Section 115.220  Community support team


Agencies licensed to certify CILAs shall provide for services through a community support team (CST).


a)         The CST shall consist of the QMRP or QMHP, as indicated by the individual's primary disability, the individual, the individual's guardian or parent (unless the individual is his or her own guardian and chooses not to have his or her parent involved, or if the individual has a guardian and the guardian chooses not to involve the individual's parent), providers of services to the individual from outside the licensed CILA provider agency, and persons providing direct services in the community;


b)         The CST shall be the central structure through which CILA services are provided to one or more individuals.  The CST shall:


1)         Be responsible for all service functions including assessment, planning, coordination and delivery;


2)         Provide direct service in the community or in other facilities, such as State-operated facilities, convalescent care facilities, community hospitals or rehabilitation facilities, when the facilities permit;


3)         Help the individual to participate in the design of an array of community support services tailored to his or her needs;


4)         Be responsible for providing or helping individuals to access the services specified in their plans; and


5)         Be available to respond to an individual's needs on a 24-hour basis.


c)         The CST shall be directly responsible for:


1)         Modifying the services plan based on on-going assessment and recommendations;


2)         Linking individuals to resources and services;


3)         Advocating on behalf of individuals;


4)         Providing informational, educational and advocacy services to family members;


5)         Assisting individuals to select, obtain, and maintain CILAs which afford safety and basic comforts;


6)         Participating with other providers of direct service during stays in other environments such as State-operated facilities, convalescent care facilities, community hospitals or rehabilitation facilities; continuing in-facility contact, participating in the services plan development, and the on-going interdisciplinary process; providing on-going services to ensure the maintenance of the individual's living arrangement during these times such as paying the rent and utilities;


7)         Assisting the individual in developing community supports and fostering relationships with non-paid persons in the community, e.g., neighbors, volunteers and landlords;


8)         Providing personal support and assistance to the individual in gaining access to vocational training, educational services, legal services, employment opportunities, and leisure, recreation, religion and social activities;


9)         Providing assistance to the individual in obtaining health and dental services, mental health treatment and rehabilitation services (including physical therapy and occupational therapy), and substance abuse services;


10)       Providing supportive counseling and problem-solving assistance on an on-going basis and at times of crisis;


11)       Assisting individuals with activities of daily living through skill training and acquisition of assistive devices;


12)       Assisting the individual in accessing medication information including observing and reporting effects and side effects of prescribed medications;


13)       Assisting the individual in accessing and providing training to obtain emergency medical services including State-operated facility services;


14)       Providing assistance in money management, including representative payeeship, and applying for financial entitlements including assisting individuals to access the Department's Home Services Program (89 Ill. Adm. Code:  Chapter IV, Subchapter d); and


15)       Assisting individuals to access transportation.


d)         The agency shall provide or arrange for those services not indicated in subsection (c) of this Section, but identified in the individual integrated services plan as needed by the individual.  If arranged, such services shall be documented in a written agreement between the licensed agency and the other service providers and shall minimally address training, services to be provided, quality assurance requirements and protection of the individual's rights.  The agency shall remain responsible for insuring the quality of services and the protection of the individual's rights.


e)         A CST member who is a QMRP or a QMHP shall be designated for each individual and shall:


1)         Convene the CST as required by Section 115.230 to revise the services plan as part of the interdisciplinary process;


2)         Assure that the services specified in the services plan are being provided;


3)         Assure the participation of team members and necessary non-team member professionals;


4)         Assure and document in the individual's record, at least quarterly, that the individual's residence meets environmental standards as specified in Subpart C of this Part;


5)         Identify and address gaps in the service provision;


6)         Monitor the individual's status in relation to the services plan;


7)         Advocate for the individual's rights and services;


8)         Facilitate individual linkage and transfer;


9)         Provide for a written record of team meetings within 30 days after each team meeting;


10)       Assure that information specified by the services plan is included in the individual's record;


11)       Initiate and coordinate the interdisciplinary process as often as specified in the services plan or when required by problems or changes;


12)       Assure availability of a written services plan to all team members; and


13)       Work with the individual and parent(s) and/or guardian to convene special meetings of the CST when there are issues that need to be addressed as brought to the attention of the team by the individual, parent(s) and/or guardian.


f)         A mental health professional may provide all services identified in subsections (e)(1) through (13) except (1), (9), and (11) of this Section.


(Source:  Amended at 23 Ill. Reg. 9791, effective August 13, 1999)