S p r i n g 2 0 2 0 R e l e a s e

DVR Statewide Service UpdatesJob and Task Analysis and Syste m atic Instruction

KAT H LE E N E N D E R S

Questions can be directed to:Kathleen.Enders@dwd.wisconsin.gov

Questions?

Training Objectives• Understand Job and Task Analysis and Systematic Instruction

• Understand how a Sample Case will progress

• Understand how to Resolve Case issues – curveballs

Training Objectives (cont.)• Understand changes to Reporting

• Understand changes to the DVR statewide Fee Schedule

• Understand available Tools and Resources

• Process for changes:

oResearch

oFeedback

oWorkgroups

oStakeholder Feedback

oEditing

Technical Specifications and Fees

DVR Service Provider Webpage

DVR Service Provider Webpage

• Two parts: A job and task analysis is completed to determine the tasks that make up a job, followed by systematic instruction on those tasks.

• Depending on the needs of the individual, the service is intended to fade as the consumer learns and performs the job tasks.

• Service can be provided hourly or monthly.

Job & Task Analysis & Systematic Instruction

• A job site analysis is done by observing the worksite and someone performing the job to identify the tasks and duties that make up the job.

• The provider should perform the job themselves to gain understanding of what the job requires.

• It should include work pacing, noise, temperature, work schedules, employee communications, and expectations.

Job & Task Analysis Service Details

• If available, the provider should get a written task analysis from the employer.

• A task analysis is the process of breaking down each work task into smaller components to allow the tasks to be presented to the consumer in teachable steps.

• Identify initial training strategies and possibilities for natural supports in the workplace.

Job & Task Analysis Service Details (cont.)

• Example: Josie

o Josie is a DVR consumer who is taking part in an Internship/ Temporary Work experience. Josie needs some help learning how to sequence steps that make up the job and to stay on track with time.

o The Job and Task analysis is done and the job, packing gift boxes for a shipping company, is indoors and the pacing doesn’t appear to be too quick for Josie.

Job & Task Analysis Typical Case Progress

• Some job duties are planned to be changed in a few weeks.

• An aspect of the job might be difficult for the consumer due to disability, work skill, or other barrier.

• There isn’t someone available to demonstrate the job for the provider.

• The consumer will be working alone.

Job & Task Analysis Case Curveballs

• Direct Verbal Cue: Directions that provide exact, specific instruction that are spoken to the consumer.

• Gestures: Physical movements used to encourage the start, continuation, or end of an action.

• Indirect Verbal Cue: A spoken suggestion that cues the consumer to perform a task and can include questions. For example, "What is the next step?“.

Systematic Instruction Strategies

• Modeling: Demonstrating a task or task sequence to a consumer.

• Natural Supports: Use of existing work strategies that can involve assistance from people (co-workers and supervisors), procedures, customs, tools, and other benefits that are typically available in the workplace.

Systematic Instruction Strategies (cont.)

• Pictures/Written Instructions: Any writing or graphic used to provide reminders of steps or sequences.

• Prime: Hand-over-hand physical assistance to help complete a task.

• Prompt: Brief or intermittent physical assistance to cue or guide the completion of an action.

Systematic Instruction Strategies (cont.)

• Shadow: Following or observing the consumer to identify instruction needs.

• Systematic Instruction: Using a task process or step-by-step list to establish a work routine.

• Visual Cue: Changing or modifying the appearance of work equipment such as labeling, color tagging, or numbering.

Systematic Instruction Strategies (cont.)

• Informal supports include:

o Fostering positive workplace relationships with coworkers and supervision, potentially leading to the development of natural supports in the workplace as available and appropriate.

o Assistance with situational problem solving and communication. Help to identify who to seek information from at the worksite and how to ask for help or information.

Informal Supports

• Planning and implementing individualized instruction for a job.

• Progress is monitored and strategies are modified using a step-by-step, or systematic, approach including positive and constructive communication with the consumer.

• Hourly Systematic Instruction can be provided with Internship/Temporary Work, Job Preparation and Development, Student Work Based Learning, and On-The-Job Training.

Hourly Systematic Instruction Service Details

• Example: Josie

o Josie starts the job using a visual cue with a picture of what the layout of the box looks like when it is completed.

o As the job progresses additional complexity or tasks are added to the work Josie is doing, requiring the provider to create new tools.

o Josie begins to engage with supervisors and co-workers more frequently.

Hourly Systematic Instruction Typical Case Progress

• The consumer is not able to keep up with the pacing and quality demands like others on the job.

• There is a new supervisor or co-worker.

• The consumer loses their transportation, gets sick, or wants to quit the work experience.

Hourly Systematic Instruction Case Curveballs

• Planning and implementing individualized instruction for a job.

• Progress is monitored and strategies are modified using a step-by-step, or systematic, approach including positive and constructive communication with the consumer.

• Monthly Systematic Instruction is provided with Customized Employment, Individual Placement and Support, and Supported Employment.

Monthly Systematic Instruction Service Details

• Example: Josie

o Josie has gotten a job at a local shoe store where she packs and straightens the shoe boxes and shelves.

o She has some skills from the I/TW, but the work tasks are not as routine.

o Josie has to learn how to deal with customers in the store.

o Josie has to work longer hours.

Monthly Systematic Instruction Typical Case Progress

• The consumer gets bored and the employer doesn’t provide new tasks.

• There is a change to the bus route and the consumer can’t start on time, but 30 minutes later than planned.

• A family member is not supportive of the job or of the employer.

Monthly Systematic Instruction Case Curveballs

• Systematic Instruction does not replace employee training typically provided by the employer.

• The need for support should fade. There should be a planned step down of supports as individual progress is made.

• Communicate any accommodations, transportation needs, or job-specific considerations that will need to continue following DVR case closure.

• Check in with the supported employment team in month 2.

Training and Fading

• It may be necessary to use Assistive Technology during the delivery of the service to allow a DVR consumer to fully participate.

• It may also be necessary to provide accommodations to the service or work environment to allow a DVR consumer to be successful.

• If a need for accommodations or assistive technology is identified, consultation with the consumer and DVR is needed to coordinate implementation.

Accommodation and Assistive Technology

Service Notes$275 Job and Task Analysis: Initiation of service and report not to exceed 30 days

from issue of service authorization. (Code 028)

$45 per hour

Systematic Instruction/Hourly: Initiation of ongoing service and initial report not to exceed 30 days from issue of service authorization.(Code 028)

$800 per month

Systematic Instruction/Monthly Individual Placement and Support: Initiation of ongoing service and initial report not to exceed 30 days from issue of service authorization.

$1,000 per month

Systematic Instruction/Monthly Customized Employment and Supported Employment: Initiation of ongoing service and initial report not to exceed 30 days from issue of service authorization.

Fiscal Considerations

Service PO Lines Timeframe Update Timeframe

• Job and Task Analysis• With Hourly

Systematic Instruction

• 1• 1-3

90 days • Estimate number of hours needed for first 3 months max. Additional hours require a request.

• 1 month of hours per PO line. Job and Task Analysis and Monthly Systematic Instruction

2 3 months 3 months

• Job/Task Analysis and Systematic Instruction Report (DVR-18212-E)

Service Reports/Forms

• Video: Creating a Task Analysis Video - YouTube

• Background Information: Griffin-Hammis, Supported Employment & Systematic Instruction

Service Resources

Questions?DVRStudyHallQue stions@dwd.wisconsin.gov

Kathleen EndersKathleen.Enders@dwd.wisconsin.gov