DSL INFO MEMO 2002 -
10
November 11, 2002
STATE OF WISCONSIN
Department of Health and Family Services
Division of Supportive Living
To:
Area Administrators/Assistant Area Administrators
Bureau Directors
Community Integration Specialists
County Departments of Community Programs Directors
County Departments of Developmental Disabilities Services Directors
County Departments of Human Services Directors
County Departments of Social Services Directors
DCTF Central Office Staff
DCTF Institute/Center Directors Program Family Support Case Managers
DD Council/Disability Organizations
DD Coordinators
Directors, Integrated Services Programs
Family Support Coordinators
Family Support Regional Contacts
Mental Health Coordinators
Section Chiefs/Licensing Chiefs
Tribal Chairpersons/Human Services Facilitators
WI County Human Services Association
From:
Sinikka McCabe, Administrator
Division of Supportive Living
Laura Flood, Administrator
Division of Care and Treatment Facilities
Re: New Resource: Intensive Treatment
Program for Children
SHORT-TERM ASSESSMENT PROGRAM
We are very pleased to announce a new treatment resource available to
community developmental disabilities programs. This memo describes the
services offered to children and adolescents at a new Intensive Treatment
Program at Central Wisconsin Center for the Developmentally Disabled,
beginning Jan 9, 2003.
Program Description:
Stevens Hall is a short-term assessment program for children with
severe cognitive impairments. This program is located on the grounds of
Central Wisconsin Center (CWC) on Madison’s north side. Stevens Hall is
an unlocked, 12 bed, short-term program designed to meet the unique needs
of children and adolescents with severe to profound cognitive impairments
combined with significant behavioral challenges and/or psychiatric needs.
The target age range for an individual assessed in this program is from 12
to 22 years of age. The Stevens Hall assessment team will provide a
detailed interdisciplinary assessment of the individual’s current
status, respond to referral questions and provide recommendations for
supporting the individual in his/her community living setting. The program
is designed for a length of stay of 5 to 28 days.
Services Available:
- Medical/Nursing Services
- Psychiatric Services
- Behavioral/Psychological Services
- Physical Therapy
- Occupational Therapy
- Therapeutic Recreation
- Music Therapy
- Speech Therapy
- Dietary Services
- Education Services
- Adaptive Physical Education
- Vocational Services
- Pharmacy Services
- Other specialized services upon request
Program Philosophy:
The Stevens Hall program will provide a safe and structured inpatient
setting where collaborative, interdisciplinary assessments can be
conducted. Assessment information is obtained during structured evaluation
sessions. The interdisciplinary team periodically meets during the
individual’s stay to review assessment information and to identify
potential treatment strategies. The purpose of the program is to identify
and recommend treatment strategies that will support the individual in
their community setting. Recommendations are shared at a discharge meeting
held at the end of the individual’s stay. Follow-up consultations may be
arranged.
Behavior and Psychiatric Assessment:
Individuals receiving services in this program will typically present
significant behavioral challenges. Challenging behaviors may include
self-injurious behavior (SIB), aggressive behaviors, and destructive
behaviors. Behavior assessments will include identification of the
behavior function, identification of desirable behaviors that might serve
to replace the challenging behavior as well as general intervention and
support recommendations. Assessments of psychiatric issues are provided
and treatment interventions are recommended. In some cases, adjustments of
current medications may be recommended and initiated. This program is not
designed to manage individuals who present significant elopement or
suicide risks or those who present serious risk for ingestion of inedible
items.
Cost to Counties:
Services are provided to children with developmental disabilities that
meet the admission criteria for this program. Daily rates are established
in the DSL Memo Series 2000-12, published September 13, 2002, and any
subsequent rate memos. Under ss.51.437(4rm)(c)2m, the county department of
human services or community programs services will be billed the
non-federal share for services provided to individuals under ss.
51.06(1m)(d) who are eligible for Medicaid. The Billing and Collections
Unit of the Bureau of Fiscal Services will bill counties for the
non-federal share of Medicaid payments for the care of the persons
receiving services in this program. The amount charged to the counties
will be lower if some portion of the care is covered by non-Medicaid
dollars. The amount charged to the counties will change as the Medicaid
rate per day and/or the non-federal share changes. On
October 1, 2002 the proposed non-federal share of Medicaid did
increase from 41.43 percent to 41.57 percent. The county will not be
billed for the non-federal share of the Medicaid payments for clients
admitted for services whose cost of care is covered by a county-operated
Care Management Organization.
Admission Criteria:
- Primary MR/DD diagnosis with a severe to profound cognitive impairment
- The program will accommodate individuals of either gender
- The age range served is 12 to 22 years (younger individuals may be
considered)
- Ambulatory or semi-ambulatory individuals can be served
- Medical/nursing needs can be served in this program
- Admissions are voluntary
- The individual must qualify for active treatment services
- The individual presents behavior challenges and psychiatric concerns
- A discharge date is determined at the time of admission to the program
For further information or to arrange a pre-admission screening for an
individual please contact the following:
Central Wisconsin Center Contact:
Jeff Tagliapietra
Social and Community Service Director
DCTF/CWC
608-301-1824
email taglijj@dhfs.state.wi.us
DCTF Central Office Contact:
Mary Green
Developmental Disability/Integration Services Planning Manager
608-267-7803
DCTF
email greenmk@dhfs.state.wi.us
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