Accil desk Manual



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How do individuals Contact a CIL?


People who want services can initiate contact with the CIL in a variety of ways, but the most common is by calling the office.

Is It I&R or CSR?

CILs use the following information to determine whether a service meets the recording criteria of basic Information and Referral (I&R) or a Consumer Service Record (CSR).




IF


IF

You are working with a caller or visitor or e-mailer WITH OR WITHOUT a disability


You are working with a person with a significant disability (or their authorized representative)


AND


AND


You provide limited information for a specific request or referral to a more appropriate agency


You begin to assist in setting goals, to engage in problem solving, to develop in-depth notes about needs


THEN


THEN


This service is Information and Referral


Develop a Consumer Service Record



I&R


CSR




Who is Eligible to Receive Services?


Any individual with a significant disability is eligible.

What is a Significant Disability?


The Federal act defines this as a severe physical, mental, cognitive, or sensory impairment that limits an individual’s ability to function independently in the family or community or their ability to obtain, maintain, or advance in employment.

How is Eligibility Determined?

Through the presentation of written documentation of a significant disability, self-identification, or observation by a ILC staff person. In any case, documentation must be signed and retained for the case record.

What’s in a CSR?


Consumer service records include:

  1. Documentation concerning eligibility or ineligibility for services

  2. The services requested by the consumer;

  3. Either the IL plan developed with the consumer [and signed by the consumer and the IL staff representative] or a waiver signed by the consumer stating that an IL plan is unnecessary [NOTE: RSA determined that electronic signatures are allowable but not verbal signatures];

  4. The services actually provided to the consumer;

  5. And the IL goals or objectives –

    1. Established with the consumer, whether or not in the consumer’s IL plan; and

    2. Achieved by the consumer.

What’s the Difference between a IL Plan or Waiver?


An individual has the right to develop an independent living plan (ILP) or waive that right.

  1. Developed in collaboration with the individual with a significant disability, an IL plan must

    1. indicate the goals or objectives established

    2. indicate the services to be provided

    3. indicate the anticipated duration of the service program and each component services.

    4. be signed by the appropriate staff member of the service provider and the individual with a significant disability

    5. be provided in an accessible format to the individual with a significant disability

    6. be reviewed as often as necessary but at least on an annual basis to determine whether services should be continued, modified, or discontinued, or whether the individual should be referred to a program of VR services

  2. The requirements with respect to an IL plan do not apply if the individual knowingly and voluntarily signs a waiver stating that an IL plan is unnecessary.

  3. Note: Even though an individual may sign a waiver, CIL staff must still document goals, action plans and achievements as part of the Consumer Service Record.

What kind of Goals Can be Developed?


When developing an Independent Living Plan as part of a Consumer Service Record, consumers establish goals. These goals are defined as affecting significant life areas that classify consumer goals into a few categories representing the range of life achievements made possible through IL services. CILs report the setting and achievement of goals in these significant life areas annually to the federal government. Below are definitions of the significant life areas and examples of each.

The examples following the definitions are designed to be used as a guide.



  1. Communication – Goals involving either improvement in a consumer’s ability to understand communication by others (receptive skills), and/or improvement in a consumer’s ability to share communication with others (expressive skills).

    1. Use Alternative Formats (i.e., Braille, large print, electronic format, audiotape)

    2. Use Interpreters

    3. Use Writers/ Note-takers/ Readers

    4. Use TTY/Colorado Relay Service

    5. Use Closed-Captioned Equipment

    6. Use Speech Therapy Services

  2. Community/Social Participation – Goals related to full participation in the mainstream of American society, including the ability to participate in community events such as community fairs and government functions, attend worship services and access recreational activities and facilities.

  3. Educational – Academic or training goals that are expected to improve the consumer’s knowledge or ability to perform certain skills that would expand his/her independence, productivity or income-generating potential.

    1. Improve Basic Literacy Skills

    2. Acquire a High School Diploma or GED

    3. Acquire a College Degree

    4. Acquire Post-Secondary Training (Vocational, Technical, Community College, Certification Program)

    5. Learn Foreign Language

  4. Housing -- One of the following significant life areas based on a consumer’s current living situation

    1. Relocation from a Nursing Home or Institution – Goals related to relocation from nursing homes or other institutions to community-based living arrangements. This significant life area specifically pertains to consumers who live in a nursing home or institution.

    2. Community-Based Living – Goals that provide for a change in living situations with increased autonomy for the consumer. This may involve a consumer’s goals related to obtaining/modifying an apartment or house. Community-based living arrangements may include apartments, privately owned housing, self-directed assisted living, or self-directed living with family/friends.

  5. Information Access/Technology – Goals related to consumer obtaining and/or using information necessary for the consumer’s independence and community integration. These may include use of a computer or other assistive technology, devices, or equipment, as well as developing information technology skills, such as using computer screen-reading software.

    1. Use a Personal Computer

    2. Use Assistive Devices

    3. Repair and Maintain Equipment

    4. Use Software

  6. Mobility/Transportation – Goals to improve a consumer’s access to her/his life space, environment, and community. This may occur by improving the consumer’s ability to move, travel, transport himself/herself, or use public transportation.

    1. Use Public Transportation

    2. Use Para Transit Services

    3. Gain Mobility Skills

    4. Obtain Driver’s License

    5. Obtain / Modify a Vehicle

    6. Obtain Parking Permit

    7. Access Various Travel Methods: Airlines, Trains, etc.

    8. Use a Service Animal

  7. Other – IL goals not included in the other categories.

  8. Personal Resource Management – Goals related to a consumer learning to establish and maintain a personal/family budget, managing a checkbook, and/or obtaining knowledge of available direct and indirect resources related to income, housing, food, medical, and/or other benefits.

    1. Develop and Follow a Budget

    2. Open a Bank Account

    3. Balance a Checkbook

    4. Plan for Financial Security

    5. Improve Credit

    6. Evaluate Need / Make Arrangements for Payee Services

    7. Understand, Acquire, or Increase Benefits (e.g., SSI/SSDI, Section 8, food stamps/Bridge Card, etc.)

  9. Self-Advocacy/Self-Empowerment – Goals involving improvement in a consumer’s ability to represent himself/herself with public and/or private entities, the ability to make key decisions involving himself/herself, or the ability to organize and manage his/her own activities to achieve desired objectives.

    1. Increase Knowledge of Personal/Civil Rights and Disability Laws

    2. Improve Self-Esteem/Assertiveness/Self-Advocacy Skills

    3. File or Appeal a Complaint/ Grievance / Find Legal Representation

    4. Advocate for New and/or Enforcement of Disability Legislation

    5. Advocate for Personal Rights/Accommodations from various systems (i.e., Social Security, Veterans Administration, ADA, Medicaid/Medicare etc.)

    6. Serve on Committees, Coalitions, and Boards

    7. Register to Vote and/or Learn to Use Electronic Voting Machines

  10. Self-Care – Goals to improve/maintain a consumer’s autonomy with respect to activities of daily living such as personal grooming and hygiene, meal preparation and nutrition, shopping, eating, and other aspects of personal health and safety.

    1. Recruit, Hire, Manage Personal Assistants

    2. Identify Child Care Options

    3. Parenting

    4. Shop, Prepare Meals, and Eating

    5. Grooming/ Hygiene

    6. Transferring

    7. Safety

    8. Housekeeping

    9. Health Care, Wellness and Exercise

    10. Sexuality

  11. Vocational – Goals related to obtaining, maintaining, or advancing in employment.

    1. Obtain Employment Services

    2. Obtain a Job Coach/Supported Employment

    3. Obtain/Retain a Job/Volunteer Position

    4. Become Self-Employed

    5. Understand ADA Issues Related to Work Place Accommodations

    6. Obtain On-the-Job Training

    7. Acquire Employment Advancement Skills

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