Minister Jaczek’s Plan for the $810 Million

On August 8, 2014, I commented on the Final Report of the Select Committee on Developmental Services. I addressed Minister Jaczek’s statement of July 22, 2014, specifically the first two initiatives on her list of six that she suggests would be strengthened by the investment of $810 million over the next three years.

• Expand direct funding to serve 21,000 more individuals and families, and help eliminate the existing waitlists for Special Services at Home (SSAH) in two years and Passport in four years
• Provide support for urgent residential needs for approximately 1,400 people

I take issue with the Ministry’s ability to serve individuals and their families. The Select Committee expressed frustration at the lack of available, reliable data in almost every area of the developmental services sector. Plus, there is no coordinated data collection amongst the ten ministries involved in providing developmental services. (Page 7, Final Report)

The Select Committee recommends a new Inter-Ministerial Committee of Developmental Services (IMCDS) be created with the mandate of implementing the recommendations in their report. The IMCDS would be comprised of nine established stakeholders: Minister of Child and Youth Services, Minister of Health and Long Term Care and seven others. (Page 5)

To accomplish Minister Jaczek’s list of promises, the IMCDS is the only body that can systematically and collectively address the issues.

This brings me to the next two items on Minister Jaczek’s list:

• Support young adults as they navigate key life transitions such as going to school or getting a job (Pages 17, 20)
• Promote community living partnerships through expanded Host Family and Supported Independent Living programs (Page 18)

These items sound good and seem to address key areas of need in the province of Ontario. However, we must look realistically and honestly at everyone in need.

The statement “support young adults as they navigate key life transitions such as going to school or getting a job” fails to address the day support needs of thousands of adults for whom post-secondary education or employment is not an option or a goal. A serious gap identified by the Select Committee was a lack of affordable, quality day programs for adults. (Pages 17, 20)

The Final Report recommendation 46 states that the IMCDS collaborate with families and community agencies to develop and support locally-based day programs which must be affordable and regionally available, and tailored for a range of age groups, interests, activity levels and needs.

Minister Jaczek’s next item: “Promote community living partnerships through expanded Host Family and Supported Independent Living programs” also does not address all Ontarians with a developmental disability. (Page 18)

Supported Independent Living and Host Families may work well for some people with a disability but other supportive housing models are and will be needed to address the broad spectrum of need in the community, including people who have profound or significant physical, cognitive, and mental health needs.

The Ministry of Community and Social Services (MCSS) has been avoiding more costly “bricks and mortar” solutions; averse to putting money into group homes and day support facilities. And, into making these important options flexible in the case of family crisis and emergency.

Alastair Lamb, Assist Exec Director, Ongwanada, Kingston, posted to my blog after the August 8 article: “…In the words of Peter Drucker, ‘If you can’t measure it, you can’t manage it’. Not only does the government not have these data, but has no reliable mechanism to capture them…”

The Committee kept returning again and again to data collection.

“Comprehensive data related to the demand for and provision of developmental services from across Ministries, DSO’s (Developmental Services Ontario) and service agencies, be collected, harmonized and shared within and beyond the sector.” (Page 7)

The province has to begin at the obvious starting point: DSO’s should be given the resources and expertise to collect and share these data. I’d love to see the results.

Only then can the province address the gaps in service that have created a crisis for many people with a developmental disability and a mental illness in Ontario and their families.

Sources:
Select Committee on Developmental Services Final Report
Jim Triantafilou, Executive Director, Brampton Caledon Community Living
Alastair Lamb, Assist.Exec. Director, Ongwanada

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Legislative AssemblyCrisis is now a Pre-requisite for Service

On October 3, 2012, the Legislative Assembly of Ontario gave unanimous consent to a motion to appoint a Select Committee of Developmental Services. The Select Committee would consider and report to the House its observations and recommendations with respect to the urgent need for a comprehensive developmental services strategy to address the needs of children, youth and adults in Ontario with an intellectual disability or who are dually diagnosed with an intellectual disability and a mental illness, and to coordinate the delivery of developmental programs and services across many provincial ministries in addition to the Ministry of Community and Social Services.

Over the months that followed, the Committee heard from more than 140 presenters at 14 public hearings and received over 300 submissions ranging from handwritten letters and emails to reports, articles and videos.

At the public hearings, many presenters suggested that caring for people with developmental disabilities is a social responsibility and that developmental services, like health care and education, should be mandated rather than a discretionary social welfare program. The stories of parents, who can no longer care for their sons and daughters due to age and illness, underlined the unfairness and disorganization of a dysfunctional system, mired in bureaucracy and grossly underfunded.

The Ministry of Community and Social Services (MCSS) acknowledged that the provision of developmental services in Ontario currently operates as a discretionary program and funding for programming is subject to specific budget allocations.

Parents who cared for their sons and daughters in the family home have saved the MCSS countless millions of dollars, yet they described serious barriers to support across the province. Barriers such as: long waitlists for many services, repeated, onerous and invasive assessments, the abrupt termination of children’s services at the age of 18 and school based services at 21, unmet health needs due to inadequate primary and dental health care, and a serious lack of services and supports in northern, remote and First Nations communities.

The Committee heard that after struggling to obtain services and enduring waitlists for years, many families are pushed to the brink of disaster. Only when they are forced into crisis are they able to access desperately needed assistance. When that happens, others are bumped further down the waitlists.

The March 2014, the Interim Report summarized what the Committee heard. The Select Committee on Developmental Services Final Report, Inclusion and Opportunity: A New Path for Developmental Services in Ontario, was released July 22, 2014. The Committee members shared a conviction that Ontario must meet its responsibility to provide an appropriate level of services and supports to its citizens with a developmental disability and their families. The Committee made 46 recommendations in the spirit of this consensus.

Initially, Kathleen Wynne refused to release the Final Report, arguing she wouldn’t be told what to do by an opposing party; a shameful approach and a slap in the face to the Select Committee’s volunteer members who represented each of the three political parties.

What made Ms. Wynne change her mind and release the Final Report? Did she remember her promise of a “more transparent and open government”?

Is Ms. Wynne’s contrary attitude a gauge of how seriously her government will assess and implement the recommendations in the Final Report, a precise, illuminating document? Is the fate of the 46 recommendations a matter of political will?

On page four of the Select Committee Final Report, under the heading No More Waitlists, the Committee states it firmly believes all people have a right to appropriate and timely supports and services throughout their lives.

The provision of developmental services and supports should be mandated and waitlists eliminated. Eliminating existing waitlists must be the top priority for government.

The Committee notes that this right (to appropriate and timely supports and services) was recognized by the Ontario Legislature when it passed the “Services and Supports to Promote the Social Inclusion of Persons with Developmental Disabilities Act, 2008 (SIPDDA). Recognized but never mandated.

July 22, 2014, the day the final report was released, Dr. Helena Jaczek, Minister of Community and Social Services, issued a statement acknowledging the work of the committee.

In her statement, Minister Jaczek specified six areas that would be benefited by the $810 million investment by her government over the next three years if the budget passed parliament. The first two suggestions indicate the Minister hadn’t read the Final Report.

• Expand direct funding to serve 21,000 more individuals and families, and help eliminate the existing waitlists for Special Services at Home (SSAH) in two years and Passport in four years
• Provide support for urgent residential needs for approximately 1,400 people

In the Final Report, the Select Committee expressed frustration by the lack of available, reliable data in almost every area of the developmental services sector. They discovered that there is no coordinated data collection between the many ministries involved in providing developmental services and even where such data is collected, it is rarely shared between ministries.

How can Minister Jaczek know, with any degree of accuracy, the number of individuals and families who require help? How could she have found out so quickly when the Committee, after months of probing, found no mutuality existed amongst the 10 ministries that handle the developmental disabilities sector. In fact, the ministries were themselves conflicted as to the number of people in Ontario with a developmental disability.

Before any of the 46 recommendations of the Select Committee can be implemented with any effectiveness, the government must discover how many people require services, where these people are located and what service or services they require.

And, once this discovery has been made, the government must mandate health care, education, workplace support, social and recreational opportunities, a range of available, appropriate and affordable housing, and respite support, for families and people with a developmental disability and/or a mental illness.

The Final Report offers succinct guidelines as to how developmental services in Ontario can be transformed into a cohesive, meaningful program. Will the Wynne government listen? Or will they recoil at suggestions that are not wholly their own?

Sources:
Select Committee of Developmental Services Interim Report
Select Committee of Developmental Services Final Report
Statement by Minister Jaczek July 22, 2014
Jim Triantafilou, Executive Director, Brampton Caledon Community Living.
Services and Supports to Promote the Social Inclusion of Persons with Developmental Disabilities Act, 2008

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Voices of Autism

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More Apologies are Needed

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  On Monday December 9, 2013, Kathleen Wynne, Premier of Ontario, and two other party leaders, apologized to the former residents of Huronia Regional Centre. They apologized for the mistreatment and abuse thousands of them received at the hands of their caregivers. Huronia Regional Centre opened in 1876 and was originally called Orillia Asylum for […]

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