Services for adults (18 and older) are provided in primarily two models – Adult Supported Living and Adult Comprehensive Services.
Supported Living Services (SLS)
Adult Supported Living Services enable adult participants to make choices, receive needed services and live more independently in their own home or in the family home. Services available include: case management services, personal care services, supported employment services, respite and day program services. This program is for individuals age 18 and older.
Adult Comprehensive Services provide 24-hour, seven day a week care for individuals age 18 and older. Services in an individual’s Service Plan include: case management services, residential care, employment or other day services, and transportation. Individuals in Comprehensive Services must be eligible for Medicaid.
Comprehensive Service Program Approved Service Agencies are responsible for developing living arrangements that fit the needs of each individual.
- Apartment Setting – The individual lives in an apartment and the Program Approved Service Agency employs the staff who provide the support services. The staff will be accessible to the individuals on an individualized basis for supervision and support.
- Companion Setting – A Companion/Live-In Aide is a full-time employee of a Program Approved Service Agency who lives with the individual and provides supervision in a home which is owned or leased by the person or their family.
- Host Home Setting – Host Homes (HH) are living environments which are leased or owned by the Host Home Provider (HHP). The term “Adult Foster Care” is often used to describe Host Homes Services. The Host Home Provider is under contract with a Program Approved Service Agency to provide Host Home services.
- Residential Services/Staffed House – The Program Approved Service Agency owns or leases a house for 2 to 3 people. Staff are employed by the Program Approved Service Agency and are available on a rotating basis to provide the supervision and support. Staff do not live in the home (although they may sleep in the home at night to provide supervision). The individual has his/her own bedroom.
Community Activities/Day Services
Community Activities/Day Services provide training, support and supervision activities, which maximize functional abilities and skills necessary to enable adults to access the community and/or provide the basis for building skills which will assist individuals to access the community.
A program that focuses on increased self-sufficiency and/or basic skills to enable individuals to achieve an increased level of independence for individuals age 18 and older. Small groups travel into the community to access and participate in activities of their choice and interest. Individuals can receive these services as part of their Supported Living Services plan or Comprehensive Services plan.
Supported Community Connection or Integrated Activity
This program, for individuals age 18 and older, focuses on a combination of recreational and vocational activities that challenge individuals and connect them to resources and community members. Individuals may participate in volunteer opportunities and recreational opportunities. Staff provide support in skill training in activities of daily living, mobility training, communication, socialization, and recreation. Individuals can receive these services as part of their Supported Living Services plan or Comprehensive Services plan.
Vocational Employment Services include Supported Employment or Pre-Vocational work. In each opportunity, individuals earn wages and valuable work skills.
Supported Employment Services:
Supported Employment Services Program can provide assessments, job development, job placement, job coaching and follow up job support services. Supported Employment can be offered individualized placements, enclaves or work crews. This program is for individuals age 18 and older. Individuals can receive these services as part of their Supported Living Services plan or Comprehensive Services plan.