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d. 2. O. i. The Methods to Be Used to Expand and Improve Services to Individuals with Disabilities.

Current Narrative:

In July 2015, VR implemented major revisions to VR Employment Services to address the following needs of consumers based on stakeholder feedback:

• To develop a system that is responsive to all, including individuals with high support needs as well as consumers with minimal support needs; • To refocus on Discovery, especially for individuals with minimal/no prior work experience; • To ensure that individuals with MSD have access to adequate Supported employment services which includes ongoing support services; • To ensure that individuals reach stabilization, or their highest level of independence, prior to VR case closure; • To retain a system that focuses on outcomes, but also recognizes quality and individualization and allows for flexibility; • To retain a system that is not difficult to administer; and • To aim to improve the consumer experience.

Key revisions included: • Increased focus and re-emphasis on Discovery and Supports needed to achieve true stabilization; • Discovery activities are provided prior to milestone payments, funded per activity, and are no longer paid under a milestone. The menu of VR-funded Discovery activities is greatly enhanced. • SE services (including ongoing support services) funding is available in addition to milestone payments. • Increased flexibility to allow for more individualization based on consumer needs; • Elimination of 2 separate tiered milestone payments • Development of 3 new Milestones: o Milestone 1 = Job Development and Placement (1 week on the job) o Milestone 2 = Support and Short-term Retention (4 weeks on the job) o Milestone 3 = Retention (90 days AFTER stabilization) • Reduced financial incentive to quickly reach ‘stabilization’ and closure by ensuring adequate supports are available, including up to 24 months of VR-funded SE services to ensure true stabilization. • Changes to rates and expectations • Increased VR Counselor engagement in the employment services process This year, VR also continued its presence on social media, including Twitter and Facebook. Social media followers has nearly doubled from 2016 to 2017, and this platform helps communicate a consistent message about the program.

Furthermore, VR has continued to increase the provision of training to both VR staff and provider staff to improve the quality of services provided to VR consumers. VR has contracted with additional training entities to bring increased training to staff in FFY 2016 and FFY 2017, including counseling and guidance training for VR Counselors, and employment services training to provider staff. Training will be delivered through a variety of modalities including web-based, classroom based, and hands-on workshops. BRS also entered into establishment project contracts with community rehabilitation programs (CRPs) in April, 2017 to increase capacity to carry out increased expectations under the new model, including provision of supported employment services to individuals with the most significant disabilities, and to further increase training and skills of direct services staff.