Staff Application

HIGH FIDELITY WRAPAROUND FAMILY SUPPORT PARTNER

High Fidelity Wraparound is an evidenced-based care coordination process that has been demonstrated as an effective way to support children and youth with serious behavioral health challenges to live successfully in the community with their families. The HFW process identifies and builds on strengths and culture of the youth, family, and support system to create integrated and individualized plans to address the needs of the youth and family that put the youth at risk of long-term residential placement. HFW is a process that provides youth and families with the skills and confidence to coordinate their own services and supports and builds the social and natural supports to sustain outcomes for the youth and family and reduce dependency on formal paid services.

The HFW Facilitator works with the support partners to engage the youth and family in the process and to help the identify and articulate their primary needs. Once this has been accomplished, the facilitator engages and prepares the team of people who are providing services and supports for the family and also facilitates the team meeting to ensure the team mission and goals address the priority needs and develop an effective, integrated plan that focuses on these needs. Once the plan is developed, the facilitator monitors implementation to ensure the plan meets the ongoing needs. Concurrently, the facilitator communicates frequently with the youth and family and their team to monitor the effectiveness of the process through the phases and activities of HFW. The facilitator continually assesses the level of self-efficacy of the family and partially determines the success of the HFW process by how well the process builds confidence and skills for the youth and family. 

Responsibilities: 

· Maintains the system and professional involvement of the teams so that the goal of integrated planning is met. 

· Ensures engagement with the youth and family occurs successfully.

· Crisis Stabilization 

· Develops a partnership relationship with the family that helps them address and work through challenges to make changes in their lives. 

· Develops the families Strengths, Needs, and Culture Discovery that defines the priority needs for the youth and their family 

· Creates a safe, effective, and supportive team and plans that effectively meet priority needs. 

· Connects the family to the proper resources and makes sure all parts of the plan are implemented in a timely fashion.

· Continuously facilitates meetings to encourage youth and family members to take a more active role in meeting facilitation. 

· Helps the family to continue team support after formal facilitation ends. 

Requirements

· Broad experience with life and possess a diverse view of what families need to have better lives.

· Experience working directly with youth and their families in a variety of settings or lived with youth who have complex emotional needs.

· Must have an outgoing personality that supports engaging people from different cultures, ages, and backgrounds. 

· Preferred that the individual has an understanding of and experience with different systems, including schools, mental health, child welfare, juvenile justice, health, and others. 

· Bachelor’s degree or equivalent experience may be substituted. 

· Team player

Basic Homemaker Services 

Includes: $13.50 /hour

· Services that consist of the performance of basic household tasks within the participant’s primary residence, such as:

-Cleaning
-Laundry
-Household Care

-Maintenance which is related to the participant’s disability and provided by a qualified homemaker, when the parent or primary caretaker is unable to manage the home and care for the participant in the home.

· Any assistance must be due to the participants disability that results in additional household tasks and increases the parent/caregiver’s ability to provide care needed by the participant.

· Assistance may take the form of hands-on-assistance or cuing to prompt the participant to perform a task. 

Job Type: Contract

Salary: $13.50 /hour

Please Contact Beverly Seemann at 719-659-6344 for application

www.pikespeakrespiteservices.com

Community Connector Guidelines: $22.00 per hour

Community Connectors must pass background checks and go through orientation just as our Respite Care Providers do.

Includes:

· Supports the abilities and skills necessary to enable the individual to access typical activities and functions of community life such as those chosen by the population.

· Provide a wide variety of opportunities to facilitate and build relationships and natural supports in the community while utilizing the community as a learning environment to provide services and supports as identified in the participants service plan.

· Conduct activities in a variety of settings in which participants interact with non-disabled individuals (other than those who are providing services). These types of services may include: 

-Socialization 

-Adaptive skills

-Personnel to accompany and support the individual in community settings.

-Participation in activities and supplies related to skill acquisition, retention or improvement. 

· This service is provided on a one-to-one basis as a learning environment to provide instruction when identified in the service plan. 

https://pikespeakrespiteservices.com/staff-opportunities

Job Type: Contract

Salary: $22.00 /hour

Enhanced Homemaker Services 

· Services provided by a qualified homemaker that consists of the same household tasks as described under Basic Homemaker Services with the addition of either habilitation or extraordinary cleaning.

· Habilitation includes direct training and instruction to the participant, which is more than basic cuing to prompt the participant to perform a task.

· Habilitation shall include a training program with specific objectives and anticipated outcomes.

· There may be some amount of incidental basic homemaker services that is provided in combination with enhanced homemaker services, however, the primary intent must be it provide habilitative services to increase the dependence of the participant.

· Habilitation may include some hands-on assistance or cuing to prompt the participant to perform a task, only when such support is incidental to the habilitative services being produced and the primary duties must be to provide habilitative services to increase dependence of the participant.

· Enhanced homemaker services also include the need for extraordinary cleaning as result of the participants behavioral or medical needs.

Includes:
Same house hold tasks as described under homemaker basic with addition

of teaching the tasks or extraordinary cleaning

Goal based service- must fill out proper paper work and have an under standing of the service plan

Primary goal is to increase independence were applicable Extraordinary cleaning is a result of behavioral or medical needs,
such as need for dust-free environment due to allergies or cleaning of fecal smearing due to behaviors

Does not include:

animal care, homemakers are not responsible for aquariums, terrariums, cages, litter boxes, kennels, outside yard area, etc. 

Service animals are no exception.
toy/book organization- toys and books can be gathered to one area for floor care, such as vacuuming and sweeping
personal care services
moving furniture or appliances, or climbing to clean
yard work, putting up holiday decorations, pool area

Job Type: Contract

Salary: $17.25 /hour

Intensive Support Services 

· Intensive Support Services include wraparound services to align strategies, interventions, and supports for the child/youth and family to prevent the need for out of home placement.

· Services may be utilized in maintaining stabilization, preventing crisis situations, and/or de-escalation of crisis situations.
-Crisis is an event, series of events, and/ or state of being greater than normal severity that becomes outside the manageable range for the child/youth and/or their caregivers and poses a danger to self, family, and/or community.
-Crisis may be self-identified, family identified, and/or identified by an outside party.

· Identification of unique strengths, abilities, preferences, desires, needs, expectations, and goals of the child/youth and family. 

·  Identification of needs for crisis prevention and intervention include:
 a. Cause(s) of crisis and triggers that could lead to crisis.
 b. Physical and behavioral health factors.
 c. Education services.
 d. Family dynamics.
 e. Schedules and routines.
 f. Current or history of police involvement.
 g. Current or history of medical and behavioral health hospitalizations.
 h. Current services
 i. Adaptive equipment needs.
 j. Past interventions and outcomes.
 k. Immediate need for resources.
 l. Respite services.
 m. Predictive risk factors.
 n. Increased risk factors.

· Development of a Wraparound Plan that includes action steps to implement support strategies, prevent and/or manage future crisis. 

· Coordination among family caregivers, other family members, service providers, natural supports, professionals, and case managers required to implement the wraparound plan. 

· Dissemination of wraparound plan to all involved in the plan implementation. 

· Child and Youth Mentorship.

· Identification of follow-up services that may include:
 a. Evaluation to ensure that triggers to crisis have been addressed in order to maintain  stabilization and prevent crisis.
 b. Ensure that follow-up appointments are made and kept. 

· The wraparound plan incorporates all relevant supports, services, strategies, and goals from other service/treatment plans in place and serves as a single plan for all supports a child/youth and family needs to maintain stabilization, prevent crisis, and/or for de-escalation of crisis situations. This plan will include:
a. Environment modifications.
b. Support needs in the family home.

c. Respite services
d. Strategies for crisis triggers. 

e. Strategies for risk factors.
f. Learning new or adaptive life skills.
g. Counselling/behavioral or other therapeutic interventions to further stabilize that individual emotionally and behaviorally and decrease the frequency and duration of future behavioral crises.
h. Medication management and stabilization.
i. Physical health. 

j. Identification of training needs and connection to training for family members, natural supports, and paid staff. 

k. Determination of criteria for stabilization in the family house.

l. Identification of how the plan will fade out once the child/youth has stabilized.

m. Contingency plan for out of home placement. 

· Evaluation of the wraparound plan occurs at a frequency determined by the child/youth’s needs. Evaluation includes:
-Visits to the child/youth’s home
-Review of documentation
-Coordination with other professionals and/or members of the team to determine progress. 

Role as a Professional Caregiver :

14.25 per hour

Day Respite over 10 hours $180 a day 

A caregiver is committed to meeting the respite needs of a family, by providing a

consistent, safe, secure & fun environment.

A caregiver provides a service that gives parents the opportunity to renew their energy and commitment for the challenges of parenting their child with special needs and typical siblings.

A caregiver sets boundaries with whom they work and with the family while ad- hering to PPRS policies and procedures.

A caregiver duplicates, as much as possible, the family routines, rules, etc., ac- cording to the parents instructions and provides continuity of care while fol- lowing through with PPRS rules and regulations.

A caregiver knows to have both fun and boundaries set by his/her parents while providing care. Remember parents are the experts.

A caregiver needs to avoid triangulation and splitting, including splitting both within the family and between the family and professionals.

A caregiver respects confidentiality and privacy according to HIPPA laws.

A caregiver fills out PPRS paperwork daily including: Shift Checklist, Diaper Changing Log, Communication Log, Potty Schedules and Respite Room Clean- ing documents. These documents prove PPRS’s continuity of care and act as legal documents in a court of law.

A caregiver is to leave an environment better than it was found, if you see some- thing that needs to be done please help.

A caregiver will act as a professional while at PPRS adhering to the rules and regulations set forth by PPRS policies and procedures while respecting every- one at all times.

It is the caregiver’s responsibility to know the services allowed in the service plan. Please confirm any service plan changes with management, prior to working amended hours. Gastrostomy services are not allowed until prior client specific training and written authorization from PPRS.

• Includes:

Short term break for primary caregiver
Respite services can be in the individual’s home or in the community

• Sibling care when the client is receiving services as allowed by the service plan
• Does not include:
• Pet care
• Care of non-siblings in the the home
• Personal Care
• Homemaker services beyond cleaning up after the individual receiving services during the shift

Job Type: Contract

Salary: $14.25 /hour

Day Respite over 10 hours $180 a day 

Includes: 

$14.75 per hour

 The duties of personal care worker may include the following: 

 Observation and maintenance of the home environment that ensures the safety and security of the consumer. 

Assistance with household chores including cooking and meal preparation, cleaning, and laundry. 

Assistance in completing activities such as shopping, and appointments outside the home. 

Companionship including, but not limited to, social interaction, conversation, emotional reassurance, encouragement of reading, writing and activities that stimulate the mind. Assistance with activities of daily living, personal care and any other assignments as included in the service plan. 

Completion of appropriate service notes regarding service provision each visit. Documentation shall contain services provided, date and time in and out, and a confirmation that care was provided.   

Job Type: Contract

Salary: $14.75 /hour

Includes: 

$25.00 per hour

 Includes: Promoting self-advocacy through many different methods such as in structuring, providing experiences, modeling and advising. 

Goal based service- must fill out proper paperwork and have an understanding of the service plan. 

Training in infant and child care when the individual is a parent. 

Participation in community boards.

Assistance in understanding complex medical conditions. 

Service can be performed in or out of the community 

Does not include: Services included in day habilitation  

Job Type: Contract

Salary: $25.00 /hour

Community Connector Guidelines:  SCC 1 & 2 $12.50 hr, SCC 3 & 4 $13.00, SCC 5 $14hr, SCC 6 $17 hr 

Community Connectors must pass background checks and go through orientation just as our Respite Care Providers do.

Includes:

· Supports the abilities and skills necessary to enable the individual to access typical activities and functions of community life such as those chosen by the population. D-Such as:

-Community education or training

-Retirement 

-Volunteer activities 

· Provide a wide variety of opportunities to facilitate and build relationships and natural supports in the community while utilizing the community as a learning environment to provide services and supports as identified in the participants service plan.

· Conduct activities in a variety of settings in which participants interact with non-disabled individuals (other than those who are providing services). These types of services may include: 

-Socialization 

-Adaptive skills

-Personnel to accompany and support the individual in community settings.

-Participation in activities and supplies related to skill acquisition, retention or improvement. 

· This service may be provided in a group setting (or groups travelling together into the community) and/or may be provided on a one-to-to basic as a learning environment to provide instruction when identified in the service plan.

Mentorship

· This service is provided to participants to promote self-advocacy through methods such as:

-Instructing
-Providing experiences
-Modeling
-Advising 

· Assist in interviewing potential providers, understanding complicated health and safety issues, and assistance with participation on private and public boards, advisory groups and commissions.

· This service may include training in child and infant care for parent(s) who themselves have a developmental disability. 

· This service does not duplicate case management or waiver services such as Day Habilitation.

· Mentorship is limited to 192 units per year. Units to provide training to participants for child and infant care may be authorized beyond the 192 units per year.

· Mentorship promotes independence with skills around more formal activities in the community. 

Supported Employment

· Service provided in order to enable waiver participants to gain access to waiver and other community services, activities and resources, as specified by the service plan. 

· Transportation to and from work us a benefit in conjunction with supported employment service except when the supported employment service occurs at a frequency less than the number of days worked. In that case, transportation to and from the place of employment is a benefit when participant does not have resources available, including:
-Personal Funds
-Natural Supports
-Third-party resources

· This service is offered in addition to medical transportation required and transportation services under the state plan.

· Transportation services under the waiver are offered in accordance with the participants service plan.

· Whenever possible, family, neighbors, friends or community agencies, which can provide this service without charge, are utilized.

· Transportations to and from day program shall be reimbursed based on the applicable transportation band. 

· The number of units available for transportation services in 508 units per service plan year or approximately 42 trips per month.

· Transportation in addition to day habilitation and supported employment is limited to 4 trips per week reimbursed at transportation band one. 

Job Type: Contract

Salary: SCC 1 & 2 $12.50 per hr, SCC 3 & 4 $13.00 per hr, SCC 5 $14 per hr, SCC 6 $17 per hr