Strategic Plan 2019-2023
The focus of this strategic plan is to guide the Muskingum County Board of Developmental Disabilities (MCBDD) organization, and reflect our ongoing commitment to helping people dream, believe and achieve what they want out of life through meaningful connections. The goals and objectives we have developed and are implementing came from listening and respecting the ongoing input we receive from the individuals we support, their families, employees, our provider partners and other key stakeholders. Together, and through intentional efforts, we will continue to make connections that will bring exceptional opportunities to the individuals and families we support. We understand and value the importance of building relationships and forming partnerships with our community.
Working in partnership with individuals with developmental disabilities and their families providing opportunities utilizing public and private supports to live, learn, work, and play in the community.
Promote and foster outcomes for people to choose a good life.
Overview of Muskingum County Board of Developmental Disabilities (MCBDD) Services
People with developmental disabilities and their families are the foundation of our work. We believe all people can live, learn, work and play in the same ways and in the same places as others.
The MCBDD provides a number of different services to support individuals with developmental disabilities throughout their entire lifespan.
Service and Support Administration (SSA) & Community Support:
The role of the MCBDD SSA & Community Support Team and its contracted providers is to promote and support partnerships with individuals with developmental disabilities and their families within the community. Children and adults with developmental disabilities can make meaningful contributions to the world around them. This team works in partnership with individuals, families, providers, and all other community members and resources to ensure people are achieving a quality of life in which they define for themselves. Everyone should be afforded opportunities to choose their journey through life. We listen, learn, and provide supports along the way when the person needs or wants it. This department supports individuals in determining and pursuing meaningful outcomes by providing coordination across all areas of life and across all systems. Primary functions include eligibility determinations, service coordination, conducting assessments, developing a Person-Centered Service Plan, assistance with selecting service providers, monitoring, and crisis-intervention.
Early Intervention (EI) & Play and Language for Autistic Youngsters (PLAY):
Early Intervention provides the services and supports to babies and young children less than three years of age with developmental delays and disabilities and their families. Children enrolled in the PLAY Project may continue to receive services through the age of five. These supports may include speech therapy, physical therapy, occupational therapy and other types of services based on the individual needs of the child and family. Early Intervention plays a significant impact on a child’s ability to learn new skills and overcome challenges and can increase success in school and throughout their life. The program is a comprehensive, collaborative, coordinated and family-centered system designed to help each family learn to enhance the child’s development in their natural environment. Early Intervention Specialists provide on-going assessments, activity planning and therapeutic follow-through in the home setting or other settings as requested by parents/guardians. Financial support is available for specialized consultative services and support equipment.
Pre-school is an integrated program serving children three and four years of age. Children in Muskingum County with identified developmental disabilities as well as typically developing peers (Partners) are enrolled together in the program. Each identified student enrolled has an individual education plan (IEP) designed to promote optimum growth in the areas of gross/fine motor skills, language, social, cognitive and self-help skills. The classroom teachers are certified special education teachers. Children enrolled in Starlight's preschool program attend up to 4 full days a week. Adaptive physical education, speech and language therapy, physical therapy, occupational therapy and nursing services are available to meet the individual needs of the students. Parents are invited, and encouraged, to participate in activities.
Starlight is an educational service provider for all local school districts in Muskingum County. The school is for children six through twenty-one years. Students are referred to Starlight School by their local schools following completion of an Evaluation Team Report (ETR). Individualized Education Plans (IEP) are written annually by an interdisciplinary team of professionals, based on the child’s present levels of performance. Parents provide their vision for each child’s future which assists the team in goal planning. The focus is on building skills needed in the present and future in the areas of functional academics, prevocational, socialization, daily living skills, adaptive physical education, fine/gross motor, and recreation/leisure. Classes are provided for children who meet the eligibility requirements for students with multiple disabilities as stated in the Rules for the Education of Handicapped Children which is provided by the Ohio Department of Education. Student enrollment at Starlight is determined by the Individual Education Plan (IEP) team, which includes the parents and the local school district. Together, the team determines the least restrictive environment from a continuum of options. Related services, such as physical and occupational therapy, speech and language therapy, adaptive physical education, nursing services, and vocational training are available to meet individual needs of students. Beginning at age 14, an Individualized Transition Plan is developed to assist each student to learn skills they will need to live, work, and recreate in his or her community after graduation.
Community Employment Services
Ohio Executive Order 2012-05K states in part: “Community employment shall be the priority and the preferred outcome for working-age Ohioans with disabilities.” This Employment First mandate requires schools and county boards to work together to ensure all individuals have an option to be employed in a job of their choosing in the community. The Muskingum County Board of Developmental Disabilities has a long history of supporting people to explore work options and gain meaningful employment. The Employment Navigation Department works with various vendors as well as Opportunities for Ohioans with Disabilities (OOD) to help people decide what they want to try or do for employment. They look at the person’s strengths, gifts, and talents along with accommodation and support needs. Ultimately, if a person we provide supports to is interested in employment we will help provide them with the tools they need to be successful as well as a commitment to help the person on the path to employment during all stages of this process including follow along once the person is employed.
Persons Served Total
Programs and services offered by Muskingum County Board of Developmental Disabilities
Family Assistance Program (FAP)
The Family Assistance Program is a locally funded program that provides reimbursement to families with a child or adult who has a developmental disability and living in the family home. The program covers services for respite care (in and out of the home), family counseling, education and training, special diets, and/or the purchase of special equipment or home modifications. The family member in the home who is disabled must meet certain state eligibility criteria. Funds are paid to the provider, on behalf of eligible families, using a sliding scale based on federally taxable income. The Muskingum County Board of Developmental Disabilities will begin administering the Family Assistance Program within the program and it is our goal to streamline the overall process and procedure for families.
Community Connections / FANS
We believe that life is better when people help and support each other in the community. We have created a network of people who have committed to enhancing the lives of people with developmental disabilities who live and work in Muskingum County. This network of people we like to refer to them as FANS (Friends, Allies & Neighbors). They most certainly like to have fun through a variety of activities such as game night, sports, picnics, volunteering, joining clubs just to name a few. However, there is another side to it and is equally important. The other side of this network is to help others in need. When a person or a family are in need of something a request can be made to the FANS Network and they will reach out to the community and find ways to help. Needs have ranged from clothes, food, furniture, equipment, medical supplies to even baby formula. The FANS Network is making a positive impact in Muskingum County.
Residential services are increasingly necessary for individuals served by Muskingum County Board of Developmental Disabilities. These services include: Supported Living and Medicaid Home and Community Based Services (i.e. Individual Options Waiver, Self-Empowered Life Funding Waiver and the Level-1 Waiver) in congregate settings, in home supports, and semi-independent supports, home modifications and adaptive equipment, short-term and long-term emergency services. These services are provided by qualified and independent and agency providers, certified by the Ohio Department of Developmental Disabilities. The services provided are based on waiting list rules and needs of the individual.
This program includes a fleet of eleven school buses, one transit bus, one van, two cars and two pick-up trucks that are used to provide transportation to and from programs and activities. Services include the maintenance and security of the facilities and property at the Administration Building (Hub), Community Services & Service Administration, Starlight School, and Bus garage. We are planning to purchase one school bus, one SUV and one seven passenger van in the year 2020.
The County Board works in collaboration with Eastern Ohio Housing Corporation to provide affordable and safe housing to individuals with developmental disabilities. Money was made available from the Department of DD, Capital Housing program, to pay a percentage of the cost of a home. To date the Housing Corporation owns six homes in Muskingum County, purchased with Capital Housing dollars. These homes have been purchased based on the needs and are currently housing to individuals with developmental disabilities. Over the years there has been Capital Housing dollars made available to make improvements and accessibility modifications. The County Board monitors the conditions of the homes, maintaining and making improvements as needed. We are planning to purchase a home or two in the year 2020.
Maintenance services provide a responsive, cost effective and coordinated maintenance program for the County Board. Regular upkeep including periodic maintenance of equipment throughout the facilities, custodial work, grounds keeping and basic repairs are tended to by the custodial and maintenance staff. They are available whenever the program and/or facilities are open to attend to staff needs and problems that may arise. They also tend to tasks regularly when the program is not in operation in order to minimize any interference with program operation or to ready the facility for normal operations. In addition, after-hour emergencies at the facilities are generally fielded by maintenance staff.
- The Individual Options Waiver (IO Waiver) is a Medicaid-funded waiver for people who have developmental disabilities. These individuals can use a Medicaid waiver to stay in their homes and get support, rather than live in an Intermediate Care Facility (ICF) for people who have developmental disabilities. The funding amount is determined by the individuals Ohio Developmental Disability Profile (ODDP).
- The Level 1 Waiver is also a Medicaid-funded waiver to enable persons served to live in their own homes rather than in an ICF. The funding cap is $5,325 annually. Additionally, the person is eligible for $7,500 in funding over 3 years to be used alone or in combination for environmental accessibility adaptations, home-delivered meals, personal emergency response systems, remote monitoring, remote monitoring equipment, and specialized medical equipment and supplies. Also in accordance with rule 5123:2-9-27 of the Administrative Code, payment for emergency assistance under the level one waiver shall not exceed eight thousand five hundred twenty dollars within a three-year period.
- The Self Empowered Life Funding Waiver (SELF Waiver) is designed for those individuals who self-direct where and how services are provided. Annual cost caps are $25,000 for children and $40,000 for adults, with some service-specific limitations built into the waiver as well. The SELF waiver is intended to support community inclusion and the Employment First Directive.
Total Served 2016
Total Served 2017
Total Served 2018
Level One Waivers
Supported Living Funds
This is funding for services and supports provided to individuals who are not eligible and/or not currently receiving waiver funding. Supported Living services are part of an array of residential service options that offer supports and services that allow individuals with developmental disabilities to live in the most appropriate and least restrictive home environment. A person accessing Supported Living services may choose to live in their own home or with family, using supports provided through Ohio’s DD system. Services and supports in a community setting are arranged locally by each County Board, as well as with local residential service providers. The MCBDD will authorize an annual allocation for these services. When the allocation is exhausted, no additional services will be authorized without Board approval. Currently, MCBDD serves 113 individuals in Supported Living. As of 2018, Muskingum County spent $896,074.51 in Supported Living Funds.
Person Centered Thinking
The Muskingum County Board of Developmental Disabilities and specifically the Service and Support Administration (SSA) Department has been involved with and applies Person-Centered Thinking techniques while supporting individuals and families. This intentional approach has helped us create a positive culture to ensure that those things that are important to the person are recognized and action steps are implemented to help the person dream, believe, and achieve their hopes and goals while balancing those things that are important for the person such as health, safety and welfare. The County Board maintains its ability to have outstanding board members who bring diverse skills, passion for improving the lives of persons with developmental disabilities, and connections throughout the county. We assess and improve our operations on a continuous basis, involving staff members at all levels and partners in making the assessments and suggesting needed improvements. Every department makes the time to bring staff together to identify strengths, concerns, and possible improvements. All staff in-service days include time for shared reflection and brainstorming across the agency. Staff members, board members, providers, partners, and persons receiving supports, and their families, work collaboratively and passionately to achieve this vision of the future.
Self-advocacy is an essential skill that is taught and is supported by the County Board. Self-advocates are active contributors to board meetings, participate in defining services, and assist in identifying future needs. Person-centered planning and self-determination help each individual maximize his or her abilities, resulting in increased independence and satisfaction for all receiving supports. We believe all people should lead fulfilling lives. Muskingum County residents with developmental disabilities are accepted for their unique gifts and are valued for their contribution to the overall quality of life for the entire community. Staff members remain motivated and committed to helping individuals achieve all they can. They strive to find teachable moments that help someone learn and develop a new capability or talent.
Muskingum County is fortunate to have many wonderful agency and independent providers who support individuals with developmental disabilities and their families. We refer to our providers as partners. These partners provide direct support, so that people with developmental disabilities can have dreams, achieve goals and live the best life possible. A Partner Collaborative / Network meeting is held monthly where agency representatives and members from the County Board gather to learn about and discuss issues affecting provider agencies. The support all providers offer in their role as Direct Support Professionals can make a world of difference in the life of a person with developmental disabilities.
Goal # 1: Maintain a commitment to residents of Muskingum County to ensure quality services and supports and ensure good communication with the community.
Action Steps (Short Term / Long Term)
Open and transparent board that values input by utilizing a survey to gather information to ensure we are meeting the needs of our stakeholders.
By November 2021
Conduct stakeholder surveys to include individuals, families, providers, staff and the community.
Director of Administration Services
Intentional monitoring of services for individuals with developmental disabilities through consistent and demonstrated actions.
Outcome monitoring and frequency of face to face contacts.
Be an organization that is fiscally responsible while being visionary, innovated, and committed to the core principal of Person Centered Planning and Self-Determination
All new staff are trained in Person Centered Thinking.
At least two self-advocates are sent to state-wide training.
Director of Human Resources
Review and update all promotional material to ensure information is current.
Gather all MCBDD promotional material and meet with said departments for accuracy and relevancy.
Ensure website reflects current promotional material.
Director of Administration Services
Ensure providers receive an approved Individual Service Plan (ISP) 15 days prior to implementing the plan.
The tracking database will be used to monitor timely distribution of ISP’s. The database will be monitored closely.
Prior to the start, revised, or removal of any behavioral support strategies that include restrictive measures incorporated within a plan all direct support professionals are trained.
Specialized Services will meet with Direct Support Professionals and provide the training necessary for them to successfully support the individual. Documentation of the training will be kept in the file and shared with the Human Rights Committee
Outcome tracking is completed to ensure progress on individual outcomes and people are having the lives they want/choose.
Secretary II staff to monitor/track the completion of outcome reviews.
Supervisors will review progress with SSA’s.
As noted in the plan