a vendorship application process which should be followed by any clubhouse interested in offering Transitional Employment and Supported Employment Services.
DRS recognizes the need for long term employment support services for this population and will continue its commitment to LTESS dollars. IAPSRS advocacy with the General Assembly regarding this issue is appreciated.
We need a full-time trainer/placement counselor at our clubhouse. It’s really important for a counselor to be there in person.
Agency response: DRS recognizes the value of a full-time trainer/placement counselor at the clubhouse. However, at this time, we are unable to provide a full-time counselor. We will continue to assess our personnel resources to try to make services available at this clubhouse.
The CSB program in Portsmouth has never had a good relationship with DRS. We have not had a DRS counselor to help with placement, counseling, etc. We could really use the help.
Agency response: DRS is surprised and concerned about the comment regarding the relationship between DRS and the Portsmouth DSB. DRS has a designated specialty counselor to provide services to persons with substance abuse disabilities and has experienced very positive employment outcomes resulting from this staff resource. We will continue to review our staff resources and ways to strengthen the relationship with the Portsmouth CSB Mental Health Services. The contractual responsibility for providing employment support services will need to be reviewed.
Our Clubhouse is fortunate to have an on-site counselor from the DRS LTMI Program, and we are grateful for the support. However, there are still lots of post-closure problems for people with long-term mental illness. The changes that have already been made in what DRS counts as "successful placement" need to be continued and strengthened; there needs to be a more flexible definition of "successful placement" for individuals with long-term mental illness.
Agency response: Within the framework of the federal regulations, DRS will continue to explore options for "successful placement" and flexibility for persons with the most severe disabilities. We understand the need for continued supports after closure and appreciate the supports also offered by other agencies and programs.
Support Systems for Customers with Mental Health Illnesses or Mental Retardation. The Highlands Community Services Board, which serves Bristol and Washington County, provides treatment and support services for individuals with mental health illnesses, mental retardation and substance abuse. The CSB has a good working relationship with the DRS Abingdon field office in developing employment options for clients with these disabilities. People with serious mental illness or mental retardation, however, need continuing support systems to be successful in employment. There needs to be a continuum of employment options, from work adjustment to entrepreneurial opportunities, to reach successful outcomes. The types of technical support which are needed include 1) employment options that match the individual with the job based on the individual's unique knowledge, skills, and abilities; 2) providing entrepreneurial opportunities to customers who may be more successful in self employment than working for another individual; 3) providing opportunities for customers to become employed by DRS and other social services agencies; and 4) creating satellite offices with a staff where there is cultural diversity. In addition, it is important to have staff at the CSB and DRS who are knowledgeable of and have special skills to provide state-of-the art services to this population. Continue to use situational assessments for clients so those clients will learn what type of employment will be most appropriate for them.
Agency response: Because DRS recognizes the need for entrepreneurial opportunities for all of its customers, we have developed a comprehensive self-employment program to assist our customers in pursuing and implementing self-employment enterprises. We have changed some provisions in our policy to provide better support and will be providing additional staff training on self-employment. With the addition of the OAYSIS software, which provides automated access to the DOT and use of the customer's work history for doing a transferable skills analysis, DRS hopes to better match our customers to employment options. DRS also provides work opportunities in unpaid work experiences as well as full/part-time competitive employment at DRS and other state agencies, and has been doing outreach activities to state agencies to increase the employment of persons with disabilities with these agencies. One of these efforts has been the publication of articles in Commonwealth Currents, a Virginia governmental employee’s publication, to heighten disability awareness. During the last six months, each publication has included a feature article about a person with a disability that has been successful in the workplace. DRS also has contacted the Human Resource Staff in state agencies to acquaint them with DRS services, emphasizing the available applicant pool for jobs. Customers can visit the DRS website to learn about available work opportunities with DRS and other Human Service agencies. Situational assessments will continue to be a part of the VR process and we will look for ways to provide outreach to potential customers and ensure that we have a highly trained and experienced staff to work with these customers.
Mental Health Supported Employment. Psychiatric Rehabilitation Services of Fairfax is a vendor providing Competitive Supported Employment services to individuals with serious mental illnesses. Mental Health issues are different from physical, sensory and developmental disabilities and should have services designs based on the needs of the needs of the psychiatrically impaired population. Mental Health symptoms are often episodic and this understanding has guided the interventions of our agency. Because of episodic or cyclical nature of mental illness, the individual will always need assistance to maintain and advance in employment. But there are some actions DRS can take before case closure to improve job stability: 1) more focus on off-site support and 2) more pro-active supports after placement. Our track record in dealing with services for individuals with serious mental illnesses show that our services result in greater number of successful employment outcomes and fewer repeat clients for DRS. We believe that the following issues will be critical to providing vocational services to individuals with serious mental illness in the context of our Competitive SE Model:
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Agency response: DRS recognizes the value of the issues identified and their importance in the successful rehabilitation of persons with serious mental illnesses. Our experiences in working with this population support the principles presented. We also hope that LTESS services will continue and be expanded to provide the necessary supports for positive employment outcomes.
My wife and I appreciate your coming to obtain citizen input. Our son is a 36 year-old man who was brain-injured when he was 16. We particularly appreciate that many comments made at similar public hearings last year have been incorporated into DRS’ planning and in some cases have already been implemented. It is nice to know that we are receiving more than lip service. On the subject of serving people with brain injury, I believe it is accurate to say DRS has come a long way, but there is still a long way to go.
In many instances, there is a need for more of the currently provided services, and needs for new services. More specifically, we see a need for:
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DRS should continue to train counselors in the special knowledge and skills required to work with people with brain injury. Attendance at conferences/workshops would probably be effective.
DRS should continue the excellent work of the State Coordinator of Brain Injury Services and others working with limited resources. As awareness of brain injury needs and services grow, we believe that there is a need for additional staff to supervise the Commonwealth Neurotrauma Initiative, expanded day programs in the Tidewater and Fredericksburg areas, and the services previously mentioned.
A DRS-coordinated effort with other agencies to change health insurance regulations to require coverage of currently excluded or restricted therapies appropriate for the TBI population such as cognitive, occupational, recreational, and other necessary therapies.
Agency response: Thank you for your comments recognizing the progress that DRS has made in providing services to people with brain injury in Virginia. There is a need for additional and new services in many areas of the state and we are committed to exploring options for meeting these needs. As you noted, state funds have been used to establish and operate four (4) day programs for persons with brain injury throughout the state (Fairfax, Loudoun, Fredericksburg, and Virginia Beach). State funds are also used for supported living services in Fairfax County. DRS is committed to building on the success of these efforts by assisting other communities to duplicate services through combined partnerships
In regard to new initiatives, DRS has provided leadership through the Cognitive Rehabilitation Program and the Life Skills Training Program (developed in February 1998). Our agency will continue to explore, in conjunction with the Department of Medical Assistance Services, the establishment of a Medicaid waiver for services for individuals with brain injuries. In the past, DRS has worked with other agencies to study how health insurance regulations may be changed to include coverage of currently-excluded rehabilitation therapies and treatment for persons with brain injuries; we will continue to do so, as feasible. Finally, recent legislation (the "Commonwealth Neurotrauma Initiative") provides ongoing funds for short-term research and community-based rehabilitation projects in the area of brain injury and spinal cord injury. The funding of such demonstration projects, if proven effective, often leads to the development of established programs and services within the service delivery system.
DRS has an ongoing commitment and responsibility to provide in-service training for its counselors and other field staff. This is done directly, through programs such as the DRS-sponsored Life Skills Training Program and indirectly, through sponsorship of DRS staff at conferences, workshops, and seminars. The Coordinator of Brain Injury Services also provides introductory information on brain injury and brain injury services to all new counselors. The Coordinator of Brain Injury Services and the VR counselors provide limited sponsorship of DRS customers at vocationally related activities and events, as funding allows.
Thank you for the comment commending the work of the State Coordinator of Brain Injury Services. As awareness of brain injury needs and services grow statewide, there may be a need for additional staff resources in the area of brain injury services. The agency is currently looking at options for streamlining work responsibilities and for re-allocating resources to enhance service delivery statewide.
People with traumatic brain injury may have difficulty in maintaining full time employment and they need the flexibility of becoming employed in part time positions until such time as they are prepared for a full time job.
Agency response: The DRS VR counselor and the person with a traumatic brain injury jointly develop an IWRP to guide the provision of rehabilitative services. The plan is based on the individual’s needs, interests, and wishes, along with vocational assessment information and the counselor’s professional expertise. We recognize that individuals with traumatic brain injury may have difficulty maintaining full time employment. Identifying part-time employment is acceptable, and appropriate, as an employment goal for many individuals.
We need additional funding to provide ongoing post-employment assistance for people with traumatic brain injury. I have worked in collaboration with the Woodrow Wilson Rehabilitation Center to provide services to people with brain injury and am willing to coordinate with CILs and ESOs to provide additional services.
Agency response: There have been steady increases in the amount of state funding for supported employment follow-along services for people with physical and sensory disabilities (e.g., acquired brain injury). Also, Life Skills Training services are being provided through the DRS Brain Injury Services program, although on a very limited basis. Life Skills Training may provide support to people with brain injury in their home and community settings. This support may enhance successful employment outcomes.
I am a survivor of TBI, in the S.E.E.K. (Survivors Exploring Empowerment and Knowledge) Clubhouse program, and I would like to re-enter the work force. I have already benefited from services to help me improve my stamina, keep my focus, and manage my time, and to prepare me for work. Now I could really use a job coach and supported employment follow-along to help me find and keep a job.
Agency response: We are so pleased to hear that you have had a positive and productive experience at the S.E.E.K. day program! Now that you are interested in pursuing employment, you should contact the DRS office nearest you and make an appointment to see a vocational rehabilitation counselor. You may call the DRS toll-free number at 1-800-552-5019 and ask for the DRS office nearest you. If you already have a DRS counselor, make an appointment to discuss your interest in finding a job.
The S.E.E.K. program is currently only part-time, and it should be expanded to full-time. I am also in the S.E.E.K. program and would like to say that we need more funds for life-skills training.
Agency response: The 1998 General Assembly allocated additional funding for the expansion of the Virginia Beach day program for people with brain injury. Beginning July 1, 1998, the S.E.E.K. day program will become operational full-time. Life Skills Training services are being provided on a limited basis through the DRS Brain Injury Services program. As we monitor the effectiveness of Life Skills Training services, we may explore ways of obtaining additional funding for this service.
DRS should look at the whole array of special needs that people with brain injury have. Supported employment is a good way to go for this population.
Agency response: DRS agrees that supported employment is an effective approach for many individuals with acquired brain injury. We also agree that it is important to identify and understand the needs of people with brain injury. DRS submitted a federal planning grant application to conduct a comprehensive, statewide assessment of needs and services for people with brain injury. The second year of the grant focuses on the development of a statewide action plan based on the needs identified during year one. If the grant is awarded, work will begin October 1, 1998. This will assist DRS, as well as consumers and service providers in Virginia, to identify the current "state of the state" in meeting the needs of people with brain injury. Whether or not DRS gets the federal grant, we are committed to developing a statewide action plan for meeting the needs of people with brain injury.
I am a Brain Damaged Person who can work beyond 10 hours a month and/or make minimum wage. I am greatly concerned that DRS wants easy 26 closures regardless of gainful substantial employment. I am not gainfully, substantially employed.
Agency response: The DRS vocational rehabilitation counselor and the person receiving DRS services jointly develop an IWRP to guide the provision of rehabilitative services. The plan is based on a person’s needs, interests, and wishes, along with vocational assessment of abilities to perform the job. We recognize that individuals with traumatic brain injury may or may not choose full-time employment. If you are interested in pursuing additional employment hours, discuss this with your employer or your DRS counselor who may be able to assist you to make a decision that is right for you and your situation.
The goal of DRS is to assist individuals with disabilities to get and keep a job of their choosing. DRS hopes that the individuals we serve will experience a successful employment outcome (defined, in federal terms, as a "26 closure"), but decisions regarding employment for DRS consumers are made jointly between the counselor and the person being served and are not based on the agency wanting "easy" 26 closures. (The term "substantial gainful employment" is used when determining eligibility for Social Security benefits and is not a term DRS uses to describe an employment outcome.)
We would like to see brain injury services funded for day support and dental services, etc., since many have no insurance coverage and have to wait for an emergency to occur before dental services can be covered.
Agency response: The 1998 General Assembly allocated additional funding for the expansion of the Virginia Beach day program for people with brain injury. Beginning July 1, 1998, the Virginia Beach day program will become operational full-time. In reference to funding of dental services for people with brain injury who have no insurance coverage, the Coordinator of Brain Injury Services will explore this issue further.
Please use I&E funds to start more CIL satellites and help "baby" CILs. CILS need more money to provide PAS, housing, transportation services. Need Medicaid waiver to provide PAS to CIL clients. DRS should provide funds to CILS to set up assistive technology demonstration centers and employment resource centers, since CILs are community-based.
Agency response: At present, a portion of the agency's I&E funds are being used to provide vocational rehabilitation customers with additional access to the CILs.. The agency is aware that some local planning districts are currently not covered by a CIL. DRS is currently working with the Statewide Independent living Council to maximize funding allocated by the General Assembly specifically for new centers.
I am concerned with my husband’s need for continued independent living support. I have been notified that if my husband is not work-capable, DRS cannot assist him. There needs to be funding for independent living skills support even if a client is not working.
Agency response: DRS works with a variety of community service programs to establish support services such as independent living skills, assisted living options, personal assistance services, etc., which can maximize a person’s potential to live independently and sustain a healthy quality of life. Local DRS offices can refer you to appropriate agencies. In addition, there is a Center for Independent Living in your local area which should be able to assist you. .
Two systems changes would improve services. These are: 1) The Appalachian Center for Independent Living needs someone identified in the state to provide training to individuals on operating a captioning system. This could be a good employment opportunity for a person with the disability, and 2) The center also needs an individual to provide assistance in providing assessment for applications for the Consumer Services Fund applications.
Agency response: DRS thinks that establishing training on working a captioning system should be explored. There is a need for this and we will work on solutions that could include customer involvement. Regarding the Consumer Services Fund applications, the agency consistently works to make the application process as simple and meaningful as possible. DRS will continue to provide technical assistance to customers and providers when they are making application.
The need for independent living aids (computers, computer programs, and transportation) is great and because the costs of these aids are exorbitant, people with disabilities cannot access them.
Agency response: We acknowledge that funding for such aids to maximize independence and employability are necessary. Funding for such things can be obtained through local VR offices if the customer is eligible for VR services, the Consumer Services Fund, and through Part B annual awards by the Centers for Independent Living.
General Comments. Woodrow Wilson Rehabilitation Center is an excellently run facility that caters to clients with many disabling disabilities. These are the following programs offered here at the Center: Brain Injury Services, Short Term Rehabilitation Unit, Supported Living Services, Prevocational Training, External Training Option, Deaf Services, Vocational Training, Educational Support Services, Student Internship Program, Center for Independent Living. Please continue to allocate funds so that the rehabilitation process can continue to grow.
Agency response: Thank you for the fine report on Woodrow Wilson services. The Center is funded the same as it has been with no reductions anticipated.
Will moving to CARF accreditation increase the number of people WWRC serves?
Agency response: WWRC has been CARF accredited since 1978. The capacity of the Center will remain unchanged by continuing the accreditation and will not be affected by CARF accreditation of other facilities.
The President of the WWRC Student Council stated that improved communications between WWRC counselors and local DRS counselors are a priority need. He said that he often gets comments about local counselors being hard to reach. The local DRS office automated telephone call-in menus are a barrier.
Agency response: Improved communication between WWRC counselors and local DRS counselors has been an agency priority for the past year. While progress has been made, including the development of staff performance measures, standards, and expectations, this will continue to be a priority.
I have been at WWRC since March 1997. I felt bad when someone said that the Center might close down. After we celebrated 50 years, I don't want the center to close. I don't know what we do without this school. After one year I have learned so much from the training - I do so much stuff. Please don't let this school close.
Agency response: Thank you for your comments and support. There are no plans to close WWRC.
I am angry that the WWRC Hospital Critical Care Unit was closed. Had it not been for the comprehensive services I received there, I would have died. No community-based facility compares with it.
Agency response: The Agency and Center are developing an RFP to have an outside expert evaluate the needed and most cost effective levels of medical rehabilitation services to ensure appropriate services at WWRC without duplication. This study should be completed by Fall 1998 pending no procurement complications.
Training. The WWRC computer repair (electronics repair) curriculum needs to become more comprehensive and include current state of the art equipment. Computer repair jobs are available and these skills are in demand. The curriculum needs to be updated and aimed towards systems analysis and maintenance.
Agency response: These are excellent comments. A "computer repair module" is already in development within WWRC’s Electronics Technology Training Program. One student is currently enrolled with two more pending during an initial pilot. Four state-of-the-art multimedia computers were installed in the Electronics Technology classroom during the month of April, with plans to continue updating technology as funds allow.
There is a need to differentiate between electronics repair and computer repair at WWRC. Electronics repair would take about 15 months while computer repair would take about 6 months.
Agency response: Marketing materials are in development for all training programs at WWRC. These materials differentiate and specify available modules within each existing training program. We are anticipating, at this time, that the "computer repair" module will take approximately 6 months to complete pending results of our pilot.
There is a need for more computers in the WWRC computer lab. Also, the computers should be updated to match current industrial practices. (4 responses)
Agency response: This year, a total of 14 state-of-the-art multimedia computers were purchased and installed for student use in support of WWRC’s Computer Skills, CADD Drafting, Electronic Technology, and Business Education Training Programs; another 4 were upgraded to the same specifications in support of those programs. Plans are to continue replacements as funds allow, on an annual basis, to meet current and projected industry standards and expectations.
WWRC students need preparation for SAT college entrance examination testing.
Agency response: SAT college entrance preparation has been, and continues to be, available for appropriate WWRC students through our academic support staff, who are fully licensed and credentialed through the Virginia Department of Education. There are no plans to reduce this support service.
I went to WWRC for a six-week training program in microscopy and benefited greatly from this training. I have been pleased with my DRS services.
I am studying microscopy that uses a combination of a computer and microscopes to perform quality control on computer chips. The field is wide open. Richmond is becoming a Silicon Valley of the east. The program is comprehensive and provides a good way to get into the computer field. My time at WWRC has been one of the most rewarding of my life. I had tried for two years to get a job and had sent out 200 resumes when I decided to come to get this training. I see a lot of baby boomers who have been put aside because of accidents or illness. I am thankful I am able to come and get new skills.
I came to WWRC to the microscopy program. I came to WWRC skeptically, and I stand here before you extremely impressed. I have been impressed with the level and types of instruction I have seen. You have excellent instructors here. Any instructor's challenge is to get students to a certain level. That challenge is compounded here at WWRC with a diverse group of students - ages, disabilities, socio-economic backgrounds, and you're trying to impart proper work and behavior and dealing with some students who can't read well and trying to give them a viable skill they can go out and market. I recommend emphasis in technical areas. Microscopy should be extended out. I don't know many organizational that are not using ISO 9000 standards.
Agency response: Thank you for your comments. Our microscopy training program has been in existence since 1996; plans are to expand the scope of this program to include other quality assurance applications to broaden employment opportunities for people with disabilities.
PAS needs more funding. I am concerned that individuals are losing PAS services.
Agency response: Some Personal Assistance Services (PAS) were reduced or eliminated for persons who qualified for similar services through Medicaid. The implementation of a new option gave consumers a choice between agency-managed or consumer-directed services if they were Medicaid eligible. There are more than 300 people on the waiting list for PAS services who are not eligible to receive services from Medicaid. DRS, therefore, opted to utilize available state funds for those who can not receive comparable services from Medicaid.
DRS has given me joy and freedom. The DRS-OBRA outreach program must never be cut back or phased out.
Agency response: We are pleased that you benefited from our Omnibus Budget Reconciliation Act / Nursing Home Outreach Services assistance.
There is a need for employers to know about the success stories of persons with disabilities who have become employed and to have more DRS staff working with employers to educate employers about hiring people with disabilities and to identify jobs.
Agency response: DRS is very involved in making sure employers know the value of hiring persons with disabilities. DRS has joined in the President’s Committee on Employment of People with Disabilities initiative, the Business Leadership Network. In Virginia, Crestar Bank and DRS are spearheading this statewide business-to-business effort to encourage the employment of Virginia’s approximately 380,000 working-age residents with disabilities. Member companies make a commitment to foster workforce diversity inclusive of people with disabilities, and to interview and hire qualified applicants for job openings. DRS is taking a very active role in providing applicant pools and technical consultation.
DRS needs to notify potential customers of its services through publicity. (2 comments)
Agency response: DRS staff regularly participate in community events such as job fairs, chamber of commerce functions, health fairs, etc. in which our services to customers are highlighted. The DRS agency brochure, which describes these services, is distributed to attendees. DRS also is working in partnership with the Virginia Board for People with Disabilities on a publicity campaign which has produced several commercials and a poster. Marketing of DRS services is included in the agency's Six-Year Strategic Plan. We, therefore, will be addressing new ways of marketing our services to potential customers and employers.
There needs to be a support system to benefit individuals with disabilities who cannot work.
There should be a program for the physically and visually impaired who cannot work full time, but would like an activity that would provide some activity (maybe part time employment in a supported setting) to improve the quality of life.
Agency response: DRS agrees with your assessment. Such supports may be met through local Centers for Independent Living, DRS’ Long Term Rehabilitation Case Management Program, Disability Service Boards or information and referral services and the Community Services Boards. Please contact your local DRS office for contacts with local service agencies.
There needs to be a systems change that would allow individuals with disabilities to work without affecting their Social Security benefits.
Agency response: DRS agrees with your observation. There is much discussion on the national level about systems change in the Social Security area and we encourage you to continue to share your concerns with advocates and advocacy groups who can help bring about change.
American Sign Language should be offered as a language in high schools.
Agency response: The Department of Education has recently approved a 3rd level of American Sign Language (ASL) in the high schools. The 3 levels of ASL may be used as the foreign language requirement for students. ASL is being offered in many high schools across the state. You might want to petition your local school and/or school board to establish a program in your local area. If you need further assistance, please contact the Department of Education.
How can United Way improve the Information & Referral System?
Agency response: The Department of Social Services is required to have an I&R system. Using agency funds, DRS contracted with United Way to do the I&R system that the Virginia Assistive Technology Systems (VATS) initiated several years ago.
Once my daughter, who was a VR client, went to work, DRS would no longer contribute towards her independent living assistance. DRS staff have expertise in providing IL services and need to continue with this support after employment.
Agency response: The primary focus of the DRS VR Program is employment. However, throughout that process, customers receive an array of support services depending on their individual needs. In the event that a person may benefit from independent living services, the counselor would make a referral for the consumer to a CIL in an effort to work on issues such as money management, budgeting, and independent living in the home (cleaning, cooking, shopping, etc). These goals and objectives should have been jointly developed by the consumer and counselor and included in the IWRP.
Typically the counselor provides support for a period of 90 days after a person is successfully employed. In some cases, customers may be able to work but not be fully able to manage their lives without support. In these situations, referrals are made to programs such as Personal Assistance Services, Long Term Rehabilitation Case Management, and Cognitive Rehabilitation and Brain Injury Services, which provide support to people within and outside of the VR system and which may be of assistance to you on an ongoing or a technical assistance basis.
There needs to be additional public transportation in Southwest Virginia. In Botetourt County, disabled individuals need to rely on their family or Medicaid sponsored transportation.
Southwest Virginia needs a better transportation system in order to allow people with disabilities to leave their homes and participate in the community and help other people with disabilities.
I am concerned about the transportation system in Roanoke. I live in the city and city buses will not go into the county. But, my doctors are located in the county.
One of our biggest concerns here in the Southwest corner of Virginia is rural transportation. Lack of accessible transportation here in Big Stone Gap can mean that DRS consumers may be eventually denied services at Independence Unlimited (Frontier Health) due to irregular attendance.
Agency response: Transportation is consistently identified as a barrier to employment and independent living throughout Virginia. Many communities are accessing Rehabilitative Services Incentive Funds through their local Disability Services Boards to improve transportation for people with disabilities. In addition, the Community Transportation Association of Virginia has advocated with the General Assembly for increased funding for specialized transportation over the last several years and the General Assembly passed a study resolution during the 1998 session to further explore transportation needs of the elderly and disabled. Transportation is a local issue and a good forum for local advocacy is with planning district commissions.
The State Rehabilitation Advisory Council (SRAC) has quarterly meetings and there is a public comment period. Please carry this message back so people can attend these meetings if they wish. Public Hearings are for everybody to be heard.
Agency response: DRS supports the efforts of the SRAC to have customers attend the SRAC meetings and public hearings to provide input into vocational rehabilitation and supported employment issues and policies. Interested customers may contact DRS to receive information about SRAC meetings and next year's public hearings.
I urge all state agencies to use captions for public hearings as a communication device for individuals who are deaf or hard of hearing.
Agency response: DRS is researching the availability of caption systems to be used for future public hearings and other agency-sponsored meetings. Our Coordinator of Deaf Services will be assisting in this effort. We also will work with the Department for the Deaf and Hard of Hearing to inform other state agencies of the necessity for and availability of these systems.