In the Texas MHMR system, Intellectual and Developmental Disability (IDD) is defined as a usually permanent condition originating sometime between birth and age 18. The person's general intellectual functioning is significantly below average (roughly an IQ of 70 or below) and his or her behavior does not meet the level of personal independence and social responsibility expected of the person's age and culture.
IDD is found among all races and cultures. An estimated three percent of the population has IDD.
OVERVIEW OF IDD SERVICES
IDD Services provides services and support for eligible persons with IDD or pervasive development disorder in individual, family, and foster homes as well as in alternative living residences and small group homes. Vocational Services and supports are provided through job placements in businesses throughout the community and at training and affirmative business sites.
21 years and older who are not enrolled in school Provides training to assist consumers to become employed or to increase skills in daily living. Residential Services - 18 years and older Pecan Valley Centers provides residential services in group homes designed for 3 to 4 people throughout Pecan Valley Centers catchment area. Pecan Valley Centers operates these homes 24 hours a day, 365 days per year. The homes are funded through Home and Community Based Services funding.
Supported Home Living
Pecan Valley Centers Supported Home Living program offers support to eligible families in the community setting who might otherwise require services in an institutional or residential setting. Trained and experienced staff provides children and adults with daily living skills and other individualized needs as determined in their “Person Directed Plan”.
Foster & Companion Care (HCS only)
Both Foster and Companion care help the consumer with daily living activities such as grooming, eating, dressing, and personal hygiene-as well as independent living tasks such as securing and providing transportation, housekeeping, and others.
Foster Care is usually defined as providing care to one or more people with disabilities in a family home. The provider is unrelated to the individual(s).
Companion Care is usually defined as providing care to one person with disabilities in an apartment or home shared by both parties. The provider may or may not be related to the individual.
Respite - All ages
Emergency or planned short-term care and supervision. Pecan Valley offers in-home and out-of-home respite for children and adults with IDD. Each IDD Center offers out-of-home respite activity by trained staff. Additional respite is also offered through contracted providers.
Service Coordination - All ages
Service Coordination provides assistance for individuals and families to access support services that will help a person achieve a quality of life and level of community participation through individualized planning, authorization, linkage, coordination, and monitoring of services.
Community Supports - All ages
Provides independent living skills training to enhance community living.
Vocational Services – 21 years of age and older
Vocation services provide an array of individualized supports that enable people to participate in work that they choose. Services are designed to assess interests, develop skills and abilities, and encourage participation in the community. People are supported to work in individualized competitive employment in the community, as well as site-based vocational training services operated by Pecan Valley Centers.
The following services may be applied for directly.
Home and Community Based Services (HCS) Program Waiting List - All ages
Links individuals to a comprehensive service system that is community-based.
Texas Home Living Waiver Program (TxHmL)
Provides essential services and support so that individuals of all ages can continue to live with their families or in their own homes in the community
GENERAL ELIGIBILITY FOR SERVICES
Must live within Pecan Valley Centers service area.
Must be age 3 years or older and have a diagnosis of IDD, autism, or pervasive developmental disorder. Children 0-3 can access Early Childhood Intervention Services.
Must meet criteria for admission to the specific program perseverance.
The Intermediate Care Facilities for Individuals with an Intellectual Disability (ICF/IID) program is a community-based residential service option provided in homes with six or fewer individuals. This ICF/IID program provides similar services provided in an HCS residential home. The services include staff available to assist individuals with identified needs, access to medical care, the opportunity to attend Day Habilitation or similar programs, and participation in community activities.
If you choose to access the ICF/IID residential option, you are able to keep your current placement on interest lists for home and community-based waiver services, such as HCS, Texas Home Living, Community Living Assistance and Support Services, and Deaf Blind with Multiple Disabilities programs.
For information about the ICF/IID program, please visit: http://www.dads.state.tx.us/services/intellectual/getservices.html. Information at http://www.dads.state.tx.us/providers/icf/search/index.cfm allows you to search ICFs/IID homes with vacancies by county, city or zip code. It also lists any special services or areas of expertise.
If you are interested in this residential option, contact us at 1-866-948-7198. We will assist you in applying for the service. The application process for admission to an ICF/IID involves sharing an individual’s diagnosis and medical and support needs with ICF/IID providers to ensure they have the appropriate services and resources to best meet an individual’s needs.
Please call 1-866-948-7198 to reach IDD Intake for information regarding services and opportunities for individuals with intellectual and developmental disabilities, such as intake into Pecan Valley IDD services, available programs, or placement options.
Alternately, you may contact:
Cindi Abbott, IDD Intake Supervisor
1601 N. Anglin St.
Cleburne, Texas 76031
Fax: (817) 357-8600
Valissa Woodard, Intake Coordinator
1601 North Anglin
Cleburne, TX 76031
Natalia Gonzales, IDD Continuity of Care
1601 N. Anglin
Cleburne, Texas 76031
David Andrews, IDD Family Partner
650 Green St.
Stephenville, Tx. 76401
P.O. Box 729
Granbury, TX 76048
Pecan Valley MHMR assists Medicaid individuals that the state of Texas has deemed as eligible for Home and Community Based Services or Texas Home Living Waiver Services with locating a provider. Home and Community Based Services link individuals to a comprehensive service system that is community-based. The Texas Home Living Waiver Program provides essential services and supports so that individuals of all ages can continue to live with their families or in their own homes in the community.
Every provider is required to offer all HCS services.
How they provide the service may differ.
Ask about staff selection process.
Ask about staff training.
Ask about how they screen staff.
Ask about how you will be involved in staff selection.
Ask how they differ from other providers – what do they see as their strengths?
Determine what is most important to you.
What are your personal goals and how will the provider help you achieve them?
Is the provider willing to develop individualized and creative methods to meet your needs?
Don’t just look at the service definitions; ask the provider how the HCS services can help you meet your goals.
What process does the provider use to find out what is important to you?
State your preferences (i.e. supported employment, residential, nursing, etc.)
Your relationship with your provider will be important when receiving services.
How receptive do you think the provider will be if there are problems or concerns?
Was the provider respectful to you during the interview did the provider use terms that you did not understand,did the provider maintain eye contact and listen to you or did they do all the talking?
Ask about the complaint process.
Ask how they work to improve services.
What overall feeling did you have during the interview – did you feel comfortable? How much control will you have over your services and supports?
How and in what areas does the provider allow for choice?
Will you have choice of your staff? Will you be able to easily change staff if you wish?
What knowledge does the provider have about self-determination or person directed services?
In residential situations can you choose your roommates or participate in activities of your choice?
How do they allow for that choice?
How will the provider support you with maintaining personal relationships?
Look to other people who have gone through the selection process or to people who can support you in the process. Ask the provider for names of people who receive their services who you may contact.Get help from support groups who may know of others who have gone through the process.Contact advocacy organizations such as the Arc for support.Take and keep notes about the information you receive or ask someone to help you take notes.
You might be talking with several different providers and it will help to get organized.You might want to talk to several staff from one provider and compare responses.Go over your notes and compare to the list of things that are most important to you. From your Mental Retardation Authority additional tools may be available to assist you in this process.Be persistent and ask questions that are important to you – no question is unimportant.
Call back if you need clarification or if you forget to ask something. Ask the provider to explain if you don’t understand. Learn the language so you can ask the right questions. Most importantly, remember…YOU are the employer and the providers are there to serve YOU