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Understanding Service Definitions & Proper Documentation
Training for Agency with Choice:
Support Service Workers & Managing Employers
Training Objectives:
1. Support Services Worker (SSW) to understand the difference between the 3 types of services and correct documentation for each: Home and Community Habilitation, Companion, Respite.
2. Managing Employers to correctly manage the daily activities of the SSW and ensure outcomes and action plans of the Individual Support Plan (ISP) are met.
Habilitation Services Defined
“A direct service provided in the home and in community settings to assist individuals in acquiring, maintaining, and improving self-help, domestic, socialization, and adaptive skills necessary to reside successfully in home and community settings. Services consist of support in the general areas of self-care, communication, fine and gross motor skills, mobility, personal adjustment, relationship development, socialization, and use of community resources.”Office of Developmental Programs (ODP)
Habilitation Services
Habilitation is a Personal Goal
•Desire and able to achieve,
•Realistic,
•Measurable to gauge progress.
Habilitation Example
ISP Outcome
Individual Support Plan (ISP) Outcome:
Jack wants to use his iPad and communication app independently to communicate. He will learn to identify and correctly use 10 signs.
Habilitation Example Cont.
ISP Outcome / Action Plan
Individual Name: Jack Bean
Service Type: Home and Community Habilitation
Outcome # 1: Jack wants to use his iPad and communication app independently to communicate his daily wants and needs. Jack will learn to identify and correctly use 10 signs.
Action Plan: 1. Jack will decide which 10 signs are most important for him to learn first.
2. Practice using the app daily.
3. Jack will be able to correctly identify 5 of 10 signs during each practice session.
Frequency of Service: 14 hours per week.
Habilitation Example Cont.
Daily Activity Log
Consumer Name: Jack Bean Independence Level: I=Independent, V=Verbal Prompt, P=Physical Asst.
SSW Name: Goldie Goose Response: C=Cooperative, R=Refused, P=Progress, M=Maintaining,
N=No Progress
4/6/15
Start 10:30 am/pm
End 11:15 am/pm
Hab 1 V, P C, P
Jack explored the app. He is able to control movements
well. Looked at each of the signs several times and talked
about the meaning of each and when to use them. Jack
was able to correctly identify 3 of 7 signs today.
DATE TIME SERVICE OUTCOME
#
INDEPENDENCE
LEVEL
RESPONSE DESCRIPTION OF INDIVIDUAL’S PARTICIPATION IN THE
ACTIVITY/TASK
Habilitation Example Cont.
SIDETRACK!!
•Respect physical and mental limits.
•Too much = Negative impact!
Habilitation Example Cont.
Daily Activity LogConsumer Name: Jack Bean Independence Level: I=Independent, V=Verbal Prompt, P=Physical Asst.
SSW Name: Goldie Goose Response: C=Cooperative, R=Refused, P=Progress, M=Maintaining,
N=No Progress
4/6/15
Start 10:30 am/pm
End 11:15 am/pm
Hab 1 V, P C, P
DATE TIME SERVICE OUTCOME
#
INDEPENDENCE
LEVEL
RESPONSE DESCRIPTION OF INDIVIDUAL’S PARTICIPATION IN THE
ACTIVITY/TASK
Habilitation Example Daily Activity Log
DESCRIPTION OF INDIVIDUAL’S PARTICIPATION IN THE ACTIVITY/TASK
Which of the following is an appropriate means of service documentation?
a. Followed action steps. Progressing towards goal.
b. Jack did good.
c. Same as yesterday.
d. Jack explored the app. He is able to control movements well. Looked at
each of the signs several times and talked about the meaning of each and
when to use them. Jack was able to correctly identify 3 of the 7 signs today.
Purpose of note to accurately reflect response and progress.
Copying the same note day after day = not acceptable!
Correct answer: d.
Habilitation Example Cont.
Daily Activity Log
DATE TIME SERVICE OUTCOME
#
INDEPENDENCE
LEVEL
RESPONSE DESCRIPTION OF INDIVIDUAL’S PARTICIPATION IN THE
ACTIVITY/TASK
4/7/15
Start 9:05 am/pm
End 9:25 am/pm
Hab 1 V, P R, N Jack seemed tired. He didn’t put much effort into practice.
Had to repeat instructions and questions several times.
4/7/15
Start 12:35 am/pm
End 2:00 am/pm
Hab 1 I, V C, P Jack likes games so we played Simon Says to practice with the
app. He really enjoyed the game and did very well with the
signs, correctly identifying 7 of 10.
4/9/15
Start 9:45 am/pm
End 12:00 am/pm
Hab 1 I, V, P C, P Took Jack to Walmart today to practice his communication
app. Asked him questions as we walked through the store
that he could answer with his ipad. He was excited about the
outing which made it a little harder for him to control his
movements but he kept trying until he picked the right one.
Habilitation Recap
Achievable
Realistic
Measurable
Companion ServicesDefined
“Provided to individuals living in private homes for the limited purposes of providing supervision and assistance that is focused solely on the health and welfare of the individual when a habilitative outcome is not appropriate or feasible, (i.e. when the individual is not learning, enhancing or maintaining a skill). This service can be used to supervise individuals during socialization or non-habilitative activities when necessary to ensure the individual’s safety. Companions may supervise and provide assistance with daily living activities, including grooming, health care, household care, meal preparation and planning and socialization.”
Office of Developmental Programs (ODP)
Companion Services
Companion
• Service used when not working on a ISP habilitation goal.
• Not only “company,” examples:o Community activities
o Personal care assistance
• Documentation is simple and straightforward.
Companion Example
Daily Activity Log
Consumer Name: Jack Bean Independence Level: I=Independent, V=Verbal Prompt, P=Physical Asst.
SSW Name: Goldie Goose Response: C=Cooperative, R=Refused, P=Progress, M=Maintaining,
N=No Progress
DATE TIME SERVICE OUTCOME
#
INDEPENDENCE
LEVEL
RESPONSE DESCRIPTION OF INDIVIDUAL’S PARTICIPATION IN THE
ACTIVITY/TASK
4/6/15 Start 7:58 am/pm
End 10:30 am/pm
Comp 2 n/a n/a Got Jack out of bed, toileted, dressed, brushed teeth and washed face.
Jack decided what he wanted for breakfast and I assisted him to eat.
4/6/15 Start 10:30 am/pm
End 11:15 am/pm
Hab 1 V, P C, P Jack explored the app. He is able to control movements well. Looked
at each of the signs several times and talked about the meaning of each
and when to use them. Jack was able to correctly identify 3 of 7 signs
today.
4/6/15 Start 11:15 am/pm
End 2:02 am/pm
Comp 2 n/a n/a Jack watched a video, I made lunch and we sat on the porch and
counted how many blue cars drove by which is a game he likes to play.
4/7/15 Start 8:05 am/pm
End 9:05 am/pm
Comp 2 n/a n/a Jack’s mom got him out of bed and ready this morning. I made him
breakfast and he watched cartoons.
Companion Example
Daily Activity Log
4/7/15 Start 9:05 am/pm
End 9:25 am/pm
Hab 1 V, P R, N Jack seemed tired. He didn’t put much effort into practice.
Had to repeat instructions and questions several times.
4/7/15 Start 9:25 am/pm
End 12:30 am/pm
Comp 2 n/a n/a Jack watched TV and then took a nap. We ate lunch on the
porch since it was a nice day.
4/7/15 Start 12:30 am/pm
End 2:00 am/pm
Hab 1 I, V C, P Jack likes games so we played Simon Says to practice with the
app. He really enjoyed the game and did very well with the
signs, correctly identifying 7 of 10.
4/9/15 Start 8:00 am/pm
End 9:45 am/pm
Comp 2 n/a n/a Provided Jack’s morning grooming, got dressed and had
breakfast.
DATE TIME SERVICE OUTCOME
#
INDEPENDENCE
LEVEL
RESPONSE DESCRIPTION OF INDIVIDUAL’S PARTICIPATION IN THE
ACTIVITY/TASK
Companion Example
Daily Activity Log
4/9/15 Start 9:45 am/pm
End 12:00 am/pm
Hab 1 I, V, P C, P Took Jack to Walmart today to practice his communication app.
Asked him questions as we walked through the store that he
could answer with his iPad. He was excited about the outing
which made it a little harder for him to control his movements
but he kept trying until he picked the right one.
4/9/15 Start 12:00 am/pm
End 2:05 am/pm
Comp 2 n/a n/a Went to McD for lunch. Drove by the horse farm on the way
home for Jack to look at the horses. Watched TV.
(SSW Signature): Date signed:
Managing Employer Signature: Date signed:
DATE TIME SERVICE OUTCOME
#
INDEPENDENCE
LEVEL
RESPONSE DESCRIPTION OF INDIVIDUAL’S PARTICIPATION IN THE
ACTIVITY/TASK
Daily Activity Log Must Haves
• Employee (SSW) and Managing Employer signatures,
• Filled out completely,
• Task description must match service provided.
Incomplete or incorrect logs will be returned!
Companion Recap
Wide range of activities,
Used when not working directly on an ISP habilitation goal,
Summary of duties/tasks/activities.
Respite ServicesDefined
“Direct services that are provided to supervise and support individuals living in private homes on a short-term basis due to the absence or need for relief of those persons normally providing care. The provision of Respite Services does not prohibit supporting individuals’ involvement in activities in the community during the period of respite.”
Office of Developmental Programs (ODP)
Respite
• Follow normal routine.
• Two types of respite:
1. 24 hour:• More than 16 hours at one time.
• Limit of 2 days of respite per employee per week (max 40 hours).
2. 15 minute:• Less than 16 hours at one time.
• Document how you provided for the individual’s health, safety and welfare:
oPersonal care, supervision, meals, socialization, activities.
Understanding Service Definitions & Proper Documentation
Training Wrap-up
Habilitation, Companion and Respite
• Service definitions & differences.
Proper Documentation:
• Identifying correct service,
• Accurate times services provided,
• Presents a clear picture,
• Content, not length.
Office Contact Information:
Camp Hill Office
Phone: 1-800-294-2748
Email: [email protected]
Selinsgrove Office
Phone: 1-888-663-3304
Email: [email protected]
As a reminder, please complete the
quiz to receive training credit.
