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Sunday, November 18, 2012

Jacksonville Developmental Center closing is going by the book : by Kevin Casey IDHS

By Kevin Casey - Guest Columnist : The State Journal-Register | Posted Nov 16, 2012

When Gov. Pat Quinn took office in 2009, the state of Illinois operated nine state-operated developmental centers/large institutions, for individuals with developmental disabilities. Never mind that 14 other reform-minded states have already moved forward to close institutions and invest in community care, which numerous studies show provide a higher quality of life.

Fortunately for all citizens, that time is now behind us.

Last week, the Health Facilities Services and Review Board voted to close the Jacksonville Developmental Center. Under Quinn, one such facility has closed and 600 individuals will transition into community settings over the next couple of years.

Quinn and the Illinois Department of Human Services are taking a historic step forward in the rebalancing initiative that will increase community care options for people with developmental disabilities and mental illness and reduce the number of outdated institutions.

IDHS has worked closely with families and guardians on a person-centered planning process that ensures safe transitions for JDC residents. Over the past several months, JDC residents have gone through a thorough planning process, including assessment, consultation with families and guardians and planning sessions with providers to determine specific needs.

Each and every person will visit their potential new home and have a transition meeting prior to discharge. Residents are only transitioned to licensed programs and will move in safe and appropriate means of transportation. The process of transitioning individuals out of JDC is going according to plan — it has been and will continue to be careful and deliberate.

To date, more than 80 residents have transitioned out of JDC and most are adjusting quite well to their new environment. The current census at JDC is 82 and approximately 40 residents are scheduled to transition over the next couple of weeks. Active and ongoing transition work is being done for these and other remaining residents.

Some families and guardians have chosen to transfer their loved ones to another developmental center. As a result of those transfers, residents of the impacted developmental centers will then have the opportunity to move into the community.

The governor’s initiative to rebalance the state’s approach to care for individuals with intellectual disabilities and mental health conditions is designed to better align Illinois with the national trends, standards and expectations in the delivery of services. A number of organizations from across the state commend these efforts, including Equip for Equality, Illinois Association for Retarded Citizens and Illinois Council on Developmental Disabilities.

In addition, earlier this year, The Arc of Illinois presented Quinn with the 2012 President’s Award for his leadership to improve life for people with developmental disabilities.

Numerous studies show that individuals living in the community have a better quality of life than those living in institutions. Community settings allow individuals to receive the care they need, including 24-hour care. Community care is also significantly less costly than institution-based care.

The average cost for JDC is $200,000 per year per resident while the average cost for a JDC resident living in the community is $84,000 per year.

Unfortunately there has been misinformation communicated by those opposed to the closure that can only harm the process. Neither IDHS, nor its contractors have changed client records. To do so would be a violation of both state and federal regulations. Any employee or contractor who did so would be subject to severe sanctions.

The staffing levels at JDC are above those of any other developmental centers in the state. Contract medical staff are fully trained and qualified and expected to follow the same rules and regulations as bargaining unit staff.

As we draw closer to the closure date, we remain committed to communicating and working closely with JDC residents, families and guardians to ensure that all residents are transitioned to a quality setting of their choice.

Kevin Casey is director of the Division of Developmental Disabilities in the Illinois Department of Human Services.

As posted by The State Journal-Register | Springfield, IL
http://www.sj-r.com/opinions/x871170474/Kevin-Casey-JDC-closing-is-going-by-the-book?zc_p=0

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