Developmental Services - Case Management Manual

Subject: Individual Support Team (IST)

Statement of Purpose:
Persons eligible for Developmental Services may, from time to time, experience crisis situations. When a crisis occurs, the support of an Individual Support Team (IST) is often invaluable. An Individual Support Team consists of members of the person's planning team and other professionals, family, or friends that the planning team determines would be supportive to the person in a time of crisis. The IST is developed by the planning team and operates under the planning team's direction. The role of the IST is to support the person and provide services designed (1) to prevent crisis situations or (2) provide support during a crisis.

Development of the IST

  1. Criteria: An IST will be developed whenever the person receiving services experiences any of the following incidents:
    1. Admission into a state run crisis residential program or other respite home as a result of a crisis situation
    2. Admission to an inpatient psychiatric hospital.
    3. Three restraints in a two week period
    4. Becomes homeless. A person will be considered homeless when he/she cannot return to his/her present home, and does not have a support network or a plan in place for future timely residential services.
      Other. "Other means that, upon review of a situation or a series of situations, a person's team recommends creation of an IST. Examples might include behavior or psychiatric concerns that to not meet criteria above, health concerns of the consumer or family members, etc.
  2. When one or more of the above criteria occur for an individual the Individual Support Coordinator (ISC) will be notified and will coordinate the convening of the person's planning team within seven working days.
  3. If the individual has been admitted to a state run crisis residence an assessment will be done at the crisis home. This assessment will include a review of the incident, observations made in the home, environment of the crisis location, and recommendations for future intervention and support.
  4. The person's planning team will review the crisis incident and any documentation provided, such as hospital assessments, restraint information, resource development information. The planning team will then develop a written crisis intervention plan, and will identify IST members and their roles. This plan should be preventative in nature and should include guidance about future response to potential crisis situations.
  5. The person's planning team will review the need for specific training and identify who is responsible with clear time frames.
  6. The IST will report to the person's planning team at least annually, but can determine if more frequent review is needed. The I.S.T. will determine what type of communication and review process is necessary for its role. The planning team also will determine if and when the I.S.T. has completed its work and may be dissolved.
  7. A member of the Crisis Team and the person's I.S.C. must be a part of the I.S.T. Whoever is designated, as the lead coordinator for the planning process will monitor the I.S.T. team. The Crisis Team will maintain 24 hour, ten day, and quarterly follow-up to individuals who have an active IST. It will provide written follow-up to the I.S.C. for distribution to the planning team as appropriate.