Self-Directed Self-Directed Supports:Supports:

Stories from Family Stories from Family Care and Care and

PartnershipPartnership

Brief Overview:Brief Overview:Enrollment and Enrollment and

ProcessProcess-ADRC options counseling-ADRC options counseling

-Composition of the team-Composition of the team

-Assessments, Outcomes, and the RAD -Assessments, Outcomes, and the RAD process.process.

-The choice to self-direct lies with the -The choice to self-direct lies with the member.member.

Why Might a Person Why Might a Person Who Wants to Self-Who Wants to Self-

Direct Choose Family Direct Choose Family Care?Care?

-Support from an interdisciplinary team-Support from an interdisciplinary team-Case management-Case management

-RN involvement-RN involvement

-IDT staff expertise and knowledge of -IDT staff expertise and knowledge of community resourcescommunity resources

-Support from Family Care MCOs-Support from Family Care MCOs-MCOs have staff with specialized expertise -MCOs have staff with specialized expertise

(e.g.(e.g.

Durable Medical Equipment)Durable Medical Equipment)

Why Might a Person Why Might a Person Who Wants to Self-Who Wants to Self-

Direct Choose Family Direct Choose Family Care?Care?

-May choose to self-direct some supports -May choose to self-direct some supports but not othersbut not others

-Access to a provider network-Access to a provider network

-Flexibility to change between self-directed -Flexibility to change between self-directed supports and contracted providerssupports and contracted providers

SDS: Opportunity for SDS: Opportunity for creativitycreativity

• Services other than Supportive Home Services other than Supportive Home CareCare– Within managed care, SDS is most commonly Within managed care, SDS is most commonly

used to hire employees to provide hands-on used to hire employees to provide hands-on assistance, cleaning, respite, etc. There are assistance, cleaning, respite, etc. There are other applications as well.other applications as well.

– SDS does not always equate to being an SDS does not always equate to being an employeremployer

– Non-conventional therapiesNon-conventional therapies– Work place personal assistanceWork place personal assistance

SDS: Opportunity for SDS: Opportunity for creativitycreativity

• Transportation debit card exampleTransportation debit card example– Have more choices with servicesHave more choices with services– Offers more flexibilityOffers more flexibility– Maximizes member involvementMaximizes member involvement

-Things for teams to consider-Things for teams to consider– Is the member able to handle independently, Is the member able to handle independently,

or is assistance needed?or is assistance needed?– Needs to be monitored closelyNeeds to be monitored closely– MCO may restrict level of self management MCO may restrict level of self management

under certain conditions (last resort)under certain conditions (last resort)

Viola’s storyViola’s story

Dignity and Dignity and RespectRespect

Choice and Choice and ControlControl

RelationshipsRelationships

Dreams for Dreams for the Futurethe Future

ResponsibilitResponsibilityy

Marilee’s storyMarilee’s story

Jana’s storyJana’s story

Terry’s storyTerry’s story

Small Group ActivitySmall Group ActivityTo help with this activity, here is a list of some of the Family Care benefits:

Personal Care (e.g. bathing)Supportive Home Care (e.g. cleaning)PT/OT/Speech TherapiesDurable Medical EquipmentDay ServicesJob CoachingHome Delivered MealsCounselingDaily Living Skills (e.g. learning how to cook)Personal Emergency Response System (button to call for assistance)