The primary purpose of the North Carolina CAP-MR/DD program is to provide individuals a cost-effective alternative to institutional care. This is done by providing a wide array of services to support the individual in the community, from employment training to in-home services for someone with a developmental disability. A Person Centered Plan (PCP) is developed by the consumer, guardian, Targeted Case Manager and other team members, including the Qualified Professional from HOMECARE Management Corporation. The Targeted Case Manager obtains authorization for the types of services provided, the specific interventions to be used, and the number of hours each service is provided. HOMECARE employees provide a complete range of home and community-based services: Home and Community Supports, Personal Care, Home Supports, Supported Employment, Caregiver Training and Education, Specialized Consultative Services, and Respite.
Home and Community Supports provide flexible, individually-tailored supports and assistance designed to help the individual learn, maintain, or improve skills in areas that directly affect the ability to reside as independently as possible. It is goal-driven. The supports that may be furnished may include training in:
- Self-Care: Daily activities that enable the person to meet basic life needs such as food, hygiene, appearance, and health.
- Independent Living: Activities that enable the individual to participate in a full and varied life in the community, including things such as meal preparation, home management, community resource utilization, and self-administration of medication.
- Mobility: Activities that enable a person to move from one place to another in the home and community. This may include work on gross motor skills, fine motor skills, transfers, independent travel skills, and use of public transportation.
- Socialization: Activities that enable a person to acquire new behaviors, improve socialization skills, increase confidence in interacting with others, promote generalization of skills, and prevent regression of skills developed.
- Self-Direction: Activities that enable a person to manage and control his or her personal life; the individual learns skills such as decision-making, initiation and follow-through of appointments, and self-protection.
Personal Care (MR PCS) includes assistance with eating, bathing, dressing, personal hygiene, and activities of daily living. This service may include assistance with preparation of meals and may also include such housekeeping chores as bed making, dusting, and vacuuming which are incidental to the care furnished or which are essential to the health and welfare of the individual, rather than the individual’s family.
Respite is a service that provides periodic relief for a family or primary caregiver. This service may be used to meet a wide range of needs, including family emergencies; planned special circumstances (such as vacations, hospitalizations of the person’s non-paid caregiver, or business trips); relief from the daily responsibility and stress of caring for a special needs person; or time for the caregiver(s) to shop or run errands. Respite may be provided for only a few hours or overnight, depending upon the needs of the family.
Enhanced Personal Care and Respite Enhanced Services are for individuals who have intense medical or behavioral needs. They include the same activities and functions as regular PCS and Respite but are authorized only when there is clear documentation of the need for a more intense level of in-home supports. HOMECARE is a licensed HOMECARE agency and thus has the nursing staff and medical expertise to supervise services for those with significant medical involvement. HOMECARE personnel are also well trained and experienced in dealing with difficult behavioral issues.
Supported Employment is paid employment for persons with developmental disabilities for whom competitive employment at or above minimum wage is unlikely and who, because of the severity of their disabilities, need intensive ongoing support to perform successfully in a work environment. Supported Employment is conducted in a variety of settings, particularly work sites in which persons without disabilities are employed; working in these types of settings help clients to increase self-esteem and improve socialization skills. Supported Employment includes activities needed to sustain paid work by CAP-MR/DD clients, including supervision and employment training for someone with a disability. However, it does not include activities necessary to obtain a job, such as practicing interviewing skills or seeking a job. These services are often covered by Vocational Rehabilitation (VR). HOMECARE can work with the consumer through VR as well, using the same Qualified Professional to supervise the services and often using the same Job Coach.
Caregiver Training and Education provides training and counseling services for the families of individuals served through CAP-MR/DD. The purpose of this service is to enhance the decision-making capacity of the family, provide information about the nature and impact of the developmental disability upon the family, provide information about community integration options and strategies, provide training on individualized interventions, and instruct family members and caretakers on specialized equipment and supplies.
Specialized Consultative Services provide expertise, training, and technical assistance in a specialty area to assist family members and caregivers meet special needs of individuals with developmental disabilities. Specialty areas include psychology, behavioral analysis, therapeutic recreation, speech therapy, occupational therapy, physical therapy, and nutrition