SILC Community Survey 2022

State Plan for Independent Living - Community Survey 2022

The South Dakota Statewide Independent Living Council (SILC) is gathering input into the development of the next three-year State Plan for Independent Living. This state plan guides the delivery of “independent living services” available through funding from the US Department of Health and Human Services, Administration for Community Living, Independent Living Administration.

Funding flows through the South Dakota Department of Human Services, Division of Rehabilitation Services, and the centers for independent living (CILs) in South Dakota. The two CILs in South Dakota are Independent Living Choices and Western Resources for Independent Living. The CILs provide services to all 66 counties, including the nine Tribal Nations.

We invite you to complete this survey for yourself, or on behalf of a family member with a disability. These responses will help us learn what South Dakotans with significant disabilities need in order to live where, and with whom they choose, and fully participate in their communities. If you need assistance in completing the survey, please contact our staff at 605.494.3613 and they will be more than happy to assist you.

By completing this survey, you will help us better understand the needs of South Dakotans with disabilities.

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Independent Living Services are designed to assist people with disabilities to reach their personal goals for independence and participation with their families and communities. The five core services of the Independent Living program are:

· Information and Referral

· Independent Living Skills Training

· Peer Counseling

· Individual and Systems Advocacy

· Transition Assistance (related to youth leaving high school or people moving out of nursing homes or staying in their own homes with the right supports).

Eight (8) individuals’ names will be entered to win a $25 Walmart gift card for completing and returning the survey. Please include your name and mailing address at the end of the survey, if you want to be included in the drawing. This information will be separated from the responses.

This information is voluntary and confidential.

Question Title

* 1. Are you a person with a disability?

Yes

Question Title

* 2. If you answered yes to Question 1, what type of disability do you have?

Physical

Cognitive

Mental/Emotional

Hearing

Vision

Multiple Disabilities

Other

Does not apply to me

Other (please specify)

Question Title

* 3. What is your age?

Under 18

18-24

25-34

35-44

45-54

55-64

65+

Question Title

* 4. What is your race or ethnicity?

White or Caucasian

Black or African American

Hispanic or Latino

Asian or Asian American

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

Prefer not to answer

Other

Other (please specify)

Question Title

* 5. Where do you live?

Northeast South Dakota

Southeast South Dakota

Central South Dakota

Western South Dakota

Question Title

* 6. Are you employed?

Yes

Question Title

* 7. Housing

Own

Rent

Live with Family

Temporary

Homeless/Transient

Question Title

* 8. What is your current living situation?

Living in home/apartment with no assistance

Living in home/apartment with assistance from family or friends

Assisted Living Facility or Nursing

Other

Other (please specify)

Question Title

* 9. Are there issues or barriers that you face related to living in your home independently? (Check all that apply)

No worries

Rent/affordability

Accessibility (ramp, wider doors, grab bars, roll in shower)

I need help with daily activities (cooking, showering, cleaning, getting/taking medications, getting dressed, shopping)

I need specialized medical equipment or supplies, environmental accessibility, adaptations, emergency alert system, other environmental controls (flashing alarms, doorbells, smoke detectors).

Nursing home/assistive living provider or staff

Problems with landlord or property management

There isn’t a care provider (service agency), family or friends near me

Lack of public transportation where l live

Other

Other (please specify)

Question Title

* 10. What things do you struggle with or need help doing? (Check all that apply)

Standing up for or protecting myself

Budgeting/money management/paying bills/knowing how much money I have

Cooking

Cleaning

Getting around my home

Medication management

Wellness and self-care (bathing, hygiene, washing clothes)

Obtaining staff, help or support when needed (paid or unpaid)

Communication skills (written, verbal, communication devices, interpreters)

Going to the doctor, picking up medications

Learning how to utilize or schedule rides i.e., public transit taxi, Uber, Lyft,

Get a job, go to college, obtain training

No worries, does not apply to me

Other (please specify)

Question Title

* 11. What things make it difficult to get the support you need? (Check all that apply)

I have all the support I need

I don’t know who or what to ask for

I don’t have anyone who will help me ask for what I need, or help me talk with Social Security, Medicaid, case manager, case worker, provider, doctor, nurse, etc.

I don’t have a smart phone, a computer, access to the internet

There are no service providers where I live

My support providers need better training

I live too far from town

There is no one to translate my language

It is hard for me to read or write

It is hard for people who don’t know me to understand what I am saying

No worries, does not apply to me

Other (please specify)

Question Title

* 12. I would like to learn more about the following: (Check all that apply)

How to train/manage my own support services staff

Where to get help when I feel isolated or alone

Americans with Disabilities Act (ADA), housing laws, other disability rights laws

How to advocate, “speak up” for myself and others

How to talk to or write to elected officials (city, county, state, federal) about things that matter to me

Education/Training/Employment/Vocational Rehabilitation Services

Center for Independent Living

Focus on my well-being (health, nutrition, fitness, wellness)

Budgeting or money management

Skills training to increase my independence (cooking, cleaning, shopping, etc.)

How to prepare for personal or public emergencies or disasters

How to use assistive technology/devices (computer, smart phone)

Nothing, I am good

Other (please specify)

Question Title

* 13. If you could educate (teach) people (businesses, government, family, friends, other people with disabilities) on ONE topic, what would it be?

Question Title

* 14. If you are interested in learning more about independent living services or would like to have someone follow-up with you, please provide your name and contact information.

Name

Email Address

Phone Number

Question Title

* 15. If you want to be entered to win a $25 Walmart gift card for completing this survey, please leave your name and mailing address. (Your information will be separated from the responses).

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code