Community LivingCommunity Living

Week 3: June 22, 2015Week 3: June 22, 2015

Community Living/IntegrationCommunity Living/Integration

It’s about deciding where you want to live, and It’s about deciding where you want to live, and linking that with your income, your potential linking that with your income, your potential income, and other priorities and abilitiesincome, and other priorities and abilities

It’s about learning to care for your homeIt’s about learning to care for your home It’s about safetyIt’s about safety It’s about being a contributing member of your It’s about being a contributing member of your

community (taxes, volunteering, membership)community (taxes, volunteering, membership) It’s about the kind of lifestyle you want (city, It’s about the kind of lifestyle you want (city,

rural, suburban)rural, suburban)

Trends in Community LivingTrends in Community Living

A HomeA Home We still have a strong institutional We still have a strong institutional

bias. A large majority of funds go bias. A large majority of funds go to institutions and/or group to institutions and/or group homes, leaving little to support homes, leaving little to support families and adults living in their families and adults living in their own homes.own homes.

In many states, this goes only for In many states, this goes only for respite care.respite care.

Shift in Focus: Quality of LifeShift in Focus: Quality of Life

Supports rather than Supports rather than programsprograms

Natural supportsNatural supports Deinstitutionalization: Deinstitutionalization:

Olmstead supreme Olmstead supreme court decision.court decision.

AssumptionsAssumptions

Everyone can live in a home Everyone can live in a home of one’s choice in the of one’s choice in the community, given appropriate community, given appropriate supportsupport

No one should be segregated No one should be segregated based on the nature of his/her based on the nature of his/her disabilitydisability

Readiness cannot be predictedReadiness cannot be predicted

Community Living OptionsCommunity Living Options

Those options in the community versus in an Those options in the community versus in an institutional settinginstitutional setting..

Supervised group living (group homes, Supervised group living (group homes, intermediate care facilities, nursing homes)intermediate care facilities, nursing homes)

Alternative FamilyAlternative Family Semi-independent Living ProgramSemi-independent Living Program Independent Living ServicesIndependent Living Services Supported living servicesSupported living services

Assessment of Community LivingAssessment of Community Living

What options exist?What options exist? What sources of financial support can I What sources of financial support can I

access?access? What supports will I need?What supports will I need?

AssessmentsAssessments

Student goalsStudent goals Student strengths/needsStudent strengths/needs Resources availableResources available Qualification for supports as neededQualification for supports as needed

Teaching Life Skills: ApproachesTeaching Life Skills: Approaches

Simulated Activities: instruction that is community-Simulated Activities: instruction that is community-referenced (skills are used in community settings) referenced (skills are used in community settings) but not done in community-settingsbut not done in community-settings

Community-Based Instruction (CBI): instruction on Community-Based Instruction (CBI): instruction on life skills that is provided in one specific setting in life skills that is provided in one specific setting in which they are used.which they are used.

Self-determination: infusing self-determination into Self-determination: infusing self-determination into simulated and/or CBIsimulated and/or CBI

Residential Funding/ServicesResidential Funding/Services

EmploymentEmployment RoommateRoommate Social security/SSISocial security/SSI MedicaidMedicaid Medicaid WaiverMedicaid Waiver Developmental Developmental

Disability ServicesDisability Services Independent Living Independent Living

CentersCenters

HUD Rent SubsidyHUD Rent Subsidy Food StampsFood Stamps Energy AssistanceEnergy Assistance State funding programState funding program GiftsGifts InheritanceInheritance TrustsTrusts Court settlementsCourt settlements

Simulated InstructionSimulated Instruction

ProsPros Can be done in most school Can be done in most school

settings and most timessettings and most times Can focus on specific skills Can focus on specific skills

that are most in needthat are most in need Can have multiple trials to Can have multiple trials to

teach a specific skill, but if teach a specific skill, but if in real setting that would not in real setting that would not be possiblebe possible

Has been used to teach Has been used to teach multiple skillsmultiple skills

ConsCons Students may have Students may have

difficulty in generalizing to difficulty in generalizing to real settingreal setting

Difficult to simulate many Difficult to simulate many real world experiencesreal world experiences

Complexities of real world Complexities of real world settings is often lost in settings is often lost in simulations simulations

Community-based instructionCommunity-based instruction

ProsPros Teach real skills in real Teach real skills in real

settingssettings Allows instruction of the Allows instruction of the

soft skills/complexitiessoft skills/complexities Eliminates need to teach Eliminates need to teach

students to generalize a skillstudents to generalize a skill Use of real materials, Use of real materials,

people, etc.people, etc.

ConsCons Challenging to organize Challenging to organize

and/or coordinate and/or coordinate (transportation, financial, (transportation, financial, permissions)permissions)

Teachers have to use Teachers have to use inconspicuous strategies & inconspicuous strategies & materialsmaterials

Must design instruction that Must design instruction that meets the needs of the CBI meets the needs of the CBI settingsetting

Strategies for teaching/assessmentStrategies for teaching/assessment

Task AnalysisTask Analysis Environmental Assessment/Situational Environmental Assessment/Situational

AssessmentAssessment One-more than strategyOne-more than strategy Community Resource MappingCommunity Resource Mapping

Community Living ActivitiesCommunity Living Activities

Food shoppingFood shopping CookingCooking HousekeepingHousekeeping LaundryLaundry Personal hygienePersonal hygiene Recreational activitiesRecreational activities BudgetingBudgeting Paying billsPaying bills

Using a checkbookUsing a checkbook Money skillsMoney skills Assuring enough Assuring enough

incomeincome TransportationTransportation Taking medicationsTaking medications Arranging Arranging

doctor/dentist visitsdoctor/dentist visits Accessibility needsAccessibility needs