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  • Crisis Behavior Resources for Support Coordination

    1

    The New Jersey Department of Human Services Division of Developmental Disabilities

  • Definitions 2

    What is considered an Emergency?

  • Emergency 3

    means that the eligible person is homeless or in imminent peril.

  • Homeless 4

    means that the individual has no place to live or the individuals living arrangement will end on a certain date within 30 days or he/she has no other living arrangements after that date.

  • Imminent peril 5

    means a situation which could reasonably be expected to cause serious risk to the health, safety or welfare of the individual receiving services or another person in the current living arrangement.

    *Imminent peril does not exist if the Division can put supports into the living arrangement which eliminates the serious risk to the individual

  • Request for Intensive Case Management 6

    Y

    An intensive CM will visit the individual within 48 business

    hours

    SC Unit submits request to Intensive Unit Director

    Reviewed by SC Unit Designee and/or Mentor

    Support Coordinator (SC)

    Has the assigned SC exhausted all service

    options?

    Consult with Statewide Intake/Intensive Unit

    Director

    YES

    NO

  • Adult Protective Services (APS) 7

    APS programs have been established in each county in NJ to receive and investigate reports of suspected abuse, neglect, and exploitation of vulnerable adults living in a community setting.

    The purpose of APS is to stabilize a crisis situation using the least intrusive methods while respecting an individuals rights to self-determination.

  • Making a Referral to APS 8

    The referral should be made by the person with first-hand information and made directly to the county in which the individual resides.

    The referral information should include: o Individuals name, address, phone number o DOB, Social Security number o Diagnoses medical and/or mental health needs o Family members/support systems (services/agencies

    involved) o A specific allegation of abuse, neglect, or exploitation

  • Limits to APS Services 9

    An APS worker is not authorized to: o Remove an individual from his or her own home

    without a court order o Force an individual to accept services o Move an individual to an alternative living situation

    without his or her agreement or a legal representatives agreement.

  • Unusual Incident Reporting (UIR) 10

    DDD Circular # 14 establishes policies and procedures related to incident reporting.

    SCs are required to report suspected or know abuse,

    neglect, and/or exploitation immediately. Contact your Regional Office to report any unusual

    incidents using the phone numbers found on Support Coordinators Guide to Unusual Incident Reporting.

  • Division of Disability Services (DDS) 11

    Office of Information and Assistance Services Office of Home and Community Services Special Projects and Initiatives Statutory Advisory Boards and Councils

    Contact Information Telephone: 888-285-3036

    www.state.nj.us/humanservices/dds

  • Personal Preference Program (PPP) 12

    PPP offers an alternative way for individuals to receive their Medicaid Personal Care (PCA) services.

    PPP vs. PCA Using a monthly allowance, PPP individuals work with a

    consultant to develop a Cash Management Plan that is used to identify the services needed and the workers/agencies they want to hire to provide the services.

  • Personal Preference Program (PPP) 13

    PPP allows the individual to: o Choose the services they want o Hire people that they know/trust o Schedule services to meet their needs o Exercise greater control over their lives

  • Additional PPP Uses 14

    Additional possible uses of PPP monthly allowance: o Purchasing services from an agency o Making home modifications that increases the

    individuals ability to live more independently (i.e., ramp or chair-lift)

    o Purchasing equipment, appliances, technology, or other items that increase independence (i.e., microwave oven or washing machine)

  • How to Apply for PPP 15

    Inform families to contact their Medicaid HMO Care Manager to inquire about PPP Services

    Division of Disability Services (DDS) Toll Free, 1-888-285-3038, Option 2 Direct, 609-292-7800

  • ACCESSING FAMILY SUPPORT SERVICES

    16

    The New Jersey Department of Human Services Division of Developmental Disabilities

  • Family Support Service Descriptions 17

    DDD evaluates requests for Family Support based on an individuals need, the services and supports already

    available, and the availability of DDD resources. Most services are limited and some may not be available in

    specific geographic locations.

    RESPITE: Services provided to individuals unable to care for themselves that are furnished on a short term basis because of the absence or need for relief of those persons who normally provide care for the person.

  • Family Support Service Descriptions 18

    Summer Camp (day): Day Camp is set in a licensed camp facility designed to provide respite to families during the summer months.

    Services provided include assistance in daily living skills and recreation.

    Summer Camp (overnight): Overnight Camp is set in a

    licensed camp facility designed to provide overnight respite to families during the summer months.

    Services provided include assistance in daily living skills and recreation.

  • Family Support Service Descriptions 19

    After Work Program: provides activities and assistance with daily living skills at a site based facility typically Monday through Friday between the hours of 2:30 and 6:00 pm.

    Trained Caregiver: a respite worker trained by the Division who provides in home respite services based on the individuals needs.

    Home Health Aide (Respite): a respite worker trained by a Division contracted entity to provide in home respite services based on the individuals needs.

  • Family Support Service Descriptions 20

    Community Care Residence Provider (CCRP): a person licensed to operate a Community Care Residence under N.J.A.C. 10:44B.

    This service provides out of home overnight respite in a Division licensed setting. Depending on the structure of the home and the qualifications of the CCR Provider, individuals who are non-ambulatory, require nursing care, or have other needs can be served in this setting.

    Out of Home Respite in an agency setting (overnight or

    day time): services typically take place at a site based facility or in the community.

  • Family Support Service Descriptions 21

    In Home Respite through a Contracted Agency: services are provided in the individuals home through a DDD contracted provider.

    Out of Home Respite at a Hotel: overnight respite services provided in a hotel and based on the individuals need.

  • Family Support Service Descriptions 22

    Non Respite Services: Assistive Technology: an item, piece of equipment, or

    product system that is used to increase, maintain, or improve the functional capabilities of an individual.

    o Communication devices, mobility aids, computer software

    Environmental Modification: physical adaptations to the private residence of the individual or the individuals family which are necessary to ensure the health, welfare and safety of the individual or to enable the individual to function with greater independence in the home.

    o Ramps, grab-bars, bathroom modifications, widened doorways

  • Family Support Service Descriptions 23

    Vehicle Modification: adaptations or alterations to an automobile or van that is the individuals primary means of transportation in order to accommodate the special needs of the person.

    o Wheelchair or scooter lift, assist handles, exterior access device controls

  • Conversation to Assess the Need for Family Support Services

    24

    All available generic services must be sought prior to requesting services through Family Support

    What generic resources are available to support the individual and have those services been fully explored?

    Does the individual receive Personal Care Attendant (PCA) Services through Medicaid? These services assist an individual with Activities of Daily Living (ADL).

    If so, are the services provided by an agency or the Personal Preference Program (PPP)? PPP allows the individual and family more choice of who provides the necessary care.

  • Conversation to Assess the Need for Family Support Services

    25

    Does the individual have any behavioral or medical needs? Respite Services: What time periods would be most helpful?

    Weekend (include time of day) Weekdays (include time of day) In-Home or Out of Home (day time or overnight)

    If out of home overnight respite is requested (30 day advanced notice).

    Specific dates and limitations on how far the family is willing to travel to drop off the individual at the respite location.

  • How to Make a Request 26

    After generic resources have been explored, requests for Family Support Services are made by the family to the Support Coordinator

    SC sends an email outlining the request to the Regional Family Support Contact. The request should include a justification of why the service is needed, PCPT, & NJISP. 30 day advance is needed for all Respite Requests.

    The Regional Contact reviews the request

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