Self-Directed Services: A Solid Strategy for Community Living Age & Disabilities Odyssey 2001

1. Self-Directed Services: A Solid Strategy for Community LivingAge & Disabilities Odyssey 2001 Minnesota Department of Human Services

2. Today’s Session & Presenters • Jane Vujovich, Project Manager, Community Living Program Grant Project, DHS/MBA, Aging & Adult Services Division (jane.vujovich@state.mn.us) • Christine Loose, Trainer/Certified Support Planner (chrisbudgethelp@yahoo.com) • Elaine Spain, Program Coordinator, MN River AAA (espain@rndc.org) Minnesota Department of Human Services

3. My next steps: • 1. • 2. • 3. • 4. • 5. Minnesota Department of Human Services

4. What are….self-directed, participant-directed, consumer-directed or person-directed services? Minnesota Department of Human Services

6. You decide • Who provides your help • What help you need within your budget • When your care will be provided • How much responsibility you want

7. Self-Directed Services – Value Added • Hire people you know including family, friends, and neighbors • Buy the right kind and amount of help when you need it • Consumer stays in charge of the service Minnesota Department of Human Services

8. Basic Components of Self-Directed Services Minnesota Department of Human Services

9. Self-Directed Services: Consumer Tasks Minnesota Department of Human Services

10. Self-Directed Services: Who Pays? • Publicly Funded Programs • Medical Assistance HCBS waivers [CDCS] • Alternative Care Progrtam [CDCS] • Title III [Self-directed services] • AoA discretionary grants [Self-directed services] • Community Services/Service Development Grant projects • Veteran Directed Home and Community Based Services Program • Private Pay • Private dollars • Private insurance • VA Aid and Attendance Minnesota Department of Human Services

11. Fiscal Support Entity (FSE) Providers Serving the Private Pay Market • Knowledge of labor laws, payroll taxes, unemployment, workers compensation • Assistance with budgeting and employment of workers • Connections to community-based service system including public programs Minnesota Department of Human Services

12. Veteran Directed Home and Community Based Services Program • Availability • 11 counties in southwestern MN served by Sioux Falls VA Medical Center • Eligibility • Veteran of any age • Enrolled in VA Medical Center • Need nursing facility level of care • Application Process • Contact Community Health Nurse at VA Medical Center • Local AAA Minnesota Department of Human Services

13. Success Stories Minnesota Department of Human Services

14. Common Barriers In Using Self-Directed Services • Haven’t heard about it • Unsure how it works • Fear of doing something new • Client or professional lacks confidence • Perception budget is insufficient • Fear of fraud • Can’t identify workers Minnesota Department of Human Services

15. You want me to pay? I’ve paid the gov’t my whole life. My family can take care of anything I need. I don’t need to change anything. What is the catch? Does the Client Resist? 15

16. Addressing Barriers & Resistance • Conversations tips, key messages, good words • Role play • Nelson Video • Identifying “triggers” in a conversation Minnesota Department of Human Services

17. DISCUSSION – Getting started and moving clients into action Minnesota Department of Human Services

18. Websites • Live Well at Home • www.mnlivewellathome.org • Aging CDCS www.dhs.state.mn.us/cdcs • Disability Services Division CDCS • http://www.dhs.state.mn.us/id_017635 • National Resource Center Participant Directed Services • http://www.bc.edu/schools/gssw/nrcpds/ Minnesota Department of Human Services