Definition of Service:
Community Access Services are designed to assist the individual in acquiring, retaining, or improving self-help, socialization, and adaptive skills required for active community participation and independent functioning outside the individual’s home or family home.
These services are interventions in the areas of social, emotional, physical, and intellectual development and may include training in the areas of daily living skills (including leisure/recreation skills); communication training; mobility training; programming to reduce inappropriate and/or maladaptive behaviors; and training in the use of common community resources.
The emphasis of training will be on assisting the individual in increasing self-help, socialization skills, or daily living and adaptive skills required for active community participation and independent functioning outside the individual’s home or family home. These activities include accompanying individuals to the grocery store, or eating establishments; teaching an individual programming to reduce inappropriate social and recreational activities.
The following Community Access Services are offered:
- Community Access Group
- Community Access Individual
Community Living in Support Services
CLS services include training and assistance with activities of daily living (ADLs), such as bathing, dressing, toileting, and transferring, and with instrumental activities of daily living (IADLs), such as personal hygiene, light housework, laundry, meal preparation, transportation, grocery shopping, using the telephone, and medication and money management.
These services include:
- Transportation to facilitate the individual’s participation in grocery or personal shopping, banking, and other community activities that support continued residence of the individual in his or her own or family home.
- CLS services may include medically related services, such as basic first aid, arranging and transporting individuals to medically appointments, accompanying individuals accompanying individuals on medical appointments.
- CLS service includes documenting an individual’s food and/or liquid intake or output, reminding individuals to take medication, and assisting with or supervising self-administration of medication.
Prevocational Services Program
Prevocational Services occur in facility-based settings or at community sites outside the facility for small groups of individuals, called mobile crews, who travel from the facility to these community sites. Mobile crews receive Prevocational Services by performing tasks, such as cleaning or landscaping, at community sites other than the individual’s home or family home or any residential setting. The emphasis of Prevocational Services is directed to habilitative rather than explicit employment objectives. These services include teaching individuals concepts necessary to perform effectively in a job in the community.
Activities included in these services are directed at teaching concepts:
- Concepts such as rule compliance, attendance, task completion, problem solving, endurance, work speed, work accuracy, increased attention span, motor skills, safety, and appropriate social skills.
- The intended outcome of these services is to prepare the individual for paid or unpaid employment through increased skills. Prevocational Services are individually planned to meet the Individual’s needs for preparation of paid and unpaid employment.
Respite Services may be provided in the individual’s own or family home, or outside the individual’s home in a private residence of a Respite Services provider (i.e., a home that is owned or rented by the provider or an employee of the provider) or in a Licensed Personal Care Home. Respite Services should include short-time services during a day or overnight services.
Respite Services provide brief periods of support or relief for caregivers of individuals with disabilities.
Respite is provided in the following situations:
- When families or the usual caretakers are in need of additional support or relief;
- When the individual needs relief or a break from the caretaker;
- When an individual is experiencing a crisis and needs structured, short-term support;
- When relief from care giving is necessitated by unavoidable circumstances, such as a family emergency.