IDD Services

IDD Services

Service Coordinators

Service Coordinators assist individuals to access medical, social, educational, and other appropriate services and supports that will help achieve a quality of life and community participation desired by the individual. The service coordinator links individuals to service providers and other agencies to meet their support needs. The Service Coordination department also provides Continuity of Care, Permanency Planning, and Nursing Facility Pre-Admission Screening and Resident Review (PASRR) Habilitation Coordination.

Community First Choice – Personal Assistance Services and Habilitation

Community First Choice – Personal Assistance Services and Habilitation (CFC-PAS/HAB) services provide individualized supports and activities based on the individual’s desired personal goals to promote participation in the community. These services are also meant to support and preserve the family unit and the individual’s community placement. Services are provided both in the individual’s home. Supports include activities that foster and promote people’s ability to perform functional living skills.

Specialized Therapies

This service provides assessment and ongoing therapy by licensed/certified professionals in the areas of social work, occupational therapy, physical therapy, speech and language therapy, audiology, dietary and behavioral supports.

Nursing Services

Nursing is provided to persons who require treatment and monitoring of health care procedures that are: prescribed by a physician or medical practitioner; or required by standards of professional practice or state law to be performed by licensed nursing personnel.

Day Habilitation

Day habilitation provides assistance with acquiring and improving self-help, socialization and adaptive skills related to community living. Day habilitation is provided in a group setting on a regularly scheduled basis and includes personal assistance for individuals who need help managing their personal care needs.

Respite Services

This service provides either regular or crisis relief to the unpaid caregiver on a short-term basis when the caregiver is temporarily unavailable. Respite is provided by trained staff and can occur in the individual’s home or another location. The Center operates one home where Respite services are provided.

Employment Assistance

Employment assistance helps individuals obtain paid, competitive employment in the community. It includes helping identify employment preferences, job skills, and work requirements. As required, Texas Workforce Commission services are pursued first.

Supported Employment

This service is provided to an individual who has paid competitive employment in the community. It provides support to help sustain that employment. This service is funded first through Texas Workforce Commission and subsequently through HCS or GR once the Texas Workforce Commission funds are fully utilized.

Vocational training

Vocational training is a service provided to persons in industrial enclaves, work crews, sheltered workshops or affirmative industry settings to help them get a job

Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICF/IDD) program

An ICF/IDD is a 24-hour residential setting for individuals with an intellectual disability or a related condition. An individualized plan of care is developed, based on the needs and choices of the person and the person’s family. The unique needs of the person are the focus of the plan of care. Professional staff and other service providers work with the person and the person’s family to develop a plan based on the person’s skills, strengths and desires. Plans include comprehensive medical and therapy services and skill development programs. Staff helps with daily living activities so the person gains skills to increase independence. There is no waiting list or interest list for this program. The two categories of ICF/IDD are state supported living centers and community-based ICF/IDD.

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State supported living centers (SSLCs)

SSLCs serve persons with intellectual disabilities who have significant medical or behavioral health needs in a residential campus-based community. SSLCs provide 24-hour residential services, comprehensive behavioral treatment and health care, such as medical, psychiatry, nursing and dental services. Other services include skills training; occupational, physical and speech therapies; adaptive aids; day habilitation, vocational programs and employment services; participation in community activities; and services to maintain connections between residents and their families and natural support systems. SSLCs provide campus-based services and supports at 13 locations: Abilene, Austin, Brenham, Corpus Christi, Denton, El Paso, Lubbock, Lufkin, Mexia, Richmond, Harlingen, San Angelo and San Antonio. Admission into a SSLC requires a court commitment.

Community-based ICF/IDD

A community-based ICF/IDD is a residence that provides support services for persons with an intellectual disability or a related condition. If the person has a related condition, the condition must have begun before the person turned 22 and the person must also have:

  • an IQ of 75 or below; or
  • moderate to extreme deficits in adaptive behavior.

Community-based ICFs/IDD provide 24-hour residential services, comprehensive and individualized health care, including physician, nursing and dental services, skills training, professional therapies, adaptive aids, vocational programs and habilitation services to persons to promote their independence.

Persons are served in a six-bed home or in larger settings. There is no waiting list or interest list for a community-based ICF/IDD. However, the owner/operator of each ICF/IDD can determine additional admission criteria for its facility (for example, age or gender limitations) and can maintain its own interest list based on occupancy rate. A person can select a particular ICF/IDD; however, the ICF/IDD must have a vacancy and the provider must approve the admission.