Presentation by Maurice Voisin (South-East Grey Support Services and Keenan Wellar (LiveWorkPlay) at the Community Living Ontario Annual Conference 2018. Rural and urban perspectives by two leading-edge developmental services agencies, supporting people with intellectual disabilities to have autonomy and opportunity for inclusive lives in their communities. * person-centred thinking * assets-based solutions * community-first approaches * barrier-busting technology * authentic valued roles * always building bridges The session included a partial launch of the new Just Enough Support video series, available at http://justenough.liveworkplay.ca

1. Just Enough
The Right Mix of Natural Supports,Technology, and
Paid Resources for Enjoying a Home of One’s Own
65th Community Living Ontario Annual Conference
Richmond Hill, September 14, 2018
Hosted by MauriceVoisin and Keenan Wellar

2. Just Enough
The Right Mix of Natural Supports,Technology, and
Paid Resources for Enjoying a Home of One’s Own
AGENDA
Introduction (Keenan)
The Monitoring Model (Maurice)
Just Enough Support (Keenan)
Video Series Launch
Questions/Discussion
Where Do I Find…

3. South-East Grey
Support Services
65th Community Living Ontario Annual Conference
Richmond Hill, September 14, 2018

4. South-East Grey
Support Services

5. 1961
SEGSS is founded by a group of concerned parents
and volunteers. Schooling is the first priority as
children with developmental disabilities are not
accepted into the public school system.
1974
The Markdale Community Centre is purchased and
renovated to a workshop for students who have
finished school.
SEGSS sets up a supervised Group Home
ARC Industries sheltered workshop opens. Adults
attend day programs for employment and life
skills.
1985
The Association re-evaluates its services and
develops a new philosophy based on
individualized planning for each person receiving
service.
Supervised Group Homes are closed.
1991
South-East Grey Non-Profit Homes is established
to provide safe, secure and affordable housing for
individuals and community members.
1992
First agency owned monitoring home
1993
ARC Industries is closed
In partnership with the Grey County Board of
Education, the Alternate Learning Program is
introduced.
1995
South-East Grey Support Services is the recipient
of the James Montgomery Community Award and
the CMCS Award of Merit for excellence in
supporting people with developmental challenges
to become contributing members of their
communities.
2014
South-East Grey Support Services discontinues
their scheduled transportation system and
individualizes all transportation.
SEGSS Timeline

6. Small Community Monitoring Family: Single Female
O Street
Age: 59 Gender: Female
History:
Resident of Huronia Regional Centre, 40+ years,
medical issues, self-injuring behaviour, limited verbal
communication.

7. Small community Monitoring Family: middle age couple
S Street
Age: 39 Gender: Male
Age: 37 Gender: Female
History:
Male: Deafblind. Cerebral Palsy, has seizures at times.
Limited mobility, Ceiling supports and tracking to
assist with bathing, using toilet, getting in and out of
bed. Intervenor Funding
History:
Female: CAS involvement then hospitalized in
psychiatric unit.
Mother supported by a local Community Living
organization.
Dual Diagnosis, verbally and physically aggressive,
high food drive, insulin dependent diabetic.

8. Rural Monitoring Family: family with two young
children
B Farmer
Age: 27 Gender: Female
History:
Was living at home with single parent Mom but due
to aggression was not able to continue this living
arrangement.
Dual Diagnosis, OCD

9. Small Community Monitoring Family: couple with a young
son
E Farmer
History:
Autism, aggression, sensory processing sensitivities.
Involvement with two other agencies, periods of
hospitalization at two psychiatric hospitals, admitted
to Midwestern Regional Centre then to SEGSS
during facility closure.
Parents were very involved in choosing colours,
fabrics and personalizing his home.
Age: 60 Gender: Male

10. Rural Monitoring Family: Middle aged couple
G Farmer
Age: 50 Gender: Male
Age: 27 Gender: Female
History:
Male: Autism, FASD, Limited Communication, CAS
involvement from a child.Aggression and
hospitalization when living with families or other
people.
History:
Female: Borderline Personality Disorder, Cornelia
DeLang Syndrome, limited communication,
aggression
Lived with family then Foster Care.

11. Rural – edge of town Monitoring Family: couple with grown
children not residing at home
L Farmer
History:
Transferred from Dual Diagnosis Unit
Monitor moved in first to reduce change.
History of behaviour issues in Nursing Homes,
Hostels; issues with stealing/borrowing, verbal
aggression.
Age: 66 Gender: Male

12. Rural Monitoring Family: single retired lady.
M Farmer
Age: 45 Gender: Male
History:
Transferred from group living at another
Community Living organization where at times 2-1
staffing was required.
Parents advocated to have him relocated; staffed 24-
hrs for one year then monitor moved in to lower
level of home.

13. Rural Monitor – Single man
A Farmer (upper)
History:
Midwestern Regional Centre, on Behaviour
Treatment Unit.
Unsuccessful group home placement with another
agency.
Aggression, flight risk, Dual Diagnosis, strong
cultural and familial contacts, little comprehension
of dangers – ex: traffic, environment, strangers,
threats to others, lots of boundary issues; with
SEGSS 15 years, dedicated vehicle (van) due to
previous incidents – all male staff
Age: 48 Gender: Male

14.  The matching process with supported individuals and the monitor is very important
 Each monitoring agreement is unique and can be tailored to the individual(s)
 SEGSS has 4 locations where 2 individuals are supported, 12 locations where 1 individual
is supported, and 1 location with 24 hour staffing that will transition into a monitoring
location. Four supported individuals live in agency owned homes without monitors.
 Monitors are required to go through appropriate training and screening – such as
Quality Assurance Measures (QAM), Vulnerable Sector Screening and First Aid
 As a general guideline, monitoring is from 8:00 each evening to 8:00 a.m. the following
day but tailored to the individual and around their support hours
 Monitoring agreements are signed and updated annually
 With the SEGSS model, the agency owns all of these homes; however, the model is
flexible enough for a family to own the home
South-East Grey Support Services (SEGSS) Monitoring Model Highlights
. . . Cont.

15.  Monitoring families are provided 24 days/year respite (paid by SEGSS). We encourage
the monitor to select people to provide this respite as the respite provider usually stays
in their living space. Other arrangements can also be made, such as the individual’s staff
as one alternative. The 24 days are selected by the monitor
 Once a respite provider is selected, SEGSS requires them to go through the same
training and screening as the monitors
 One advantage of a monitoring family is that the same person is there each night and
can develop a relationship with the supported individual rather than to have rotating
staff at night
 All supported individuals have a separate entrance to their own accommodations
 Monitors act as ‘Good Neighbours’ and are not usually involved with team meetings or
day to day support
 During snow days/emergency situations, monitors can often provide support if the staff
member is unable to get to that location
South-East Grey Support Services (SEGSS) Monitoring Model Highlights cont.
For more information on SEGSS or our Monitoring Model,
please contact Maurice Voisin at
mvoisin.segss@bmts.com

16. Supported Individuals Living Arrangements 2018
Family Monitored
Supported
Independent
Living
Agency –
Non-monitored
Associate
Family
Long Term
Care
28 19 14 8 2 1
Familyhome 24-Hour Staffed Other
1 1 4

17. The Capital to Purchase Real-estate came from:
Rent
Sale of Sheltered Workshop
Non-Profit Housing (dedicated supportive housing 4 locations)
Capital funding during deinstitutionalization
Mortgages using existing properties as collateral
Donations (Estates)
Property is owned by S.E.G.S.S. Association (Foundation)

18. Location Apt benefits admin
25% 10%
Upper 47 60,141 15,035 7,518 82,694
Lower 62 70,176 17,544 8,772 96,492
T Street Apt 77 96,166 24,041 12,021 132,228
O Street Apt 50 53,247 13,312 6,656 73,214
B Farmer Apt 32 42,009 10,502 5,251 57,762
C Farmer Apt 23 23,142 5,786 2,893 31,820
D Farmer Apt 57 69,337 17,334 8,667 95,338
E Farmer Apt 51 61,489 15,372 7,686 84,548
Upper 91 108,416 27,104 13,552 149,072
Lower 95 102,514 25,628 12,814 140,957
K Farmer Apt 60 60,681 15,170 7,585 83,436
M Farmer Apt 95 108,440 27,110 13,555 149,105
R Farmer Apt 41 55,661 13,915 6,958 76,534
L FARMER Apt 85 90,355 22,589 11,294 124,238
Total 1,001,772 250,443 125,222 1,377,437
Average 12 Locations 71,555 17,889 8,944 98,388
G Farmer
S Street
Hours of
Support/wk
Dirct Ind
Suprt cost
Total

19. Location Apt Utilities Insurance R&M Cost to operate
does not include
minor capital
Upper
Lower
T Street Apt 3,743 1,127 1,610
O Street Apt 3,750 927 1,707
B Farmer Apt 6,301 1,294 1,357
C Farmer Apt 6,424 1,074 2,226
D Farmer Apt 5,687 1,056 1,686
E Farmer Apt 5,586 919 1,375
Upper
Lower
K Farmer Apt 3,558 749 1,441
M Farmer Apt 6,078 1,185 1,862
R Farmer Apt 8,085 1,442 1,640
L FARMER Apt 5,493 913 3,056
Total 68,367 12,878 27,619 108,864
12 Locations average 5,697 1,073 2,302 9,072
Depreciation 200,000 20yr. straight line 10,000
Average Cost to Operate a Monitoring Location 19,072
Upper
Lower
Depreciation 200,000 20yr. straight line 10,000
A Farmer Total 20,018
1,192 2,447 10,018A Farmer 6,379
20,629
12,366
13,147
4,755
12,864
18,676
16,309
14,873
4,904
S Street 1,096
6,515
G Farmer 1,0967,147

20. Developmental Service Cost Drivers Project
June 6, 2014 presentation to Developmental Service Finance Group

21. Developmental Service Cost Drivers Project
June 6, 2014 presentation to Developmental Service Finance Group

22. OUR SIX CORE PRINCIPLES
FOR “JUST ENOUGH SUPPORT”
• person-centred thinking
• assets-based solutions
• community-first approaches
• barrier-busting technology
• authentic valued roles
• always building bridges
If you are not intentionally including, you
are probably accidentally excluding…
Helping the community welcome
people with intellectual disabilities to
live, work, and play as valued citizens
• Established 1995
• First funded 2001
• Major changes 2006-2008
• TPA in 2016

23. So you made some videos…
Whoopdeedoooooooooooooooooooooooooo!
Heather
and Norm
Tim and Anthony
Jalynn and
Valerie
Phil and
Chris

24. SPECIAL ADVANCE SCREENING!

25. OUR SIX CORE PRINCIPLES
FOR “JUST ENOUGH SUPPORT”
• Person-CentredThinking
• Assets-Based Solutions
• Community-First Approaches
• Barrier-BustingTechnology
• AuthenticValued Roles
• Always Building Bridges
If you are not intentionally including, you are probably accidentally excluding…
• Being Creative
• Embracing Change
• Valuing Diversity
and Inclusion
• Individualized
• Recognizing Abilities
• Community Involvement
QUESTIONS!?

26. Where do I find…
http://www.segss.com http://liveworkplay.ca
http://helensandersonassociates.co.uk/ca/
http://www.multifaithhousing.ca/the-haven.html
VIDEO SERIES: http://justenough.liveworkplay.tv
THESE SLIDES: http://bzbz.ca/clojustenough