Wednesday, March 9, 2016
The chart above may just seem like words, numbers, and lines to many, but to me it represents one of the greatest threats to Colorado’s system of delivering services to individuals with intellectual and developmental disabilities (I/DD) if we aren’t able to quickly reshape (and rethink) how we fund and deliver services.
So why is the information on the above so scary? Well, as the Daily Camera article that accompanied the chart points out, unemployment rates here in Boulder County are at historically low levels. As our state system of I/DD services is currently configured, service delivery is very labor intensive – we need qualified workers. In fact, on the list of Imagine!’s Values and Principles, the very first item is “Our workforce is our number one asset.”
Well, that asset has become extremely difficult to attain, and I don’t anticipate that fact changing any time soon.
This trend isn’t surprising, and this isn’t the first time I have warned about this very challenge. But the issue is no longer a future scenario, it is a current reality. And while Imagine! has been a leader in filling service gaps caused by flat or lowering provider rates, narrowly designed waivers, and a need of foresight and creativity among those who have designed our current system of funding and delivering services, our ability to continue to fill those gaps is stretched to the breaking point. Imagine! isn’t alone in standing at that threshold –all service providers in our area are struggling to fill key positions.
A service system based on access to a large workforce isn’t sustainable. Offering services that are “one size fits all” is short sighted and results in uneven (at best) outcomes. We need to start talking about how we are investing our limited resources for serving individuals with I/DD. Imagine! continues to argue that technology should be at the forefront of that discussion, but we need more effort, and we need it now.
Then again, what do I know?