People First of Oregon
Fairview: The Closing
Chapter
Articles
Only 13 years ago, Shangri-La was threatened with a shutdown because of abuses, sanitation deficiencies and other problems.
Branded unsafe more than a decade ago,
Shangri-La began a slow evolution that not only staved off extinction but led to
recognition as one of Oregon’s best group home providers.
In 1987, Shangri-La was in shambles.
Government regulators swarmed onto the nonprofit
organization’s 32-acre campus southeast of Salem, then home to 70 people with
developmental disabilities, and threatened to shut down three large cottages.
Thirteen years later, Shangri-La shelters 113 people in
small group homes and apartments. Some of the homes were purchased with the
proceeds from the sale of the rural campus.
Shangri-La’s transformation reflected a national sea
change in sheltering people with developmental disabilities. Institutional care
increasingly was rejected by mental health professionals, who favored smaller,
homelike living situations for people with mental and physical disabilities.
Shangri-La’s diverse housing system is tailored for
people with varied needs.
Some live in apartments, hold jobs and go about their
lives with little supervision. Others can’t speak or walk, take nourishment
through tubes and have fragile medical conditions that demand intensive
attention in group homes.
One Shangri-La home is among a small number in the country
housing people with developmental disabilities and Alzheimer’s.
People whose loved ones reside in Shangri-La homes
describe a warm, caring environment.
“Shangri-La has always been very family oriented. It was
started in the 1960s by families who were concerned about their loved ones,”
said Judy Kennedy, whose twin brother, Larry, 56, has been with Shangri-La since
he was 19. “The big difference now is that people live in homes that have more
of a family atmosphere than a large cottage with 20 people. It really is like a
family.”
In the early 1960s, a group of parents banded together to
create an innovative center for people with mental retardation and developmental
disabilities. Many desired a smaller, homier alternative to Fairview, the giant
state institution in Salem.
Amid apple orchards and pastures, Shangri-La set out to
provide retarded children with education and acceptance — progressive concepts
in those days.
Rejection of mentally disabled children was the norm in
the early 1960s. Long before Special Olympics cast a positive light on children
with disabilities, many Americans were terrified of physical and mental
conditions they didn’t understand. Barred from public school classrooms,
mentally retarded children often were shunted to large, crowded institutions.
At Shangri-La, children received rudimentary schooling and
tended gardens. As they grew up, Shangri-La expanded into a 70-bed residential
and vocational training center for developmentally disabled adults.
During the 1980s, Shangri-La lost its luster. State and
federal inspectors repeatedly criticized the center, citing problems ranging
from excessive use of force by staff members to violations of state sanitation
standards and contaminated water.
Rapid staff turnover and infighting between the
organization’s board and a succession of executive directors added to the
difficulties.
Shangri-La hit bottom in 1987.
Allegations of resident abuse engulfed the campus.
Government inspectors threatened to cut off subsidies due to poor care and
unsafe conditions. Family members whose loved ones had spent much of their lives
at the rural campus were shocked by reports of squalid conditions, abusive
treatment and financial chaos.
Enter Jan Kral.
On her first day as Shangri-La’s new director, she
received bad news from state inspectors. “It was about all these horrible
abuses and God-awful things,” Kral remembered. “There were no services in
place. The facility was terribly inadequate. The filth was unimaginable. No
criminal history checks were being done (on caregivers). People weren’t
safe.”
Two weeks into the job, Kral was given a 103-page
deficiency report. She faced a blunt edict from government overseers: Stop the
abuses and make sweeping improvements or shut down.
“I knew it had to change, but I didn’t know how it was
going to change,” Kral said recently.
Under her direction, change came fast. She averted a
shutdown by negotiating a state-approved plan to fix health and safety
violations, refurbish cottages, beef up staffing and expand training.
Even as the old campus took on a fresh look, Kral was
making plans to do away with it. The blueprint called for shifting the 70
residents into a dozen group homes that the organization would buy.
Kral solicited private donations and tapped into other
funding sources to purchase Shangri-La’s first three group homes in South
Salem in 1988. Sale of the large campus to the Salem Fellowship Church in the
early 1990s provided more money to buy additional homes.
Today, the corporation operates nearly 30 residential
sites in Marion County.
Community homes have fewer rules than institutions, Kral
said, giving people more freedom and flexibility in their daily lives. In
addition, she said, residents receive more individual attention from staff.
Basic differences add up to big improvements in individual
lives. “They have an address,” Kral said, “and they go do lots of things
in the community. Plus, we’ve got great staff.”
Hiring and keeping competent, dedicated caregivers poses a
chronic problem for group home providers. In Oregon, staff turnover rates
average 85 percent a year.
Staff turnover within Shangri-La programs averages 57
percent a year.
Kral said training that helps employees manage their lives
as well as perform their job duties is one of the best weapons against turnover.
“The obvious answer would be more money, but we get the same rate as everyone
else,” she said.
Starting pay for direct care aides is $7.50 an hour. Wage
increases for Shangri-La employees are based on job performance rather than
tenure. Managers don’t hesitate to fire employees for poor performance, bad
attitudes or drug and alcohol problems.
“We’re always going to have turnover,” said
Maryhelen Wecker, residential program coordinator. “Sometimes, turnover is not
a negative thing.”
Wecker started working for Shangri-La in 1977. She
suffered through the dark times and takes pride in how the organization operates
today.
Wecker stayed with Shangri-La for a simple reason: “You
make connections to the people. Once I got hooked, I was totally hooked.” This article was by ALAN
GUSTAFSON was published in the Salem Statesman Journal, March 12, 2000