Presentation on theme: "Office of Developmental Services"— Presentation transcript:
14-18-13 Office of Developmental Services Regional Support TeamsSupporting Individuals in the Most Integrated SettingsPurpose, Membership, ReferralInformation for DD Case ManagersOffice of Developmental Services
2Additional information and contacts Regional Support TeamsDOJ Settlement AgreementRole of Regional Support Team (RST)Target PopulationMembershipReferral ProcessSee acronym handout as needed.ReportingAdditional information and contacts
3“The Commonwealth will create five Regional Support Teams…” DOJ Settlement - RSTs“The Commonwealth will create five Regional Support Teams…”from Settlement Agreement signed August 23, 2012SA = Settlement AgreementSA Section IV. D.3.Operational March 2013
4Role of Regional Support Team To provide recommendations and assistance in resolving barriers to the most integrated community setting consistent with an individual’s needs and informed choice.SA Section III.E.2. and IV.D.3.
5Live in training centers DOJ Target PopulationIndividuals with ID/DD who:Live in training centersMeet ID or DD wait list criteriaLive in a nursing home or ICFSA Section III. B. 1. a - c.
6Includes diverse experience in ID/DD services RST MembershipOne in each of 5 regionsCo-coordinated by Community Resource Consultants (CRCs) and Community Integration Managers (CIMs)Includes diverse experience in ID/DD servicesIncludes diverse group of professionals with expertise with complex medical and behavioral supportsSA Section IV.D.3.
7RST Membership* CIM/CRC Co-Facilitators Office of Licensing Specialist Human Rights AdvocateTraining Center Social Work DirectorSTART DirectorMedical Representative (from TC)Medical Representative (from community/CSB)ID DirectorCSB SC SupervisorDD Case Management ProviderAdditional experts based on need*per region
8DBHDS CRCs receive referrals from CMs RST Referral ProcessDBHDS CRCs receive referrals from CMsDBHDS = Dept of Behavioral Health and Developmental ServicesCRCs = Community Resource Consultants
10CSB Support Coordinator RST Referral ProcessISTISTPSTTC Social WorkerCSB Support CoordinatorDD Case ManagerIST = Individual Support Team. Process occurs differently for training centers.CRCCIMRegional Support Team
11provide informed choice of providers RST Referral Process: CommunityCase Managers (CMs):support Individual Support Teams in resolving barriers/gaps in services and supportsprovide informed choice of providerscomplete and send referrals to CRCsSA Section III.C.5.
12RST Referral Process: Community DMAS:provides technical support to CMs and CRCsassists CMs and CRCs in resolving barriers to services and supports before referring to RSTprocesses requested changes in services resulting from RST processSA Section III.E.1-2.
13RST Referral Process: Community Referrals to CRCs, then to RSTs occur if:a. the Individual Support Team (IST) is unable to locate services and supports within 3 months of enrollment into Waiver.Section III.E.3.a.
14RST Referral Process: Community Referrals to CRCs, then to RSTs occur if:b. the IST recommends an individual living in his/her own home, a family home or sponsored home move to a group home with 5 or more individuals.Referrals would be made if moving to a congregate location with 5 or more individuals. This criteria is considered rare for individuals with DD Waiver.Section III.E.3.b.
15RST Referral Process: Community Referrals to CRCs, then to RSTs occur if:c. The IST recommends that an individual move into a nursing home (NH) or Intermediate Care Facility (ICF).Section III.E.3.c.
16RST Referral Process: Community Referrals to CRCs, then to RSTs occur if:d. there is a pattern of an individual being removed from his or her home.This might be someone who has an ongoing medical or crisis need.Section III.E.3.d.
17Referrals to RSTs from CRCs also occur: RST Referral Process: CommunityReferrals to RSTs from CRCs also occur:e. whenever [a CRC] believes that external review is needed to identify additional steps towards more integrated settings and informed choice.The CRC may consult at any time with the Regional Support Team. Upon referral toit, the Regional Support Team shall work with the Personal Support Team ("PST")and CRC to review the case, resolve identified barriers, and ensure that the placementis the most integrated setting appropriate to the individual's needs, consistent with theindividual's informed choice. The Regional Support Team shall have the authority torecommend additional steps by the PST and/or CRC. Section III. E. 2Section III.E.2.
18Role of Regional Support Team Need corrected form.
19RST Referral Process: Community RST Referral Form
20Actions taken by IST/CM RST Referral ProcessReferrals provide information on:Individuals preferences & good lifeSupports needed and plannedActions taken by IST/CMCRC agreement with referralNotification of informed choice and opportunities for integrated settings
21RST Referral ProcessMembers of the Individual Support Team or DMAS may be invited by CRC or the RST to assist with some discussions.
22RST Referral Process RST Actions: Reviews good life and confirms informed choice.Reviews options explored/considers alternativesAssures information about community integration and opportunities providedConsiders individual needs and preferences and most integrated settings
23RST reportingRST recommendations and resolutions documented on the referral form by the CRC.Data on reasons for referral, barriers, recommendations and resolution collected.
24Check this website periodically for updates. Additional informationCheck this website periodically for updates.
25Gail Rheinheimer, Community Resource Manager (804)(804)ContactsGail Rheinheimer, Community Resource Manager(540)Community Resource ConsultantsSam Pinero, DD Waiver Manager at DMAS(804)