Developmental Services - Case Management Manual

Case Management Manual

Definitions;

"AAG" means an Assistant Attorney General.

"Abuse" means the willful infliction of injury, unreasonable confinement, intimidation or cruel punishment with resulting physical harm or pain or mental anguish; sexual abuse or exploitation; or the willful deprivation of essential needs.

"Advocate" means an employee of the Disability Rights Center.

"At Risk" means a situation in which there is reasonable cause to believe that injury, hazard, damage, or loss can occur.

"Assistant Attorney General" means a representative of the Department of Attorney General, the Department's legal counsel.

"Autism" means a developmental disorder characterized by a lack of responsiveness to other people, gross impairment in communicative skills and unusual responses to various aspects of the environment, all usually developing within the first 30 months of age (34B MRSA §6002).

"Capacity" means possessing sufficient understanding or capacity to make or communicate responsible decisions concerning one's own person. Sometimes referred to as "competence".

"Caregiver" means an individual who has or who assumes responsibility for the care of an adult. Caregivers include primary support staff.

"Case Management Standards" means a collection of criteria describing the level of excellence in performance expected of Case Managers.

"Case Manager" (CM) means the professional with the responsibility for coordinating persons planning process and services.

"Person" "Client", or "Consumer" means a person applying for or receiving Developmental Services supports and /or services, or the person for whom those services are requested.

"Commissioner" means the Commissioner of the Department of Health and Human Services.

"Competence." See "Capacity," "Incapacitated Person."

"Consent for Treatment, Payment and Operations" means the form, located at http://www.maine.gov/dhhs/bh/HIPAA/PrivacyNotice/ConsentTreatment.html

"Conservatorship" means a fiduciary relationship created by court appointment of a conservator to manage the financial affairs of a protected person, based upon a finding of inability of the protected person to effectively manage his property and affairs, pursuant to 18-A MRSA §5-401 et seq. and 18-A MRSA §5-601 et seq.

"Consultant" means an individual, agency, firm, or organization that is independent of the Department of Behavioral and Developmental Services.

"Consumer" or "Person" means a person applying for or receiving Developmental Services  supports and /or services, or the person for whom those services are requested.

"Correspondent" means an individual designated as next friend of a person according to the following order of preference and principles:

  • In the first instance, the person's private guardian;
  • If the person does not have a guardian or has a public guardian, the person's parents or parent;  If the parents are deceased or their whereabouts cannot, with due diligence, be ascertained,
    they have failed to designate an appropriate representative, the relative, if any in       closest relationship with the person who has, at least once within the previous year, manifested interest in the person by communicating with Developmental Services regarding the person; or
  • If no correspondent can be designated according to section a, b, or c above, or if the legal guardian, parent, or relative is unable to exercise his/her rights hereunder because of age, illness, distance, or some other compelling reason, the correspondent shall be an individual designated by the Consumer Advisory Board. Now known as Oversight and Advisory Board.

A person with eligible for Developmental Services who is not under guardianship may decline a correspondent.

"Crisis" means any incident, behavior, activity, or pattern of activity, which could lead to the loss of a person's residence, program, or employment. A crisis may also be an incident that results in undue mental or emotional stress or trauma.

"Deaf" means a condition in which a person's sense of hearing is non functional for the purpose of spoken communication with or without hearing aids. Communication must occur through visual and/or tactile means.

"DHHS" means Department of Health and Human Services.

"EIS" means the Enterprise Information System, a data management information system of the Department.

"Emergency" an unforeseen event or condition requiring prompt action. Emergencies include situations in which:

  1. An incapacitated adult is in immediate risk of serious harm; and is eligible for Developmental Services.
  2. The incapacitated adult is unable to consent to services which will eliminate or diminish the risk; and is eligible for Developmental Services.
  3. There is no guardian to consent to emergency services.

"Emergency Services" mean those services necessary to avoid serious harm.

"Exploitation" means the illegal or improper use of a mentally retarded incapacitated adult or his/her resources for another individual's profit or advantage.

"Guardian" means a person(s) or agency with ongoing legal responsibility for ensuring the care of an individual, appointed pursuant to 18-A MRSA5-301 et seq and 5-601 et seq.

"Guardianship" means a legal relationship by virtue of which a guardian is given authority to make decisions regarding the person of a ward. The guardian of an individual who is incapacitated may be appointed by will or by a court pursuant to 18-A MRSA 5-301 et seq and 5-601 et seq.

"HIPAA" means Health Insurance Portability and Accountability Act of 1996 (Pub. L. 104-191).

"HIV" means Human Immunodeficiency Virus.

"Incapacitated person" means any person who is impaired by reason of mental illness, mental deficiency, physical illness or disability, chronic use of drugs, chronic intoxication, or other cause except minority to the extent that he lacks sufficient understanding or capacity to make or communicate responsible decisions concerning his person (18A MRSA §5-101, 34B MRSA §5001(2).

"Intake" means the process by which a consumer and Developmental Services establish a formal relationship.

"Intake status" means the period during which a person who has been referred for services is assessed to determine eligibility.

"Intake worker" means the DHHS Staff member assigned responsibility for completion of the intake process.

"Developmental Services" means Developmental Services of the Department of Health and Human Services.

"MRSA" means Maine Revised Statutes Annotated.

"PASRR" means Preadmission Screening and Resident Review, a program to ensure that persons who are otherwise eligible for care in a nursing facility (NF) and who also have a mental illness or developmental disabilities as defined in Maine Statute receive the additional care necessary to meet their needs.

"PCP" means a person centered planning process.

"PDD" means pervasive developmental disorder.

"Permission for Services form" means the form that establishes the basis for an ongoing relationship between an applicant and Developmental Services.

"Person Centered Planning" (PCP) means a process in which the needs and desires of the person are articulated and identified and an action plan is created to address those needs and desires.

"Placement" or "Residence" means a residence in the community in a group home, foster care home, natural or family home, apartment or house, boarding home, or similar residential facility coupled with a program element or work situation which meets the person's individual needs or desires.

"Primary Support Staff" means the individual who have or who assume responsibility for the care of an adult, caregivers.

"Psychosocial evaluation" means a comprehensive inventory and evaluation of a person's life history, skills and needs. It usually includes, to the extent that information is available:

  • family makeup, involvement and other natural supports;
  • parental status;
  • spiritual practices;
  • sexuality;
  • educational background and needs;
  • employment history and needs;
  • medical, dental, psychiatric and substance abuse history, including history of trauma, and any needs for services;
  • legal involvement and needs;
  • financial status and needs;
  • housing status and needs;
  • other support needs, including recreation, transportation, communication.

"Public Guardian" means Developmental Services or the Department of Health and Human Services when appointed as such by a court pursuant to 18-A MRSA 5-601 et seq.

"Residence" or "Placement" means a residence in the community in a group home, foster care home, natural or family home, apartment or house, boarding home, or similar residential facility coupled with a program element or work situation which meets the person's individual needs or desires.

"Ward" means a person for whom a guardian has been appointed.