Youth Families participate in intellectual disability, mental health, and substance abuse groups and OCFS workgroups, including QIC Maine Alliance of Family Organizations formed as alliance of family organizations to strengthen family voice Increased focus on youth participation including through Youth Move organization Funded family support information and referral, youth self-help/peer support, and crisis stabilization since 2005 Released peer support RFP to support improvements in health, home, purpose, and community for participants Help people control and deliver the services and supports they need General Moving toward participant-direction option Choice is constrained by service unavailability, particularly provider staffing and housing in urban areas Need for continued focus on individual voice, choice, and control Aging/Physical Disabilities Strong tradition and history of self-direction programs for individuals who are elderly or have physical disabilities Portability across funded programs or providers allows individuals to move onto and off self-direction ORC participants participate in selecting and hiring their direct care workers Additional support for individuals using LTSS services with a participant directed model to make self-direction a feasible option Intellectual Disabilities/ Autism Use person-centered planning to support individual choice Supporting Individual Success intended to make the system more person-centered and provide more individual choice Added assistive technology to Section 21 and 29 waivers Provide more autonomy to these participants and families, and increase choice through self-direction Concerns around Supports Intensity Scale budget cap for individuals with complex needs Mental Health/ Substance Mental health and substance abuse disorder services have choice
Mental Health/ Substance Abuse Redesigning requirements for mental health direct service workers Insufficient mental health workforce State hospitals rely to large extent on locum tenens, mandated and voluntary overtime, and heavy use of floating staff Children/ Youth Direct service providers in Section 65 Home and Community Based Treatment required to have Bachelor’s degree Revising training curriculum including behavioral health training No registry of service providers Quality of services General Created dedicated quality improvement/assurance units in OADS, OCFS, and SAMHS Increased cross program communication and cooperation to address quality issues Person-centered planning incorporates many participant level recommendations Data and information technology inconsistencies persist Families unable to obtain information about the quality of services with a specific provider Aging/Physical Disabilities Quality review committee supports quality oversight Participating in the National Core Indicators project Increase in Adult Protective Services referrals and investigations Intellectual Disabilities/ Autism Have robust quality management team for participants Participating in the National Core Indicators project Revised behavior regulations Developed crisis services Mental Health/ Substance Abuse Implementing national models published and supported by SAMHSA Conduct site visits for mental health and substance abuse provider agencies Incorporating performance measures into all direct service contracts Insufficient staff and inadequate information technology analytics to conduct quality management Children/ Youth Use youth outcome questionnaire Use evidence-based/informed practices throughout services Conduct quality assurance reviews of all Section 28 agencies and targeted case management programs
One quarter of respondents live or work in Hancock, Washington, Penobscot, or Piscataquic County (23 percent) or Cumberland County (24 percent), with nearly in Kennebec or Somerset County (18 percent). The majority of survey respondents (54 percent) indicated that they receive or provide services in the community. A third of respondents (34%) receive or provide services at work, and one quarter (24 percent) receive or provide services at home. Appendix C – Interviews Conducted The table below contains the list of individuals interviewed for the Olmstead progress report and their representative organizations. The majority of interviews were conducted in April and May 2015. A small number occurred in August and September 2015. Table : Olmstead Progress Report Interviewees Interviewee Organization Alice Preble Program Specialist, OCFS, DHHS Amy Mayhew Substance Abuse Treatment Specialist, Criminal Justice/MaineCare Liaison Bill Olsen Supportive Housing Loan Officer, MaineHousing Catherine Ryder Executive Director, Tri-County Mental Health Services Chester Barnes Rental Assistance Manager, SAMHS, DHHS Connie Jones Community Services Director, SeniorsPlus Cullen Ryan Executive Director, Maine Coalition for Housing and Quality Services Daniel Dunovan Executive Director, Aroostook Regional Transportation System Daniel Wathen Court Master of Mental Health Consent Decree, Pierce Atwood, LLP David McCluskey Program Director, Community Care David Projansky Housing Resource Developer, OADS, DHHS Deb Halm Associate Director, OADS, DHHS Dennis Fitzgibbons Executive Director, Alpha One Center for Independent Living Doreen McDaniel Adult Protective Services Manager, OADS, DHHS