Community Supports Branch
The Community Supports Branch offers the following supports and services. These are based on the individual's needs and are identified through an individual plan.
- Case Management. May include the initiation, coordination, implementation and monitoring of the assessment, reassessment, evaluation, intake and eligibility processes; assisting a person in the identification, coordination and arrangement of the person-centered team; facilitating person-centered team meetings that assist a person to develop, update, and monitor the Plan of Care (POC), which shall be designed to meet the needs of the participant; and promotes choice, community experiences, employment, and personal satisfaction. Person-Centered Planning involves assisting the recipient in creating an individualized plan for servicespaid and unpaidneeded for maximum independence and integration into the community. The plan is directed by the recipient and must include practitioners of the recipient's choosing. Case Management shall include a minimum of one monthly face-to-face, in-person visit to observe service provision.
- Community Access. Provided in integrated community settings. It is designed to support an individual to participate in meaningful routines, events and activities through various community organizations, and to develop personal social networks, membership opportunities, friendships and relationships. Services are designed to empower the individual in developing natural supports, and stress training that empowers the individual in acquiring, practicing, utilizing, and improving skills related to connecting with others: independent functioning, self-advocacy, community participation, personal responsibility, financial responsibility, or other skills related to optimal well-being as defined in the participant's Plan of Care (POC). Community Access is an impact service, and the POC shall define steps to decrease the provision of the service as the individual becomes more independent in accessing and becoming part of the community.
- Day Training. Designed to foster the acquisition of skills, build positive social behavior and interpersonal competence, and foster greater independence and personal choice. Day Training may include career planning activities designed to develop experiential learning opportunities and career options consistent with the participant's skills and interests that are person-centered and designed to support employment-related goals, provide active training designed to prepare a participant to transition from school to adult responsibilities, community integration, and work; and enable the person to attain the highest level of work in the most integrated setting with the job matched to the participant's interests, strengths, priorities, abilities, and capabilities. Day training may also include supported retirement activities that support a person in hobbies, clubs, or other senior-related activities in the community; or training and supports designed to maintain skills and functioning and to prevent or slow regression, rather than acquiring new skills or improving existing skills.
- Development of Behavior Intervention Strategies (Behavior Support Plan). The utilization of evidence-based best practices in behavioral techniques, interventions, and methods to assist a person with significant, intensive challenges related to the person's intellectual or developmental disability, which interfere with activities of daily living, social interaction, or work. Behavioral interventions may play a supplemental role for addressing challenges related to a co-occurring behavioral health disorder, however the person's primary treatment should be consistent with best practice and evidence-based for the person's behavioral health disorder(s). Positive behavior support plans are developed with the individual and the individual’s person-centered team and are related to goals of interventions, such as greater participation in activities, and/or enhanced coping or social skills. They are clearly based upon the information, data collected, and recommendations from the functional assessment.
- Miscellaneous Goods. Individualized equipment or supplies that are utilized to reduce the need for assistance with personal care or to enhance independence or safety in the home environment and allow an individual to maintain a stable living environment in the community through a decreased need for other services. Any good purchased shall exclude experimental or prohibited treatments and shall be clearly linked to a need.
- Miscellaneous Services. Shall be individualized and used to enhance independence, inclusion in the community, or safety in the home environment. Any service purchased shall exclude experimental or prohibited treatments and shall be clearly linked to a need.
- Outreach and Education. Extend information and educational opportunities in community settings that may not otherwise be available to underserved populations. These services are often mobile and may fill an identified gap in services. Facilitation of educational services can be geared toward entities such as individuals, groups, agencies, public or private, associations or boards. They facilitate activities and efforts to raise community awareness of services and supports available to individuals with I/DD. Tools identified for outreach have included measures such as leaflets, newsletters, advertising, stalls and displays, or dedicated events with common locations such as libraries, community centers, markets, etc.
- PASRR Specialized Services. Continuously and consistently implemented training and related services which are comparable to services received in an ICF/IID or in a community-based waiver program where 24-hour supervision is available. Directed toward skills acquisition, maintenance of functional status, and the implementation of specified goals and objectives, as determined through a person-centered planning process. Services shall be provided in accordance with the applicable Kentucky statute and regulations.
- Personal Assistance. Designed to assist with independence in the community for a participant residing in his or her own home, providing routine personal care services such as bowel and bladder care, bathing, hygiene and grooming care, dressing, routine household care and maintenance, shopping, laundry, money management, medication management and meal preparation.
- Psychological Testing (for diagnostic purposes to determine eligibility for available programs). Shall be provided by a licensed psychologist, licensed psychological practitioner, licensed psychological associate, certified psychologist with autonomous functioning, or certified school psychologist within his or her scope of practice.
- Residential Services. Shall be provided in a provider-owned or -leased residence, in the home of an Adult Foster Care Provider or Family Home Provider, or in a person's own home. Activities covered are necessary to promote increased independence, and are based on the needs of the person as reflected in the person-centered plan. Activities are intended to assure successful community living through utilization of skill training, which may include adaptive skill development, assistance with activities of daily living, community inclusion, social and leisure development, protective oversight or supervision, transportation, personal assistance, and the provision of medical or health care services that are integral to meeting the participant's daily needs.
- Respite. Shall be provided to a person who resides in his or her own home or family's home and who is unable to independently administer self-care. Respite is provided on a short-term basis due to the absence or need for relief of an individual providing care to a participant.
- Supported Employment. Support and assistance provided in accessing and maintaining employment in an integrated community setting and includes person-centered job selection, job development and analysis, job acquisition with support and stabilization, and Long-Term Employment Services. Long-Term Employment Services are covered for any participant for whom a Long-Term Employment Support Plan has been developed and the plan has been incorporated into the participant's plan of care. Other employment services are covered for participants who have exhausted services funded through the Rehabilitation Act of 1973, unless there has been an additional disability or the progression of the individual's disability has far exceeded the original expectation. In this case, additional funding through the Rehabilitation Act may be available and shall be pursued.
Supported Employment is provided by a certified provider that is also a vendor of supported employment services for the Office of Vocational Rehabilitation; is delivered on a one-to-one basis with a participant or indirectly on behalf of a participant; and excludes work performed directly for the supported employment provider or in a group setting where the program participant is secluded from the population of coworkers not identified as program participants. Supported Employment services shall be documented using the established Long-Term Employment Support Plan and Person-Centered Employment Plan.
- Transition. Facilitates outreach, information and assistance for all transition-age youth, with I/DD, in the care of DCBS, ages 16-20. May involve joint case planning, assistance with completing or arranging needed assessments, linkage with other opportunities, such as the Office of Vocational Rehabilitation, and natural supports that may facilitate transition into a person-centered, safe and healthy life after high school.
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