Reinventing Arizona’s Safety Net System This concept paper proposes a Demonstration showcasing efforts to reformulate the safety net system from one with a primary emphasis on the effective delivery of benefits, goods and services to one with a primary emphasis on growing the capacity of its consumers and where possible, reducing their dependency. By engaging and joining with socially and economically challenged individuals in addressing their needs and building their capacity in becoming their highest functioning selves, the Arizona Department of Economic Security (DES) will concurrently reduce the cost of the safety net. The DES Demonstration is predicated upon the idea that it should be the intention of the safety net system, in design and function, to grow the capacity of as many consumers as possible beyond their need for public assistance. Issues hindering the effective and efficient delivery of safety net benefits, goods and services must be addressed and done so within the context of growing the capacity of the consumer. This new construct requires a radically different model than what currently exists. The Demonstration will aid DES in understanding what this new model needs to look like, as well as what steps need to be taken to shift the existing model to the proposed construct. The DES Demonstration will explore: The development and implementation of a new person-centric customer service model. The development of a cross-authority governance structure that brings together different authorities around a shared vision of growing the capacity of socially and economically challenged Arizonans. Reformulating the existing safety net and related programs that allows them to work together to achieve the shared vision. The development of new and vital linkages between the state’s job generation mechanism (Arizona Commerce Authority) and the safety net system, represented principally by DES. The development of both individual and organizational incentives to grow consumers beyond their need for the safety net. The development and implementation of new metrics that measure the growth and development of safety net consumers. The development of a new Federal/State partnership to support the objectives of the Demonstration. THE PROBLEM Arizona’s safety net system is challenged by both a fundamental design flaw and an over-arching operating flaw. These flaws inhibit the ability of the system to achieve better outcomes for the persons they serve and reduce their dependency on public assistance. The design flaw stems from a disconnected, often conflicting set of single-purpose programs, each designed to address a narrow aspect of human well-being. Each program is structured through its own objectives, rules, funding, and service delivery system that is self-contained and centered on a specific life-sustaining intervention. Additionally, the rules of one program may conflict with those of another. As a result, these programs are not Arizona Department of Economic Security | 8/16/12 1 designed, nor are they intended to work in conjunction with each other to achieve the broader objective of growing the consumer beyond that person’s need for public assistance. The operating flaw stems from a safety net system that places little to no emphasis on helping a family or individual move beyond the condition or circumstances for which the support was needed. In many situations, persons present with problems that are inter-related. As each intervention only focuses on its own narrow area of authority and those areas of authority were not designed to work with other interventions, there is no overarching perspective of the person, nor any emphasis on remediating the inter-related problems. In some instances, this disconnected and fragmented system has led to tragedy and even death as people served in the individual program silos were failed by the system as a whole because no one accepted the responsibility for connecting the dots of their circumstances. Even in economically and socially fragile situations this disconnected program-focused system has no intentionality of addressing the presenting circumstances in order to help the consumer grow beyond their need for the safety net. Instead of helping persons function at a higher level, the existing system is designed to serve those who meet eligibility criteria which often differ across programs. Since there is no intentionality in providing a holistic resolution that leads individuals out of the system, the safety net system unintentionally fosters continued dependency by its design. Not only is the service delivery system inefficient in human terms, it is also inefficient in terms of its cost to build and maintain it. The DES Demonstration seeks to create an operating construct that addresses both the design and operating flaws. By adding a new emphasis and inverting its operating construct, DES plans to address the needs and build the capacity of those persons it serves. Dependency is reduced through the creation of a safety net system that strengthens the social and economic capacities of its community members and builds flexibility across programs for working collaboratively toward this same objective. Furthermore, it is the hypothesis of the Demonstration that by intentionally working to grow people beyond the safety net, we will ultimately reduce its attendant costs by shrinking the numbers served. THE DEMONSTRATION The proposed solution and the DES Demonstration is born out of our Vision that “DES will lead a coordinated, integrated and comprehensive public and private effort to grow the capacity of socially and economically challenged Arizonans to achieve their highest functioning level and reduce their dependency.” The Target Population and Programs The target population for the Demonstration will be 2000 Arizonans currently enrolled in the Supplemental Nutrition Assistance Program (SNAP). Out of this target group, 1000 participants will continue to receive the benefits, goods and services as they are currently operationalized. An additional 1000 participants will receive the newly proposed service model. While it is our ultimate intention that the model will work for all 1.6 million consumers DES serves annually through its 45 programs, it is our belief that the SNAP population constitutes the broad range of DES consumers and is representative of the entire population served by the agency. The Demonstration will first seek to stratify a group of DES consumers into one of three cohorts. Each cohort represents an appreciably different set of circumstances that need to be remediated in order to grow the capacity of those individuals in the cohort and thereby reduce their dependency. There will be a base design and goal for each cohort. Beyond the base service model design, the approach for each individual will be person specific based on that individual’s unique set of presenting circumstances. Arizona Department of Economic Security | 8/16/12 2 Cohort 1: Work Capable with Moderate Help Individuals in this track are deemed “work capable” and are the closest to reaching a level where they will no longer be reliant on DES services. DES will train and prepare these individuals for employment opportunities. Cohort 2: Work Capable with Intensive Help Individuals in this track have been identified as possessing some work-capable skills, yet are not at a level to enter the workforce and be ready for continued employment. The Demonstration intends to show that with additional training and support services, individuals in this cohort can move up to the Work Capable with Moderate Help track, and eventually obtain employment that will allow them to end their reliance on social services. Cohort 3: Unlikely to be Capable of Work without Supports, yet can Grow their Capacity This track includes individuals who do not possess the educational, social or training skills to be classified as Work Capable. These individuals may never reach work capable status, yet can advance their own self-sufficiency levels while still needing public support. Goals of the DES Demonstration The Main Goals of the Demonstration are to determine: how to develop and implement a person-centric service model; how to design metrics that determine the growth of the capacity of those served; what kind of multi-authority governance structure is needed for this model; how to develop a cost model for the proposed structure; what authority exists in current safety net programs that support the objectives of the Demonstration; where waivers are needed from existing programs to allow them to support the costs of the new model; where new statutory authority needs to be created to support the new model; and how to stratify DES consumers. Evaluation To support the work of the Demonstration DES is partnering with the Arizona State University (ASU). This collaborative partner will serve as a third party evaluator of the Demonstration in addition to other supportive activities. A New Federal, State and Local Partnership The majority of the safety net design emanates from the federal government. As a result, Arizona works in partnership with the federal government in the administration of the safety net for economically and socially challenged Arizonans. This Arizona Initiative will require rethinking how that partnership works in meeting our Vision. To that end, as part of its Demonstration, DES proposes the idea of creating a multi-disciplinary federal policy team. This team, comprised of senior policy leaders from relevant federal agencies, would first be briefed on the overall objective of the Arizona Demonstration and then work with each other to address the challenges that are specific to their area of program authority within the context of the objectives and shared vision. Like DES, it becomes important for the federal policy team to extend its focus beyond just the Health and Human Services and Agriculture Departments. Arizona Department of Economic Security | 8/16/12 3 Funding DES intends for its new model of operations to be self-sustaining, requiring no additional funding from the state. The organization is taking the following three-prong approach for identifying existing and new sources of funding to support this work: 1. Discover operational efficiencies within current programs and identify where funding may be utilized in more cost-effective ways. 2. Expend existing program funding consistent with the Person-Centric Approach through the work of the Demonstration’s objectives. 3. Locate and actively apply for external and other funding resources, such as federal grants, that are consistent with the Demonstration’s objectives and will help fund the initial costs associated with the DES Transformation (e.g., office renovations, hiring and training staff, new computer software and equipment, and other logistical expenses). Outcomes As with all transformation efforts, a critical aspect of the Arizona Demonstration is how results will be measured, individually and programmatically. Metrics will focus on the level of improvement as seen through the delivery of DES services and assistance that grow the capacity of its consumers towards a higher level of functioning, thereby reducing the need for public supports. With the assistance of ASU, DES will develop methodologies for and track the growth of those served. One of the outcomes that will determine success of the Demonstration will be the percentage of individuals who were able to advance from lower to higher functioning cohorts (e.g., Cohort 3 to Cohort 2, Cohort 2 to Cohort 1, and individuals who advance from Cohort 1 to work ready status, employment and independence from public supports). Doing so would mean that more individuals are progressing through their development and are closer to reaching their agreed upon goals. Long term DES will see: a decrease in the recidivism rate for public assistance; a reduction in the average duration of time persons are receiving public assistance; employer metrics put in place and meeting their intended objectives; increased numbers of individuals with improved economic situations who are contributors to Arizona’s economy; an overall reduction in costs to the state; the creation of a plan for integrating basic and occupational skill development with work-based learning; and a multi-agency governance structure dedicated to ongoing implementation of the model. Arizona Department of Economic Security | 8/16/12 4