Transcript Intellectual Disability: Definition, Classification

SW 644: Issues in Developmental Disabilities
Children’s Long-Term Supports and Services:
Discussion
Julie Bryda, MSSW
Alice Thorson, MSSW
Department of Health Services, Bureau of Long-Term
Support, Children’s Section
Interviewed by: Laura Birnbaum-Singler, MSW
The Katie Beckett Program
 Special eligibility rules
 Child’s income
 Based on functionality/Level of Care
(LOC)
 History
 Parent & Legislative advocacy
CLTS Waivers & Family Support
Program
 Creativity in services
 Flexibility
 Examples of good and services
CLTS Waivers & Family Support
Program
 Home Visit/assessment
 Range of experiences
 Can vary dependent upon knowledge of
service system
 Partnership
CLTS System: Brief History
 Children included within the Adult
system
 Low utilization by children and
families
 Waivers introduced in 2004
 Waiting list of 10,000-13,000 children
CLTS System: Present
 Waiver waiting list – 8,000 - 9,000
 Inclusion of Intensive In-Home
Autism Treatment services
 Mental Health Waiver
 Wrap-around service concept
 Children in and at risk of out-of-home
placements
 Serving children in involved in multiple
systems
CLTS System: Autism Services
 Insurance Mandate
 2009
 Benefits
Best Practice and FamilyCentered Planning
 Role of service coordinator
 Respect for families as expert
 Work with family from childhood through
transition to adulthood
 Family historical perspective
 Maximize family ability to self-advocate
and advocate for their child(ren)
 Partnership
CLTS System across State
Borders
 Waiver funding
 Waiting lists
 Service coordination between States
Conflict with the System:
Avenues for Families
Grievance process at the county level
State Review
Mediation Process
Appeal process through the Dept. of
Hearing and Appeals (DHA)
 Importance of training at State and
County level
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