overview of wecare · assistance in new york city have complicated clinical barriers to...
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Copyright 2009 The City of New York, Department of Social Services. For permission to reproduce all or part of this material contact the New
York City Human Resources Administration
NYC HRA’s Declining Caseload: Individuals with
Clinical Barriers to Employment
A significant number of people remaining on cash assistance in New York City have complicated clinical barriers to employability including medical, mental health, and substance abuse conditions.
To address their needs while building on lessons learned from past experience, five years ago HRA developed a new program model called WeCARE.
After a competitive solicitation, HRA selected two primary contractors and their subcontractors to operate WeCARE:
FEGS Health Human Services Systems- Medical Assessment Sites
Arbor Employment and Training, Inc. - Medical Assessment Sites- Vocational Rehabilitation Service Site
The WeCARE Assessment Model February 2005 – November 2009
PsychosocialAssessment
Comprehensivemedical exam
Lab tests,X-rays,
other tests Specialtymedical exam
38% of completed BPS1
Biopsychosocial Assessment81% complete
Client isFully
Employable6%
FunctionalOutcome
ComprehensiveService Plan
83%
Federal DisabilityClient is unemployable
17%
Wellness RehabilitationClient is temporarily
Unemployable35%
Vocational Rehabilitation
Client is employablewith limitations
42%
Clinical Review Team
Copyright 2009 The City of New York, Department of Social Services. For permission to reproduce all or part of this material contact the New York City Human Resources Administration
HRA Customized Assistance Services –WeCARE Fully Employable
Client is Fully Employable
Client is Fully Employable
Client referredto regular HRA
employment programs
Client referredto regular HRA
employment programs
Client needs medicaltreatment to stabilize
condition
Wellness / RehabilitationPlan
Reevaluate status anddevelop appropriatefunctional capacity
outcome
HRA Customized Assistance Services - WeCARE Wellness Rehabilitation
Link and collaborate withappropriate treatment
providers
Case managementHealth education
Monitor and facilitatecompliance with, and progress
in, medical treatment
Federal DisabilityClient is
unemployable
VocationalRehabilitation
Client is employablewith limitations
Client isemployable
may require minimalaccommodations
Client isFully Employable
Job Placement RetentionServices
Vocational RehabilitationServices
TransitionalBenefits
Job search
Medical treatment andhealth education forindividual & family
Specialized WEP,including
accommodationsJob coaching
Case management
HRA Customized Assistance Services - WeCARE Vocational Rehabilitation
Skills training andeducation
Diagnostic VocationalEvaluation / IndividualPlan of Employment
VocationalRehabilitation
Client is employablewith limitations
Federal DisabilityClient is unemployable
Application for FederalDisability Benefits
Receipt of SSI/SSDI
Federal DisabilityClient is unemployable
HRA Customized Assistance Services - WeCARE Federal Disability
Obtain/provide additionalsupporting medical
documentationCase management
Benefits approved?
Assist with appealprocess
Yes No
Link and collaborate withtreatment providers Health education
Program Outcomes
Over 11,000 job placements with 74% retention at 6 months.
27% of clients who complete DVE are placed in jobs.
Over 18,500 SSI awards with award rate on initial application improving.
Over 38,000 wellness plans completed.
WeCARE Milestones By Contract Year
0
2000
4000
6000
8000
10000
12000
Job Placements Wellness PlansCompleted
Federal Disability
Year 1Year 2Year 3Year 4Year 5
Some FindingsOutreach, one component of case management, appears to be an effective tool in increasing participation in WeCARE activities
A number of individuals require emergency medical intervention at the time of their BPS assessment
The most common medical problems are psychiatric, orthopedic, respiratory and cardiac
Many individuals with medical/mental health limitations to employment have co-morbid substance abuse disorders
WeCAREWeCARE incorporates the following new and importantprogram elements:
Holistic assessmentsContinuum of integrated services from assessment to rehabilitation to self-sufficiency under one umbrella contractClinical focus and supportProactive Wellness Plans to facilitate compliance with treatmentVocational rehabilitation starts with a comprehensive evaluationCase management services
WeCARE Contact Information
Mike BosketAssistant Deputy CommissionerHuman Resources AdministrationCustomized Assistance Services2 Washington St, 17th FloorNew York, New York 10004(212) [email protected]
Partnerships for a Changing World ®
© F·E·G·S 2010
About F·E·G·S
The mission of F·E·G·S Health and Human Services System has remained constant for almost three-quarters of a century: To meet the needs of the Jewish and broader community through a diverse network of high quality, cost-efficient health and human services that help each person achieve greater independence at work, at home, at school and in the community, and meet the ever-changing needs of business and our society.
F·E·G·S has assisted more than three million people since its founding in 1934 by the Federation of Jewish Philanthropies, now UJA-Federation of New York, of which F·E·G·S is a beneficiary agency.
Today, F·E·G·S is one of the largest and most diversified not-for-profit health and human services organizations in the United States.
Each year F·E·G·S touches the lives of over 100,000 people – some 10,000 each day – at more than 300 locations throughout New York City and Long Island, providing a comprehensive array of services that create opportunities and improve the lives of those we serve.
Partnerships for A Changing World ®
© F·E·G·S 2010
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FOR-PROFIT:
ALLSector Technology Group, Inc. Extreme Behavioral Risk Management, LLC · XBRM HR Dynamics, Inc. Staff Resources, Inc.
FEGS Home Attendant Services, Inc. FEGS Home Care Services, Inc. F·E·G·S Holding Corp. F·E·G·S Israel Jewish Care Services of Long Island Waverly Residence, Inc. NYSD Forsyth Housing Development Fund Co., Inc. NYSD Housing Development Fund Co., Inc.
NYSD Rombouts Housing Development Fund Co., Inc.
Tanya Towers, Inc.
NOT-FOR-PROFIT:Behavioral Health Services Residential and Housing Support Services Developmental Disabilities Services Education and Youth Services Employment/Career/Skills Training Services Family Services Community Trust NYSD Services for the Deaf Haym Salomon Division of the Arts
• WeCARE Work Services Yatzkan Division of Adolescent Behavioral Health and Substance Abuse
SubsidiarySubsidiary& Affiliate& Affiliate
CorporationsCorporations
Overview of F·E·G·S Health and Human Services System
MajorMajorOperatingOperatingDivisionsDivisions
FF··EE··GG··SSHEALTH & HUMAN SERVICES SYSTEM
© F·E·G·S 2010
FF··EE··GG··SS -- WeCARE DivisionWeCARE Division
Mission StatementMission StatementSupporting New York City’s welfare reform initiatives, our Mission is to empower NYC cash assistance clients with disabilities to transition off cash assistance and to achieve their highest levels of self-sufficiency. We carry out our Mission by assisting individuals to obtain either employment or, for those clients determined not able to return to work, federal disability benefits.
Through respect, communication, and teamwork, clients receive consistently high quality services. Our innovative, holistic approach includes an assessment of our clients’ medical and mental health needs; case management, vocational rehabilitation, job placement, job retention, and wellness services; and assistance with applying for federal disability benefits.
Vision StatementVision StatementAll F·E·G·S WeCARE clients are highly motivated and empowered to achieve their maximum level of self-sufficiency, serving as a source of
Partnerships for A Changing World ®
inspiration to others.
© F·E·G·S 2010
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FF··EE··GG··S WeCARE DivisionS WeCARE DivisionIn pursuing our Mission, we have established the following core values for F·E·G·S WeCARE:
Working Together We have an unwavering commitment to fostering a collaborative environment within and across our own units as well as with our external partners in order to provide a seamless continuum of care for our clients. We consider our clients to be an integral part of our team effort.
Entrustment We continually strive to garner the trust of our clients, our partners, and each other. Through open and honest interactions on a daily basis, we exemplify this fundamental need in establishing value-driven relationships with others.
Communication Actively listening with an empathic ear to the concerns and perceptions of our clients, our partners, and each other allows us to gain a deeper understanding of a person’s motivations, desires, and needs, allowing for a greater
Advancement
fulfillment of our goals.
We are passionate about providing both our staff and our clients with the best opportunities to realize and achieve their highest levels of potential in both the personal and professional areas of their lives. This value is at the core of what WeCARE is all about.
Respect – Our attitude is one of an unconditional positive regard for our clients, our partners, and each other in everything we do. This attitude transcends norms and culture and elevates dignity of the human spirit to a universal level.
Ethics – We are honest with ourselves and others. We hold ourselves to the highestethical standards in all of our dealings. We accept responsibility and accountability for all we do. Integrity is not simply a value to us; it is who we are.
© F·E·G·S 2010
Partnerships for A Changing World ®
FF··EE··GG··SS WeCARE Client FlowWeCARE Client Flow
New YoNe rk City Humanw York City Human Resources AdministrationResources Administration
ReferralsReferrals
Article 28 MedicalArticle 28 MedicalClinicsClinics
VocationalVocational Rehabilitation ServicesRehabilitation Services
UnitUnitEmploymentEmployment
Wellness UnitWellness Unit SSI UnitSSI Unit SSISSI AwardedAwarded
© F·E·G·S 2010
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FF··EE··GG··SS WeCARE- Service Delivery Model
Psychosocial Assessment
Lab tests, x-rays, etc.
Biopsychosocial AssessmentBiopsychosocial AssessmentPhase I
Comprehensive Exam
Phase II Specialty Medical Exam
FunctionalFunctional OutcomeOutcome
Comprehensive Service PlanComprehensive Service PlanHRA
Re-referrals
CRT
Client isClient is EmployableEmployable
No Limitations
VocationalVocational RehabilitationRehabilitation
Client is employable with limitations and/or minimal
accommodations
WellnessWellness RehabilitationRehabilitation
Client needs treatment to stabilize condition(s)
FedeFed raleral Disability/SSIDisability/SSI
Client is unemployable
Case Management follow up for up to 2 years until approved
Diagnostic VocationalDiagnostic Vocational EvaluationEvaluation
Individualized Plan for EmploymentIndividualized Plan for Employment
Work ExperienceWork Experience ProgramProgram Job SearchJob Search VocationalVocational
TrainingTrainingITA VoucherITA Voucher
TrainingTrainingEducationalEducational
TrainingTraining
EmploymentEmployment
HRA
© F·E·G·S 2010
F·E·G·S WeCARE - Program Structure
The Institute for FamilyThe Institute for Family HealthHealth
350 West 51st Street New York, NY
BronxBronx--Lebanon HospitalLebanon Hospital CenterCenter -- Fulton ClinicFulton Clinic1276-A Fulton Avenue
Bronx, NY
BronxBronx--Lebanon HospitalLebanon Hospital CenterCenter -- Hunts Point ClinicHunts Point Clinic882-886 Hunts Point Avenue
Bronx, NY
FF··EE··GG··S Health & Human Services SystemS Health & Human Services System315 Hudson Street, New York, NY 2432 Grand Concourse, Bronx, NY
Services: DVE · IPE · VRS · Post Employment · Wellness · SSI · CRT · CSP
Article 28 SubcontractorsArticle 28 SubcontractorsServices: BioPsychoSocial Assessment
© F·E·G·S 2010
Executive SupportIra Machowsky, Executive VP
Angela Falcone, CFOAlfred P. Miller, Executive Consultant
Leonard Silver, Consultant
Gail MagaliffChief Executive Officer Ongoing Consultation
Carolyn Cocotas, Senior VP, QA, Corporate Compliance & Inspector General
Virginia Cruickshank, Senior VP, Employment, Career & Workforce Development
Jill Moscowitz, Senior VP, General CounselLewis Greenly, M.D., Medical Dir.
Jean Murra
Jonas Waizer, Ph.D.Chief Operating Officer
FF··EE··GG··S WeCARES WeCARE –– Table of OrganizationTable of Organization
Executive Support Ira Machowsky, Executive VP
Angela Falcone, CFO Alfred P. Miller, Executive Consultant
Leonard Silver, Consultant
Gail Magaliff Chief Executive Officer
y, Director, QA Programs
Ongoing Consultation Carolyn Cocotas, Senior VP, QA, Corporate
Compliance & Inspector General Virginia Cruickshank, Senior VP, Employment,
Career & Workforce Development Jill Moscowitz, Senior VP, General Counsel
Lewis Greenly, M.D., Medical Dir. Jean Murray, Director, QA Programs
Jonas Waizer, Ph.D. Chief Operating Officer
Mitchell Netburn Senior Vice President
Charmela Gonzales Executive Secretary
Lashawn McCauley Assistant Director
Job Development & Placement
Post-Employment
Allison Messina Senior Director
Francesca Fiore Assistant Vice President Business Management & Operations Support
Gus Victoria Director
Operations & Analysis
Selina Lopez Assistant Director
Operations
Nasiveli Sarygulova Associate Director
Billing
Sam Aliberti Assistant Director
Business Operations
Yvonne Duffus Assistant Director
Data Analysis & Reporting
Marie Colette Leon Assistant Director
SCU
January 2010
Davida Cohen Director
Manhattan Clinic
Miriam (Ines) Castro Associate Director Hunts Point Clinic
Vacant Associate Director
Fulton Clinic
Gary DiDona Assistant Director
Training & Strategic Planning
Priscilla Rivera Assistant Vice President
Article 28 Clinics, Training & Strategic Planning
Raul A. Ramos, M.D. WeCARE
Medical Director
Sheryl Pringle, M.D. CRT Physician
Stephanie Mayfield Assistant Director
Clinical QA
Gabe Sofos Associate Vice President
Cynthia Gonzalez Senior Director
SSI & Wellness Programs
Beatrice Rodriguez-Falu Assistant Director
Bronx Wellness & SSI
Clinical Review Team
Roberta Solomon Assistant Vice President
Vocational Rehabilitation Services (VRS)
Karen Berniker Director
Manhattan VRS
Lisa Blumenfeld Director
Bronx VRS
Myra Mayo Assistant Director
Case Management Manhattan
Yasheenya Jackson Associate Director DVE & Instruction
Manhattan
Nancy Smith Assistant Director
DVE/IPE Bronx
Lucia Morales Assistant Director
Case Management Bronx
Support Units
� Reporting and Data Analysis � Scanning Unit
� Billing � Training Unit
� Help Desk � Purchasing
� Case Creation Unit � Facilities Operations
� Service Coordination Unit � Medical Director
� Reception � Quality Assurance – Medical
� Timekeeping � Quality Assurance - Programs
� Operations Specialist Unit
© F·E·G·S 2010
© F E·G·S 2010·
F·E·G·S WeCARE Contact Information
Mitchell Netburn Senior Vice President F·E·G·S WeCARE 315 Hudson Street, 4th Floor New York, NY 10013
(212) 366-0036 [email protected]
© F·E·G·S 2010