i choose where and with whom i live s u p o r t e s e lf–d i r e c t e d s u p p o r t s l i v i n...
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I Choose Where and With Whom I Live
SUPPORTE
S E LF–D I R E C T E D S U P P O R T S
LIVING
July, 2011
Places Owned or Leased by State, County, or Agency: License or Certification Required
# of People Who Receive Services
Control of Place, Who Lives in Place, Who Works in Place
Allowable Setting for Family Care
Allowable Setting for IRIS
Allowable Setting for CIP and for COP Waiver
Typical Service Codes for Reporting
State Center for People with DD
No size limit
Facility Yes No No 503 ICF-MR
Other ICF-MR (DD) No size limit
Facility Yes No No 503 ICF-MR
Nursing Home (Elderly, PD,DD)
No size limit
Facility Yes No No 503 ICF-MR
Residential Care Apartment Complex
No size limit
Facility Yes Yes Aging/PD only 711 - RCAC
Community-Based Residential Facility
5-8 people
Facility Yes Yes Yes 506.61 CBRF/5-8 person
Community-Based Residential Facility
9 or more people
Facility Yes Aging/PD only
Aging/PD only CBRF506.64-68 for different sizes
Licensed Corporate Adult Family Home
3-4 People
Facility Yes Yes Yes AFH 202.02
Certified Corporate Adult Family Home
1-2 People
Facility Yes Yes Yes AFH 202.01
Certified Owner-Occupied Adult Family Home
1-2 People
Facility Yes Yes AFH 202.01
Types of Places People Live While Receiving Long-Term Support in Wisconsin: Incomplete DRAFT FOR DISCUSSION at July, 2011, SDS Network
Places in Which Person Receiving Support or Person’s Family Owns or Leases: No License or Certification Required
# of People Who Receive Services
Control of Place, Who Lives in Place, Who Works in Place
Allowed for Family Care
Allowed for IRIS
Allowed for CIP and for COP Waiver
Typical Service Codes for Reporting
Supported Living: Agency provides ongoing support and assistance to person beyond providing direct support workers. Support can be occasional, and up to “24/7”.
Typically 1-3 people
Person or family hold lease or mortgage and control who lives there: Agency,person,family typically determine who works there
Yes Yes Yes Differs between FC, IRIS and other waivers: Typically 104 SHC. May include PCW. Dane County uses 609 CDS and 112.46 PERS
Employee Leasing:Agency provides staff but not additional ongoing support and assistance to people living in own home or home of family
Typically 1-2 people
Person or family control place and who lives there: Agency typically controls who works there, with input from person
Yes Yes Yes All are considered 104 SHC
Co-Employment:Own home or living with Family: Hire staff through a Agency
Typically 1-2 people
Person or family control place, who lives there, and who works there
Yes Yes Yes All are considered 104 SHC
Own home or living with Family: Hire staff directly, pay payroll taxes and perform other employer duties
Typically 1-2 people
Person or family control place, who lives there, who works there
Yes Yes Yes All are considered 104 SHC
Own home or living with Family: no paid support
Person or family Yes Yes Yes
What is Supported Living?Supported Living is an alliance between a person who
requires long term, publicly funded, organized assistance and
an agency whose role is to arrange or provide
whatever assistance is necessary for the person to live in a decent and secure home of the person’s own.
- adapted from John O’Brien, 1993
What is Supported Living?The phrase home of the person’s
own emphasizes that people who receive Supported Living own or lease their home.
The home “belongs” to the person, not to a service provider.
The importance of that characteristic cannot be overstated.
The role of the agency is “… to arrange or provide whatever assistance is necessary.” This emphasis differentiates Supported Living from other important ways people have organized assistance within their own homes.
What is Supported Living?
What is Supported Living?
Supported Living enables people to lease their own
apartments or own their homes, with their choice of roommates and staff, with a variety of paid and unpaid
support tailored to the needs of each person.
People in supported living may need little support from services, or they may need 24-hour support.
The kind and amount of support is tailored to the individual's needs.
Supported Living is Found In relatively small, “stand-
alone agencies” across Wisconsin, the US, Canada the UK, Ireland, Australia
As a service created by families, particularly in Australia
Increasingly as an option within larger service agencies
Supported Living in Wisconsin Began in Dane County, with Options,
and is the most prevalent residential service in Dane County
Agencies from one end of the state to the other, from Syldan, Inc in Racine to New Horizons North in Ashland
Growing within Family Care, particularly within Community Care of Central Wisconsin
Many providers are exploring organizational changes needed to offer supported living
Next Steps in Wisconsin
Continue to build understanding within DHS, IRIS and Family Care of importance of and cost-effectiveness of supported living;
Expand Supported Living working group;
Develop a learning group of agencies wanting to offer supported living, and engaging in the ongoing learning needed;
Support and assist individuals and family members who would like to develop small supported living agencies.
Next Steps in Wisconsin
Complete written materials that describe how Supported Living works (and share materials that have been developed in the past);
Complete a description of how Supported Living has become an effective option within Family Care (CCCW);
Enable IRIS to more effectively offer Supported Living
Your idea here: _____________________
Learn More
Contact Dennis Harkins, InControl Wisconsin at [email protected] to be part of the Supported Living work group, to learn more about what we are doing in Wisconsin, to suggest what we might do better.
See more detailed planning on Supported Living at incontrolwisconsin.org/ . View What We Are About and go to Supported Living .
Join an international conference on Supported Living this September in San Francisco – contact Dennis for a brochure.
