The CRC may consult at any time with the Regional The CRC’s referred 37 Support Team. Upon referral to it, the Regional individuals in the second quarter Support Team shall work with the Personal Support of FY 2014. The RST’s did not Team (“PST”) and CRC to review the case, resolve resolve identified barriers to identified barriers, and ensure that the placement is living in most integrated settings the most integrated setting appropriate to the or to receiving integrated day individual’s needs, consistent with the individual’s opportunities. Reasons for informed choice. The Regional Support Team shall choosing less integrated have the authority to recommend additional steps by residential options include: the the PST and/or CRC. lack of needed services, the lack III.E.2 Non- Compliance of availability in the area, the lack of safety equipment (i.e. fence), and the severity of individuals’ needs for medical and behavioral supports. Integrated day opportunities are not available. The CRC refer cases to the Regional Support DBHDS established the RSTs, Teams (RST) for review, assistance in resolving which met monthly since barriers, or recommendations whenever (specific March 2013. The CRCs are criteria are met) referring cases to the RSTs regularly. CRCs referred 37 individuals in the second III.E.3.a-d Compliance quarter of FY 2014. RSTs frequently recommend more integrated options. See III.E.2. above regarding the RST’s ability to resolve barriers. Discharge Planning and Transition IV By July 2012, the Commonwealth will have Discharge planning and implemented Discharge and Transition Planning transition processes were processes at all Training Centers consistent with the implemented by July 2012. of this section Improvements have occurred in response to concerns IV. Compliance identified and to the Independent Reviewer’s recommendations. To ensure that individuals are served in the most Most integrated settings that integrated setting appropriate to their needs, the meet the needs of individuals Commonwealth shall develop and implement with complex medical and discharge planning and transition processes at all behavioral concerns are often Training Centers consistent with the terms of this not available. A sponsored Section and person-centered principles. home that meets an IV.A Non-Compliance individual’s needs is often not offered in most regions. Referrals for rental assistance have not occurred.
III.E.2 The CRC may consult at any time with the Regional Support Team. Upon referral to it, the Regional Support Team shall work with the Personal Support Team (“PST”) and CRC to review the case, resolve identified barriers, and ensure that the placement is the most integrated setting appropriate to the individual’s needs, consistent with the individual’s informed choice. The Regional Support Team shall have the authority to recommend additional steps by the PST and/or CRC. Non- Compliance The CRC’s referred 37 individuals in the second quarter of FY 2014. The RST’s did not resolve identified barriers to living in most integrated settings or to receiving integrated day opportunities. Reasons for choosing less integrated residential options include: the lack of needed services, the lack of availability in the area, the lack of safety equipment (i.e. fence), and the severity of individuals’ needs for medical and behavioral supports. Integrated day opportunities are not available. III.E.3.a-d The CRC refer cases to the Regional Support Teams (RST) for review, assistance in resolving barriers, or recommendations whenever (specific criteria are met) Compliance DBHDS established the RSTs, which met monthly since March 2013. The CRCs are referring cases to the RSTs regularly. CRCs referred 37 individuals in the second quarter of FY 2014. RSTs frequently recommend more integrated options. See III.E.2. above regarding the RST’s ability to resolve barriers. IV Discharge Planning and Transition IV. By July 2012, the Commonwealth will have implemented Discharge and Transition Planning processes at all Training Centers consistent with the of this section Compliance Discharge planning and transition processes were implemented by July 2012. Improvements have occurred in response to concerns identified and to the Independent Reviewer’s recommendations. IV.A To ensure that individuals are served in the most integrated setting appropriate to their needs, the Commonwealth shall develop and implement discharge planning and transition processes at all Training Centers consistent with the terms of this Section and person-centered principles. Non-Compliance Most integrated settings that meet the needs of individuals with complex medical and behavioral concerns are often not available. A sponsored home that meets an individual’s needs is often not offered in most regions. Referrals for rental assistance have not occurred.
va_3rd-independent-review.docx