Oregon Supported Oregon Supported Employment Center Employment Center

for Excellence for Excellence presents:presents:

Implementation- The most Implementation- The most helpful information we can helpful information we can

share. share.

This presentation was sponsored in part by The Oregon Competitive Employment Project, which is part of the Oregon State Department of Human Services, Office of Vocational Rehabilitation Services, is funded through a Medicaid Infrastructure Grant from the U.S. Centers for Medicare and Medicaid Services (CFDA #93.768).

Oregon Supported Oregon Supported Employment Center for Employment Center for

Excellence (OSECE)Excellence (OSECE)• Provides Supported Employment Technical Provides Supported Employment Technical

Assistance to EBSE providers in OregonAssistance to EBSE providers in Oregon• Funded by State Addiction and Mental Health Funded by State Addiction and Mental Health

(AMH), Oregon Vocational Rehabilitation (AMH), Oregon Vocational Rehabilitation Services (OVRS) through the Medicaid Services (OVRS) through the Medicaid Infrastructure Grant (MIG)Infrastructure Grant (MIG)

• Partners with Portland State University-Partners with Portland State University-Regional Research Institute for peer support, Regional Research Institute for peer support, curriculum development, data collection, and curriculum development, data collection, and research research

• Began statewide program in January 2008- the Began statewide program in January 2008- the same time as statewide EBSE funding begansame time as statewide EBSE funding began

Oregon EBSE current Oregon EBSE current statusstatus

• 16 EBSE sites, 2 more pending16 EBSE sites, 2 more pending• Last quarter 670 clients served, 265 worked Last quarter 670 clients served, 265 worked

(40%) 98 new jobs last quarter(40%) 98 new jobs last quarter• 14 sites met fidelity benchmark = 100 of 12514 sites met fidelity benchmark = 100 of 125• Sites that met fidelity are in contract with Sites that met fidelity are in contract with

VRVR• Sites agreed to Ticket to Work partnership Sites agreed to Ticket to Work partnership

starting Jan. 1, 2010starting Jan. 1, 2010• Plans for focused outreach to remainder of Plans for focused outreach to remainder of

statestate

WhenWhen and and howhow did Oregon did Oregon approach implementing approach implementing

EBSE?EBSE?• In 2000 Oregon received 2 Community In 2000 Oregon received 2 Community

Action grantsAction grants• Decided on IPS modelDecided on IPS model• Stakeholders meetingsStakeholders meetings• Between 2000 and 2008- pilot project Between 2000 and 2008- pilot project

successsuccess• Limited funding and technical assistance Limited funding and technical assistance

for sites outside of funded pilot sitesfor sites outside of funded pilot sites• 2008 major statewide implementation2008 major statewide implementation

WhenWhen and and howhow did Oregon did Oregon approach implementing approach implementing

EBSE?EBSE?• In 2000 implementation was about building In 2000 implementation was about building

consensus with community stakeholdersconsensus with community stakeholders• 2000- 2008 State AMH and OVRS funded 2000- 2008 State AMH and OVRS funded

two pilots Lifeworks NW and Options, others two pilots Lifeworks NW and Options, others on smaller scaleon smaller scale

• Dartmouth J&J provided TA and startup Dartmouth J&J provided TA and startup funding to additional sitesfunding to additional sites

• Sustainable funding not present in state Sustainable funding not present in state • EBPs became state lawEBPs became state law• 2008 State Block grant + Fee for Service 2008 State Block grant + Fee for Service

code + OSECE. SE takes off big time!!!!code + OSECE. SE takes off big time!!!!

WhatWhat was the reaction of was the reaction of the Centers?  Community? the Centers?  Community?

• 2000 some uncertainty, willingness to try, 2000 some uncertainty, willingness to try, disappointment over lack of state supportdisappointment over lack of state support

• 2000-2008 Interest grew, outcomes were 2000-2008 Interest grew, outcomes were compiled, significant provider turnovercompiled, significant provider turnover

• 2008 strong interest- 0 provider turnover2008 strong interest- 0 provider turnover• Community support has grown over time. Community support has grown over time.

In 2000 there were more reservations than In 2000 there were more reservations than today. Success stories in media help reduce today. Success stories in media help reduce stigma, as does employer satisfaction and stigma, as does employer satisfaction and participation in recovery. NAMI, participation in recovery. NAMI, employers, media, agencies, and politicians employers, media, agencies, and politicians are part of community development planare part of community development plan

Relationship with Oregon Relationship with Oregon Vocational Rehabilitation Vocational Rehabilitation

• Partner since 2000 helped build consensusPartner since 2000 helped build consensus• Funded program startupFunded program startup• Currently developed mechanism to get all Currently developed mechanism to get all

programs into contractprograms into contract• Collaborates on trainingCollaborates on training• TTW partnerTTW partner• Director is on Dartmouth and OSECE Director is on Dartmouth and OSECE

advisory boardadvisory board• Recent Announcement- surprise!Recent Announcement- surprise!

Relationship with Oregon Relationship with Oregon Vocational Rehabilitation Vocational Rehabilitation

(MIG)(MIG)

• Funds OSECEFunds OSECE• Director is on OSECE advisory boardDirector is on OSECE advisory board• Developed WIN benefits counseling Developed WIN benefits counseling

programs, who partner with SE sitesprograms, who partner with SE sites• Purchased laptops for all SE sitesPurchased laptops for all SE sites• Partners on trainings and researchPartners on trainings and research

Best Tools and Lessons Best Tools and Lessons LearnedLearned

• Positive Partnership development is a processPositive Partnership development is a process• Infrastructure needs developmentInfrastructure needs development• Provide multiple lucrative funding mechanismsProvide multiple lucrative funding mechanisms• Give SE programs decision making powerGive SE programs decision making power• Focus on successFocus on success• Build team spiritBuild team spirit• Use competitive RFP process to locate Use competitive RFP process to locate

providers; fund programs that are willing and providers; fund programs that are willing and ableable

• Address larger system issues with SE as part Address larger system issues with SE as part of solutionof solution

Best Tools and Lessons Best Tools and Lessons LearnedLearned

• Use competitive RFP process to locate providers, Use competitive RFP process to locate providers, fund programs that are willing and ablefund programs that are willing and able

• Data transparencyData transparency• Determination and friendly competition Determination and friendly competition • Technical Assistance that develops rapport with Technical Assistance that develops rapport with

SE programs, state agencies, and CMHC SE programs, state agencies, and CMHC directorsdirectors

• Legislative AdvocacyLegislative Advocacy• Media is a powerful allyMedia is a powerful ally• OSECE advisory teamOSECE advisory team

Best Tools and Lessons Best Tools and Lessons LearnedLearned

• Seek empowerment for all involvedSeek empowerment for all involved• Celebrate when things work well- give Celebrate when things work well- give

recognition and awardsrecognition and awards• Relentlessly promote client successRelentlessly promote client success• Participate in researchParticipate in research• Consider learning collaborative modelConsider learning collaborative model• Find ways to make funding sustainable, Find ways to make funding sustainable,

obtainable, and lucrative!!!obtainable, and lucrative!!!