IDD Services

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IDD Therapist: Part 2

Posted by wogletree on June 19, 2012 at 10:50 AM

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

Categories: None

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