DD/MR: Our DD/MR Department provides various services for Medicaid Waiver participants while our Crisis Network Services Department provides the same services for participants who do not qualify for Medicaid Waiver.
FAQ's:
Q: What is the difference between Medicaid Waiver & non-Medicaid Waiver services?
A: Medicaid Waiver services are federally funded for those who qualify for the Medicaid program. These participants are serviced under the DD/MR department. Our DD/MR and CNS (Crisis Network Service) departments mirror one another, but clients who do not qualify for Medicaid are serviced by CNS with State funds. CNS funding is generally reserved for individuals who are experiencing a crisis situation.
Q: How do I begin receiving services by CARE Hawaii, Inc.?
A: Every person who qualifies for services with the Developmental Disabilities Department (DDD) has a case manager. The case manager recommends the service(s) needed and sends a referral to our DD/MR department here at CARE Hawaii, Inc. With this State approval, we will procure a service provider and begin services as soon as possible. If you would like general information regarding the Department of Health's Developmental Disabilities program, and how to obtain a case manager, please contact them at (808) 733-9172
Q: Who is the Crisis Hotline for?
A: The Crisis Hotline number is 808-590-1769 on Oahu, and 1-866-559-9211 for the neighbor islands. The Crisis Hotline is for any individual who qualifies for services with the DDD (those already accepted into the DD/ Waiver and those waiting to get into the Waiver) who is about to experience an impending crisis, or is experiencing a crisis situation.
Q: What is a crisis?
A: A crisis is a state of instability or danger, in which it is feared that a participant is not safe to themselves and/or their environment. We do not decide what might qualify as a crisis. If a threat is perceived, we respond.
Q: What happens once a crisis call is made?
A: Once the call is received by a CARE Hawaii, Inc. representative, our staff will conduct a phone assessment. If further intervention is needed, our Crisis Mobile Outreach team is dispatched to their location. A team member will arrive at the scene within 45 minutes. If home stabilization is not working, the assessor will determine the next level of care; such as our ES/ER Crisis Shelter for stabilization, or a higher level of care (ie: hospitalization) The PRIMARY GOAL is to stabilize the situation within the home.
Q: Does CARE Hawaii, Inc. have Emergency Shelter beds available?
A: Yes, we provide Emergency Shelter for any individual eligible for services within the DOH-DD Division. This provides stabilization for individuals with challenging behaviors in a 24/7 awake-staffed environment. Our facility is located on Oahu, but emergency services (Crisis Hotline, Crisis Mobile Outreach, Crisis Shelter) are available to all DOH-DDD participants state-wide. Criteria for shelter stay may include the following: a) History of threatening to him/herself, others, or property damage b) Medication stabilization c) Threat to losing current placement due to ongoing history of challenging behaviors d) Health and safety reasons (as defined by the assessor). We also provide ResHab 3 services.
Q: What are Residential Habilitation Homes?
A: Care Hawaii currently offers Level 3 & 4 ResHab Homes, which are for individuals with behavioral challenges. Services are provided to educate, help facilitate program planning and support the foster family. ResHab is used to increase independence with activities of daily living (ADL's), develop communication, social, recreational, and leisure skills and/or enhance independent living, self-direction, and choice making. This includes individually tailored supports that assist with the acquisition, retention, or improvement in skills related to living in the community.
Q: What is an FBA?
A: A Functional Behavioral Assessment (FBA) takes place over 3-5 months. It is a process/analysis that is completed by a Behavioral Specialist, who identifies a problem behavior of the participant in order to determine the function or purpose of the behavior to develop interventions to teach acceptable alternatives. CARE Hawaii Inc. has on staff several psychologist-supervised Behavioral Specialists that study maladaptive behaviors of DD/MR participants. An initial meeting is scheduled to gather information followed by several hours of interviews and observations. The FBA is then written, with a plan to address these behaviors. The circle of support is trained on the plan and depending on the level of care required, based on the participant's needs, either the Behavior Specialist or a Service Supervisor shall complete the process by overseeing the staff as they carry out the plan.
Q: What are Personal Assistance/Habilitation (PAB) Services?
A: These services are provided to assist participants in meeting their health and safety needs, utilizing community resources, and developing natural supports. It is a range of assistance and/or training to enable program to accomplish tasks they would normally do for themselves if they did not have a disability. Training is driven by goals related to increasing the participant's capacity and independence to reside and/or participate in their home and community, learning, developing relationships, and/or to increase their capacity toward economic self -sufficiency. We currently offer PAB Levels 1,2 and 3 (level of care is determined by DOH-DDD Case Manager).
Q: What are Supported Employment services?
A: The intent of this service is to provide long-term ongoing support to participants in competitive employment and to increase participant independence. The service consists of intensive, ongoing supports that enable participants. Employment activities include job development, placement, supervision, training and work retention.
Q: What types of trainings are offered by Care Hawaii's CNS (Crisis Network Services Team)?
A:Care Hawaii offers FREE statewide trainings to the Developmental Disabilities Community. Training topics are dependent upon the needs and requests of the community. The goal of these trainings include: (a) Increase knowledge base and capacity of agency providers, families, and other stakeholders to support the behavioral needs of individuals in their home and community environments. (b) Development of mutual support within the Crisis Network. (c) Development of collaborative "best practices" to address the behavioral needs of individuals. (d) Identification of issues impacting the behavioral needs of individuals that may include, resources for (i) resources for behavioral supports (ii) training needs and (iii) prioritization of curriculum topics. For more information about currently offered trainings topics, or to request a seminar/topic, please call 791-6091.