Intellectual Development Disorder Services

In the Texas MR system, an intellectual development disorder is defined as a permanent condition originating sometime between birth and age 18.  The person's general intellectual functioning is significantly below average and his or her behavior does not meet the level of personal independence and social responsibility expected of the person's age and culture. Intellectual Development Disorders are found among all races and cultures.  An estimated three percent of the population has issues of intellectual development disorders.

Some Texans with intellectual development disorders (IDD) choose to live alone, with their families, in community-based group homes - which range from large to small - or in state intellectual development disorder facilities.  Choice is an important aspect of the planning process.  Individuals make choices about where they want to live, what they want to learn, where they want to work, what they do for fun and more.
 

Person Directed Planning

When someone is offered IDD services and supports, the MRA uses a person-directed planning process to develop an individualized plan of services and supports.  This process empowers the person and his or her family to direct the development of a plan that meets the person's goals.  The process:

• identifies existing supports and services necessary to achieve the person's goals;
• identifies natural supports available to the person and negotiates needed services and supports;
• is done with the support of a planning team that consists of people chosen by the person and family; and
• mirrors the way in which people without disabilities make plans

General Revenue (GR) funded services

MHMR Services for the Concho Valley offers GR-funded services that are primarily intended to help people remain in their own or their family's homes.  With the exception of "deterination of eligibility for IDD services and supports," in order to receive GR funded services, a person who resides in the MRA's service area must:

• have an IDD, which is based on; -a measure of the person's IQ; -a determination of the person's adaptive behavior level (ABL); and -evidence of the disability that originated before the person's 18th birthday.
• have a pervasive developmental disorder, such as autism;
• be a nursing facility resident who is eligible for specialized services for IDD or a related condition pursuant to Section 1919(3)(7) of the Social Security Act; or
• be a child eligible for early childhood intervention services.

Screening

Gathering information to determine a need for services.  This service is performed face-to-face or by telephone contact with persons.  Screening includes the process of documenting consumers' initial and updated preferences for services and the MRA's annual contact of consumers on the MR Services Interest List.

Eligibility Determination

An interview and assessment or an endorsement conducted in accordance with Texas Health and Safety Code 593.005 and 40 TC Chapter 5 to determine if an individual has mental retardation or is a member of the mental retardation priority population as defined by DADS.

Community Support

Individualized activities that are consistent with the consumer's PDP and provided in the consumer's home and at community locations.  Supports include: habilitation and support activities that foster improvement of, or facilitate, a consumer's ability to perform functional living and other daily living activities; activities for the consumer's family that help preserve the family unit and prevent or limit out-of-home placement of the consumer; transportation for a consumer between home and the consumer's community employment site or day hab site; and transportation to facilitate the consumer's employment opportunities and participation in community activities.

Service Coordination

Assistance in accessing medical, social, educational, and other appropriate services and supports that will help a consumer achieve a quality of life adn community participation acceptable to the consumer as described in the Plan of Services and Supports.  Service coordination functions include assessment, service planning and coordination, monitoring, and crisis prevention and management. (TxHmL and GR)

Respite

Planned or emergency short term relief services provided to the consumer's unpaid caregiver when the caregiver is temporarily unavalable to provide supports due to non-routine circumstances.  This service provides a consumer with personal assistance in daily living activities and functional living tasks.

Home and Community Based Services (HCS)

The HCS program is a federally funded program for Medicaid recipients who have a diagnosis of mental retardation and provides service coordination, day habilitation, supported employment, nursing, counseling/therapies, respite, adaptive aids. home modifications, behavioral support, residential supports (group homes, foster care, supported home living) and dental treatment.

Vocational Training

Day Training Services provided to a consumer in an industrial enclave, a work crew, a sheltered workshop, or an affirmative industry, to enable the consumer to obtain employment.

Employment Assistance

Assistance to a consumer in locating paid, individualized, competitive employment in the community including: helping the consumer identify employment preferences, job skills, work requirements and conditions; and prospective employers offering employment compatible with the consumer's identified preferences, skills and work requirements and conditions.

Supported Employment

Supported employment is provided to a consumer who has paid individualized, competitive employment in the community to help the consumer sustain that employment.

TxHmL (Texas Home Living)

The TxHmL program is a federally funded program for qualified Medicaid recipients who have a diagnosis of MR and provides service coordination, day habilitation, supported employment, nursing, counseling/therapies, respite, adaptive aids, home modifications, community support, and dental treatment.

Day Habilitation

Assistance with acquiring, retaining, or improving self-help, socialization and adaptive skills necessary to live successfully in the community and to participate in home and community life.  Individualized activities are consistent with achieving the outcomes identified in the person's PDP and activities are designed to reinforce therapeutic outcomes targeted by other service components.

Nursing

Treatment and monitoring of health care procedures prescribed by physician or medical practitioner or required by standards of professional practice or state law to be performed by licensed nursing personnel.

Continuity of Services

This is a service coordination activity that is provided for a consumer residing in a state MR facility whose movement to the community is being planned or for a consumer who formerly resided in a state facility and is on community-placement status.  Additionally, this service is provided for a consumer enrolled in the HCS or ICF/MR program to maintain the consumer's placement or to develop another placement for the consumer.

In-Home & Family Support (IHFS)

IFHS is designed to provide funds to eligible individuals or their families for the purchase of supported living services and/or goods.  The purchased items must be specifically linked to the individual's disability and support the recipient in the family's or his/her own home.

Behavioral Support

Specialized interventions by professionals with required credentials to assist a consumer to increase adaptive behaviors and to replace or modify maladaptive behavior that prevent or interfere with the consumer's inclusion in home and family life or community life.

CLOIP

Concho Valley provides community living options information to all individuals living in the assigned SMRF and/or their LAR a minimum of one time per year.  The Center also completes the community living options process instrument and provides a written report of the CLOIP process to the SMRF and Designated MRA no later than 14 calendar days prior to the individual's SMRF annual planning meeting.  Concho Valley attends the SMRF annual planning meeting in -person or by teleconference 100% of the time unless the resident and/or their LAR has specifically requested the MRA not participate.

You may view the MR Quality Management Plan here.

For more information about our services, send an e-mail to info@mhmrcv.org