v - New York State APSE

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Promoting the Readiness
of Minors in Supplemental
Security Income
Sponsored jointly by the U.S. Department of Education, Social Security Administration, U.S.
Department of Health and Human Services, and the U.S. Department of Labor
The Problem
• The number of youth on SSI continues to grow
exponentially in NYS
• A composite picture is one of a youth who rarely gets
of the rolls, completes school, works, or participates in
voc. Rehab., is more likely to be incarcerated, and less
likely to access transition support services.
• A composite picture of their families is a family with
more than one member with a disability, low
educational achievement, and lack of information to
increase self-sufficiency
STUDENTS NEED…
•
•
•
•
person-centered transition planning
connections to state and local services
meaningful education programs
incentives to stay in school
FAMILIES NEED…
•
•
opportunities to increase their educational levels
connections to career planning and employment
services
STUDENTS & FAMILIES NEED…
•
•
•
to be equipped and integrated into planning
to understand their rights
access to information to aid
them in making informed
choices regarding their financial
and economic well-being
The Challenge
NYS PROMISE will utilize an indigenous
model that naturally equips and engages
schools, local disability service providers,
ILCs, one stop centers, literacy zones,
regional PTCs, work incentive planners,
regional transition specialists, and other
community transition stakeholders to
achieve higher postsecondary employment,
education and economic outcomes for SSI
youth by...
The design…
• To be implemented across three diverse geographic
areas (Western NY, Capital Region, and NYC)
• 20-25 local education agencies* will serve as the
research demonstration sites
• 2,000 students between the ages of 14-16 who
receive SSI—half of which will be randomly assigned
to an intervention with the other half assigned to a
control group
* LEAs may be an individual school, district, BOCES, or larger overarching entity
Local & Regional
Partners
• Schools
• Disability Service
Providers
• Independent Living
Centers
• Literacy Zones
• One Stop Centers
• Benefits and Work
Incentives Planners
• Regional Parent Centers
• Regional Transition
Specialists & Transition
Councils
• State Agency, District
Offices
State Partners
The PROMISE Treatment
and Process
Key NYS PROMISE Interventions
• Outcomes-based payment model
• PROMISE-sponsored case management &
service coordination
• PROMISE-sponsored parent training,
information & family coaching
• CQI feed-back loops: Project MIS, Fidelity & TA
• Access to National and State TA on best
practices
Outcomes-Based Payment Model
• Delivered through a network of NYESSregistered and selected local-providers
• Clear definitions of service types
• Deliverables and outcomes
• Staff qualifications
• Payment amounts including service
duration in number of hours of
interventions
• Detailed rubric modeled after VR-YES
Services in the Outcomes-Based
Payment Model
•
•
•
•
•
Community-based workplace assessment
Career-planning and preparation services
Community unpaid work experience
Sponsored community work experience
Job development and paid work experience
services
• Benefits, work incentives, and asset
development planning and assistance
• Financial literacy training
PROMISE-Outcome Based Services
SERVICE &
DESCRIPTION
CommunityBased
Workplace
Assessment
Career Planning
and
Preparation
services
Community
Unpaid Work
Experience
DELIVERABLES &
OUTCOMES
FOR PAYMENT
Vocational Assessment
Profile Report
STAFFING
QUALIFICATION
& REQUIREMENTS
Evaluator I
PAYMENT RATE &
AUTHORIZATION
Report indicating type
of services provided,
summary of progress,
and an action plan
Associate’s degree
& a min. of 2 yrs
experience.
‘Per student,’ 1/2
day basis, S.A. up
to 10 units, rate:
$50
Report indicating type
of services provided,
summary of the
student’s work
experience progress,
and an action plan.
Associate’s degree
& a min. of 2 yrs
experience.
This is a ‘per
student’, flat fee
service, rate:
Per Hour, 10-20 hrs:
Region 1 - $67
Region 2 - $57
Region 3 - $62
Region 1 - $515
Region 2 - $464
Region 3 - $489
PROMISE- Outcome Based Services
TITLE &
DESCRIPTION
DELIVERABLES & OUTCOMES
STAFFING
PAYMENT RATE &
FOR PAYMENT
QUALIFICATION & AUTHORIZATION
REQUIREMENTS
Sponsored
Community
Work
Experience
• Paid internship experience
Associate’s
max. of 160 hours.
degree & min. of
• Report w/ copies of pay
2 yrs experience
stubs, data relating to the
experience, and the
student’s ability to meet job
functions & expectations.
Job
• Paid work experience, min.
Development
of 90 days & acquired work
and Paid Work
readiness skills.
Experience
• Report including data
relating to employment &
student’s ability to meet job
functions/ expectations.
Associate’s
degree & min. of
2 yrs experience
‘Per student’, per
hr, S.A. up to 160
units, rate: $10
‘Per student’, per
day basis, S.A. up
to 60 units, rate:
Region 1 - $46
Region 2 - $42
Region 3 - $44
PROMISE- Outcome Based Services
TITLE &
DESCRIPTION
DELIVERABLES &
OUTCOMES
FOR PAYMENT
Benefits, Work Report with benefits
Incentives, & analysis, work incentives
Asset
and asset accumulation
Development plan, and an action plan
Planning &
for next steps.
Assistance
Financial
Report which includes an
Literacy
outline of the curriculum,
Training
achievements, & financial
literacy action plan.
STAFFING
QUALIFICATION
& REQUIREMENTS
NYS Certification in
Benefits, Work
Incentives & Asset
Accumulation; or
certification w/ VCU
Quality
Outcome
Payments
N/A
Complete form along w/
evidence of earnings.
PAYMENT RATE
&
AUTHORIZATION
‘Per student,’
per hr, S.A. up
to 20, rate:
Region 1 - $52
Region 2 - $46
Region 3 - $49
Documentation of
‘Per family’, flat
credentials for using fee, rate:
identified curriculum Region 1 - $500
Region 2 - $450
Region 3 - $475
One-time:
Region 1 - $520
Region 2 - $400
Region 3 - $400
Case Management and Service
Coordination
• Ongoing service planning and case management
• Access to information on local service providers
• Access to TA for brokering relationships between LEAs and local
service providers
• Opportunities for leadership development in advocacy of other
local services through training (i.e., Partners in Policymaking and
Citizen-Centered Leadership Development)
• Access to NYESS system for
–
–
–
–
tracking student and parental participation and progress;
make referrals to local service providers;
receive and accept reported service outcomes; and
enabling coordination of services
• Archive data electronically to track and calibrate services to
student needs
Parent Training, Information &
Family Coaching
• Targeted topical training on:
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–
–
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effective person-centered transition planning;
increasing postsecondary expectations;
linking to education and employment supports;
self-determination and advocacy; and,
other transition-related topics
• Individualized family coaching, and information
and referral for other community services and
supports to advance family-level economic,
employment and educational development
Recruitment
• Three regions – Western NY, Capital Region, NYC
• Sampling frame from SSA
• Outreach letters to families of SSI youth and
invitation to participate community forums
organized by PTCs and LEAs
• Recruitment packets provided at community
forums and/or through school case managers
• Intake data entered in NYESS by Cornell
University
The New York Employment
Support System (NYESS)
NYESS
• A single approach to linking and
coordinating employment supports across
systems
• Provide all New Yorkers with a single point
to access to all employment-related
services, regardless of their (dis)ability
• Developed under the NYS Comprehensive
Employment Systems Change Grant
• Managed Jointly by OMH and DOL
NYESS – New PROMISE Fields
• Collects data on student background, demographics,
participation in ed. & voc. programming, personcentered planning in the IEP
• Capability of making electronic referrals, tracking
progress from providers, and accept milestones-based
outcomes reported by providers
• Generates a longitudinal archive of this info. – updated
quarterly as well as ongoing real-time reporting
• Generates automatic reports for CQI
• Will be integrated in state-wide NYESS system
OMH Role in
NYESS
• Provide NYESS utilization
training to LEAs, PTCs, and
providers
• Recruitment of local
providers for service
delivery engagement
• Ongoing monitoring and
support for the NYESS
Report generation and
progress reporting
• NYESS system
enhancements
• Ensuring seamless
implementation of
Partnership Plus
Research Design and
Evaluation
Design
• Randomized Control Trail
– 1,000 Tx & 1,000 Control
• Research conducted by Cornell &
Mathematica
• Data will be collected throughout the
project
– 6 month & 24 month
– 18 month & 60 month
Evaluation Questions
• Did the intervention result in improved education, employment
and economic outcomes for SSI youth and their parents as
compared with their peers in the control group?
• Did training and technical assistance increase horizontal
collaboration and coordination across agencies providing
services at the state, regional and local levels?
• Did connecting state, regional and local partners to feedback
and data from the continuous quality improvement system
result in critical reflection and more customized technical
assistance at the state, regional and local levels? Specifically
what changes resulted?
Evaluation Questions (Cont.)
• Did the intervention result in improved participation by youth on
SSI and their parents in transition planning and services as
compared with their peers in the control group? What local
factors & strategies are most associated with increased
participation?
• Did the outcomes-based funding system improve services at the
local level? If so, how did this work?
• Did youth and parents improve their attitudes, awareness,
knowledge and skills?
• What was the experience of treatment group youth and their
parents navigating the transition process? How did their
experiences compare with those of the control group?
• Were local educational agencies, local providers, treatment
group youth and parents satisfied?
Formative Evaluation Approach
• Grounded in continuous quality
improvement
• Collects data from multiple sources
• Tracks recruitment, retention, program
participation, and service delivery
• Tracks changes at youth/family-level and
system-level
• Assesses fidelity to best practices and
treatment differentiation
Primary Outcomes
Student and Parent Level• Improved educational outcomes
• Improved employment outcomes
• Improved economic outcomes
System Level• Increase in person-centered, coordinated and
developmentally appropriate transition to adulthood
services for youth on SSI
• Increase in interagency collaboration and reduction in
program and policy barriers for access to services
Secondary Outcomes
Student and Parent Level• Increase in parental & youth participation in transition planning
• Improvement in self-determination, independent living skills &
higher expectation for postsecondary success
• Improved satisfaction with transition to adulthood services for
youth on SSI & their families
• Improved health and well-being for youth on SSI & their families
System Level• Increase in the quality & types of services provided by agencies
& service providers for transitioning youth on SSI & their
families
• Establishment of state-level coordination committees for
sustaining collaboration and program impact
• Increased utilization of outcomes-based payment system across
agencies
Tracking Participation, Service Delivery,
Service Needs, and Outcomes
• NYESS – inclusive of Transition Data
features
• Youth and family survey
• Qualitative longitudinal study
• Online Technical Assistance Tracking
(OTAT) system
• Program fidelity assessment
Program Fidelity Tools
• Informed from multiple sources
• Data collection systems
• Initial assessment in Y1 for tool refinement and
baseline
• Conduct psychometric testing – construct and
convergent validity, and reliability checks
• Identify parameters to quantitatively
summarize the strength of intervention
National EvaluatorMathematica Policy Research
• Will provide system for randomized
• Will conduct 18 & 60 month youth and parent survey
• We will coordinate with MPR in youth & parent
survey
• Will need periodic access to state administrative data
sets to track impact of treatment
• Will conduct site visits and focus groups with youth
and families
• Will provide mid-project and end-of-the project
report on the program impact
Contact Us
• John Allen, Co-Principal Investigator, Operations
• Andrew Karhan, Project Director
Office of Mental Health
44 Holland Avenue, Albany NY 12234
518.473.6579 (phone)
Andrew.karhan@omh.ny.gov (e-mail)
• Andy Sink, Deputy Director
• Kelly Stengel, Project Coordinator
• Jessica Ellott, Provider Network Coordinator
Office of Mental Health
44 Holland Avenue, Albany NY 12234
518.473.2631 (phone)
Jessica.ellott@omh.ny.gov (e-mail)
• Thomas P. Golden, Co-Principal Investigator, Training and Capacity
• Arun Karpur, Co-Principal Investigator, Research and Design
Contact
Contact
UsUs
Toll-free technical support:
1.800.PROMISE (776.6473)or
1.877.671.6844 (TDD)
NYSPROMISE@omh.ny.gov (email)
www.NYSPROMISE.org
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