Gathering triage information to determine a need for services. This service is face-to-face or telephone contact with persons that:
Results in an individual’s name being recorded on an interest list; or
Is associated with the annual contract for individuals on the interest list.
An assessment or endorsement conducted in accordance with Texas Health and Safety Code, §593.005, and 40 TAC Chapter 5, Subchapter D to determine if an individual has intellectual and developmental disabilities or is a member of the DADS intellectual and developmental disabilities priority population.
Assistance in accessing medical, social, educational, and other appropriate services and supports that will help an individual achieve a quality of life and community participation acceptable to the individual as described in the plan of services and supports, which is based on a person-directed process that is consistent with the department’s Person Directed and Family Directed Guidelines for Individuals with intellectual and developmental disabilities. Service coordination is:
- Assessment — identifying the individual’s needs and the services and supports that address those needs as they relate to the nature of the individual’s presenting problem and disability
- Service planning and coordination — identifying, arranging, advocating, collaborating with other agencies, and linking for the delivery of outcome-focused services and supports that address the individual’s needs and desires;
- Monitoring — ensuring that the individual receives needed services, evaluating the
- Effectiveness and adequacy of services, and determining if identified outcomes are
- Meeting the individual’s needs and desires; and
- Crisis prevention and management — linking and assisting the individual to secure
- Services and supports that will prevent or manage a crisis.
- The plan of services and supports describes:
- The individual’s desired outcomes; and
- The services and supports (including service coordination services) to be provided to the individual, with specifics concerning frequency and duration.
Services provided to assist an individual who is not receiving Residential Services to participate in age-appropriate community activities and services. The type, frequency, and duration of Support Services are specified in the individual’s Plan of Services and Supports.
A. Community Support:
Individualized activities that are consistent with the individual’s person-directed plan and provided in the individual’s home and at community locations, (e.g., libraries and stores). Supports include:
habilitation and support activities that foster improvement of, or facilitate, an individual’s ability to perform functional living skills and other daily living activities
- activities for the individual’s family that help preserve the family unit and prevent or limit out-of-home placement of the individual;
- transportation for an individual between home and the individual’s community employment site or day habilitation site; and
- transportation to facilitate the individual’s employment opportunities and participation in community activities.
Planned or emergency short term relief services provided to the individual’s unpaid care-giver when the care-giver is temporarily unavailable to provide supports due to non-routine circumstances. This service provides an individual with personal assistance in daily living activities (e.g., grooming, eating, bathing, dressing and personal hygiene) and functional living tasks. The service includes assistance with: planning and preparing meals; transportation or assistance in securing transportation; assistance with ambulating and mobility; reinforcement of behavioral support or specialized therapies activities; assistance with medications and the performance of tasks delegated by an RN in accordance with state law; and supervision of the individual’s safety and security. The service also includes habilitation activities, use of natural supports and typical community services available to all people, social interaction and participation in leisure activities, and assistance in developing socially valued behaviors and daily living and functional living skills.
C. Supported Employment:
1. Employment Assistance: Assistance to an individual in locating paid, individualized, competitive employment in the community, including:
2. prospective employers offering employment compatible with the individual’s identified preferences, skills, and work requirements and conditions.
2. Supported Employment: Supported employment is provided to an individual who has paid, individualized, competitive employment in the community (i.e., a setting that includes non-disabled workers) to help the individual sustain that employment. It includes individualized support services consistent with the individual’s person-directed plan as well as supervision and training.
Treatment and monitoring of health care procedures prescribed by physician or medical practitioner or required by standards of professional practice or state law to be performed by licensed nursing personnel.
E. Behavioral Support:
Specialized interventions by professionals with required credentials to assist an individual to increase adaptive behaviors and to replace or modify maladaptive behavior that prevent or interfere with the individual’s inclusion in home and family life or community life. Support includes:
- assessing and analyzing assessment findings so that an appropriate behavior support plan may be designed;
- developing an individualized behavior support plan consistent with the outcomes identified in the individual’s plan of services and supports;
- training and consulting with family members or other providers and, as appropriate, the individual; and
- monitoring and evaluating the success of the behavioral support plan and modifying the plan as necessary.
F. Specialized Therapies:
Specialized therapies are:
- assessment and treatment by licensed or certified professionals for social work services, counseling services, occupational therapy, physical therapy, speech and language therapy, audiology services, dietary services, and behavioral health services other than those provided by a local mental health authority pursuant to its contract with the Department of State Health Services (DSHS); and
- training and consulting with family members or other providers.
Day Training Services
Services provided away from an individual’s home to help the individual develop and refine skills necessary to live and work in the community. The type, frequency, and duration of Day Training Services are specified in the individual’s Plan of Services and Supports. This service category includes Day Habilitation, which is assistance with acquiring, retaining, or improving self help, socialization, and adaptive skills necessary to live successfully in the community and to participate in home and community life. Individualized activities are consistent with achieving the outcomes identified in the individual’s person-directed plan and activities are designed to reinforce therapeutic outcomes targeted by other service components, school or other support providers. Day habilitation is normally furnished in a group setting other than the individual’s residence for up to six (6) hours a day, five days per week on a regularly scheduled basis. The service includes personal assistance for individuals who cannot manage their personal care needs during the day habilitation activity as well as assistance with medications and the performance of tasks delegated by a RN in accordance with state law.
Twenty-four hour services provided to an individual who does not live independently or with his/her natural family. These services are provided by employees or contractors of the Center who regularly stay overnight in the individual’s home. This service category includes Family Living, Residential Living, and Contracted Specialized Residences.