Criteria for Providing Support to Individuals in Crisis or in Need of Continuity

Currently Receiving Services

For people who are currently receiving services, increased funding might be provided in the following situations: [*]

  • Inability of primary caretaker (physical incapacitation, etc.) to continue providing necessary support and where no other caregiver is available.
  • Substantiated reports of abuse or neglect requiring short-term or long-term interventions.
  • Impending risk for abuse or neglect (substantiated threats or based on situational assessment).
  • Consumer presents high medical needs that cannot be fully addressed by caregivers.
  • Consumer presents significant behavioral challenges, putting self or caregivers at risk.

Requesting a New Service

For people who are requesting a new service, increased funding might be provided in the following situations: [*]

  1. Death of the primary caregiver, where no other caregiver is available.
  2. Substantiated reports of abuse or neglect requiring short-term or long-term interventions.
  3. Inability of primary caretaker (physical incapacitation, etc.) to continue providing necessary support and where no other caregiver is available.
  4. Where a caregiver is available but the caregiver would experience significant disruption in his or her life and/or would lose his/her employment in order to provide the necessary support.
  5. Consumer is terminally ill, where death is imminent.
  6. Impending risk for abuse or neglect (substantiated threats or based on situational assessment).
  7. Consumer presents high medical needs that cannot be fully addressed by family or caregivers.
  8. Consumer presents significant behavioral challenges, putting family members or caregivers at risk.
  9. Risk for out-of-home placement (children) or risk of institutionalization (children & adults).
  10. Potential reunification with family from out-of home placement (children in foster care or child-caring institutions).
  11. Court-ordered placements.

Continuation of Services

For people who are requesting a continuation of services, the following situations may constitute a need for continuity: [*]

  1. Children transitioning from County-funded children’s services (Foster Care, mandated Case Management, Respite, Children Come First) to Adult Developmental Disability Services.
  2. Young adults who currently receive developmental disability residential services and who require daytime support upon leaving high school.
  3. The closing or downsizing of institutions where Dane County residents will be displaced and where no other alternatives are available.
  4. Individuals currently receiving services who have an increased support need due to medical (infirmaries of aging, etc.), psychological (onset of Alzheimer’s, etc.), or challenging behavioral issues and who, without additional support, would be at risk of physical harm, institutionalization, or involvement in the legal system.
  5. Children transitioning from other funded services (school systems, graduates in supported employment, Division of Vocational Rehabilitation, etc.)
  6. Adults and children with acquired brain injuries where the county is required to commit to providing long-term community care prior to intake into an inpatient rehabilitation program.
  7. Adults who have left the county, while receiving services and return within 6 months.

What are the criteria for approving different models of support?

  • Consumer presents high medical needs that cannot be fully addressed in current support arrangement.
  • Consumer presents significant behavioral challenges that cannot be fully addressed in current support arrangement.
  • Consumer is requesting a change in model of support, where no immediate danger is ascertained

If model of support is to be changed, it must be cost-neutral.

[*|*|*]In all cases, the provision of support is dependent upon the availability of funds.