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North Carolina and the Supports Intensity Scale

North Carolina and the Supports Intensity Scale. What is the Supports Intensity Scale?

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Page 1: North Carolina and the Supports Intensity Scale. What is the Supports Intensity Scale?

North Carolinaand the Supports Intensity Scale

Page 2: North Carolina and the Supports Intensity Scale. What is the Supports Intensity Scale?

What is the Supports Intensity Scale?

Page 3: North Carolina and the Supports Intensity Scale. What is the Supports Intensity Scale?

3

It is……

A standardized assessment tool specifically designed to measure the pattern and the intensity of supports needed by an adult with developmental disabilities age 16 years and older (AAIDD 2004). There is a version of the Supports Intensity Scale for children (age 5-15) with developmental disabilities that is currently being normed and standardized.

Page 4: North Carolina and the Supports Intensity Scale. What is the Supports Intensity Scale?

It is…

An assessment that focuses on what supports are needed by an individual to lead an independent life.

to be used to help the team in developing the supports for a person to live successfully.

Page 5: North Carolina and the Supports Intensity Scale. What is the Supports Intensity Scale?

It is…

a component of the planning process, not the only assessment or replacement of the NC-SNAP. As with all planning, the information gathered is to be used along with other evaluations (e.g., Psychology, Speech, Nursing, PT, OT, etc.).

Page 6: North Carolina and the Supports Intensity Scale. What is the Supports Intensity Scale?

It is…

NOT deficit based Objective– it measures the

frequency, amount, and types of support that are needed

part of the planning process for a person’s life, NOT an event

Page 7: North Carolina and the Supports Intensity Scale. What is the Supports Intensity Scale?

Why is North Carolina using the Supports Intensity Scale?

Because the SIS is:

positive and supports oriented engaging (i.e., the interview includes the

consumer, family, case manager, and others familiar with the consumer)

a reliable and valid instrument that is currently being used in 10 other states

Page 8: North Carolina and the Supports Intensity Scale. What is the Supports Intensity Scale?

Why is North Carolina using the Supports Intensity Scale?

Because the SIS is:

reported to enhance the PCP process simple (has well defined items with descriptions) comprehensive (i.e., 57 items in 7 life areas and

28 items in the medical and behavioral area) quantifiable, it will be part of the data analyzed to

help estimate financial allocations for those CAP MRDD consumers that choose to self-direct their services

Page 9: North Carolina and the Supports Intensity Scale. What is the Supports Intensity Scale?

SIS roll out

7 Local Management Entities will begin to roll out the use of the Supports Intensity Scale

Page 10: North Carolina and the Supports Intensity Scale. What is the Supports Intensity Scale?

SIS roll out

Approximately 1,000 assessments will be completed in the first year

The administration will be done by independent examiners (i.e., not agency or case management entities)

Page 11: North Carolina and the Supports Intensity Scale. What is the Supports Intensity Scale?

More on the SIS

The expectation is that the Supports Intensity Scale should be completed prior to the annual meeting and will be used as part of the Person Centered Planning process

It takes about 2 hours to complete the SIS

Consent and Release of information will be needed for the Child SIS

Page 12: North Carolina and the Supports Intensity Scale. What is the Supports Intensity Scale?

What is expected of the Case Manager?

The Case Manager will need to contact the consumer, family/guardian, and others familiar with the consumer to schedule a time to complete the SIS

Page 13: North Carolina and the Supports Intensity Scale. What is the Supports Intensity Scale?

Who are the examiners?

They will be licensed professionals in the field of Psychology (LP or LPA) or Social Work (LCSW) with at least 2 years of DD experience.

They will bill DMA under H0031- Mental Health Assessment

They will be independent of the support team and not working for any provider who currently is involved in the specific consumers life.

Page 14: North Carolina and the Supports Intensity Scale. What is the Supports Intensity Scale?

Examiners will…

be flexible in scheduling and available to meet where the consumer is comfortable

bill DMA directly for their work. upload results to a secure, online

site share results with the case manager

prior to the PCP meeting

Page 15: North Carolina and the Supports Intensity Scale. What is the Supports Intensity Scale?

What should be expected in the interview process?

The interview takes about 2 hours to complete. The minimum number participating in an interview

can be 2 in addition to the consumer. Maximum number of respondents should not be over 5 people, in addition to consumer. Those who know the consumer and who can provide helpful information should be on the invite list. It is preferable that representatives who know the consumer, such as workers from residential and day services be present.

The interviews are to be face to face and CANNOT be over the phone.

If there is disagreement in scoring between the team, the examiner will work with the team in making the best decision for the rating.

Page 16: North Carolina and the Supports Intensity Scale. What is the Supports Intensity Scale?

Training Opportunities

Lead trainer is Rod Realon from the Division who is also a co-author of the Child SIS ([email protected])

Training will occur based on the location of identified LME’s

There is no cost for training of examiners who will be administering the Supports Intensity Scale

Page 17: North Carolina and the Supports Intensity Scale. What is the Supports Intensity Scale?

More information…..

Power Point to be added to the designated LME’s websites.

LME’s are encouraged to share Supports Intensity Scale information with consumers, families and other stakeholders.

SIS Web Site: http://www.siswebsite.org/ Best Practice Conference in March 2008

will have several presentations on the SIS

Page 18: North Carolina and the Supports Intensity Scale. What is the Supports Intensity Scale?

Questions?