ADULT PROGRAMS AND SERVICES

Residential Services

What are the options in residential services?

1. Community Care or Health Care Licensed Homes:
San Diego Regional Center supports the principles of choice and the least restrictive living arrangement for the individuals we serve. These living arrangements may range from a person living in their own home or apartment to someone living in a licensed out of home placement.
Community Care homes are based on the residential model, where training is provided to develop an individual’s skill and abilities and to increase a person’s independent living skills.

Community Care Licensed (CCL) homes are available for both children and adults. They may accommodate from 1 to 6 consumers, both males and females. Most CCL facilities for children serve children ranging in age from 5 to 17. Adult homes serve individuals ranging in age from 18 through 59. Individuals over the age of 59 have the option of receiving services in a CCL home for the elderly.

CCL homes for both children and adults provide several different levels of service ranging from Level I through Level IV, depending upon the individual needs of the consumer in the areas of self-care, behavior/socialization, medical, communication, and independent living. For specific information and recommendations for choosing an appropriate living situation, ask your service coordinator for a copy of the booklet “A Consumer and Family Guide to Living Options".

Health Care licensed facilities (HCF) do not have age restrictions. These facilities look at “like conditions” of the residents. As in Community Care Facilities, an individual needs to qualify for the services provided in a HCF. An individual needs to have intermittent or ongoing nursing care needs. The type of nursing needs and the severity of those needs, determine a person’s eligibility to live in an Intermediate Care Facility/Developmentally Disabled (ICF-DD), ICF/DD-H (Habilitation) or ICF/DD-N (Nursing).

The decision about what type of residential care will meet a consumers’ needs is based on the degree of supervision and support that the consumer requires. For example, a person living in a CCL Level 4 home must require extensive supports due to behavioral or medical issues. A person living in a Health Care Facility must need a greater level of staff intervention, including nursing support or consultation, to maximize his/her potential. An ICF/DD-N facility would provide for nursing needs that could not be typically met in an ICF/DD or a CCL facility.

2. Programs not involving licensed facilities are called Independent Living or Supported Living.
An independent living agency provides adults with the functional skills training necessary to secure a self-sustaining, independent living situation in the community and/or may provide the support necessary to maintain those skills. Independent living agencies focus on functional skills training for adult consumers, some of whom may employ and supervise aides to assist them in meeting personal needs.

Supported Living is a very similar concept except that where independent living services teach the individual to learn the skill necessary to complete the task; supported living provides some services, in addition to training, under the direction of the individual, to allow the individual to live in the community.
An individual who receives independent living or supported living services must be residing in his/her own home or have the intention of moving in to their own home within a 60 day time period.

Return to Top

Adult Day Programs

The Continuum of Services
Transition services are part of the IEP process in the public schools. That process considers the vocational goals for a student, starting at age 14. Generally, public school services are available to age 22. Following completion of public school services, a consumer is transitioned into services for adult consumers.

Adult program services means those programs which assist adults who are no longer eligible for services from a local public education agency to acquire and maintain those life skills needed to enable them to cope more effectively with the demands of their environments. The availability and appropriateness of generic adult services should be addressed by the Planning Team. Programs for adults provide meaningful activities that lead to more productive, independent and satisfying lives and/or employment. Such services may include:

Adult Education

Regional Occupation Programs (ROP)

Community Colleges

Community Mental Health day treatment.

Adult Day Health Care

The Department of Rehabilitation. The primary outcome of rehabilitation service is competitive employment.

Vocational Rehabilitation/Work Activity Program (VR/WAP) enables individuals to be served by Vocational Rehabilitation counselors while still attending the work activity program. The individuals served in this program require assistance to overcome barriers that prevent them from pursuing supported employment.

Supported Employment Services, group and individual placement, provide paid work opportunities in business settings using individual and group placements. Training is combined with job placement for individuals with severe disability.

Activity Center (ACs) programs are designed for individuals who have acquired most basic self-care skills, have some ability to interact with others, are able to make their needs known and respond to instructions.
The focus is on the development and maintenance of the functional skills required for self-advocacy, community integration, and employment.

Adult Development Centers (ADCs) are community or center based day programs that serve adults who are in the process of acquiring self-help skills, generally need sustained support and direction in developing the ability to interact with others, need support to make their needs known, need support to respond to instructions. The focus is on the development and maintenance of the functional skills required for self-advocacy, community integration, self-care and employment.

Return to Top

Transportation Services

Generally, arranging for and providing transportation for a child is the responsibility of the parents and caretakers to and from all activities and appointments. Transportation to a public school program or non-public school program is the responsibility of the local education agency.

Transportation services may be necessary for adult consumers to attend a day program. All consumers are encouraged to travel as independently as possible. SDRC will select and fund the most cost effective means of transportation service which meets the consumer’s needs
Transportation services may include bus and trolley passes, public paratransit systems, mileage reimbursement, ADA fare coupon booklets, or vouchers and vendored transportation by bus, van, taxi or automobile. Mobility training assessments are completed on all adults. Mobility training is a transportation service which teaches consumers how to use public transportation or other modes of transportation which will enable them to move about the community independently.

The following criteria are used in considering transportation requests:
Consumers who require transportation services should be encouraged to arrange and pay the cost of such service when it is possible.
The preferred method of transportation shall be the most cost effective.
SDRC may purchase transportation services for consumers to attend the nearest appropriate day program to their home.

Return to Top

4355 Ruffin Rd., Suite 200
San Diego, CA, 92123
phone: (858) 576-2996
fax: (858) 576-2873