Cumberland River Behavioral Health

Intellectual Disabilities

Providing a broad spectrum of supports/services aimed to support participants with developmental and/or intellectual disabilities to remain and become a vital part of their communities.

Cumberland River Behavioral Health

Developmental / Intellectual Disabilities Services

General services which includes:

Psychological; Misc. Goods and Services; Respite Care; Case Management; Outreach and Education; Transition; AFCHP; Personal Assistance; Day Training; Positive Behavior Support; Supported Employment; Community; PASRR; Staffed Residence. These services are provided on a sliding scale including self-pay, state general funding, and special grants. Supported Employment is funded by a special grant from the Division of Developmental and Intellectual Disabilities (DDID) and funding for successful placements through the Department for Vocational Rehabilitation. Crisis Response/Prevention and Individualized Supports are funded by a special allocation through the DDID at no cost to the recipient. The PASRR Program is a state funded program.

Community Access:

Services are provided in integrated community settings and are designed to support meaningful routines, events and activities while developing personal social networks, membership opportunities, friendships, and relationships. Services are designed to empower the individual in developing natural supports; and stresses training that aides the individual in acquiring, practicing, utilizing, and improving skills related to connecting with others, independent functioning, self-advocacy, community participation, personal responsibility, financial responsibility and other skills related to optimal well-being.

Community Living Supports:

Are provided on a one-on-one basis to facilitate independence and promote integration into the community for individuals residing in their own home or in their family’s home. Services can include assistance, support (including reminding, observing, and guiding) and training in activities such as meal preparation, laundry, routine household care and maintenance, activities of daily living such as bathing, eating, dressing, personal hygiene, shopping, money management, medications management, relationship building, leisure choices, and participation in community activities.

Day Training:

Supports the acquisition of skills, builds positive social behavior, interpersonal competence and nurtures greater independence and personal choice. Informational sessions regarding community exploration and involvement, employment services, activities that support a person in hobbies, clubs, or other senior-related activities and training and supports designed to maintain skills and functioning to prevent or slow regression, rather than acquiring new skills or improving existing skills.

Individual Supports:

Provide individuals with disabilities the help they need to live successfully in a home of their choice.

Personal Assistance:

Services help accomplish tasks that an individual would normally do for themselves if the person did not have a disability. These services can include assistance, support (including reminding, observing and guiding), training in activities such as meal preparation, laundry, routine household care and maintenance, activities of daily living such as bathing, eating, dressing, personal hygiene, shopping and use of money, monitoring of medications and non-medical care (care that does not require nurse or physician intervention). Other supports include socialization, relationship building, leisure choice and participation in community activities.

Positive Behavior Support:

Is the use of a planned systematic application of techniques and methods to influence or change behavior in a desired way. Techniques are used to increase positive behavior and decrease undesirable behaviors. The maladaptive or problem behaviors
are replaced with behaviors that are adaptive and appropriate. Behavior support activities
include the evaluation of the individual’s environment and behavior including a functional assessment and the development of a behavioral support plan.

Residential Support Services:

Facilitate independence and promote integration into the community for individual’s residing in an alternative living arrangement. This includes 24-hour supervision and assistance, support (including reminding, observing or guiding), training in activities such as meal preparation, laundry, routine household care and maintenance, activities of daily living such as bathing, eating, dressing, personal hygiene, shopping, money
management, monitoring of medications and non-medical care (care that does not require nurse or physician intervention). These supports also include socialization, relationship building, leisure choices and participation in community activities.

Respite:

Services are provided to individuals who are unable to care for themselves. Such
services are furnished on a short-term basis because of the absence or need for relief of those persons normally providing the care.

Michelle P. Waiver:

Provides an array of community supports to eligible individuals who meet Intermediate Care Facility or Nursing Home criteria but choose to remain in the community with supports (excluding residential supports). These supports are provided to a limited number of individuals determined and reimbursed through Kentucky Department for Medicaid Services (DMS). Participant Directed Services (PDS) allows the MPW waiver recipient and/or their designated representative to manage the approved budget for needed services and hire their own staff.

State General Funds:

Provide community-based services for individuals with ID/DD in a manner
that promotes dignity and respect, utilizes person-centered thinking and planning, emphasizes integrated community settings, builds natural supports in communities and focuses on employment first.

Supports for Community Living Waiver:

Provides an array of community supports to
eligible individuals who meet Intermediate Care Facility criteria but choose to remain in or return to their community in the least restrictive environment as an alternative to institutional care. These supports are provided to a limited number of individuals determined by and reimbursed through the Kentucky Department for Medicaid Services (DMS). Participant Directed Services (PDS) allows the SCL waiver recipient and/or their designated representative to manage the approved service units for needed services and hire their own staff.

Acquired Brain Injury Acute Waiver and Long Term Waiver:

Provides targeted assistance for those with acquired brain injuries. Although there is a waiting list for the allocation of these waivers, CRBH provides assistance in getting individual’s placed on those waiting lists while also completing any initial assessments that are needed. Participant Directed Options are available for both of these waivers. Participant Directed Services (PDS) allows the ABI waiver recipient and/or their designated representative to manage the approved service
units for needed services and hire their own staff.