Residential Services
Residential Habilitation (Standard)
Residential habilitation service provides supervision and specific training activities that assist the recipient to acquire, maintain, or improve skills related to activities of daily living. The service focuses on personal hygiene skills, such as bathing and oral hygiene; homemaking skills such as food preparation, vacuuming, and laundry; and social and adaptive skills that enable the recipient to reside in the community. This training is provided in accordance with a formal implementation plan, developed by the provider with direction from the recipient, and reflects the recipient’s goals from the current support plan.
Providers must:
- Be 18 years or older
- Be the owner or operator of the licensed residential facility in which this service is rendered
- Have one year experience working in a medical, psychiatric, nursing, or child care setting, or experience working with recipients with developmental disabilities, or have 30 semester hours, 45 quarter-hours, or 720 classroom hours of college or vocational school
Direct care staff providing residential habilitation services in a licensed residential facility must:
- Be 18 years or older
- Have one year experience working in a medical, psychiatric, nursing, or child care setting, or experience working with recipients with developmental disabilities, or have 30 semester hours, 45 quarter-hours, or 720 classroom hours of college or vocational school
Residential Habilitation (Behavior Focused)
Services must be provided in APD licensed residential habilitation group homes designated by the APD regional office as a behavior focused provider and meet the provider and staff qualifications identified above for standard residential habilitation.
Recipients with challenging behaviors can require more intense levels of residential habilitation services described as behavior focused residential habilitation or intensive behavior residential habilitation.
Providers and employees of provider agencies must:
- Direct care staff providing residential habilitation Behavior Focused services in a licensed residential facility must:
- Be 18 years or older
- Possess a high school diploma or GED
- Have sufficient experience working with individuals with developmental disabilities OR sufficient technical training OR sufficient hours of classroom instruction
- Program or clinical services oversight must:
- Meet the qualifications of a Level 1 or Level 2 behavior analyst
- Have training and experience providing behavior analysis services to special populations
- Behavior analysis staff, including the program or clinical services oversight, must:
- Be an enrolled professional authorized to provide behavior analysis services
- Either:
- Be board certified (BCBA-D®, BCBA®, BCaBA®, FL-CBA), OR
- Licensed in accordance with Chapter 490 or 491, F.S.
- Be on active status
- Demonstrate supervision (as applicable)
Providers must also:
- Have the program or clinical services oversight in place at the time of designation
- Have no fewer than 75% of direct service staff complete at least 20 contact hours of face-to-face in-service training program
- Maintain proof of training in the provider’s file, including:
- Introduction to applied behavior analysis
- Providing positive consequences, planned ignoring, and stop-redirect-reinforce techniques
- Data collection, recording, and documentation
- Comply with staff monitoring and the re-certification system
- Ensure all direct service staff receive training in an APD-approved emergency procedure curriculum
- Provide each individual with:
- A behavior analysis services plan with information that supports the individuals’ current needs
- Consistent implementation of a person-centered program of treatment and training
- Training opportunities
- Health and related services relating to therapeutic behavior outcomes
Residential Habilitation (Intensive behavior)
The goal of IB residential habilitation service is to prepare the recipient for full or partial reintegration into the community, with an expanded array of skills and behaviors, with a focus on independent adaptive functioning, and developing a healthy lifestyle, while participating in engaging and productive activities.
Recipients with challenging behaviors can require more intense levels of residential habilitation services described as behavior focused residential habilitation or intensive behavior residential habilitation.
Providers and employees of provider agencies must:
- Direct care staff providing residential habilitation Intensive Behavior services in a licensed residential facility must:
- Be 18 years or older
- Possess a high school diploma or GED
- Have sufficient experience working with individuals with developmental disabilities OR sufficient technical training OR sufficient hours of classroom instruction
- Program or clinical services director must:
- Meet the qualifications of a Level 1 behavior analyst
- Have training and experience providing behavior analysis services to special populations
- Behavior analysis staff, including the program or clinical services director, must:
- Be an enrolled professional authorized to provide behavior analysis services
- Either:
- Be board certified (BCBA-D®, BCBA®, BCaBA®, FL-CBA), OR
- Licensed in accordance with Chapter 490 or 491, F.S.
- Be on active status
- Demonstrate supervision (as applicable)
Providers must also:
- Have the program or clinical services director in place at the time of designation
- Have no fewer than 75% of direct service staff complete at least 20 contact hours of face-to-face in-service training program
- Maintain proof of training in the provider’s file, including:
- Introduction to applied behavior analysis
- Providing positive consequences, planned ignoring, and stop-redirect-reinforce techniques
- Data collection, recording, and documentation
- Maintain a ratio of behavior analyst-to-recipient at no more than 20 recipients to one full-time behavior analyst
- Ensure all direct service staff will complete at least 20 contact hours of face-to-face competency-based instruction with performance-based validation
- Comply with staff monitoring and the re-certification system
- Ensure all direct service staff receive training in an APD-approved emergency procedure curriculum
- Provide each individual with:
- A behavior analysis services plan with information that supports the individuals’ current needs
- Consistent implementation of a person-centered program of treatment and training
- Training opportunities
- Health and related services relating to therapeutic behavior outcomes
Specialized Medical Home Care
Services provided to recipients with complex medical conditions requiring an intensive level of nursing care residing in a foster or group home. This can include recipients who are ventilator dependent, require tracheostomy care, or have a need for deep suctioning to maintain optimal health.
Providers must:
- Be 18 years or older
- Be registered nurses, licensed practical nurses, or certified nurse assistants licensed or certified in accordance with Chapter 464, F.S.
- Group homes must be licensed in accordance with Chapter 393, F.S.
- Special medical home care services must be provided at an APD licensed foster or group home that has been approved by the APD state office to provide this level of care
Providers of special medical home care must employ:
- Registered nurses, licensed practical nurses, or certified nurse assistants licensed or certified in accordance with Chapter 464, F.S.
- Certified nurse assistants must work under the supervision of a registered nurse or licensed practical nurse
Supported Living Coaching
These services can include assistance with locating appropriate housing; the acquisition, retention, or improvement of skills related to activities of daily living (e.g., personal hygiene and grooming); household chores; meal preparation; shopping; personal finances; and the social and adaptive skills necessary to enable recipients to reside on their own.
Providers must:
- Be 18 years or older, AND
Must meet, at a minimum, one of the following requirements:
- Have a bachelor's degree from an accredited college or university with a major in education, rehabilitative science, business or a related degree
- Have an associate’s degree or two years of college from an accredited college or university and have two years of documented direct experience with recipients with developmental disabilities
- Have one year of college from an accredited college or university and three years of documented direct experience in working with recipients with developmental disabilities
- Four years of direct professional experience in working with recipients with developmental disabilities may substitute for college on a year for year basis. The provider must hold a high school or GED diploma
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