New Mexico Administrative Code
Title 8 - SOCIAL SERVICES
Chapter 371 - DEVELOPMENTAL DISABILITIES
Part 7 - (APPENDIX A) INDIVIDUAL TRANSITION PLANNING PROCESS
Section 8.371.7.25 - ACTIVITY 11: FULL TIDT MEETING TO DEVELOP THE ITA

Universal Citation: 8 NM Admin Code 8.371.7.25

Current through Register Vol. 35, No. 18, September 24, 2024

A. The purpose of the TIDT meeting is to develop the individual transition plan (ITP). The ITP is the document developed by TIDT participants identifying the proposed steps to be taken before and after placement and until implementation of a new annual community individual service plan (CISP).

B. The team should attempt to identify or develop services that use the same resources that the general population uses. For instance, the team should make attempts to use or adapt for use local adult education resources instead of looking for a way to set up a special adult education program for individuals who are transitioning.

C. Upon failing to find a generic solution or one that might be adapted, the team should match the preferred specialized solution to the individual's needs and not provide additional services if the need cannot be demonstrated. For instance, if an individual needs staff support only to assist in preparing the evening meal, the team should find ways to deliver that service and no more, rather than developing a residential placement that provides 24 hour staff support because that service is available at the facility.

D. In addition, the TIDT should specify the training and other necessary supports for direct care staff persons who would work directly with the individual in the community setting. Therapeutic and behavioral supports should be delivered primarily through direct care staff persons since they are the most consistently present, interact the most with the individual, and thus know the individual best. Therapists and psychologists should design the individual interventions, train staff to carry them out through the course of the normal daily routine, monitor the program implementation and be available to coach staff and solve problems.

E. The team shall identify each activity in objective form with specific assignment of responsibility and timelines for the accomplishment of each transition activity. For example, a home living provider would be responsible for the accomplishment of home living related tasks, a work/education provider for work/education tasks, and the case manager for monitoring service provision and assuring the presence and preparation of community life and professional services tasks.

F. All team members are encouraged to participate in all areas of the team process, not just in their area or expertise, skill or involvement. Decisions should be made by consensus. Where there is disagreement, the team should continue to work towards a solution that all participants can accept. If consensus is not reached, the team shall make decisions by majority rule. A record shall be maintained of team decisions. The result of the team's effort is the ITP proposed to the division for implementation.

G. The TIDT should attempt to complete the preparation of the ITP in one meeting. Additional TIDT meetings should be scheduled only if the first meeting does not resolve significant issues, such as the identity of the community residential provider or the competitive or supported employment provider, major medical resources or safety issues. For some individuals, planning for the move will be complex and lengthy and may require more than one meeting. For others, addressing the basic requirements of home, work/education, community life and necessary supports will be straightforward and less complex. The case manager, with the concurrence of the TIDT, shall specify in writing the issue(s) necessitating the additional meeting, the identity of the person or entity responsible for addressing and resolving the issue prior to the next meeting, and any other relevant information.

H. Each additional TIDT meeting shall be held within 21 days of the preceding TIDT meeting. The case manager shall mail a copy of the written reasons for the additional meeting to the Jackson transition representative (JTR) and shall notify TIDT members of specific tasks and the date of the next TIDT meeting. Absent extraordinary circumstances agreed upon by the TIDT, there shall be no more than two additional TIDT meetings.

I. The TIDT meeting shall be chaired by the case manager. The team shall begin by reviewing the previous assessments made pursuant to Activities 8 and 9 and the community service provider selections made pursuant to Activity 7. Issues identified and solutions suggested throughout the meeting shall be compared with the assessments to ensure consistency with the individual's preferences where possible.

J. The TIDT shall review and revise the assessments developed in Activities 8 and 9; describe what life should be like for that individual in that community, starting with a discussion of what life is like for other persons of the individual's age and interests and taking into consideration the assessment developed as a result of Activity 9 above; describe those supports that will be needed by the individual; identify the area's generic resources that will be used to provide those supports, or, if generic resources are not readily available, a consideration of those actions that could be taken to enhance existing generic supports for the individual; describe and justify the use of any specialized community service providers. Specialized providers are to be used only when either no generic supports exist or existing generic supports cannot reasonably be enhanced to meet the needs of the individual.

K. TIDT meeting guidelines and agenda: The TIDT shall develop the ITP in accordance with the following guidelines:

(1) The contents of the ITP are reasonable and appropriate to meet the individual's needs and promote identified strengths and capacities.

(2) The ITP reflects the individual's preferences, to the extent appropriate, unless the individual communicates no preference or is incapable or communicating any preference.

(3) The ITP is designed to utilize services that allow the individual to be more, rather than less, integrated in the community and rely on available generic services to the extent feasible consistent with the individual's needs.

(4) The ITP provides services which are least restrictive, not unduly intrusive and not excessive in light of the individual's needs. The ITP can be practically implemented.

L. Life area planning:

(1) The primary task of the TIDT shall be to discuss all issues to be considered for the individual's transition to succeed. This discussion shall include a review of specific items within each of the following "life areas": home environment, vocational, educational, self-care, communication, leisure/ social, community resource use, safety, psychological/behavioral/ emotional, and medical/health; as well as other pre-placement planning.

(2) The TIDT should review the existing facility IPP objectives related to each of the above "life areas", and identify which objectives are to be continued during the transition period into the community. The TIDT may develop transition objectives to begin at the facility.

M. Supports needed: For each of the life areas discussed, the following general supports should be identified for each relevant transition objective:

(1) human resources needed (volunteers, family, friends/neighbors, paid staff);

(2) assistive technology and adaptive equipment needs listed;

(3) environmental modifications needed / environmental supports described;

(4) transfer and mobility issues identified;

(5) transportation and community access needs identified;

(6) additional support needs identified.

N. Life area discussion items: Life area discussions items include the following (other transition objectives may need to be developed in specific life areas in order to assure a successful transition):

(1) Home environment:
(a) roommate(s) / housemates desired;

(b) location of home identified;

(c) type of home preferred;

(d) orientation to new home;

(e) housing agreements signed, telephone and utilities deposits, and household maintenance;

(f) arrangement for furnishings and households items;

(g) housekeeping skills training required;

(h) food management/ assistance with meals;

(i) respite needs (not applicable for individuals living independently);

(j) banking, financial and budget/ money management;

(k) transfer of personal belongings and description of actual move;

(l) self-management of home and daily routine described.

(2) Vocational:
(a) referral to DVR/NMCB completed;

(b) type of employment or environment preferred;

(c) orientation to new work environment;

(d) assessments needed, vocational training required or training in related skills required.

(3) Educational:
(a) type of educational goal desired;

(b) alternative community based education;

(c) orientation to new school environment.

(4) Self-care:
(a) toileting;

(b) menses;

(c) dental hygiene;

(d) bathing, grooming and shaving;

(e) dressing and clothing care.

(5) Communication:
(a) method or style individual prefers to use;

(b) communication strengths maintained in new home or communication skills training needed;

(c) speech therapy;

(d) audiology.

(6) Leisure/ social:
(a) opportunities to continue with or increase personal support systems and friends;

(b) opportunities to continue with or increase identified interests and hobbies;

(c) opportunities to continue with or increase family interactions and involvement;

(d) current or desired pets;

(e) sexual education, choices and needs (e.g., relationship or dating skills, AIDS/STD awareness).

(7) Community resource use:
(a) orientation to community and social life, including cultural and ethnic heritages of the community and individual;

(b) religious affiliation;

(c) access to community resources (shopping, laundry, library, post office, etc).

(8) Safety:
(a) safety and hazard awareness training required in home (use of stoves, heaters; emergency use of telephone; poisons, wiring, fire prevention);

(b) safety and hazard awareness training required in community (street safety, dealing with strangers);

(c) alert devices required in home/ community;

(d) identification card or medical alert bracelet/ necklace;

(e) updated medical summary.

(9) Psychological/behavioral/emotional:
(a) development of self-advocacy and decision making skills;

(b) reinforcers and coping mechanisms identified;

(c) psychoactive meds used for emotional or psychiatric purposes;

(d) community psychologist/ psychiatrist identified;

(e) transition or ongoing counseling needs;

(f) behavioral responses to new home;

(g) crisis intervention needs anticipated;

(h) emergency response anticipated;

(i) behavior management plan reviewed.

(10) Medical/ health:
(a) physical condition identified and medical services or appointments needed;

(b) how the individual communicates illness identified;

(c) physician identified and medical records transferred;

(d) physical and occupational therapies;

(e) dental appointments made;

(f) pharmacy identified and prescriptions transferred;

(g) ophthalmologist;

(h) nursing services required;

(i) medication/self-administration;

(j) emergency medical needs anticipated;

(k) hospitalization issues discussed;

(l) nutritionist needed, special diet;

(m) training needs for community medical personnel.

(11) Other preplacement activities/community IDT planning:
(a) pre-placement visit(s);

(b) cross training activities and community service provider skills development;

(c) specific strategies to provide stability to children not moving to a family home;

(d) guardianship status reviewed;

(e) establish a placement date: The placement date established by the TIDT shall be no later than 228 days after the date of the established initial TIDT meeting.

Disclaimer: These regulations may not be the most recent version. New Mexico may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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