ID/DD Waiver Crisis Support Services

ID/DD Waiver Crisis Support Services A. Crisis Support is provided in an ICF/IID or DMH-certified crisis facility and is used when a person’s behavior or family/primary caregiver situation becomes such that there is a need for immediate specialized services that exceed the capacity of Crisis Intervention or Behavior Support Services. (Crisis Intervention and/or Behavior Support is not a pre- requisite for Crisis Support Services). Such situations involve: 1. Behavioral Issues (a) People who have exhibited high risk behavior, placing themselves and others in danger of being harmed. (b) Directly causes serious injury of such intensity as to be life threatening or demonstrates the propensity to cause serious injury to self, others, or animals. (c) Sexually offensive behaviors. (d) Less intrusive methods have been tried and failed. (e) Criminal behavior. (f) Serious and repeated property destruction. 2. Family/other Issues (a) The primary caregiver becomes unexpectedly incapacitated or passes away, and the person’s support needs cannot adequately be met by other ID/DD Waiver Services. (b) The person is in need of short-term services in order to recover from a medical condition that can be treated in an ICF/IID rather than a nursing facility. (c) The primary caregiver is in need of relief that cannot be met by other ID/DD Waiver Services. B. Crisis Support Services include: 1. Medical Care. 2. Nutritional Services. 3. Personal Care. 4. Behavioral Services. 5. Social Services. 6. Leisure Activities as deemed appropriate. C. The Support Coordinator must be notified of a person’s need for Crisis Support. Approval from DMH is required for admission to an ICF/IID or DMH-certified crisis facility for Crisis Support Services. D. Crisis Support is short-term in nature. Crisis Support is initially provided for 30 calendar days. Additional days must be authorized by DMH prior to the end of the authorized date. E. The designated ICF/IID or DMH-certified crisis facility personnel will contact the person’s parent(s)/legal representative(s)/supported decision maker or community living provider within 24 hours of admission to obtain necessary information to provide Crisis Support Services. F. People may attend the ICF/IID day services, activities, and events with people receiving ICF/IID services and attend community services accompanied by an employee providing Crisis Support. G. The ICF/IID or DMH-certified crisis facility consulting psychiatrist or physician will have the opportunity to evaluate the person and review the person’s record to make appropriate recommendations and/or adjustments to the medication regimen. This assessment will be maintained in the person’s record. H. If a person has a Behavior Support Plan upon admission, all employees working with the person should be trained and a copy placed in the person’s record. If the Behavior Support Plan is implemented, employees should document the incident and place it in the person’s record. The use of restraints is not allowed in the ID/DD Waiver. I. If a person does not have a Behavior Support Plan, behavior instructions may be developed as deemed appropriate by the Crisis Support Team to provide specific procedures for consistent interactions for anyone supporting the person. The use of restraints is not allowed in the ID/DD Waiver. J. A transition/discharge planning meeting is required with the person, legal representative(s)/supported decision maker, Crisis Support Team, Support Coordinator, community service provider personnel, and any others the person chooses to attend. All efforts must be made to include all parties involved in the transition process including audio or virtual participation from remote locations. The meeting must occur within five (5) business days of discharge. The purpose of the transition/discharge planning meeting is to discuss changes or updates to the Plan of Services and Supports including risk factors, current medications, and referral to community resources such as CMHCs, medical services, and any other support services needed to ensure a person’s successful transition back to the community. The Support Coordinator must conduct a face-to-face follow-up visit within seven (7) calendar days following discharge to determine any additional needs the person may have.