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What are Home-Based Support Services
& Family Assistance & How Can I Apply?
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There’s
No Place Like Home Fact Sheet

What are the Family Assistance and Home
Based Support Services programs?
These innovative programs, administered by the Department of
Human Services, are part of a growing national movement to offer supports and
services to families and individuals with disabilities at home.
The Family Assistance Program provides a monthly cash subsidy of
$530 to parents of children who have severe developmental disabilities or severe
emotional disturbance. The Home-Based Support Services Program allows adults who
have severe develop-mental disabilities or chronic mental illness to obtain
items and services with a value up to $1,590 per month.
Service Facilitators work with families and program participants
to help them find the services and items they need. Supports selected have
included respite care, medications, dental care, speech therapy, transportation,
adaptive equipment, day care, counseling, health insurance, adult education,
vocational training, job coaches and recreational programs, among other things.
How many persons are being served by the
programs?
When the programs began
in 1990, following passage of HB69, over 6,000 persons applied but there was
only enough funding for 600. In 1993, the legislature for the first time
authorized an increase in the appropriation, enabling the department to enroll
an additional 500 persons. Until two years ago, enrollment only increased in
small increments. By July of 1998, they only served
1138. Increases in funding in Fiscal 2000 allowed the two programs to
serve a total about 2600. In April of 2000 the Fiscal
2001 budget was passed with a $4 million increase. Today, the programs serve a
total of 3,090 adults and families. An
increase in $7 million will raise the budget of the two programs from $19,764,000
in Fiscal 2001 to $26,764,000 in
Fiscal 2002 and allow the enrollment of 500 new adults and 500 new families of
minor children.
How do we know these programs are
effective?
Evaluations of the
programs have indicated that the programs are cost effective and preventive of
out-of-home placements. The cost of placement in a CILA (group home) is
approximately $42,800 per year. For the current fiscal year, the Family
Assistance Program costs $6,360 per participant, and the average yearly cost of
the Home-Based Program costs $12,504 for an adult with developmental
disabilities and $10,582 for an adult with mental illness. According to a 1996
survey of participants with developmental disabilities by the University of
Illinois and funded by then DMHDD, 27% of respondents would have been placed
outside the home if they were not in the program. If 27% of the adult program
participants with developmental disabilities were in state-operated facilities,
it would cost $11.7 million a year, compared to the $3.4 million a year, they
are spending through the program—a savings of $8.3
million!
Should these programs be expanded?
In Fiscal
2000, the “potential applicants” list totaled about 3000 adults and children.
In Fiscal 2001, that list, even with new enrollments, has grown to over
5000 adults and children. Adults
with disabilities and families who have members with disabilities are excited
about these programs and eager to have an opportunity to receive the supports
they so desperately need, in their homes.
Eliminate the Waiting Lists for the "Family
Assistance and Home-Based Support Services Programs"
What our Families Say
Mary Camp, Peoria, IL.
"How can I be assured that those who care for her will
provide the care and love she has had all her life at home. The answer is that
no one can replace the person she knows as mama. So the only answer is to keep
her home for as long as I am able. Without help, however, that "as long as
I am able" was coming to an end. Then a letter came. Tricia's name had been
chosen for the Family Assistance Program. I cried. For days, when I went to
greet her smiling face in the morning, my thoughts were, "I can keep her
home!" With this financial help, I can greet her with "Good morning,
my darling girl", thousands of times more."
Janine Palma, Bloomington, IL.
"Our son, Cody, is the three year old. He was born with a
rare syndrome called Cri du Chat and mild Cerebral Palsy. He is developmentally
delayed. He doesn’t walk or talk or use the bathroom. We transport him in a
chair. He can’t swallow liquids without choking and is fed those liquids
through a G-tube button. It is very difficult to find someone to care for him
when we want to do other things that he just can’t go to."
Rena Steele, Virden, IL.
"I am so fortunate; I have been receiving Family Assistance
for two years. It is ONLY because of this program that I have been able to keep
my eight year old son, Patrick at home. Patrick is developmentally disabled and
has severe behavioral problems. With out the assistance of trained individuals
caring for Patrick while I work, I could not keep him at home."
Carla Harrison, Downers Grove, IL.
"My daughter, who is thirteen and has severe developmental
disabilities, is on a waiting list to receive money from the Family Assistance
Program. With the anticipated funds, we plan to buy adult-sized diapers as she
is not yet toilet trained and we will hire extra respite workers to give us a
much needed break from attending to her many needs, as she needs one-on-one
assistance with every basic skill. With out this program it will become
increasingly difficult for us to afford diapers, respite care, or a multitude of
other services my daughter needs. I am afraid she might need residential care.
With the FAP, we hope to provide for my daughter at home. And she will be able
to participate in our family and our community."
Robert and Gladys Hastings, Pekin, IL.
"Our son was discharged early from the army because of
mental illness. He was hospitalized 14 times with severe and persistent
schizophrenia at Zeller. He has not been hospitalized since he has been on the
Home-Based Support Services Program the last 5 years. The program paid for a
counselor to come to him at Zeller before he left. It has paid for many services
for him including a cleaning lady. The cleaning lady spotted a severe gas leak
in his stove. If it hadn’t been for her, we don’t know what would have
happened. He goes to Tazwood Center for Human Services once a week. The program
paid for legal fees for a trust for him. Now he even buys his own groceries.
With the program, his eyes are bright. There’s a big smile. The anger is gone.
And his sense of humor is back. Without this program, it is the opinion of the
professionals in his life, that he would be in an institution now."
Beth Cuddeback, Murphysboro, IL.
"I have worked with one FAP and three HBSSP recipients for
several years as their DMHDD Service Facilitator. These programs have not only
allowed them to remain at home, but have provided them with unique services and
some tangible items which helped further their independence and self confidence.
One person was able to purchase glasses, because the Illinois Department of
Public Aid no longer pays for adult eye care. Another was able to get his back
door widened and some electrical work done in his home to accommodate his
electric wheelchair. Two of these people used the programs to hire people to
clean or cook for them because of their limited physical capabilities. The
possibilities are almost endless for what these programs can offer a person with
disabilities."
*Copies of the evaluations by the Chapin Hall Center for
Children at the University of Chicago (Family Assistance Program) and the
University Affiliated Program at the University of Illinois at Chicago
(Home-Based Support Services Program) are available from the Family Support
Network, 5739 West Martindale Lane, Peoria, IL. 61615 (309-693-8981)
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