Intellectual & Developmental Disabilities

• Comprehensive diagnostic assessment will gather historical information, clarify diagnosis, identify strengths and assist the individual/family in developing goals based on their stated needs.
• Targeted assessments are available regarding functioning level, residential and vocational needs, and analysis of behaviors.

• Individual and group therapy services provided by licensed staff, which can be provided in the office, workplace, home or community setting.
• Development of comprehensive treatment plan incorporating all services provided to treat mental health symptoms and behavioral concerns.
• Session frequency is based on individual needs identified in the assessment.
• Groups available are based on need but can include anger management, self-concept, social skills, trauma, and communication skills and boundaries.

• Psychiatric Certified Nurse Practitioners specialize in mental and behavioral health with IDD and Dual Diagnosis experience and training.
• Medication management and symptom monitoring.
• Collaboration with Counselor, TBS worker, SSA, County Boards, Residential/Day Providers, Guardians, and other members of the client’s treatment team.
• Pharmacogenetic testing.

• Traditionally referred to as mental health case management, our TBS specialists work on day to day behavioral skills in the present and can serve as an advocate for clients who are unable to advocate for themselves.
• Provided individually or in a group setting by staff trained to work with individuals experiencing mental health symptoms.
• Focuses on symptom management, skill building and coping mechanisms.
• Coordination provided with community services (county boards and agencies, day programs, residential services, employment services).
• Focus on life skills, crisis prevention and social, emotional, stress management, anger management, communication and interpersonal relationships.
• Monitor symptoms and progress towards goals.
• Training of support systems including direct staff on specific client triggers, deescalation techniques and interventions in client specific mental health treatment plan.

Health Services Coordination (HSC) is a team of nurses who provide coordination of medical services to adults with Developmental Disabilities in Franklin County. HSC does not include Nurse Delegation of Services.  This is a Franklin County funded program.

 These Health-Related Activities may include:

• Ongoing monitoring of health needs. Coordination of care and communication with an individual’s primary and specialty doctors.
• Monitoring Medication Administration- Review of new and existing doctors’ orders.
• Maintain health records for medical appointments and vaccinations.
• Coordination and communication with pharmacists regarding medications, refills, and change in orders.
• Receive and check-in monthly medications for the individual and ensure that medications match doctor’s orders. (if applicable)
• Document medication changes to the Medical Administration Record (MAR) or assist the DSP make changes. (if applicable)
• Provide monthly review of the MAR.
• Provide staff training specific to the person when needed
• Attend intake and ISP meetings when needed
• Home visits per the individuals needs but at least quarterly.
• Provide 24 hour on call services for questions and guidance
• Maintain documentation of medical history and current nursing notes on every individual.
• Registered Nurse Quality Assurance Review (RNQA) is required at least once every three years. This is a State mandated review of the site where an individual lives that receives assistance with medication administration.

Health Services Coordination, commonly asked questions

What is Health Services Coordination?

It is a Franklin County funded service that provides coordination, communication and medical management for individuals with intellectual disabilities.

Is Health Services Coordination similar to a Home Health Agency?

No and in fact HSC Agencies are prohibited from providing any skilled care to our disabled individuals.  We do, however, work very closely with Home Health Agencies to ensure that individuals’ medical needs are met.  When needed, we will link our individuals with an available Home Health Agency to provide on-going skilled medical care.

How often do you visit the homes?

We do at least one home visit every three months however additional home visits may be needed depending on the individual’s medical needs and the level of training the DSP’s have.

What is the benefit to using HSC Services?

• Free service to HPC Providers
• Review all medical appointments, MAR’s,
• Provide individual specific training to DSP’s
• Track medical appointments
• Communicate with Medical personnel.
• Educate and advise Providers and DSP’s when needed.
• Work closely with Pharmacies on new medications, discontinued medications and monthly refills on medications. Also work with Pharmacist on contra-indicators with the medication
• Review and monitor MAR’s monthly to ensure proper documentation
• Inform Providers of concerns in homes
• Educate and communicate with guardians

How is Quality Assurance associated with the HSC agencies?

As required by the state, we need to perform a quality assurance site review once every three years.  The QA’s are associated with the site not the individual.  There may or may not be an additional QA done when an individual moves to a different site.  We work with our Providers to ensure that they are aware of the information that is needed and help them to make sure that each site is working according to state rule.

How do I enroll our an individual for HSC Services?

Unlike HPC services where it is individual driven, HSC Services are Provider driven.  Therefore, if you are an agency Provider, you must use the same HSC Agency to provide HSC services to all of your individual’s.  Exceptions can be made with approval from the County Board.  If an individual moves from one HPC Provider to another, their HSC Agency may also change.  For an individual to receive HSC Services, the individual must meet the criteria based on the self-med assessment and it must be written in their Ohio ISP.  If an individual does not meet the criteria, and the team believes that HSC services are needed, exceptions can be made by the SSA.  An example of this would be an individual coming out of a hospital for a medical event and needs extra oversight until they have recovered.