Transcript Maine Videoconference Series Organizational Change to

Organizational Change From Facility-based
to Community-based Employment Services
Pat Rogan, Ph.D.
Indiana University
October 4, 2013
AGENDA
Introduction & current status
Critical features of states with high
employment outcomes.
Organizational change processes &
outcomes
Strategies & tips to address barriers
Q&A
Resources & contacts
Why Have Organizations Changed from
Sheltered to Integrated Employment?
Leadership within the organization
(“It’s the right thing to do.”)
People receiving services dissatisfied (Most want a job.)
Poor quality services & outcomes of sheltered
facilities (“make work”, low wages, artificial setting; poor models)
Push from federal and state agencies
RSA (no funding for workshop placements)
Olmstead (“Most integrated setting”)
Employment First initiatives
How Are We Doing?
27% of people with IDD in integrated jobs
Increased segregation + non-work
community activities.
>625,000 in sheltered facilities earning
subminimum wages.
The rate of movement from sheltered to
integrated work: a mere 1-5%.
State Data 2012 (Butterworth et al. ICI)
How are we Doing?
Medicaid spends 4X more money on
segregated adult day programs than
supported employment.
No preference for integrated
employment within the Medicaid
program.
Migliore 2007 – 63% of people with
disabilities would like to work outside
the facility.
Top Tier States
Washington
Oklahoma
Vermont
New Hampshire
+ Growing Number of
“Employment First” States
Critical Features of States
 Positive philosophy, policies, &
adequate funding
 Capacity building & advocacy efforts
 Strong, consistent leadership
 Data based decisions
 Employment First policies & systems
change initiatives
Understanding What to Change
Strategy: What you do
The
Organization
Structure: Who does it
Systems: How you do it
Lessons For Organizational
Change
(Butterworth et al – T-TAP Mentor Guide)
Lesson 1: Establish clear and uncompromising
goals.
Lesson 2: Communicate expectations to everyone,
often.
Lesson 3: Reallocate and restructure resources.
Lesson 4: Just do it! Find jobs one person at a time!
Lesson 5: Develop partnerships.
Establish Clear Goals
By June 2014 we will
place 40 people in
individualized and
integrated jobs that
pay at least minimum
wage average 20
hours per week.
By October 2014 we
will cease all new
entries into our
sheltered facility,
and cease all
backfilling.
Clearly Communicate Expectations
& Often!
Newsletters, website, presentations,
etc.
Does your organization’s name convey
your focus on employment?
Does your language focus on individuals’
capacities vs. deficits?
Celebrate successes!
Reallocate & Restructure
Resources
Flatten the organizational structure
Unload “sunk” costs (buildings,
equipment)
Restructure job descriptions
Empower front line staff (“community
builders”) to make decisions.
Focus on staff development & mentoring.
Find Jobs One Person at a Time
Effective Employment Strategies
Traditional Services
Focus on readiness
Move through the
continuum
Deficit-based voc.
evaluation
Positive Community
Services
No need to “get
ready” - Teach in
community.
Person-centered
planning – Capacity
search.
Effective Strategies (cont.)
Traditional Services
Group orientation
Fit to programs
Human services
orientation
“Special” services
Community Services
Individual orientation
Design supports around
person
Tap generic services &
natural supports
Develop Partnerships
Engage key
stakeholders from the
start:
Parents
Board members
Case Managers
Funders
etc
Develop external
partnerships:
Voc Rehab & DD
Community Living
orgs
Business
Leadership
Network (BLN)
Benefits planning
(BPAO)
Major Barriers
& Tips for Change
Negative attitudes
Funding
Lack of expertise
Lack of leadership
Transportation
Safety net
Innovations in State Waivers
Vermont: Waiver is a model for managing supports
for participants.
Connecticut: Flexible in terms of individual
budgeting and self-determination.
Washington State: 4 Waivers are tailored to
individual needs.
Indiana: One of 16 states with Supports Waivers,
emphasizing employment, support brokers, financial
management services and person-directed goods and
services.
Braddock et al, 2013
Tips from Those
Who Have Been There
Involve all levels in discussion of vision &
values.
Invest heavily in training.
Use the vision & inherent values to
evaluate everything.
Communicate, communicate,
communicate!
Use individual planning for all…tie the
agency’s success to your customers’.
Q&A
THOSE WHO SAY
IT CAN’T BE DONE
SHOULD GET OUT OF THE WAY
OF THOSE WHO ARE DOING IT!
You’re Invited!
7
th National Organizational Change Forum
A Time for Change...
Sheltered Workshop Conversion
October 22-23, 2013
Burlington, Vermont
Resources
Nancy Brooks-Lane @Cobb/Douglas Community
Services Boards –([email protected])
John Butterworth @ ICI Boston
([email protected])
Bryan Dague @ U. Vermont
([email protected])
Suzi Hutcheson @ Helping People Succeed, Inc.
([email protected])
Don Lavin @ Rise, Inc. ([email protected])
Pat Rogan @ Indiana University ([email protected])