Transcript Carbon-Monroe-Pike MH/MR

Carbon-Monroe-Pike
Developmental Services
Department
The region encompassed by C-M-P is comprised of 1,557 miles. Estimated
average driving time from one end of the region to the other is
approximately 2.5 hours. The estimated 2008 census population of the
three counties is 290,000.
Carbon-Monroe-Pike serves over
1,400 Intellectually Disabled individuals
each year!
Supports Coordination
Organization
The SCO consists of an SCO
Director, 3 SC Supervisors and
21 Supports Coordinators.
The DS Department serves over
1,000 consumers in a year.
Funding
◦ Supports Coordination is funded through the
promise FFS
◦ Units of service vary from $14.00 to $30.00 a
unit statewide
◦ CMP rate is $18.60 a unit
◦ Travel is not billable
◦ Productivity range is 50-65%
Profile of a typical Support
Coordinator
26 years of age
 Recent College graduate
 Approximately 1 year of direct service
experience (TSS)
 Limited work experience
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A Day in the Life of a
Supports Coordinator…
Information Vital to an SC’s Job:
Beginning to End – The SC’s Role
1.
2.
3.
Intake
Schedule an Appointment (20 days)
Meeting
a) Abbreviated ISP
b) PUNS?
c) Consents
d) MA Application?
4. What’s next?
5. Questions
INDIVIDUAL SUPPORT PLANNING
Information gathered in this section
includes an assessment of health and safety
issues, individual preferences, priorities and
needs that promotes a person centered
planning process in developing outcomes
and positive approaches in supporting the
individual.
To be completed at first meeting
Individual Preferences
◦ Like and Admire
◦ Know and Do
◦ Desired Activities
◦ Important to Individual
◦ What Makes Sense
Medical
Medications/Supplements
 Allergies
 Health Evaluations
 Medical Contacts
 Medical History
 Current Health Status
 Developmental Information
 Psychosocial Information
 Physical Assessment
 Immunization/Booster
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Health and Safety
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Focus Area
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General Health & Safety Risks
Fire Safety
Traffic
Cooking/Appliance Use
Outdoor Appliances
Water Safety
Safety Precautions Knowledge of Self-Identifying Information
Stranger Awareness
Sensory Concerns
Meals/Eating
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Supervision Care Needs
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Reasons for Intensive Staffing
Staffing Ratio – Day
Staffing Ratio – Home
Staffing Ratio
Behavioral Support Plan
Crisis Support Plan
Health Care
Health Promotion
Functional Information
Functional Level
 Physical Development
 Adaptive/Self-Help
 Learning/Cognition
 Communication
 Social/Emotional Information
 Educational/Vocational Information
 Employment/Volunteer
 Understanding Communication
 Other Non-Medical Evaluation
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To Finish up the ISP 3 hours later…
Financial
 Financial Information
 Financial Management Issues
 Financial Resources
 Services and Supports
 Outcome Summary
 Outcome Actions
 Monitoring
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Questions?
Prioritization of Urgency of Need for
Services (PUNS)
Monitoring…
Monitoring Schedule
Additional forms:
Authorization to Provide Case
Management Services
 Release of Information
 Employment Supplement
 Responsibilities for Waiver Services
 Service Authorization Form
 Numerous letters to be sent as mandated
by the State
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Added stressors:
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Due to the growing number of teens and
young adults with Intellectual Disabilities,
SCs must prepare for transition into the
community and workforce. This challenge
is further complicated by the fact that
there is a lack of funding available to
provide the necessary supports. This
often leaves those who graduate sitting at
home watching television.
Carbon-Monroe-Pike Consumers by Age Group
300
250
Largest Group: 267 11-20 year olds.
Frequency
200
150
100
50
0
Ages
3-10
Number
98
Ages
1120
267
Ages
2130
240
Ages
3140
128
Ages
4150
101
Ages
5160
95
Ages Ages Ages
61- 71 to 81 to
70
80
90
54
17
3
61% of CMP DS consumers are 30 years of age and under.
In F.Y. 09/10, CMP had 61new intakes.
The Waiting List
The counties estimate that there are
approximately 1,600 people who will
present as unanticipated emergencies in
the next 6 months, this includes graduates
from the special education system and
children leaving the CYS RTF settings
 It is estimated by the PA waiting list
campaign that there are over 16,000
people waiting for services
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Waiting list continued….
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Support Coordinators are the front line
of professionals who intimately know the
waiting list consumers and families and
advocate for these people
We need to re-think the paradigm
PAAP SC work Group
 ISP
 SIS
 Monitoring demands/caseload
 PUNS
 Technology
 Funding model
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