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IDD Therapist: Part 3

Posted by wogletree on June 26, 2012 at 9:30 AM

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

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