Residential Services were developed in response to the housing needs of people with disabilities. Its major goal is to assist people to live as independently as possible.

These services are available in the Adult Waiver Residential services are available, based on need, to participants who request the service and meet the priority population criteria for residential services. Residential  means individually tailored supports that assist with the acquisition, retention, or improvement in skills related to living in the community.  These supports include:

  • case management
  • adaptive skill development
  • assistance with activities of daily living
  • community inclusion
  • adult educational supports
  • social and leisure skill development that assist the participant to reside in the most integrated setting appropriate to his/her needs.
  • personal care and protective oversight and supervision.
  • reduction of maladaptive behaviors through positive behavioral supports and other methods.

Services may include necessary nursing assessment, direction and monitoring by a registered professional nurse, and support services and assistance by a registered professional nurse or a licensed practical nurse to ensure the participant’s health and welfare.
Non-medical transportation between the residence and other community locations where habilitation occurs. These other community locations may include other services, stores, and recreational and socialization activities.

Community-Integrated Living Arrangement (CILA)

A living arrangement provided to Adult Waiver participants in a group home, family home or apartment where eight or fewer unrelated adults with developmental disabilities reside under supervision of the community developmental services agency. Residents receive a comprehensive individualized array of residential options, personal support services and supports under the direction of a community support team within the local agency. Funding basically comes through DHS Division of Developmental Services

Twenty-Four Hour CILA

These homes have on-site shift staff available during all times when participants are present. Staff provide both scheduled and unscheduled supports and services as needed by participants.

Intermittent CILA

Serves individuals whose service plan documents that they do not require 24-hour, on-site staff presence and documents the situations in which individuals may safely be away from direct staff supervision. Intermittent Residential services in apartments or family homes have staff available on call 24 hours per day. On-site shift staff are available to provide both scheduled and unscheduled supports and services as needed by the participants served and as specified in each participant’s service plan.

At Home Day Program

Part of the residential  program for Adult Waiver participants. At Home Day Programs are based in the individual’s CILA home and provide a structured individualized program of in-home and community  activities for individuals who are unable to participate in out-of-home day programs because the individual:

  • Has an illness or medical conditions or severe maladaptive behaviors that prevent participation in a vocational or day program.
  • Is over the age of 60 and declines to participate in traditional out-of-home day programs.
  • Is unable to locate a traditional day program to serve him/her or the day program is not appropriate to meet his/her needs.

Group Home

A living arrangement provided to participants in a group home, family home or apartment where eight or fewer unrelated adults with mental illness and /or developmental disabilities reside under supervision of the community services agency. Residents receive a comprehensive individualized array of residential habilitation, personal support services and supports under the direction of a community support team within the local agency. Funding usually comes through DHS Division of Mental Health.

Apartments

A living arrangement where the person has their own relationship with a landlord and is basically living independently.  Some supervision can be provided if the person wishes the assistance. Case management and case coordination services are always available on a as needed basis.

Own Home

A living arrangement where the person owns their own home by what ever means and is basically living independently on their own or with family.  Some supervision can be provided if the person wishes the assistance. Case management and case coordination services are always available on a as needed basis.

Staff Availability

A staff member is available 24 hours a day to assist tasks as needed, help plan for recreational activities, and to find solutions to problems as they arise.

Appropriate Settings

Each person lives in a setting appropriate to their ability. Some people need little assistance, while others will learn various household tasks then move to a less structured living arrangement such as supported apartment or independent living. Appropriate supportive services are still available