IDD Services

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IDD Services: Supported employment, sheltered employment, and therapy for the intellectually and developmentally delayed population.

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Moving on From Retardation

Posted by wogletree on November 8, 2012 at 9:35 AM Comments comments (1)

I took a look at Google Trends this morning.  The phrase "Developmental Disabilities" was most popular in Ohio over the last year.  With Ohio at 100, Mississippi's search for the term fell at 21.  In a search for "Mental Retardation", with Pennsylvania at 100, Mississippi hit 83.  Searches for "Retarded" was similar with Mississippi at 82.

So, I set out to write this post.  Why?  Because we offer services to the IDD community in Jackson County, Mississippi.  In Google Trends for "IDD", with Idaho at 100, Mississippi is 0.  We can say "IDD" all day long, but you're not going to hear us.

IDD stands for Intellectual and Developmental Disabilities.  It's also sometimes abreviated as ID/DD.  We've made the change because "retarded" has become an insult.  In fact, there are many people who think it was mean of the industry to ever use the term.  So, let me set a few things straight.

In 1773, Pennsylvania Hospital became the first public facility for "idiots" and "lunatics".  Then, in 1848, we had the Massachusetts school for Idiotic and Feeble-Minded Youth.  Other terms used were idiot, moron, and imbecile.

At the time these terms were adopted, they were simply meant to medically descriptive.  Our society turned them into pejoritives.  We've done it for hundreds of years. Our society will keep on doing it, and one day we'll have to change the terminolgy again.

One of the earliest terms I found is "cretin".  Today, it means a stupid, foolish, or insensitive person.  When it was coined though, it was a play on its latin roots.  It meant "Christian", for these were the most Christian among us.

If only society had such a heart and such a love for those in need.

Crab Traps

Posted by wogletree on August 17, 2012 at 5:15 PM Comments comments (0)

Crab Traps are made by hand by the individuals we serve here at Singing River Industries and Georco.  The quality of our crab traps are wonderful, and our prices, too.  $28.00 for a four-funnel crab trap.  Support the intellectually and developmentally delayed population.  Support the Mississippi Gulf Coast.  Buy your crab traps here.

Monday through Friday: behind the Gautier Mall. (SRI)

Call us at (228) 497-9468.

Experience the Gulf.  Go crabbing.  Feel good about your purchase.

Singing Rivers Industries in Jackson County.

Georco in Lucedale.

Georco: (601) 947-4855

IDD Therapist: Part 3

Posted by wogletree on June 26, 2012 at 9:30 AM Comments comments (0)

Part III

Year Description Author/Publisher File Name

1963 Mental Health: Hearings before a Subcommittee of the Committee on Interstate and Foreign Commerce House of Representatives Committee of Interstate and Foreign Commerce 63-MHH-CIF.pdf

1970 Developmental Disabilities Services and Facilities Construction Act of 1970 Mr. Kennedy, The Committee on Labor and Public Welfare 70-DDS-MKT.pdf

1971 Secretary's Committee on Mental Retardation: Programs for the Handicapped National Advisory Council on Services and Facilities for the Developmentally Disabled 71-SCM-NAC.pdf

1974 DD Act of 1974 and Committee Report Mr. Randolph, Committee on Labor and Public Welfare 74-DDA-MRC.pdf

1975 DD Act of 1975 US House and Senate 75-DDA-USH.pdf

1978 DD Act of 1978 US House and Senate 78-DDA-USH.pdf

1978 Identification of the New Developmental Disabilities Act, Memo to Marjorie Kirkland, Department of Health, Education, and Welfare Robert A. Dublin, Attorney, US Department of Health, Education, and Welfare 78-IND-RAD.pdf

1981 DD Act of 1981 US House and Senate 81-DDA-3.pdf

1983 Study Regarding Reauthorization of the DD Act Howard Shapiro, Susan Ames-Zierman, National Association of Developmental Disabilities Councils 83-SRR-HSS.pdf

1984 DD Act of 1984 US House and Senate 84-DDA-USH.pdf

1987 DD Act of 1987 US House and Senate 87-DDA-USH.pdf

1990 DD Act of 1990 US House and Senate 90-DDA-USH.pdf

2000 DD Act of 2000 DDACT2

Building a Successful Service / Support System

o Interdisciplinary Planning and Programming

o Individualized plan (Originally the Individual Habilitation Plan (IHP)) required by the original Developmental Disabilities Act.

o In the Rehabilitation Act of 1973 this was identified as the Individualized Written Rehabilitative Program.

o The Education for All Handicapped Children Act of 1975 added the IEP.

o Individuals with Disabilities Act of 1997 and the Developmental Disabilities Assistance and Bill of Rights Act of 2000 still require that an individualized plan be developed.

o Standards of Interdisciplinary Planning and Programming

o The Mississippi Department of Mental Health’s Minimum Standards for Community Mental Health/Mental Retardation Services is designed, in part, to ensure that community programs and services for individuals with mental retardation utilize an interdisciplinary approach.

o In the Medicaid-licensed facilities, the Intermediate Care Facility for Persons with Mental Retardation (ICF/MR) regulations establish the specific set of codes, actions, procedure, etc., that guarantee that the interdisciplinary model is consistently utilized.

o Interdisciplinary Model

o Definition: diverse professional disciplines working collaboratively with the IRS and (often) his/her parents or guardians. This approach fosters development of and brings into existence appropriate supports, services, skill building activities and outcomes. For children, it is an outcome oriented process that provides a seamless transition between school and community. For adults, the team identifies the individuals’ needs, interests, and preferences to foster independence in living arrangements, work activities, learning, friendship and leisure.

o Interdisciplinary Team Composition

o Includes representatives of every group that plays a part in the process or has an interest in the habilitation outcomes.

o Range from a “core team” of four to over a dozen.

o Should include all service providers and individuals the plan will affect.

o Participation of individual (or parents in case of minor) is required unless individual refuses or repeated attempts to reach the individual prove futile.

o An advocate should be identified in cases where the individual does not have friends or family to assist.

o The QMRP is responsible for adapting to habilitation program to fit the individual’s needs. Short-term objectives are important, but the QMRP directs the team to support the long-term plan.

o Six Steps to Plan, Implement, and Monitor the Individual Support Plan

o Assessment, Team Synthesis of Assessment Results, Development of Individual Support Plan, Development of Training Program, Implementation of the ISP, Reassessment and Annual Review of the ISP be the Entire Team

o Development of ISP: Vision of Future has five components: Living Arrangements, Friendship, Fun, Learning, Activities.

o Normalization Principle and the Least Restrictive Environment

o Normalization means: that there is a normal rhythm in one’s day

o That one has a normal routine in his/her life

o That normal rhythms of the year are experienced

o That the individual undergoes normal developmental experiences of the life cycle

o That the choices, wishes, and desires of the individual with MR are considered and respected

o That the individual lives in a world with two sexes

o That the individual with mental retardation lives with the normal economic standards that are prevalent

o That the physical facilities for individuals with IDD are the same as those that are available for ordinary citizens, but (as appropriate) are adapted for the needs of individuals with disabilities.

o Regional Facilities’ Responsibilities in Providing an Education Program in the Least Restrictive Environment

o The five (5) comprehensive regional facilities for IDD individuals operated by the DMH. (The DMH also operated one specialized residential facility for IDD youth.) [Per study material. According to website, the breakdown is as below.]

 Hudpeth Regional Center (children over five)

 North Mississippi Regional Center (children over five)

 South Mississippi Regional Center (children over five)

 Ellisville State School (children (under five as well)

 Boswell Regional Center

IDD Therapist: Part 2

Posted by wogletree on June 19, 2012 at 10:50 AM Comments comments (0)

Part II

The public mental health/IDD service delivery system in Mississippi is administered by DMH

DMH was created in 1974 by an Act of the Mississippi Legislature as outlined in the Mississippi Code of 1972, Annotated,

o Placing into one agency

 Mental health

 Alcohol/drug abuse

 IDD programs…

o Which had previously been under the direction of

 State Board of Health

 Interagency Commission on MI/MR

 Board of Trustees of Mental Institutions

 Governor’s Office

o The stature also addressed DMH’s responsibilities re: Alzheimer’s disease / other dementia.

o The governing board of the DMH is composed of

 9 members

 Appointed by the Governor and confirmed by the State Senate

o Board members serve staggered terms, and by statute is composed of

 A physician

 A psychiatrist

 A clinical psychologist

 A social worker w/ experience in the field of mental health

 And one citizen representative from each of MS’s congressional districts.

o DMH is the largest state agency in Mississippi

o DMH administers:

 State psychiatric facilities (designated counties or service areas)

 Comprehensive regional facilities for persons with IDD (designated c/sa)

 Specialized juvenile facilities (serves individuals throughout the state)

o DMH-Operated Psychiatric Facilities:

 Mississippi State Hospital (MSH) – located in Whitfield, MS

 East Mississippi State Hospital (EMSH) – located in Meridian, MS

 North Mississippi State Hospital (NMSH) – located in Tupelo, MS

 South Mississippi State Hospital (SMSH) – located in Purvis, MS

 Central Mississippi Residential Center (CMRC) – located in Newton, MS

 Specialized Treatment Facility for Emotionally Disturbed Youth (STFED) – located in Gulfport, MS

 Crisis Intervention Centers – various locations across the state at various stages of completion

o DMH-Operated facilities for persons with IDD (*MS network of service delivery systems for IDD)

 Ellisville State School (ESS) – located in Ellisville, MS

 Hudspeth Regional Center (HRC) – located in Whitfield, MS

 North Mississippi Regional Center (NMRC) – located in Oxford, MS

 South Mississippi Regional Center (SMRC) – located in Long Beach, MS

 Boswell Regional Center (BRC) – located in Magee, MS

 Juvenile Rehabilitation Center (JRF) – located in Brookhaven, MS

o Regional community mental health / IDD centers (CMHCs) (*MS network of service delivery systems for IDD)

 Operate under supervision of regional commissions appointed by county boards of supervisors comprising their respective service areas

 15 regional community mental health / IDD centers

o Other nonprofit service agencies / organizations (*MS network of service delivery systems for IDD)

 May also receive funding through DMH

 May also receive funding from other sources

 Programs include

• A&D

• IDD services

• Children MI/ED

o Within DMH, the Executive Director directs all administrative functions and oversees implementation of policies by the State Board of Mental Health

o Central Office of DMG, divided into a Legal Services division and 3 Bureaus

 The Bureau of Administration

 The Bureau of Mental Health

 The Bureau of IDD

• Mission: to serve as a catalyst for the development, provision, and coordination of a comprehensive array of quality services and supports which provide choices and options to the state’s citizens with IDD throughout their lives while promoting a quality of life of participation, inclusion and value.

• Core Values:

o All people are capable of growth and learning regardless of any physical or mental disabilities they may have, or the severity of those disabilities.

o Persons with IDD should have access to life experiences and living conditions as they choose that are appropriate to meet their individual physical, emotional, spiritual and cognitive needs.

o Persons with IDD should be able to utilize appropriate services and supports available to any citizen in their communities

o Services and supports should be designed to meet the individual needs and choices of the person being served throughout his/her life span.

o Services and supports should be designed to promote individual independence, productivity, and integration/inclusion in the community.

o Services and supports should be designed to promote meaningful relationships between individuals with IDD and their families, communities, and individuals at work, school, and in any other environment in which the individuals participates.

o Persons with IDD should be treated with the same respect and dignity as any other citizen.

o To the extent possible, persons with IDD should be able to control their own lives, assuming responsibility for the choices they make.

o The provision of services and supports should be a shared responsibility among families, communities, the governments, and service providers.

• Vision: BIDD promotes and supports the vision of a comprehensive service system for individuals with IDD that encompasses the belief that the system should provide accessible and appropriate service and support options which increase independence, productivity and integration/inclusion in the community.

o The BIDD is directed toward accomplishing this vision through the realization of the following priorities:

 Providing, though person-centered planning, the opportunity for individuals w/ IDD to make choices in lifestyles, services/supports, and familiar relationships that increase their quality of life;

 Assisting and supporting families of individuals with IDD;

 Offering a broad array of support services and training with improve the quality of life of individuals w/ IDD by allowing them to take control of their lives, make their own decisions, and reach full potential as responsible citizens;

 Increasing both the number of individuals served as well as the choices and options available;

 Assisting in the acquisition of adequate, safe, affordable community housing options offering varying levels of support to enable persons with IDD to live where they desire and, at the same time, where they are able to function successfully in the most interdependent and integrated environment;

 Educating service providers and the general public about individuals with IDD, their needs, and how to provide adequate and appropriate services and supports;

 Making case management services a priority for all individuals with IDD to assist them in accessing the service system and advocating for their rights, self-responsibility and privileges;

 Assisting in the development, utilization and maintenance of natural supports among persons receiving services, their families and their communities;

 Empowering persons with IDD, their families and advocacy groups to increase the responsiveness of the public, governmental officials and service agencies to the needs of individuals with disabilities;

 Participating in the development and implementation of interagency agreements to ensure collaborative efforts are successful in providing needed services/supports to individuals w/ IDD w/o unnecessary duplication;

 Encouraging communities to assume responsibility in providing supports as well as inclusion of individuals w/ IDD in all activities and services; and,

 Making the necessary system changes to so that services and supports that are provided are responsive to the expressed needs and choices of individuals with IDD and their families.

• BIDD State Plan – (State Plan for Services and Supports of Individuals with IDD)

o BIDD develops a state plan annually

o Upholds the mission, values, and vision

o Developed w/ input from MBR State Plan Advisory Council

 Establish in 1992

 Council members appointed by the Executive Director of the Department of Mental Health

 Composed of representatives from the following groups/ entities:

• Individuals w/ IDD or parents / family members

• Private service providers

• DMH regional facilities for persons w/ IDD

• Community mental health / IDD centers

• Mississippi Council of Developmental Disabilities

 Business of the council is facilitated by the BMR Community Services Division Director and the Bureau Chief of the BMR.

 Council’s responsibilities:

• Advocate for services for individuals w/ IDD;

• Advise, counsel and support DMH & BMR;

• Provide information on needs for services for individuals w/ IDD;

• Advise and support the BMR in the development of the annual BMR State Plan, and,

• Review the annual BMR State Plan and support its implementation.

o Purpose of State Plan:

 Establish an ongoing state planning process that guides the BMR in developing, implementing and maintaining a comprehensive system of services and supports for persons w/ IDD based on their needs and choices;

 Enable the BMR to communicate to the citizens of Mississippi a plan for the development of the array of services/supports for persons w/ IDD and their families;

 To serve as a guide for the BMR to communicate funding needs and priorities to the Mississippi Legislature, government officials and others;

 To provide, through the establishment of a BMR State Plan Advisory Council, an avenue for individuals with IDD, their family members and service providers to work together in identifying and planning an array of services and supports for citizens of the State with IDD through the annual update of the State Plan; and,

 To serve as a component of a comprehensive effective working plan suggested in the US Supreme Court decision in Olmstead v. L.C., (1999). This decision provides an important legal framework for Mississippi to continue its efforts in enabling individuals w/ IDD to live in the most integrated setting appropriate to their needs. The Court’s decision is based on Title II of the Americans w/ Disabilities ACT (ADA) and clearly issues challenges to all states to develop more opportunities for accessible, cost-effective community-based care.

• Mississippi DMH, BIDD is responsible for the allocation of all funds received for services for persons with IDD. Funds received by the BIDD:

o General Fund Appropriation – MS Legislature appropriates funds to BIDD through DMH’s Appropriations Bill for services and supports for persons w/ IDD, including, but not limited to, comprehensive regional facility services, a specialized adolescent treatment facility, community living arrangements, work activity / employment-related services, and Medicaid match for the Home and Community-Based Services-IDD Waiver and comprehensive regional facilities.

o Social Services Block Grant – DMH is a contractor of the Mississippi Department of Human Services for the provision of social services as supported by Social Services Block Grant funds…supporting work activity / employment-related services, child development and case management services.

o Developmental Disabilities – Public Law 106-402 allocated funds to states for planning and development of model programs for the state’s citizens w/ DD. The MS Council of Developmental Disabilities establishes funding priorities through its State Plan and areas of emphasis which currently include quality assurance activities, education activities and early intervention, child-related activities, health-related activities, employment-related activities, and other community services including formal and informal community supports that affect quality of life. The MS DMH / MIDD as the Designated State Agency, is responsible for an accounting of the utilization of funds.

• BIDD Array of Service and Supports Components

o Annual analysis of identified need(s) for IDD services as well as available resources

o Facilitates the BIDD’s ability to plan for the future of Mississippi’s IDD service delivery system.

o The outlined needs are linked to an annually updated list of existing services and supports in 12 categories:

• Assistive Technology Services

• Case Management (Community Support Services)

• Diagnostic and Evaluation Services

• Early Intervention / Child Development

• Employment / Vocational Services

• Family Support

• Home & Community-Based Services – IDD Waiver

• Living Arrangements

• Respite

• Services for Older Adults

• Protection & Advocacy Services

• Quality Assurance

o Goals and Objectives in the BIDD State Plan

• Yearly goals are categorized in 7 general areas

o Awareness

o Planning

o Services / Supports

o Interagency Collaboration

o Training

o Quality Assurance

o Systems Review

IDD Therapist: Part 1

Posted by wogletree on June 19, 2012 at 10:45 AM Comments comments (0)

Part I

A Department of Mental Health-credentialed IDD Therapist

• is one who has applied and met the following requirements: employment, education. Experience, and inservice. Training requirements.

• Criteria first established by State Board of Mental Health in Jan. 1997

• PCIDDT provisionally certified after July 1, 1998 must complete MR-CTOP (Mental Retardation Core Training Program)

• Is CURRENTLY employed within Mississippi’s state mental health system and provides services within that system.

• State mental health system the network of programs within the state of Mississippi which receive funding or programmatic certification from the Department of Mental Health.

o A 1997 amendment to the original 1996 state law limits these professional credentials to persons employed within the system.

• Includes: PCIDDT, CIDDT, LCIDDT (Licensed Clinical IDD Therapist)

Scope of Practice

• May include adherence to the following standards principles, methods, etc.:

o DMH Minimum Standards for Community Mental Health/Mental Retardation Services, including the following parts:

 Part II Organization and Management

 Part III Human Services

 Part IV Community IDD Services

 Other parts or sections applicable to services provided

o BMH Record guide

o Division of Medicaid’s Mississippi Provider Policy Manual for those applicable providers

o Applicable Program Manual requirements for staff of regional facilities

o Program Policies and Procedures

o Best practices within the field of service, and

o Any specifications set forth in Requests For Proposal (RFPs) for grant-funded programs

• And DMH’s ethical standards/principles

o See Handout 2

Key Points:

• Therapists should notify PLACE of changes in vital information within 14 days.

• Name change:

o Place a request for a name change

o With original certificate, and

o Legal papers verifying name change, and

o $25 to cover cost.

• With 14 days of separation from the state mental health system, a therapist must contact Place to pursue one of the following:

o Relinquish

o Inactive (must meet biennial renewal requirements; not applicable to PCIDDT)

o Extend (PCIDDT)

o Retire (may keep certificate and title but may not practice)

• All requests for change are reviewed by the PLACE Review Board and the DMH Executive Director

• Competence:

o Employment in state mental health system

o Notification of PLACE of change in vital information, esp. employment

o Operate within scope of experience and education

o Individual who holds additional professional credential must hold to all DMH ethical principles in addition to any required by other credentialing body.

o The ethical principles are not to alleviate other guidelines but are in addition to them.


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