Client Data  > 2000 > Glossary

Glossary Fiscal Year 2000 - Division of Developmental Disabilities

Division of Developmental Disabilities (DDD) provides support services and opportunities for the personal growth and development of persons with developmental disabilities resulting from mental retardation, epilepsy, cerebral palsy, autism or similar neurological conditions that originated before adulthood. DDD clients' disabilities are lifelong and constitute a substantial handicap to everyday functioning. Additional, children under age 6 may receive services if they have Down Syndrome or have developmental delays of 25% or more below children of the same age.

Assessments and Case Management: Case managers help DDD clients and their families assess needs; develop and review individual service plans; authorize services; and link clients with needed medical, social, educational or other services. Case managers also provide support and assist in handling life crises. This service does not serve clients living in state institutions.

Residential Habilitation Centers and Nursing Facilities: The following state Residential Habilitation Centers (RHCs) provide residential and habilitation services to persons with developmental disabilities either under Intermediate Care Facilities for the Mentally Retarded (ICF/MR) or Nursing Facility (NF) regulations: Rainier School and the Frances Haddon Morgan Center have only ICF/MR beds; Fircrest and Lakeland Village have both ICF/MR and NF beds; all beds at Yakima Valley are NF.

Community Residential Services: DDD clients who require assistance with daily living may receive facility based or non-facility based Community Residential Services. Clients receiving facility based services live in contracted Intermediate Care Facilities for the Mentally Retarded (ICF/MRs), Adult Residential Centers (ARCs), Group Homes, or Adult Family Homes (AFHs) where staff provide support and training. Clients receiving non-facility based services live in their own homes, either alone or with a roommate. Non-facility based services include Alternative Living, Medical/Dental services (for clients who are not Medicaid-eligible), Supportive Living, State Operated Living Alternatives (SOLAs), Tenant Support, and Other Residential Support. Other Residential Support may include summer recreational activities, specialized aids or equipment purchases, reimbursement for activity fees, client transportation, interpreters, and other community supports. For non-facility based services, contracted agencies provide the necessary support in homes owned or rented by the client.

County Services: DDD contracts with county governments to provide services to both adults and children. Adult-oriented services include: (1) Individual Supported Employment which helps clients find and keep jobs in the community, (2) Group Supported Employment which enables clients to work in groups or enclaves at local businesses, (3) Prevocational Employment / Specialized Industries which provides employment in training centers, and the Community Access service which emphasizes development of personal relationships within the individual's local community. DDD also funds Child Development services through county contracts. These services provide specialized therapeutic or educational services for pre-school children and their families in order to maximize the child's development and to enhance parental support of the child.

Family Support Services: These services enable families to keep children with developmental disabilities at home. Family Support Services include Respite Care, Attendant Care, and Transportation for attendants or family members. Some clients receiving Family Support Services also receive the following services: Nursing Care, Physical Therapy, Occupational Therapy, Instructional Therapy, Behavioral Therapy, Communication Therapy, and Counseling.

Personal Care Service: DDD provides Personal Care Services to Medicaid-eligible children and adults. The major difference between children's and adult's Personal Care is in the interpretation of the level of need for specific Personal Care tasks. This service enables eligible individuals to remain in their community residences through the provision of semi-skilled maintenance or supportive services. These services can be provided in the person's own home, a licensed Adult Family Home (AFH), or an Adult Residential Center (ARC).

Professional Support Services: DDD funds the following Professional Support Services for adult DDD clients supported by Community Residential Services: Medical and Dental services (for clients Medicaid-eligible), Psychological Services (used to determine eligibility), Professional Evaluations (required by the criminal courts), Counseling, Nursing Care, Behavioral Therapy, Communication Therapy, Physical Therapy, Occupational Therapy, Instructional Therapy, and Other Therapies approved by exception. DDD also funds Professional Support Services for persons with developmental disabilities who live with their families.

Note: CSDB counts for Medical/Dental services include only those clients whose treatment was paid for by DDD. Those clients whose treatment was paid for by the Medical Assistance Administration are included in the MAA counts.

Voluntary Placement - Children: A family may ask for out-of-home placement for their child under 18 due solely to the child's disability. Under certain circumstances, the child may be placed in licensed out-of-home care.

Additional Services in Program Total

Some services are small and unlike others. Programs may choose to include these in the program total only, rather than include them with dissimilar services. Client counts and expenditures for the services below appear in the program total only:

1. The Infant Toddler Early Intervention Project (ITEIP) will be reported in the DDD program total only; it will not appear as a separate service. ITEIP provides early intervention services, including family resources coordination, for eligible children from birth to age 3 and their families.

2. Nurse Delegation will be reported in the DDD program total only; it will not appear as a separate service. Nurse Delegation involves the training of non-nursing providers to perform specific types of care for clients.

1. Voluntary Placement Children is reported for the first time.

2. The following services were reported as Supplemental Community Support in Fiscal Year 94 but are now reported as Community Residential Services:

1. summer recreational activities.

2. equipment purchases.

3. reimbursement for activity fees.

4. client transportation.

3. The following services were reported as Supplemental Community Support in Fiscal Year 94 but are now reported as Professional Support Services:

1. interpreters.

2. translators.

3. psychological services.

4. Professional evaluations.

Source: CSDB  - State Fiscal Year 2000

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