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 Title Page
 Table of Contents
 Introduction
 Assumptions
 Social services goal
 Objectives and policies
 Social services issues
 Implementation matrix














Title: Social services element of the State Comprehensive Plan
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Permanent Link: http://ufdc.ufl.edu/UF00075023/00001
 Material Information
Title: Social services element of the State Comprehensive Plan
Physical Description: iii, 45 p. : ; 28 cm.
Language: English
Creator: Florida -- Bureau of Comprehensive Planning
Publisher: Bureau of Comprehensive Planning
Place of Publication: Tallahassee
Publication Date: 1977
 Subjects
Subject: Public welfare -- Florida   ( lcsh )
Genre: government publication (state, provincial, terriorial, dependent)   ( marcgt )
non-fiction   ( marcgt )
 Notes
General Note: "DSP-BCP-14-77."
 Record Information
Bibliographic ID: UF00075023
Volume ID: VID00001
Source Institution: University of Florida
Rights Management: All rights reserved by the source institution and holding location.
Resource Identifier: aleph - 000210315
oclc - 04188294
notis - AAX7136
lccn - 78620518

Table of Contents
    Title Page
        Page i
        Page ii
    Table of Contents
        Page iii
        Page iv
    Introduction
        Page 1
    Assumptions
        Page 2
        Page 3
    Social services goal
        Page 4
    Objectives and policies
        Page 5
        Page 6
        Page 7
        Page 8
        Page 9
        Page 10
        Page 11
        Page 12
        Page 13
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        Page 15
        Page 16
        Page 17
        Page 18
        Page 19
        Page 20
        Page 21
        Page 22
        Page 23
        Page 24
    Social services issues
        Page 25
        Page 26
    Implementation matrix
        Page 27
        Page 28
        Page 29
        Page 30
        Page 31
        Page 32
        Page 33
        Page 34
        Page 35
        Page 36
        Page 37
        Page 38
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        Page 47
Full Text

DSP-BCP-14-77


SOCIAL SERVICES ELEMENT
OF THE
STATE COMPREHENSIVE PLAN


MAY, 1977


This public document was promulgated
at an annual cost of $1192.64($0.596
per copy)to implement provisions of
Chapter 23, Florida Statutes.



















tlv
9'1:



IOltPI







CONTENTS



PAGE

INTRODUCTION........................................... 1


ASSUMPTIONS.......................... ................... 2

A. Government............................... ... 2
B. Service Delivery................................ 2
C. Social Services Administration ................. 2
D. Social Services Consumers...................... 2
E. Community Involvement......................... 3


SOCIAL SERVICES GOAL ................................... 4


OBJECTIVES AND POLICIES.............................. 5

A. Social Services Funding........................ 5
B. System Management/Program Improvement........... 6
C. Inspection/Regulation Function.................. 8
D. Community Involvement........................... 9
E. State/Local Coordination & Responsiveness....... 10
F. Protection Function............................. 12
G. Consumer Rights/Protection/Awareness ........... 13
H. Institutions ............................... 15
I. Community Residential Services.................. 17
J. Community Support Services...................... 19
K. Education & Vocational Rehabilitation Services.. 20
L. Income Maintenance............................ 23


SOCIAL SERVICES ISSUES......... ........................ 25


IMPLEMENTATION MATRIX.................................... 27










INTRODUCTION


Social Services, for the purpose of this element, include income
maintenance services (e.g., aid to families with dependent children,
disability insurance), employment services, vocational rehabilitation
services, aging and adult services, family services and services to the
mentally retarded. Health, mental health, children's medical services and
correctional services are specifically excluded as they are addressed in the
Health Element and the Security Element of the State Comprehensive Plan.

The delivery of social services to the citizens of Florida represents
one of the most difficult and costly responsibilities of the state. In
recent years, the demand for services has increased as has the cost of their
delivery. The responsibility for the funding and administration of these
service delivery efforts is fragmented among a number of social agencies at
all levels of government. The absence of a comprehensive state-level social
services policy document constitutes a potential weakness in the state's
efforts to better manage a cost-effective service delivery system.

The Division of State Planning is charged under Chapter 23, Florida
Statutes, with the responsibility of developing a State Comprehensive Plan
designed to direct the planned and orderly development of the state. The
Social Services Element represents an integral part of this effort. This
element defines basic goals, objectives and policies which will influence
current and future social services funding and program development. The
element should: (1) provide a policy foundation for state leadership in the
social services area, (2) serve as a basis for the review of social services
resource allocation, (3) provide a standard against which consumers of
services might measure the quality and charter of services delivered,
(4) provide a foundation for comprehensive planning efforts in social services
agencies, and (5) provide a central social services policy statement which
should serve as a focus for debate and community education.

The Social Services Element policies are not intended to be inclusive
of all potential problems and issues associated with the delivery of social
services. However, the element is designed to address primary objectives in
this area while suggesting a number of specific policies intended to direct
resources toward the accomplishment of these objectives. The implementation
strategies for these policies are designed to focus all available resources
on the problems of the social services system and include the following:
(1) planning and program evaluation efforts, (2) the use of alternative funding
mechanisms, (3) technical assistance efforts, (4) intergovernmental cooperation,
(5) inspection and regulation activities, and (6) community involvement and
education.

Policies presented in the element are not necessarily new; many of them
ratify existing legislation or departmental policy. Identified policies relate
to all aspects of the social services system and are ordered around a number
of central policy themes which have been evidenced in recent legislative and
judicial actions pertaining to the social services area. These themes, clearly
stated on pages two and three, provide a foundation for the policy sections
which follow.








ASSUMPTIONS


A. GOVERNMENT

1. Social services generally represent a positive investment on the
part of government for society;

2. Social services are a legitimate and necessary concern of government
at all levels;

3. Recognizing that movement of individuals toward goals of self-support
and self-sufficiency is a primary goal of the social services system,
the state should accept the necessity of indefinitely supporting
that small portion of its population that is unable to achieve these
goals.


B. SERVICE DELIVERY

1. Social services should be delivered within a positive context;

2. Social services should be delivered in an integrated manner to those
who need them. These services should be designed to deal effectively
with the total problems confronting an individual or family;

3. Social services should offer each individual the opportunity to live
as normal and as independent a life as possible.


C. SOCIAL SERVICES ADMINISTRATION

1. The definition of statewide goals, objectives and policies is a
necessity in the design and development of a functioning social
services system;

2. Existing barriers to effective service delivery (e.g., age, race
or sex discrimination, access to services, information on service
availability) should be removed;

3. The social services delivery system should be operated effectively
and efficiently while offering the maximum degree of accountability.

4. The delivery of social services should be administered in such a
manner as to achieve an equitable distribution of resources among
different client groups;

5. Social services should not present a viable, long-term alternative
to gainful employment for those capable of employment.




2








D. SOCIAL SERVICES CONSUMERS


1. The public should be informed of the social services available to
them;

2. The protection of client rights, privacy and the confidentiality
of client records must be constantly maintained;

3. The consumers of social services should participate in making
decisions concerning service mix, quality, access and delivery
techniques.


E. COMMUNITY INVOLVEMENT

1. Community involvement in social services' needs assessments, goal
definition, priority setting and resource allocation is essential;

2. The stimulation, development and support of local and private
service programs and resources is in the state's and the client's
best interest and should be encouraged.


























SOCIAL SERVICES GOAL


To DEVELOP AND ADMINISTER THE SOCIAL SERVICES PROGRAMS

AND RESOURCES NEEDED FOR FLORIDA'S CITIZENS TO ACHIEVE

AND/OR MAINTAIN MAXIMUM SELF-SUFFICIENCY, SELF-SUPPORT

AND PERSONAL INDEPENDENCE.








OBJECTIVES AND POLICIES


A. Social Services Funding

To ensure that social services are funded adequately and efficiently with the
relative distribution of such funding in keeping with state priorities.

Definition/Discussion:

The increasing demand for social services resources makes it essential
that alternative mechanisms for funding social service programs be given
careful consideration. Efforts should be made to fund each service
activity in the most efficient and effective manner possible, con-
taining program costs when feasible. Federal funds contribute signifi-
cantly to social services delivery in Florida. It is important that
the state control the influx of such funds into Florida to ensure that
monies allocated address the social service goals of the state.


Policies:

1. Purchase of Services

a. Employ purchase of services as a preferred manner of developing
cost-effective, humane programs.

b. Ensure strict program accountability in terms of program quality,
efficiency and cost-effectiveness for all purchase of services
agreements.

c. The purchase of services concept should be expanded to provide
supportive services to assist families to care for and maintain
retarded, handicapped and aged dependents within their own homes.


2. Client Fees

a. Increase the use of client fees in social services programs in those
cases where the use of such does not represent an undue burden to
the client or adversely effect the programming effort. These fees
should be collected in accordance with the client's ability to pay.


3. Cost Containment

a. Administer and deliver social services at the geographic and
governmental level which produces the greatest benefit for the
least cost.







b. Prevention and early detection programs should have priority in
an effort to deal with social services needs at their least
costly stage.


4. Federal Funding

a. Ensure, through the A-95 review process, that federal funding in
the state is used to address social services priorities.

b. Increase the coordination of social services-oriented federal
funding programs.

c. The administration and expenditure of social services dollars in
the state should be oriented, where appropriate, toward encouraging
self-sufficiency through employment.

NOTE: In keeping with this policy, funding in areas such as
vocational rehabilitation, day care, transportation and education
should be coordinated to create employment-oriented service packages.


B. System Management/Program Improvement

To ensure efficient, cost-effective provision of quality social services.

Definition/Discussion

The effective delivery of social services requires the functioning of a
complex system of public and private social services agencies in conjunction
with governmental units. Only in recent years have efforts been made to
understand, evaluate and improve the delivery of social services as a system.
The interactions between government and social services agencies at all levels
together with the flow of clients from one component of the delivery system to
another are of great concern to those who fund and manage social services
programs. It is the purpose of this section to stress two important and re-
lated aspects of service delivery: (1) providing the components necessary
for maintenance of the social services delivery system, and (2) the assurance
that mechanisms exist within the system so that its operation is constantly
monitored and evaluated and the results used to improve system operation.
The policies presented below should move Florida's social services system
toward greater accountability in its functioning, improved quality in the
services delivered, and an increased understanding of the environment in
which it operates.


Policies:

1. Personnel Development

a. Social service personnel should have opportunities for long-term
career advancement in direct service fields.









b. Staff development programs should be available to all levels of
social services personnel, including managerial positions.


2. Program Development

a. Short and long-range planning should be an integral part of service
design and delivery.

b. The planning and implementation of programming efforts must be
designed to meet the needs of clients whose problems tend to
cross administrative lines within the social services system.

c. Continue the development of integrated service delivery techniques
designed to deal effectively with all the problems facing an
individual or family, i.e., case assignment and management system,
implementation of internal management systems and the development
of a client tracking system.

d. Develop more effective social services delivery mechanisms for
rural areas.


3. Accountability

a. Ensure accountability in the social services system through the
expansion of evaluation capability and the consolidation of
existing social services information systems.

b. Ensure that efficient and consistent program monitoring techniques
are employed in all program areas.


4. System Awareness

a. Increase the public's awareness and acceptance of community-based
treatment and care facilities.

b. Increase the potential for clients to function independently within
their home communities.

c. Minimize inappropriate and negative labeling of individuals receiving
services through the use of centralized intake systems.







C. Inspection/Regulation Function


To enhance the quality and effectiveness of social services programs through the
inspection and regulation of public/private treatment and care facilities and
programs.

Definition/Discussion

The inspection/regulation function is the process, authorized by statute
or voluntary agreement, of enforcing performance standards for programs,
facilities, equipment or personnel. This function is generally comprised of
two types of activities: (1) licensure--an authorization for operation based
on compliance with prescribed standards, and (2) program monitoring--the
securing of voluntary compliance with standards in exchange for some
assistance to the program activity. The rapid expansion of both public and
private service facilities and programs has confronted the state with a
massive problem in safety and quality control. The DHRS Task Force
Report on Licensure and Inspection (February, 1975) indicates both the
scope and complexity of the social services inspection/regulation problem in
Florida. For example, DHRS regulates 195,283 activities and licenses 45 types
of programs, facilities or equipment. Thirty-two chapters of Florida Statutes
authorizing regulation activities and social services programs are subject to
both internal inspection by program managers and external inspection by such
entities as the State Fire Marshal. The social services inspection/regulation
area is extremely complex and indicates a need for increased coordination
and in some cases consolidation of the inspection/regulation activities. There
are also areas of service in which inspection is either insufficient or lacking
altogether. These areas are addressed in pages 36-40 of the DHRS Task Force
Report on Licensure and Inspection.


Policies:

1. Community Residential Facilities

a. The health, comfort and safety of residents should be enforced and
maintained.

b. Ensure, through advocacy and ombudsmen committees, consumer pro-
tection, rapid and fair investigation of complaints and general
environmental standards which are conducive to the dignity,
independence, safety, and health of facility residents.

c. Ensure, through strict program standards and inspection procedures,
that programs, including those obtained through purchase of services,
are operated in accordance with state social services policies and
legal requirements.


2. Standards

a. All state agency facilities and programs should have clearly defined
and measurable operational standards.

b. All child day care programs should be operated in accordance with
Florida licensing standards and state child care standards.








c. Uniform standards should be used to assure quality care in such
areas as: foster homes serving adults and children, and group
residential child care facilities for non-dependent children.

d. Provide technical assistance and program standards to local public
and private service facilities.

3. Coordination

a. Reduce duplication and gaps in regulation activities.


4. Migrants

a. The health and welfare of Florida's transient farm labor should be
protected.

NOTE: Review regulatory and inspection activities which
pertain to migrant labor.


5. Inspection Personnel

a. Attract and retain the most qualified individuals for inspection
positions.


D. Community Involvement

To encourage the involvement of citizens in all aspects of the social services
delivery process.

Definition/Discussion

One of the primary tenets of this element is the concept that the involve-
ment of a broad spectrum of citizens in decisions affecting all aspects of the
service delivery process is essential. Legislation calling for the reorgan-
ization of the Department of Health and Rehabilitative Services mandated the
creation of district citizen advisory councils and clearly supports such an
involvement (s. 20.19, F.S.). The concept of community involvement as
envisioned here is a broad one. It includes involving members of the community
in institutional life and treatment programs as volunteers to improve treat-
ment quality while reducing the isolation of institutionalized populations.
Also included in this effort are mechanisms designed to secure the input of
such community elements as private service providers, client populations, and
interested citizens groups in program planning and budgeting decisions con-
cerned with: integrating service delivery into the community, establishing
service priorities and defining service delivery procedures and policies.








Policies:

1. Volunteers

a. An efficient and effective volunteer system should be available to
all state social services programs, including residential facilities.


2. Community Education

a. Reduce or eliminate the stigma associated with receiving social
services through community education programs.


3. District Advisory Councils

a. Encourage local involvement in the social services delivery process
by providing District Advisory Councils with a significant role
in developing local needs assessments, service plans and budget
priorities.



E. State/Local Coordination and Responsiveness

To ensure that state and local governments are actively involved in implementing
the statewide social services goals.

Definition/Discussion

Traditionally, the primary response of those concerned with deficiencies
in the social services system has been the call for increased funding in
program areas. The purpose of this policy section is to point out a number
of activities which can have immediate and positive impact on the functioning
of the social services system without necessarily requiring additional expend-
itures. Such areas as intergovernmental cooperation and technical assistance,
the integration of community resources, and the use of governmental review
powers offer largely unexplored opportunities to improve the delivery of
social services with a minimum cost increase.


Policies:

1. Technical Assistance

a. Provide technical assistance to local public and private agencies
and programs as a means of aiding providers in offering quality
services.

b. Ensure that all available local transportation systems are coordinated
to respond to the needs of special consumer groups.








c. Encourage local government to involve special consumer groups such
as the aged and the handicapped in decisions concerning the
location, design and operation of community facilities.

d. Local housing authorities, with state encouragement and technical
assistance, should take the lead in stimulating the design and
construction of barrier-free housing within their communities.

e. Provide technical assistance to local communities to promote and
develop zoning ordinances which allow for and encourage the establish-
ment of residential facilities which are an integral part of the
community.

f. Increase cooperation between state and local government in the
implementation of employment efforts which recognize and deal
effectively with the special employment problems confronting the
aging worker and handicapped persons in the labor market.

g. Encourage local communities to continue to respond to the needs of
the aging, retarded and handicapped in the planning and building of
community facilities.


2. State Review Powers

a. The A-95 review process should be employed as a tool for encouraging
the development of a close working relationship between state and
local social services agencies. This process should be used to
ensure that federal funds for social services are in keeping with
state priorities.

b. Ensure that any joint state/local funded programs for the construction
or renovation of community facilities are used to create barrier
free facilities.

3. Fiscal Incentives

a. Encourage local financial institutions and public and private agencies
to offer low interest loans to handicapped individuals and their
families or guardians for the purpose of removing architectural
barriers within existing housing units.

b. Encourage communities with unique social services needs to respond to
those needs by providing appropriate services locally (e.g., large
population of transient farm workers or the elderly).








4. Policies and Practices

a. The laws, policies and practices of state and local governments
should not create barriers to the independent functioning of
special need groups within their own communities (i.e., hiring
practices for handicapped people, building codes, etc.).


F. Protection Function

To prevent or remedy the neglect, abuse or exploitation of children and adults
unable to protect or care for themselves.

Defini tion/Discussion

The protection function as defined in this section represents a commitment
on the part of the state to protect from neglect, abuse or exploitation, all
children and adults who are unable to protect themselves. The protection
function consists of such related services as: emergency shelter care for
children and adults, and protective supervision for children and adults. The
neglect, abuse or exploitation of children and adults might be defined as
existence of one of the following conditions: (1) inadequate physical or mental
care, (2) the absence of adequate medication or the misuse of medication,
(3) cruel or abusive treatment, (4) improper supervision, (5) exploitation of
resources or earning capacity, (6) unlawfully keeping a child out of school,
and (7) exposing a child to criminal or immoral influences that endanger
his/her morals. The state's activities in these areas have expanded in recent
years through both an increased service demand and legislative expansion of
the protection function. For example, investigations of complaints of child
abuse and neglect have increased from 30,695 in FY 73-74, to an estimated
47,419 in FY 75-76. The state has a toll free child abuse number (1-800-
342-9152) which facilitates identification of these cases. In addition,
legislation (i.e., Adult Congregate Living Act of 1975; Ch. 400, Florida
Statutes) takes a significant step in protecting adults in such facilities from
abuse and exploitation.

Policies:

1. Abuse Protection Mechanisms

a. Prevention and treatment programs which reduce the occurrence of
abuse and neglect should be given priority.

2. Reporting Practices

a. The Human Rights Advocacy Committee should play an aggressive role in
protecting people in residential facilities from abuse, neglect and
exploitation.








b. Citizens should be aware of the problem of child and adult abuse and
neglect as well as channels for reporting neglect and the resources
available for treatment.


G. Consumer Rights/Protection/Awareness

To ensure that consumers and providers of social services are accurately
informed of consumer rights and that consumer rights are actively protected.

Definition/Discussion

Persons needing services oftentimes do not obtain them because of a general
lack of knowledge about service availability and the process involved in applying
for services. The policies contained in this section are designed to provide
the potential consumer of social services with the same rights and information
which society provides to consumers in other service sectors.

In recent years questions concerning the rights of social services
recipients have been the subject of both legislative and judicial activity.
Recent court decisions have clearly supported a strong "right to treatment"
concept and the 1975 Florida Legislature mandated much the same treatment
concept in its Bill of Rights For the Retarded (Ch. 393, F.S.). With the
service delivery process becoming increasingly complex, it is essential that
efforts be made to encourage consumer awareness of available services.
Admittedly, such efforts will increase the demand for social services. However,
consumer ignorance cannot be employed as a cost containment strategy. Effective
consumer education programs would serve to surface social services needs at a
stage when they can be dealt with at a minimum cost. Finally, in the area of
client rights, there is much that can be done without a great expenditure of
public funds. For example, such human rights as privacy, right to personal
possessions and some degree of self-determination can be secured for client
populations at a very limited cost to the state.


Policies:

1. Consumer Information

a. All citizens should have access to information about available social
service programs including easily understood information covering
topics such as: legal aid, individual rights, public assistance,
health, nutrition, family planning, housing, employment and consumer
affairs.

b. Increase awareness among the disadvantaged of employment, educational
and social services opportunities through the use of easily under-
stood mass media presentations.








2. Consumer Protection Mechanisms

a. The rights of nursing home and other residential living facilities
residents should be protected.

NOTE: Ensure that residential and other client groups are
appropriately represented on the Department of Health and
Rehabilitative Services District Advisory Councils, Human
Rights Advocacy Committees, and Nursing Home Ombudsman
Committees.

b. Representatives of Community Action Agencies and other community
service agencies should be encouraged to seek membership in
consumer protection organizations.

c. The state should use available legal resources to clarify and
safeguard the consumer's legal rights.

d. Consumers of residential treatment and care programs operated by the
Department of Health and Rehabilitative Services District Offices
should have access to a form of resident government designed to
articulate the interests of the facility residents.

3. General Client Rights

a. Ensure the confidentiality of client records and protection against
their inappropriate use.

b. Ensure that medication is not used in unnecessary or excessive
quantities. Under no circumstances should medication be employed
as punishment, for the convenience of the staff or as a substitute
for a treatment plan.

c. Prevent the inappropriate involvement of clients under state super-
vision in medical or pharmaceutical experimentation programs.

d. Clients in state operated residential treatment and care facilities
should be afforded the right to communications and visitations with
parents or guardians when such involvement is in keeping with program
objectives.

e. The use of noxious or painful stimuli in treatment programs, together
with the use of other than humane forms of discipline (e.g., in-
appropriate use of isolation and restraints), should be strictly
prohibited.

f. Each client receiving services from state social services agencies
shall have an individual treatment plan based on an assessment of
that particular client's individual needs. Individual treatment
plans should be reviewed and updated periodically, and where appropriate,
the parent or guardian of the client, or the client if competent, should
be consulted in the development of the plan.








g. The administrative policies of state operated residential treatment
and care facilities should be designed to maximize involvement
between the resident and his/her family when such involvement is
in keeping with program objectives.

It should be noted that many of the policies in the above section are
taken from the Florida Bill of Rights for the Mentally Retarded.
(Ch. 393, F.S.)


H. Institutions

To ensure the provision of active institutional treatment programs with
individual treatment plans which develop maximum potential for living in
the least restrictive environment.

Definition/Discussion

Issues concerned with the quality and inherent character of institutional
treatment and care are the subject of both judicial and legislative attention.
The focus of this concern is twofold: (1) extensive efforts on the part of
the courts, the legislature and program administrators to improve the basic
level of care and treatment offered in institutions, while at the same time
seeking to re-orient program directions to encourage increased independence
and self-sufficiency on the part of residents, and (2) increased emphasis on
the removal of clients from an institutional setting through the development
and rapid expansion of home and community-based treatment alternatives. The
policy statements presented in this section are designed to address these two
themes.

The normalization concept underlies these two themes. Normalization is
the principle of providing services in as near normal an environment as possible
with a minimum of disruption to family life and individual independence. It
means making available to clients, regardless of the setting in which they
reside, patterns and conditions of everyday life as similar as possible to
those experienced by the mainstream of society. Within this concept the
primary policy direction which arises is that of reducing to an absolute
minimum the number of clients requiring institutional care while providing
active individualized treatment programs for those who must be institutionalized.


Policies:

1. De-Institutionalization

a. Institutional populations should be frequently reviewed with the
goal of decreasing the institutionalization of individuals who might
be more effectively treated or cared for within a community setting.







b. Institutionalized clients should be placed in the least restrictive
quality environment, consistent with effective treatment and care.


2. Quality of Institutional Care

a. Residents of institutions should have access to adequate medical
and dental care.

b. Institutions should offer residents vocational and educational
programs tailored to their individual needs.

c. All activities performed by institutional residents should be operated
as an integral part of a structured training or treatment program.
Residents performing work related to maintaining and operating
residential facilities should receive pay commensurate with their
ability to perform said jobs.

d. Institutional settings should provide residents with a quality
environment to include the following: nutrition, safety, sanitation,
the right to personal possessions and privacy consistent with treat-
ment and security, life with dignity, religious freedom and the
opportunity for leisure, recreation, social interaction and communi-
cation.

e. Varying degrees of service delivery should be provided within the
same institutional setting. This continuum of service delivery should
be designed to encourage the maximum level of self-sufficiency for
each resident, while allowing the movement of residents from one level
of service intensity to another as their individual needs might
dictate.

f. Increased effort should be made through improved screening procedures
and the review of current institutional populations to ensure an
appropriate mix of client groups (e.g., not mixing retarded and
emotionally disturbed clients or allowing potentially violent clients
into non-secure treatment settings).


3. Community Involvement

a. Institutional residents should participate in community recreational
and social activities.

b. The future construction of institutional facilities should be based
upon a strong commitment to increasing community involvement with
institutionalized populations through the location of these facilities
in close proximity to communities. This would offer residents the
opportunity for involvement in the normal activities of community life.








c. Institutional living arrangements for clients should be located in
areas where clients can more easily integrate themselves into
community activities through the use of public transportation,
social and cultural activities, educational programs, etc.


I. Community Residential Services

To prevent or reduce the unnecessary institutionalization of people by making
available community-based treatment alternatives and support systems.

Definition/Discussion

One recent trend in social services has been the development of community-
based treatment alternatives for a large number of client groups. This trend
is founded on a general recognition of the limitations and potential abuses
associated with a dependence on large scale institutions as a primary treat-
ment concept. The rapid expansion of these types of facilities in Florida
represents a commitment to treating and caring for as many individuals as
possible within a small, minimally restricted community setting. This is a
trend which should be continued. However, it is essential that community-based
residential facilities limit the number of people institutionalized in Florida.
Efforts should be made to ensure that these facilities serve that function
rather than capturing a new client population which might have otherwise been
adequately treated in non-residential settings. As stated in the previous
section, the dominant treatment theme within community residential services
should be the concept of normalization.


Policies:

1. Community-Based Service Continuum

a. The state should develop community-based facilities which provide
varying degrees of service delivery within the community setting.
This continuum of service facilities should be designed and
administered to encourage the maximum level of self-sufficiency
for each resident, and to allow for the movement of residents from
one community facility to another as their individual needs might
dictate.

b. Alternatives to residential care should be developed by providing
support services to enable individuals to remain in their homes.








2. Quality of Community-Based Care

a. Community-based facilities should be structured and administered in
order to provide residents with a quality environment consistent
with treatment and security to include the following: nutrition,
safety, sanitation, the right to personal possessions, privacy, life
with dignity, religious freedom, the opportunity for leisure
involvement in community recreation activities, social interaction,
communications and access to the resources of the community.

b. Residents of community-based facilities must have access to adequate
medical and dental care.

c. All activities performed by residents of community-based facilities
should operate as an integral part of a structured training or
treatment program and not solely for the benefit of the facility.


3. Community Involvement

a. Community-based facilities should encourage and expand volunteer
services.


4. Community Service Integration

a. Community-based facilities should be located in neighborhoods which
facilitate the involvement of residents in the mainstream of
community life.

5. Special Programming

a. Develop special community-based facilities designed to treat and care
for such multi-problem clients as mentally retarded and/or emotionally
disturbed delinquents.

6. Program Evaluation

a. Community-based residential treatment facilities should be monitored
at regular intervals to assure that residents receive effective,
efficient, humane treatment and care.








J. Community Support Services

To encourage self-care, independent living and the preservation and rehabilitation
of families through the provision of community support services.

Definition/Discussion

Perhaps the single most important mechanism for reducing the use of the
institutional treatment setting is the planned delivery of community support
services. Community support services represent a broad range of social
services activities delivered in the community. The primary objective of this
service system is that of offering each individual the specialized services
necessary to encourage self-care and independent living within a community
setting. Community support services are designed to provide each individual
client with the assistance necessary to achieve a maximum degree of indepen-
dent functioning.

The coordinated delivery of these services, which are offered by a combina-
tion of federal, state and local providers, shall encourage the early detection
and solution of problems prior to their necessitating more intensive and costly
forms of treatment or care. Community support services represent an excellent
investment of the social services dollar. In addition, the provision of these
services strongly supports the service continuum concept in that they allow
each client to receive only the type and intensity of service dictated by
his/her individual needs.

Policies:

1. Funding Mechanisms

a. Employ flexible funding mechanisms as a means of providing each client
with the most appropriate and cost-effective services.

2. Community Resource Management

a. Ensure that social services providers are aware of and make maximum
use of all available community resources.

b. Promote a continuum of community services designed to provide each
client with an appropriate level of service while allowing for the
movement of the client from one level of service intensity to another
as individual needs might indicate.

c. Community support services should be delivered under a case management
approach focusing all available community resources on the problems
of the individual client.

d. Intensive efforts should be made to involve the family of the client in
the development of a community support services package which would
encourage families to provide care for relatives with special needs in
their own homes.








e. Use school buses as a means of meeting the transportation needs of
such groups as the poor, the elderly and the handicapped.


3. Governmental Responsiveness

a. The policies and practices of local governments and social services
agencies should not create barriers to self-sufficient community
functioning for citizens.

b. Provide technical assistance to local governments which would assist
them in dealing effectively with citizens who have special needs,
i.e., elderly, dependent and handicapped persons.


4. Integrated Service Delivery

a. Coordinate community transportation resources and the community
services delivery system to ensure adequate access to community
services.

b. Community support services should be located in areas with high
population concentrations of persons with unique needs.

c. Community support services should be employed to allow individuals
to function as independently as possible within their own homes.


5. Community Involvement

a. Citizens should be included in the planning and development of the
community support services system.


K. Education and Vocational Rehabilitation Services

To promote job training and employment opportunities for citizens of Florida.

Definition/Discussion

The vocational rehabilitation process consists of a planned, orderly
sequence of services related to the total needs of a handicapped individual.
The process should be built around an analysis of the problems of the handi-
capped individual and the development of a specific treatment plan designed to
meet these needs. The handicapped individual might well be defined as one
whose ability to function independently in society is significantly inhibited
by some medical, psychological or environmental handicap.

Vocational rehabilitation efforts represent one of the most cost-effective
investments of the social services dollar. Vocational rehabilitation, when








conducted as an integral part of a referral system associated with prisons,
juvenile justice agencies, mental hospitals, etc., can significantly reduce
the future costs of income maintenance programs. The cost-benefit relation-
ship of vocational rehabilitation programs in terms of the economic gains to
the community resulting from the increases in wages earned by disabled people
as compared to the cost of delivering these services to the handicapped
individual is an excellent one. A Department of Health, Education and Welfare
study (1967) indicated that wages earned by disabled individuals for the period
of their work life expectancy are 35 times greater than the amount spent on
their rehabilitation.


Policies:

1. Program Direction

a. While continued emphasis should be placed on helping the severely
handicapped, as is mandated by the Federal Rehabilitation Act of
1973, vocational rehabilitation agencies must seek to carry out
their responsibilities as an essential part of the rehabilitation
and treatment process by accepting and effectively dealing with
individuals from adult and juvenile corrections, mental health
facilities, mental retardation centers, and community-based clients
such as displaced homemakers and the elderly.

b. Plan and deliver integrated services designed to deal with the
nutritional, clothing, housing and transportation problems which
plague the severely disabled.

c. Educational services should be a component of the rehabilitative
process.


2. Technical Assistance

a. Provide technical assistance to local governments and vocational
rehabilitation providers in such areas as access to community
resources, individual mobility, the use of community transportation
resources, program planning and evaluation.


3. Housing Assistance

a. Efforts should be made through the modification of existing housing
units to assist handicapped individuals to maintain themselves in
their own homes.








4. Community Responsiveness


a. Encourage community responsiveness to the needs of handicapped
citizens in such areas as: public transportation, access to public
buildings, schools and recreation areas as well as in the develop-
ment of local community facilities plans.


5. Funding Mechanisms

a. Prevent the inappropriate institutionalization of the handicapped
by encouraging the maintenance of these individuals in their own
homes.

b. Encourage joint public/private vocational programming efforts
designed to involve the private sector in the rehabilitation
process.


6. Employment

a. Discourage discrimination against the handicapped in both public and
private employment practices.

b. Employment services should meet the needs of handicapped and elderly
persons (i.e., transportation assistance, employer/employee counseling,
arrangement of time off for medical appointments, etc.). The delivery
of these special services should be predicated upon the existence of
a much closer relationship between vocational rehabilitation agencies
of the State Employment Service.

c. Encourage the hiring of handicapped and elderly individuals through
community education programs.

d. Efforts oriented toward employment counseling, the retraining or
recycling of workers, and new skills training for formerly productive
workers should be an integral part of vocational rehabilitation
programs.

e. Employment programs for Aid to Families with Dependent Children (AFDC)
should include quality affordable day care.


7. Community Education

a. Promote understanding in the community of the problems faced by
handicapped individuals seeking to function independently in society.








L. Income Maintenance


To ensure adequate income and services for those who cannot support themselves,
while seeking to promote family stability.

Definition/Discussion

Income maintenance programs are designed to provide an adequate income for
citizens without an income or whose income falls below a specified standard of
need. The ultimate goal of such programs is that of assisting each individual
to achieve a reasonable level of self-sufficiency. These programs are based on
the assumption that an adequate income is an essential element in the provision
of social and rehabilitative services. Since the relative effectiveness of
most treatment and rehabilitative efforts is at least partially dependent on
the client having an adequate income base during the service delivery process,
these programs represent an essential investment.

Individuals receiving income maintenance services fall into two broad
categories: (1) persons identified as possessing potential for self-sufficiency
who can be moved toward even greater degree of independence (for many their
tenure on income maintenance programs is only a temporary one), and (2) persons
lacking such potential who are maintained in their own homes, in community
facilities, and in institutions and moved from one to another as their needs
indicate. It should be noted that while the expansion of work opportunities,
increased job training and the improvement of social insurance programs would
significantly reduce the demand for income maintenance services, there are
still a significant number of individuals (aged, handicapped, socio-culturally
deprived, etc.) who would require some form of ongoing income assistance. For
these individuals,income maintenance services should be offered in a dignified,
humane, effective and efficient manner.


Policies:

1. Consumer Rights

a. Income maintenance services should be offered within a positive
context to include the following: prompt handling of complaints
and appeals, efficient processing of eligibility requests, consumer
involvement in program policy development, and protection against
the inappropriate use of client information.

b. Emphasize the preservation, rehabilitation, and reuniting of families,
and improve the welfare of children within families receiving
income maintenance services.


2. Consumer Education

a. Ensure that clients are fully aware of both their potential benefits
and their individual rights under income maintenance programs.








b. Client education efforts should involve such existing advocacy groups
as Senior Citizen Associations and Community Action Agencies, while
seeking to encourage the further development of such groups.

c. Income maintenance services should be closely coordinated with
client education efforts in the area of consumer affairs to
encourage the most effective utilization by the client of the
income maintenance dollar.


3. Program Direction

a. Income maintenance services should be viewed as an integral part of
the habilitation or rehabilitation process and as such should be
administered so as to increase the general effectiveness of these
efforts.

b. The special needs of handicapped and elderly persons should be
addressed in the income maintenance program.


4. Cost Containment

a. Reduce the cost of income maintenance programs by requiring absent
parents to fulfill child support obligations.

b. Administer an effective, efficient income maintenance program by
eliminating payments to ineligible individuals, preventing duplication
in payments, increasing the efficiency and accuracy of eligibility
determination, and increasing the effectiveness of income maintenance
programs as an element of the habilitation and rehabilitation process.








SOCIAL SERVICES ISSUES


In the development of the Social Services Element a number of issues
or problem areas associated with the delivery of social services in Florida
were identified. A number of these issues are presented here. These issues
are not inclusive of all the problems or issues facing the social services
system; however, they are representative of the problems found in service
delivery.

Policy studies should be implemented addressing the following issues:

I. Client Records The use, confidentiality and continued pro-
liferation of client records. (Office of Program Planning and
Development, Department of Health and Rehabilitative Services*)

II. Consumer Education The development of effective mechanisms for
the education of both actual and potential consumers of social
services concerning their rights and entitlements under social
services programs. (Office of Program Planning and Development,
Department of Health and Rehabilitative Services*)

III. Program Evaluation The review of all program evaluation efforts
in terms of their location, effectiveness and demonstrated results.
(Office of Evaluation, Deputy Assistant Secretary for Program
Planning, and Office of the Assistant Secretary for Program Plan-
ning, Department of Health and Rehabilitative Services*)

IV. Resources Distribution Strategies The analysis of such alternative
resource distribution strategies as purchase of services, in-home
subsidization and client fees to determine their most efficient
and effective uses. (Joint effort .between Department of Health
and Rehabilitative Services and Department of Administration*)

V. Local Government The development of policy guidelines designed
to assist local governments in ensuring that local communities
respond as completely as possible to the needs of such special
client groups as the elderly and the handicapped. (Division of
Community Services, Department of Community Affairs*)

VI. Administrative Procedures Act (Ch. 120, F.S.) The analysis of the
impact of the Administrative Procedures Act on the state social
services system. Has it fostered the development of program standards
which can be used to monitor program performance while clearly
defining client rights? (Office of Evaluation and Office of Program
Planning and Development, Department of Health and Rehabilitative
Services*)

VII. Volunteer Services The analysis of the management, use, recruit-
ment and training of volunteers within the social services system








with the goal of increasing dramatically the involvement of citizens
in the delivery of social services. (Office of Assistant Secretary
for Operations; Intra-departmental coordination, Department of
Health and Rehabilitative Services and Local Voluntary Action
Centers*)

VIII. Special Service Groups A review of the policies under which
services are delivered to such special groups as rural clients,
migrants, elderly and multi-problem clients and recommendations
of policy and program responses to these needs. (Office of Health
and Social Services Policy Development, Assistant Secretary for
Program Planning and Development, Department of Health and Re-
habilitative Services*)

IX. De-Institutionalization A general evaluation of the de-institution-
alization process in Florida. What has been the impact of the rapid
expansion of community-based treatment programs? Have they impacted
on institutional populations? How effective are such programs?
(Retardation Program Office, Mental Health Program Office, Youth
Services Program Office, Office of Program Planning and Development,
Department of Health and Rehabilitative Services*)

X. Budgeting Procedures A review of the manner in which social services
are budgeted at the state level. This would include consideration
of the substitution of performance criteria for workload measures
in the budgeting process. (Joint effort between Division of Budget,
Department of Administration; Administrative Services Office, Office
of Financial Management, Department of Health and Rehabilitative
Services*)

XI. Consumer Groups An analysis of the role of consumer advocacy groups
in the social services system. How can the state encourage such
groups and ensure their participation in decision-making? (Joint
effort between Department of Health and Rehabilitative Services and
private consumer groups*)

XII. Guardianship To review present laws on guardianship and their
relationship to the effective delivery of social services. (Family
and Childrens Services Program, Office of Program Planning and
Development, Department of Health and Rehabilitative Services*)

XIII. Income Maintenance An assessment of current cash payments to the
poor to determine the adequacy of the level of assistance.
(Public Assistance Program, Office of Program Planning and Develop-
ment, Department of Health and Rehabilitative Services*)


*Responsible Agency




























IMPLEMENTATION MATRIX










CODE: L = Lea' Role
S = Supportive Role


LUJ

/) (_)
C- r

f :-


POLICIES


A. Social Services Funding

Purchase of Services


a. Encourage use


L' ,
:r- .,- --t 0 .

40 01 4 3
( 1:1 C 0 V. -!


~, ~-I --
* -- <-


-- - ----- ~----------n -----I--~


>


r 2*r


0 -

0 S- C


!-0


0
4- 4-




S*-= 2


tt I-i--4.-F-*---+ 4 4. F


: 1 I I


C) I-


e1
U U

-- -
!.


5 b. Ensure program accountability L S I S


5 c. Expand to provide supportive services to
maintain people in their own homes S L S S
__ i Iji _____

2. Client Fees i I I

a. Expand use S L
S



---------------------------j-- -- -j-- ------__ --
3. Cost Containmenti

!5 a. Encourage economies of scale iS i S | S i S S


---------------i- S___________
6 b. Early detection and prevention programs should
have priority S S S S S L


14. Federal Funding L_ __

6 a. Use A-95 review to direct federal funding | L S


4-



0 C
C- 0


I






,i
r-!
- -
-_- c3^




= ---
c:,'




I


I P
A


-


i 1,







CODE: L = Lead Role .o -o, Ij
S = Support.ive Role _j V "' > 0 U- i- .U
0 o .- 0 a o o.0 (L o o C- -
fi n C; c -P $.- w 4J ro S.- 1 01 4J 4 ,;
V) U -1 S.- 4- 4 u 0 L


oPOLICIES vi o ac 7--e S S -coo










1. Personnel Development !

6 a. Provide opportunities for career advancement-
in direct service fields L S S L L
i b. Staf deve ment p programs shoud be ae U


to all social services personnel L L L L S

Program Developmento













i 7 i a. Improve program planning L S
7 b. Plan and implement programs for multi-problem E .- J
E .- Tr C. ') >r 0 2l C a D Q. E 0! 4- c4 ^- a: !
POLICIES 0 .- 0 1- 0 V -0 C = C) 0 = 4-


S6 j b. Increase coordination of federal funds for
social services S S S S L L













6 c. Integncourate self-suffrvice delivery through employment- with all
oriented service packages or S famil S L L


B. System Maintenance/Program Improvement
1j. Personnel Development

6 a. Provide opportunities for career advancement
in direct service fields L f I 1 L L S

i I .
7 j b. Staff development programs should be available
to all social services personnel L LL L L L S S


2. Program Development.

7 a. Improve program planning L S


7 b. Plan and implement programs for multi-problem
clients L L L S


problems facing an individual or family L S S








CODE: L = Lead Role S- -4 I .
S Suportive Role u > > '- 4- i- r -
Sca LJ oc C- 0- -10 0 C) S S---
V I .; s- v 01 sj 4.,
7 =7 L ; > I- ) ( > S c 4- = r s I-
o LL -- S -, C S- > J 4-i-; : C C- C C) 0_1 C M 4i-

1V. -; 4-) %_ I| C) 1 : t
POLICIES o c o a o

7 i d. Improve rural service delivery S S S S L L


S 3. Accountability

7 a. improve evaluation capability and consolidate
information systems S S


7 b. Monitor programs efficiently and consistently L L S
-i--_----_-----_----_ __ ___

.4. System Awareness

7 | a. Increase public's acceptance of community- S S S L
based facilities
-------------------1_________________________ __--______ ____ _-_ _
7 i b. Increase potential for client independence S S S S L
SI
7 c. Minimize negative labeling of service
recipients L S S
i iI_"

C. Inspection/Regulation Function |

1i. Community Residential Facilities

j 8 a. Protect the health, comfort and safety ofS I
residents I S L S
S L







S CODE: L = Lead Role __-.- I W,
=Supportive Role i ) u -- > > 4- o 4- s- 4 4 --
C, L .j.-- o 0 o a L- .- 0


POLICIES O 1_ I- r) 4- 4
(n C Q S- 4->) .4- 4- +- I r--i-
8 c. Enforce program standards & inspection = -












.2. Standards -

8 a. Define measurable operational standards
Sl- C3 e3 (U ) Qa) (V5 rJ ) E: E ^ z E -- E U Ln
A V*) U 4- ) U 0-4 L 1 0) 1 **



















.9 c. Assure quality care in foster homes and
residential facilities 3 L S S
9 d. Provide tech nical assistance and program a o u o


8 b. tanEnsudards consumer protection S S S L L





















-3. Coordination
8 Enforce program standards & inspection
procedures I L S S





















a ctivities.L S S
j 12. Standards

8 a. Define measurable operational standards i L S S


i 8 i b. Enforce child care standards S S S L S S

9 c. Assure quality care in foster homes and
residential facilities 1 L S S


9 d. Provide technical assistance and program
i standards to local providers S S S L


3. Coordination ,,

S9 a. Reduce duplication and gaps in regulation
i activities L S S









CCDE: L = Lead Role
S = Supportive Role -j i

1 C L i;
c_ rC


POLICIES
,r

4. Migrants _

9 a. Protect health and welfare of transient
farm labor


S5. Inspection Personnel

9 a. Attract and retain the most qualified
i inspection personnel


D. Community Involvement

1. Volunteers

10 1 a. Provide volunteer recruitment & management
services to all state social services programs


S 2. Community Education

10 a. Reduce client stigma by increasing community
education efforts


i3. District Advisory Councils

10 a. Encourage local involvement in social
services delivery

* \ 5






CODE: L = Lead Role s -K -. I
S | S = Supportive Role -J V u fa (o n > S4- o -- 4- 1 +r- s
c, o L a 0 ; .- c o --0 -- 0 o 00 C- c
S V C 7 0 3 0 -- ) 5- ) ) I *'-
S~ ~I = > S- = 4- := = = a) S- I-!


E. State/Local Coordination Responsiveness
) 3 -1 -) 1 4)C L U i- CU I, *r- 4I I *


S 1. Technical Assistance U




101 a. Assist local providers in offering quality
Of Z, 3 Z *-0 ra U ro V *






11 d.- E- b: I S L



Seplanning S S L S








tihe. s zoningordinances which support o a Local Government (L)
residential treatment facilities S
11 f. Increase state and local cooperation & Responsiveness
Technical Assistance


















i dealing with employment problems S L S S
I------------___-.I-.--.. -







llj g. Encourage local responsiveness to aging and Local Government
handicapped people, etc., in planning L S L L
community facilities SL 1 SL
dealing with employment problems S L L S S
Handicapped people, etc., in planning i











r7



2:


CODE: L = Lead Role
S = Supportive Role


POLICIES I


i 2. State Review Powers


a. Use the A-95 review process as a tool for
coordinating state and local social services


C1- ci i

o- -- -i W:I
0 Cl c:0 0
'*- c .


'0--
4 1


iC); 7'


0
*
- t--




-3


r IIPIIIYL~rY~~r~LI+IMI~


F


11 b. Use state/local funding for facility con-
1 struction or renovation to create barrier- I
free community facilities Local Government (L) S S S


3. Fiscal Incentives

S11 a. Encourage the development of personal low Local Government (L)
interest loans to remove architectural I I
barriers in homes S L S


11 b. Encourage communities to respond to their Local Government (L)
unique social services needs L L L


4. Policies and Practices

12 a. State & local policies & practices should not i
create barriers to independent functioning
of citizens S S L



I i
___________ i __ L


cJ IE
4 4- Ir l- E
0 0 0' 0L

0 C, ; .-
4_1 Z,
": I- C
C C).- e <- J -
^ U f3 l
o3 M .5r 4c
W 's csL'
OJ" l_1 O u- (*? L'-


4-''

U
-r -u
. i



Q;E1
`-.-' 4



~--*-1


---~ ----C;-)-~l~-~-C-----R-l--


J


? :







CODE: L = Lead Role 8
U,- 0 r
S = Supportive Role ou > u .- C I- V
V,- )-- I C; IL) i4- S- 01 O 4- 0 +- -
V) 7 -, ( V) > rC .- r- rE' S= S E CJ L. SU
0 LJ WL t 0 n 4-J 5- cu C) 0. 3 0C' C) (-,1 < ro 0 E / E: = .,- ; U V )
U-1 ?- s- c ^ -' i- aw 5- D o _
POLICIES o :, 5- CU o (D ( ) c -a s-P ao = -- C 4- H- 4
>v_ 0- v) ---I C) .-- (D C C) C L O-* U D 0 00 cc;
F. Protection Function

1. Abuse Protection Mechanisms

S12 a. Give priority to prevention & treatment of
child & adult abuse & neglect S S S L S L


2. Reporting Practices

12 a. Protect people in residential facilities
From abuse/neglect/exploitation S L S L


13j b. Inform citizens of abuse/neglect reporting |
procedures as well as resources available
Sfor treatment S S S S L S L


G. Consumer Rights/Protection/Awareness

1. Consumer Information
13 .Poiealctznsacs oifrain--------------------------------- ---------------------------------------------
131 a. Provide all citizens access to information
about social services S S S S L S S


13 b. Increase awareness of service availability
among the disadvantaged L L L S L

~ i 1










CODE: L = Lead Role
S = Supportive Role


LU
CO Ll.
(.3- .
)'-L


J POLICIES
T- J---*


Consumer Protection Mechanisms


a. Protect the rights of residents of nursing
homes & other residential facilities



b. Encourage community action agencies, etc., to
seek membership in consumer protection
organizations


cl-


,~--- I-


K-C .- L'C

o c.> ._ cI
L,) L ->- .4-' *.- WJ
i: (0 C =-
S- n
r3 CL C C-1. 0 CJ 3
S ti t' 0 Li

> >t >

IV,

1 1 ^


.-. S.- 34-. 1 -
4! -' I


C: r ) Lr ;4
I S S
> a.
0-_ C- Q;

==*-=I -----*** I


c. Use available legal resources to protect
consumer rights S S S L L


d. Provide resident government to clients in
state operated residential facilities S S L



3. General Client Rights I

a. Ensure confidentiality and proper use of j
client records L S S



b. Control the use of medication 1 L S L



c. Prevent inappropriate client involvement in
experimental programs I L S L


___


2.


I I
14





I i


i


l


4-
o0



:o


,i

S--


I ,
I,

~ryi.
rrT'e +


ra


5->
1 0


i- o
8W,-


S-1

4 4-'
5- '..

c3 -c,


-


t







CODE: L = Lead Role -t',-. -
S = Supportive Role _j 'a aU- >- > > >
cm u o | 0- 0 o o r *- 0- o a sL L
) ) 4. M5 S- 4- A


POLICIES 0- a = I-
li S (Z) C D M 1D C- 3 6 LEE




14 d. Afford clients of residential programs the
Right to communication and visitation L S L





14 f. Provide clients with individual treatment
plans L S L

15 g. Encourage maximum involvement between
residential clients and their families L S L


H. Institutions

1. De-Institutionalization

15 a. Frequently review institutionalized population L S L


16 b. Place institutionalized persons in least
restrictive environment L S L


2. Quality of Institutional Care

16 a. Provide residents with adequate dental and
medical care L S L
i I I i s I I_








CODE: L =Lead Role 1-4 -S
COL0 0 0-0 0 0 0 C
SSupportive Role u u a >i > o w- U v ,- n L ,
Lo o c o",- c 't o .-- o. -- o / Ce
OPOLICIES o o o = -- o r=-



16 b. OfferPOLICIE residents vocational and education G a--
C).Offer 1e v o an VId4Jati Co S
insa-uionI= C- t4-


programs S S L L


16 c. All resident activities should be part of a.
I structured training & treatment program L S L


16 d. Provide residents with a quality institutional
environment L S L


16 e. Provide a continuum of service delivery toi
encourage maximum self-sufficiency L S L


16 f. Improve screening of institutional populations
Sto ensure appropriate client mix L S L


3. Community Involvement __

16 a. Involve institutional residents in community I
i activities S S i S S S L


S16 b. Locate new institutions in close proximity t
to residential communities I L L


_ _ _ _ _ _ __ __ _____
17 c. Facilitate institutional client integration
into the community j ) .. ) S S






S.-- o S- _
CODE: L = Lead Role -c t u
S = Supportive Role -i v C u 1r ><(n > 4- o 4- 4- 4 o ; r- S
Mo L a 0 -- C 0 0 0- 0 o0 S


4 POLICIES to 4- > = -- I L- ; )
U J : L, 4- 4-1 1U ( U
:3 >I
? *- S- *r S S-c OC LC. C 0- =3 4C
POLICIES 0 C', 0 C) c.. 0 ?C) c)50) -6
V) 0- (n _j cr, __ 1 o :) E S=) uQI CD L) V O o



1. Community-Based Service Continuum

17 a. Provide varying degrees of service delivery
to encourage maximum self-sufficiency L S L


17 b. Provide alternatives to residential care S S S L S L
LJ___________________________ ___ __ ___


S2.


18


Quality of Community-Based Care


a. Provide a quality environment consistent with
treatment and security


18 b. Provide residents with adequate dental and
medical care S S L


18 c. All resident activities should be an integral
part of a structured training & treatment
program L S L


S3. Community Involvement

18 a. Encourage volunteer services L L


w
W I
ki











CODE: L = Lead Role
S = Supportive Role


POLICIES


- m i -1


o i Uit
a S .




0 CS .'- *
*i- U i-0- 0
o c o c

!- u- v. 0
r3 0.' 1> (U '-'


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4. Service Integration


a. Locate facilities in neighborhoods which
facilitate resident involvement in community
life


I


5. Special Programming i I I I I I I I I I


a. Develop community-based programs for clients
with multi-problems


6. Program Evaluation


18 a. Monitor residential treatment facility pro- i
grams at regular intervals L L S



J. Community Support Services

1. Funding MechanismsI

i
S19 a. Employ flexible funding mechanisms to provide
clients with appropriate, cost-effective
services S L S



2. Community Resource Management i

19 a. Ensure provider awareness & use of available
local resources S S S S L


I


E U t.1
E.L ca

5- *=r r S
ci
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o- vr+

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;---rr ill-L-----.-l---.--'-~-t~.~----.l-.






CODE: L = Lead Role 4J G 8 |
S = Supportive Role -j Z a U 5 > o 4V- o I i
mnu o '- o.- o- o o -0 a so
V) (-0 < OL S- 4-) S 4) 4--M 1 +- 4- I io 4 1
I s s ('.,o >o I 0 |c ,-- I t c
CD LL i Si() ei ) iI a ) o -' --. i 4 -C
;. ,-, ; ., Q- i = .I m : ,3 .1i .

SPOLICIES o : i- o a o I = l j: -


19 b. Provide continuum of community support service S S S L S L
_i___________ I -__i____ I I-


c. Utilize case management approach in support
of service delivery


d. Encourage families to care for relatives with
special needs in their own homes


e. Use local school buses to meet the transpor-
tation needs of poor, elderly & handicapped
people


government (L)


13. Governmental Responsiveness

i20 a. Local government & agency policies & practices Local Government (L)
should not create barriers to citizen self-
sufficiency S S S L


20 b. Assist local governments in dealing with
citizens who have special needs L L S L


4. Integrated Service Delivery

20 a. Coordinate community transportation resources Local Government (L
and service delivery I S S S S L


19


19
i


i20


I r I I I r -r i r '


: C -i I I -r i i r








CODE: L = Lead Role
S = Supportive Role 1 o

;C) LLJ
C-


POLICIES

20 b. Locate community support services in
geographic areas with greatest need


S20 c. Employ home support services to assist
individuals to function independently at
S j home


S 5. Community Involvement

S20 a. Involve citizens in program planning &
i development
h-i

K. Education and Vocational
Rehabilitation Services

1. Program Direction

21 a. Accept & effectively deal with referrals
from other social services programs


21 b. Plan & deliver integrated services


21 c. Include educational services in the
rehabilitation process


I .






CODE: L = Lead Role -r- -" S
S = Supportive Role U (Z V > >4- L- 4- 4 ; -,
C O- -4I 4 '- -- I- 4r -- 1 4 ) M .!


Si- = s- s-- &. -, .- M U

--, __. (. E in LU M -
POLCIE o a o a~lc~ -0 -0 w -0 0 ci_
2. Technical Assistance I S -i
121 a. Provide assistance to local governments and
1 vocational rehabilitation providers S S L L

3. Housing Assistance -

21 a. Modify existing housing units to facilitate
independence of handicapped persons S L S S L
__-------------- _--ill 1__ __ i
S 4. Community Responsiveness
22 a. Encourage community responsiveness to the
I needs of handicapped citizens L L

5. Funding Mechanisms
22 a. Encourage maintenance of handicapped people
in their own homes S S S S S L

22 b. Encourage joint public/private vocational
programming S S S S S L L

6. Employment t I i
S22 a. Discourage discrimination against handicapped I
persons __ L L








_ _~ p-I


CODE:


L = Lead Role
S = Supportive Role


POLICIES oEc


b. Provide special employment and placement
services to handicapped persons


__~____II_


*- O 0


C -


~- <'. 6
c_ o"_ J~,


I


A- 5
S-r-


C -c

: S.=
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r~r)
u


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YY-YLI -


c. Encourage, through community education, the
hiring of handicapped & elderly persons L L S L



d. Retrain formerly productive workers S S S S S L L



e. Include day care as a component of employment
programs for AFDC S S L L



7. Community Education


a. Promote an understanding of the problems of
handicapped people L S L



L. Income Maintenance


1. Consumer Rights


a. Offer income maintenance programs in a
positive manner


23 b. Emphasize family preservation and 1
rehabilitation L S L
___________________________________ _L___S___L_


~~--I ________------~- _~-I~RI~I~PI


) I I I


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CODE:



0~i


POLICIES


2. Consumer Education


a. Ensure client awareness
benefits and rights


of income maintenance


L = Lead Role
S = Supportive Roa e


' I -i I -I I 7


---


. ......... ......


j~~~ ---- -- -- -t-J- -
1 24 b. Involve consumer groups in client education
efforts S S S L S L


c. Coordinate consumer education efforts with


the most effective use of
dnl1 arc


income maintenance


3. Program Direction_

24 a. Integrate the delivery of income maintenance j
with other rehabilitative or habilitative
programs L S L


24 b. Address the special needs of handicapped &
elderly persons L S L

4. Cost Containment

24 a. Require absent parents to fulfill child
Support obligations L S


24 b. Increase the efficiency and effectiveness of
income maintenance programs iL L S
__---------------f --- L A L


ar~-~r~mr~-nrrr ._ ___~__ ___ ______ ___~,


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23


















PROJECT STAFF


Helge Swanson, Project Coordinator
Michael F. Watson, Project Manager


E. W. Wood, Jr.

Adele Spielberger


Mary Ellen Early

Miriam P. Baldwin




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