ANNUAL REPOR T 2015

Cuyahoga County Board of Developmental Disabilities

Our Community is Better

TOGETHER

Our mission is to support and empower people with developmental disabilities to live, learn, work and play in the community.

Ara A. Bagdasarian President

David Crampton, Ph.D.

Steven M. Licciardi Vice President

Diane Roman Fusco

Tania J. Younkin Secretary

Lisa M. Hunt

2015 Board

Richard V. Mazzola

Our Community is Better TOGETHER As the Cuyahoga County Board of DD continues to look toward the future and adapt to a changing DD system, taking the time to plan thoughtfully and in an inclusive manner was a priority in 2015. Vision 2024, the Board’s strategic planning initiative, launched in 2015 and provides a framework for addressing four major goals: Increasing opportunities for community integration; Enhancing provider quality and capability; Increasing opportunities for competitive employment; and Defining the Board’s changing role. The pursuit of these goals in the coming years will best prepare the Cuyahoga County Board of DD to adapt to its changing role as it phases out of providing adult services, employment services and transportation due to federal mandates. They also align to supporting a network of local agency providers in transitioning to new service delivery models that are of high-quality, tailored to individuals’ interests and dreams and more integrated into the community. While there are challenges that often arise with the availability and quality of services and activities for persons with developmental disabilities, especially those offered in the community and alongside people without disabilities, these can be overcome when professionals, policy-makers, people with developmental disabilities and their families and communities work together. “Our Community is Better Together” encourages others to understand that when people with disabilities are welcomed into neighborhoods, workplaces, and places throughout the community, everyone wins. In looking through this annual report, we hope it is apparent to you that there are many ways people of all abilities in Cuyahoga County are better together. Individuals with disabilities have become more vocal, visible advocates in the community, making sure both their needs and accomplishments are known to many. Employers are enhancing the diversity of their workplaces, hiring more people with disabilities in competitive jobs. Places to socialize and recreate in the community are welcoming of all people and eager to make accommodations when needed. Even our youngest citizens are benefitting from integrated learning environments. If we continue to build from this positive momentum, we can achieve anything–together. The future is indeed exciting for persons with disabilities and all citizens; We are better together. We look forward to your participation in our shared mission of supporting and empowering people with developmental disabilities to live, learn, work and play in the community. Sincerely,



Kelly A. Petty Superintendent & CEO

Ara A. Bagdasarian 2015 President of the Board

2015

Expenditures by Service

Sources of Revenue Services for Children

3%

Services for Adults

21% 24%

Special Services

27%

County Levy

Transportation Business

6%

4%

4% 7%

State of Ohio Federal Funds

Administration

Other

Community & Medicaid Services

8%

57%

34%

5%

Local Match

2014

Services for Children

3% 25%

6%

26% 9%

County Levy

Special Services Transportation

3% 6%

7%

Services for Adults

22%

54%

34%

State of Ohio

Business

Federal Funds

Administration

Other

Community & Medicaid Services Local Match

5%

Finances: The Big Picture $205,000,000.00

$175,000,000.00 $170,000,000.00

$179,903,547

$180,000,000.00

$200,429,280 $196,252,514

$185,000,000.00

$188,126,825 $193,284,676

$190,000,000.00

$189,905,522 $195,063,488

$195,763,780

$195,000,000.00

$194,214,714 $190,644,616

$200,000,000.00

Expenses

$165,000,000.00

2015

2014

2013

2012

2011

Cost Per Individual $24,500 $24,157

$24,000

$23,000

$22,398

$22,500

$21,000

$21,727

$22,000 $21,500

$23,519

$23,443

$23,500

$20,500 2015

2014

2013

2012

Revenue

For a better place in life

2011

When passed in 2005, the Cuyahoga County Board of DD’s property tax levy produced approximately $117 million per year. Over time that annual amount has eroded to approximately $105 million–a reduction of nearly 12%. This loss is a result of delinquent taxes and reduced property values across Cuyahoga County, the state’s elimination of the tangible personal property tax and ongoing permanent reductions in other state funding. For the past three years, CCBDD has cautiously utilized its sustainability fund to absorb these reductions and anticipates an ongoing imbalance between revenues and expenses. This will place continued pressure on our financial reserves for the foreseeable future.

By the Numbers

2015

Who we support

2014

Infants and toddlers who received

Children

Early Intervention Supports for Public School Students

1,192 1,149 840 870

Student Transition Coordination

367 404

Total Children

2,399

2,423

SATISFACTION Evidence-Based Early Intervention WITH OUR services showed improvement SERVICES across three federal outcomes areas.

Adults Adult Activities Centers, Non-Vocational

343 363

Adult Activities Centers, Contract Work

935

Supported Employment

795 745

Contract Agencies

814 648

Private Day Services*

960

1,313

Forensic Services

1,177

109 55

Total Adults

4,309

Family Supports Only Total Individuals Served Community/Residential Services

1,040

1,262



1,107

9,010



8,711

4,428



4,385

Unduplicated count of individuals served during the course of the year:



2015

13,344

83%

1,015

The above figures are a snapshot of enrollment at the end of the year, not cumulative for the year.



Improved their social relationships

3 ,948

*The Board of DD provides the 40% local matching funds from its local levy for eligible individuals with DD served in private day programs.

Support Administration Only

77%

2014

13,327

Increased their skills & knowledge

73% Took action to meet their needs

TOGETHER, we’re helping our youngest citizens reach their full potential. Early intervention services for children ages birth to three consist of a team of Cuyahoga County Board of DD professionals and a Help Me Grow service coordinator who work together using an evidencebased (or proven) approach to support a child’s development in his/ her home. The goal of these services is to enhance the development of infants and toddlers and help families understand and meet the needs of their children.

1,192 infants and toddlers benefitted from Evidence-Based Early Intervention services in 2015.

94% of families who received Evidence-Based Early Intervention services stated they are very satisfied with the services they received and 99% said they would recommend these services to others.

62% of children who participated in Evidence-Based Early Intervention

Parents and caregivers who received Evidence-Based Early Intervention services increased their levels of competence and confidence in the following ways:

services met age expectations by the time they exited.

“From the moment the team entered my house on the first day, I was amazed at the quality of services provided to us. What a lucky family we were to have had each person of this amazing team with us through the early part of our son’s journey.” –Parents of a son with speech-language delays who transitioned seamlessly to his school district’s integrated preschool program

80%

78%

92%

81%

Were able to help their child learn new skills

Were able to help their child develop and learn more

Knew when their child was making progress

Were more confident working on their child’s goals during everyday routines

Working TOGETHER to create new opportunities Partnerships provide the capacity to achieve together what may not otherwise be achieved alone. As the DD system continues to evolve and transform itself into a more integrated, community-based system, working together in partnership with one another is more important than ever.

Partnerships for Employment Partnerships for Transition Planning Preparing students to transition from their schools to work and adulthood is a shared effort by school districts and the Cuyahoga County Board of DD. Hosting educational events, planning together and early with students and their families, and offering summer employment opportunities are some of the ways this is achieved: • Over 350 transition-age students and their families attended the annual Transition Expo, which was facilitated by the Cuyahoga County Board of DD in partnership with other agencies. • Increased by 58% from 2014 the number of school districts collaborating with the Cuyahoga County Board of DD on a unified assessment process for transition-age students. 18 of the 31 school districts in Cuyahoga County are now participating in this process. • Assisted 52 students obtain summer employment in the community, with 100% earning at least minimum wage.

The Employment Collaborative of Cuyahoga County, founded in 2014, is a group of committed agencies which serve people with developmental disabilities who are pursuing a pathway to a job in the community. Working together, the participating agencies share job leads and connections to employers, striving to best match individuals’ interests to employers’ needs.

Partnerships for Employment Training Together, the Cuyahoga County Board of DD and Lutheran Metropolitan Ministry (LMM) developed a six month culinary arts training program designed to prepare participants for a job in the growing local food industry upon completion. Both the LMM culinary kitchen and CCBDD’s food innovation center are used as shared training facilities. LMM provides the culinary teaching expertise, and CCBDD curriculum intervention specialists assist with needed modifications. Ten individuals with developmental disabilities began the first training class in the fall of 2015, with graduation planned for the spring of 2016. Graduates will earn up to three state and nationally-recognized certificates.

TOGETHER, Living the Good Life Living the good life is about people with developmental disabilities having the ability to live the lives they choose and having a meaningful quality of life.

One way the Cuyahoga County Board of DD helps individuals live their lives to the fullest is by providing support administration services and Home and Community-Based Services waivers. Waivers, funded by federal and local levy dollars, allow individuals with disabilities to receive needed services and to live in community settings of their choice with supports instead of an institution.

In 2015, the Cuyahoga County Board of DD: • Increased the number of individuals on a waiver by 69 • Increased the number of individuals receiving services in a shared living model by 9 • Increased the number of individuals moving from institutional to community settings by 7 More than 100 families on the waiver waiting list attended a Connect with Us forum to better understand waivers and the waiting list and to have their current needs addressed through referrals to appropriate services.

Connect with Us A special opportunity to learn about different types of waivers and how the waiting list works. Meet 1:1 with Cuyahoga County Board of DD staff. Share your hopes. Express your needs. Help us get to know you better.

Presentation at 6 p.m. Please call (216) 931-7443 to RSVP no later than August 16.

Wednesday, August 24 6:00 - 8:00 p.m.

ESC Conference Center Essex Building 6393 Oak Tree Blvd. Independence, OH 44131

Cuyahoga County Board of Developmental Disabilities Community & Medicaid Services Department ConnectWithUs.indd 2

7/11/2016 10:26:03 AM

Sharing the vision: How two college students and a caring community member are making the good life a reality The Cuyahoga County Board of DD’s housing and placement department set out on a quest to establish a truly integrated housing option. One idea that gained momentum was to reach out to students attending local colleges. Might these students have an interest in making a difference in the lives of people with disabilities, especially young adults who recently transitioned from their high schools and expressed interest in living the same lives their peers were enjoying? Not only did two students attending Notre Dame College eagerly step forward to participate in this new shared housing idea, but a resident in the neighborhood near the college purchased a home after hearing about the goals of this shared living initiative. He also created a special rental agreement that eliminated the barriers individuals with DD often face when looking for a rental home. For all involved, this experience has been life-changing. “If I can give a little of my day to make someone else’s better, why not give a little of every day to make their life better,” shared one of the students. And, as for his housemate, he is very happy to have natural supports and enjoys living, socializing and just hanging out with his peers.

Benefitting TOGETHER from enhanced diversity in the workforce Ohio’s Employment First initiative promotes employment as the preferred and priority option for working-age Ohioans with disabilities. Employment First means that individuals with developmental disabilities of working-age should be exploring a pathway to employment if that is something they choose. Everyone benefits when people with disabilities are contributing members of the workforce. Better performance, less time off, longer tenure and lower medical costs are just some of the benefits people with disabilities contribute to the work place. Inspiration and appreciation for differing abilities are often shared by coworkers as the most significant contribution made by enhancing diversity.

In 2015, the Cuyahoga County Board of DD: • Identified and developed relationships with 25 new businesses as employment partnerships for competitive jobs. • Provided job development services which resulted in 53 individuals getting a competitive job in the community with an 81% retention rate. • Completed a needs assessment for 16 supported employment groups (enclaves) which included evaluating the skills and interests of 416 people pursuing their pathway to a competitive job in the community. • Linked 67 people who reported interest in alternative work options with career planning and/or job placement services as a part of the Community Employment Preparation Program. 79% of these individuals pursued getting a job in the community. • Exceeded the national average (4.95%) of people reporting that they have a competitive job in the community (5.99%).

• Began job placement services for 155 persons who reported they “want to get a better job” (Place 1 on the employment pathway) and 467 persons who “want to work and need help finding a job” (Place 2 on the employment pathway).

The Northeast Ohio Regional Employment Network held its first summit in the fall of 2015 to provide information to employers in Northeast Ohio about the many benefits of hiring people with disabilities. 44 employers attended, and 7 people with disabilities were hired into competitive jobs as a result of this event. From this initial success, this summit is planned to be held annually.

Inclusion is about all of us–TOGETHER Inclusion is the active engagement of people with disabilities in all levels of the community. It means being valued, contributing members involved in every aspect of social participation.

Inclusion in Action 48 individuals attending the Adult Activities Centers participated in the launch of the integrated community supports project with the goal of person-centered discovery and individualized community engagement as a part of their day services. In partnership with SAW, Inc., Welcome House, Inc., Cleveland Public Library, Euclid Library and Westlake Porter Public Library, the artistic talents of 75 individuals with disabilities were highlighted through juried art shows in these community settings. Danny, a talented artist, expressed interest in advancing his artistic abilities. A connection was made with a local community college that offers art classes where Danny now enjoys being a part of this communitybased learning environment and meeting new friends. This was achieved, together, by the inspirational efforts of the faculty instructor and students committed to inclusiveness.

SOUP (Stir One Up Program) is an advocacy and community outreach program facilitated by the Cuyahoga County Board of DD. Individuals with an interest in sharing their stories and advocating for issues of interest are able to participate in training and opportunities to be active members of community forums and special events. In 2015, 17 individuals completed the Ohio Self Determination Association’s Steps Toward Independence and Responsibility (STIR) training and 35 were active members of SOUP. For many people with disabilities, giving back to their communities is a favorite activity and a point of pride. More and more individuals with developmental disabilities are sharing their time and talents by volunteering in the community. Senior programs, community gardens, Meals-on-Wheels, resale stores, and animal shelters are just some of the dozens of places that have benefitted from inclusiveness.

Inclusion in Action continued CCBDD’s Inclusion Awards honor community organizations, businesses and individuals that have done an outstanding job of recognizing, supporting and integrating individuals with developmental disabilities into their organization and/or the local community.

2015 Inclusion Award Winners McKinley Community Outreach Center





Sharlene P. Green because I said I would Senior Citizen Resources Cullen Barelka, Jon McDonald & Joe Nemer

The Top Hat Award is presented annually to an individual or organization which has made an outstanding contribution in assisting the Board of Developmental Disabilities in meeting its mission.

2015 Top Hat Award Winner Edward P. Gallagher and Beck Center for the Arts

2015 marked the 25th anniversary of the Americans with Disabilities Act (ADA). CCBDD is proud to be an active member of ADA Cleveland: Celebrating the ongoing legacy of the ADA; Leading to ensure access, increase awareness, promote independence and provide opportunity; and Engaging our community as advocates for positive change.

Being able to get to and from events and activities in the community is vital to support inclusion for people with developmental disabilities. 176 individuals completed the Cuyahoga County Board of DD’s travel training program, which provides hands-on education and support to learn skills necessary to travel independently.

Working TOGETHER to support positive behaviors Cuyahoga County Board of DD professionals provide training and support to individuals, caregivers and providers in implementing effective positive behavioral interventions to maximize an individual’s personal growth and overall quality of life. Positive behavioral supports are designed using a person-centered process involving the individual and are provided through a least restrictive strategy.

Does the plan help to create a sense of safety for all involved?

93% responded, “Yes, it has good impact.” Is the plan sensitive to the person’s emotional needs and personal preferences?

96% responded, “Yes, it has good impact.” Do the preventive steps given in the plan make sense for the individual?

97% responded, “Yes, they make sense.” Given the needs of the individual, is the plan too restrictive, not restrictive enough, or about right?

87% responded, “It is about right.”



Overall, how would you rate the effectiveness of the behavior support plan?

87% rated it as “good or excellent” Overall, is the behavior support plan helpful in improving the individual’s quality of life?

92% responded, “Yes, it has good impact.”

In 2015, CCBDD conducted a survey with DD professionals who receive technical assistance from CCBDD behavioral health staff to assess the effectiveness of behavior support plans.

This is a summary of the survey findings.

TOGETHER we experience more Volunteers give selflessly of their time to make a difference in the lives of people with developmental disabilities. The Cuyahoga County Board of DD thanks its many volunteers for their dedication, commitment, enthusiasm and creativity which add extraordinary value to our programs and our mission.

2015

Volunteers of the Year

Tom Ashdown Maple Heights AAC

Jan Kerch Southwest AAC

Carol Ratino Rocky River AAC

James Jones Parma AAC

Anna Koo Beachwood AAC

Mike Setta Special Olympics Roller Skating

Beverly Ramsey Euclid AAC

Who are our volunteers?

2012

2012

2013

2013

2014

2014

2015

2015

Number

Percent

Number

Percent

Number

Percent

Number

Percent

Community

211

65%

253

70%

331

75%

397

77%

Parents

90

28%

83

23%

89

20%

96

19%

Staff

22

7%

24

7%

24

5%

23

4%

Total Volunteers

323

360

440

516

An overview: 2015 CCBDD Volunteer Services January 1, 2015 thru December 31, 2015

Total volunteer hours reported:

13,612

Total current market value of hours donated by CCBDD volunteers is 13,612 hours at $23.56 per hour based on Independent Sector statistics: Individual volunteers

Hours

12,225

$320,699

One-time volunteers

Interns under volunteer services

Total Hours

1,141

246

13,612 2014

Who are our volunteers?

2015

Individuals Community

5%

440

volunteers 20%

75%

Parents 4%

Staff

4%

516

77%

volunteers 19%

The following groups came to our sites to complete done-in-a-day projects and participate in one-time events. They added fun to picnics and parties, creativity to collaborative art projects, extra hands at car washes and food pantries and spruced up our facilities with painting and landscaping, just to name a few. We are very grateful for these team efforts. Bank of America BVU Center for Non-Profit Excellence Baldwin Wallace University Office of Community Outreach Baldwin Wallace University Office of Residence Life

CBIZ Cuyahoga Community College Occupational Therapy Asst. Program Church of Our Saviour Cleveland State University Women’s Softball Team Dwellworks

Holy Name High School Hyland Software KeyBank Maple Heights High School OEConnection Our Lady of the Lake Church Progressive

Reed Financial Rockwell Automation St. Ignatius High School St. Martin de Porres High School Ursuline College Villa Angela - St. Joseph High School

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Behind the Scenes Enhancing Health, Safety and Quality Assurance • Provided assistance and staff training to provider agencies on health and welfare concerns of individuals served by them • Served as the liaison to first responders (law enforcement and fire departments) for local municipalities and the criminal justice system • Reduced the number of Individual Support Plans that contained rights restrictions • Responded to 2,696 referrals for behavioral health services • Ensured preservation of individual’s rights and access to least restrictive forms of support through the review of 400 behavior plans and Individual Support Plans • Conducted 1,912 investigations related to allegations of abuse, neglect, and other potentially serious incidents that involved people with developmental disabilities in the county; Developed prevention plans to reduce the likelihood of future occurrences • Expanded our presence on local/regional committees to include: Northeast Ohio Regional Trauma Informed Care, Mental Health and Cleveland Police Task Force, and Mental Health Response Advisory Committee • Completed over 100 provider compliance reviews • Developed a system to identify trends in the reasons for provider suspensions so proactive measures can be implemented in the future

Improving Efficiencies and Promoting a Healthier Environment • Increased energy efficiencies by evaluating lighting, heating and cooling systems in all facilities • Responded to over 2,500 work orders and formulated plans to conduct additional, proactive inspections for each facility in order to increase preventive maintenance efforts • Continued implementation of recycling and the use of green products at all facilities • Continued use of pesticide-free IPM practices (Integrated Pest Management)

DD Awareness

The 2015 DD awareness theme, Can Do! Like You, reminds us that we all benefit when people with developmental disabilities are equal partners in the workforce, in schools and in the community.

Directory Michael A. Donzella Administration Building 1275 Lakeside Avenue East Cleveland, Ohio 44114-1129 (216) 241-8230 Beachwood Adult Activities Center 23750 Mercantile Road Beachwood, Ohio 44122-5906 Manager – Robert Kaschalk (216) 931-7304 Big Creek Center 6149 West 130th Street Parma, Ohio 44130-1042 (216) 362-6450 Brooklyn Adult Activities Center 10991 Memphis Avenue Brooklyn, Ohio 44144-2055 Manager – David Nodge (216) 941-8800 Cleveland Crops Main Campus Terrence M. Ryan Agricultural Education Center 5320 Stanard Avenue Cleveland, Ohio 44103-1337 (216) 241-8230

Cleveland Crops Farm Sites Heritage Farm (Cleveland) Stanard Farm (Cleveland) Stearns Farm (Parma) (216) 241-8230 Cleveland Crops Café Virgil Brown/Cuyahoga Jobs & Family Services East Cleveland Adult Activities Center 13231 Euclid Avenue East Cleveland, Ohio 44112-3918 Manager – Al Trefney (216) 681-4433 Euclid Adult Activities Center 1490 East 191st Street Euclid, Ohio 44117-1380 Manager – Mary Beth Schwarz (216) 486-0600 Forest Hill Center 14800 Private Drive East Cleveland, Ohio 44112-3599 (216) 761-3353

Green Road Services Center 4329 Green Road Highland Hills, Ohio 44128-4884 (216) 931-7340 Just-A-Buck I Midtown Shopping Center 1844 Snow Road Parma, Ohio 44134-2723 (216) 351-2825 Just-A-Buck II Maymore Plaza 4507 Mayfield Road South Euclid, Ohio 44121-4016 (216) 291-2825 Just-A-Buck III River Plaza 21820 Center Ridge Road Rocky River, Ohio 44116-3921 (440) 333-2821

Maple Heights Adult Activities Center 14775 Broadway Avenue Maple Heights, Ohio 44137-9998 Manager – Johanna Patena (216) 931-7410

Southwest Adult Activities Center 4720 Hinckley Industrial Parkway Cleveland, Ohio 44109-6003 Manager – Karen Fifelski (216) 749-0356

Operations Facility 4553 Hinckley Industrial Parkway Cleveland, Ohio 44109-6003 (216) 741-2503

Transportation Center 7001 Euclid Avenue Cleveland, Ohio 44103-4013 (216) 881-4333

Parma Adult Activities Center 12660 Plaza Drive Parma, Ohio 44130-1046 Manager – Stacey Maleckar (216) 265-3030

William Patrick Day Services Center 2421 Community College Avenue Cleveland, Ohio 44115-3118 (216) 736-2920

Rocky River Adult Activities Center 20120 Detroit Road Rocky River, Ohio 44116-2421 Manager – Laura Cooper (216) 931-7390 SAW, Inc. 1275 Lakeside Avenue East Cleveland, Ohio 44114-1129 Manager – Judith Carey (216) 861-0250

1275 Lakeside Avenue East Cleveland, Ohio 44114-1129 www.CuyahogaBDD.org (216) 241-8230

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