On January 8, 2013 Karen Williams and Christine Burbick from the University of Massachusetts Medical School gave a presentation for the Power and Possibility of PASRR webinar series. Within their discussion on specialized services in Massachusetts, Ms. Williams and Ms. Burbick introduced the concept of active treatment and described a series of promising practices case managers practicing active treatment should consider.
The presenters defined active treatment as the thorough and consistent coordination and implementation of care and services to improve and/or maintain an individual's quality of life in a long-term care facility. The goal of active treatment is to allow the individual as much self-determination as possible and to prevent a regression from current optimal status. Active treatment involves a collaborative team process that represents intensified service provision and regular review (quarterly at minimum) of the individual's care and services.
Ms. Williams and Ms. Burbick went on to describe a series of active treatment promising practices that service providers might engage in with the individuals they support:
- Assessments should be current, accurate, and include details to describe the individual's ID/DD history, needs, strengths, interventions, goals, and recommendations
- Schedule sessions to meet individual's needs
- Service plans and strategies should be person-centered, sequential, and revised as needed
- Data sheets should reflect performance level/response to goal
- Clinical staff should be included in goal-setting
- Regular communication with NF and case manager
- Direct care staff should be trained on ID/DD and on the individual's diagnoses and situation
- Attend plan of care (POC) meetings
- Direct care staff should be able to demonstrate the skills/techniques to administer interventions to implement the Rolland Integrated Service Plan (RISP) for the individual
- Regularly update the service schedule and make it available to team members
- Ensure there is sufficient staffing to carry out the RISP goals
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