Understanding Blending, Braiding, and Stacking Supports for People with Disabilities

People with disabilities and their families play a crucial role in guiding professionals on how to blend, braid, and sequence supports for their loved ones. This involves incorporating various services, funding sources, and community members to help individuals thrive and achieve their personal goals. Despite misconceptions, braiding, blending, and stacking funding and services are not illegal and are actually encouraged by the Federal Government. Through real-life examples like David and Abby, we see how multiple supports can be woven together to enhance quality of life and foster independence for individuals with disabilities.

• Disabilities
• Support Services
• Braiding
• Blending
• Funding

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1. Blending, Braiding and Stacking Services and Supports Karen Lee, Economic Systems US Department of Labor Office of Disability Policy

2. Learning Outcomes Introduction Braiding Blending Sequencing 2 Sample Footer Text

3. Introduction People with disabilities and their families have been tremendous teachers in guiding professional how to braid, blend and sequence supports for their sons and daughters. Including family, neighbors, and community members in the life of the person so they can thrive takes coordination, creativity and reliance on others. 3 Employment

4. Braiding, Blending and Sequencing Services and Funding Myth: Braiding, Blending and Sequencing funding is illegal and is considered double dipping. Fact: The Federal Government not only approves of braiding, blending and sequencing of funding and services to build supports for people but encourages braiding, blending and sequencing. Sample Footer Text 4

5. Braiding When more than one service, funding source or support is braided into someone s life so they can succeed in achieving their personal goals. Hawaii e 1st summit 5

6. Braiding David receives supports from several sources to live his best life: 1. Housing Opportunities 2. HCBS Waiver support 3. Vocational Rehabilitation 4. Medicaid State Plan 5. Social Security 6. County Recreation Scholarship 7. Community College 6 Hawaii e 1st summit

7. Braiding for Abby The participant s ISP may include a combination of DCP and other non-residential waiver services Abby has been in a Day Habilitation service for years, but it has always been her dream to earn her own money so she can move in with her boyfriend. She is a fantastic cup cake baker and would like to pursue that career. But she has never made cupcakes for sale, never managed her own money and has always gotten a ride form her parents to the day center., 7 Sample Footer Text

8. Braiding for Abby The participant s ISP may include a combination of DCP and other non-residential waiver services ISP Outcome Abby Wants: learn more about her community and how to get around by herself Explore the baking industry Apply for a job Keep doing her fitness and nutrition classes she goes to with her friends. 8 Sample Footer Text

9. Braiding for Abby The participant s ISP may include a combination of DCP and other non-residential waiver services Hawaii DVR: Job Development Hawaii DDD: Discovery and Career planning, Financial Literacy, Individual Employment Services (job coaching), community learning service group and individual 9 Sample Footer Text

10. Blending Definition When different funding sources are put together in the same bucket to get the desired outcome. Project Search Supported Living Supports Graduation Sample Footer Text 10

11. Project Search is an example of Blending CLASSROOM INTERNSHIP FUNDING School teacher or classroom instructor Three internships in 9- month program VR pays for the internship through Pre-ETS, Community Engagement or other work adjustment funds Aid in the classroom often is a job coach Job carving Job coaching Classroom supports and job club funded through waiver/state plan Medicaid funds or private pay Learning about budgets, dating, use of technology, self regulation, transportation Skill development Work behaviors Sample Footer Text 11

12. Sequencing Sequencing can happen when services are planned in a way that feed into the next service. Day Hab Community Learning Service Discovery Job Development Job Coaching Community Learning Service Summit Professional 12

13. Barriers to Braiding, Blending and Sequencing The organization doesn t have a relationship with all the funding sources. The agency does not have the infrastructure to do all the services in the process. Case managers don t have experience in blending services. Self-advocates and families don t know how to ask for the blended services Funding sources don t have an MOU that creates an obvious opportunities to sequence. Summit professional track 13

14. Questions Karen Lee klee@seeconline.or g Summit professional track 14

15. Thank you Karen Lee klee@seeconline.org Sample Footer Text 15