Levels of Care
✓ Intellectual Disability/Down Syndrome
✓ Cerebral Palsy
✓ Prader-Willi Syndrome
✓ Dual Diagnosis (Mental Retardation and Mental Illness)
✓ Criminal Offenses
✓ Spina Bifida
✓ Hearing Impairments
✓ Visual Impairments
✓ Children in Foster Care
✓ Mobility impairments (including those individuals who use wheelchairs, crutches, canes, walkers or other such devices on an ongoing basis)
We provide different levels of care based on individual needs as below:
Functional : Independent in self-care, daily living activities; or requires supervision, intermittent verbal direction or physical prompts to perform self-care, daily living skills.
Behavioral : No formal behavioral intervention necessary except redirection; may be non-compliant at times.
Physical : Health issues under control through medication or diet. Ambulatory or independent in use of wheelchair/walker. May need staff supervision to self-administer medications.
Functional : May require consistent verbal and physical help to complete self care/daily living tasks, including physical assistance and mealtime intervention to eat safely, may require mealtime interventions and/or devices. May require scheduled toileting or use of incontinent briefs. Walks independently or independently uses a manual or power wheelchair. May require assistance to change positions. Needs physical assistance of one person to transfer or to change positions.
Behavioral : May exhibit behaviors that require formal and informal intervention; requires frequent prompts, instruction or redirection, some environmental modifications or restrictions on movement may be necessary.
Physical : If has seizures, no interference with functional activities; May require medication for bowel elimination. May require a special diet. May require staff supervision to self-administer medications.
Functional : Requires substantial prompting and/or physical assistance to perform self-care/daily living activites. May be totally dependent on staff for dressing/bathing. May require mealtime interventions and/or devices OR receives all nutrition through a gastrostomy or jejunostomy tube. Incontinent of bowel or bladder. May require scheduled toileting or use of incontinent briefs. Independently uses a powered wheelchair, may need assistance with a manual chair. May require assistance to change positions. Disability prevents sitting in an upright position, has limited positioning options. Needs physical assistance of one person to transfer or change position.
Behavioral : May exhibit behaviors that require frequent planned, informal and formal interventions. Assistance from others may be necessary to redirect the recipient. May require psychotropic medication for control of behavior. Self-injury or aggresion towards others or property results in broken skin, major bruising/swelling or significant tissue damage requiring physician/nurse attention. May have threatened suicide in past 12 months. May have require use of reactive strategies 5 or more times per month in last 12 months. May routinely wear protective equipment to prevent injury from self-abusive behavior.
Physical : May have seizures that interfere with functional activities; receives 2 or more medications to control seizures. May have experienced a pressure sore requiring medical attention in the past 6 months. May require medication and daily management, including enemas, for bowel elimination. May be nutritionally at risk and require a physician/dietitian prescribed special diet.
Functional : Totally dependent on staff for self-care/daily living activities; Disability prevents sitting in an upright position, has limited positioning options. Requires two person lift or lifting equipment to transfer. Independently uses a powered wheelchair, needs assistance with manual chair. Requires daily monitoring and frequent hands-on assistance to stay healthy. Healthy issues result in inability to attend outside programs 5-10 days a month; health condition is unstable or becoming progressively worse.
Behavioral : Frequent planned, informal or formal interventions necessary. Assistance from others may be necessary to redirect the recipient. Requires psychotropic medication for control of behavior. Use of physical/mechanical restraint. Self-injury or aggresion towards others or property results in significant tissue damage, scarring, damage to bones requiring physician attention. May have attempted suicide in last 12 months. May routinely wear protective equipment to prevent injury from self-abusive behavior at least 12 hours per day. Has received emergency medication to control behavior in last 12 months. May meet criteria of Intensive Behavioral Residential Habilitation.
Physical : May have uncontrolled seizures that have required medications to control seizures. May have been hospitalized for medicatio toxicity in past 12 months. May have experienced a pressure sore requiring recurent medical attention or hospitalization in the past 6 months. May require medication and daily management, including enemas, for bowel elimination. May have been hospitalized for impaction in last 12 months. May be at high nutitional risk and requires intensive nutritional intervention. Has a condition that requires physician prescribed procedures. (Cannot be delegated to a non-licensed staff.)
Other : If the recipient’s primary need is to receive visual supervision based on documented history of inappropriate sexual behavior or sexually provocative behavior, assignment to this level is appropriate.