CIIBS Overview (1)
Transcript of CIIBS Overview (1)
1
Children’s Intensive In-Home Behavior Support Waiver (CIIBS)
An Overview
Christie Seligman, Program Manager
Division of Developmental Disabilities
October 2009
2
CIIBS Program Model
3
Intensive Case Management
Steps Toward Enrollment:
4
Intensive Case Management
Building a Child’s Support Team:
5
Intensive Case Management
Monthly Follow-Up Visits for first 90 Days
6
Intensive Case Management
30/60/90 Day Follow-Up Visits Ongoing
7
Intensive Case Management
Collect Program Evaluation Data
8
Program Evaluation
Data Collection Collect baseline information on:
Family stress level (using Parenting Stress Index, a nationally normed tool)
Child’s behaviors at home, school, and in community Progress data collected at 30/60/90 day follow-up visits
(intensive case management activity) Use information in provider Quarterly Reports; format
established by DDD Use data collected by schools Use fidelity measurements to assess implementation of
the wraparound service delivery process (e.g., Wraparound Fidelity Index 4)
Positive Behavior Support Model (PBS)
9
Positive Behavior Support Model (PBS)
Positive Behavior Support in the family home must involve the family members in the design as well as the implementation of strategies. Better outcomes are achieved when families and professionals partner during the functional assessment and when families direct the selection of strategies that will work for them.
10
Positive Behavior Support Model (PBS) Behavior specialists should take the following
into account when working with families:
11
12
Behavior Support Providers
Behavior Specialists: PhD or MA level therapists with expertise in Positive Behavior Support in the family context
Conduct Functional Assessment Design written Positive Behavior Support Plans Provide training and consultation Collect and review data Oversight – ensure ongoing efficacy of plan
Behavior Technicians: Experienced line therapists Implement treatment according to design Work alongside families in the home
13
Collaboration
Working together
14
Collaboration
Family Participation and Partnership with Service Providers
15
Collaboration
Collaboration between school and home
16
Collaboration
Collaboration between health providers
17
Services
Essential Services:
Behavior Management
and Consultation
Staff/Family Training and Consultation
Staff/Family Training and Consultation
Planned Respite
18
Services
19
Services
Total Waiver Service Package: Behavior Management and Consultation Staff/Family Training and Consultation Respite In-Home and Out-of-Home Personal Care Specialized Medical Equipment and Supplies
Therapeutic Equipment and Supplies Assistive Technology Environmental Accessibility Adaptations Vehicle Modifications Transportation Specialized Nutrition Specialized Clothing Specialized Psychiatric Services Nurse Delegation Sexual Deviancy Evaluation Occupational Therapy Physical Therapy Communication Therapy
Averagecost:$4000 perchild permonth
20
CIIBS Program Eligibility
In addition to HCBS Waiver enrollment criteria, a child must meet eligibility criteria per the DDD Assessment:
Age 8-17 (served until 21st b-day)
High Behavior Acuity
Caregiver Risk Score is Medium or Higher
Family Agrees toParticipate in the Program
High or Severe Out-of-homePlacement Risk Score
21
CIIBS Program Eligibility
Algorithm:Rules outlined in WAC Chapter 828 (DDD Assessment)
22
CIIBS Program Eligibility
WAC 388-828-8515 How does DDD determine your CIIBS out-of-home placement risk score?
Clients meeting criteria in 828-8505: Beginning score = 0
Eligible condition of autism in the DDD determination
Add 40 points
ADL support needs level = high, medium or low
Subtract 54 points
Most prominent behavior = assault/injuryAND Severity = "potentially dangerous“ or "life threatening"
Add 14 points
Level of monitoring required during awake hours = "Line of sight/earshot"
Add 13 points
Caregiver risk level = high or immediate Add 136 points
"No other caregiver available" Add 33 points
Mobility acuity level = high, medium or low Subtract 15 points
23
CIIBS Program Eligibility
WAC 388-828-8520 How does DDD determine if I am eligible for the CIIBS waiver?
If your CIIBSout-of-homeplacement riskscore is:
Then your CIIBSeligibility is:
96 or greater Yes - Severe
17 through 95 Yes - High
Less than 17 No - (noteligible)
24
CIIBS Program Eligibility
Screening and Phase-In Schedule
25
CIIBS Program Eligibility
Screening and Phase-In Schedule
26
For More Information
Christie Seligman, Program ManagerDivision of Developmental Disabilities(360) [email protected]