Providing supportive in-home services designed to provide personal assistance, training, and supervision for individuals with developmental disabilities who live with family, in their own home.
Core Service Components Include:
1. Personal Assistance Services (as defined in Virginia’s DD Waiver Manual)
- Assistance with Activities of Daily Living (ADLs):
- Bathing
- Dressing
- Grooming
- Eating and feeding
- Toileting
- Mobility and transfers
- Medication administration (as allowed under DMAS regulations and within provider scope)
- Monitoring of health status and basic health-related tasks (e.g., vital signs, reminders)
- Meal preparation and feeding assistance tailored to dietary needs
- Household tasks essential to health and safety, such as laundry, cleaning, and organization
2. Skill Building and Training (aligned with Individual Support Plan – ISP)
- Teaching and enhancing self-help skills (e.g., toileting, dressing independently)
- Money management training (budgeting, making purchases)
- Support with time management, daily routines, and task organization
- Travel and mobility training (safe community navigation, public transportation use)
- Personal safety training (e.g., responding to emergencies, fire safety)
3. Behavioral Support Implementation
- Execution of Positive Behavior Support Plans (developed by licensed professionals)
- Monitoring and reporting behavior data to behavior specialists or case managers
- Crisis de-escalation techniques (when staff are appropriately trained)
- Reinforcement of appropriate social and behavioral interactions
4. Socialization and Community Engagement (as authorized)
- Development of communication skills, including support with augmentative communication devices (AAC)
- Community integration support to participate in:
- Recreational activities
- Religious and cultural events
- Volunteer and civic engagements
- Facilitation of relationships and peer interactions in natural settings
- Support in educational or employment-related activities (if part of the ISP)
5. Health Maintenance Activities (as per DMAS Guidance)
- Support with healthcare follow-up, such as scheduling appointments
- Accompanying individuals to medical or therapy appointments (when included in ISP)
- Assistance with use and maintenance of durable medical equipment (DME) and assistive technology
6. Family/Caregiver Training and Support
- Training for families/caregivers on implementing strategies outlined in ISP
- Providing respite care (when included and authorized separately in ISP)
- Regular updates and communication with families/caregivers on progress and needs
- Support for caregiver self-care and planning
Service Coordination Activities
- Collaboration with Support Coordinators (Case Managers) and other team members
- Active participation in ISP meetings, assessments, and plan revisions
- Detailed and timely documentation of:
- Daily progress notes
- Data collection on goals/objectives
- Incident reports
- Service logs for billing (per DMAS regulations)
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