MASS REHAB COMMISSION ADVOCACY GUIDE

Janna Jacobs, Chief of Staff and Ken Nicosia, Assistant Director Customer Relations Department explained the services provided by the Mass Rehabilitation Commission (MRC) and how to access them for our patients in the April Community Resource Center presentation. A consumer-driven or empowerment model is reflected throughout all of their programs which are: the Vocational Rehabilitation Division, the largest division which helps people get jobs; the Independent Living Division; and the Disability Determination Services Division. For your information, the MRC ombudsperson, Bob Donahue, can be reached at 204-3600 or 800-245-6543.


VOCATIONAL REHABILITATION DIVISION

To qualify for services from the Vocational Rehabilitation Services Program, a client must have a "significant" disability, as defined in the Americans with Disabilities Act, AND be able to benefit from vocational rehabilitation. In other words the client must want to get back to work and be able to manage independent living (with services as needed) so that it is feasible to work. MRC is mandated to include consumer choice in the planning process. Some of the services offered are vocational counseling, guidance and assistance in job placement, training programs, rehabilitation technology services, occupational licenses, tools, initial stocks and supplies for work, job coach services, supported work program, supported employment program, transitional employment services, housing and vehicle adaptation, and assistance to develop a SSI "PASS"-period of overlapping work and benefits to allow savings for a large purchase required to manage return to work (e.g., buying a vehicle or computer). This program is currently running a waiting list, expected to be about 6 months, which is unusually long.

The Statewide Employment Services Department works, as do others within MRC, both on the individual consumer level and on the macro level to develop jobs, provide technical assistance and training, link with employee assistance programs, use social security work incentives, etc. Services provided directly to consumers include information & referral, and a range of community based employment services including supported employment, job coaches. To request an application call 204-3854.


INDEPENDENT LIVING DIVISION

The Adult Supported Living Program provides ongoing case coordination services to adults who have severe physical disabilities in conjunction with cognitive, emotional or sensory impairments. The goal of supported living is to enable individuals to transition from institutional to community living settings or to remain living independently in the community. Case management services are provided on the average for four hours per week. Case managers assist the consumer particularly to manage the PCA program, but also to manage other aspects of daily life such as budgeting and bill paying, organizing medical care, locating housing, accessing social and recreational resources, etc. Based on the independent living philosophy, supported living expects that a consumer be able and willing to make many day to day decisions without assistance. Referrals of individuals over the age of 18 may be made to MRC or directly to one of the several contracted providers across the state. For more information about these providers, the Independent Living Centers see the June 1998 MGH Community News.

The Statewide Head Injury Program (SHIP) also falls under this division. SHIP provides a wide spectrum of services including: assistive technology, social and recreational programs, information & referral, survivor and family educational programs, respite services, supported living and residential programs, and case management and service coordination. SHIP also provides technical assistance and consultation to any public or private organizations that provide services to individuals with traumatic brain injury (TBI). To be eligible for SHIP services a person must have a TBI. SHIP funds 5 community-based Head-Injury Centers for Community Integration. The centers provide structured, supervised opportunities for training and practice in the consumer’s home and community for those consumers who are medically and behaviorally stable and able to participate. Generally they offer supported employment and recreation programs.

The Housing Services Program which hosts an accessible housing database, Mass Access, works to develop new housing opportunities for people with disabilities and provide housing and fair housing training for consumers, service providers and the public.

The Homecare Assistance Program provides homemaker services to assist disabled individuals to remain in the community. Homemaking services are defined as direct assistance with: meal preparation, grocery shopping, medication pick-up, laundry and light housekeeping. The eligibility criteria are that an individual: has a disabling condition which prevents him/her from performing homemaking tasks, requires homemaking assistance to prevent hospitalization or institutionalization, is financially needy, lives alone or with someone unable to perform homemaking (examples that might win on appeal- a spouse who must care for young children or a spouse who must work), is between 18 and 59 inclusive and is not legally blind. The maximum number of hours of services an individual can receive is 12/week. The average is 4-5 hours/week. These services are subject to yearly appropriations by the Massachusetts Legislature; as a result, the Home Care Assistance Program frequently has a waiting list for services.

Turning 22 Independent Living Services provides transitional services for young people with severe physical disabilities who are exiting special education and require transitional services to live successfully in the community. MRC T-22 helps students make decisions about living independently, coordinates their Individual Transition Plans, and funds supported living case coordinators for those individuals who choose to live independently in the community. Case coordination assistance can include such areas as helping consumers find housing, financial management and paying bills, and help with hiring/firing their personal care assistants. MRC T-22 also funds skills trainers from independent living centers to go into school systems to provide peer counseling and teach independent living skills to students with severe physical disabilities. These skills can include areas such as teaching consumers how to advocate for themselves, how to manage the PCA system, how to find housing and teaching strategies for problem-solving issues that will arise when consumers are living on their own. The philosophy of consumer control and consumer empowerment guide the services provided in this program as in all of MRC’s programs.

The Protective Services Program provides routine and emergency protective services. It is available 24 hours a day and offers a range of services from crisis intervention to counseling and case management. Emergency shelter is available in cases of imminent risk of serious harm or death.


DISABILITY DETERMINATION SERVICES DIVISION

The Disability Determination Services (DDS) Division is federally funded and regulated by the Social Security Administration to determine who is eligible to receive Supplemental Security Income (SSI) or Social Security Disability Insurance (SSDI).

The primary goal of the MRC is to help people with disabilities go to work and enjoy a productive life. Some people have disabilities, traumatic or lifelong, which prevent them from performing any work at all. The Disability Determination Services Division is responsible for assuring that people who cannot work continue to have financial support through disability benefits under Social Security Law.

Handouts from the presentation are available at the CRC.

4/99