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Foothills Gateway, Inc.

The mission of Foothills Gateway, Inc. is to advocate for and empower individuals with disabilities to lead lives of their choice. We believe in a life of opportunity, of choice, and of dignity for every individual, regardless of age or ability.

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CASE MANAGEMENT RESOURCE COORDINATION

Class

Human Services 

Beneficiaries

Adults
Children and Youth (infants - 19 years)
Mentally/Emotionally Disabled
Disabled
People/Families with of People with Developmental Disabilities

Description

Foothills Gateway is the Community Centered Board for Larimer County, one of 20 in the State of Colorado. As the Community Centered Board, Foothills Gateway serves as the single entry point into services for individuals in Larimer County with intellectual or developmental disabilities. Each individual and family will have a case manager who is an advocate for them and assists in getting information about service options and will help the individual and family from the initial application, through eligibility evaluations and beyond. Case managers facilitate a process where each individual will have an individualized Service Plan (SP) that clearly defines the goals and needs of the individual and what will be done to meet these goals. Assistance is also given in accessing community resources, making transitions, selecting appropriate services, supports and providers, and exploring all options. The case management staff are knowledgeable about and specialized in the areas of children's services, adult comprehensive services and adult supported living services.

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Evidence of Program's Success

Each year, FGI solicits input from individuals in programs and their families through a satisfaction survey. In FY 2016-17, the overall satisfaction rating for case management was 4.62 out of 5.00. Families stated that case managers were kind and competent, and they were satisfied with communication and follow-up. The overall satisfaction rate among people receiving services was 93%.

CHILDRENS SERVICES

Class

Human Services 

Beneficiaries

Children and Youth (infants - 19 years.)
Disabled
Mentally/Emotionally Disabled
People/Families with of People with Developmental Disabilities

Description

Foothills Gateway and Early Intervention Colorado coordinate a variety of funding sources for services available for children with intellectual or developmental disabilities or developmental delays and their families. We help connect families with a child 0-3 years old to early intervention services such as: occupational, speech or physical therapy to help infants and toddlers grow and develop and help their families in this process.

The Children's Extensive Services waiver program provides Medicaid funded services and supports to children with cognitive/developmental disabilities or developmental delays who have the most intensive behavioral andor medical needs. In addition to the State Medicaid health coverage, other services and supports that may be available include: personal assistance services, professional services, behavioral services and home modifications. This program if for children 0- 18 years old.

Home and Community Based Services, for children 0-18, make a child eligible for Medicaid based on their medical needs, not family income. Children receive State Medicaid health care coverage and case management services. Children do not have to have a cognitivedevelopmental disability diagnosis to be eligible for this program.

There are also programs for children age 0-6 who are eligible for Medicaid and have a medical diagnosis of Autism. Through this program, the child can receive behavioral therapy for up to three three years

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Evidence of Program's Success

Families' overall satisfaction rating for the Early Intervention/Part C program in FY 2016-17 was 4.83 out of a possible 5. The overall satisfaction rating for the CES program was a 4.43 out of 5.

ADULT SERVICES

Class

Human Services 

Beneficiaries

Adults
Disabled
Mentally/Emotionally Disabled
People/Families with of People with Developmental Disabilities

Description

Services for adults (individuals over 18) are provided in primarily two models - Adult Supported Living and Adult Comprehensive Services. Adult Supported Living Services enable adult participants to make choices, receive needed services and live more independently in their own home or in the family home. Adult Comprehensive Services provide 24-hour, seven day a week care for individuals with this level of need. Services to adults may include one or more of the following:

- Residential Services - Individuals in adult comprehensive services have a variety of choices on where they may choose to live, based on the level of assistance needed. Apartment Settings allow the individual to live in an apartment and have staff accessible to the individual on a daily basis for supervision and support. Companion Settings allow a companion or live-in aide who lives with the individual and provides supervision in a home which is owned or leased by the individual or the individual's family. Host Homes are living environments which are leased or owned by the Host Home Provider (HHP). The term "Adult Foster Care" is often used to describe Host Homes Services. Residential Services staffed houses are owned or leased by a service provider and house 2 to 3 individuals. Staff are available on a rotating basis to provide the supervision and support. Staff do not live in the home (although they may sleep in the home at night to provide supervision) and each individual has his/her own bedroom.
- Community Activities Day Services provide training, support and supervised activities which maximize functional abilities and skills necessary to enable adults to access the community and or provide the basis for building skills which will assist individuals to access the community. Individuals can receive these services as part of their Supported Living Services plan or Comprehensive Services plan. Special Habilitation programs focus on increased self-sufficiency and or basic skills to enable individuals to achieve an increased level of independence. Small groups travel into the community to access and participate in activities of their choice and interest. Community Skills Development programs focus on a combination of recreational and vocational activities that challenge individuals and connect them to resources within the community. Individuals may participate in some paid employment in addition to volunteer opportunities and recreation opportunities. Staff provide support in skill training in activities of daily living, mobility training, communication, socialization, and recreation
- Vocational Employment Services include Supported Employment or site-based Work Services. In each opportunity, individuals earn wages and valuable work skills and are for individuals age 18 and older. Individuals can receive these services as part of their Supported Living Services plan or Comprehensive Services plan. Supported Employment Services can provide assessments, job development, job placement, job coaching and follow up job support services. Supported Employment can be offered in individualized placements, enclaves or work crews. Work Services provides a facility based opportunity for work for individuals age 18 and older. Contract work is procured from a variety of local businesses and may include electronic assembly, parts packaging, labeling, mailing services and product assembly.

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Evidence of Program's Success

The 2016-17 overall family satisfaction survey result for adults in the Comprehensive Services program was 4.64 out of a possible 5. The overall family satisfaction rating for adults in the Supported Living Services program was 4.62. The direct participant surveys for 2016-17 showed a 95% positive response to services for both the comprehensive and supported living services programs. Families commented on their high satisfaction with services provided and the benefits those services provided for their family member.

FAMILY SUPPORT SERVICES

Class

Human Services 

Beneficiaries

Adults
Children and Youth (infants - 19 years)
Families
Mentally/Emotionally Disabled
People/Families with of People with Developmental Disabilities

Description

The Family Support Services Program provides information, support, coordination and funding to families that have one or more family member of any age with an intellectual or developmental disability or delay living in the family home. The goals are to reduce the additional stress families experience from supporting the individual with a developmental delay or disability and help them to access and obtain additional community resources. Examples of services that could be covered include: respite, adaptive equipment and home modification.

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Evidence of Program's Success

A satisfaction survey returned by families for FY 2016-17, showed an overall satisfaction rating of 4.71 out of a possible 5. Again, families commented on their high satisfaction with services provided and the benefits those services provided for their family member.

RESPITE ADULT CARE SERVICES

Class

Human Services 

Beneficiaries

Adults
Disabled
Mentally/Emotionally Disabled
Physically Disabled
People/Families with of People with Developmental Disabilities

Description

This Foothills Gateway program provides short term relief from daily care giving responsibilities in a home-like setting for individuals age 18 and older. Adult Care Services (ACS) is open for respite services and care 24 hours a day, seven days a week (closed for some holidays). Families can schedule a short period of time within one day or up to 14 days. Day program is also available at ACS, Monday through Friday, 9am - 3pm for those eligible under the Elderly, Blind and Disabled Waiver. Activities are provided on site and in the community. Staff support and encourage learning and increasing living, socialization and communication skills. Individuals on the waiting list, in EBD, in Supported Living Services or private pay funds can receive this service.

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Evidence of Program's Success

In 2016, the overall satisfaction rating for the Adult Care Services program was 4.90 out of a 5.00. A comment from the survey stated - "We appreciate the professional and personal contact with the direct support providers, assistant program supervisor, and the program administrator." Another respondent stated, "We love the staff at ACS! We are lucky to have them."

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