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The MCIL 704 Report

EDITOR'S NOTE: The Major Federal Report was late this year because the new Association on Community Living took time to include this report style into their website. MCIL completed the report last year for the reporting period October 1, 2014 through September 30, 2015. Below is the MCIL Report as submitted to the ACL.

RSA-704 Part II for Memphis Center for Independent Living - 90IL0159-01 report through September 30, 2015

Subpart I - Administrative Data

Sources and Amounts of Funds and Resources

Indicate amount received by the CIL as per each funding source. Enter 0 for none.

Item 1 - All Federal Funds Received

(A) Title VII, Ch. 1, Part B0
(B) Title VII, Ch. 1, Part C333,559
(C) Title VII, Ch. 20
(D) Other Federal Funds0

Item 2 - Other Government Funds

(E) State Government Funds92,161
(F) Local Government Funds93,368

Item 3 - Private Resources

(G) Foundations, Corporations, or Trust Grants2,253
(H) Donations from Individuals4,269
(I) Membership Fees0
(J) Investment Income/Endowment315
(K) Fees for Service (program income, etc.)465,261
(L) Other resources26,983

Item 4 - Total Income

Total income 1,018,169

Item 5 - Pass-Through Funds

Amount of other funds received as pass through funds to consumers (include funds, received on behalf of consumers, that are subsequently passed on to consumers, e.g., personal assistance services, representative payee funds, Medicaid funds, etc.)0

Item 6 - Net Operating Resources


[Total Income (Section 4) minus Pass-Through Funds amount (Section 5) = Net Operating Resources
1,018,169

Subpart II - Number and Types of Individuals With Significant Disabilities Receiving Services

Section A - Number of Consumers Served During the Reporting Year

(1) Enter the number of active CSRs carried over from September 30 of the preceding reporting year208
(2) Enter the number of CSRs started since October 1 of the reporting year101
(3) Add lines (1) and (2) to get the total number of consumers served309

Section B - Number of CSRs Closed by September 30 of the Reporting Year

(1) Moved9
(2) Withdrawn13
(3) Died2
(4) Completed all goals set102
(5) Other11
(6) Add lines (1) + (2) + (3) + (4) +(5) to get total CSRs closed137

Section C - Number of CSRs Active on September 30 of the Reporting Year

Indicate the number of CSRs active on September 30th of the reporting year.

Section A(3) [minus] Section (B)(6) = Section C172

Section D - IL Plans and Waivers

Indicate the number of consumers in each category below.

(1) Number of consumers who signed a waiver34
(2) Number of consumers with whom an ILP was developed275
(3) Total number of consumers served during the reporting year309

Section E - Age

Indicate the number of consumers in each category below.

(1) Under 5 years old0
(2) Ages 5 - 1910
(3) Ages 20 - 2418
(4) Ages 25 - 59196
(5) Age 60 and Older81
(6) Age unavailable4
(7) Total309

Section F - Sex

Indicate the number of consumers in each category below.

(1) Number of Females served 158
(2) Number of Males served 148
(3) Total306

Section G - Race and Ethnicity

Indicate the number of consumers served in each category below. Each consumer may be counted under ONLY ONE of the following categories in the 704 Report, even if the consumer reported more than one race and/or Hispanic/Latino ethnicity).

(1) American Indian or Alaska Native Number of Consumers0
(2) Asian Number of Consumers1
(3) Black or African American Number of Consumers236
(4) Native Hawaiian or Other Pacific Islander Number of Consumers0
(5) White Number of Consumers61
(6) Hispanic/Latino of any race or Hispanic/Latino only Number of Consumers4
(7) Two or more races Number of Consumers2
(8) Race and ethnicity unknown Number of Consumers5
(9) Total309

Section H - Disability

Indicate the number of consumers in each category below.

(1) Cognitive49
(2) Mental/Emotional16
(3) Physical171
(4) Hearing6
(5) Vision59
(6) Multiple Disabilities119
(7) Other8

Section I - Individuals Served by County During the Reporting Year

List each county within the CIL's service area, as indicated in the CIL's application for Part C funds and the approved SPIL. Add additional rows as necessary. For each county, indicate how many individuals residing in that county were served by the CIL during the reporting year.

County name Number of county residents served
Shelby, TN 3,204
DeSoto, MS 45
Tipton, TN 23
Fayette, TN 22
Crittenden, AR 12
Marshall, MS 12
Other 270

Subpart III - Individual Services and Achievements

Section A - Individual Services and Achievements

List the number of consumers requesting and the number of consumers receiving each of the following services during the reporting year, including the IL core services. The total of these numbers is not expected to equal the number of active CSRs during the reporting year, as a consumer may receive multiple services during the reporting year. Also, individuals who receive information and referral (I&R) services only may not have a CSR.

Services Consumers
Requesting
Services
Consumers
Receiving
Services
(A) Advocacy/Legal Services 105 105
(B) Assistive Technology 17 17
(C) Children's Services 1 1
(D) Communication Services 10 10
(E) Counseling and Related Services 20 20
(F) Family Services 8 8
(G) Housing, Home Modifications, and Shelter Services 61 61
(H) IL Skills Training and Life Skills Training 98 98
(I) Information and Referral Services 3,574 3,574
(J) Mental Restoration Services 1 1
(K) Mobility Training 1 1
(L) Peer Counseling Services 106 106
(M) Personal Assistance Services 13 13
(N) Physical Restoration Services 0 0
(O) Preventive Services 0 0
(P) Prostheses, Orthotics, and Other Appliances 0 0
(Q) Recreational Services 50 50
(R) Rehabilitation Technology Services 1 1
(S) Therapeutic Treatment 1 1
(T) Transportation Services 32 32
(U) Youth/Transition Services 1 1
(V) Vocational Services 7 7
(W) Other Services 13 13

Section B - Increased Independence

Item 1 - Goals Related to Increased Independence in a Significant Life Area

Indicate the number of consumers who set goals related to the following significant life areas, the number whose goals are still in progress, and the number who achieved their goals as a result of the provision of IL services.

Significant Life Area Goals Set Goals Achieved In Progress
(A) Self-Advocacy/Self-Empowerment 27 19 8
(B) Communication 13 6 7
(C) Mobility/Transportation 37 31 6
(D) Community-Based Living 55 48 7
(E) Educational 35 27 8
(F) Vocational 31 30 1
(G) Self-care 34 32 2
(H) Information Access/Technology 55 21 34
(I) Personal Resource Management 16 16 0
(J) Relocation from a Nursing Home or Institution to Community-Based Living 21 20 1
(K) Community/Social Participation 38 23 15
(L) Other 0 0 0

 

Item 2 - Improved Access To Transportation, Health Care and Assistive Technology

(A) Table

In column one, indicate the number of consumers who required access to previously unavailable transportation, health care services, or assistive technology during the reporting year. Of the consumers listed in column one, indicate in column two, the number of consumers who, as a result of the provision of IL services (including the four core services), achieved access to previously unavailable transportation, health care services, or assistive technology during the reporting year. In column three, list the number of consumers whose access to transportation, health care services or assistive technology is still in progress at the end of the reporting year.

Area Number of Consumers Requiring Access Number of Consumers Achieving Access Number of Consumers Whose Access is in Progress
(A) Transportation 13 13 0
(B) Health Care Services 23 20 3
(C) Assistive Technology 17 12 5

Note: For most IL services, a consumers access to previously unavailable transportation, health care and assistive technology is documented through his or her CSR. In some instances, consumers may achieve an outcome solely through information and referral (I&R) services. To document these instances as successful outcomes, providers are not required to create CSRs for these consumers but must be able to document that follow-up contacts with these consumers showed access to previously unavailable transportation, health care and assistive technology.


(B) I&R Information

To inform RSA how many service providers engage in I&R follow-up contacts regarding access to transportation, health care services or assistive technology, please indicate the following:

Follow-up contacts with I&R recipients

The service provider did engage in follow-up contacts with I&R recipients to document access gained to previously unavailable transportation, health care or assistive technology.

Section C - Additional Information Concerning Individual Services or Achievements

Please provide any additional description or explanation concerning individual services or achievements reported in subpart III, including outstanding success stories and/or major obstacles encountered.

Before the reporting period, MCIL staff had begun working with an individual that wished to move out of a local Nursing Home and into the community. She had lived in the institution for seven years when she made an Independent Living Plan with MCIL and successfully transitioned into her own home during the current reporting period.

The move into the community was not easy and the individual had lost many necessary independent living skills. MCIL was able to assist the individual in regaining necessary skills and provided individual and system advocacy to make the transition successful.

Long before moving into the community MCIL worked with the individual to obtain original copies of a birth certificate and state photo ID. MCIL worked to get the consumer’s wheelchair repaired and new batteries for her wheelchair that the nursing home would not provide. MCIL assisted her to determine the level of service she needed in the community, managing and directing her attendant services and using the public transportation system in Memphis. The individual practiced using a schedule, communication and making her own decisions.

The MCIL consumer was told she could not move into the planned apartment because she was not “independent.” Not only was this an actual limitation of the nominal accessible housing options that people with disabilities have in Memphis; but, it was also a blow to the self-confidence that people need to make such a significant change in their life. MCIL was able to build a strong trust relationship with the individual and helped guide her to become self-assured and to be confident in her ability to become independent.

On moving into the community, the individual encountered several obstacles in her path to independence. For over three weeks, the hoyer lift that she needed did not work. MCIL staff was able to provide a provisional lift and worked to get a working lift for the consumer. Months after she moved out of the nursing home, a hospital stay threatened to move her right back into the institution. MCIL advocacy with the consumer’s self-advocacy kept her in her own home. Currently she is working on additional transportation options to be out and more involved in the community.

Subpart IV - Extent of CIL Compliance with the Six Evaluation Standards

Section A - Compliance Indicator 1: Philosophy

Item 1 - Consumer Control

(A) Board Member Composition

Enter requested governing board information below.

Total Number of Board Members8
Number of Board Members with Significant Disabilities6
(B) Staff Composition

Enter requested staff information in the table below.

  Total Number
of FTEs
FTEs Filled by
Individuals with
Disabilities
FTEs Filled by
Individuals from
Minority Populations
Decision-Making Staff 3 1 1
Other Staff 7 5 5

 


Item 2 - Self-Help and Self-Advocacy

Briefly describe how the CIL has promoted self-help and self-advocacy among individuals with significant disabilities during the reporting year.

All MCIL consumers work with peer IL Team members who model self-advocacy and suggest and explain self-advocacy techniques to accomplish the consumer’s goal. MCIL continues to use the “How to Be Your Own Best Advocate” training that was developed for the Peer-To-Peer Mentoring Project. The Independent Living Skills Training focuses on ways to be assertive without being aggressive and avoiding being too passive. The training includes several tasks each requiring a little more assertive behavior.

 


Item 3 - Peer Relationships and Peer Role Models

Briefly describe how, during the reporting year, the CIL has promoted the development of peer relationships and peer role models among individuals with significant disabilities.

MCIL has always had a person with a significant disability as the Executive Director and nearly all members of the Independent Living team have a visible significant disability. MCIL consumers work with a peer on the Independent Living team and see the agency administered by people with disabilities. Deborah Cunningham, the long-time director of MCIL and a significant part of the Center’s public image is remembered around the CIL. The message to the public is clear: People with disabilities are a powerful and significant part of our community.

MCIL has several peer groups that reinforce the peer relationships of our community in Memphis. The young adult group “Rockers n’ Rollers” shares information on independence, employment and involvement. MCIL has developed a Peer Outreach Program, POP that works to match peer mentors and the Peer-To-Peer program that trains mentors to work with individuals making the transition from a Nursing Home into the community. In 2014 MCIL launched the Grey Panthers Senior Support Group designed to provide support, training and information to people with disabilities over 55.

 


Item 4 - Equal Access

(A) Briefly describe how, during the reporting year, the CIL has ensured equal access of individuals with significant disabilities, including communication and physical access, to the center's services, programs, activities, resources, and facilities, whether publicly or privately funded. Equal access, for the purposes of this indicator, means that the same access is provided to any individual with a significant disability regardless of the individual's type of significant disability.

The Center promotes equal access and equal communication in its marketing and informational materials. Everyone is welcome at MCIL and the staff makes effort to ensure that people with disabilities and marginalized populations feel welcome at the Center. During the reporting period, MCIL added audio information about MCIL and the center’s mission in a looped video that plays in our lobby. We added captioned, described videos about MCIL and the Personal Assistant Services at the center to our website.

The Center provides and promotes public events at MCIL and in community locations that include access to all, including communication. This reporting period MCIL produced a memorial service and celebration of Deborah Cunningham, both events were physically accessible with accessible communication and demonstrated equal access to our community partners.

 


(B) Briefly describe how, during the reporting year, the CIL has advocated for and conducted activities that promote the equal access to all services, programs, activities, resources, and facilities in society, whether public or private, and regardless of funding source, for individuals with significant disabilities. Equal access, for the purposes of this indicator, means that the same access provided to individuals without disabilities is provided in the center's service area to individuals with significant disabilities.

 MCIL works to produce events at the Center and in community locations that exemplify equal access for all members of our community. MCIL created the Rolling for Independence event with ally organizations and continues annually celebrate people with and without disabilities active in the community. Several groups host meetings and events at MCIL that are to be a model of equal access and MCIL exemplifies equal access at our public events.

Where the Center finds a failure of access in our community, we take action. MCIL continues to work with the city, county and state departments to build accessible sidewalks, construct and repair curb-ramps and other public access issues. During this reporting period, MCIL has responded to the US Department of Justice concerning lack of access at several nearby businesses. MCIL began this complaint for our community and will work for equal access at these businesses. MCIL also strongly supports individuals’ self-advocacy on access issues in the Memphis community and we provide assistance to people with disabilities that wish to have access. Additionally MCIL has a long history of work on access issues with the local chapter of ADAPT.

 


Item 5 - Alternative Formats

Briefly describe how, during the reporting year, the CIL has ensured the availability in alternative formats of all of its written policies and materials and IL services, as appropriate.

MCIL employed an expert Braille teacher for the reporting period and has a Braille embosser to ensure that we can produce materials for Braille users. All MCIL materials are produced so that they may be enlarged, embossed in Braille or provided digitally to individuals that wish alternative formats. MCIL also will provide extended documents in a Daisy Books format.

 


Section B - Compliance Indicator 2: Provision of Services on a Cross-Disability Basis

Briefly describe how, during the reporting year, the CIL has ensured that IL services are provided to eligible individuals with a diversity of significant disabilities and individuals who are members of populations that are unserved or underserved, without restrictions based on the particular type or types of significant disability and in a manner that is neither targeted nor limited to a particular type of significant disability.

MCIL has been working to expand services to our diverse community. This year’s report shows a steady increase from our outreach efforts and an increase in the number of people served that do not fall into the major demographics of African American and Caucasian. MCIL provided IL services to Spanish-language community members through a bi-lingual staff member. The Center likewise participated in meetings of the Memphis Latino Parent Support Group.

Community groups representing marginalized populations are welcomed meet at MCIL. A transportation advocacy group and homeless support group meet monthly and work to reinforce outreach to all people with disabilities. Likewise MCIL has regular meetings of a cross-disability youth group, the Rockers and Rollers and a group of seniors with disabilities called the Grey Panthers. These groups welcome individuals with physical, sensory, psychiatric and cognitive disabilities.

Section C - Compliance Indicator 3: Independent Living Goals

Item 1 - Consumer Information

Briefly describe how, during the reporting year, the CIL has ensured that consumers have the opportunity to develop and achieve their goals (either with or without an ILP) and that the consumer has the opportunity to express satisfaction with the center and such consumer satisfaction results are evaluated by the center.

Most of the initial contact with MCIL is through the Information and Referral Specialist, who helps the individual decide if they may need more Independent Living services than I & R. The I & R Specialist and all members of the Independent Living Team help individuals to know what the Memphis Center for Independent Living does and does not do.

The Independent Living Team will work one-on-one with an individual that has a disability, requests an independent living service from us and will benefit from that service. For the past four years, MCIL has kept a steady percentage of consumers that request and develop an Independent Living Plan while about 10 percent work with MCIL staff but waive the plan. Last reporting year, 88% of consumers had a signed ILP.

MCIL has a complaint and grievance procedure that allows individuals to record their satisfaction and dissatisfaction with the Center.

Item 2 - Consumer Service Record Requirements

Briefly describe how, during the reporting year, the CIL ensured that each consumer's CSR contains all of the required information.

The Memphis Center for Independent Living uses a custom database that records all necessary 704 compliance issues. The database includes checks so that all required information is entered by the Independent Living Team. MCIL does not include in the reporting numbers those CSR that do not include all required information.

Hard copy of the Consumer Record includes a signed ILP or ILP Waiver. There is an additional check in the MCIL database to ensure that the hard-copy file is complete. Only consumers with a goal are counted for the 704 and MCIL does periodic checks to ensure that all consumer services are is progressing. This reporting period only 34 of 309 MCIL consumers asked for a waiver rather than create an Independent Living Plan. The 12% asking for waivers is in keeping with the percentage in past years although slightly higher (10% last year, 9% in 2013 and 8% in 2012).

Section D - Compliance Indicator 4: Community Options and Community Capacity

Item 1 - Community Activities Table

Summarize the community activities involving the CIL's staff and board members during the reporting year. For each activity, identify the primary disability issue(s) addressed as well as the type of activity conducted. Describe the primary objective(s) and outcome(s) for each activity. Add more rows as necessary.

Issue Area Activity Type Hours Spent Objective(s) Outcome(s)
Assistive technology Technical Assistance 20.00 To expand our community’s access to Assistive Technology A dozen community members directly benefited from the training at MCIL.
Assistive technology Technical Assistance 6.00 Expand the accessibility options of our community with Assistive Technology. MCIL has made a long-term commitment to helping consumers accomplish AT goals.
Housing Community/Systems Advocacy 50.00 To expand affordable, accessible and integrated housing options for the Memphis Area Direct home accessibility modifications for 22 families in Memphis.
Other Community/Systems Advocacy 509.00 Accessibility and Integration: To ensure equal access for people with disabilities in our community. MCIL played a major role in planning and development of local areas and projects. MCIL supported ADA compliance, access and smart development for the Memphis area.
Transportation Community/Systems Advocacy 70.00 To ensure equal access and improve transportation options for people with disabilities. MCIL staff, consumers and Board members were able to confront the Public Transit Company about accessibility at several public forms.
Transportation Technical Assistance 12.50 To ensure equal access and improve transportation options for people with disabilities. The Center met with state representatives, the transit CEO and many administrative heads. MCIL also collaborated with the transit provider about paratransit eligibility and service complaints.
Other Community/Systems Advocacy 100.00 Accessibility and Integration: To ensure equal access for people with disabilities in our community. The Center worked with Latino Memphis and Social Justice organizations to include our community in all aspects of civic life. ADA 25th Anniversary Celebration.
Housing Community/Systems Advocacy 7.00 To expand affordable, accessible and integrated housing options for the Memphis Area MCIL has worked to improve the “Visitability” ordinance in Memphis.
Other Community/Systems Advocacy 400.00 Transition: To ensure equal access for people with disabilities in our community. MCIL transitioned 18 people from institutional settings into the community.
Other Technical Assistance 400.00 Transition: To ensure equal access for people with disabilities in our community. The Center trained individuals and organizations of Nursing Home Transition.
Health care Community/Systems Advocacy 221.00 Assist people with disabilities to obtain or maintain healthcare and necessary services for community living. MCIL organized actions with partner agencies including video and letter writing campaigns. MCIL provided access to sign-up on healthcare. MCIL staff produced an Op-Ed piece on Medicaid Expansion.

 


Item 2 - Consumer Service Record Requirements

For the community activities mentioned above, provide additional details such as the role of the CIL staff board members and/or consumers, names of any partner organizations and further descriptions of the specific activities, services and benefits.

MCIL partnered with many local agencies to produce a 25th Anniversary of the ADA event on July 26, 2015. MCIL provided the ADA Legacy Tour a full tank of gas as the bus passed through Memphis in April of the reporting year and the Center was the major sponsor for the ADA Legacy Tour’s visit to Memphis in May. For two days the ADA tour vehicle displayed photos and the unique vehicle at the National Civil Rights Museum in downtown Memphis. MCIL board and staff members were on a panel with local Civil Rights activists. About 100 people attended the panel discussion and around 200 others visited the ADA Legacy Tour display. MCIL arranged for transportation, lodging and meals for the Legacy Tour staff for the Memphis stay.

Section E - Compliance Indicator 5: IL Core Services and Other IL Services

In addition to the data provided in Subpart III, describe how information and referral services and the other IL core and other IL services are provided to those who request such services in formats accessible to the individual requesting the services. Describe any innovative practices (not mentioned elsewhere in this report) to enhance the availability and effectiveness of IL services.

MCIL Information and Referral maintains a focused database of referral resources for Shelby County and includes resources around the nation. MCIL keeps track of all I&R calls and does weekly follow-up. MCIL believes that information is the most powerful tool that we can provide and MCIL works one-on-one with consumers who ask for those services. MCIL began a goal to better describe to our community the things that we work with individuals to accomplish and the things that the Center does not do. MCIL provides information in requested formats and we caption and describe videos that we use on our website.

Section F - Compliance Indicator 6: IL Resource Development Activities

Briefly describe the CIL's resource development activities conducted during the reporting year to expand funding from sources other than chapter 1of title VII of the Act.

MCIL continues to look at all aspects of resource development for greater staff retention, volunteer inclusion, training, and financial diversification and stability.

MCIL saw many staff changes during the reporting period including Administration and management team due to death of longtime leader, Loss of over $75,000 in CIL funding resulted in the closure of 2 projects and termination of 2 part time staff associated with these projects. During this period of adjustment, MCIL began review of current procedures, data system, training and reporting. New Directors – Outreach, Program and Executive work closely to determine gaps in human resources for training, encouragement and recognition.

Funding sources are a priority and new ideas and energies placed on the Fee for Service Program will hopefully net greater resources for the continuation of MCIL. A course on Fee for Service presented by ILRU was not helpful and was dropped after 4th session. Directors have discussed several other possibilities for prospective grants or fundraising to add to established Rolling for Independence, Holiday Silent Auction and Italian Supper. A new event, the Deborah Cunningham Access Awards may have potential as a possible fundraiser including recognition of City, County and possible State leaders who have led in advocacy efforts for greater access.

The Peer to Peer program funded by State MFP funds continues to recruit mentors and do awareness presentations to increase referrals and is looking to increase nursing home transition capabilities. Memphis has refunded the MCIL Home Modification project with fewer dollars and MCIL Directors are looking at using Etiquette and ADA presentations as a fee for service project in the coming year.

Subpart V - Annual Program and Financial Planning Objectives Edit

Section A - Work Plan for the Reporting Year

Item 1 - Achievements

Discuss the work plan's proposed goals and objectives and the progress made in achieving them during the reporting year

The Memphis Center for Independent Living’s Work Plan is a product of all of the IL Staff and administration with input and guidance from the Board of Directors. The plan was developed at the beginning of the reporting period and help direct all staff in system change and reporting throughout the year.

The MCIL Work Plan for 2014 and 2015 included general system advocacy goals with various planned activities to determine outcomes. The general areas the plan covers are Housing, Transportation, Healthcare, Barriers to full integration, Assistive Technology and Resource Development.

In the general area of housing MCIL is working to increase affordable, accessible, integrated housing and expand the knowledge of access to housing and resources. During the reporting period MCIL identified and applied for additional modification funding to make housing more accessible to our community. The Center used these resources to provide access for 22 families. MCIL also completed the Discrimination in the Rental Housing Market Against People Who are Deaf and People Who Use Wheelchairs a national study by the Urban Institute and funded in part by the US Department of Housing and Urban Development. The results were published during the reporting period and included the work in the Memphis area by MCIL. The additional housing goals of removing barriers with local policies and ordinances, collaborating with partners are still underway.

In the general goal of Transportation MCIL had the objective of increasing the availability of affordable, accessible and reliable transportation. The Center first was successful in expanding the attendance, activities and support for the Memphis Bus Riders Union. Currently the group meets at MCIL and has strong and improving membership. MCIL has worked with other organizations including Citizens for Better Service for improved public transportation. MCIL provides direct information and support for people who apply for paratransit. The Center is working on the long range goal of developing tracking tools and indicators of effectiveness.

MCIL has an objective to assist people with disabilities to obtain or maintain healthcare and needed services for community living. The Center has been successful in finding and training peer mentors to assist people moving into the community and working to build a sustainable home. MCIL has also successfully met the goal of outreach to nursing homes and assisted living facilities in Shelby and Tipton Counties, but these are ongoing goals to continue outreach and reinforce our message by repeat visits where practical. MCIL is continuing to support efforts of the Tennessee Health Care Campaign to expand Medicaid coverage in our state. Although the Center was successful in the work toward this goal, this continues to be a statewide issue that MCIL will work locally and with our state partners to accomplish successfully. The Center will continue to work on goals of responding to issues that limit access to the Affordable Care Act for our community, issues of Managed Care Organizations and work to ensure full access and integration in healthcare.

MCIL is working to expand our community’s knowledge and access to Assistive Technology. The Center has been successful in recruiting and training technology mentors and we find that this need is continuing. The Center also has been successful in training seniors and other people with disabilities in basic computer and mobile device use, focusing on affordable appropriate Assistive Technology. MCIL is continuing these goals and working to document using accessible, affordable Assistive Technology for use in the community.

The Center has a goal of eliminating barriers to the full integration of our community. We have identified physical barriers, attitudinal barriers and socialization barriers that may isolate and segregate our community. MCIL was successful in educating consumers and business owners of many barriers in the community. MCIL provided in-depth inspection and analysis for properties at their request while individuals were involved in self and system efforts to see better compliance of local businesses. MCIL is continuing to monitor and respond to the need for public access and is working to identify potential consumers in Tipton county and underserved areas of Shelby County. MCIL was not successful in expanding the Barrier Free Memphis Society.

MCIL’s objective for attitudinal Barriers is to expand disability awareness and decrease stigma attached to disability. The Center had a major success with the summit “Transition to Community Life” that highlighted community integration and featured a MCIL consumer who had transitioned in the past. Additionally during the reporting period the Center held the Rolling for Independence event that was intended to be very visible in our community and naturally included disability awareness. The Center also produced a twenty-fifth anniversary celebration of the ADA with many community partners and media coverage. MCIL continues to include language and disability awareness as a part of all public presentations.

The Center’s goal to improve socialization of our community is to avoid isolation and segregation of people with disabilities in the community. MCIL has been successful in expanding many of our peer groups including our Peer Outreach Program for adults with disabilities, The Rockers and Rollers for youth and the Grey Panthers for seniors.

MCIL was successful in developing a youth transition curriculum and is working to add peer mentoring structure to promote with the assistance of community partners. While MCIL has identified many collaborators, we have not developed a plan or funding to have support for our youth transition program.

Finally the Center had planned activities for our work plan and a goal to strengthen our business and resource development. MCIL developed a communication plan during the reporting period that outlined basic communication and communication needs of the Center. MCIL redeveloped the Center’s website: mcil.org in keeping with the plan. The Center began a blog, the MCIL Journal as a news and information source. MCIL developed and printed a new brochure that will be used in the next reporting period. MCIL is continuing to train and staff to effectively use Social Media. The Center was successful with our annual events; however, due to the loss of our Executive Director, MCIL was not able to increase the effectiveness of staff or involve the Board of Directors in new support events. MCIL will make plans for updating the strategic plan in the next reporting period.

 


Item 2 - Challenges

Describe any substantial challenges or problems encountered by the CIL, and the resolutions/attempted resolutions.

Obviously the biggest challenge for MCIL was the death of our Executive Director Deborah Cunningham. While many in the community rallied behind the Center and the mission of MCIL, the Center lost a community leader and strong advocate. The Center staff was uncertain of their individual importance in the mission-driven system. The Memphis Community was uncertain of the continued drive and direction of the Center.

The Board resolved the leadership problem by elevating the long-time mentee of Ms. Cunningham to be the Executive Director. The Center added an Outreach Director and Program Director to assist in the administration.

MCIL has dropped the Next Chapter Book clubs and facilitated them being independent and self-reliant. Likewise the Barrier Free Memphis Society overlapped other more vibrant community organizations and MCIL found it challenging to continue to coordinate Barrier Free Memphis Society. The senior computer classes were discontinued due to a lack of sustainable funding.

 


Item 3 - Comparison with Prior Reporting Year

As appropriate, compare the CIL's activities in the reporting year with its activities in prior years, e.g., recent trends.

This reporting period MCIL has expanded its service to minority populations. Although the report shows an overall drop in people served, MCIL shows a strong consumer base and need in the community. This year MCIL had more “new consumers” and fewer “carry over” individuals. The Center also shows more goals being closed and Consumer Service Records being closed because goals have been met. The current MCIL consumers demonstrate a trend to complete an independent living goal rather than remain as dormant consumers.

Because of the Twenty-fifth Anniversary of the ADA, MCIL was more visible in the community. The Center brought the ADA bus to Memphis twice, once as a refueling stop and again for three-days of special events at the National Civil Rights Museum in Memphis. Our annual ADA Celebration will become a memorial for Deborah Cunningham and include access awards.

Section B - Work Plan for the Year Following the Reporting Year

Item 1 - Annual Work Plan

List the CIL's annual work plan goals, objectives and action steps planned for the year following the reporting year.

MCIL Work plan 2015 - 2016

Systems Change Activities

HOUSING

Issue: lack of affordable, accessible, integrated housing

Annual objective: Increase knowledge of and access to affordable, accessible, integrated housing.

Planned Activities:

• Continue providing home modifications as funding permits and develop materials for alternative resources to make accessible home modifications.

• Increase accessible housing by creating or making changes to local policies and ordinances.

• Collaborate with funders and other partners to create and maintain a clearinghouse for current accessible housing information and referral and other issues.

• Educate consumers on fair housing rights with a workshop.

• Explore federal housing vouchers for people transiting from Nursing Facilities.

TRANSPORTATION

Issue: need for reliable, affordable, accessible transportation

Annual objective: Increase awareness of accessible transportation options.

Planned activities:

• Increase attendance, activities and support for BRU.

• Monitor, respond and collaborate with groups and other organizations working to increase availability of all forms of transportation.

• Implement a tracking tool and methods for collecting information on indicators effectiveness

• Advocate for an increase in the state budget for additional transportation.

HEALTHCARE

Issue- lack of adequate healthcare

Annual objective –Assist people with disabilities in Shelby county or surrounding areas to obtain or maintain healthcare and needed services for community living.

Planned Activities:

• Collaborate, monitor, network and support efforts of the non-partisan Tennessee Health Care Campaign (THCC) to expand Medicaid coverage in Tennessee.

• Monitor and respond to any issues arising from attempts to sign up for Affordable Health Care for individuals with disabilities

• Monitor and advocate with State and Federal legislators to maintain and expand long term care and home and community based services

• Collaborate, monitor and advocate with Tenncare, MCOs and other related agencies to ensure that all allowed services are provided

• Outreach to nursing homes and assisted living facilities in Shelby and Tipton counties

• Provide peer mentors to individuals transitioning from nursing homes as requested to assist with maintaining successful community integration

ASSISTIVE TECHNOLOGY

Issue- lack of knowledge and access

Annual Objective: Increase the use of appropriate affordable AT by people with disabilities

Planned Activities:

• Create and produce a model and guide for use of selected AT in the community.

• Collaborate with other agencies and organizations for people with disabilities to remain knowledgeable of current AT that will provide for successful independence.

• Provide workshops on specific mobile devices and how they may be accessible and effective to people with disabilities.

• Train Peer Mentors as Technical Mentors in appropriate affordable AT.

• Allow use of the MCIL computer lab.

OTHER – BARRIERS TO FULL INTEGRATION

Issue: Community Access barriers

Annual objective - Educate, advocate and participate in groups supporting a more accessible and livable community

Planned Activities:

• Work with community partners to create a Memphis ADA plan.

• Educate consumers, business owners and community partners in access requirements, regulations and laws.

• Find, document and respond to problems related to public access.

• Identify and educate potential consumers in Tipton County and underserved areas of Shelby County about ways to facilitate a more accessible, inclusive community.

• Monitor, ensure and promote access to ballots, polling sites and the election process.

OTHER – BARRIERS TO FULL INTEGRATION

Issue: Attitudinal Barriers

Annual objective; Expand disability awareness and decrease attitudinal barriers and societal stigma

Planned activities:

• Work with community partners to create at least 1 annual citywide summit or conference related to an identified issue or barrier to independence.

• Expand disability awareness through group community activities.

• Use language and etiquette awareness presentations.

• Find and expose attitudinal barriers in at least one instance.

OTHER – BARRIERS TO FULL INTEGRATION

Issue: Increase Socialization and decrease isolation

Annual objective; Increase opportunities for education, socialization and community inclusion

Planned activities:

• Identify gaps in youth transitioning and collaborate to identify potential solutions.

• Collect stories of consumers who have successfully transitioned.

• MCIL staff, board and volunteers involvement in community activities, governing boards, advisory committees and local government to ensure equal participation of people with disabilities.

• Through outreach and networking maintain and update appropriate referral resources, expanding to include Tipton county

BUSINESS AND RESOURCE DEVELOPMENT

Planned Activities:

• Continue and increase funding streams including fee for service programs, grant based projects and fundraising

• Assess current IL services and community outreach effectiveness

• Prepare, conduct and utilize an annual needs assessment-Program Committee

• Update and train staff in use and maintenance of website and social media pages - Outreach Committee

• Update, improve and produce promotional materials- Outreach Committee

• Increase effectiveness of MCIL by:

>re-energizing committees- Program, Outreach, Fundraising, Administrative

>IL and Strategic teams meet regularly

>increasing Board of Directors involvement and support

• Expand intern and volunteer programs to support service capabilities -Administrative Committee

• Review, update and train staff on updated policies and procedures resulting from changes in Federal regulations- Administrative Committee

• Update strategic plan using needs assessments and results of previous strategies

 


Item 2 - SPIL Consistency

Explain how these work plan goals, objectives and action steps are consistent with the approved SPIL.

MCIL has worked to keep the goals of the SPIL especially to expand to unserved and underserved areas of Tennessee. This includes Tipton County to the north of Shelby County and Memphis. MCIL will contribute to the development of the new State Plan and work with the goals of the SPIL. The Center has a good relationship with the SILC Coordinator.


Subpart VII - Additional Information

Section A - Other Accomplishments, Activities and Challenges

Describe any additional significant accomplishments, activities and/or challenges not included elsewhere in the report, e.g., brief summaries of innovative practices, improved service delivery to consumers, etc.

The update to the MCIL website was completed in this reporting period with captioned and described video about MCIL: www.mcil.org

MCIL has begun a blog, The MCIL Journal, to fill a gap in general interactive communication with the Memphis community. The MCIL Communications plan found that consumers and staff were using more interactive social media and that there was no blog that covered disability rights in the Memphis area: http://mciljournal.blogspot.com/

Section B - Additional Information

Provide additional information, comments, explanations or suggestions not included elsewhere in the report.

Our data collection system provides us with gender descriptions of Male, Female and Other. Three of our consumers did not believe the description of Male or Female accurately described their gender.

Subpart VIII - Signatures

Signatures

As the authorized signatories, we will sign, date and retain in our files a copy of this 704 Report and the separate Certification of Lobbying form ED-80-0013 (available in MS Word and PDF formats) for this center for independent living.

Please sign and print the names, titles and telephone numbers of the CIL director and board chair.

Center Director

Name and TitleSandi Klink, Executive Director
 Signed
Date Signed (mm/dd/yyyy)03/03/2016

Center Board Chairperson

Name and TitleBelinda Tate-Hardy, Board Chairperson
 Signed
Date Signed (mm/dd/yyyy)03/03/2016
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