PowerPoint Training For Habilitation, Respite, and Attendant Care Providers

1. PowerPoint TrainingFor Habilitation, Respite, and Attendant Care Providers This is your Bees Knees PowerPoint tutorial for habilitation, respite, and attendant care providers. You will be navigating through the presentation as a slide show. Press the space bar to advance to the next slide.

2. Navigating Through the Presentation You can navigate through this presentation and advance the slides by: • Clicking the mouse • Using the space bar • Using the arrow keys Use one of these methods now to advance to the next slide.

3. Navigating Through the Presentation The forward arrow key will take you forward in the presentation, or the back arrow will allow you to go back in the presentation. If you need to read through some of the information again, or refer to a previous slide, use the back arrow. To exit the slide show, right click the mouse and click on End Show. This will exit the presentation at any time. If you have any questions, please contact Laura at 480-720-9093 or laura@beeskneesaz.com. You may now advance the slide to begin the training.

4. LAURA Congratulations on your new position with Bees Knees! I will be your tour guide through your Respite, Habilitation, and Attendant Care training!

5. Bees Knees, LLC Respite, Habilitation, and Attendant Care Services “Bee Exceptional”

6. Bees Knees, LLC Respite, Habilitation, and Attendant Care Training

7. Getting To Know Bees Knees Part I of your training is designed to make you more familiar with Bees Knees, LLC • Welcome • The Buzz About Us • Our Clients • Our Services • Part I Test Estimated Completion Time: 45 min.

8. Welcome to Bees Knees! Welcome to our hive! Thank you for choosing Bees Knees, LLC! Bees Knees provides home-based respite, habilitation, and attendant care.

9. The Bees Knees Hive Bees Knees is a family owned and operated business, started by myself and my husband. These are some names of individuals you will need to know for future reference: Laura and Mickey Kawa- Owners Cal Littlefield- Attendant Care Supervisor

10. The Buzz About Laura I have an education degree from Arizona State University and am a former teacher in the Gilbert District. After having my beautiful son- now 7 years old- I decided to stop teaching so that I could dedicate more time at home with my son. Shortly after, I was offered an amazing opportunity to run a respite and habilitation program for a local therapy company. I built this program from the ground up and developed a love for helping individuals with special needs find quality providers to work with them and help them grow. After working for this company for about 3 years, my husband and I decided to follow this passion, and apply for our own contract with the Division of Developmental Disabilities. So here we are today, with our own contract and a flourishing business to continue our passion of helping individuals with special needs.

11. The Buzz About Mickey My husband, Mickey, has an education degree from Arizona State University and is currently teaching high school in Queen Creek. Prior to teaching in Queen Creek, Mickey taught middle school to at-risk students in Glendale. He was then offered the position of Clinic Director for a local therapy company. Mickey managed all of the therapists, providers, and clients at this company, as well as managing the day to day office operations. There, Mickey had a chance to experience the joy of watching individuals with special needs grow and learn in a safe and rewarding environment. At this same time, I was running the respite and habilitation program for this same company, and Mickey and I decided that it was time to build our own agency. He has been teaching at Queen Creek High School ever since, while starting our agency.

12. The Buzz About Cal Cal has a degree in Mass Communication from New Mexico State University.  He is a proud father of two daughters (myself included ) and a grandfather of 6 amazing children.  He is a retired Director in Mesa, Arizona for the Boy Scouts of America, where he worked for 30 years.  There, he had the chance to work with many individuals, including individuals with special needs. He is now thrilled to be working as the Attendant Care Supervisor for Bees Knees.

13. Important Contact Info • Laura Kawa- Owner I am responsible for hiring, training, and direct supervision of all providers. I also manage billing and payroll. Phone: 480-720-9093 Fax: 480-248-3122 laura@beeskneesaz.com

14. Important Contact Info • Mickey Kawa- Owner Mickey is responsible for hiring and client placement. Mickey will conduct client orientations with you and the parents. He will also conduct home visits for clients as needed. Phone- 480-650-0337 Fax- 480-248-3122 mickey@beeskneesaz.com

15. Important Contact Info • Cal Littlefield- Attendant Care Supervisor Cal is responsible for attendant care client and provider placement. He manages all aspects of the attendant care program, including orientations and home visits. Phone- 480-688-9472 Fax- 480-248-3122 cal@beeskneesaz.com

16. Who Are The Clients? Bees Knees provides services for individuals with special needs through the State Department of Economic Security, Division of Developmental Disabilities. We work with clients who are approved for respite, habilitation, and attendant care services through the State. The State offers these services to our clients, and together, with the State, we work to find a good match for each individual.

17. Who Are The Clients? Our clients are developmentally delayed in some way, due to a chronic disability which is attributable to: • Cognitive Disability • Cerebral Palsy • Epilepsy • Autism

18. Cognitive Disability According to AAIDD (American Association on Intellectual and Developmental Disabilities) a cognitive or “intellectual disability is a disability characterized by significant limitations both in intellectual functioning and in adaptive behavior as expressed in conceptual, social, and practical adaptive skills. This disability originates before the age of 18.”

19. Common Characteristics of a Cognitive Disability • significantly below-average score on a test of mental ability or intelligence • limitations in the ability to function in areas of daily life, such as communication, self-care, and getting along in social situations and school activities • Individuals with a cognitive disability develop more slowly than those with average intelligence and adaptive skills • Degrees of cognitive disabilities range from mild to profound • Individuals with a cognitive disability may have other disabilities as well, such as cerebral palsy, seizure disorders, vision impairment, hearing loss, and attention-deficit/hyperactivity disorder (ADHD) • Cognitive disabilities are sometimes referred to as intellectual disabilities or mental retardation although mental retardation is no longer the preferred term www.cdc.gov

20. Cerebral Palsy Cerebral Palsy is related to a brain injury or to problems with brain growth. It causes problems that affect body movement and posture. The part of the brain that is damaged determines the parts of the body that are affected.

21. Conditions That Can Occur with Cerebral Palsy • Reflex movements that a person cannot control • Muscle tightness that may affect parts or all of the body • Cognitive Disability • Seizures • Vision Problems • Hearing Problems These problems can range from mild to severe.

22. Epilepsy “Epilepsy is a neurological condition that from time to time produces brief disturbances in the normal electrical functions of the brain.” www.epilepsyfoundation.org Normal brain patterns of a person with epilepsy may be interrupted by intermittent bursts of electrical energy affecting a person’s consciousness, bodily movements, or sensations for a short time, resulting in epileptic seizures. Having a single seizure, does not necessarily mean that a person has epilepsy.

23. What Causes Epilepsy? Often, no cause can be found for epilepsy. Some causes may include: • Head injuries or lack of oxygen during birth • Brain tumors • Genetic conditions • Lead poisoning • Problems in brain development before birth • Infections such as meningitis or encephalitis

24. Who Does Epilepsy Affect? • Epilepsy occurs in all racial, ethnic, and socioeconomic groups • Epilepsy affects people of all ages (commonly occurs during early childhood and adolescence. Another common time of occurrence is in people over the age of 65.) • Epilepsy can also occur in animals

25. Autism Autism is the most common condition in a group of developmental disabilities know as the Autism Spectrum Disorders (ASD’s).

26. Common Characteristics of Autism • Impaired Social Interaction • Problems with verbal and non-verbal communication • Unusual repetitive, or severely limited activities, behaviors, and interests • Many people with ASD’s have unusual ways of learning, paying attention, or reacting to different sensations. • Thinking and learning abilities can vary from gifted to severely challenged. • Begins at the age of 3 and lasts through the person’s life. (ASD’s can be detected as early as 18 months) • Occurs in all racial, ethnic, and socioeconomic groups

27. Who Is Affected? • ASD’s occur in all racial, ethnic, and socioeconomic groups • ASD’s are four times more likely to occur in boys than in girls • According to 2007 data collected by CDC’s Autism and Developmental Disabilities Monitoring (ADDM) Network, about 1 in 150 8-year-old children in multiple areas of the United States had an ASD

28. Other ADS’s • Asperger Syndrome (not covered by DDD) • Rett Syndrome • Childhood Disintegrative Disorder • Pervasive Developmental Disorder Not Otherwise Specified (usually referred to as PDD-NOS) (Not covered by DDD)

29. How Are Clients Eligible for Services? Clients are eligible to receive services through the Division of Developmental Disabilities (DDD), which is a part of the Department of Economic Security (DES) provided that they meet the following criteria: • Arizona Resident • Voluntarily apply for services • Is at risk of having a developmental disability (up to age 6) or • Has a chronic disability which is attributable to cognitive disability, cerebral palsy, epilepsy or autism • The chronic disability manifested before the age of 18

30. The disability must result in substantial functional limitations in three or more of the following areas: Self-care: eating, hygiene, bathing, etc. Receptive and expressive language: communicating with others Learning: acquiring and processing new information Mobility: moving from place to place Self-direction: managing personal finances, protecting self-interest or making independent decisions which may affect well-being Capacity for independent living: ability to live on one’s own Economic self-sufficiency: being able to financially support oneself

31. Eligibility with a Potential Developmental Disability Children under the age of six years old may be eligible for support and services if there is a strongly demonstrated potential he/she has or will have a developmental disability. Any child from birth to age 6 who has a developmental delay, or who has an established condition which has a high probability of resulting in a developmental delay as defined by the State, may be eligible.

32. Support Planning Since all individuals and families are different, services and support are based on the person’s needs, and in some cases, availability of funding. All services and support are designed and delivered to meet the individual needs of the person and their family.

33. How Are Needs Determined? Needs are determined through assessments and evaluations. Decisions about what services and support the person receives are based on a team process. The team will help determine what services, as well as the amount of service time that a client needs. The team consists of: • The Individual • The Family • The Support Coordinator • Could also include others, such as therapists and other providers involved in the life of the individual

34. What is a Support Coordinator? The Support Coordinator is assigned to the client by the State, to work with the parents and help assess the needs of the client. Together, along with the ISP (Individual Support Plan) team, they determine what services are needed and how often. This is achieved through the ISP process. The Support Coordinator then authorizes the services and sends out referrals, or service inquiries, to different therapy companies to find services for their clients. You will need to know who the Support Coordinator is for each of your clients. You will need to write in their name on your timesheets for your clients.

35. ISP- Individual Support Plan Our clients have an ISP (Individual Support Plan) or an IFSP if under the age of 3 (Individualized Family Service Plan). This is a document that includes all pertinent information about the client and their needs. This plan also: • Reviews assessments and evaluations • Identifies natural supports • Assists in defining what additional support or services may be needed to enhance the person’s abilities

36. What does the ISP mean to me? The Individual Support Plan will let you know about your client. It will tell you about their needs, goals, things that work for them and things that don’t, as well as all pertinent general information regarding the client and family. This is imperative for you to better understand the needs of your client. You will have a copy of an ISP for each of your clients. You can refer to the ISP for direct instructions regarding respite, habilitation, and attendant care needs. If you are providing habilitation, you will need to review the outcomes as defined in the ISP to record your objectives with the client. These will be reported to the DDD quarterly. (This process is explained in detail in the Habilitation training section.)

37. What Services Are Provided By Bees Knees? Bees Knees offers: • Respite • Habilitation • Attendant Care

38. RSP- Respite This service provides a certified and trained person to supervise and care for a person in order to relieve caregivers so they can go to a movie, out to dinner, take a vacation, or even take a nap. Respite may be provided overnight (with additional authorization). The respite provider ensures the supervision and health needs of the individual and maintains a safe living environment for the individual.

39. RSP- Respite Respite care is NOT babysitting! As a respite provider, you should actively participate in supporting the social, emotional, physical, and mental well being of the individual. Ideally, you will become a trusted and valued member of the individual’s life.

40. RSP- Respite Some suggested activities you might do with your client as a respite provider: • Play a board game • Puzzles or card games • Read a book • Play catch or sports • Actively participate in playing with toys • Crafts • Community activities (with proper authorization) • Other activities of interest specific to your client Some activities to try to avoid as a respite provider: • Watching television • Playing video games

41. HAH- Habilitation This service provides a certified and trained person to work with an individual in their home or community to assist them in achieving goals. These goals are established in their ISP. Habilitation should help the individual to acquire knowledge and skills necessary to be a valued member of their community, to maintain a quality of life that promotes their vision of the future, and to encourage continued growth and independence.

42. HAH-Habilitation This service uses a variety of methods designed to maximize the person’s abilities. It may include: • Habilitative therapies • Special developmental skill instruction • Behavior intervention • Sensory-motor development

43. Habilitation is a service that teaches children, teens, and adults with special needs: Communication Social skills Motor skills Cognitive skills Life skills to aid in the development of goals set forth by the individual’s parents, therapists, and support coordinator.

44. Habilitation may occur at: • The person’s home • A community center or clinic • A residential setting Bees Knees currently offers Habilitation in the client’s home only. Habilitation may be provided in the community as well with additional authorization.

45. More habilitation information will be provided in the Habilitation section of the training.

46. ANC- Attendant Care This service provides a certified and trained person to supply the needed services to an individual in order for them to remain in their home and participate in work of community activities. Providers will assist the individual with maintaining a safe and sanitary living environment, personal cleanliness, and activities of daily living as indicated in the Attendant Care Assessment of the ISP.

47. ANC- Attendant Care Some duties of the provider may include: • Bathing • Dressing • Feeding and meal preparation • Shopping • Cleaning • Assistance in participation in community activities

48. Additional Training Bees Knees prides itself on employing qualified providers with a continuing desire to learn and gain knowledge that will assist them in better serving their clients. We encourage you to continue educating yourself in your area of expertise. Bees Knees may pay for or reimburse you for pre-approved training. You will need to fill out an Additional Training Approval Request form in order to be eligible for payment or reimbursement.

49. Knowing the Lingo… • BK, LLC = Bees Knees, LLC • DES = Department of Economic Security • DDD = Division of Developmental Disabilities • ISP = Individual Support Plan • IFSP = Individualized Family Service Plan • RSP = Respite • HAH = Habilitation • ANC = Attendant Care • SC = Support Coordinator

50. Conclusion This presentation is always available on the website for reference. You should now have a better understanding of what Bees Knees is all about. As a representative of the company, it is important that you have this information and are able to answer questions for clients and their families regarding the basics of Bees Knees and the services we provide. Please complete the Part I Test before moving on additional parts of the training. The next slide will provide a link to the Part I test.