The Arc Washington State recently sent out an alert “Crisis Stabilization Needed in Local Communities.” While this is indeed needed, the information provided by The Arc Washington is not only incorrect with facts but much is actually fiction.
As a respected advocacy agency which many legislators and community members look to for guidance publishing alerts such as this actually hurt the people The Arc is supposed to be supporting. Where is the integrity and transparency in their reports?
The Arc states that “On average, only 1-3 beds a month are currently used for any respite.” The Data obtained from the Department of Social and Health Services Executive Management Information System (EMIS) dates June 2010 through June 2014 clearly show that the Arc is very incorrect. Below is a graph of the data obtained from the EMIS. The average has actually been 32 respite clients per month at Yakima Valley School.
The Arc states “The cost for placement in Yakima Valley Nursing Facility is $587 A DAY, much more than a community setting.” Again, data obtained from the EMIS and from the Office of Chief of Policy and Programs, DSHS Quality Programs and Stakeholders Office Chief, and the Crisis Services Program Manager, the cost of community crisis respite is $1,166 dollars A DAY as opposed to the average $441 at Yakima Valley School of which only $216.00 is the cost to our state when the Federal Medical Assistance Program (FMAP) is taken into account. (EMIS 2012-2014)
This bill does not address anything having to do with respite that people receive in their homes and communities and will not take anything away from them. It will only provide much needed services and help prevent crisis and family breakdown.
Yes, we all want respite in our communities but it is not happening for various reasons. Respite can be used for a variety of community outings and opportunities but out-of-home respite is also needed. I can tell you that if my son had been allowed to have any out-of-home respite at all while living at home on a waiver, it may have saved our family and may have prevented him from being moved into the RHC. I believe that out-of-home respite is an essential component of the whole respite program and will add to the sustainability of community programs.
Data received from the Department of Social and Health Services, Executive Management Information System June 2010 – June 2014, with correspondence from Mark Eliason, DSHS Office Chief of Policy and Programs; Janet Adams, DSHS Quality Programs and Stakeholders Office Chief; Carol Kirk, DSHS RHC Program Manager; Monica Reeves, Monica Reeves, Crisis Services Program Manager.
DDA Policy regarding ICF/ID Admissions –http://www.dshs.wa.gov/pdf/adsa/ddd/policies/policy3.04.pdf
Report to the Legislature – December 5, 2011 http://www.dshs.wa.gov/pdf/adsa/ddd/Fiscal%20Status%20Report%20Consolidation%20of%20RHCs.pdf