Two hypothetical residents considered by the think tank, “Terrell” and “Nancy”, represented individuals with intense behavioral/medical needs. Through their choices, the breakout groups recognized that this sub-group of individuals, while small, will require attention to develop models suited to their highly individualized and complex needs.
Co-provision of medical and behavioral supports video description 1: A description of concepts being explored in other states to address this challenge.
A post-think tank model:
A proposed model for individuals with complex medical and behavioral needs at high risk of placement in institutions.
This model could help move away from emergency placements in Intermediate Care Facilities for people with intellectual disabilities (ICF/MRs). Residents live in four-person homes served by staff who are either Registered Behavior Technicians or Certified Nursing Assistants, with at least one of each on each shift. Two mobile teams, one a behavioral de-escalation team and the other a medical team, serve houses in this model. A detailed written description is available here.
Co-provision of medical and behavioral supports, video description 2: Proposed alternative to ICF/MRs.