Community Living – Group Home Support

Community Living-Group Home Support Services provide the participant with development and maintenance of skills related to activities of daily living, instrumental activities of daily living, and socialization, trough application of formal teaching methods in a community residential setting. Skills to be developed or maintained under Community Living Group home Services will be determined based on the participant’s individualized goals and outcomes as documented in his or her person-centered plan. Staff provide formal teaching methods such as systematic instruction. These services provide the participant with opportunities to develop skills related to activities of daily living, instrumental activities of daily living, vocation and socialization which include, but are not limited to:

  1. Learning socially-acceptable behaviors
  2. Learning effective communication
  3. Learning self-direction and problem solving
  4. Engaging in safety practices
  5. Performing household chores in a safe and effective manner
  6. Performing self-care
  7. Learning skills for employment

Community Living Group Home Services include coordination, training, supports, or supervision related to development and maintenance of the participant’s skills. Community Living Group Home Services are provided in a licensed provider operated group home setting. Community LIving Group Home Services are usually provided to no more than four (4) individuals (including the participant) in one home.

Day Habilitation Services

Day Habilitation services are separate and distinct services from other waiver services, including residential services, which can be provided in a variety of settings in the community or in a facility owned or operated by a provider agency. Day Habilitation services provides the participant with development and maintenance of skills related to activities of daily living, instrumental activities of daily living, vocation, and socialization through application of formal teaching methods and participation in meaningful activities.

Through meaningful Day Habilitation activities, a participant learns new skills in:

  1. Employment
  2. Socially-acceptable behavior
  3. Effective communication
  4. Self-direction and problem solving
  5. Engaging in safety practices
  6. Performing household chores
  7. Performing self-care tasks

 

Day Habilitation activities include, but are not limited to the participant’s engagement in:

  1. Activities in which skills can be used to do the type of work the participant is interested in
  2. Self-advocacy classes and activities
  3. Local community events
  4. Volunteering within a nonprofit organization whose mission the participant’s supports
  5. Training and supports designed to maintain abilities and to prevent or slow loss of skills for a participant’s declining condition

Supported Employment Services

Supported Employment Services are provided to a participant a minimum of four (4) hours per day and include a variety of supports to help the participant identify career and employment interests, as well as to find and keep a job paid by a community employer. Supported Employment activities include:

  1. Individualized job development and placement
  2. On-the-job training in work and work-related skills
  3. Facilitation of natural supports in the workplace
  4. Ongoing support and monitoring of the participant’s performance on the job
  5. Training in related skills needed to obtain and retain employment such as using community resources and public transportation
  6. Negotiation with prospective employers
  7. Self-employment supports

Supported Employment services include support services that enable the participant to gain competitive integrated employment, transportation to, from, and within the activity, and personal care assistance as long as it is not the primary or only service provided. Additionally, Supported Employment amy include behavioral supports, and delegated nursing tasks to support the employment activity.

Shared Living Supports Section

Shared Living Supports provide coordination, oversight, and monitoring of Host Homes for participants. Shared Living Supports:

  1. Recruit Host Home providers
  2. Facilitate recruitment and matching services of participants and Host Homes based on the participant’s preferences and choice
  3. Oversee quality management and monitoring compliance with program requirements once the arrangement is established
  4. Provide compensation to Host Home providers for additional household costs incurred as a result of participant expenses.

Shared LIving Supports emphasize the long-term sharing of lives, forming of caring households, and close personal relationships between a participant and the Host Home. The primary responsibility of a Host Home is to make a real home for a participant in which he or she has 1) A satisfying and meaningful relationship, 2) Is safe and free from harm, and 3) Has the support that he or she needs to take risks and to work and participate in community activities. The Host Home is mutually agreed upon arrangement in which a couple or a family in the community share their home and the hosts and the participants share life’s experiences.

Personal Supports

Personal Supports are individualized supports delivered in the participant’s preferential manner to support that person’s independence in his or her own home and/or community in which he or she wishes to be involved in. Personal supports assist participants to acquire and build the skills necessary to maximize their independence. Personal supports include but are not limited to:

  1. In-home skills development in budgeting and money management, completing homework, maintaining a bedroom or home, cooking, personal care; house cleaning/chores; and laundry;
  2. Building skills needed in which participants integrate, engage, and navigate their lives at home and in the community. Skill areas may include, but are not limited to the development of skills which make it possible for participants to grocery shop, get a haircut, use public transportation, attend school or social events; join community organizations or clubs, recreate and/or participate in leisure activities, volunteer, and participate in organized worship or spiritual activities; and

Personal care assistance services during in-home skills development and community activities. Personal care assistance services include helping participants with daily living and instrumental activities of daily living, which may include meal preparation and cleaning when participants are unable to do for themselves, and only when in combination of other allowable personal supports activities are occurring.

Nursing Support Services

Nursing Support services provided to participants focus on health safety and practices which reduce or prevent adverse outcomes. Nursing Support services are identified in participants’ plans which include goals for participants’ quality health outcomes. Nursing Support services include Nurse Consultation, Nurse Health Case Management, Nurse Case Management, and Delegation.

Nurse Consultation Services

Nurse Consultation services are provided to participants enrolled in self-directed services or receiving Supported Living services from a DDA-licensed provider in his or her own home or family home. Nurse Consultation services offers participants, who are able to perform and train on self-medication and treatment administration, a licensed Registered Nurse who: 1) Reviews information about the participant’s health, 2) Based on the review, provides recommendations to the participant on how to have these needs met in the community, and 3) In collaboration with the participant, develop care protocols for the participant to use when the participant trains staff. In the event the person is not able to perform and train on self-medication and treatment administration but all health needs including medication and treatment administration are performed gratuitously, the Nurse Consultant: 1) Reviews information about the participant’s health needs; 2) Based on the review, provides recommendations to the participant and gratuitous caregivers on how to have the participant’s needs met in the community; and 3) In collaboration with the participant and gratuitous caregivers, develop care protocols for the participant and gratuitous caregivers that describes the health services to be delivered gratuitously.

Nurse Health Case Management Services

Nurse Health Case Management Services are provided to participants who: 1) Are able to perform self-medication and, 2) Have medications and treatments provided for using the exemption from delegation from the Maryland Board of Nursing (MBON) related to the gratuitous provision of care; or 3) Have direct support staff employed by a DDA-licensed community provider who performs health services for the participant. Participants can receive Nurse Health Case Management services if they are: 1) Receiving traditional services using the delivery model at a DDA-licensed community provider site, including but not limited to residential, day, or employment services; or 2) Receiving Personal Support services from a DDA licensed community provider; or 3) Enrolled in the self-directed services program in which direct support staff are employed by a DDA-licensed community provider. Nurse Health Case Management services provide participants with a licensed Registered Nurse (RN) who: 1) Reviews the participant’s health services and supports as part of a collaborative process, 2) Assesses, plans, implements, coordinates, monitors, and evaluates options and services to meet the participant’s health needs, and 3) Uses available resources to promote quality participant health outcomes and cost-effective care.

Nurse Health Case Management and Delegation services

Nurse Case Management and Delegation services are provided to participants who: 1) Receive services via the traditional services delivery model at a DDA-licensed community provider site, including residential, day, or employment services, or 2) Receives Personal Support services, or 3) Is enrolled in the self-directed services program. Nurse Case Management and Delegation services provides participants a licensed Registered Nurse Case Manager and Delegating Nurse (RN CM/DN) who: 1) Provides health case management services, and 2) Delegates nursing tasks for an unlicensed individual to perform acts that may otherwise be performed only by a RN or Licensed Practical Nurse (LPN), as appropriate and in accordance with applicable regulations. Participant’s health conditions must be determined by the RN CM/DN to meet delegation criteria, the participant must require delegation as he or she is not able to perform his or her care, and the nursing tasks are assessed to be eligible for delegation as per the MBON COMAR 10.27.11.

Community Development Services

Community Development Services (CDS) are distinct habilitative services, separate from residential services, which aid the participant to develop and maintain skills related to community membership through engagement in community-based activities with people without disabilities. CDS can be provided in a variety of settings in the community which support the participant’s positive growth and development of skills and social supports necessary to gain, retain, or advance competitive integrated employment opportunities. The participant is provided opportunities to learn socially acceptable behavior and self-advocacy skills. Community-based activities offered through CDS may include, but are not limited to the participant’s participation and engagement in:

  1. Activities which facilitate and promote integration and inclusion in the participant’s chosen community, including identifying a path to employment for a working age participant
  2. Travel training
  3. Self-advocacy classes and activities
  4. Local community events
  5. Volunteering within a non-profit organization whose mission the participant’s supports
  6. Performing a paid or unpaid internship

CDS also include transportation to, from, and within activities. Personal care assistance may also be provided during community activities so long as it is not the primary or only service provided. A legally responsible individual (who is not a spouse) and relatives for participants self-directing their service may be paid to provide CDS.

Respite Care

Respite Care is short-term care intended to provide both the participant and his or her family with a break from their daily routines. Respite relieves families or primary caretakers from their caregiver responsibilities while providing participants with new opportunities, experiences, and self-determination. Respite care can be provided in:

  1. The participant’s own home
  2. The home of a respite care provider
  3. A licensed residential site
  4. A state-certified overnight or youth camp
  5. Other settings and camps as approved by DDA

Organized Health Care Delivery System

As an approved Organized Health Care Delivery System (OHCDS), Starflight Enterprises is approved to contract with other entities to provide the following services to participants:

Assistive Technology and Services

Provision of an item, piece of equipment, or product that can be used to maintain or improve functional abilities, and promote ability to live independently and participate meaningfully in the community.

Environment  Assessment

Assessment of participant’s primary residence to assess feasibility or value of environmental modifications or assistive technology to enhance individual’s ability to live in the community

Environment Modifications

Physical modifications to participant’s home  to support individual’s effort to function independently

Live-in Caregiver Services

Live-in caregiver who resides in participant’s home to assist participant with activities of daily living

Transportation Services

Contracted  non-medical assistance training and transport of participants and caregiver to locations in community as identified  in the Person Centered Plan as necessary for community activities and/or needs

Transition Services

Moving expenses for allowable experiences related to participant moving from an institutional setting or a community residential setting to either a his/her own private residence or an alternative community residential setting.

Vehicle Modification Services

Adaptations or alterations made to participant’s  vehicle to accom

*** Note: As an OHCDS, we don’t directly provide the services listed above under OHCDS. We find entities that can do the service, and we contract with them to provide the services to our participants.

Supported Living Services

Supported Living Services provide participants with a variety of individualized services to support living independently in the community. Supported Living Services are individualized to the participant’s needs and interests as documented in the participant’s person-centered plan and must be delivered in a personalized manner.

Supported Living services assists the participant to:

  1. Learn self-direction and problem-solving related to performing activities of daily living and instrumental activities of daily living required for the participant to live independently
  2. Engage in community-based activities of the participant’s choosing within the participant’s personal resources.

Supported Living services enables the participant to:

  1. LIve in a house or apartment of his or her choice located where he or she wants to live
  2. Live with other participants or individuals of his or her choosing which do not include relatives, legal guardians, or legally responsible persons.

Supported Living Services include assistance and facilitation with finding an apartment or home, roommates, and shared supports based on the participant’s preferences and choice; overseeing quality management; and performance in monitoring compliance with program requirements once the arrangement is established.Services may include up to 24 hours of support per day. Supported Living Services provide coordination, training, supports, and/or supervision.

Community Rehabilitation Partners (CRP)

A DORS community rehabilitation partner (sometimes called a CRP) is a non-government organization, ordinarily a non-profit,  working with people with special needs in their community to support them in searching and maintaining employment.

A CRP facilitates the following services to DORS customers:

  1. Pre-employment services like work-adjustment training and employee development.
  2. Career assessment.
  3. Employment skills training.
  4. Job coaching for job development and job support.

Assisted employment practice for customers who are also served by the Developmental Disabilities Administration (DDA)  or Behavioural Health Administration (BHA).