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Statistics on CLBC Services and Operations
As of March 31, 2007, CLBC serves more than 19,343 children and adults. Based on Ministry of Children and Family Development (MCFD) data, there were approximately:
• 10,400 adults using residential or family and day support services, or both
| • 5,150 adults using residential services |
• 2,435 in staffed residential
• 2,715 in home sharing/semi-independent living situations |
• 5,250 adults using family and day support services
• 367 children in care; 231 of these children receive services under special needs agreements |
• 8,943 children with special needs and their families receiving services and supports
Transformation
CLBC’s new service delivery model clearly defines the community’s role in planning and evaluating service delivery. It also links community input to the organization and ensures necessary staff support for activities that engage the community. A strong accountability framework is built into the new service-delivery approach to ensure quality service delivery.
Planning and operational functions for service delivery have been clearly separated, to ensure individual and family needs are properly addressed. The traditional “social worker” position has been replaced by facilitators and quality service analysts:
- Facilitators are assigned to each community living centre and are working in local communities with individuals and families on the creation of individualized plans and community strategies
- Quality service analysts, located in quality services offices, determine eligibility, arrange contracts with service providers and monitor quality of service
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What the changes mean for individuals and families
- Families help decide what’s best for them
- More choices and flexibility
- More involvement of community supports
- Policies and rules are clearer and public
- Greater community input in how supports are provided
- No change if individual/family currently satisfied
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What the changes mean for communities
CLBC will have a “community-first” focus in all of its roles and activities. Wherever possible, communities will be partners in making decisions about change and innovation and will be accountable for those decisions.
- Community input in planning and evaluating service delivery
- Services more accountable to individuals and communities
- Encouragement and support for local creativity and innovation
- Greater integration of individuals into community
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Management
CLBC is a Crown agency and is classified as a service delivery corporation. CLBC is accountable to the provincial government through the Minister of Children and Family Development. CLBC, through a board of directors, is responsible for directing operations, enforcing standards and managing funds and services. The Minister retains responsibility for funding, setting provincial standards and monitoring the agency’s performance.
CLBC reduced traditional management levels to allow for individuals and communities to have a direct connection with the leadership team in CLBC and to enhance delegation of responsibility to the staff who interact with individuals and families. This new organizational structure is the direct result of community input and encourages local involvement and stronger relationships with local stakeholders.
CLBC is firmly committed to enabling people with disabilities to:
- Have opportunities to make everyday choices
- Be part of a growing network of personal relationships that includes family members and close friends
- Engage in real work for real pay
- Have valued social roles such as friend, neighbour, employee and volunteer
- Use regular community services and supports such as public transportation and health care, as people without a disability label routinely do
- Share the ordinary places that define community life such as social and special interest clubs and community sports groups
- Make and be recognized for their contributions using supports which enable their community presence and participation
- Take their place alongside others in the community
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Transformation Timeline
October, 2001
Ministry of Children and Family Development releases discussion paper on Community Living Services challenging status quo and recognizing that significant work is already in progress in the community around system reform.
April, 2002
The provincial government establishes the Community Living Transition Steering Committee, comprised of 25 community and professional representatives, with a mandate to “make recommendations to the Minister defining the terms of the transition plan including determination of all financial, staff and other resources and all assets consistent with the Ministry’s budget plan and incorporating all necessary elements and processes to successfully transfer the delivery of community living services to a new provincial authority.”
October, 2002
Committee presents its final report to the Minister. The government completes passage of the Community Services Interim Authorities Act and appoints a board of directors to oversee planning and implementation for devolution of services to an independent authority.
October, 2004
The Community Living Authority Act, passed by the provincial legislature, provides statutory basis for the creation of the independent authority envisaged by the Community Living Coalition and the Community Living Transition Steering Committee.
July 1, 2005
Community Living Authority Act is proclaimed and Community Living BC is created.
Support for Children
Since children develop within the context of their families as well as their communities, collaboration by everyone who plays a support role is required. CLBC provides a range of early intervention and support services for more than 8,600 children and youth with special needs and their families. Some children and families will access services from both CLBC and the Ministry of Children and Family Development.
CLBC provides services for children who:
- Have an autism spectrum disorder diagnosis or
- Are eligible for the At Home Program (severe disabilities) or
- Have a developmental disability
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Autism Services
- Behavioural Support for Children with Autism Program
Provides specialized behavioural support for children with autism and autistic-like behavioural concerns. Behavioural support services may include child-specific planning, training, intervention and family support.
- Autism Funding: Under Age Six Program
The Autism Funding: Under Age Six Program provides families of children with autism spectrum disorder under age six with up to $20,000 per year. Funds may be used to purchase autism intervention services.
- Autism Funding: Ages Six to 18 Program
The Autism Funding: Ages Six to 18 Program provides families of children with autism spectrum disorder over age six with up to $6,000 per year to purchase autism intervention service for out-of-school hours.
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Family Support Services
- Professional Support Services for Children & Youth with Special Needs
Specialized support services provided by qualified professionals including assessment, training, counselling, planning or other support to children, families, caregivers or staff.
- Parent Support for Families with Children with Special Needs
Provides a range of community-based services including parent support groups, parent skills training, counselling, life skills, and organized activities.
- Homemaker & Home Support Services for Families with Children with Special Needs
Homemaker/home support workers provide household management or child care services for families of children with special needs. They teach basic child care and home management skills as appropriate in family settings.
- Child & Youth Care Worker Services for Families with Children with Special Needs
Child and youth care worker services provides children and families with a specialized child care worker who assists the child to learn social, life skills and/or the family to learn parenting/child management skills.
- Respite Services
Provides intermittent rest/relief for families with children with special needs.
- At Home Program
The At Home Program provides medical and respite benefits to assist parents in caring for children with severe disabilities at home. Respite funding is provided directly to families so they may choose the type of respite care that best meets their needs. Medical benefits include dental/optical benefits, hearing aids, medical equipment, MSP coverage, medical supplies, medical transportation, medications, orthotics and school-aged extended therapies.
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Out of Home Living
- Associate Family Program
The Associate Family Program provides community-based, quality family living for children with multiple disabilities who were former residents of pediatric extended care hospitals or institutions.
- Residential Services for Children in Care
This includes foster care, staffed group homes and staff specialized home for children and youth with special needs.
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Support for Adults
CLBC provides a range of support services for more than 9,950 adults using either residential or family and day support services, or both:
- 5,200 adults using residential services
- 2,850 in staffed residential
- 2,350 in family model homes/semi-independent living situations
- 4,750 adults using family and day support services
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Listed below is an overview of the types of support CLBC can provide adults with developmental disabilities.
Home Living
Community Living BC supports adults with developmental disabilities to live as fully and independently as possible in community.
- Live-In Support
A residential service where the person with a disability owns his or her own home, but has a live-in caregiver paid either directly or through an agency. The caregiver may provide: self care assistance, relationship building skills, life skills training, meals, access to community resources and other activities as defined in an individual support plan. In this arrangement, caregivers are expected to contribute to the cost of their housing directly or in kind.
- Supports to Home Living or Live-In Support
Residential care for adults with developmental disabilities who require enhanced supports in a primary caregiver’s home. The enhanced support or services are provided by staff hired either directly by the caregiver or through a private or non-profit agency. Funding for this support is determined by the individual’s needs.
- Home Sharing/Intentional Communities
A residential service for adults where an agency owns the home, but the support arrangements are based on the principle of sharing lives. People with disabilities, and those who assist them, live together and are equally responsible for their home and community. Such intentional communities are often created around a common belief system or faith.
- Staffed Residential Living
Contracted residential services that support individuals within a staffed environment. Provided support includes: self-care, relationship-building skills, life-skills training, meal preparation, personal care and access to community resources, activities and generic services. This service is delivered by both private and non-profit agencies.
- Semi-Independent Living Support
Semi-independent residential services provided to individuals who require targeted supports emphasizing increased independence and relationship building skills. The residence is provided by or subsidized by the service provider, which can be either a private or non-profit agency.
- Supported Apartment Living
Individuals who have mastered basic life skills and require only minimal support living on their own within the community. Individuals own or rent their own residence. Support to individuals may include: assistance to effectively manage their homes, health, social relationships and working lives. This service is delivered by both private providers and non-profit agencies.
- Cluster Living
Several individuals living in their own apartments, or apartments owned or leased by a service provider, where support is focused on life skills, home management, community involvement and relationship building. These programs may have an onsite support staff member that lives separately. This can be delivered by either private or non-profit agencies.
- Direct Family Support
Services provided by private or non-profit contractors that may include counselling, support, networking and referrals. Advocacy, educational workshops and partnership building are also important components of this work.
- Respite Services
A service that gives a break to the family member who provides full-time care. Service is provided in the respite caregiver’s home, in a community setting or in a facility or group home. This is for individuals and families who do not receive other residential services.
- Family Direct Respite
A direct payment to families for the purchase of respite support.
- Homemaker Services
Services to assist individuals to maintain independent or semi-independent living by offering direct homemaking or household management services when a person is unable to manage these activities on their own.
- Program Coordination: Respite Programs
Agencies that offer respite services may request funding to coordinate their respite program. The coordinator is responsible for recruitment, monitoring, payment and support of caregivers. The program coordinator will also be responsible for ensuring respite services are timely and responsive.
- Program Coordination: Home Living Programs
Agencies that offer home living programs may request funding to coordinate their program. The coordinator is responsible for recruitment, training, monitoring and support to the resource offering home living.
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Community Inclusion
- Individual Service
Staff are hired to assist people living in their family home in learning learn how to manage daily activities. Community-based activities may include shopping, banking, transportation, recreation and volunteering, as well as some group learning or social activities. Individuals are supported to develop skills that assist them in achieving greater independence.
- Group Services
Contracted non-residential services, such as structured day programs. Programs are funded based on a person’s disability-related needs and the associated number of hours of staffing support. These hours are available to individuals who receive residential services, live with their families or live independently. These program hours could be used for: work preparation, work skills, recreation and leisure activities, development of social and interpersonal relationships and volunteer opportunities in the community. These community-based services may also access generic community programs.
- Employment Support
Support available to individuals to obtain and maintain work experience, to access job search/placement services, or to explore employment options and find competitive employment. Support can also increase opportunities for paid employment through skills assessment, job matching, job search, on the job training and ongoing monitoring.
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Other Support
- Professional Support
Licensed psychologist or health care provider will prescribe or provide assessment and authorize treatments for people with developmental disabilities.
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