Statewide TBI Webinar Series

1. Statewide TBI Webinar Series Building Collaboration between DOR, ILC and TBI Service Sites Northern CA: June 17, 2011 • Teleconference: • 1-888-450-5996 • PASSCODE: 326087# ARRA Grant Funded (11/2009-9/2011)

2. Webinar Features • Chat • Step Out • Closed-Captioning • Change Layout • Polls • Audio

3. Agenda and Presenters • Doug Chandler • Ana Acton • Dan Clark • Doug Chandler • Crystal Loutzenhiser • Welcome • DOR Vision, Collaboration and Initiatives for TBI Service Expansion Collaborations. • Tools for serving consumers with Brain Injury • Technical Support • Neal Albritton - IT Consultant • Rhett Simmons - Captioner • Joanne Lavoie - Contract Manager

4. Why is Brain Injury Important? • Frequency • Undiagnosed/Misdiagnosis • Dynamics of Brain Injury • Underserved

5. Ana Acton, Chief, Independent Living and Assistive Technology Section (ILATS), Department of Rehabilitation (DOR). • Ana has worked in the independent living field for seven (7) years; was the Executive Director for the FREED Independent Living Center in Nevada City and now serves as Chief of ILATS as of July 2010 • Ana works with 29 ILC’s, the Assistive Technology Network, the State Independent Living Council, and 7 traumatic brain injury (TBI) program sites throughout California.  Building Collaboration between DOR, ILC and TBI Service Sites Ana Acton (DOR) Department of Rehabilitation

6. Dan Clark, Community Resources Development Specialist (CRDS), ILATS DOR. • Dan has 33 years experience with DOR; including 15 years as a Vocational Rehabilitation Counselor working primarily with individuals who are severely disabled including consumers with TBI.  • Dan has worked 18 years as a Specialist working with ILCs statewide.  In 2010 Dan became a DOR TBI Specialist.  Building Collaboration between DOR, ILC and TBI Service Sites Dan Clark (DOR) Department of Rehabilitation

7. Develop and promote collaboration and partnerships between ILCs, government, and community organizations serving individuals with TBI. • Provide ILC and other community organization staff information about DOR’s activities, initiatives and resources directed toward coordinating, improving and increasing TBI services statewide. Purpose of webinar

8. DOR MISSION • “The California Department of Rehabilitation works in partnership with consumers and other stakeholders to provide services and advocacy resulting in employment, independent living and equality for individuals with disabilities.”

9. Independent Living Philosophy • “NOTHING ABOUT US WITHOUT US” • “Consumer Control” - Consumers have the right to fully participate in decisions that affect their daily lives. • Each person is unique and has the same civil rights as others.

10. IL Philosophy (continued) • People with disabilities should be able to live, work, shop and play where they choose within the community. • Disability is a natural part of the human experience. • Fix the environment and not the person.

11. TBI Vision • Californians with a brain injury live in their community of choice and contribute to society. Available resources empower individuals with a brain injury to be participating citizens. The inclusion of individuals with brain injuries is essential in our social and economic success.

12. History and Legal Basis for DOR TBI program - AB 398 • Background for AB 398 legislation • Required Services • Community Integration • Supported Living • Vocational Services • Information and Referral • Public and Professional Education

13. History & Legal (continued) • Develop and Implement a TBI Program. • Develop a TBI Waiver • Gather data and information – develop “Best Practices”. • Develop a long-term TBI strategic plan for California • Sunset date – July 2019

14. DOR TBI Program Partners • Traumatic Brain Injury Service Sites - • 7 regional sites • Independent Living Centers – • 29 centers statewide • Assistive Technology Network • Department of Rehabilitation – Vocational Rehabilitation Services • Offices statewide • Other Local and State Agencies Providing TBI Services.

15. Traumatic Brain Injury Service Sites • Specialized TBI services -18 years and older • Provides 5 CORE services (required by SB398) • Seven TBI Service Sites (listed in the “TBI Resources Section”) • Monterey, Santa Cruz, Mendocino, Del Norte, Humboldt, Orange, Los Angeles County, San Luis Obispo, Santa Barbara, El Dorado, Placer, Sacramento, Yolo, San Francisco Counties

16. Independent Living Centers • Provide seven CORE services • Advocacy • Individual and Systems Change • Peer Counseling • Housing Referral • Information and Referral • Personal Assistant Services • Independent Living Skills

17. Independent Living Centers (continued) • Each ILC: • Assistive Technology (AT) Specialist • Provides 4 AT Services • AT Service Coordination • AT Outreach • AT Public Education • AT Information and Referral

18. Assistive Technology Network • Website: www.ATNET.org • Phone: 1-800-390-2699. • 13 Device Lending Libraries • Tie DOR vocational goals to consumer AT purchases

19. DOR Vocational Rehabilitation (VR) Services • DOR’s vocational rehabilitation services assist Californians with disabilities to obtain and retain employment and maximize their ability to live independently in their communities. • DOR develops, purchases, provides, and advocates for programs and services in vocational rehabilitation, habilitation and IL with a priority on services for persons with the most significant disabilities.

20. VR Services (continued) • Counseling and Guidance • Referrals and Assistance to receive services from other agencies • Job search and placement assistance • Vocational and other training services • Transportation • On-the-job or personal assistance services • Rehab AT • Supported employment services

21. Capacity Building Initiatives • Within DOR: • Work with administrators and managers to expand and increase TBI services throughout the system • Create opportunities and tools that will increase staff knowledge and skills • Convene an Advisory Board to provide input and expertise

22. Capacity Building Initiatives • With community participation, develop a TBI Strategic Plan including information on “Best Practices”. • Veterans 101 – develop a web based benefits tool. • Develop a TBI Waiver to address the gaps in service and provide long-term supported employment services.

23. Capacity Building Initiatives (continued) • With TBI sites: • Use ARRA funds to develop additional pre-vocational and work assessment service capacity • Develop and implement methods to conduct outreach and education for the general public

24. Service Coordination and Partnerships • What is the role of State/Local governments and community organizations in implementing appropriate TBI services and Programs? • How do community service agencies embrace IL philosophy and apply it to their unique provision of services? • How do we acknowledge divergent philosophies and approaches between the IL philosophy and a medical based model? • How do we serve individuals who may not direct their own lives- interdependent upon families or caregivers.

25. Service Coordination and Partnerships (continued) • Develop relationships • Understand organizational strengths • Develop MOUs • In-service and staff trainings • No Wrong Door • Warm Hand Off

26. Service Coordination and Partnerships (continued) • Community Integration • Supported Living • Vocational Services • Public Education

27. Doug Chandler • Doug Chandler has a background in rehabilitation counseling and education. • Current work as CCCIL’s TBI Expansion Project Manager has resulted in an opportunity to work collaboratively locally and statewide to increase awareness of TBI including veterans with TBI. Tools for serving consumers with Brain Injury Doug Chandler (CCCIL) Central Coast Center for Independent Living

28. Crystal Loutzenhiser • Crystal Loutzenhiser is the TBI program assistant for the TBI expansion project. • She has worked extensively with facilitating the TBI Advisory Committees. Advisory Committee Perspective Crystal Loutzenhiser (CCCIL) Central Coast Center for Independent Living

29. Tools for serving consumers with Brain Injury • Expansion Project Tools • Asset Mapping • Advisory Committees • Community/Veteran Partnerships and Outreach • Provide Education and Information to Public Officials & Community Leaders Expanding • Brain Injury Services Manual • Media Outreach Handbook • CATBI.org Website • Next Steps

30. Asset Mapping • What is asset mapping? • Asset Mapping of Services for TBI • Programmatic Access • Architectural Access • Funding

31. Asset Mapping Findings • Results & Findings • Housing • “When completing the asset mapping for TBI, I found that these questions about access and funding are also relevant for all of our consumers cross-disability.”

32. Advisory Committee Perspective • “Nothing about us without us” • Webinars, Media Interviews, Legislative Visits, Handout and Brochures. • Civilian Advisory Committee • Hospital Discharge Planning Outreach • California Academy of Family Physicians • Veteran Advisory Committee • Raising awareness of veterans with TBI

33. Community and Veteran Partnerships and Outreach for TBI • Community Outreach • ILC, TBI Service Site and DoR • Community Colleges • Cal Care Net • Veteran Outreach • Collaborative • Veteran Events • Stand Down

34. Veteran Stand Down Schedule 2011

35. Provide Education and Information to Public Officials & Community Leaders • Policy Development Plan • How a bill becomes a law • Public Officials • Meet and Greet • TBI Policy Awareness

36. Expanding Brain Injury Services Manual • Expanding Brain Injury Services Manual • Asset Mapping • Advisory Committee Tools • Webinar Planning Tools • TBI Outreach Survey • Sample Outreach Presentation • Handouts and Brochures • MOU - Developing Relationships and Agreements • Lessons Learned

37. Media Outreach Handbook • Media Outreach Handbook • Build community awareness of TBI through Media • Earned Media = Free Media • Radio, TV, Newspaper, Social Media, Editorials • Developing a Good News Story • Hook, Expert, Human Element and Spokes Person

38. CATBI.org Website • California Traumatic Brain Injury Website • Learn about Brain Injury • Webinar Archive • Blog • Available in Spanish and English • Statewide TBI Resources

39. California TBI Resources • CA|TBI California Traumatic Brain Injury • www.catbi.org • Traumatic Brain Injury Services of California • www.tbisca.org • Defense and Veterans Brain Injury Center • www.dvbic.org • Brain Line • www.brainline.org • Brain Injury Association of California • www.biacal.org • Centre for Neuro Skills • www.neuroskills.com

40. Northern California TBI Sites • Mercy General Hospital “Coordinated Care Project” • 406 Sunrise Avenue, Suite 300 Roseville, CA 95661 • (916) 536-2442 Voice (916) 780-5770 • Lynda Eaton - Leaton@chw.edu • Making Headway Center for Brain Injury Recovery • 305 O Street Eureka, CA 95501 • (707) 442-7668 Voice (707) 443-8839 Fax • Director: Dr. Tim Gilliland - timothyg@mhwcenter.org • Traumatic Brain Injury Service Sites • www.TBISCA.org

41. WRAP uP Next Steps Distribution of Tools Moving beyond a pilot project Post webinar survey Thank You!

42. Interactive Dialogue Questions and Answers What would help your organization in its work with people with brain injury?