Services

Individual Community Living Supports (ICLS)

ICLS is a comprehensive service bundle comprising six core components. It provides essential assistance and support to older adults who may require reminders, cues, intermittent to moderate supervision, or physical aid to maintain their independence in the comfort of their own homes. ICLS is specifically designed for eligible individuals aged 65 and above who are enrolled in the Alternative Care (AC) program or the Elderly Waiver (EW). The service encompasses the following components:

1. 1. Active Cognitive Support: Tailored assistance to support cognitive function and mental well-being.


2. 2. Adaptive Support Service: Services designed to adapt to individual needs and requirements.


3. 3. Activities of Daily Living (ADLs) Support: Assistance with fundamental daily activities to ensure a high quality of life.
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5. 4. Household Management Assistance: Support in managing household tasks and responsibilities.


6. 5. Health, Safety, and Wellness: Comprehensive care focused on health, safety, and overall well-being.


7. 6. Community Living Engagement: Engagement in community activities and participation to enhance the social aspects of daily life.

24-hour emergency assistance

This service encompasses on-call counseling, on-call problem-solving, and/or immediate response for assistance at a person’s home in the event of a health or personal emergency. It’s important to note that this service is not intended to replace the use of 911 when it is necessary.

A person is eligible to receive 24-hour emergency assistance if they meet one of the following sets of criteria:

1. 1. The person:
• Resides in their own home
• Does not receive 24-hour supervision.
• Would otherwise require extensive, routine supervision in the absence of this service.


2. 2. The person lives with a primary caregiver who would otherwise require extensive support in the absence of this service to secure help in the event of an emergency.

Homemaker Service

Homemaker services are designed to assist individuals in managing general cleaning and household activities. There are three distinct types of homemaker services available:

1. 1. Homemaker Cleaning:
2. • Homemaker cleaning services are focused on home cleaning tasks, which encompass light housekeeping responsibilities and laundry services.
   • These services also include the important aspect of monitoring the individual’s well-being within the home, with a particular emphasis on home safety


3. 2. Home Management:
• Homemaker home management providers offer homemaker cleaning services as their primary focus, while also extending assistance with home management activities as required.
• Home management activities may involve arranging transportation, meal preparation, grocery and household supply shopping, and basic household repairs.
• As with homemaker cleaning, this service includes monitoring the person’s well-being within the home, particularly in terms of home safety.


4. 3. Assistance with Activities of Daily Living (ADLs):
• Homemaker assistance with ADLs providers primarily deliver homemaker cleaning services and offer supplementary assistance with ADLs as needed
• Assistance with ADLs covers ambulating, bathing, dressing, eating, grooming, and toileting.
• Similar to the other homemaker services, monitoring the individual’s well-being in the home, especially regarding home safety, is a crucial component of this service.

Individualized Home Supports (IHS):

IHS services cater to individuals living in their own or family homes, offering support and/or training in community living service categories.

IHS encompasses support and training in four categories:

1. 1. Community Participation: Includes community mobility, resource use, safety, awareness, communication skills, leisure, and socialization planning.


2. 2. Health, Safety, and Wellness: Covers health care collaboration, cueing, guidance, and support for self-cares.


3. 3.Household Management: Encompasses household care, safety, tenancy support, budgeting, cooking, and lifestyle skills.


4. 4. Adaptive Skills: Includes crisis prevention, positive support, problem-solving, sensory/motor development, self-sufficiency, and behavior support strategies.

There are three types of IHS available

1. 1. Without Training:
• This option provides support for adults or children who require assistance in at least one community living service category.


2. 2. With Training:
• Designed for adults in need of both support and training within a community living service category.


3. 3. With Family Training:
• This option is tailored for individuals residing with their families, offering training to both the individual and their family members.
• Training enhances their ability to care for and support the individual’s ability to live at home.

Night Supervision

Night supervision services encompass overnight assistance and supervision provided by a trained staff member in the individual’s own residence. These services are made available when there is an assessed need within one of the covered services areas:

• Implementation of the individual’s positive support programming and transition plans.
• Reinforcement of skill development supports (e.g., individualized home supports).
• Assistance with activities of daily living (ADLs).
• Assistance with instrumental activities of daily living (IADLs)

Respite Care

Respite services offer short-term care to an individual when their primary caregiver is unavailable or in need of relief from caregiving duties. To be eligible for respite services, the primary caregiver(s) should be temporarily absent or require a break from caregiving responsibilities.

Respite services encompass the level of supervision and care necessary to ensure the person’s health and safety during their primary caregiver’s absence

Adult Companion:

Adult companion services encompass non-medical care, supervision, and socialization provided to individuals aged 18 and older

These services are intended to support individuals in working towards therapeutic or community integration goals as outlined in their support plan. Examples of adult companion services include:

• Accompanying the individual to a movie to help them practice coping skills for managing social anxiety.
• Attending community events with the individual to reduce their social isolation.
• Engaging in board games to enhance the individual’s fine motor skills.
• Providing verbal instructions or cues to assist the individual in completing specific tasks.
• Offering assistance or supervision with tasks such as laundry, light housekeeping, meal preparation, and shopping. For more details, please refer to the secondary information section.