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1 INTERAGENCY AUTISM COORDINATING COMMITTEE HEALTH OUTCOMES WORKING GROUP WORKSHOP: ADDRESSING THE HOUSING NEEDS OF PEOPLE ON THE AUTISM SPECTRUM TUESDAY, July 23, 2019 The Interagency Autism Coordinating Committee (IACC) Health Outcomes Working Group convened in Rockville, Maryland at the Hilton Washington DC/Rockville Hotel & Executive Meeting Ctr, 1750 Rockville Pike, at 9:30 a.m. Susan Daniels, Ph.D., presiding. PRESENT: JOSHUA GORDON, M.D., Ph.D. Director, National Institute of Mental Health (NIMH) and Chair, IACC SUSAN DANIELS, Ph.D., Executive Secretary, IACC, Office of Autism Research Coordination (OARC), National Institute of Mental Health (NIMH) ALISON TEPPER SINGER, M.B.A., Chair, Housing Outcomes Working Group, Autism Science Foundation MAX BARROWS, Green Mountain Self-Advocates JUDITH COOPER, Ph.D., National Institute on Deafness and other Communication Disorders (NIDCD) SAMANTHA CRANE, J.D., Autistic Self-Advocacy Network DANIEL DAVIS, Administration for Community Living (ACL) 2 PRESENT: (continued) GERALDINE DAWSON, Ph.D., Duke University JILL ESCHER, J.D., M.A., Autism Society San Francisco Bay Area MELISSA HARRIS, Centers for Medicare and Medicaid Services, (CMS) (attended by phone) LORI IRELAND, M.B.A., Ireland Family Foundation JENNIFER JOHNSON, Ed.D., Administration For Community Living DESIREE KAMEKA, Madison House Autism Foundation ARUN KARPUR, M.D., M.P.H., Autism Speaks, (attended by phone) AMY LUTZ, M.A., M.F.A., EASI Foundation KIM MUSHENO, Autism Society DENISE RESNIK, DRA Collective RYLIN RODGERS (representing Ben Kaufman), Association of University Centers on Disabilities SCOTT MICHAEL ROBERTSON, Ph.D., U.S. Department of Labor (DOL) JAY SHUKERT, Parent, Advocate, San Francisco, California IVANOVA SMITH, AtWork! 3 PRESENT: (continued) STEPHEN WHITLOW, J.D., Merakey Gateway Transition Services 4 TABLE OF CONTENTS Welcome, Introductions, Roll Call, and Approval of Minutes 8 Joshua Gordon, M.D., Ph.D. Director, National Institute of Mental Health (NIMH) and Chair, IACC Susan Daniels, Ph.D., Director, OARC, NIMH and Executive Secretary, IACC Alison Singer, M.B.A., IACC Member, Chair, IACC Housing Working Group President, Audism Science Foundation Samantha Crane, J.D., IACC Member, Member, Housing Working Group Legal Director and Director of Public Policy, Autistic Self Advocacy Network (ASAN) Overview of Housing Issues 35 Status and Trends in Supports and Services from the Residential Information Systems Project 37 Heidi Eschenbacher, Ph.D., Researcher, Institute on Community Integration University of Minnesota Trends & Insights from the Autism Housing Network 57 Desiree Kameka, M.T.S., Director of Community Education & Advocacy, Madison House Autism Foundation Discussion 87 5 Public Comment Session 96 Oral Public Comments 96 Written Public Comments 114 Oni Celestin, Ph.D. Science Policy Analyst Office of Autism Research Coordination, NIMH Live Feedback 117 Discussion 118 Susan Daniels, Ph.D. Director, Office of Autism Research Coordination, NIMH and Executive Secretary, IACC Intentional Community Models 160 Live. Learn. Lead. We’re the place for That …First Place AZ 160 Denise Resnik, CEO and Co-Founder DRA Collective, Phoenix, Arizona Benjamin’s Hope: a “Live, Learn, Play, Worship” Community Where People with Autism Enjoy Lives of Dignity and Purpose 180 Krista Mason, Executive Director, Benjamin’s Hope, Holland, Michigan From House to Home: Thriving with Autism At The Center for Discovery 189 Terry Hamlin, Ed.D., Associate Director, Center for Discovery, 6 Harris, New York Organizing for Inclusive Community: Leveraging Partners and Policies to Make More Possible 208 Lindsay Johnson, Director of Policy and Partnerships, The Kelsey Discussion 226 Apartment/Dispersed Community and Service Delivery Models 235 The Arc Jacksonville Village 235 Jim Whittaker, President/CEO, The Arc Jacksonville, Jacksonville, Florida The Faison Residence: Highlights of An Inclusive, Semi-Independent Housing Community for Adults with Autism 246 Matthew Osborne, M.S., BCBA Director of Adult and Residential Services, Faison Center, Richmond, Virginia How Integrated Living Opportunities Creates Supportive Communities & Full Lives for Individuals with Developmental Disabilities 255 Maedi Tanham Carney, Integrated Living Opportunities, Maryland, Northern Virginia, and Washington, DC 7 ABLE’s Journey with Housing 273 Mary Anderson, ABLE, Inc. Dickinson, North Dakota Personalized Adult Services and Housing Navigation 290 Gail Godwin, M.A., Executive Director, Shared Support Maryland Discussion 310 Final Discussion and Wrap Up 322 Susan Daniels, Ph.D., Director, Office of Autism Research Coordination, NIMH and Executive Secretary, IACC Alison Singer, M.B.A., IACC Member, President, Autism Science Foundation Closing Remarks and Adjournment 349 8 PROCEEDINGS DR. JOSHUA GORDON: Welcome. My name is Joshua Gordon. I am the director of the National Institute of Mental Health and in that capacity, the chair of the Interagency Autism Coordinating Committee. I want to welcome members of the IACC as well as the chairs and members of the Working Group on addressing the housing needs of people on the autism spectrum. The speakers who are here today, quite a great list of people who are going to talk about this topic, public attendees both here and those listening on the web. This is the final one at least for this iteration of a series of workshop that the IACC has conducted to do in-depth dives into particular topics of relevance for those on the autism spectrum and their families. Addressing the housing needs of people with autism and on the autism spectrum is 9 incredibly crucial, incredibly important and a growing issue as we recognize the need to consider individuals on autism as they progress throughout the lifespan. I am going to open with an apology, which is that my schedule prohibits me from staying here the whole day. I am going to be in and out this morning and then I am going to have to leave you around midday. But I am going to stay for as much of it as I can and Susan and the rest of my staff will fill me in on any particular issues of importance. With that, I am going to turn it over to Susan and the chairs. DR. SUSAN DANIELS: Good morning. I am Susan Daniels, Director of the Office of Autism Research Coordination at the National Institute of Mental Health. Welcome to everyone in our viewing audience, people in the room, our Working Group members, members 10 of the IACC and our speakers today. We really appreciate you being here to talk about this really important topic and look forward to getting into our material. I have a few announcements. One is that there is a live feedback link available on the webcast for anyone who might want to put in a last minute public comment and that will be open until 11:30. I was told it would be until 11:30. Yes? 11:30. Feel free to put in a comment there if you have not put in a comment already. Also, we do have disability accommodations available, a quiet room. As always, the webcast is closed captioned and there is CART available in the room. We are going to take some time for introductions in a minute, but first I would like to give you just a little background on why we are having this workshop. 11 As you see, the title of our workshop is addressing the housing needs of people on the autism spectrum. In 2019, the IACC convened this Working Group on housing issues for individuals with ASD [Autism Spectrum Disorder]. And the Working Group mission statement is in the autism community, we face a mounting housing crisis with growing population of autistic adults with diverse needs, lacking appropriate living situations. The goal of this Working Group is to examine a wide variety of housing options and service models for people with autism and to develop strategies to achieve a broad array of supported housing options throughout all of our communities that enable autistic individuals to achieve person-centered outcomes. This Working Group is going to be looking at research and best practices on 12 housing, implementation of federal regulations, and housing issues faced by autistic individuals with more severe disabilities. The Working Group members are listed on the slide. They are also on our website. We just wanted to provide this for people who might be looking at this on the web. We do have our slides posted as well. There are external members who have been invited to provide their expertise to the Working Group as well as members of the IACC in the Working Group. The activities the Working Group has undertaken so far include a conference call that took place on June 20. We are having this workshop. And tomorrow the Interagency Autism Coordinating Committee is meeting in full committee and will have a brief discussion of the outcomes of this workshop. 13 We will be publishing a workshop summary in the fall. And the IACC may pick up this topic again when it reconvenes. The IACC is set to sunset on September 30, 2019, but there is pending legislation to reauthorize it, but the committee would go on hiatus until there is a new committee formed. Because of the short timeline, we are not going to be able to dive deeper into activities around this topic. This discussion will be a key starting point for the committee's deliberations of this topic. We look forward to a great discussion today. We would ask you to please be mindful of – we have several times for discussion throughout the day and we want everyone to have a chance to speak. If you have already spoken a little bit in the day, please give a chance to someone else to make comments before volunteering to comment at every 14 comment period. But we do welcome everyone to participate and hope that there will be a robust discussion. With that, I would like to give an opportunity to our chair, Alison Singer, who is a member of the IACC, a long-time member of the IACC, to give a brief introduction, and we also will be hearing from another IACC member, Samantha Crane.