MENTAL HEALTH & DEVELOPMENTAL DISABILITIES SERVICES
STRATEGIC PLAN
FY 2004-2006
Approved 3/24/03
Allamakee
TABLE OF CONTENTS
MISSION STATEMENT............................................................... 3
A. NEEDS ASSESSMENT........................................................... 3
Development of FY 2004-2006 Strategic Plan........................................................... 3
Areas of Concern........................................................................................................ 4
B. GOALS AND OBJECTIVES.................................................. 4
C. SERVICE AND SUPPORTS................................................... 7
D. PROVIDER NETWORK & ACCESS POINTS.................. 9
Throughout the year, the CPC Administrator relied on the Citizen’s Advisory Board (CAB) to carry out the current plan and formulate ideas for the FY 2004-2006 Strategic Plan. The Board consists of nine members including consumers, family members, and citizens representing all disability groups and meets monthly to review the activities of the CPC Office. Major activities included visiting local providers, talking with various consumers, and exploring financial and legislative aspects of the MH/DD system. Minutes of the meetings are available in the CPC Office.
On February 10, 2003, the CAB public informational meeting was held to review past trends and the current status of the Mental Health & Developmental Disabilities Services Plan. The group also broke into two smaller groups to discuss future needs for the next three years. Two (2) consumers, one (1) family member, five (5) providers, and three (3) citizens, including one member of the Board of Supervisors, attended this meeting.
On February 18, 2003, Jan Heikes (CPC administrator) and Julia Wangberg (student intern) met with consumers at TASC to gather their input. In general, consumers are happy with their current community-based services. They expressed strong interest in becoming included in more aspects of the community, such as social events, living and working in the community. Other priorities included increasing recreation and travel opportunities.
The public hearing for the Mental Health Management Plan was held March 24, 2003. Notices appeared within the required time frames in The Allamakee Journal and The Waukon Standard. The final version of the plan reflects issues raised in this planning process. The Courthouse is accessible to individuals with disabilities.
Comments in italics denote those made by consumers. All other comments are from family members, providers, and citizens.
1. Increased opportunities to live and work in the community. Some consumers would like to be a supervisor of other employees and be given more responsibility. Others would like to live in their own apartment.
2. Increased lower cost transportation options. This is important not only for work opportunities but also for recreation and longer trips. Possible trip destinations suggested include
3. More opportunities for recreating and socializing among each other and with community members. Many said that they would like Jan Heikes and other community members to come out and work with them for a day inoculating mushrooms.
4. More affordable transportation. Providers note that lack of affordable and reliable transportation limits the opportunities for interaction with the community.
5. Development of comprehensive retirement plans as the baby-boomers become retirement age. Funding options such as Day Habilitation and Title XIX should be explored.
6. Smoother transitions between children and adult MH/DD/MR services.
7. Increased expectation from the community that all members work to their ability. Expanding Supported Employment could create opportunities for every person to participate in the working community.
8. Housing that is affordable, accessible and available to all consumers.
9. Increased community advocacy, public education, and involvement in legislative issues.
Note: Due to financial and political uncertainties of the next three years we have chosen to state our goals and objectives in more general outcomes. The action steps reflect some current ideas about measurable indicators of these goals.
Goal 1: People with disabilities will live lives no different than people without disabilities.
Objective A: Our community will actively include all people regardless of disability.
Action Step 1: Increase the number of individuals with disabilities participating on community boards and committees and volunteering in community service organizations.
Action Step 2: Increase the number of individuals with disabilities participating in religious activities (other than worship) such as church choirs, helping with funerals, and participating in church dinners.
Action Step 3: Increase community advocacy, education and involvement in legislative issues dealing with people with disabilities.
Objective B: All members will have the right to risk both failure and success.
Action Step 1: Increase the number of individuals with disabilities working in community businesses for real wages.
Action Step 2: Increase the number of individuals with disabilities living in affordable housing in communities of their choice.
Objective C: Individuals will actively assert both personal responsibility and rights when utilizing services.
Action Step 1: Increase the number of individuals with disabilities making their own decisions and accepting the consequences, both positive and negative, with the support of their families, friends, and providers.
Action Step 2: Provide education for individuals with disabilities, their families, service providers and the communities, about consumer rights and responsibilities as people, clients, workers, volunteers, board members, friends, community members, etc.
Goal 2: Our community will provide an array of opportunities that aid in life’s transitions.
Objective A: Individuals’ entry into the system at any point, whether accessing child or adult services, will be straightforward and simple with helpful interactions between professionals and clients.
Action Step 1: Increase education of community gatekeepers from an variety of service groups about individuals with disabilities and the services available with emphasis on the referral process.
Action Step 2: Increase community education about access to services to increase knowledge and decrease stigmatization.
Objective B: Individuals moving from child to adult services and adult to elderly services will experience ease and assistance from all agencies involved.
Action Step 1: Create advocacy teams of families and consumers.
Action Step 2: Provide life planning education for clients, family members, and service agencies.
Objective C: Our community will provide a supportive and safe environment where clients can transition out of crisis and back to everyday activities.
Action Step 1: Increase training in Wellness Recovery Action Planning with clients and community members.
Action Step 2: Continue to explore more crisis options in local communities, including psychiatric hospitalization.
Action Step 3: Continue to explore options for accessible and affordable transportation.
The following matrix outlines services that (as defined by the state chart of accounts) are available for each diagnostic group. An asterisk (*) denotes services mandated by federal or state law. More specific requirements are found in the service listing, and in the budget.
SERVICE | MI | CMI | MR | DD |
4x03 Information and Referral | X | X | X | X |
4x04 Consultation | X | X | X | X |
4x05 Public Education Services | X | X | X | X |
4x06 Academic Services | ||||
4x11 Direct Administrative | X | X | X | X |
4x12 Purchased Administrative | X | X | X | X |
4x21- 374 Case Management- Medicaid Match* | X | X | X | |
4x21-375 Case Management-100% Co. Funds | X | X | X | X |
4x21- 399 Other | ||||
4x22 Services Management. | ||||
4x31 Transportation (Non-Sheriff) | X | X | X | |
4x32- 320 Homemaker/Home Health Aides. | X | X | ||
4x32- 321 Chore Services | ||||
4x32- 322 Home Management Services * | X | |||
4x32- 325 Respite* | X | X | X | |
4x32- 326 Guardian/Conservator | ||||
4x32- 327 Representative Payee | ||||
4x32- 328 Home/Vehicle Modification* | X | |||
4x32- 329 Supported Community Living* | X | X | ||
4x32- 399 Other | X | |||
4x33- 345 Ongoing Rent Subsidy. | ||||
4x33- 399 Other | ||||
4x41- 305 Outpatient | ||||
4x41- 306 Prescription Medication. | X | X | ||
4x41- 307 In-Home Nursing* | X | |||
4x41- 399 Other | ||||
4x42- 305 Outpatient | X | X | X | X |
4x42- 309 Partial Hospitalization*. | X | |||
4x42- 399 Other (MH Emergency) | X | X | X | X |
4x43- Evaluation | X | X | X | X |
4x44- 363 Day Treatment Services* | X | |||
4x44- 396 Community Support Programs | X | X | ||
4x44- 397 Psychiatric Rehabilitation | X | |||
4x44- 399 Other | X | X | X | |
4x50- 360 Sheltered Workshop Services. | X | X | X | |
4x50- 364 Job Placement Services. | X | X | X | |
4x50- 367 Adult Day Care | X | X | X | |
SERVICE | MI | CMI | MR | DD |
4x50- 368 Supported Employment Services | X | X | X | |
4x50- 369 Enclave | X | X | X | |
4x50- 399 Other | ||||
4x63- 310 Community Supervised Apartment Living Arrangement (CSALA) 1-5 Beds | X | X | X | |
4x63- 314 Residential Care Facility (RCF License) 1-5 Beds | X | X | X | |
4x63- 315 Residential Care Facility For The Mentally Retarded (RCF/MR License) 1-5 Beds | X | X | X | |
4x63- 316 Residential Care Facility For The Mentally Ill (RCF/PMI License) 1-5 Beds | X | |||
4x63- 317 Nursing Facility (ICF, SNF or ICF/PMI License) 1-5 Beds | ||||
4x63- 318 Intermediate Care Facility For The Mentally Retarded (ICF/MR License) 1-5 Beds* | X | X | ||
4x63- 329 Supported Community Living | X | X | X | |
4x63- 399 Other 1-5 Beds. | ||||
4x64- 310 Community Supervised Apartment Living Arrangement (CSALA) 6-15 Beds | X | X | X | |
4x64- 314 Residential Care Facility (RCF License) 6-15 Beds | X | X | X | |
4x64- 315 Residential Care Facility For The Mentally Retarded (RCF/MR License) 6-15 Beds | X | X | X | |
4x64- 316 Residential Care Facility For The Mentally Ill (RCF/PMI License) 6-15 Beds | X | |||
4x64- 317 Nursing Facility (ICF, SNF or ICF/PMI License) 6-15 Beds | ||||
4x64- 318 Intermediate Care Facility For The Mentally Retarded (ICF/MR License) 6-15 Beds* | X | X | ||
4x64- 399 Other 6-15 Beds | ||||
4x65- 310 Community Supervised Apartment Living Arrangement (CSALA) 16 and over Beds | X | X | X | |
4x65- 314 Residential Care Facility (RCF License) 16 and over Beds | X | X | X | |
4x65- 315 Residential Care Facility For The Mentally Retarded (RCF/MR License) 16 and over Beds | X | X | X | |
4x65- 316 Residential Care Facility For The Mentally Ill (RCF/PMI License) 16 and over Beds | X | |||
4x65- 317 Nursing Facility (ICF, SNF or ICF/PMI License) 16 and over Beds | ||||
4x65- 318 Intermediate Care Facility For The Mentally Retarded (ICF/MR License)* | X | X | ||
4x65- 399 Other 16 and over Beds | ||||
4x71- 319 Inpatient/State Mental Health Institutes* | X | X | X | X |
SERVICE | MI | CMI | MR | DD |
4x71- 399 Other | ||||
4x72- 319 Inpatient/State Hospital Schools | X | X | ||
4x72- 399 Other | ||||
4x73- 319 Inpatient/Community Hospital* (per Iowa Code only) | X | X | X | X |
4x73- 399 Other | X | X | X | X |
4x74- 300 Diagnostic Evaluations Related To Commitment | X | X | X | X |
4x74- 353 Sheriff Transportation* | X | X | X | X |
4x74- 393 Legal Representation for Commitment* | X | X | X | X |
4x74- 395 Mental Health Advocates* | X | X | X | X |
4x74- 399 Other |
*Denotes local access points. Staff at these agencies will help complete the needed application form, complete a comprehensive service needs assessment, and forward the completed application to the Allamakee County MH/DD Central Point of Coordination office that determines eligibility and service funding.
PROVIDER | ADDRESS | CITY |
Advocate Stephanie Kuhn | 16447 135th St. | Cresco, IA 52136 |
Allamakee Case Management* (563) 568-6227 | 110 Allamakee Street | Waukon, IA 52172 |
Allamakee County CPC Office* (563) 568-6227 | 110 Allamakee Street | Waukon, IA 52172 |
Area Residential Care, Inc. (563) 556-7560 | 1170 Roosevelt St. Ext. | Dubuque, IA 52001 |
Cedar Valley Community Support Services (319) 233-1288 | 3121 Brockway Rd. | Waterloo, IA 50701 |
Comprehensive Systems (641) 228-4842 | 1700 Clark St. | Charles City, IA 50616 |
Covenant Medical Center (319) 272-7585 | 3421 West Ninth Street | Waterloo, IA 50702 |
DHS Case Management (563) 382-2867 | 204 W. Broadway St. | Decorah, IA 52101 |
Decorah Counseling Center (563) 387-0428 | 709 Franklin St. | Decorah, IA 52101 |
PROVIDER | ADDRESS | CITY |
Exceptional Persons, Inc. | P.O. Box 4090 | Waterloo, IA 50704 |
G & G Living Centers, Inc. (563) 252-3811 | 602 Kosciusko | Guttenberg, IA 52052 |
Harmony House (319) 234-4495 | 2950 West Shaulis Rd. | Waterloo, IA 50701 |
Hills and Dales (563) 556-7878 | 801 Davis Street | Dubuque, IA 52001 |
Hartig Drug (563) 568-6315 | 21 W Main St. | Waukon, IA 52172 |
Laura Baker Schools (507) 645-8866 | 211 Oak Street | Northfield, MN 55057 |
Makee Manor* (563) 568-4266 | 877 State Highway 9 | Waukon, IA 52172 |
Mental Health Institute-Independence (319) 334-2583 | 2277 Iowa Ave. | Independence, IA 50644 |
Martin Luther Homes East, Inc.* (563) 568-3992 | 12 E. Main St | Waukon, IA 52172 |
Mercy Medical Center (563) 589-9055 | 250 Mercy Drive | Dubuque, IA 52001 |
Northeast Iowa Mental Health Center* (563) 382-3649 | 905 Montgomery Ave. | Decorah, IA 52101 |
Northeast Iowa Community Action Corp/Transit (563) 382-4259 | 305 Montgomery Ave. | Decorah, IA 52101 |
Oneota Riverview Care Facility (563) 382-9691 | 2479 River Rd. | Decorah, IA 52101 |
Opportunity Homes (563) 382-8140 | 710 Maiden Lane #1 | Decorah, IA 52101 |
Opportunity Village (641) 357-5277 | 1200 N. 9th St. | Clear Lake, IA 50428 |
Quality Choices, Inc. (319) 283-1474 | 112 West Charles Street | Oelwein, IA 50662 |
REM Developmental Services, Inc. (319)378-9333 | 915 Boyson Court | Hiawatha, IA 52233 |
REM Iowa Community Services, Inc. (319) 294-0264 | 2205 Heritage Blvd. | Hiawatha, IA 52233 |
PROVIDER | ADDRESS | CITY |
Spectrum Industries (563) 382-8401 | 105 Railroad Ave. | Decorah, IA 52101 |
Systems Unlimited (319) 338-9212 | 1556 S. 1st Ave, Suite 1 | Iowa City, IA 52240-6099 |
T.A.S.C., Inc.* (563) 568-4060 | 2213 Mt. Olivet Rd. NW | Waukon, IA 52172 |
Veterans Memorial Hospital (563) 568-3411 | 40 1st Street Southeast | Waukon, IA 52172 |
Village NW Unlimited (712) 324-2541 | 376 Village Circle | Sheldon, IA 51201 |