Current through September 24, 2024
A. Supervised Living Services provide
individually tailored supports which assist with the acquisition, retention, or
improvement in skills related to living in the community. Habilitation,
learning and instruction are coupled with the elements of support, supervision
and engaging participation to reflect the natural flow of learning, practice of
skills, and other activities as they occur during the course of a person's day.
Activities must support meaningful days for each person. Activities are to be
designed to promote independence yet provide necessary support and
assistance.
B. Supervised Living
Services may be intensive and time-limited for adults with serious mental
illness in order to provide readjustment and transitional living services for
people discharged from a psychiatric hospital who have demonstrated mental,
physical, social and emotional competency to function more independently in the
community. These time-limited services may also be provided for people who need
this service as an alternative to a more restrictive treatment
setting.
C. Supervised Living
Services must include the following services as appropriate to each person's
support needs:
1. Direct personal care
assistance activities such as:
(a)
Grooming;
(b) Eating;
(c) Bathing;
(d) Dressing; and,
(e) Personal hygiene.
2. Instrumental activities of daily living
which include:
(a) Assistance with planning
and preparing meals;
(b)
Cleaning;
(c)
Transportation;
(d) Assistance with
ambulation and mobility;
(e)
Supervision of the person's safety and security;
(f) Banking;
(g) Shopping;
(h) Budgeting;
(i) Facilitation of the person's
participation in community activities;
(j) Use of natural supports and typical
community services available to everyone;
(k) Social activities;
(l) Participation in leisure
activities;
(m) Development of
socially valued behaviors; and,
(n)
Assistance with scheduling and attending appointments.
3. Methods for assisting people arranging and
accessing routine and emergency medical care and monitoring their health and/or
physical condition. Documentation of the following must be maintained in each
person's record:
(a) Assistance with making
doctor/dentist/optical appointments;
(b) Transporting and accompanying people to
such appointments; and,
(c)
Conversations with the medical professional, if the person gives
consent.
4. Transporting
people to and from community activities, other places of the person's choice
(within the agency provider's approved geographic region), work, and other
sites as documented in the individual plan.
5. If Supervised Living Services personnel
were unable to participate in the development of the person's Plan of Service,
employees must be trained regarding the person's plan prior to beginning work
with the person. This training must be documented as defined in the Record
Guide.
6. Orientation of the person
to Community Living Services, to include but not limited to:
(a) Familiarization of the person with the
living arrangement and, neighborhood;
(b) Introduction to support personnel and
other people (if appropriate);
(c)
Description of the written materials provided upon admission; and,
(d) Description of the process for informing
people/parent(s)/legal representative(s) of their rights, responsibilities and
any service restrictions or limitations prior to or at the time of
admission.
D.
Meals must be provided at least three (3) times per day, and snacks must be
provided throughout the day. Documentation of meal planning must be available
for review, and documentation must include development of a menu with input
from people living in the residence that includes varied, nutritious meals and
snacks and a description of how/when meals and snacks will be prepared.
1. People must have access to food at any
time, unless prohibited by their individual plan.
2. People must have choices of the food they
eat.
3. People must have choices
about when and with whom they eat.
E. People receiving services are prohibited
from having friends, family members, etc., living with them who are not also
receiving services as part of the Supervised Living Services.
F. In living arrangements in which people pay
rent and/or room and board to the agency provider, there must be a written
financial agreement which addresses, at a minimum, the following:
1. Procedures for setting and collecting fees
and/or room and board (in accordance with Part 2: Chapter 10 Fiscal
Management)
2. A detailed
description of the basic charges agreed upon (e.g., rent [if applicable],
utilities, food, etc.)
3. The time
period covered by each charge (must be reviewed at least annually or at any
time charges change)
4. The
service(s) for which special charge(s) are made (e.g., internet, cable,
etc.)
5. The written financial
agreement must be explained to and reviewed with the person/legal
representative(s) prior to or at the time of admission and at least annually
thereafter or whenever fees are changed.
6. A requirement that the person's record
contains a copy of the written financial agreement which is signed and dated by
the person/legal representative(s) indicating the contents of the agreement
were explained to the person and he/she is in agreement with the contents. A
signed copy must also be given to the person/legal representative(s) or
representative(s).
7. The written
financial agreement must include language specifying the conditions, if any,
under which a person might be evicted from the living setting that ensures that
the agency provider will arrange or coordinate an appropriate replacement
living option to prevent the person from becoming homeless as a result of
discharge/termination from the community living services.
G. People must be eighteen (18) years or
older to participate in Supervised Living.
H. A qualified employee must be designated as
responsible for the service location at all times. There must be male/female
employee coverage as necessary.
I.
Apartment settings with an apartment manager with responsibilities related to
collection of fees, maintenance, etc., must also have at least one (1)
treatment/support personnel on-site in order to be considered Supervised
Living.
J. There must be at least
one (1) employee physically on-site when people are present.
K. A maximum of eight (8) people may reside
in a single residence for services initially certified after the effective date
of these standards.
Section
41-4-7
of the Mississippi Code, 1972, as Amended
