self determination
The Intermediate Care Facility for People with Mental Retardation program is provided, in a residential setting, ongoing evaluation, planning, 24-hour supervision, coordination, and integration of health or rehabilitative services assist each individual to function at his greatest ability. Emphasis is on people living in their own homes, controlling their own lives and being an integral part of their home community. Services include management, client protections, facility staffing, active treatment, client behavior and facility practices, healthcare services, physical environment and dietetic services. Continuous efforts toward community integration that make arrangements to enable individuals to live, work, learn and play side by side in the community with people who do not have disabilities.
Treatment planning
An Individual Program Plan (IPP) is developed for each individual receiving service. The interdisciplinary team will prepare an IPP which includes opportunities for individual choice and self management and identifies: the discrete, measurable, criteria based objectives the individual is to achieve; and the specific individualized program of specialized and generic strategies, supports and techniques to be employed. The IPP must be directed toward the acquisition of the behaviors necessary for the individual to function with as much self-determination and independence as possible and the prevention or deceleration of regression or loss of current optimal functional status.
Staffing
The ICF/MR homes have trained staff to provide the proper amount of care for the proper length of time based on the needs. Direct care staff must be on duty and awake round-the-clock to take appropriate action in case of emergency. Direct care staffing requirements are based on client age and level of disability. Direct care staffing is defined as present on-duty staff calculated over all shifts in a 24-hour period for each defined residential living unit. These staff must be provided in the following ratios: for homes serving individuals with psychotic-like behavior, the staff to client ratio is 1 to 3.2; for homes serving individuals with moderate retardation, the staff to client ratio is 1 to 4 and for homes serving individuals who are mildly retarded, the staff to client ratio is 1 to 6.4.
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