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Project Overview
What is Olmstead?
1999 Supreme Court decision
States must provide services to
individuals in the most integrated
settings appropriate to their needs
Values of integration and inclusion
Progress Report
Built on 2014 I/DD Olmstead update
Analyzed all populations receiving long
term services and supports
Aging population
Adults and children with physical disabilities
Adults and children with intellectual/
developmental disabilities and autism
spectrum disorder
Adults and children with mental/behavioral
disorder
Individuals with substance use disorder
2013:
2009:
2003:
Pre-Olmstead
Roadmap Publication:
Housing with
supports established
BRAP program
established
Shelter Plus Care
established
IHSP established
10-year vocational
policy establishing
community
employment as state
value published
Closed one state-run
sheltered workshop
WIPA funding
received to provide
benefits counselor/
system
Olmstead roadmap
published
ADRC grant awarded
Privatized children's
targeted case
management for ID/
Autism
Participated in NCI
2005:
Funded family
support I&R, youth
self-help/peer
support, and crisis
stabilization
ID/Autism shared
living model
developed
2007
2006:
2004:
DHHS merger
ID/Autism community
case management
implemented
Instituted central
enrollment for
children's services
Community consent
decree (Pineland)
finalized
DHHS contracted
with ASO, APS
Healthcare
Transition to
Independence
SAMHSA grant
awarded
2008:
Section 29 Support
Services waiver
implemented
Funding discontinued
for sheltered
workshops
2010:
Continuum of care
model developed
2011
Employment First
became law
Section 20 Other
Related Conditions
waiver implemented
SIM grant awarded
Moved to single
assessing agency
Updated ID/Autism
person-centered
planning
Invested an
additional $28 million
into Sections 21 and
29 waivers
WIPA funding
awarded again
2012:
OADS created
SAMHS created
OCFS created
Bates consent decree
money first
established
MFP grant obtained
BIP awarded
HRSA grant awarded
Oversight Advisory
Board formed
Disability Rights
Maine contract
expanded to include
advocacy functions
Created Maine
Business Leadership
Network
Required all newly
hired state case
managers to be
licensed social
workers
Adding employment
support programs to
1915(i) SPA
Bill passed to
increase direct care
worker
reimbursement
TIP case
management pilot
expansion funded
$5.7 million invested
to alleviated mental
health wait list
Growing BRAP
budget and
geographic reach
Work Opportunities
and Innovation Act
supporting school to
work transitions
Shared living
demonstration project
for Section 19 waiver
2014:
Section 18 Brain
Injury waiver
implemented
Aging and physical
disability waivers
merged into Section
19 waiver
Section 19 waiver
wait list ended
HCBS settings
transition plan
published
Restarted
participation in NCI
Added new career
planning service to
18, 21, and 29
waivers
Maine Can Work
began work
Olmstead Roadmap
Ofce of Substance
Abuse and Mental Health
Services Strategic and
State Plans
Evaluating Implementation
What does success look like to you?
Outputs products or deliverables the
organization intends to provide; measured by
count or other data
Outcomes: Results or consequences of an
action or intervention; represented as shortterm (1-3 years) or long term (4-7 years)
Indicators: A measurement of the outcome;
outcomes stated in measurable and
observable terms to help stakeholders assess
achievement toward intended outcome