DELAWARE
Grant Information
- Name of Grantee
- Delaware Health and Social Services, Division of Services for
Aging and Adults with Physical Disabilities
- Title of Grant
- Delaware Passport to Independence Initiative
- Type of Grant
- Nursing Facility Transitions, State Program
- Amount of Grant
- $566,772
- Year Original Funding Received
- 2002
Contact Information
Marianne Lucia, Planning Supervisor Admin. Building, First Floor
Annex 1901 N. DuPont Highway New Castle, DE
19720 302–255–9390 marianne.lucia@state.de.us
Subcontractor(s)
None.
Target Population(s)
Medicaid nursing home eligible adults.
Goals
- Identify consumers wanting to participate in transitioning and
assess levels of needed supports.
- Provide skills training and resource awareness for transitioning
consumers and outreach; identify support services for consumers to
utilize after transitioning.
- Increase housing opportunities for community living.
- Reduce institutionalization among persons with disabilities.
- Locate alternative funding streams.
- Provide enhanced community support services.
- Develop and improve workforce recruitment and retention.
- Promote quality enhancement of services delivered.
Activities
- Develop a system to identify candidates for transitioning;
determine fiscal resources to transition 15 consumers; evaluate
service gaps; identify consumer–driven case management options; and
transition interested consumers to the community.
- Develop a resource notebook and identify ways to distribute it to
consumers and develop a transition training package in partnership
with the Centers for Independent Living.
- Survey housing barriers; expand private and public partnership
opportunities; define and formalize interagency partnerships with
local and state housing authorities; locate affordable and accessible
housing options; and explore alternative sources of funding for
housing.
- Develop educational programs to guide system decision making; seek
participation of the DE Association of Health Care Facilities and
local medical practitioners; and educate hospital discharge teams.
- Align Medicaid policies and practices with best practices for
community services; and identify gaps in waiver programs.
- Develop and implement a strategic plan to meet consumer needs
before, during, and after the project, and establish a network of
trained volunteers to support consumers.
- Identify innovative methods for recruitment and retention of
personal assistance workers, and develop training and professional
development programs in partnership with other agencies.
- Issue a request for proposals (RFP) to solicit an independent
contractor for data collection, evaluation, and final report
preparation, and develop a project evaluation tool.
Abstract
This project will identify individuals within long–term care
facilities wishing to transition to an integrated community setting and
select an initial group of 15 participants. During the assessment and
identification process, statewide outreach to educate professional staff
and the public about the Initiative and transition–related issues will
be implemented. Ongoing training topics will include areas to lay the
philosophical foundation for self–determination, independent living, and
personal decision making within a person–centered model. Ongoing project
data collection and input from stakeholders will provide the foundation
for the evaluation process to monitor program effectiveness, allow for
flexibility and change, and contribute to lasting improvements of
service provision and support. A multidisciplinary interagency Grant
Oversight Committee (GOC) will guide all project related activities,
information sharing, project updates, and reports to their agency.
Critical issues to be examined are the following: affordable and
accessible housing availability, transition–related policies and
regulations, support services, training, outreach, and sustainability.
DSAAPD will coordinate activities with other agencies with Systems
Change funding and welcomes the opportunity to interface common efforts,
goals, strategies, and partnerships to increase access to services with
a continuum of supports.
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