Below is a list of some of the typical services purchased by our customers with the Self-Directed Support funds available to them. For a complete list of available services and typical rates, please consult the In-Home Expenditure Guidelines.
Attendant services and supports to assist an individual in accomplishing activities of daily living, instrumental activities of daily living and health related tasks through hands-on assistance, supervision, or cueing.
1:1 & Small Group ADL Care
ADL is a term used to refer to daily self-care activities within an individual’s place of residence, in the community, or both. These are the most basic activities necessary for daily life, and include the following:
- Basic personal hygiene
- Toileting, bowel, and bladder care
- Mobility, transfers, and repositioning
- Medication administration and use of medical equipment
- Delegated nursing tasks.
1:1 & Small Group IADL Care
IADL activities are not necessary for fundamental functioning, but they let an individual live more independently in a community. These activities are more complex and include but are not limited to:
- Light Housekeeping
- Grocery and other shopping necessary for the completion of other ADL and IADL tasks.
- Assistance with necessary medical appointments
- Observation of an individual’s status and reporting
- First aid and handling emergencies
- Cognitive assistance or emotional support
- Social support around socialization and participation in the community
ADL / IADL Assessment and Skills Training
Services include functional skills training, coaching, and prompting the individual to accomplish the ADL, IADL and health-related skills. Services will be specifically tied to the functional needs assessment and person-centered service plan and are a means to increase independence, preserve functioning, and reduce dependency of the individual. Skill training may occur in the home or community.
Assistive Technology Training
Services include functional skills training provided in order that the individual becomes able to utilize technology to accomplish ADL, IADL and health-related tasks.
Relief Care is short-term care and supervision provided because of the absence, or need for relief, of persons normally providing the care to individuals unable to care for themselves.
Employment Path Services
Employment Path Services include:
- Training general or non-job-task-specific skills that can be used in an individual integrated job.
- To improve an individual’s employability in the general workforce through learning and work experiences.
The expected outcome of Discovery is sustained paid employment and work experience leading to further career development and individual integrated employment in the general workforce for which an individual is compensated at or above the minimum wage.
Discovery is a service an individual may use when he or she has determined that he or she wants to actively pursue a job in an individual integrated employment setting within the coming year but the individual or job developer may require further information to determine the career or work environment in which the individual would be most successful. Discovery is intended to be a precursor to inform and effectively utilize VR Job Development, although Discovery is not a prerequisite to VR Job Development.
- A comprehensive and person-centered employment planning support service to better inform an individual seeking Individual Integrated Employment and develop a Discovery Profile.
- Discovery includes a series of work or volunteer related activities to inform the individual and the Job Developer about individual’s strength’s, interests, abilities, skills, experiences, and support needs, as well as identify the conditions or employment settings in which the individual will be successful. It is also an opportunity for the individual to begin active pursuit of individual integrated employment.
Job Development and Placement
SDRI typically works with the Office of Vocational Rehabilitation Services (OVRS), who provides this service. In certain situations we may also work with Oregon Commission for the Blind (OCB), though that is less typical.
Initial Job Coaching
Initial job coaching may include facilitation of learning a new job and developing communication with supervisors and co-workers, including but not limited to:
- Helping the new employee learn the job.
- Coordinating with others who support the person with services such as behavioral, medical, or other supports.
- Assisting the employee to develop work appropriate relationships with supervisors and co-workers.
- Collaborating with the employee and the employer to develop natural supports.
Ongoing Job Coaching
Ongoing Job Coaching support includes the supports outlined above for initial Job Coaching, with continuing follow-up as needed. In addition to the supports outlined above, ongoing Job Coaching also requires assistance with helping the individual to advance in his or her career as evidenced by a job coach fading support, raises, more hours, increased responsibility and/or promotion, etc.
Small Group Supported Employment
The expected outcome of Small Group Supported Employment is sustained paid employment and work experience leading to further career development and individual integrated employment in the general workforce for which an individual is compensated at or above the minimum wage.
Small Group Supported Employment includes services and training activities in regular business, industry and community settings for groups of two (2) to eight (8) individuals. This service must be provided in a manner that promotes integration into the work place and interaction with people without disabilities in those work places.
Non-Medical Service-Related Community Transportation
Services that allow individuals to gain access to waiver services, community services, activities and resources that are not medical in nature. Transportation services may include:
- Mileage reimbursement to paid service providers.
- Bus passes / tickets or cab transportation related to the individual’s disability and/or service needs.
Behavior Consultation, Assessment and Training
Behavior Consultation services are:
- Intended to determine if formal supports are needed and to develop training and plans for individuals that engage in challenging, dangerous, or unsafe behaviors.
- Intended to be limited duration with a focus on the development and implementation of a behavior support plan (BSP) with positive strategies, implement the plan, monitor and revise the plan as needed and approved.
Chore services are used to restore a hazardous or unsanitary situation to a clean, sanitary, and safe environment in an individual’s home. Chore services include heavy household chores such as washing floors, windows, and walls, tacking down loose rugs and tiles, and moving heavy items of furniture for safe access and egress. Chore services may include yard hazard abatement to ensure the outside of the home is safe for the individual to traverse and enter and exit the home.
Chore services are one-time or occasional assistance with tasks involving heavy physical labor aimed at achieving basic cleanliness and safety that may then be maintained over a reasonable period of time by routine housekeeping and maintenance.
Training services for the family of an individual to increase capabilities of the family to care for, support and maintain the individual in the home.
Services are provided by in organized conferences and workshops that are limited to topics related to the individual’s disability, identified support needs, or specialized medical or habilitation support needs