Appendix C: DMR Residential Service Descriptions
The Department of Mental Retardation, through each region, enters into contractual arrangements with private providers, or agreements with families or service recipients, to offer or to support community residential supports and services for eligible individuals. The residential supports and services include:
DMR owned, operated, or licensed community residences for individuals who have mental retardation and who need continuous supervision. Services are direct care and habilitative. These homes typically are for six or fewer individuals, although some homes may serve up to 15 people.
Supports tailored to assist persons with mental retardation to live in their own homes in the community. The department does not license these homes.
Families or individuals licensed by DMR to share their homes with and provide support for up to three persons who are eligible for DMR services. In addition, regions may contract with provider organizations or individuals to provide management and recruitment, training and a variety of supports and interventions.
Services are 24-hour nursing care for children or adults who have multiple, serious physical and/or medical conditions. Facilities are licensed by DMR. They are owned or leased and operated by the provider organization or individual.
Facilities providing education/vocational and residential programs for persons eligible for DMR services up to 22 years of age. The facilities are owned, or leased, and operated by the provider and are licensed by the appropriate regulatory agency.
Campus settings are large congregate living residences operated, licensed, or funded by DMR for individuals with mental retardation who need extensive and continuous supervision and services.
Individually tailored supports to assist persons with mental retardation to live in their own home, family home or other home in the community. These supports may be delivered in the home or community and may include personal assistance, adaptive skill development, adult educational supports, transportation, social and leisure skill development, respite, parent training, environmental modifications, clinical and medical supports and adaptive equipment and supplies not covered by insurance, support planning, coordination and administration. The person or his or her family has a person-centered supports agreement that includes an individual plan describing the supports and services to be obtained or provided and anticipated outcomes to be achieved. The person or his or her family has an individualized budget with portable funds and the person or his or her designee controls the distribution of the funds and resources. Individualized supports may include self-directed supports or enhanced family supports.
_ Self-directed supports are designed to met the needs of the individual and enhance consumer empowerment, personal development and choice and control over life decisions and are provided in the person's own home or other home in the community.
_ Enhanced family supports assist families to care for and support their family members who have mental retardation to live in the family home. The supports required by the family exceed assistance provided through the department's other family support programs and may include intensive supports to meet the medical, behavioral, or physical needs of individuals who wish to remain in their family homes.
Source: DMR Regional Protocols: Residential Supports and Services (Effective 7/93; revised 3/95; 7/99)