{"id":2977,"date":"2014-04-08T08:00:55","date_gmt":"2014-04-08T12:00:55","guid":{"rendered":"http:\/\/graftonblog.com\/?p=2776"},"modified":"2015-04-02T13:08:41","modified_gmt":"2015-04-02T17:08:41","slug":"housing-options-choice-vs-regulations","status":"publish","type":"post","link":"https:\/\/www.grafton.org\/housing-options-choice-vs-regulations\/","title":{"rendered":"Housing Options: Choice vs. Regulations"},"content":{"rendered":"

To meet the requirement of Section III.D.3 of its Settlement Agreement with the U.S. Department of Justice (DOJ) that the state move residents with intellectual and developmental disabilities out of the current training centers and into community based settings, the Commonwealth of Virginia plans to close four of the state operated training centers and add 4,170 new ID Waiver slots.\u00a0 The Southeastern Virginia Training Center will remain open and provide 75 residential beds.<\/p>\n

The plan has sparked a statewide discussion among advocacy groups such as the New Voices Initiative<\/a>(sponsored by the Partnership of People with Disabilities) http:\/\/www.partnership.vcu.edu<\/a>, housing and service providers such as Virginia Supportive Housing<\/a> and of course, various government agencies, to name a few.<\/p>\n

Generally www.cdc.gov<\/a>, we have been hearing more and more discussions about what these housing options \u201cshould look like.\u201d<\/p>\n

They include living at home with family, alone in small apartments, or in two- or three-person group homes. I\u2019m also hearing opinions that these individuals \u201cshould\u201d not have roommates and \u201cshould\u201d be out of the home working each day. Most of these comments come from policy makers and individuals who enforce our regulations. Often, the discussions imply we need to limit, rather than expand options for consumers.\u00a0
\n<\/a><\/p>\n

But I believe all<\/i> of the options mentioned are excellent choices, and each can represent a vital part of a continuum of care <\/i>in Virginia. As a family member of a consumer, I wanted my loved one living at home with family and supports in place. However, as my loved one\u2019s medical needs became more complicated, I was just as appreciative of a higher level of care that could meet her medical needs.<\/p>\n

We should be encouraging new staffing and residential models and discussing how to incorporate smart technology into the various levels of care.\u00a0 Based off of current reimbursement rates, most homes are staffed with Direct Support Professionals (DSP) instead of clinical professionals.\u00a0 However, by increasing clinical expertise in the residence, we may be able to decrease the total number of DSP\u2019s required to staff residential settings. \u00a0Homes staffed with therapists, board certified behavior analysts, and behavior specialists would add a level of clinical support not currently seen in most models.\u00a0 Smart home technology should also be discussed prior to the \u201coptimal\u201d number of residents in a home.\u00a0 This has the potential to be one of the largest drivers to increase functional autonomy.\u00a0 Maybe we should be looking at funding residential options with increased clinical expertise and smart home technology instead of discussing \u201chow many\u201d residents should live in one home.\u00a0 If we truly want to provide the best residential options to the citizens of Virginia, we should consider funding for improving current options as well as exploring new options.\u00a0 Virginia does not have enough housing options to meet the current demand. We should not be discussing what limits we should impose on our levels of care, but rather, how we can expand and improve our current options.<\/p>\n

Consumer choice should be the determining factor of where the consumer lives, who the consumer lives with, and type of environment the consumer lives in. We can make these determinations in each client\u2019s person-centered planning meetings. Some consumers want an actual roommate while others prefer a room to themselves. Some might want to live with one or two housemates, while others might prefer four or five.<\/p>\n

We should spend more time respecting individual choice instead of trying to regulate and dictate what environment we think our consumers \u201cshould be\u201d living in. Bottom line, we should never support housing policies that limit client choice. www.autismspeaks.org<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

To meet the requirement of Section III.D.3 of its Settlement Agreement with the U.S. Department of Justice (DOJ) that the state move residents with intellectual and developmental disabilities out of the current training centers and into community based settings, the Commonwealth of Virginia plans to close four of the state operated training centers and add 4,170 new ID Waiver slots. The Southeastern Virginia Training Center will remain open and provide 75 residential beds. <\/p>\n","protected":false},"author":8,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[31,35,36],"tags":[58,94,122],"class_list":["post-2977","post","type-post","status-publish","format-standard","hentry","category-behavioral-healthcare","category-mental-health-services","category-outcomes","tag-choice","tag-housing","tag-residential-supports"],"acf":[],"yoast_head":"\nHousing Options: Choice vs. Regulations - Grafton<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.grafton.org\/housing-options-choice-vs-regulations\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Housing Options: Choice vs. Regulations - Grafton\" \/>\n<meta property=\"og:description\" content=\"To meet the requirement of Section III.D.3 of its Settlement Agreement with the U.S. Department of Justice (DOJ) that the state move residents with intellectual and developmental disabilities out of the current training centers and into community based settings, the Commonwealth of Virginia plans to close four of the state operated training centers and add 4,170 new ID Waiver slots. 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