INTERMITTENT C.I.L.A.

GOAL:

  1. To promote optimal independence in daily living, economic self – sufficiency, and integration by providing individuals served with an array of person centered services.
  2. To assure that all individuals served are treated with dignity and respect and that services offered by Sertoma Centre, Inc Intermittent CILA program reflect that these individuals are persons with basic human needs, aspirations, desires, and feelings who are citizens of the community with all rights, privileges, opportunities and responsibilities accorded to all citizens.
  3. To promote community integration through on-going participation in common (non – disability) related activities (religious services, YMCA, library, shopping, entertainment, etc.) and encourage participation in family/friend activities and celebrations facilitating and encouraging growth and development of natural support systems.
  4. Provide services through person centered programming designed to meet the needs of the individual with input and participation of his/her family, and guardian as appropriate.

GENERAL DESCRIPTION:
Intermittent CILA (I-CILA) is a residential program approved by the Division of Developmental Disabilities to supports individuals to reach a higher level of independent living. Intermittent CILA provides, through direct or consultative staff, minimum support, training and direction that enhance the individuals’ skills and lead to total independence and social integration in the community. The function of Intermittent CILA is to normalize living conditions as much as possible, and replicate home style living as it exists in the community.

ENTRY CRITERIA:

  1. Individuals 18 years of age or older.
  2. Individual has been diagnosed with a developmental disability.
  3. Must be able to self – administer Medication.
  4. Have demonstrated competence in basic self-help and survival skills.
  5. Demonstrate socially appropriate behavioral patterns.
  6. Have the ability to use community resources.
  7. Be committed toward more independent living.
  8. Are in need of an array of services.
  9. Are in need of a supervised living arrangement.
  10. Are able to give informed consent to participate in Intermittent CILA themselves or through a guardian.
  11. Must agree to participate in the development and implementation of their individual service plan.
  12. Have applied for or receiving SSI benefits.
  13. Must have DHS approval funding prior to starting Intermittent CILA services.
  14. Not be in need of nursing assessment, monitoring, intervention, and supervision of their condition or need on a 24-hour basis.
  15. Not be receiving services in a long term care facility or hospital, be prepared to move to an appropriate setting prior to receiving DD waiver – funded services.
  16. Not be receiving services funded through another Medicaid waiver program at the time Developmental Disability waiver-funded services are authorized.

TRANSITION CRITERIA:

  1. Convene IDT team to discuss programming needs as needed or indicated in Individual Service Plan.
  2. Opportunities to transition to other programs/services are available based upon the individual’s needs, preferences, choices, and program criteria as indicated in each individual program description. Refer to the Program Accessibility Chart for programs/services availability. Options can be discussed during the Individual Service Plan meeting or a special meeting may be convened at other times as needed.

EXIT CRITERIA:

  1. Sertoma Centre, Inc program(s) can no longer meet the needs of the individual.
  2. Individual and Guardian where applicable, requested termination.
  3. Medicaid support terminated.
  4. The medical needs of an individual cannot be met by Sertoma Centre, Inc.
  5. The behavior of an individual places the individual or others in serious danger.
  6. The individual is to be transferred to a program offered by another agency and the transfer has been approved by the individual, individual’s guardian if applicable, and the receiving agency.
  7. Whenever individuals are required to be absent from a living arrangement for an extended period of time, an agency shall not consider termination unless the absence has been at least sixty (60) days in duration and it is documented that the absence expected to continue indefinitely. The department reserves the right to terminate payment within the sixty (60) days during which the individual is absent when it is clear that the individual will be unable to return to the Intermittent CILA program.
  8. The termination recommendation has been approved by the Department of Human Services.
  9. Sertoma Centre, Inc will have the right to discharge to an appropriate resource any individual who requires emergency medical care.
  10. The individual refuses to participate in the development and implementation of their individual service plan.
  11. Consumer is not benefitting from services

SERVICES:
Each individual enrolled in Intermittent C.I.L.A. may receive an array of the following services and supports:

SERVICES SPECIFIC TO INTERMITTENT C.I.L.A. SERVICES:

  1. Individually Tailored Services
  2. Individual Service Planning
  3. Intervention Planning
  4. Opportunities for Consumer Integration
  5. Coordination of community resources and services (medical, recreational, educational, psychological, etc.)
  6. Autonomy in physical home environment, daily schedules/routines and privacy needs.
  7. Opportunities and support needed to develop or remain connected to natural supports.
  8. Opportunities for skill development or growth in the areas of daily living, economic self-sufficiency, socialization, use of community resources and independent living skills.
  9. Continuous Follow up to help individuals gain the most they can from the services provided.

ADDITIONAL SERVICES AVAILABLE NOT SPECIFIC TO INTERMITTENT C.I.L.A.:

  1. Individual Service & Advocacy (ISSA) (50D)
  2. Occupational Therapy (52O), Physical Therapy (52P), & Speech/Communication Therapy (52S)
  3. Behavioral Intervention & Treatment (56U), Behavior Counseling – Group (57G), Behavior Counseling – Individual (57U), Behavior Therapy – Group (58G), & Behavior Therapy – Individual (58U).

SCOPE OF SERVICES:
Population(s) Served: Illinois residents aged eighteen or older. Individuals with developmental disabilities, dually diagnosed DD/MI with the DD diagnoses being the primary diagnoses.
Setting: Residential – Reside at home with their families or individual or shared settings in an apartment, condo, townhome, or mobile home. These settings are defined by DHS as independently controlled sites and are not owned or leased by the agency providing services.
Hours/Days of Service:
1. Sunday through Saturday
2. Supports for individuals based upon the needs of the individual with varying hours.
3. Staff available for on-call supports 24 hours per day.
Frequency of Services:
1. Daily communication as needed with individual and guardian..
2. Maximum of fifteen hours per week of direct supports from Intermittent CILA Service Facilitator(s).
3. Two and a half hours per/week and monthly visits from Qualified Support Professional staff.
4. Two and a half hours per/week from Supervisory Staff.
Payer Source: DHS/DDD and Private Pay.
Fees: There are no fees. Private pay rates hve been established and available as needed. Funding and rate structures are established and funded by state agencies as indicated.
Referral Sources: Self referral, state agencies as listed above, local school districts, families, Service Coordination agencies, Mental Health Service Providers, Hospitals, etc.

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PD.ICILA
October 16, 2010

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