New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 371 - DEVELOPMENTAL DISABILITIES › Part 7 - (APPENDIX A) INDIVIDUAL TRANSITION PLANNING PROCESS › Section 8.371.7.25 - ACTIVITY 11: FULL TIDT MEETING TO DEVELOP THE ITA

Current through Register Vol. 35, No. 13, July 16, 2024
A. The purpose of the TIDT meeting is to
				develop the individual transition plan (ITP). The ITP is the document developed
				by TIDT participants identifying the proposed steps to be taken before and
				after placement and until implementation of a new annual community individual
				service plan (CISP).
B. The team
				should attempt to identify or develop services that use the same resources that
				the general population uses. For instance, the team should make attempts to use
				or adapt for use local adult education resources instead of looking for a way
				to set up a special adult education program for individuals who are
				transitioning.
C. Upon failing to
				find a generic solution or one that might be adapted, the team should match the
				preferred specialized solution to the individual's needs and not provide
				additional services if the need cannot be demonstrated. For instance, if an
				individual needs staff support only to assist in preparing the evening meal,
				the team should find ways to deliver that service and no more, rather than
				developing a residential placement that provides 24 hour staff support because
				that service is available at the facility.
D. In addition, the TIDT should specify the
				training and other necessary supports for direct care staff persons who would
				work directly with the individual in the community setting. Therapeutic and
				behavioral supports should be delivered primarily through direct care staff
				persons since they are the most consistently present, interact the most with
				the individual, and thus know the individual best. Therapists and psychologists
				should design the individual interventions, train staff to carry them out
				through the course of the normal daily routine, monitor the program
				implementation and be available to coach staff and solve problems.
E. The team shall identify each activity in
				objective form with specific assignment of responsibility and timelines for the
				accomplishment of each transition activity. For example, a home living provider
				would be responsible for the accomplishment of home living related tasks, a
				work/education provider for work/education tasks, and the case manager for
				monitoring service provision and assuring the presence and preparation of
				community life and professional services tasks.
F. All team members are encouraged to
				participate in all areas of the team process, not just in their area or
				expertise, skill or involvement. Decisions should be made by consensus. Where
				there is disagreement, the team should continue to work towards a solution that
				all participants can accept. If consensus is not reached, the team shall make
				decisions by majority rule. A record shall be maintained of team decisions. The
				result of the team's effort is the ITP proposed to the division for
				implementation.
G. The TIDT should
				attempt to complete the preparation of the ITP in one meeting. Additional TIDT
				meetings should be scheduled only if the first meeting does not resolve
				significant issues, such as the identity of the community residential provider
				or the competitive or supported employment provider, major medical resources or
				safety issues. For some individuals, planning for the move will be complex and
				lengthy and may require more than one meeting. For others, addressing the basic
				requirements of home, work/education, community life and necessary supports
				will be straightforward and less complex. The case manager, with the
				concurrence of the TIDT, shall specify in writing the issue(s) necessitating
				the additional meeting, the identity of the person or entity responsible for
				addressing and resolving the issue prior to the next meeting, and any other
				relevant information.
H. Each
				additional TIDT meeting shall be held within 21 days of the preceding TIDT
				meeting. The case manager shall mail a copy of the written reasons for the
				additional meeting to the
Jackson
transition representative
				(JTR) and shall notify TIDT members of specific tasks and the date of the next
				TIDT meeting. Absent extraordinary circumstances agreed upon by the TIDT, there
				shall be no more than two additional TIDT meetings.
I. The TIDT meeting shall be chaired by the
				case manager. The team shall begin by reviewing the previous assessments made
				pursuant to Activities 8 and 9 and the community service provider selections
				made pursuant to Activity 7. Issues identified and solutions suggested
				throughout the meeting shall be compared with the assessments to ensure
				consistency with the individual's preferences where possible.
J. The TIDT shall review and revise the
				assessments developed in Activities 8 and 9; describe what life should be like
				for that individual in that community, starting with a discussion of what life
				is like for other persons of the individual's age and interests and taking into
				consideration the assessment developed as a result of Activity 9 above;
				describe those supports that will be needed by the individual; identify the
				area's generic resources that will be used to provide those supports, or, if
				generic resources are not readily available, a consideration of those actions
				that could be taken to enhance existing generic supports for the individual;
				describe and justify the use of any specialized community service providers.
				Specialized providers are to be used only when either no generic supports exist
				or existing generic supports cannot reasonably be enhanced to meet the needs of
				the individual.
K. TIDT meeting
				guidelines and agenda: The TIDT shall develop the ITP in accordance with the
				following guidelines:
(1) The contents of the
				ITP are reasonable and appropriate to meet the individual's needs and promote
				identified strengths and capacities.
(2) The ITP reflects the individual's
				preferences, to the extent appropriate, unless the individual communicates no
				preference or is incapable or communicating any preference.
(3) The ITP is designed to utilize services
				that allow the individual to be more, rather than less, integrated in the
				community and rely on available generic services to the extent feasible
				consistent with the individual's needs.
(4) The ITP provides services which are least
				restrictive, not unduly intrusive and not excessive in light of the
				individual's needs. The ITP can be practically implemented.