Form 1 State Councils OLDC Form

Developmental Disabilities State Plan

SCDD-StPlan-08-Instr

Developmental Disabilities State Plan

OMB: 0980-0162

Document [doc]
Download: doc | pdf

State Plan

State Councils on Developmental Disabilities

Within the On-Line Data Collection (OLDC) System


The following pages represent the instrument-forms for this report.

On this page is a summary overview of the Council PPR.


Section 1

Information regarding the individuals and entities involved with the Council program, including Council members and Council staff.


Section 21

Information regarding the designated State agency (DSA) and its roles.


Section 3

A comprehensive description of the service delivery system in the State and of unserved and underserved populations. Also a rationale for the selection of the goals of the Council.


Section 4

This is the heart of the State Plan. This section is divided first by Life Goal Areas (i.e., Areas of Emphasis), and then within each Life Goal Area, it is further divided into three divisions:

  1. Narrative goal(s) developed within any Life Goal area that is selected by the State

This is a repeating section, permitting the user to report on more than one goal for a Life Goal area, with one instance for each goal described.

  1. Narrative objective(s) developed within any Life Goal area that is selected by the State.

This is a repeating section, permitting the user to report on more than one objective for a Goal within a Life Goal area, with one instance for each objective described. Planned resources and collaborators are reported.

  1. Quantitative targets for Council achievements in the planning years. There are two sets of targets: targets that all Councils can use to enable establishment of national target numbers, and targets that are unique to the particular Council.


Section 5

The Council certifies here that the Assurances are submitted (or soon will be submitted), as required in the DDAct, Section 124(c)(5).


Section 6

The Council reports here on its planned budget for each year of the 5-year planning cycle. This is a repeating section, providing a instance for each of the five fiscal years in the planning cycle.


Section 7 and Section 8

Description of the Council's plan for providing for public review of the plan and for evaluation of the plan.


The following two pages show the “Report Sections” page

from which a user can access individual sections of the State Plan.


  • Within the OLDC system, a user accessing the “Report Sections” page of the State Plan, for the State Council on Developmental Disabilities, must first select the State, and then they select the Reporting Period in order to “Select Report” shown on the next three pages. Based on these selections, the OLDC system inserts the grantee name and reporting period automatically (shown in blue). The selection options are limited, based on the authorizations of the user’s OLDC account, so that they cannot accidentally enter data in a State Plan for a different State or for an inappropriate planning year.


  • This is a multiple section report. Each row on the Report Sections page provides access to one of the sections. The three columns on the Report Section page show section information:

    • the first column identifies the section name,

    • the second column provides the user an opportunity to take some action on the section, and

    • the third column indicates the section’s current status (initialized or saved).


  • For the “Perform Action” column, the available actions are:

    • Create a section (only for repeating sections)

    • Clear section data,

    • Edit section, and

    • Print section.

These actions permit users to create and access sections of the report, where the report data are actually entered by the user. Each section is saved independently of the other sections.


  • Some of the sections are repeating sections... that is, the user can create multiple instances of that section, such as for reporting on multiple goals or objectives within an Area of Emphasis. The repeating sections are shown on the Report Sections page as plum colored. These sections include a box for entering information specific to the particular instance.


  • Information entered in blue (grantee & reporting period) is inserted by the OLDC system automatically.


  • The blue buttons at the top of the Report Sections page are for going to different parts of the OLDC system:

    • OLDC Home ... the first page visited in OLDC when accessing it.

    • Select State ... the page where a user selects their State.

    • Select Report ... the page where the user selects the reporting period.

    • End OLDC ... permits the user to sign out of the system.


  • The blue buttons at the bottom of the Report Sections page are for report manipulations:

    • Add Attachments ... this is an option available to grantees who wish to submit additional documentation. This was requested by the grantees to provide them the opportunity to submit additional materials that they wanted the federal reviewers to see.

    • Validate Report ... the data entry staff indicate that the report is completed.

    • Submit Report ... the authorized official sends the report to the federal reviewers.










On-Line Data Collection Department of Health & Human Services

OMB Clearance No.: 0980-0162

Expiration Date: xx/xx/xxxx

Council on DD, State Plan

(Report Sections)

Reporting Period:10/01/2008    To:09/30/2009

State: Alaska

Section Name:

Perform Action:

Section Status:

Section 1: Council Identification

Saved

Section 2: Designated State Agency

Initialized

Section 3: Comprehensive Review and Analysis

Initialized


* Section4: Part EM: Employment - Goal

Initialized

* Section 4: Part EM: Employment - Objective

Initialized

Section 4: Part EM: Employment - Performance Targets

Initialized


* Section 4: Part ED: Education - Goal

Initialized

* Section 4: Part ED: Education - Objective

Initialized

Section 4: Part ED: Education - Performance Targets

Initialized


* Section 4: Part HO: Housing - Goal

Initialized

* Section 4: Part HO: Housing - Objective

Initialized

Section 4: Part HO: Housing - Performance Targets

Initialized


* Section 4: Part HE: Health - Goal

Initialized

* Section 4: Part HE: Health - Objective

Initialized

Section 4: Part HE: Health - Performance Targets

Initialized


* Section 4: Part CH: Child Care - Goal

Initialized

* Section 4: Part CH: Child Care - Objective

Initialized

Section 4: Part CH: Child Care - Performance Targets

Initialized


* Section 4: Part RE: Recreation - Goal

Initialized

* Section 4: Part RE: Recreation - Objective

Initialized

Section 4: Part RE: Recreation - Performance Targets

Initialized


* Section 4: Part TR: Transportation - Goal

Initialized

* Section 4: Part TR: Transportation - Objective

Initialized

Section 4: Part TR: Transportation - Performance Targets

Initialized


* Section 4: Part QA: Quality Assurance - Goal

Initialized

* Section 4: Part QA: Quality Assurance - Objective

Initialized

Section 4: Part QA: Quality Assurance - Performance Targets

Initialized


* Section 4: Part CS: Community Support - Goal

Initialized

* Section 4: Part CS: Community Support - Objective

Initialized

Section 4: Part CS: Community Support - Performance Targets

Initialized


* Section 4: Part CR: Cross Cutting - Goal

Initialized

* Section 4: Part CR: Cross Cutting - Objective

Initialized

Section 4: Part CR: Cross Cutting - Performance Targets

Initialized

Section 5: Assurances

Initialized

* Section 6: Projected Council Budget

Initialized

Sections 7&8: Public Review of Plan / Evaluation of Plan

Initialized

THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13)


Public reporting burden for this collection of information is estimated to average 367 hours per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information.


An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.







The following pages show

the individual sections of the Council State Plan

in the order in which they appear

on the “Report Sections” page (see previous three pages).



Text Information entered in blue in the following pages

(grantee & plan reporting period)

is inserted by the OLDC system automatically.




The blue buttons at the top of each section-form serve the following purposes:

    • Return to Sections Page ... returns the user to the Report Sections page, where a different section can be accessed... user reminded to save or will lose edits.

    • Save This Section ... stores the contents of the current section-form, including any edits that have been made.

    • Go To Next Section ... takes user out of the current section and takes them to the next section down (as shown in the Report Sections page... user is reminded to save or will lose edits.






SCDD State Plan

Grantee: Alaska

Plan Reporting Period: 10/01/2009 - 09/30/2010

Section 1 – Council Identification

A. Contact Person First Name:________________ MI:___ Last Name:________________

Email Address: _______________________

Phone Number: _____________ -Ext._____

B. Council Establishment:

   (1) Date of Establishment: ___/___/______   


   (2) Authorization: State Statute Exectuive Order N/A

   (3) Authorization Citation: _______________________________________________

C. Council Membership: Complete the following chart providing the name of each Council member (and proxy/alternate, if any), name of the agency/organization he/she is representing , beginning and ending dates of the appointments, and category of membership using the codes provided. Begin with agency/organizational representative, A, then citizen members B and C. If more than one member represents a particular State Agency (e.g. IDEA part B and Part C) put that code(A2) with each individual's name and identify the appropriate program in the space provided.

Council Membership Category Codes:

Agency/Organization Representatives:

A1. =Rehab Act

A2. =IDEA

Citizen Member Representatives:

A3. =Older American Act

B1. = Individual With DD

A4. =SSA/Title X1X

B2. = Parent/Guardian of Child

A5. = UCEDD

B3. = Immediate Relative/Guardian of adult with mental Impairment

A6. =P&A

C1. = Individual now/ever in institution

 A8. = NGO/Local

C2. = Immediate relative/guardian

of individual in institution

A9. = Other

A10.= SSA/Title V


C1. Please provide a brief plan for compliance if the Council cannot fulfill the new membership requirements by the due date of this plan. (Limit 500 characters)





C2. Council Members:

#

Last Name

First Name

Term

Ag.

Code

Agency / Org. Name

Appt. Date

Appt. Expire Date

Alt / Proxy Name

Del.

1









D. Council Staff

#

Position or Working Title

FT

PT

%PT

Last name of person in position

First name of person in position

MI

Del.

 1

 

0.00%








SCDD State Plan

Grantee: Alaska

Plan Reporting Period: 10/01/2009 - 09/30/2010

Section 2 – Designated State Agency (DSA)

A. The DSA is: The Council Other Than The Council

If DSA is Another Agency, then:

   1. Agency Name: ____________________________________________________________

   2. State DSA Official's First name:___________ MI:___  Last name:_________________

   3. Address line 1:

   Address line 2:

   Address line 3:

   City:_______________________  State:______________  Zip code:_____________

   4. Phone:

   5. FAX:

   6. E-Mail:

C. Direct Services. If DSA is other than the Council, does it provide or pay for direct services to persons with developmental disabilities?: Yes No

   If yes, describe the general category of services it provides:


D. Does Your Council have a Memorandum of Understanding/Agreement with your DSA?

Yes No

E. DSA Roles and Responsibilities related to the Council. If DSA is other than the Council, describe the roles and responsibilities:





F. Date Council or Agency Was Designated as DSA ____/_____/_________





SCDD State Plan

Grantee: Alaska

Plan Reporting Period: 10/01/2009 - 09/30/2010

Section 3 – Comprehensive Review and Analysis

A. Prevalence of Developmental Disabilities in the State

   1. Estimated number of people with developmental disabilities living in the State:_______

   2. How estimate was created:

a. National prevalence rate (Gollay, 1.8%) b. Other

     If Other, please describe:









B. Environmental Factors Affecting Services. Describe how economic, social, political, and litigative factors affect persons with developmental disabilities and their families in the State. Attempt to limit each field to one topic and provide a topic heading appropriate to your State.

For each topic you need not use the entire 2,000 characters nor do you need to use all four topics:

   Environmental Factors Topic 1:



 

   Environmental Factors Topic 2:




   Environmental Factors Topic 3:




   Environmental Factors Topic 4:




C. The State Service System(s): [Section 124(c)(3)]. Provide a summary of the results of the Councils review and analysis of the State service system for people with developmental disabilities. Include reference to relevant interagency initiatives and any specific eligibility barriers to services. Attempt to limit each field to one topic and provide a topic heading appropriate to your State. You need not fill the entire field of 2,000 characters nor use all 6 topics.

   Service System(s) Topic 1:



   Service System(s) Topic 2:



   Service System(s) Topic 3:



   Service System(s) Topic 4:



   Service System(s) Topic 5:



   Service System(s) Topic 6:



D.Community Services and Opportunities. Provide a summary of the extent to which community services and opportunities related to the areas of emphasis directly benefit individuals with developmental disabilities. Include information on assistive technology/services and rehabilitation technology, current resources and projected availability of future resources to fund services, and health care and other supports and services received in ICF(MRs) and through Home and Community Based Waivers.














E. Waiting Lists Provide the name of the waiting lists in your state and the number of individuals with developmental disabilities on those lists.

Waiting List

Waiting List Name

Number

Del.

List # 1

 

______

   Waiting list narrative. Provide a brief review of the waiting lists in your state.





F. Unserved and Underserved Groups:

   F1. List and describe racial/ethnic groups that may be unserved/underserved and describe the barriers to their receipt of supports and services. You may identify barriers specific to a particular racial/ethnic group you have selected, (150 characters), identify general, overall barriers applicable to all racial/ethnic groups selected, or both.

   

Asian

Barrier:



  

Black or African American

Barrier:



  

Hispanic/Latino

Barrier:



  

American Indian or Alaska Native

Barrier:



  

Native Hawaiian or other Pacific Islander

Barrier:



  

White

Barrier:



  

Multi-cultural (identifying with more than one of the above)

Barrier:



   General racial/ethnic barriers:





   F2. List and describe any other unserved/underserved group(s) and describe the barriers that impede full participation of this group(s). Examples of such groups are religious groups, rural populations, those excluded from eligibility for particular services, particular types of disabilities)

1.

  

Group:

Barriers:



2.

  

Group:

Barriers:



3.

  

Group:

Barriers:



4.

  

Group:

Barriers:



5.

  

Group:

Barriers:



6.

  

Group:

Barriers:



7.

  

Group:

Barriers:



8.

  

Group:

Barriers:



     General barriers for other groups:




G. Rational for Goal Selection [Section 124(c)(3)(E)]: Provide a summary as to how the information in public forum and comprehensive review and analysis was utilized to develop the Council’s goals and objectives.










SCDD State Plan

Grantee: Alaska

Plan Reporting Period: 10/01/2009 - 09/30/2010

Section 4 – Part EM (Employment) Goal

Employment (EM): People get and keep employment consistent with their interest, abilities and needs.

Goal #: ______

Goal description:





Strategies used in achieving goal:

  Outreach

  Training

  Technical Assistance

  Supporting and Education Communities

  Interagency Collaboration and Coordination

  Coordination with Related Councils, Committees and Programs

  Barrier Elimination, Systems design, and Redesign

  Coalition Development and Citizen Participation

  Informing Policymakers

  Demonstration of New Approaches to Services and Supports

  Other Activities





SCDD State Plan

Grantee: Alaska

Plan Reporting Period: 10/01/2009 - 09/30/2010

Section 4 – Part EM (Employment) Objective

Employment (EM): People get and keep employment consistent with their interest, activities and needs.

Goal ID #: ______

2.(a) Objective EM #: ______

Objective EM Description:



   (b) Expected Year of Accomplishment:

Year One Year Two Year Three Year Four Year Five

3) Resources to be Allocated for this Objective (if known):

Check if not known:  


Resources (if known): ______


4. Intermediaries/Collaborators Planned for this Objective (if known):

  (a) State Protection and Advocacy Agencies

  (b) National Network of University Centers for Excellence in Developmental Disabilities Education, Research and Services

(c)


(d)


(e)


(f)


(g)


(h)


(i)





SCDD State Plan

Grantee: Alaska

Plan Reporting Period: 10/01/2009 - 09/30/2010

Section 4 – Part EM (Employment) Performance Targets

(defined for all Councils)

EM

Target for year 1

Target for year 2

Target for year 3

Target for year 4

Target for year 5

EM01: Adults have jobs of their choice through Council efforts:

0

0

0

0

0

EM02: Dollars leveraged for employment:

$0

$0

$0

$0

$0

EM03: Employers provided vocational supports to students on the job:

0

0

0

0

0

EM04: Business/employers employed adults:

0

0

0

0

0

EM05: Employment programs/policies created/improved:

0

0

0

0

0

EM06: People Facilitated employment:

0

0

0

0

0

EM07: People trained in employment:

0

0

0

0

0

Additional Employment Performance Targets

EM

Description

Target for year 1

Target for year 2

Target for year 3

Target for year 4

Target for year 5

EM10: Other


0

0

0

0

0

EM11: Other


0

0

0

0

0

EM12: Other


0

0

0

0

0

EM13: Other


0

0

0

0

0

EM14: Other


0

0

0

0

0

EM15: Other


0

0

0

0

0

EM16: Other


0

0

0

0

0

EM17: Other


0

0

0

0

0

EM18: Other


0

0

0

0

0

EM19: Other


0

0

0

0

0





SCDD State Plan

Grantee: Alaska

Plan Reporting Period: 10/01/2009 - 09/30/2010

Section 4 – Part ED (Education) Goal

Education and Early Intervention (ED): Students reach their educational potential and infants and young children reach their development potential.

Goal #: ______

Goal description:





Strategies used in achieving goal:

  Outreach

  Training

  Technical Assistance

  Supporting and Education Communities

  Interagency Collaboration and Coordination

  Coordination with Related Councils, Committees and Programs

  Barrier Elimination, Systems design, and Redesign

  Coalition Development and Citizen Participation

  Informing Policymakers

  Demonstration of New Approaches to Services and Supports

  Other Activities





SCDD State Plan

Grantee: Alaska

Plan Reporting Period: 10/01/2009 - 09/30/2010

Section 4 – Part ED (Education) Objective

Education and Early Intervention (ED): Students reach their educational potential and infants and young children reach their development potential.

Goal ID #: ______

2.(a) Objective ED #: ______

Objective ED Description:



   (b) Expected Year of Accomplishment:

Year One Year Two Year Three Year Four Year Five

3) Resources to be Allocated for this Objective (if known):

Check if not known:  


Resources (if known): ______


4. Intermediaries/Collaborators Planned for this Objective (if known):

  (a) State Protection and Advocacy Agencies

  (b) National Network of University Centers for Excellence in Developmental Disabilities Education, Research and Services

(c)


(d)


(e)


(f)


(g)


(h)


(i)





SCDD State Plan

Grantee: Alaska

Plan Reporting Period: 10/01/2009 - 09/30/2010

Section 4 – Part ED (Education) Performance Targets

(defined for all Councils)

ED

Target for year 1

Target for year 2

Target for year 3

Target for year 4

Target for year 5

ED01: Students hve the education and support they need to reach their educational goals throught Council efforts:

0

0

0

0

0

ED02: Infants and young children have services/support needed to reach developmental goals through Council efforts:

0

0

0

0

0

ED03: Students transitioned from school to community and jobs:

0

0

0

0

0

ED04: Children transitioned from early intervention and pre-school to inclusive classrooms/schools:

0

0

0

0

0

ED05: Dollars leveraged for education:

$0

$0

$0

$0

$0

ED06: Education programs/policies created/improved:

0

0

0

0

0

ED07: Post-secondary institutions improved inclusive education:

0

0

0

0

0

ED08: School improved IEP:

0

0

0

0

0

ED09: People facilitated inclusive education:

0

0

0

0

0

ED10: People trained in inclusive education:

0

0

0

0

0

ED12: Parents or guardians trained regarding their childs educational rights:

0

0

0

0

0


Additional Education Performance Targets

ED

Description

Target for year 1

Target for year 2

Target for year 3

Target for year 4

Target for year 5

ED13: Other


0

0

0

0

0

ED14: Other


0

0

0

0

0

ED15: Other


0

0

0

0

0

ED16: Other


0

0

0

0

0

ED17: Other


0

0

0

0

0

ED18: Other


0

0

0

0

0

ED19: Other


0

0

0

0

0

ED20: Other


0

0

0

0

0

ED21: Other


0

0

0

0

0

ED22: Other


0

0

0

0

0






SCDD State Plan

Grantee: Alaska

Plan Reporting Period: 10/01/2009 - 09/30/2010

Section 4 – Part HO (Housing) Goal

Housing (HO): Adults choose where and with whom they live.

Goal #: ______

Goal description:





Strategies used in achieving goal:

  Outreach

  Training

  Technical Assistance

  Supporting and Education Communities

  Interagency Collaboration and Coordination

  Coordination with Related Councils, Committees and Programs

  Barrier Elimination, Systems design, and Redesign

  Coalition Development and Citizen Participation

  Informing Policymakers

  Demonstration of New Approaches to Services and Supports

  Other Activities





SCDD State Plan

Grantee: Alaska

Plan Reporting Period: 10/01/2009 - 09/30/2010

Section 4 – Part HO (Housing) Objective

Housing (HO): Adults choose where and with whom they live.

Goal ID #: ______

2.(a) Objective HO #: ______

Objective HO Description:



   (b) Expected Year of Accomplishment:

Year One Year Two Year Three Year Four Year Five

3) Resources to be Allocated for this Objective (if known):

Check if not known:  


Resources (if known): ______


4. Intermediaries/Collaborators Planned for this Objective (if known):

  (a) State Protection and Advocacy Agencies

  (b) National Network of University Centers for Excellence in Developmental Disabilities Education, Research and Services

(c)


(d)


(e)


(f)


(g)


(h)


(i)





SCDD State Plan

Grantee: Alaska

Plan Reporting Period: 10/01/2009 - 09/30/2010

Section 4 – Part HO (Housing) Performance Targets

(defined for all Councils)

HO

Target for year 1

Target for year 2

Target for year 3

Target for year 4

Target for year 5

HO01: Individuals have home of their choice through Council efforts:

0

0

0

0

0

HO02: People moved from congregate settings to homes in the community:

0

0

0

0

0

HO03: Dollars leveraged for housing:

$0

$0

$0

$0

$0

HO04: Banks made mortgage funds available to enable people to own homes:

0

0

0

0

0

HO05: Housing programs/policies created/improved:

0

0

0

0

0

HO06: Units of affordable, accessible housing made available:

0

0

0

0

0

HO07: People facilitated home ownership/rental:

0

0

0

0

0

HO08: People trained in housing:

0

0

0

0

0


Additional Housing Performance Targets

HO

Description

Target for year 1

Target for year 2

Target for year 3

Target for year 4

Target for year 5

HO11: Other


0

0

0

0

0

HO12: Other


0

0

0

0

0

HO13: Other


0

0

0

0

0

HO14: Other


0

0

0

0

0

HO15: Other


0

0

0

0

0

HO16: Other


0

0

0

0

0

HO17: Other


0

0

0

0

0

HO18: Other


0

0

0

0

0

HO19: Other


0

0

0

0

0

HO20: Other


0

0

0

0

0





SCDD State Plan

Grantee: Alaska

Plan Reporting Period: 10/01/2009 - 09/30/2010

Section 4 – Part HE (Health) Goal

Health (HE): People are healthy and benefit from the full range of needed health services.

Goal #: ______

Goal description:





Strategies used in achieving goal:

  Outreach

  Training

  Technical Assistance

  Supporting and Education Communities

  Interagency Collaboration and Coordination

  Coordination with Related Councils, Committees and Programs

  Barrier Elimination, Systems design, and Redesign

  Coalition Development and Citizen Participation

  Informing Policymakers

  Demonstration of New Approaches to Services and Supports

  Other Activities





SCDD State Plan

Grantee: Alaska

Plan Reporting Period: 10/01/2009 - 09/30/2010

Section 4 – Part HE (Health) Objective

Health (HE): People are healthy and benefit from the full range of needed health services.

Goal ID #: ______

2.(a) Objective HE #: ______

Objective HE Description:



   (b) Expected Year of Accomplishment:

Year One Year Two Year Three Year Four Year Five

3) Resources to be Allocated for this Objective (if known):

Check if not known:  


Resources (if known): ______


4. Intermediaries/Collaborators Planned for this Objective (if known):

  (a) State Protection and Advocacy Agencies

  (b) National Network of University Centers for Excellence in Developmental Disabilities Education, Research and Services

(c)


(d)


(e)


(f)


(g)


(h)


(i)





SCDD State Plan

Grantee: Alaska

Plan Reporting Period: 10/01/2009 - 09/30/2010

Section 4 – Part HE (Health) Performance Targets

(defined for all Councils)

HE

Target for year 1

Target for year 2

Target for year 3

Target for year 4

Target for year 5

 

HE01: People have needed health services through Council efforts:

0

0

0

0

0

 

HE02: Dollars leveraged for health services:

$0

$0

$0

$0

$0

 

HE03: Health care programs/policies created/improved:

0

0

0

0

0

 

HE04: People improved health services:

0

0

0

0

0

 

HE05: People trained in health services:

0

0

0

0

0

 


Additional Health Performance Targets

HE

Description

Target for year 1

Target for year 2

Target for year 3

Target for year 4

Target for year 5

HE8: Other


0

0

0

0

0

HE9: Other


0

0

0

0

0

HE10: Other


0

0

0

0

0

HE11: Other


0

0

0

0

0

HE12: Other


0

0

0

0

0

HE13: Other


0

0

0

0

0

HE14: Other


0

0

0

0

0

HE15: Other


0

0

0

0

0

HE16: Other


0

0

0

0

0

HE17: Other


0

0

0

0

0





SCDD State Plan

Grantee: Alaska

Plan Reporting Period: 10/01/2009 - 09/30/2010

Section 4 – Part CH (Child Care) Goal

Child Care (CH): Children & families benefits from a range of inclusive, flexible child care options.

Goal #: ______

Goal description:





Strategies used in achieving goal:

  Outreach

  Training

  Technical Assistance

  Supporting and Education Communities

  Interagency Collaboration and Coordination

  Coordination with Related Councils, Committees and Programs

  Barrier Elimination, Systems design, and Redesign

  Coalition Development and Citizen Participation

  Informing Policymakers

  Demonstration of New Approaches to Services and Supports

  Other Activities





SCDD State Plan

Grantee: Alaska

Plan Reporting Period: 10/01/2009 - 09/30/2010

Section 4 – Part CH (Child Care) Objective

Child Care (CH): Children & families benefits from a range of inclusive, flexible child care options.

Goal ID #: ______

2.(a) Objective CH #: ______

Objective CH Description:



   (b) Expected Year of Accomplishment:

Year One Year Two Year Three Year Four Year Five

3) Resources to be Allocated for this Objective (if known):

Check if not known:  


Resources (if known): ______


4. Intermediaries/Collaborators Planned for this Objective (if known):

  (a) State Protection and Advocacy Agencies

  (b) National Network of University Centers for Excellence in Developmental Disabilities Education, Research and Services

(c)


(d)


(e)


(f)


(g)


(h)


(i)





SCDD State Plan

Grantee: Alaska

Plan Reporting Period: 10/01/2009 - 09/30/2010

Section 4 – Part CH (Child Care) Performance Targets

(defined for all Councils)

CH

Target for year 1

Target for year 2

Target for year 3

Target for year 4

Target for year 5

 

CH01: Children in inclusive child care settings through Council efforts:

0

0

0

0

0

 

CH02: Dollars leveraged for child care programs:

$0

$0

$0

$0

$0

 

CH03: Child care programs/policies created/improved:

0

0

0

0

0

 

CH04: People facilitated inclusive child care:

0

0

0

0

0

 

CH05: People trained in child care:

0

0

0

0

0

 


Additional Child Care Performance Targets

CH

Description

Target for year 1

Target for year 2

Target for year 3

Target for year 4

Target for year 5

CH8: Other


0

0

0

0

0

CH9: Other


0

0

0

0

0

CH10: Other


0

0

0

0

0

CH11: Other


0

0

0

0

0

CH12: Other


0

0

0

0

0

CH13: Other


0

0

0

0

0

CH14: Other


0

0

0

0

0

CH15: Other


0

0

0

0

0

CH16: Other


0

0

0

0

0

CH17: Other


0

0

0

0

0





SCDD State Plan

Grantee: Alaska

Plan Reporting Period: 10/01/2009 - 09/30/2010

Section 4 – Part RE (Recreation) Goal

Recreation (RE): People benefit from inclusive recreational, leisure and social activities consistent with their interests and abilities.

Goal #: ______

Goal description:





Strategies used in achieving goal:

  Outreach

  Training

  Technical Assistance

  Supporting and Education Communities

  Interagency Collaboration and Coordination

  Coordination with Related Councils, Committees and Programs

  Barrier Elimination, Systems design, and Redesign

  Coalition Development and Citizen Participation

  Informing Policymakers

  Demonstration of New Approaches to Services and Supports

  Other Activities





SCDD State Plan

Grantee: Alaska

Plan Reporting Period: 10/01/2009 - 09/30/2010

Section 4 – Part RE (Recreation) Objective

Recreation (RE): People benefit from inclusive recreational, leisure and social activities consistent with their interests and abilities.

Goal ID #: ______

2.(a) Objective RE #: ______

Objective RE Description:



   (b) Expected Year of Accomplishment:

Year One Year Two Year Three Year Four Year Five

3) Resources to be Allocated for this Objective (if known):

Check if not known:  


Resources (if known): ______


4. Intermediaries/Collaborators Planned for this Objective (if known):

  (a) State Protection and Advocacy Agencies

  (b) National Network of University Centers for Excellence in Developmental Disabilities Education, Research and Services

(c)


(d)


(e)


(f)


(g)


(h)


(i)





SCDD State Plan

Grantee: Alaska

Plan Reporting Period: 10/01/2009 - 09/30/2010

Section 4 – Part RE (Recreation) Performance Targets

(defined for all Councils)

RE

Target for year 1

Target for year 2

Target for year 3

Target for year 4

Target for year 5

 

RE01: People active in recreational activities through Council efforts:

0

0

0

0

0

 

RE02: Dollars leveraged for recreation programs:

$0

$0

$0

$0

$0

 

RE03: Recreation programs/policies created/improved:

0

0

0

0

0

 

RE04: People facilitated recreation:

0

0

0

0

0

 

RE05: People trained in recreation:

0

0

0

0

0

 


Additional Recreation Performance Targets

RE

Description

Target for year 1

Target for year 2

Target for year 3

Target for year 4

Target for year 5

RE8: Other


0

0

0

0

0

RE9: Other


0

0

0

0

0

RE10: Other


0

0

0

0

0

RE11: Other


0

0

0

0

0

RE12: Other


0

0

0

0

0

RE13: Other


0

0

0

0

0

RE14: Other


0

0

0

0

0

RE15: Other


0

0

0

0

0

RE16: Other


0

0

0

0

0

RE17: Other


0

0

0

0

0





SCDD State Plan

Grantee: Alaska

Plan Reporting Period: 10/01/2009 - 09/30/2010

Section 4 – Part TR (Transportation) Goal

Transportation (TR): People have transportation services for work, school, medical, and personal needs.

Goal #: ______

Goal description:





Strategies used in achieving goal:

  Outreach

  Training

  Technical Assistance

  Supporting and Education Communities

  Interagency Collaboration and Coordination

  Coordination with Related Councils, Committees and Programs

  Barrier Elimination, Systems design, and Redesign

  Coalition Development and Citizen Participation

  Informing Policymakers

  Demonstration of New Approaches to Services and Supports

  Other Activities





SCDD State Plan

Grantee: Alaska

Plan Reporting Period: 10/01/2009 - 09/30/2010

Section 4 – Part TR (Transportation) Objective

Transportation (TR): People have transportation services for work, school, medical, and personal needs.

Goal ID #: ______

2.(a) Objective TR #: ______

Objective TR Description:



   (b) Expected Year of Accomplishment:

Year One Year Two Year Three Year Four Year Five

3) Resources to be Allocated for this Objective (if known):

Check if not known:  


Resources (if known): ______


4. Intermediaries/Collaborators Planned for this Objective (if known):

  (a) State Protection and Advocacy Agencies

  (b) National Network of University Centers for Excellence in Developmental Disabilities Education, Research and Services

(c)


(d)


(e)


(f)


(g)


(h)


(i)





SCDD State Plan

Grantee: Alaska

Plan Reporting Period: 10/01/2009 - 09/30/2010

Section 4 – Part TR (Transportation) Performance Targets

(defined for all Councils)

TR

Target for year 1

Target for year 2

Target for year 3

Target for year 4

Target for year 5

 

TR01: People have transportation services for work, school, medical, and personal needs:

0

0

0

0

0

 

TR02: Dollars leveraged for transportation programs:

$0

$0

$0

$0

$0

 

TR03: Transportation programs/policies created/improved:

0

0

0

0

0

 

TR04: People facilitated transportation:

0

0

0

0

0

 

TR05: People trained in transportation:

$0

$0

$0

$0

$0

 


Additional Transportation Performance Targets

TR

Description

Target for year 1

Target for year 2

Target for year 3

Target for year 4

Target for year 5

TR8: Other


0

0

0

0

0

TR9: Other


0

0

0

0

0

TR10: Other


0

0

0

0

0

TR11: Other


0

0

0

0

0

TR12: Other


0

0

0

0

0

TR13: Other


0

0

0

0

0

TR14: Other


0

0

0

0

0

TR15: Other


0

0

0

0

0

TR16: Other


0

0

0

0

0

TR17: Other


0

0

0

0

0





SCDD State Plan

Grantee: Alaska

Plan Reporting Period: 10/01/2009 - 09/30/2010

Section 4 – Part QA (Quality Assurance) Goal

Quality Assurance (QA): People have the information, skills, opportunities, and support to live free of abuse, neglect, financial and sexual exploitation, and violation of their human and legal rights and the inappropriate use of restraints or seclusion. Quality assurance systems contribute to and protect self-determination, independence, productivity, and integration and inclusion in all facets of community life.

Goal #: ______

Goal description:





Strategies used in achieving goal:

  Outreach

  Training

  Technical Assistance

  Supporting and Education Communities

  Interagency Collaboration and Coordination

  Coordination with Related Councils, Committees and Programs

  Barrier Elimination, Systems design, and Redesign

  Coalition Development and Citizen Participation

  Informing Policymakers

  Demonstration of New Approaches to Services and Supports

  Other Activities





SCDD State Plan

Grantee: Alaska

Plan Reporting Period: 10/01/2009 - 09/30/2010

Section 4 – Part QA (Quality Assurance) Objective

Quality Assurance (QA): People have the information, skills, opportunities, and support to live free of abuse, neglect, financial and sexual exploitation, and violation of their human and legal rights and the inappropriate use of restraints or seclusion. Quality assurance systems contribute to and protect self-determination, independence, productivity, and integration and inclusion in all facets of community life.

Goal ID #: ______

2.(a) Objective QA #: ______

Objective QA Description:



   (b) Expected Year of Accomplishment:

Year One Year Two Year Three Year Four Year Five

3) Resources to be Allocated for this Objective (if known):

Check if not known:  


Resources (if known): ______

4. Intermediaries/Collaborators Planned for this Objective (if known):

  (a) State Protection and Advocacy Agencies

  (b) National Network of University Centers for Excellence in Developmental Disabilities Education, Research and Services

(c)


(d)


(e)


(f)


(g)


(h)


(i)





SCDD State Plan

Grantee: Alaska

Plan Reporting Period: 10/01/2009 - 09/30/2010

Section 4 – Part QA (Quality Assurance) Performance Targets

(defined for all Councils)

QA

Target for year 1

Target for year 2

Target for year 3

Target for year 4

Target for year 5

 

QA01: People benefiting from quality assurance efforts of the Councils:

0

0

0

0

0

 

QA02: Dollars leveraged for quality assurance programs:

0

0

0

0

0

 

QA03: Quality assurance programs/policies created/improved:

$0

$0

$0

$0

$0

 

QA04: People facilitated quality assurance:

0

0

0

0

0

 

QA05: People trained in quality assurance:

0

0

0

0

0

 

QA06: People active in systems advocacy about quality assurance:

0

0

0

0

0

 

Break out of the number:

QA06A: Self-advocates active

in systems advocacy about

quality assurance:

0

0

0

0

0

 

Break out of the number:

QA06B: Family members active

in systems advocacy about

quality assurance:

0

0

0

0

0

 

Break out of the number:

QA06C: Others active

in systems advocacy about

quality assurance:

0

0

0

0

0

 

QA07: People trained in systems advocacy about quality assurance:

0

0

0

0

0

 

Break out of the number:

QA07A: Self-advocates trained

in systems advocacy about

quality assurance:

0

0

0

0

0

 

Break out of the number:

QA07B: Family members trained

in systems advocacy about

quality assurance:

0

0

0

0

0

 

Break out of the number:

QA07C: Others trained

in systems advocacy about

quality assurance:

0

0

0

0

0

 

QA08: People trained in leadership, self-advocacy, and self determination:

0

0

0

0

0

 

QA09: People attained membership on public and private bodies and other leadership coalitions:

0

0

0

0

0

 

QA10: Number of entities participating in partnership or coalition created or sustained as result of Council efforts:

0

0

0

0

0

 


Additional Quality Assurance Performance Targets

QA

Description

Target for year 1

Target for year 2

Target for year 3

Target for year 4

Target for year 5

QA11: Other


0

0

0

0

0

QA12: Other


0

0

0

0

0

QA13: Other


0

0

0

0

0

QA14: Other


0

0

0

0

0

QA15: Other


0

0

0

0

0

QA16: Other


0

0

0

0

0

QA17: Other


0

0

0

0

0

QA18: Other


0

0

0

0

0

QA19: Other


0

0

0

0

0

QA20: Other


0

0

0

0

0





SCDD State Plan

Grantee: Alaska

Plan Reporting Period: 10/01/2009 - 09/30/2010

Section 4 – Part CS (Community Support) Goal

Formal/Informal Community Supports (CS):Individuals have access to other services available or offered in a community, including formal and informal community supports that affect their quality of life.

Goal #: ______

Goal description:





Strategies used in achieving goal:

  Outreach

  Training

  Technical Assistance

  Supporting and Education Communities

  Interagency Collaboration and Coordination

  Coordination with Related Councils, Committees and Programs

  Barrier Elimination, Systems design, and Redesign

  Coalition Development and Citizen Participation

  Informing Policymakers

  Demonstration of New Approaches to Services and Supports

  Other Activities





SCDD State Plan

Grantee: Alaska

Plan Reporting Period: 10/01/2009 - 09/30/2010

Section 4 – Part CS (Community Support) Objective

Formal/Informal Community Supports (CS): Individuals have access to other services available or offered in a community, including formal and informal community supports that affect their quality of life.

Goal ID #: ______

2.(a) Objective CS #: ______

Objective CS Description:



   (b) Expected Year of Accomplishment:

Year One Year Two Year Three Year Four Year Five

3) Resources to be Allocated for this Objective (if known):

Check if not known:  


Resources (if known): ______


4. Intermediaries/Collaborators Planned for this Objective (if known):

  (a) State Protection and Advocacy Agencies

  (b) National Network of University Centers for Excellence in Developmental Disabilities Education, Research and Services

(c)


(d)


(e)


(f)


(g)


(h)


(i)





SCDD State Plan

Grantee: Alaska

Plan Reporting Period: 10/01/2009 - 09/30/2010

Section 4 – Part CS (Community Support) Performance Targets

(defined for all Councils)

CS

Target for year 1

Target for year 2

Target for year 3

Target for year 4

Target for year 5

 

CS01: Individual receive formal/informal community supports:

0

0

0

0

0

 

CS02: Dollars leveraged for formal/informal community supports:

$0

$0

$0

$0

$0

 

CS03:Programs/polices created/improved formal/informal community supports:

0

0

0

0

0

 

CS04: People facilitated formal/informal community supports:

0

0

0

0

0

 

CS05: People trained in formal/informal community supports:

0

0

0

0

0

 



Additional Community Support Performance Targets

CS

Description

Target for year 1

Target for year 2

Target for year 3

Target for year 4

Target for year 5

CS9: Other


0

0

0

0

0

CS10: Other


0

0

0

0

0

CS11: Other


0

0

0

0

0

CS12: Other


0

0

0

0

0

CS13: Other


0

0

0

0

0

CS14: Other


0

0

0

0

0

CS15: Other


0

0

0

0

0

CS16: Other


0

0

0

0

0

CS17: Other


0

0

0

0

0

CS18: Other


0

0

0

0

0





SCDD State Plan

Grantee: Alaska

Plan Reporting Period: 10/01/2009 - 09/30/2010

Section 4 – Part CR (Cross Cutting) Goal

Cross Cutting (CR): The following represent those Council activities that impace all Areas of Emphasis.

Goal #: ______

Goal description:





Strategies used in achieving goal:

  Outreach

  Training

  Technical Assistance

  Supporting and Education Communities

  Interagency Collaboration and Coordination

  Coordination with Related Councils, Committees and Programs

  Barrier Elimination, Systems design, and Redesign

  Coalition Development and Citizen Participation

  Informing Policymakers

  Demonstration of New Approaches to Services and Supports

  Other Activities





SCDD State Plan

Grantee: Alaska

Plan Reporting Period: 10/01/2009 - 09/30/2010

Section 4 – Part CR (Cross Cutting) Objective

Cross Cutting (CR): The following represent those Council activities that impace all Areas of Emphasis.

Goal ID #: ______

2.(a) Objective CR #: ______

Objective CR Description:



   (b) Expected Year of Accomplishment:

Year One Year Two Year Three Year Four Year Five

3) Resources to be Allocated for this Objective (if known):

Check if not known:  


Resources (if known): ______


4. Intermediaries/Collaborators Planned for this Objective (if known):

  (a) State Protection and Advocacy Agencies

  (b) National Network of University Centers for Excellence in Developmental Disabilities Education, Research and Services

(c)


(d)


(e)


(f)


(g)


(h)


(i)





SCDD State Plan

Grantee: Alaska

Plan Reporting Period: 10/01/2009 - 09/30/2010

Section 4 – Part CR (Cross Cutting) Performance Targets

(defined for all Councils)

CR

Target for year 1

Target for year 2

Target for year 3

Target for year 4

Target for year 5

CR01: Public policymakers educated by Council about issues related to Council initiatives:

0

0

0

0

0

CR02: # discrete products created by Council and disseminated to policymakers and/or the general public:

0

0

0

0

0

CR03: Members of the general public estimated to have been reached by Council public education, awareness:

0

0

0

0

0





SCDD State Plan

Grantee: Alaska

Plan Reporting Period: 10/01/2009 - 09/30/2010

Section 5 – Assurances

A. Written and signed assurances have been submitted to the ADD Office, Administration for Children and Families, United States Department of Health and Human Services, regarding compliance with all requirements specified in Section 122 (C ) (5)(A) - (N) in the Developmental Disabilities Assurance and Bill of Rights Act.

Signed Assurances have been submitted to DHHS?: Yes No

Date when Assurances were or will be mailed: ___/___/______

B. Approving Officials for Assurances

1. For the Council (chairperson)  


2. For DSA, not Council  






SCDD State Plan

Grantee: Alaska

Plan Reporting Period: 10/01/2009 - 09/30/2010

Section 6 – Projected Council Budget <repeat for each of five fiscal years>

Fiscal Year: _____________

B. Cost Categories- Areas of Emphasis, General and DSA Functions

Part B $

Other(s) $

TOTAL

1. Employment

$0

$0

$0

2. Housing

$0

$0

$0

3. Health

$0

$0

$0

4. Education and Early Intervention

$0

$0

$0

5. Child Care

$0

$0

$0

6. Recreation

$0

$0

$0

7. Transportation

$0

$0

$0

8. Quality Assurance

$0

$0

$0

9. Formal & Informal Community Support

$0

$0

$0

10. General management

(personnel, Budget/Finance/Reporting)

$0

$0

$0

11. Functions of the DSA

$0

$0

$0

12. TOTAL

$0

$0

$0






SCDD State Plan

Grantee: Alaska

Plan Reporting Period: 10/01/2009 - 09/30/2010

Sections 7&8 – Public Review of Plan / Evaluation of Plan

Section 7:

Summarize the Council's process for public notice and public review and include a summary of the Council's response to public input and comments. Also summarize public involvement in the development of the plan.















 

Section 8:

Summarize the Council's plan for monitoring, reviewing and evaluating this state plan at least annually. Explain how the review and evaluation information is utilized to update the State Plan.
















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File TitleState Plan
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