Form 1 State Councils OLDC Form
Developmental Disabilities State Plan
SCDD-StPlan-08-Instr
Developmental Disabilities State Plan
OMB: 0985-0029
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:
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.
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.
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.
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 |
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Grantee: Alaska |
Plan Reporting Period: 10/01/2009 - 09/30/2010 |
Section 1 – Council Identification
A. Contact Person First Name:________________ MI:___ Last Name:________________ |
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Email Address: _______________________ |
Phone Number: _____________ -Ext._____ |
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B. Council Establishment: |
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(1) Date of Establishment: ___/___/______ |
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(2)
Authorization:
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(3) Authorization Citation: _______________________________________________ |
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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. |
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Council Membership Category Codes: |
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Agency/Organization Representatives: |
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A1. =Rehab Act |
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A2. =IDEA |
Citizen Member Representatives: |
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A3. =Older American Act |
B1. = Individual With DD |
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A4. =SSA/Title X1X |
B2. = Parent/Guardian of Child |
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A5. = UCEDD |
B3. = Immediate Relative/Guardian of adult with mental Impairment |
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A6. =P&A |
C1. = Individual now/ever in institution |
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A8. = NGO/Local |
C2. = Immediate relative/guardian of individual in institution |
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A9. = Other |
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A10.= SSA/Title V |
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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)
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State Statute
C2. Council Members: |
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# |
Last Name |
First Name |
Term |
Ag. Code |
Agency / Org. Name |
Appt. Date |
Appt. Expire Date |
Alt / Proxy Name |
Del. |
1 |
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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 |
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0.00% |
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SCDD State Plan |
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Grantee: Alaska |
Plan Reporting Period: 10/01/2009 - 09/30/2010 |
Section 2 – Designated State Agency (DSA)
A.
The DSA is:
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 |
If yes, describe the general category of services it provides:
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D. Does Your Council have a Memorandum of Understanding/Agreement with your DSA? Yes |
E. DSA Roles and Responsibilities related to the Council. If DSA is other than the Council, describe the roles and responsibilities:
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F. Date Council or Agency Was Designated as DSA ____/_____/_________ |
SCDD State Plan |
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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 |
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1. Estimated number of people with developmental disabilities living in the State:_______ |
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2. How estimate was created:
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If Other, please describe:
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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: |
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Environmental Factors Topic 1:
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Environmental Factors Topic 2:
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Environmental Factors Topic 3:
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Environmental Factors Topic 4:
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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. |
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Service System(s) Topic 1:
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Service System(s) Topic 2:
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Service System(s) Topic 3:
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Service System(s) Topic 4:
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Service System(s) Topic 5:
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Service System(s) Topic 6:
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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.
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E. Waiting Lists Provide the name of the waiting lists in your state and the number of individuals with developmental disabilities on those lists.
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Waiting List |
Waiting List Name |
Number |
Del. |
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List # 1 |
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______ |
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Waiting list narrative. Provide a brief review of the waiting lists in your state.
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F. Unserved and Underserved Groups: |
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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. |
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Asian |
Barrier:
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Black or African American |
Barrier:
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Hispanic/Latino |
Barrier:
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American Indian or Alaska Native |
Barrier:
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Native Hawaiian or other Pacific Islander |
Barrier:
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White |
Barrier:
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Multi-cultural (identifying with more than one of the above) |
Barrier:
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General racial/ethnic barriers:
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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) |
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1. |
Group: |
Barriers:
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2. |
Group: |
Barriers:
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3. |
Group: |
Barriers:
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4. |
Group: |
Barriers:
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5. |
Group: |
Barriers:
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6. |
Group: |
Barriers:
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7. |
Group: |
Barriers:
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8. |
Group: |
Barriers:
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General barriers for other groups:
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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.
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SCDD State Plan |
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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: |
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SCDD State Plan |
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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:
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(b) Expected Year of Accomplishment:
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3) Resources to be Allocated for this Objective (if known):
Check
if not known:
Resources (if known): ______
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4. Intermediaries/Collaborators Planned for this Objective (if known): |
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(c)
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(d)
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(e)
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(f)
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(g)
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(h)
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(i) |
Year One
SCDD State Plan |
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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 |
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 |
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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: |
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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:
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(b) Expected Year of Accomplishment:
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3) Resources to be Allocated for this Objective (if known):
Check
if not known:
Resources (if known): ______
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4. Intermediaries/Collaborators Planned for this Objective (if known): |
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(c)
|
(d)
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(e)
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(f)
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(g)
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(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 |
Education
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: |
|
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:
|
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): |
|
|
(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 |
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: |
|
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:
|
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): |
|
|
(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 |
|
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: |
|
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:
|
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): |
|
|
(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 |
|
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: |
|
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:
|
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): |
|
|
(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 |
|
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: |
|
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:
|
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): |
|
|
(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 |
|
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: |
|
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:
|
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): |
|
|
(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 |
|
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: |
|
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:
|
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): |
|
|
(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 |
|
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: |
|
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:
|
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): |
|
|
(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 |
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.
|
| File Type | application/msword |
| File Title | State Plan |
| Author | owner |
| File Modified | 2009-04-15 |
| File Created | 2009-04-15 |
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