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[LearningDisabilities 1644] Re: civil rights case
Ruth Bourquin
RBourquin at mlri.orgWed Jan 16 14:10:56 EST 2008
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Your work has been critical to all these efforts, Nancie. Thank you.
Attached is the Settlement Agreement from Connecticut, entered into in
2007, which reflects heroic work by legal services advocates in CT and
their state agency partners. This Agreement is not uniquely focused on
persons with learning disabilities, although it certainly covers them
because it provides for better procedures to accommodate the needs of
all persons with disabilities. And on page 16 of 42, paragraph 20 c., it
provides for screening for LD and allows for but doesn't expressly
require referral for further evaluation if the screening is positive.
The Agreement also contains provisions requiring the agency to improve
readability of their written notices.
A summary of the CT Settlement Agreement, written by Cary LaCheen at
the National Center for Law and Economic Justice, is pasted in below:
Summary of Raymond v. Rowland settlement
Notice of rights
* All program participants were mailed a brochure of the rights of
people with disabilities.
* A new form informs individuals of the right to have office interviews
waived and help with recertification as a reasonable accommodation.
* Application and recertification forms, and a forms listing required
documentation, have been revised to state that the agency will help
people with the application/recertification process of they have a
disability and need help as a reasonable accommodation, and ask if the
applicant/recipient has a disability and needs help.
* Checklists of agency responsibilities now ask whether staff have
explained the right to accommodations to clients.
* Notices granting, terminating, suspending, or changing benefits will
inform individuals of the right to reasonable accommodations.
* Medical documentation forms will inform clients that the agency will
help the client make medical appointments and/or obtain medical
documentation as a reasonable accommodation.
* Posters on the right to reasonable accommodations and help during the
eligibility process are posted in all agency waiting rooms.
* Agency regulations require staff to inform household heads orally and
in writing at application, recertification, and whenever it is apparent
that the individual may have a disability and may need a reasonable
accommodation, of the right of people with disabilities to
accommodations and how to substantiate a request for a reasonable
accommodation.
Readability
* The agency will review forms and notices for readability and make
revisions to improve readability.
Reasonable accommodations
* Individuals can request reasonable accommodations orally or in
writing, and can make the request to the worker or the ADA Coordinator.
Individuals who need help gathering documentation showing the need for
an accommodation are entitled to help if the client appears to be
unable
to get the documentation without help as a result of a disability.
* Reasonable modifications must be provided. Examples of accommodations
mentioned in the settlement and state policy include:
* waiver of office visits and telephone interviews
* home visits (if face-to-face appointment is required)
* alternative formats for information(Braille, large print, audiotape)
* help with getting documentation
* calling visually and cognitively impaired persons before notices are
mailed out
* home visits from a social worker who will help complete forms and
gather documentation (including medical documentation)
* If a worker believes that a reasonable accommodation (other than the
accommodations listed above) would require significant agency
resources,
a supervisor or manager must make the decision as to whether the
accommodation is reasonable.
* Reasonable accommodation requests made to the ADA Coordinator must be
acknowledged within 10 days and decisions made within 20 days.
* Accommodation decisions by the ADA Coordinator can be appealed in
writing within 15 days to the agency*s Deputy Commissioner for
Administration.
* The computer will remind staff to call clients when notices are
issued
if calling the client is the accommodation needed.
* The computer will alert staff before a discontinuance notice is sent
for failing to provide documentation so the worker can contact the
client.
* The agency has issued regulations regulations
Documentation requirements
* The following must be documented in the client*s case record:
* Accommodation requests
* Decisions on such requests
* If the request is denied, the reason for the denial
* Computer fields indicate whether the client has a disability and the
nature of the accommodation to be provided; the disability field is in
a
flashing color.
* The Department of Labor, which operates the employment services
program for clients with disabilities, will revise its data system to
record information on clients* disabilities.
Screening
* The screening tool used to develop clients* employment plan will be
revised to screen for physical, mental, and learning disabilities and
substance abuse problems.
A avoidance of adverse actions against people with disabilities:
* Conciliation notices will state that clients have the right to
accommodations if their disability contributes to the alleged
noncompliance
* Before taking any action on a case, the worker must review the file
to
ensure that reasonable accommodations have been provided.
* During conciliation, the client must be offered an opportunity to be
screened for disabilities by designated trained staff will be hired to
conduct such screening
* Clients who agree to be screened will not be sanctioned during the
screening process.
* If a disability is identified, the worker will explore the need for
accommodations and determine if a sanction is appropriate.
Training
* The agency has conducted mandatory training for staff on the ADA and
serving clients with disabilities
* The agency has conducted training for supervisors on the ADA and
serving clients with disabilities
* The agency has trained all TANF staff and social workers on
recognizing disabilities and serving clients with disabilities
* The agency will train all new staff within 3 months of beginning
work
* The agency has trained fair hearing staff , and will train new fair
hearing staff, including ALJs and fair hearing support staff
Physical improvement of agency offices and navigating the agency
* The agency agreed to make improvements to waiting rooms, hearing
rooms, interview rooms, interior and exterior signage, floor surfaces,
reception areas, in accordance with identified principles, to improve
client privacy, navigation, comfort to clients, reduce waiting time
while documents are copied, and physical accessibility to wheelchair
users. The exact nature of the improvements to be made at each office
are within the discretion of the agency.
* The agency agreed to modify the phone system to provide automated
answers to commonly asked questions.
* The state agency responsible for leases and physical improvements of
agency building agreed to work cooperatively with the welfare agency on
making such improvements, and to negotiate for such improvements with
landlords.
* The agency agreed to hire greeters at regional offices who will greet
newly arriving clients and assist them with understanding forms and
eligibility requirements, help them complete forms, schedule
appointments, answer questions, and perform other similar tasks.
Document management
* The agency agreed to implement a document management solution, which
may include scanning or other technologies.
Implementation plan
* The agency will develop an implementation plan with goals and
timetables for meeting the requirements of the settlement agreement.
Monitoring compliance with the settlement
* Supervisors must review all workers* knowledge of the agency*s
ADA
policies and practices and attest annually that staff are knowledgeable
about them.
* Once the modifications to the computer system are made, which should
occur, barring any anticipated obstacles, within 18 months after the
settlement is approved, the agency must provide plaintiffs* counsel
with
quarterly reports for 4 * years that indicate, by each local welfare
agency office, the number of clients found to need reasonable
accommodations, the number provided with accommodations, types of
disabilities they have, and information related to clients with
disabilities whose cases may be closed.
* The agency will submit quarterly progress reports on implementation
of
the settlement agreement.
* A year after the settlement is approved the agency will assign an
individual to determine whether clients with disabilities are receiving
the accommodations they need to access services.
Enforcement
* The settlement agreement will remain in effect for 6 years, at which
point it will be automatically dismissed with prejudice.
* Plaintiffs can bring a motion for enforcement or contempt if
defendant
fails to substantially comply with the settlement.
* Enforcement or contempt actions for failure to comply with physical
improvements can be brought for six years after the settlement
agreement
is approved; other enforcement actions can be brought for a 48 month
period starting 18 months after the settlement agreement is approved.
* Plaintiffs must provide 60 days advance notice before moving for
enforcement or contempt, except in emergencies, in which case
plaintiffs
must provide notice that is practicable under the circumstances. The
parties must make good faith attempts to discuss and resolve the
issues.
Ruth A. Bourquin
Mass. Law Reform Institute
99 Chauncy Street, Suite 500
Boston, MA 02111
(617)357-0700 ext. 333
fax: (617)357-0777
email: rbourquin at mlri.org
>>> <napayne at att.net> 1/16/2008 1:33:58 PM >>>
Thanks Ruth for providing such good summaries of how we (the system) is
progressively moving forward. That only occurs through the outstanding
work done by you and your colleagues in the public legal advocacy
network. As circumstance would have it I was the prime contractor to
assist California in implementing their system -- which when we have
done follow-up 4-5 years later is still moving forward.
I do not have access to the final rulings and conditions, but I know
that Connecticut (Hartford public legal service) has just completed a
process involving the human services sytsems -- perhaps you have access
to that and can share -- or maybe Greg Bass can be asked to contribute
to the discussion.
Nancie Payne
-------------- Original message from "Ruth Bourquin"
<RBourquin at mlri.org>: --------------
> Due in large part to Patti's work, I think Arkansas was ahead of the
> wave on this, and the fact that Arkansas was taking the initiative
and
> had recognized the needs of TANF recipients with learning
disabilities
> as a real issue that needed to be addressed was very helpful in terms
of
> spurring OCR to make the ruling it did in Massachusetts. So thanks to
> Patti and Arkansas for blazing a trail.
>
> Pasted in below is some information about the process in California
> (which was negotiated prior to the OCR Resolution Agreement but after
> the Letter of Findings in Massachusetts) as described on the website
of
> the National Center for Law and Economic Justice:
>
>
> California Advocates Obtain Comprehensive New Policy on Screening,
> Evaluating and Providing Program Modifications to CalWORKS Clients
with
> Learning Disabilities
> >From the December 2001 issue of the Welfare News
> On October 17, 2001, the California Department of Social Services
> (CDSS) issued a comprehensive statewide protocol on screening,
> evaluating and providing reasonable modifications for all new and
> existing CalWORKs clients with learning disabilities. The policy was
> issued in the form of an *All County Letter* by CDSS to all county
> welfare directors and welfare-to-work coordinators in the State. The
> protocol is by far the most thoughtful and protective policy of its
kind
> in the country, and it should serve as a useful model for other
> advocates seeking to make welfare programs more responsive to the
needs
> of clients with learning disabilities, who are a sizable portion of
the
> welfare population. Given the high numbers of clients with learning
> disabilities in TANF programs, advocates have a strong argument that
the
> policies and procedures in the All County Letter are required by the
> Americans with Disabilities Act (ADA) and Section 504 of the
> Rehabilitation Act as reasonable modifications, because without these
> policies, clients with learning disabilities will not have an equal
> opportunity to participate in and benefit from TANF programs. The All
> County Letter is entitled *Learning Disabilities Screening and
> Evaluation in the California Work Opportunity and Responsibility to
Kids
> (CalWORKs) Program,* All County Letter No. 01-70, and is available at
> www.dss.cahwnet.gov/getinfo/acl01/pdf/01-70.pdf.
>
> The Protocol
>
> The protocol requires CalWORKs to screen all incoming and existing
> CalWORKs participants for learning disabilities using a screening
tool
> validated for use with TANF clients. Screening must be offered to all
> new clients at the time of the first welfare-to-work contract and to
> existing clients at annual eligibility redeterminations, or earlier
when
> clients ask to be screened, disclose a learning disability or inform
the
> welfare program that they were in a special education program at
school.
> It must also be offered to all clients in the midst of good cause or
> other compliance determinations or the sanction process; to clients
who
> fail to maintain satisfactory progress at welfare-to-work activities;
> and whenever a worker suspects a client has a learning disability or
> processing difficulty. County welfare agencies are also allowed to
> screen clients who fail to progress in employment after they stop
> receiving cash assistance.
>
> Clients have the right to refuse screening and cannot be sanctioned
for
> their refusal. When a client declines or is reluctant to be screened,
> the welfare program must explain what learning disabilities are; what
> areas are tested in an in-depth assessment and who performs the
> assessment; and the types of program modifications that are available
to
> clients in the program that have learning disabilities. Screening
must
> be conducted by trained designated staff, preferably those who have
an
> ongoing relationship with the client. CDSS recommends one particular
> screening tool, developed in Washington State, but allows counties to
> use another validated tool if they provide training for staff on how
to
> administer it.
>
> Clients identified through screening as having possible learning
> disabilities must be referred for an in-depth learning disability
> evaluation conducted by a trained professional using validated
testing
> instruments. Clients who have been diagnosed with learning
disabilities
> in the past, and those with suspected learning disabilities must also
be
> referred, even if the screening did not indicated a possible learning
> disability. The welfare agency must ask clients who are referred for
> evaluations to provide records of any previous learning disability
> evaluations, relevant medical evaluations and special education
records
> to the evaluator, though a client is not required to do so. The
policy
> makes clear that it is the responsibility of the local welfare agency
to
> develop resources for these evaluations, by contracting with local or
> regional evaluators if necessary. In other words, welfare agencies
> cannot shirk their responsibility by claiming that they couldn*t find
> anyone to conduct the evaluation.
>
> The evaluation must include a detailed description of the client*s
> strengths and deficits, recommendations for additional services,
> accommodations and assistive technology for the client. The welfare
> agency is required to review the evaluation and take it into account
> when drafting of the welfare-to-work plan and consult with the
learning
> disability evaluator or other specialist if they have questions about
> the evaluation. Existing plans must be modified to take account of
the
> evaluation findings. The welfare program must give a copy of the
> evaluation and the evaluator*s recommendations to the client and must
> discuss appropriate work activities and reasonable accommodations to
the
> client. The policy specifies that accommodations can be paid for with
> CalWORKs funds or other funding sources if they are available and the
> client qualifies for them, including Welfare-to-Work or Workforce
> Investment Act funds. The evaluation must be treated as a
confidential
> medical record, though with client consent the welfare agency can
share
> it with others on a need-to-know basis. Welfare agencies are required
> to forward it to another county*s welfare agency when a client moves,
> if the client agrees. If the evaluation indicates that the client may
> have physical, mental or other conditions, the welfare agency must
> discuss the findings with the client, refer the client to evaluation
or
> treatment for these conditions as needed, and develop a
welfare-to-work
> plan consistent with these conditions.
>
> When a client is diagnosed with a learning disability during the good
> cause or sanction process, the welfare agency must consult with the
> evaluator and determine if the client*s disability contributed to his
> or her failure to participate. If so, the client must be considered
to
> have good cause and cannot be sanctioned, and the welfare-to-work
plan
> must be modified to take account to the evaluation findings.
>
> The protocol discusses a number of reasonable modifications clients
> with learning disabilities may be entitled to, including a waiver of
job
> search for clients with verified learning disabilities if the program
> determines that job search will not be beneficial for the client;
> shortening job search if it turns out not to be beneficial; and
allowing
> clients to participate in the primary welfare-to-work activity, or
all
> welfare-to-work activities, for fewer hours.
>
> The History of the Protocol
>
> Advocates played a large role in getting CDSS to develop and issue
the
> protocol. More than a year before the All County Letter was issued,
CDSS
> established an Advisory Workgroup on Learning Disabilities to make
> recommendations to the State about how to improve services to
CalWORKs
> participants with learning disabilities. The Workgroup included
> representatives of CDSS and county welfare departments, the State
agency
> that oversees community colleges, the Employment Development
Department
> of the State Unemployment Insurance program, and the Department of
> Rehabilitation, legislative staff, and other advocates, including
Jodie
> Berger from the Welfare-to-Work Advocacy Project of the Legal Aid
> Society/Employment Law Center in San Francisco.
>
> The group met monthly, and had guest speakers on topics such as how
to
> define learning disabilities, the validated screening instruments
> available, and the types of program modifications often needed by
> individuals with learning disabilities. The goal of the group was to
> identify a series of recommendations for CDSS on how to identify and
> evaluate CalWORKs participants with learning disabilities and how to
> remove barriers to full participation by these individuals in the
> CalWORKS welfare-to-work program. Most of the recommendations made by
> the group were adopted by the State. One interesting fact is that a
> number of the state and local government officials who participated
in
> the work group had learning disabilities themselves or had children
with
> learning disabilities. Advocates engaging in policy advocacy on
> disability rights issues should keep in mind that disabilities cut
> across gender, race, ethnicity, nationality, political parties and
> socioeconomic groups. Sensitivity to disability issues can come from
> many quarters.
>
>
>
> Ruth A. Bourquin
> Mass. Law Reform Institute
> 99 Chauncy Street, Suite 500
> Boston, MA 02111
> (617)357-0700 ext. 333
> fax: (617)357-0777
> email: rbourquin at mlri.org
>
> >>> "Patti White" 1/16/2008 12:13:44 PM
> >>>
> Arkansas has not had a similar civil rights case, probably because
our
> Department of Human Services (DHS) was well aware of Ruth Bourquin's
> lawsuit and its nationwide repercussions. DHS partnered with our
> interagency LD training initiative, Bridges to Practice, in 1998, and
> proceeded to participate in the training for five years to educate
their
> staff about appropriate and effective service provision for their
> clients with learning disabilities.
>
> DHS began mandatory LD screening of all Transitional Employment
> Assistance (TEA) clients in July 1999 using the Washington State
> 13-Question Screener. In addition, they contracted with Arkansas
> Rehabilitation Services (ARS) to provide follow-up diagnosis. If the
> client needed a GED, ARS included all tests required by GEDTS as part
of
> the evaluation in order to request and receive accommodations on the
GED
> tests.
>
> I should add that the interagency training is no longer happening,
and
> I have no idea how the issue of learning diabilities is now being
> handled in local DHS offices in this state. The agency underwent some
> drastic administrative changes a few years ago, and the last I heard,
> they were using the disabilities kiosk approach for their clients
with
> disabilities, including learning disabilities. That's basically a
> section in the office with a computer where the person can search for
> local resources.
>
> As with all training, though, there were a lot of people who
completed
> the training and continue to apply what they learned to their
clients.
> I still hear from some of them, and I know it has made a difference
in
> some local offices despite any support or lack thereof from the
state.
>
> Patti White
>
> Patti White, M.Ed.
> Disabilities Project Manager
> Arkansas Adult Learning Resource Center
> 804 Madison 3120
> Huntsville, AR 72740
> prwhite at madisoncounty.net
> http://aalrc.org/resources/ld/index.aspx
> 800.569.3539 ph/fax/tty
> ----------------------------------------------------
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> Email delivered to napayne at att.net
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