Regional Support Teams Supporting Individuals in the Most Integrated - - PowerPoint PPT Presentation

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D B H D S Virginia Department of Behavioral Health and Developmental Services Regional Support Teams Supporting Individuals in the Most Integrated Settings Purpose, Membership, Referral Information for DD Case Managers 4-18-13 Office of

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D B H D S

Virginia Department of

Behavioral Health and Developmental Services

Regional Support Teams

4-18-13 Office of Developmental Services

Supporting Individuals in the Most Integrated Settings Purpose, Membership, Referral

Information for DD Case Managers

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DBHDS

Virginia Department of

Behavioral Health and Developmental Services Regional Support Teams

Target Population
DOJ Settlement Agreement
Referral Process
Role of Regional Support Team (RST)
Membership
Reporting
Additional information and contacts

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DBHDS

Virginia Department of

Behavioral Health and Developmental Services

“The Commonwealth will create five Regional Support Teams…”

from Settlement Agreement signed August 23, 2012 SA Section IV. D.3.

DOJ Settlement - RSTs

Operational March 2013

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DBHDS

Virginia Department of

Behavioral Health and Developmental Services

To provide recommendations and assistance in resolving barriers to the most integrated community setting consistent with an individual’s needs and informed choice.

SA Section III.E.2. and IV.D.3.

Role of Regional Support Team

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DBHDS

Virginia Department of

Behavioral Health and Developmental Services DOJ Target Population

SA Section III. B. 1. a - c.

Individuals with ID/DD who:

Live in training centers
Meet ID or DD wait list criteria
Live in a nursing home or ICF

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DBHDS

Virginia Department of

Behavioral Health and Developmental Services

One in each of 5 regions
Co-coordinated by Community Resource

Consultants (CRCs) and Community Integration Managers (CIMs) SA Section IV.D.3.

RST Membership

Includes diverse experience in ID/DD services
Includes diverse group of professionals with

expertise with complex medical and behavioral supports

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DBHDS

Virginia Department of

Behavioral Health and Developmental Services

RST Membership*

CIM/CRC Co-Facilitators Office of Licensing Specialist Human Rights Advocate Training Center Social Work Director START Director Medical Representative (from TC) Medical Representative (from community/CSB) ID Director CSB SC Supervisor DD Case Management Provider Additional experts based on need *per region

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DBHDS

Virginia Department of

Behavioral Health and Developmental Services

DBHDS CRCs receive referrals from CMs RST Referral Process

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DBHDS

Virginia Department of

Behavioral Health and Developmental Services

DD Waiver

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DBHDS

Virginia Department of

Behavioral Health and Developmental Services

TC Social Worker

CRC CIM

RST Referral Process

Regional Support Team

CSB Support Coordinator DD Case Manager PST IST IST

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DBHDS

Virginia Department of

Behavioral Health and Developmental Services

support Individual Support Teams in resolving

barriers/gaps in services and supports

complete and send referrals to CRCs

Case Managers (CMs):

RST Referral Process: Community

provide informed choice of providers

SA Section III.C.5.

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DBHDS

Virginia Department of

Behavioral Health and Developmental Services

DMAS:

provides technical support to CMs and CRCs
processes requested changes in services resulting

from RST process

RST Referral Process: Community

SA Section III.E.1-2.

assists CMs and CRCs in resolving barriers to

services and supports before referring to RST

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DBHDS

Virginia Department of

Behavioral Health and Developmental Services

a. the Individual Support Team

(IST) is unable to locate services and supports within 3 months of enrollment into Waiver. Section III.E.3.a.

RST Referral Process: Community

Referrals to CRCs, then to RSTs occur if:

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DBHDS

Virginia Department of

Behavioral Health and Developmental Services

Section III.E.3.b.

b. the IST recommends an individual living

in his/her own home, a family home or sponsored home move to a group home with 5 or more individuals.

RST Referral Process: Community

Referrals to CRCs, then to RSTs occur if:

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DBHDS

Virginia Department of

Behavioral Health and Developmental Services

Section III.E.3.c.

c. The IST recommends that an

individual move into a nursing home (NH) or Intermediate Care Facility (ICF).

RST Referral Process: Community

Referrals to CRCs, then to RSTs occur if:

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DBHDS

Virginia Department of

Behavioral Health and Developmental Services

Section III.E.3.d.

d. there is a pattern of an individual

being removed from his or her home.

RST Referral Process: Community

Referrals to CRCs, then to RSTs occur if:

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DBHDS

Virginia Department of

Behavioral Health and Developmental Services

Section III.E.2.

e. whenever [a CRC] believes that

external review is needed to identify additional steps towards more integrated settings and informed choice.

RST Referral Process: Community

Referrals to RSTs from CRCs also occur:

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DBHDS

Virginia Department of

Behavioral Health and Developmental Services Role of Regional Support Team

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DBHDS

Virginia Department of

Behavioral Health and Developmental Services

RST Referral Process: Community

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DBHDS

Virginia Department of

Behavioral Health and Developmental Services

RST Referral Process

Referrals provide information on:

Individuals preferences & good life
Actions taken by IST/CM
CRC agreement with referral
Supports needed and planned
Notification of informed choice and
pportunities for integrated settings

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DBHDS

Virginia Department of

Behavioral Health and Developmental Services

RST Referral Process

Members of the Individual Support Team

r DMAS may be invited by CRC or the RST

to assist with some discussions.

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DBHDS

Virginia Department of

Behavioral Health and Developmental Services

RST Referral Process

Reviews good life and confirms informed choice.
Reviews options explored/considers alternatives
Considers individual needs and preferences and

most integrated settings

Assures information about community integration

and opportunities provided RST Actions:

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DBHDS

Virginia Department of

Behavioral Health and Developmental Services

RST reporting

RST recommendations and resolutions documented on the referral form by the CRC. Data on reasons for referral, barriers, recommendations and resolution collected.

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DBHDS

Virginia Department of

Behavioral Health and Developmental Services

http://www.dbhds.virginia.gov/Settlement.htm

Additional information

Check this website periodically for updates.

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DBHDS

Virginia Department of

Behavioral Health and Developmental Services

Contacts

Gail Rheinheimer, Community Resource Manager

(540) 981-0697 http://www.dbhds.virginia.gov/ODS-Contacts.htm

Community Resource Consultants Sam Pinero, DD Waiver Manager at DMAS

(804) 371-5384 (804) 371-5384

(804) 786-2149 Samuel.Pinero@dmas.virginia.gov Gail.Rheinheimer@dbhds.virginia.gov