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Pum Nhmy 'Iov P 1,T0-71.7 /47N DOCUMENT RESUME FD 034 339 EC 004 653 Compr=hensivP Stai-ewile Planning Project for "ocational Rc.habilitation Services; Molltana. Final Report. -rrc-T-TI-TO" Montana Div. of Vocational Fehabilitation, Helena. cwv7.5 AaRNCY Rehabilita+ion Services Administration (DHFW), Washington, P.C. pUm nhmy 'Iov P 1,T0-71.7 /47n. 7717:s DT)-rrp FDRS Price '1F-1.75 HC-4'21.40 '113CPTPrrOPS Community Surveys, Demography, *Exceptional Child Services, Financial Support, *Handicapped Children, Tncidence, Tnsi-itutions, Professional Personnel, Program Planning, Regional Planning, Rehabilitation Centers, rehabilitation Programs, Sheltered Workshons, State Agencies, *State Programs, *Vocational Rehabilitation TDEMmTFTERS Montana ABSTRACT A report of vocational rehabilitation planning is introduced by the history and principles of rehabilitation, a discussion of legal provisions, sources of funds, planning objectives, and project population and organization. Demographic information, statewide recommendations, and descriptions of state institutions and agencies are included along with the methods used for estimating the potential of inmates. Additional information concerns the disabled and handicapped in the state, the five planning regions, the rehabilitation facilities (treatment centers, halfway houses, and sheltered workshops), and project studies (involving Physicians, nurses, professional personnel, school personnel, and a closed caseload study). Related programs on the aging, correctional rehabilitation, economic opportunity, facilities and workshops, military rejectees, public assistance, the rural disabled, social security, workmen's compensation, voluntary organizations, and coordination of programs are also discussed. Five appendixes and a summary of recommendations are provided. (3M) let* 111 ALmaw COleREHENSIVE STATEWIDE PLANNING PROJECT MR VOCATIONAL REHABILITATION SERVICES MONTANA Division of Vocational Rehabilitation 507 Power Block Helena, Montana 59601 T. J. Witham Project Director Inclusive Period of Planning Project December 1, 1966 - November 30, 1968 Date of Preparation November 30, 1968 This planning program was supported by a grant, under Section4(a)(2)(b), from the Rehabilitation Services Administration, Social and Rehabilitation Service, Department of Health, Education, and Welfare, Washington, D. C. U.S. DEPARTMENT OF HEALTH, EDUCATION & WELFARE OFFICE OF EDUCATION THIS DOCUMENT HAS BEEN REPRODUCED EXACTLY AS RECEIVED FROM THE PERSON OR ORGANIZATION ORIGINATING IT.POINTS OF VIEW OR OPINIONS STATED DO NOT NECESSARILY REPRESENT OFFICIAL OFFICE OF EDUCATION POSITION OR POLICY. DISCRIMINATION PROHIBITED -- Title VI of theCivil Rights Act of196k states: "No person in the United States shall, on the groundsof race, color, or national origin, be excludedfrom participation in, be denied the benefits of, or be subjected todiscrimination under any program or activity receiving Federal financialassistance." Therefore, all pro- grams and activities receivingfinancial assistance from the Department of Health, Education, and Welfare must beoperated in compliance with this law. ii ditzTr.tita MONTANA STATEWIDE PLANNING PROJECT FOR VOCATIONAL REHABILITATION SERVICES 517 POWER BLOCK HELENA. MONTANA 59601 TEL. 442-3260. EXT. 263 WM. WALTERSKIRCHIN. CHRM. JOHN STRIZ:CH. M.D.. CHRM. T.J. WITHAM POLICY BOARD EXECUTIVE COMMITTEE PROJECT DIRECTOR September 27, 1968 TO:The Honorable Tim Babcock It is with pleasure that the final report of the Governor'sPolicy Board of the Statewide Planning Project for Vocational Rehabilitation is presented to you and to the citizens of Montana. This report represents the efforts of hundreds of citizens whohave generously given of their time and energies during the past 21 months so that the disabled children andadults of our State can fully share the opportunities that other Montanans enjoy. Rehabilitation presents both a challenge and a promise.The challenge can be met if the governmentaland voluntary agencies coordinate their efforts and their resources in the years ahead. The promise will be fulfilled when each person, disabled due to physical, mental, or other conditions, becomes a socially and economically contributing member of our society. Very respectfully submitted, WM. C. WALTERSKIRCHEN Chairman, Policy Board iii ACKNOWLEDGMW Appreciation is expressed to thehundreds of inter- ested Montanans who haveparticipated in the Project and given so willingly of theirtime and energies so that adequate programs for all disabledwill be avail- able in the coming years. T.J.W. TABLE OF CONTPNTS Chapter Page I. INTRODUCTION I Principles of Rehabilitation History of Rehabilitation Legal Authority and Responsibility of Montana Division of Vocational Rehabilitation and Division of Blind Services Source of Funds Division of Vocational Rehabilitation and Division of Blind Services Need for Planning Objectives of Planning Project Population Project Organization II. DEMOGRAPHIC INFORMATION 19 III. STATEWIDE RECOMMENDATIONS 29 IV. STATE INSTITUTIONS MD AGENCIES 125 Methods Used to Estimate Potential of Inmates for Vocational Rehabilitation Services Warm Springs State Hospital Galen State Hospital Mountain View School Montana Children's Center Montana State Prison Pine Hills School Boulder River School and Hospital State School for the Deaf and Blind State Agencies Summary V. THE DISABLED AND HANDICAPPED OF MONTANA 167 Community Survey Method The Disabled of Montana: Estimates and Projections of Chronic Disability and Activity Limitations VI. MONTANA PLANNING PROJECT REGIONS 185 PlanningRegion 1 PlanningRegion 2 PlanningRegion 3 PlanningRegion 4 PlanningRegion 5 CONTENTS (Continued) VII. REHABILITATION FACILITIES 241 Rehabilitation and Treatment Cepters Harley Houses Sheltered Workshops VIII. PROJECT STUDIES 261 Preface Physicians Survey Nurses Survey Professional Personnel. School P:a.sonnel Closed Caseload Study IX. RELATED PROGRAMS 325 The Aging Correctional Rehabilitation Economic Opportunity Program Facilities and Workshops The Military Rejectee Public Assistance The Rural Disabled Social Security and Vocational Rehabilitation Workmen's Compensation Voluntary Organizations Inter-Agency Coordination of Service Programs Coordination with Other State Planning X. SUMMARY OF RECOMMENDATIONS 341 Appendix A: Organizational Charts 355 Appendix B: Project Organization 361 Appendix C: Supportive Data 373 Appendix D: Maps 399 Appendix E: Project Activities 1407 vi LIST OF TABLES BY CHAPTER Table Page CHAPTER I 1 Source of Funds - DVR and DBS 8 CHAPTER II 2 Population - Growth Projections 21 3 Major Sources of Income 24 4 Non-Agricultural Employment Trends in Montana 24 CHAPTER III 5 Number of Employee Man-Years: And Numberof Persons Rehabilitated, Active Cases Served, and Referred Cases Processed Per Employee Man-Year -Region and Agency, 1967 32 6 Total DVR Federal Money. Available toMontana and State Appropriations... 43 7 Number of Handicapped Children in SpecialEducation Programs - By Handicapping Condition 87 CHAPTER IV 8 Number of Residents and Daily Per Capita Costs - Montana Institutions 126 9 Staffing Patterns - Montana Institutions 127 10 Patient Characteristics- WarmSprings State Hospital 134 11 Patient Characteristics-Mountain View School 140 12 Patient Characteristics Nbntana Children's Center.. 142 13 Patient Characteristics-Montana State Prison 145-3_47 14 Patient Characteristics-Pine Hills School 149 15 Patient Characteristics- BoulderRiver School and Hospital 153 vii TABLES (Continued) Table Page CHAPTER V 16 Overall Survey Returns 169 Characteristics of 10,555 Identified Disabled and Handicapped in Montana 17 Ages by Sex 170 18 Marital Status by Sex 171 19 Racial Characteristics by Sex 172 20 Employment Status by Sex 173 21 Employment Barriers by Sex 174 22 Disabilities by Sex 175 23 Disabilities by Sex 175 24 Disabilities by Sex 176 25 Disabilities Reported in Montana Survey 176 26 Selected Reported Disabilities by Region 178 27 Reporting Agencies - Sex Reported 179 28 Chronic Conditions and Activity Limitations in Mbntana 182-183 CHAPTER VI 29 Chronic Conditions and Activity Limitations - Region 1 189 30 Percentages of Physicians Indicating Rehabilitation Potential of Special Groups - Region 1 191 31 Educational Level of Respondents - Professional Survey - Region 1 193 32 Percentages of Professionals and School Personnel Making Referrals to DVR and MS - Region 1 194 33 Estimates of Vocational Rehabilitation Success - Professional Survey - Region 1 194 viii TABLES (Continued) Table Page 34 Reasons for Non-Referral to Vocational Rehabilitation - Professional Survey - Region 1 194 35 Chronic Conditions and Activity Limitations - Region 2 199 36 Percentages of Physicians Indicating Rehabilitation Potential of Special Groups - Region 2 201 37 Educational Level of Respondents - Professional Survey Region 2 203 38 Percentages of Professionals and School Personnel Making Referrals to DVR and DBS - Region 2 204 39 Estimates of Vocational Rehabilitation Success - Professional Survey - Region 2 204 40 Reasons for Non-Referral to Vocational Rehabilitation - Professional Survey - Region 2 204 41 Chronic Conditions and Activity Limitations - Region 3 209 42 Percentages of Physicians Indicating Rehabilitation Potential of Special Groups - Region 3 211 43 Educational Level of Respondents - Professional Survey - Region 3 213 44 Percentages of Professionals and School Personnel Making Referrals to DVR and DBS - Region 3 214 45 Estimates of Vocational Rehabilitation Success - Professional Survey - Region 3 214 46 Reasons
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