Training
program that offers training for adults during the day and encourage
individuals to participate in activities that are meaningful and stress daily
living, self-advocacy, adaptive and social skills.
An
Innovative Adult Day Training Program structured to further broaden life
learning experiences to those with Intellectual and developmental disabilities.
Adult Day Training Program - Preparing Individuals for Today
using Innovative Solutions! Community links, Inc has been inspired to expand
their services through an Innovative Adult Day Training Program. This is a
program structured to further broaden life learning experiences to those with
Intellectual and developmental disabilities. Community Links, Inc will offer
individuals the opportunity to learn and utilize important life skills along
with a work- related setting. The Community Links Inc. Adult Day Training
program will offer workshops in anger management, relationships, self- esteem,
team builder and communication skills. These workshops in a work- related
environment will in return allow individuals to increase their natural supports
and achieve life goals.
Services
provided to an individual on a one-on-one basis that include supervision and
socialization activities. The activities are intended to teach the individuals
specific skills related to a goal that has been identified by the individual.
In the Developmental Disabilities Waiver Services
Coverage and Limitations Handbook, Companion services
consist of
non-medical care {no hands-on medical care}, supervision and
socialization activities provided to an adult on a one-on-one basis or
in
groups not to exceed three recipients. A companion provider may assist
the
recipient with such tasks as self-care needs, meal preparation, laundry
and
shopping; however, these activities shall not be performed as discrete
services. {Meaning these activities must be beneficial and may only
be
provided in accordance with a specific outcome or goal on the
individual’s
support plan.} Providers may also perform light housekeeping tasks,
incidental to the care and supervision of the recipient. The service
provides
access to community-based activities that cannot be provided by natural
or
other unpaid supports, and should be defined as activities most likely
to
result in increased ability to access community resources without paid
support.
Companion services may be
scheduled on a regular, long-term basis. Companion services are not
merely diversionary
in nature, but are related to a specific outcome or goal(s) of the
recipient.
Examples of acceptable companion activities are volunteer activities
performed
by the recipient as a pre-work activity; going to the library, getting a
library card, learning how to use the library and checking out books or
videos
for personal use; shopping for groceries; or going to an animal shelter
to
learn about animals, and volunteering or assisting at the animal
shelter.
Limitations Providers
of companion services are limited to the amount, duration, and scope of
the
services described on the recipient’s support plan and current approved
cost
plan. A recipient shall receive no more than six hours or 24-quarter
hour units
of these services per day. A unit is defined as a 15-minute time period
or a
portion thereof.
A recipient is
limited to no
more than 30 hours a week of companion services. The unit value is 15
minutes.
Companion services are used to provide a meaningful day activity for a
recipient.
A recipient may not receive a combination of ADT, companion or supported
employment services that exceeds 30 hours per week. A recipient may not
receive
more than a total of 30 hours a week of a paid support, or combination
of paid
supports designed to be used as a meaningful day activity. The companion
rate
shall be based on one to three recipients receiving the service during
the same
time interval. The rate ratio is determined by what is the usual and
customary
service delivery pattern and does not fluctuate with incidental absences
of one
or more recipients included in the rate ratio.
Companion services
are limited
to adults only (21 or older). Recipients may not receive this service in
the
provider’s home. This service cannot be provided concurrently (at the
same
time) with adult day training, personal care assistance, in-home support
services (quarter hour), supported employment and residential
habilitation
services.
Place of
Service: Companion
services may be provided in the recipient’s own home or family home, or
while a
recipient who lives in his own home, family home or licensed facility is
engaged in a community activity. Companion services provided to a
recipient
living in a licensed group or foster home must be performed in the
community,
not the licensed living environment. No service may be provided or
received in
the provider’s home.
Services
provided to an individual living in his/her own home that include
companionship, personal care and other activities necessary to maintain the
individual in a supported living situation.
In the Developmental
Disabilities Waiver Services Coverage and Limitations Handbook, In-home
supports are services that provide recipients who live in their own
homes with
up to 24 hours-a-day assistance from a support worker or support
workers. The
support worker may live in the recipient’s home or apartment and share
living
expenses (rent, utilities, phone, etc.) with the recipient. The support
worker
provides companionship and personal care and may assist with or perform
activities
of daily living and other duties necessary to maintain the recipient in
supported living. The support worker may perform grocery shopping,
housekeeping, and cooking responsibilities or may conduct training
programs
designed by the supported living coach to teach these and other daily
living
skills. The in-home support services are separate and not a replacement
for the
services performed by a supported living coach. Some recipients in
supported
living may need only the services of an in-home support worker or only
the
services of a supported living coach. Other recipients may need both
services.
When both services are used, the providers must coordinate their
activities to
avoid duplication.
The
support
worker, to the extent properly qualified and licensed, may maintain the
recipient’s home and property as a clean, sanitary and safe environment.
The
support worker’s services may include heavy household chores to make the
home
safer, such as washing floors, windows and walls; tacking down loose
rugs and
tiles; replacing a broken window; or moving heavy items or furniture.
This
service offers individualized training and is provided for the express
purpose
of providing access to the community-based activities that cannot be
provided
by natural or other unpaid supports, and are defined as activities most
likely
to result in increasing ability to access community resources without
paid
support.
Limitations: In-home
support services are available only to recipients residing in their own
homes,
excluding family home or sharing of a home with family members. The APD
Area
Office may also approve the use of in-home, live-in, and hourly live-in
services at the appropriate live-in and hourly rate for the service, for
recipients who are in need of support and who reside in a licensed
foster or
group home, limited to no more than three recipients living in the home.
A
recipient receiving in-home support services is not eligible to receive
personal care, or residential habilitation services. In-home support
services may
be billed up to 365 days a year when the recipient is present.
Place of Service:
In-home support services are provided in the recipient’s own home or if
authorized by the APD Area Office in a licensed foster or group home
where
three or less recipients reside in the home. The in-home support
services
worker may also accompany the recipient to activities in the community.
Support
provided to an individual living on their own in the community. This could
include training and assistance for adults to live in and maintain a household
of their choosing in the community.
WHAT IS SUPPORTED
LIVING? Supported living is an opportunity to choose where, how, and
with whom you live. In supported living you receive the supports and
services you need to live in your own home, in your own community.WHERE DO PEOPLE LIVE?
All over the community!
People rent, lease, or buy houses or apartments that are available
through the local housing market and receive the training and assistance
they need to maintain their own private homes. Supported living is a
residential option that does not include any agency-owned, state-owned,
or congregate housing.
WHO IS ELIGIBLE? Anyone 18 years of
age or older who: is a consumer of APD;wants to live in his or
her own home; andneeds some supports and services to live there.
WHAT KIND OF SUPPORT
CAN BE PROVIDED? Each supported living arrangement is different, just as
each person is different!Most individuals in supported living receive
services from a supported living coach. Coaches assist people in areas
where they need some support and help them learn to do new things. This
can include finding a house or apartment, setting up a household, using a
bank and managing money, planning and preparing meals, using public
transportation, shopping, and many other life skills. Coaches help
people find and use the resources of the community and make connections
with others who live there.
An important part of a
coach’s job is supporting people to make everyday choices and to be
responsible and safe in the community. Supported living coaches also
provide emergency assistance as needed 24 hours a day, 7 days a week.
Coaches may work with you for up to 90 days prior to moving into your
own home.
Some of the other services that might be provided to someone
in supported living through the Developmental Disabilities Home and
Community Based Waivers include support coordination, in-home supports,
companion, respite, adaptive equipment, personal emergency response
systems, therapies, community employment services, adult day training,
and transportation. Some individuals may receive a financial subsidy
to help with basic living expenses.
Each support arrangement
is different and depends on the individual’s needs and desires, as well
as available resources.
Training and assistance in a variety of activities to support the
individual in sustaining paid employment. Activities could include
learning, retaining or improving a specific job skill.
In the Developmental Disabilities Waiver Services
Coverage and Limitations Handbook, Supported Employment is
centered on helping people pursue meaningful lives by exploring their
dreams,
hopes, interests, and capabilities through vocational pursuits.
Supported
employment is a process whereby people traditionally denied career
opportunities due to the perceived severity of their disability are
placed in
jobs and provided support as long as needed. Supported employment
services
provide training and assistance in a variety of activities to support
recipients in sustaining paid employment at or above minimum wage unless
the
recipient is operating a small business. The supported employment
provider
assist with the acquisition, retention or improvement of skills related
to
accessing and maintaining such employment or developing and operating a
small
business.
Competitive
work …
In the
competitive labor market that is
performed on a full-time or part-time basis in an integrated
setting; and For which
an individual is compensated at or
above the minimum wage, but not less than the customary wage and
level of
benefits paid by the employer for the same or similar work
performed by
individuals who are not disabled.
Integrated work settings
… A setting
typically found in the community in
which applicants or eligible individuals interact with non-disabled
individuals.
Support Services …
Individualized
supports such as
transportation, job site training, family support or any service
necessary
to maintain gainful employment.
Specialized therapy for individuals, groups and/or families provided to
help reduce the symptoms of mental illness and restore best
possible functional level for community and family involvement.
Some issues that are frequently addressed in counseling sessions:
