Detailed Description of SCL Services

Community Access:
A service designed to support a waiver participant to become involved in clubs and organizations including recreational, educational, religious, civic and volunteer opportunities with an outcome of less reliance on formal supports and more on natural supports such as neighbors, friends, and church members.

Community Guide:
Support to provide information and assistance in problem solving and decision making for people who choose to direct their own services including recruiting and hiring staff, training, managing, evaluating and terminating staff as necessary as well as understanding provider qualifications, recordkeeping and other waiver requirements.

Conflict-free Case Management:
The person who helps the individual and/or his/her family to develop a plan to meet the individual's needs is called the case manager. The case manager also works closely with the individual to make sure he/she is pleased with the services he/she receives.

Consultative Clinical and Therapeutic Service:
This includes professional consultation, evaluation and assessment of the person in the environment and the system of support for the person and their team. The service may be provided by the following: certified nutritionist, licensed dietitian, licensed marriage and family therapist, licensed professional clinical counselor, licensed psychological associate, licensed psychologist, licensed psychological practitioner, licensed clinical social worker, positive behavior support specialist.

Day training:
This service supports the SCL recipient to participate in daily meaningful routines in the community, and it stresses training in the activities of daily living, self-advocacy, adaptive and social skills, and vocational skills. On- site services should lead to the acquisition of skills and abilities for work and/or community participation. Off-site services are provided in a variety of community settings, promoting inclusion and natural supports.

Occupational Therapy:
The therapeutic use of self-care, work and play activities to enhance development and achieve as high a level of independence and quality of life as possible. This may include adaptation of tasks or environment to achieve maximum independence and to enhance quality of life. A licensed Occupational Therapist, or an Occupational Therapy Assistant supervised by a licensed Occupational Therapist, may provide this support.

Person-centered Coaching:
This service is available to any participant to be used when a barrier challenges the success of the participant or the implementation of a plan of care. The person centered coach is under the direction of a positive behavior support specialist or other licensed professional in the settings where the plan of care is implemented. The person centered coach operates independently of a residential or day training provider.

Personal Assistance Services:
These services shall enable a person to accomplish tasks that the person normally would do for themselves if the person did not have a disability. This is available only to a person who lives in their own residence or in their family’s residence.

Physical Therapy:
The use of therapeutic exercise, cardiovascular endurance training, and training in self-care to alleviate pain and improve functional ability. A licensed Physical Therapist, or a certified physical therapist assistant supervised by a licensed Physical Therapist, may evaluate and treat people with health problems resulting from injury or disease.

Positive Behavior Supports:
Because some individuals act differently, they may not always be accepted by others. Behavioral Supports are ways to enable individuals to make changes in their lives or environment so others will accept them.

Residential Support Services:
Level I Residential Supports may be provided in a licensed group home for no more than 8 people or in a staffed residence with no more than 3 people living together who require up to 24 hours a day, intense level of support, with no more than five unsupervised hours per day per person.

Level II Residential Supports may be provided in a family home provider setting or adult foster care setting, for no more than 3 people living together who require up to 24 hour a day level of support.

Respite:
A time of rest or relief for those persons normally caring for an individual. This service is only available to an individual living in a family home residence, and is not for those living in a group home or staffed residence.

Speech Therapy:
Assists an individual in improving communication and is provided by a licensed professional.

Supported Employment:
Intensive, ongoing support for an SCL recipient to maintain paid employment in an environment in which an individual without a disability is employed.