Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 27 - IDD Day and Employment-Related Services › Rule 24-2-27.2 - Community Respite

Current through June 25, 2024
A. Community
				Respite is provided in a DMH certified community setting that is not a private
				residence and is designed to provide caregivers an avenue of receiving respite
				while the person is in a setting other than his/her home.
B. Community Respite is designed to provide
				caregivers a break from constant care giving and provide the person with a
				place to go which has scheduled activities to address individual
				preferences/requirements.
C. The
				Community Respite agency provider must assist the person with toileting and
				other hygiene needs.
D. People must
				be offered and provided choices about snacks and drinks. There must be meals
				available if Community Respite is provided during a normal mealtime such as
				breakfast, lunch or dinner.
E. For
				every eight (8) people served, there must be at least two (2) employees
				actively engaged in service activities. One (1) of these employees may be the
				on-site supervisor.
F. The amount
				of supervision someone receives is based on tiered levels of support determined
				by a person's score on the Inventory for Client and Agency Planning and risk
				reflected in the Plan of Services and Supports and the Activity Support
				Plan.
G. Community Respite cannot
				be provided overnight.
H. Community
				Respite is not used in place of regularly scheduled day activities such as
				Supported Employment, Day Services-Adult, Prevocational Services, or services
				provided through the school system.
I. People who receive Host Home Services,
				Supervised Living, Shared Supported Living or Supported Living or who live in
				any type of staffed residence cannot receive Community Respite.
J. All supplies and equipment must be age
				appropriate, in good repair, clean and adequate enough in number to meet all
				needs and allow participation in activities as desired.
K. The service must provide equipment (e.g.,
				adaptive seating, adaptive feeding supplies, safety equipment, etc.) which
				allows people to participate fully in all service activities and
				events.
L. People must be assisted
				in using communication and mobility devices when indicated in the
				individualized Plan of Services and Supports.
M. Employees must provide people with
				assistance with eating/drinking as needed and as indicated in each person's
				Plan of Services and Supports.
N.
				Adults (18 and older) and children/youth cannot be served together in the same
				area of the building. There must be a clear separation of space and
				employees.
O. The service location
				must be located in the community so as to provide access to the community at
				large including shopping, eating, parks, etc., to the same degree of access as
				someone not receiving Home and Community-Based Services.
P. Each person must have an Activity Support
				Plan that is developed based on his/her Plan of Services and
				Supports.
Q. There must be a
				minimum of fifty (50) square feet of usable space per person in the service
				area. Additional square footage may be required based on the needs of people
				served.
R. Community Respite must
				be physically accessible to the person and must:
1. Be integrated in and support full access
				of people receiving Home and Community-Based Services to the greater community,
				to the same degree of access as people not receiving Home and Community-Based
				Services;
2. Be selected by the
				person from among setting options including non-disability specific settings.
				The options are identified and documented in the person-centered service plan
				and are based on the person's needs and preferences;
3. Ensure a person's rights of privacy,
				dignity and respect, and freedom from coercion and restraint;
4. Optimize, but not regiment, person
				initiative, autonomy, and independence in making life choices including but not
				limited to, daily activities, physical environment, and with whom to
				interact;
5. Facilitate individual
				choice regarding services and supports, and who provides them; and,
6. Allow persons to have visitors of their
				choosing at any time they are receiving Community Respite.