Delaware Department of Health and Social Services

Division of Developmental Disabilities Services

Joint Finance Committee HearingFiscal Year 2012

Roy A. Lafontaine, Ph.D. Division Director

Thursday, March 3, 2011

Overview Populations Served:

• Intellectual Disabilities

• Autism

• Prader Willi Syndrome

• Aspergers Disorder

Vision Statement

The people we serve live fulfilling lives.

Mission StatementTo provide leadership for a service system

that is responsive to the needs of the people we support by creating opportunities and promoting

possibilities for meeting those needs.

Overview

• Serve over 3,100 individuals and their families

• 938 Residential Services• 68 Residents of Stockley Center• 2,180 live at home with their families• 2.6% increase in number of people served• 38 Authorized/Contracted Day and

Residential Providers

Delaware Health and Social Services

Accomplishments

• Placed 36 people out of 50 budgeted residential placements since July 1, 2010

• Placed 92 out of 101 budgeted special school graduates in day program placements to date in FY 2011

• Provided respite for 358 people to date this fiscal year

Delaware Health and Social Services

Accomplishments• Received approval of our 1915(c) Waiver

renewal application from the U.S. Centers for Medicare and Medicaid Services (CMS)

• Established Parent/Guardian Forum meetings for public awareness and education in each county

Delaware Health and Social Services

Accomplishments• Initiated a program to standardize quality

assurance monitoring and evaluation activities across residential and day services.

• Established a designated position to develop and manage a division-wide performance measurement system to significantly improve evidence-based planning and decision making.

Delaware Health and Social Services

• We have improved the process whereby we identify and track students who will be exiting special school programs and entering DDDS services

• Established a standing committee to enhance our working relationship with the Department of Education and other agencies that comprise the Interagency Collaborative Team (ICT) and better ensure the needs of special education students who are eligible for services from the DDDS are being adequately addressed

Accomplishments

Delaware Health and Social Services

Trends

• An increase in cases of individuals, children and adults, with co-existing mental health and behavioral issues

(the “dually diagnosed”)

• Increasing requests for emergency residential placements

Delaware Health and Social Services

Complex Cases

11

18

11

15

15

24

77

0

5

10

15

20

25

FY2008

FY2009

FY2010

FY2011

Behavioral

Dual Diag.

Delaware Health and Social Services

Trends • Service constituency that is aging• Increase in the number of individuals who have

aging caregivers• Provider network that is struggling to maintain

capacity and quality service• Challenges in recruiting and maintaining a

competent workforce

Delaware Health and Social Services

FY 2012 Governor’s Recommended Budget

• Purchase of Service: Special School Graduates

FY 2011 Placements Annualized in FY 2012

FY 2012 Pro-Rated

$855.0

3 Months Annualized Funding for 101 Grads in FY 2011

$1,131.9

9 Months Pro-rated Funding for 140 Grads in FY 2012

Delaware Health and Social Services

FY 2012 Governor’s Recommended Budget

• Purchase of Service: Residential Placements

FY 2011 Placements Annualized in FY 2012

FY 2012 Pro-Rated

$1,935.5

6 Months Annualized Funding for 50 Emergency/Urgent

Placements

$2,534.7

6 Months Pro-rated Funding for 75 New Residential

Placements from the Urgent and High Risk Categories of

the DDDS Registry

Delaware Health and Social Services

Thank You