1 Washington State Department of Social & Health Services Don Clintsman, Assistant Director Division of Developmental Disabilities Aging & Disability Services Administration Department of Social and Health Services September 6, 2012 Residential Habilitation Centers Developmental Disabilities Services System Task Force
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1 Washington State Department of Social & Health Services
Don Clintsman, Assistant Director Division of Developmental Disabilities Aging & Disability Services Administration Department of Social and Health Services September 6, 2012
Residential Habilitation Centers Developmental Disabilities Services System Task Force
2 Washington State Department of Social & Health Services
Today’s Discussion
• Major influences on the DDD System • RHC and community services • New community services being developed • Costs • National Data • Long term considerations
3 Washington State Department of Social & Health Services
• Entitlements • Discretionary services • Responsiveness to need • Financial factors
Influences on the DDD system
4 Washington State Department of Social & Health Services
DDD Caseload
18,045 50%
897- 2%
11,585 32%
5,884 16%
44, 0%
No Paid ServicesRHCWaiver ClientsMPCIMR
Source: EMIS June 2012
5 Washington State Department of Social & Health Services
RHC Growth
1914 Lakeland – built
1939 Rainier School - built 1958 Yakima Valley – former TB hospital
1959 Fircrest School - former TB center
Frances Haddon Morgan Center 1972 Former Navy hospital
1886 – School for the Deaf/Blind established
1907 Eastern Washington Hospital
Interlake School 1967
6 Washington State Department of Social & Health Services
RHC - History
1993 Interlake 117 people
2011 Frances Haddon Morgan Center 53 people
Prior to 1993 School for the Deaf and School for the Blind transferred from DSHS
7 Washington State Department of Social & Health Services
1983-2012 Population
0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
40,000
45,000
Jul 1
983
May
198
4M
ar 1
985
Jan
1986
Nov
198
6Se
p 19
87Ju
l 198
8M
ay 1
989
Mar
199
0Ja
n 19
91N
ov 1
991
Sep
1992
Jul 1
993
May
199
4M
ar 1
995
Jan
1996
Nov
199
6Se
p 19
97Ju
l 199
8M
ay 1
999
Mar
200
0Ja
n 20
01N
ov 2
001
Sep
2002
Jul 2
003
May
200
4M
ar 2
005
Jan
2006
Nov
200
6Se
p 20
07Ju
l 200
8M
ay 2
009
Mar
201
0Ja
n 20
11N
ov 2
011
All DDD client
Community Residential RHC
Source: EMIS July 1983 June 2012 All DDD clients 11,932 39,810
Community Residential 513 4,325 RHC long term clients 1,868
837
8 Washington State Department of Social & Health Services
RHC – Thirty Year History
2231
1844 1758
1320 1143
973 914
0
500
1000
1500
2000
2500
1980 1985 1990 1995 2000 2005 2010
Highest population was 4,147 in 1967
9 Washington State Department of Social & Health Services
Washington compared to similar states
1980 1985 1990 1995 2000 2005
2010 % change
WA 2231 1844 1758 1320 1143 973 914 59% ↓
MA 4531 3580 3000 2110 1306 1089 759 83.2% ↓
MI 4888 2191 1137 392 271 173 0 100% ↓
WI 2151 2058 1678 1341 900 590 448 79.2% ↓
MN 2692 2065 1392 610 42 29 25 99.1% ↓ Data source: Larson, S.A., et al. (2012)Residential Services for Persons with Developmental Disabilities: Status and trends through 2010. Minneapolis; University of Minnesota, Research and Training Center on Community Living, Institute on Community Integration. http://rtc.umn.ed./risp10