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< Back Carlisle Parks and Recreation List of Events EXAMPLES OF ACTIVITIES THERE   Busy Bees - Spring #207.12/Age At least 10m but less than 3 Stuart Cmty Ctr April 4, 2023 to May 9, 2023 View fee details Enroll Now Full Busy Bees - Winter #207.11/Age At least 10m but less than 3 Stuart Cmty Ctr January 17, 2023 to March 14, 2023 View fee details Buugeng Artistry - Spring New #108.12/Age 18 and up Stuart Cmty Ctr April 10, 2023 to May 15, 2023 View fee details Enroll Now Carlisle Fencing Club - April #103.14/Age 10 and up Stuart Cmty Ctr April 14, 2023 to April 28, 2023 View fee details Enroll Now 6 space(s) left Carlisle Fencing Club - February #103.12/Age 10 and up Stuart Cmty Ctr February 3, 2023 to February 24, 2023 View fee details Enroll Now Carlisle Fencing Club - March #103.13/Age 10 and up Stuart Cmty Ctr March 3, 2023 to March 31, 2023 View fee details Enroll Now Carlisle Fenc ingClub - May #103.17/Age 10 and up Stuart Cmty Ctr May 5, 2023 to May 19, 2023 View fee details Enroll Now Full Drawing Comics 101 New #224.11/Age 10 and up Stuart Cmty Ctr April 6, 2023 to May 11, 2023 Free In progress Fly-Tying - Beginner New #223.11/Age Any Stuart Cmty Ctr January 23, 2023 to March 13, 2023 View fee details Enroll Now 3 space(s) left Fly-Tying - Experienced New #223.12/Age Any Stuart Cmty Ctr January 23, 2023 to March 13, 2023 View fee details Enroll Now Gentle Yoga- Spring Session 10:30AM New #101.14/Age 18 and up Stuart Cmty Ctr April 13, 2023 to May 18, 2023 View fee details Enroll Now Gentle Yoga- Spring Session 6:00PM New #101.12/Age 18 and up Stuart Cmty Ctr April 12, 2023 to May 17, 2023 View fee details Enroll Now Gentle Yoga- Winter Session II 10:30AM New #101.15/Age 18 and up Stuart Cmty Ctr March 2, 2023 to March 23, 2023 View fee details Enroll Now 1 space(s) left Hip-Hop Dance (Ages 5-8) New #138.14/Age At least 5 but less than 9 Stuart Cmty Ctr January 26, 2023 to March 30, 2023 View fee details Enroll Now Full Hip-Hop Dance (Ages 9-17) New #138.13/Age At least 9 but less than 18 Stuart Cmty Ctr January 24, 2023 to March 28, 2023 View fee details Indoor Volleyball Tournament (Co-ed 6 v 6 A DIVISION) New #616.11/Age 14 and up Stuart Cmty Ctr April 15, 2023 Enroll Now Indoor Volleyball Tournament (Co-ed 6 v 6 B DIVISION) New #616.12/Age 14 and up Stuart Cmty Ctr April 16, 2023 Enroll Now Full Intro to Fencing #114.11/Age 10 and up Stuart Cmty Ctr January 27, 2023 to March 31, 2023 View fee details Full Jazz Dance (Ages 5-8) New #138.15/Age At least 5 but less than 9 Stuart Cmty Ctr January 26, 2023 to March 30, 2023 View fee details Cancelled Jazz Dance (Ages 9-17) New #138.12/Age At least 9 but less than 18 Stuart Cmty Ctr January 24, 2023 to March 28, 2023 View fee details Kids Yoga - Spring (Ages 6-12) New #107.12/Age At least 6 but less than 13 Stuart Cmty Ctr April 12, 2023 to May 3, 2023 View fee details Enroll Now In progress Lyrical Dance (Ages 5-8) New #138.11/Age At least 5 but less than 9 Stuart Cmty Ctr January 24, 2023 to March 28, 2023 View fee details Enroll Now In progress Lyrical Dance (Ages 9-17) New #138.16/Age At least 9 but less than 17 Stuart Cmty Ctr January 26, 2023 to March 30, 2023 View fee details Enroll Now In progress Men's Quads Volleyball League #602.31/Age 14 and up Stuart Cmty Ctr Thursdays, October 6 to March 9 + playoffs Enroll Now Parent/Child Little Hoopers Bball Clinic - 4/9 (Ages 4-7) #150.12/Age At least 4 but less than 8 Stuart Cmty Ctr April 9, 2023 View fee details Enroll Now Parent/Child Little Hoopers Bball Clinic - 5/7 (Ages 4-7) #150.14/Age At least 4 but less than 8 Stuart Cmty Ctr May 7, 2023 View fee details Enroll Now Team only Pickleball League - CAPTAINS MEETING #617.12/Age 18 and up Stuart Cmty Ctr February 28, 2023 Pickleball League - Gender Blind Intermediate Doubles #617.11/Age 18 and up LeTort Park March 27, 2023 to June 5, 2023 View Registration Info Full Pickleball Lessons - Beginner #131.13/Age 18 and up LeTort Park April 20, 2023 to May 4, 2023 View fee details Pickleball Lessons - Intermediate #131.14/Age 18 and up LeTort Park April 20, 2023 to May 4, 2023 View fee details Enroll Now In progress Pickleball Open Gym (Winter Fridays) #156.14/Age 14 and up Stuart Cmty Ctr February 3, 2023 to March 31, 2023 Enroll Now In progress Pickleball Open Gym (Winter Sundays) #156.11/Age 14 and up Stuart Cmty Ctr January 8, 2023 to March 26, 2023 Enroll Now In progress Pickleball Open Gym (Winter Wednesdays) #156.12/Age 14 and up Stuart Cmty Ctr January 4, 2023 to March 29, 2023 Enroll Now Pilates (Beginner) - Spring New #104.12/Age 18 and up Stuart Cmty Ctr April 12, 2023 to May 17, 2023 View fee details Enroll Now Cancelled   POUND - Spring Session #133.13/Age 18 and up Carlisle Fire and Rescue April 13, 2023 to May 18, 2023 View fee details Enroll Now POUND - Winter Session II #133.12/Age 18 and up Carlisle Fire and Rescue February 23, 2023 to March 30, 2023 View fee details Enroll Now Team only Sand Volleyball League - CAPTAINS MEETING #603.11/Age 18 and up Stuart Cmty Ctr May 4, 2023 View Registration Info Soccer Open Gym (co-ed) - Spring #141.12/Age 14 and up Stuart Cmty Ctr April 4, 2023 to May 30, 2023 Enroll Now In progress Soccer Open Gym (co-ed) - Winter #141.11/Age 14 and up Stuart Cmty Ctr January 3, 2023 to March 30, 2023 Enroll Now Soccer Shots - Spring Saturdays #144.14/Age At least 2 but less than 9 Mooreland Athletic Field View Registration Info Soccer Shots - Spring Wednesdays #144.13/Age At least 2 but less than 9 Mooreland Athletic Field View Registration Info Soccer Shots - Winter Wednesdays #144.11/Age At least 2 but less than 9 Stuart Cmty Ctr January 11, 2023 to March 1, 2023 View Registration Info Tennis Lessons (ages 12-16) #124.12/Age At least 12 but less than 17 Mooreland Athletic Field May 4, 2023 to May 25, 2023 View fee details Enroll Now 3 space(s) left Tennis Lessons (ages 6-11) #124.11/Age At least 6 but less than 12 Mooreland Athletic Field May 4, 2023 to May 25, 2023 View fee details Enroll Now 1 space(s) left   Tumbling (ages 5-6) - Spring #120.15/Age At least 5 but less than 7 Stuart Cmty Ctr April 4, 2023 to May 9, 2023 View fee details Enroll Now 2 space(s) left Tumbling (ages 7-12) - Spring #120.16/Age At least 7 but less than 13 Stuart Cmty Ctr April 4, 2023 to May 9, 2023 View fee details Enroll Now Full   Tumbling - Ages 3-4 Spring #120.14/Age At least 3 but less than 5 Stuart Cmty Ctr April 4, 2023 to May 9, 2023 View fee details Enroll Now Tumbling Tots - Spring New #140.12/Age At least 1½ but less than 3 Stuart Cmty Ctr April 6, 2023 to May 11, 2023 View fee details Enroll Now 1 space(s) left   USA Men's Softball League #604.11/Age 16 and up Valley Meadows Park May 2, 2023 to August 10, 2023 Enroll Now USA Men's Softball League - CAPTAINS MEETING #610.11/Age 16 and up Stuart Cmty Ctr March 23, 2023 View Registration Info In progress Carlisle Parks and Recreation Stuart Community Center 415 Franklin Street Carlisle, PA 17013 Tel. (717) 243.3318 Email: parksandrec@carlislepa.org Methods of Payment Visa, MasterCard, Other, Discover / Diners Have Questions? Online Registration FAQs Stay Connected https://www.facebook.com/carlisleparksandrec  

< Back Disability Scoop Disability Scoop is the first and only national news organization serving the developmental disability community including autism, cerebrallsy, Down syndrome, fragile X and intellectual disability, among others.Five days each week Disability Scoop sifts through the clutter to provide a central, reliable source of news, information and resources. Plus, Disability Scoop is the only place to find original content and series like “Scoop Essentials” that take an in-depth look at what lies beyond the day’s headlines.Disability News

< Back Mental Health State Overview, Regional Map, Children’s Bureau, Federal Information Office of Mental Health and Substance Abuse Services OMHSAS Our Goals: - Transform the children’s behavioral health system to a family-driven system and youth-driven. - Implement services and policies to support recovery and resiliency in the adult behavioral health system - Assure that behavioral health services and supports recognize and accommodate the unique needs of older adults. Deputy Secretary's Office717-787-6443 Regional Mental Health/Substance Abuse Field Offices Central Field Office:717-705-8395717-705-8386 (fax) Northeast Field Office:570-963-4335570-963-3050 (fax) Southeast Field Office:610-313-5844610-313-5845 (fax) Western Field Office:412-565-5226412-565-5393 (fax) Bureau of Children’s Behavioral Health Services https://www.dhs.pa.gov/contact/DHS-Offices/Pages/OMSHAS-Childrens%20Behavioral%20Health%20Services.aspx Contact Information: Scott Talley, DirectorP. O. Box 2675, Harrisburg, PA 17105-2675 Receptionist: 717-705-8289 Fax: 717-705-8268 Bureau Organization - Division of Operations and Service Delivery : responsible for working with the OMHSAS Field Offices, County MH/IDD/EI Programs, Behavioral Health Managed Care Organizations BHMCO and provider agencies in the development and management of children’s behavioral health services -Division of Policy, Planning, and Program Development : responsible for working with state agencies and family and youth advocacy organizations in the development of policy, integrated planning, and review of service descriptions for new programs. Supporting priorities: Establish child and family teams and implementation of high-fidelity wraparound through the work of the Youth and Family Training Institute YFTI Create home and community-based alternatives to residential treatment Partner with the Department of Education DOE to support the development of effective school-based supports and interventions, including the Student Assistance Program SAP and Positive Behavioral Interventions and Supports PBIS Develop a process for identifying and implementing evidence-based practices, promising practices , and culturally relevant practices Develop strategies to address the needs of transition-age youth Create behavioral health competency to honor the strengths and address the unique individualized needs of infants and toddlers as well as children and adolescents: In the Child Welfare System OCYF https://www.dhs.pa.gov/contact/DHS-Offices/Pages/OCYF-Bureau%20of%20Child%20and%20Family%20Services.aspx In, or at risk of entering, the Juvenile Justice System https://www.pccd.pa.gov/Juvenile-Justice/Pages/default.aspx https://www.dhs.pa.gov/Services/Children/Pages/Juvenile-Justice.aspx In the Drug and Alcohol Substance Abuse System DDAP https://www.ddap.pa.gov/pages/default.aspx With Fetal Alcohol Spectrum Disorder FASD https://www.dhs.pa.gov/Services/Mental-Health-In-PA/Pages/FASD.aspx#:~:text=What%20is%20FASD%3F,mother%20drank%20alcohol%20during%20pregnancy . Who are Deaf or Hard-of-Hearing ODHH https://www.dli.pa.gov/Individuals/Disability-Services/odhh/Pages/default.aspx With Traumatic Brain Injury TBI https://www.health.pa.gov/topics/programs/Pages/Head-Injury.aspx With Autism Spectrum Disorder https://www.dhs.pa.gov/Services/Disabilities-Aging/Pages/Autism-Services.aspx or other Neuro-Developmental Disorder/Intellectual Developmental Disorder IDD https://www.dhs.pa.gov/providers/Providers/Pages/Developmental-Programs.aspx With Physical Disabilities DOH https://www.health.pa.gov/Pages/default.aspx At Risk for Suicide https://preventsuicidepa.org/ FEDERAL The Substance Abuse and Mental Health Services Administration (SAMHSA) is the agency within the U.S. Department of Health and Human Services that leads public health efforts to advance the behavioral health of the nation. https://www.samhsa.gov/ Centers for Medicare & Medicaid Services https:// www.cms.gov/

< Back IDD/ODP Prioritization of Urgency of Need for Services (PUNS) and Services and Supports What does Prioritization of Urgency of Need for Services (PUNS) mean? PUNS stands for the Prioritization of Urgency of Need for Services . The PUNS form gathers information about your situation , your needs ( current and anticipated) and what services and supports you may need through the Pennsylvania Office of Developmental Programs ODP . The information is collected by each county's ( MH / IDD ) office , also called that county's Administrative Entity . The PUNS form describes how soon you will need services and supports. PUNS information helps the county and the state understand and plan for what you need , and when you will need it . PUNS information is entered into the state database , the Home and Community Services Information System ( HCSIS ) . The PUNS form is a planning and information-gathering tool . Completion of the PUNS does not mean your service needs can be met at the time you fill it out . Who needs a PUNS? Regardless of whether you are enrolled in a waiver , you need a PUNS if ... You or your family members are in need of services and supports that you are not currently receiving . You think you will need services and supports within the next five years . Why should I complete a PUNS? The PUNS process helps the county and state understand and plan for your needs and how you relate to others waiting for services . It captures the supports and services you need that may be provided through the Office of Developmental Programs ( ODP ) . The information on the form will help your Supports Coordinator and County / AE understand and plan for your needs . The county and the state use the information to create their upcoming annual budgets . It also tells the ODP Programs the types of supports people are waiting for in each county , to help identify gaps in services and supports in specific areas. The ODP uses PUNS data for planning and to explain people's needs to the governor's office and legislative budget office . The advocacy community uses PUNS information to educate legislators about the needs of people with IDD who are waiting for supports and services . When do I complete a PUNS? After you register and are found eligible for intellectual disabilities services with your county program , you will meet with your Supports Coordinator to discuss your life situation and determine if you need to fill out a PUNS form . You and your Supports Coordinator will update your PUNS at least once every year for as long as you need a PUNS . Anytime your needs change , you should contact your Supports Coordinator to update your PUNS form . If all your needs are met , and you are not waiting for any services and supports , you do not need a PUNS form . How do I complete a PUNS form? The PUNS is completed during a face - to - face meeting with your Supports Coordinator . You can invite other people to the meeting to help you such as employer , advocate , provider , teacher , friend , family members , etc. You need to review and discuss the areas of need on the form with your Supports Coordinator and decide which categories or selections apply to you . Next , you and your Supports Coordinator will fill in the information about what supports and services you are currently receiving , and what supports and services you need . It is important that your PUNS form accurately reflects your need s , as it is used to help the county and state plan for your needs . Everyone at the meeting will sign the form . Your signature indicates participation only , not agreement . What do "Categories of Need" mean? Housing/Care There are three categories of need . EMERGENCY means you need support immediately ( within the next six months ) . CRITICAL means you will need support within the next two years . PLANNING means you need support more than two but less than five years from now . When considering all of the statements under each category of need , you should select all situations that apply to you . You can have more than one selection in each category . For example , you may have a caregiver who is ill and you may also be graduating high school in the next two years . Anticipated needs that are more than five years away are not captured through PUNS , but should be discussed with your Supports Coordinator . Why does the emergency category have two sections? The emergency category is broken into two parts : The first part is for people who need " out of home " ( primarily residential ) supports immediately . You would use these selections if you need a new place to live where you can also get the support you require . ODP defines immediately as " within 6 months ." You can move from critical to emergency when you are six months from graduation . Ask your Supports Coordinator to update your PUNS when you are six months away from graduating . This time period allows for locating and organizing resources . This time frame can be used for any criteria under the emergency criteria . Remember to mark the type of residential support you need in the Supports Needed section of the PUNS form . The second part is for people who wish to stay in their own home , or their family's home , but still have an emergency need for services and supports . The supports might include in - home , employment , day , or any other supports . What happens after the PUNS meeting? Your Supports Coordinator will enter your completed information from the PUNS form into the Home and Community Services Information System ( HCSIS ) . Your Supports Coordinator will print out a copy of the HCSIS PUNS and mail it to you with a letter within three weeks of the meeting . You should look at the PUNS form you receive in the mail to make sure it accurately lists what you need . The letter will have information about your rights and a disagreement form that should be used if you don't agree with the information on the PUNS form . What happens if I don't agree with the information on my PUNS form? If you disagree with the Category of Need or any other information listed on the PUNS form , you should fill out the disagreement form on the bottom of the letter you received with the PUNS form and mail it back to your Supports Coordinator . You will then discuss the problem with your Supports Coordinator and , if necessary , a Supports Coordinator Supervisor . If the issue is not resolved , it will be addressed by the County / Administrative Entity representative , who will make the final decision . If you are not enrolled in a waiver , all disagreements will be resolved according to the county's dispute resolution process . If you disagree with the information on your PUNS , you are not eligible for the formal Hearings and Appeals process . However , if you are denied the opportunity to apply for a waiver , you may formally appeal . Also , if you are enrolled in a waiver and you are denied a needed service or support , you can file a formal appeal through the Bureau of Hearings and Appeals . You should know that the ODP will be monitoring disagreements to ensure the Counties / Administrative Entities are following state policy . If you are concerned that your County / Administrative Entity is not complying with policy or you want information about the process , you can call the Department of Human Services , the Office of Development Programs toll - free Intellectual Disabilities Customer Service Line : 1-888-565-9435 . Toll-Free TTY Number ( Telephone for Hearing Impaired Only ) 1-866-388-1114 . A Customer Service member will answer calls during normal business hours , which are 8:30 a.m. to 4:00 p.m. ( Eastern Time ) , Monday through Friday . What should I do while I wait? Waiting for needed services and supports can be frustrating . You can look for natural supports in your community . Natural supports are things people do to help without getting paid . It could be friends or family , church members , co- workers , or neighbors . There may be community organizations that can help . Look into YMCAs , recreation centers , volunteer agencies , and advocacy organizations for ideas and help . Your Supports Coordinator may also give you information about community resources . Who can I contact if I have questions or concerns about my PUNS form or the PUNS process? Each County /Administrative Entity has a person who can help you . Regional offices also have a person who is a PUNS point person , and the ODP has a toll - free number you can call . If I am eligible what types of services and supports are available? Services and Supports Directory - The Services and Supports Directory is a tool for individuals with intellectual disabilities , their families , and the individual's team to locate services and service providers in the Commonwealth of Pennsylvania . The directory can help you locate particular service providers or search for services and supports provided in an individual's community . This directory does not include information on all providers , only those who have chosen to be listed . You may access the list of providers in the Services and Supports Directory on the Home and Community Services Information System ( HCSIS ) website . Available Services - There are a number of services that can be provided to meet the needs of an individual registered with ODP for intellectual disabilities services . This list of services is subject to change as service definitions change and waiver amendments are approved by the Centers for Medicare and Medicaid Services ( CMS ) . Please contact your Supports Coordinator or the County Mental Health / Intellectual Disabilities ( MH / ID ) Program to find the list of services and the corresponding service definitions . Some examples of services include but may not be limited to the following : Residential Habilitation , Home and Community Habilitation ( unlicensed ) , Licensed Day Habilitation Companion Services , Homemaker / Chore , Respite Transitional Work Services , Supported Employment , Pre - Vocational Transportation , Home , and Vehicle Accessibility Adaptations Therapy Services , Behavior Support , Nursing Services , Specialized Supplies Supports Coordination , Supports Broker Education Supports Services , Assistive Technology

< Back ALCOHOL RELATED STATS CDC AND MORE https://www.cdc.gov/alcohol/data-stats.htm Most recent CDC published statistics Alcohol-related statistics in this report. Pa, like many other states, has an alcohol problem. https://www.health.pa.gov/topics/HealthStatistics/BehavioralStatistics/BehavioralRiskPAAdults/Documents/State%20Report/2018trends.aspx#trends

< Back IDD/ODP General Information for Social Security General Information for Social Security Program Description The Social Security Administration (SSA) administers two programs that provide benefits based on disability: The Social Security Disability Insurance Program (title II of the Social Security Act (Act)) provides for payment of disability benefits to disabled individuals who are "insured" under the Act by virtue of their contributions to the Social Security trust fund through the Social Security tax on their earnings, as well as to certain disabled dependents of insured individuals and the Supplemental Security Income (SSI) Program (title XVI of the Act) which provides SS/ payments to disabled individuals (including children under age 18) who have limited income and resources. So basically, In other words, the first is for those who have worked and paid into social security through work deductions and the second is for those who have not done so. Definition of Disability for those above The law defines disability as the inability to engage in any substantial gainful activity (SGA) by reason of any medically determinable physical or mental impairment(s) which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months. Disability in Children Under title XVI, a child under age 18 will be considered disabled if he or she has a medically determinable physical or mental impairment or combination of impairments that causes marked and severe functional limitations, and that can be expected to cause death or that has lasted or can be expected to last for a continuous period of not less than 12 months. Learn and plan before you apply for Social Security benefits. https://www.ssa.gov/prepare APPEALS What can an individual do if he or she disagrees with the determination? A. If an individual disagrees with the initial determination in the case, he or she may appeal it. Usually, the first administrative appeal is a reconsideration. At the reconsideration appeal level, generally, the case is reviewed at the State level by an adjudicative team that was not involved in the original determination. If dissatisfied with the reconsideration determination, the individual may request a hearing before an administrative law judge. If the individual is dissatisfied with the hearing decision, he or she may request review by the Appeals Council. In general, a claimant has 60 days to appeal an unfavorable determination or decision. Appeals must be filed in writing and may be submitted by mail, in person to any Social Security office, or online where available. After an individual has completed the administrative appeals process, he or she may seek judicial review by filing a civil action in the Federal district court Office of Social Security https://www.ssa.gov/disability/ https://www.ssa.gov/disability/professionals/bluebook/general­ info.htm For more information about work incentives, ask any Social Security Office for the publication entitled the "Red Book," A Summary Guide to Employment Supports for Persons with Disabilities under the Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) Programs. You can access the Red Book online at: https://www.ssa.gov/redbook/index.html Resources and Acknowledgements: Office of Social Security http://www.ssa.gov/disability/ Checklist for Social Security Benefits Interview for children: http://www.ssa.gov/disability/Documents/Checklist%20-%20Child.pd f Medical and school worksheet - Child The worksheet can help you to prepare for the disability interview or complete the Child Disability Report Listing of Childhood Impairments https://www.ssa . gov/disability/professionals/bluebook/ChildhoodListings.htm Appeals Process Fact Sheet: https://www.ssa.gov/ssi/text-appeals- ussi.htm Working and Disability Brochure chrome­ extension://efaidnbmnnnibpcajpcglclefindmkaj/ https://www.ssa.gov/pubs/EN-05 - 10095.pdf Working and also receiving SSI? Working While Disabled: How We Can Help Brochure chrome­ extension://efaidnbmnnnibpcajpcglclefindmkaj/ https://www.ssa.gov/pubs/EN-05- 10095.pdf Social Security benefits https://www.ssa.gov/benefits/ Social Security http://www.socialsecurity.gov Plan to Achieve Self-Support (PASS) https://www.ssa.gov/disabilityresearch/wi/pass.htm Other Government Programs https://www.ssa.gov/ssi/tools-to-save Apply for Social Security benefits Online https://www.ssa.gov/apply Apply online for Child, Child Disability Report https://secure.ssa.gov/apps6z/i3820/main.htm l The Basics About Disability Benefits and to Apply https://www.ssa.gov/benefits/disability/

< Back Pa Office of Mental Health and Substance Abuse Service Every individual served by the Mental Health and Substance Abuse Service system will have the opportunity for growth, recovery and inclusion in their community, have access to culturally competent services and supports of their choice, and enjoy a quality of life that includes family members and friends.Behavioral Health Services

< Back Acronyms and Definitions of Terms December 20 2023 ASFA -Adoption and Safe Families Act CASA - Court Appointed Special Advocates CP - Concurrent Planning CPP - Child Permanency Plan CPS - Child Protective Services CPSL -Child Protective Service Law CYF -Children Youth and Families FGDM - Family Group Decision Making FSP - Family Service Plan GAL - Guardian Ad Litem GPS - General Protective Services ICWA - Indian Child Welfare Act IEP - Individual Education Plan IL - Independent Living ISP - Individual Service Plan OCFC -Office for Children and Families in the Court OCYF - Office of Children, Youth and Families PLC - Permanent Legal Custodians SWAN - Statewide Adoption Network TPR - Termination of Parental Rights What Is Child Abuse Definitions and Terminology Act -Something that is done to harm or cause potential harm to a child. Affinity - Kin are of two basic kinds: consanguinity (sharing common ancestors) and affinity (related by marriage). https://www.britannica.com/topic/consanguinity Administration for Children and Families' (ACF) https://www.acf.hhs.gov/ The federal government system that is responsible for taking care of children who are abused or neglected, or whose parents are not able to take care of them. In Pennsylvania, the state office is called The Office of Children, Youth, and Families. Each county has a CYF agency. (Know Your Rights, Juvenile Law System) Child Welfare Information Gateway https://www.childwelfare.gov/ Adult - An individual 18 years or older. Affinity by birth or adoption - Relationship by marriage between a person and the blood relations of their partner Bodily Injury - Impairment of physical condition or substantial pain. CASA-Court-Appointed Special Advocate – She/he advocates for your child’s interests in court. A CASA advocate is not an attorney . She/he does not represent or advocate for you (the parent) and may agree or disagree with you in court. Not all youth have a CASA. Know Your Rights Guide by The Juvenile Law Center Caseworker cw - The Caseworker sets up planning meetings, and checks in with the service providers working with your family. The Caseworker must make sure you and your family are getting the services you need. Your Caseworker must tell your progress, or lack of progress, to the court. Your Caseworker should meet with you regularly.Child - An individual under 18 years of age. What is Child Abuse & Neglect Child abuse in Pennsylvania is defined as when an individual acts or fails to prevent something that causes harm or a high likelihood of harm to a child under the age of 18. This harm can take many forms, such as bodily injury, serious mental injury, or sexual abuse or exploitation. Pennsylvania’s definition of child abuse was amended within the Child Protective Services Law (CPSL) the end of 2014. This expanded definition of child abuse went into effect December 31, 2014, and lowered the threshold of what is considered child abuse under the CPSL. The definition of child abuse was amended to require that acts or failures to act be committed by intentionally, knowingly, or recklessly doing one of these categories of abuse: Causing bodily injury through any recent act or failure to act; Fabricating, feigning or intentionally exaggerating or inducing a medical symptom or disease which results in a potentially harmful medical evaluation or treatment to the child through any recent act; Causing or substantially contributing to serious mental injury to a child through any act or failure to act or a series of such acts or failures to act; Causing sexual abuse or exploitation of a child through any act or failure to act Creating a reasonable likelihood of bodily injury to a child through any recent act or failure to act; Creating a likelihood of sexual abuse or exploitation of a child through any recent act or failure to act; Causing serious physical neglect of a child; Engaging in any of the following recent acts: Kicking, biting throwing, burning, stabbing or cutting a child in a manner that endangers the child; Unreasonably restraining or confining a child, based on consideration of the method, location or the duration of the restraint or confinement; Forcefully shaking a child under one year of age; Forcefully slapping or otherwise striking a child under one year of age; Interfering with the breathing of a child; Causing a child to be present at the location where an operation of a methamphetamine laboratory is occurring, if being investigated by law enforcement; Leaving a child unsupervised with an individual, other than the child’s parent, who the actor knows or reasonably should have known Is required to register as a Tier II or Tier III sexual offender, where the victim of the sexual offense was under 18 years of age when the crime was committed Has been determined to be a sexually violent predator or any of its predecessors Has been determined to be a sexually violent delinquent child Causing the death of the child through any act or failure to act; Engaging the child in a severe form of trafficking in persons or sex trafficking, as those terms are defined under section 102 of the Trafficking Victims Protection Act of 2000. Added December 2023 Child Protective Services Law CPSL click here Childline – 1-800-932-0313 Accepts calls from the public and professional sources 24 hours a day, seven days a week. ChildLine will provide information, counseling and referral services for families and children to ensure the safety and well-being of the children of Pennsylvania. Each call is answered by a trained intake specialist who will interview the caller to determine the most appropriate course of action. Actions include forwarding a report to a county agency for investigation as child abuse or general protect services, forwarding a report directly to law enforcement officials or refer the caller to local social services. Mandated reporters may call or report electronically https://www.dhs.pa.gov/KeepKidsSafe/Pages/Report-Abuse.aspx ChildLine/Abuse Registry - Statewide list of all cases of child abuse that are under investigation, indicated, or founded . Pennsylvania’s Child Protective Services Law authorizes the Department of Human Services to maintain a statewide database known as the Childline Registry. - People can be placed on the registry when reports of child abuse or neglect are “indicated” by a caseworker. -There is no right to a hearing before being placed on the registry for life .- In order to get off the registry, people must follow a complex appeal process within a short period of time; very few people have access to a lawyer that can help with this. - Placement on the registry shuts the door to housing, employment, and volunteer activities. https://www.law.upenn.edu/live/news/16096-advocating-abolition-of-pa-childline-registry The Child Permanency Plan (CPP) lists the goals for the child and child’s family (usually either going home to the biological parent(s), being placed for adoption or being placed with a relative), as well as the services that must be provided to achieve the goals and is supposed to be made with the family. In some counties, this plan is called the Family Service Plan (FSP ). (Know Your Rights, Juvenile Law System) Child Protective Services (CPS) - Services provided to children reported as abused and neglected as required by the Child Protective Service (CPSL) Law. PA Child Welfare Portal https://www.compass.state.pa.us/cwis/public/home Our service provides a means for individuals to apply for PA Child Abuse History Clearance online and for mandated reporters to report child abuse in Pennsylvania.Organizations can manage PA Child Abuse History Clearances online for their employees and volunteers. Child Protective Services Law , Regional Map , County Children, Youth, and Family Directory , Child Abuse Annual Report are available on this site. Coercion ( A) threats of serious harm to or physical restraint against any person; (B) any scheme, plan, or pattern intended to cause a person to believe that failure to perform an act would result in serious harm to or physical restraint against any person; or (C) the abuse or threatened abuse of law or the legal process. https://www.law.cornell.edu/ Concurrent Planning - A process of working towards one legal permanency goal (typically reunification) while at the same time establishing and working on an alternative permanency goal in case the primary goal cannot be accomplished in a timely manner. It is a back-up plan to move children/youth more quickly to a safe and stable permanent family. It is not a fast track to adoption, but to permanency. (Office of Children, Youth and Families Bulletin – Concurrent Planning Policy and Implementation) Consanguinity Kin are of two basic kinds: consanguinity (sharing common ancestors) and affinity (related by marriage). https://www.britannica.com/topic/consanguinity County CYF Agency - The agency that is responsible for providing care and assistance to children when their families are not able to care for them, they are abused, or they are neglected in the county. In most counties, it is known as the county Children, Youth, and Family agency. (Know Your Rights, Juvenile Law System)Court Designated Advocate - A trained citizen volunteer appointed by the court to advocate on behalf of dependent children and alleged dependent children involved in juvenile court proceedings. Custody Legal - The right to make major decisions on behalf of the child, including, but not limited to, medical, religious and educational decision, click here to learn more. Custody Myths & Facts - https://www.palawhelp.org/resource/custody-myths-facts Emancipation - the legal process by which a person under 18 years of age (a minor) is granted the legal status of an adultExpunge - To strike out or obliterate entirely so that the stricken information may not be stored, identified or later recovered by any means—mechanical, electronic or otherwise. Family Finding - Family finding involves a process of searching for, identifying and engaging the relatives - or even close family friends – of children who have been removed from their homes and placed into foster care or whose immediate families are receiving services from the county's Children, Youth, and Family agency. Involving extended family as part of a child's support system is better for the child, in part because we know children are best cared for within their families and communities. (PA Partnerships for Children) Family Group Decision Making (FGDM) - A planning process that brings together the child’s parents extended family members and others with an interest to ensure a child’s safety. Family group decision-making is a generic term that includes a number of approaches in which family members are brought together to make decisions about how to care for their children and develop a plan for services. Child Welfare Information Gateway https://www.childwelfare.gov/topics/famcentered/decisions/ Family members - Spouses, parents and children or other persons related by consanguinity or affinity. The term does not include foster parents, foster children and paramours . Founded report - A child abuse report made under the CPSL and this chapter if there has been any judicial adjudication based on a finding that a child who is a subject of the report has been abused, including the entry of a plea of guilty or nolo contenderee or a finding of guilt to a criminal charge involving the same factual circumstances involved in the allegation of child abuse. Independent Living To be eligible for Independent Living services in PA, a youth must: Be in, or have been in, out-of-home placement on or after age 14; Be adjudicated dependent; or Be dually adjudicated dependent AND delinquent; or Be a pre-adoptive and adopted youth; or Be a qualified alien youth; or Be adjudicated delinquent with shared case management responsibility between the CCYA and the Juvenile Probation Office. https://www.dhs.pa.gov/providers/Providers/Pages/Chafee-Foster-Care.aspx# : Indicated report /Founded - A child abuse report made under the CPSL and this chapter if an investigation by the county agency or the state determines that substantial evidence of the alleged abuse exists based on any of the following: (i) Available medical evidence. (ii) The child protective service investigation. (iii) An admission of the acts of abuse by the perpetrator. Individual residing in the same home as the child - An individual who is 14 years of age or older and who resides in the same home as the child. Kindship Care - Kinship care is the full-time care, nurturing, and protection of a child by a relative, either by blood or marriage, and can include informal connections that are not legally related but have a positive, supportive relationship with the child or family. (PA Partnerships for Children) Medical evidence - Evidence provided by a licensed health care professional, including a physician, nurse practitioner, registered nurse, psychiatrist or licensed psychologist. Paramour - A person who is engaged in an ongoing intimate relationship with a parent of the child but is not married to and does not necessarily reside with the child’s parent. Parent - A biological parent, adoptive parent, foster parent, or legal guardian. Parental Rights - a group of rights associated with parenting https://www.legis.state.pa.us/cfdocs/legis/LI/consCheck.cfm?txtType=HTM&ttl=23&div=0&chpt=53 Permanent Planning - In child welfare, permanency is a permanent, stable living situation, ideally one in which family connections are preserved. Permanency planning begins when a child comes to the attention of the child welfare system. It is most often achieved when a child is reunified with their family of origin, but it may also occur when another court mandated permanency goal, such as guardianship or adoption, is obtained. https://www.childwelfare.gov/topics/permanency/ Perpetrator - A person who has committed child abuse and is a parent of a child, a person responsible for the welfare of a child, an individual residing in the same home as the child or a paramour of the child’s parent. a spouse or former spouse of the child’s parent; a paramour or former paramour of the child’s parent; a person 14 years of age or older and responsible for the child’s welfare; an individual who is 14 years of age or older who resides in the same home as the child; an individual 18 years of age or older who does not reside in the same home as the child but is related within the third degree of consanguinity or affinity by birth or adoption to the child. Protective services - Services and activities provided by the state and each county agency for children who are abused or in need of general protective services under this chapter. Serious Mental Injury - A psychological condition, as diagnosed by a physician or licensed psychologist, including the refusal of appropriate treatment. Shelter Care Hearing – removal of a child from the home , see website for complete information chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/ https://ocfcpacourts.us/wp-content/uploads/2020/05/L-Chapter-6-Entering-The-Child-Welfare-System-Shelter-Care-Hearing-And-Benchcards-002422.pdf SWAN – State Wide Adoption Network is a partnership among public and private agencies, judges and the legal community, foster and adoptive parents to build a better collaborative adoption process in Pennsylvania. SWAN serves children in the custody of county Children, Youth, and Family agencies who have a goal of adoption. These are children with special needs and finding an adoptive family may be a bigger challenge due to one or more of the following factors: The child is five years old or older;The child is a member of a sibling group in the same adoptive home;The child is a member of a minority group;The child has an emotional, physical, or mental condition or disability; andThe child has a genetic condition that may lead to a disease or handicap. Termination of Parental Rights TPR - A TPR order divests the parents of any legal status with respect to the child, including all rights and privileges to have further contact and to be informed of the child’s adoption and well-being. chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/ https://ocfcpacourts.us/wp-content/uploads/2020/05/W-Chapter-17-Termination-Of-Parental-Rights-And-Benchcard-002434.pdf Unfounded report - A report made under the CPSL and this chapter unless the report is a founded report or an indicated report.

< Back SPANISH Individual Transition Guide May 2020 Coronavirus Disease 2019 (COVID-19): Individual Transition Guide ODP Announcement 20-056 Update AUDIENCE: Individuals and Families/Caregivers Supports Coordination Organizations (ID/A, AAW, and ACAP) All Qualified Providers (ID/A, AAW, and ACAP) Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/ID) Administrative Entities PURPOSE: The purpose of this communication is to announce the release of The Office of Developmental Programs’ (ODP) Individual Transition Guide. The Individual Transition Guide is now available in Spanish. This guide is constructed for use during weekly well-being check-ins with individuals, caregivers and/or staff, as appropriate, to gather information related to transition and preparation for the lifting of stay at home orders that had been put in place during the COVID-19 pandemic. This guide can also be used by individuals, families, and providers to prepare for reintegration activities. DISCUSSION: Since SCs already conduct weekly check-ins for all individuals, except for those residing in public Intermediate Care Facilities (ICFs), the first step in planning and preparing for transition to the community is to begin this discussion during the weekly check-in. For individuals and families that have requested less than weekly check-ins, ODP recommends the SC conduct outreach that informs as to the purpose of this transition planning discussion, as it relates to the lifting of the stay at home order. Regardless of whether the person resides in a county that has been identified as scheduled to move to a yellow phase, this discussion should occur. This provides an opportunity to prepare for when restrictions are lifted and offers an opportunity to work towards transition. SCs should be mindful that while this discussion should occur, not everyone may be ready for a conversation about transition, particularly if they are still dealing with outstanding issues identified on the SC wellness check-in tool. For example, if the tool revealed that the individual did not have their basic needs met, or perhaps may already be ill with COVID-19. The Individual Transition Guide includes probing questions within core areas, as well as additional resources that could incite discussion on important transition areas. Pay attention to these, as they may help the team support the individual to transition to desired settings. Much like the SC wellness check-in tool, the SC should utilize The Individual Transition Guide to drive the conversation and document any findings and next steps in a service note. ODP expects to update the Guide to reflect changes in services and supports, as necessary. This discussion is the first phase of transition planning and will evolve as the changes related to services due to COVID-19 outlined in Appendix K is revised. Teams should use the Individual Transition Guide in conjunction with the probe guidance in the ISP to assess COVID-19-related risks and determine, for each individual, what supports are needed for the individual to be able to safely resume activities or engage in new activities. For questions about the Guide, ID/A SCOs should contact ODP SCO regional lead, for AAW and ACAP SCOs should email the Provider Support mailbox at RAbasprovidersupprt@pa.gov . Training To assist with the implementation of The Individual Transition Guide, ODP will host two webinars. A recording of the stakeholder's session will be placed on www.MyODP.org within 3 hours after the stakeholder webinar. Individual Transition Guide in Spanish The purpose of this communication is to announce the release of The Office of Developmental Programs’ (ODP) Individual Transition Guide. The Individual Transition Guide is now available in Spanish. COVID-19 Guía para la transición individual La Guía para la Transición Individual (ITG, por sus siglas en inglés) fue diseñada para ayudar a personas, familias, coordinadores de apoyo y al resto del equipo a identificar los apoyos y servicios necesarios para que las personas vuelvan a participar en actividades fuera del hogar, si eligen hacerlo y cuando lo hagan, una vez que se levanten las órdenes de permanecer en el hogar impuestas como resultado de la pandemia de COVID-19. Esta guía debe utilizarse para evaluar las circunstancias particulares de cada persona a medida que cambian las condiciones y los equipos vuelvan a reunirse para reevaluar si es necesario revisar o modificar los apoyos y servicios que recibe la persona. Los coordinadores de apoyo deben comenzar a recopilar información durante sus controles de bienestar semanales y facilitar los debates en equipo. La ITG debe usarse para identificar cualquier cambio en las necesidades de apoyo, los servicios, las estrategias de mitigación de riesgos y los resultados de los planes según se detalla en el Plan de Apoyo Individual (ISP, por sus siglas en inglés) de la persona. Los coordinadores de apoyo deben usar el ISP comentado junto con esta herramienta de transición poniendo énfasis en las áreas de salud y seguridad. La ITG incluye seis áreas esenciales para tener en cuenta cuando una persona está realizando la transición a más actividades fuera de su hogar: deseo de regresar a las actividades y los entornos comunitarios, estado de salud física, medidas de control de infecciones, necesidades de salud mental y salud conductual, cambios en la rutina, condiciones de apoyos y servicios. Cada sección incluye preguntas para tener en cuenta, orientación basada en las condiciones de la persona en cada una de las seis áreas esenciales, y recursos que pueden ser de utilidad. Las preguntas están elaboradas para la persona, pero también pueden ser formuladas para la familia o los cuidadores. Es fundamental que los equipos tengan en cuenta los impactos en los proveedores y si pueden reanudar los servicios en el mismo nivel que antes de que se establecieran las órdenes de permanecer en el hogar impuestas como resultado de la pandemia de COVID-19. Para algunos proveedores, solamente será posible prestar servicios cuando su ubicación esté en la fase verde. Por ejemplo, es posible que algunos servicios diurnos de apoyo para participar en la comunidad que dependan totalmente de sus instalaciones no puedan ser proporcionados a la misma cantidad de personas debido a la pauta de 2 distanciamiento social. Es necesario que los equipos analicen qué servicios adicionales o alternativos necesitarían implementarse para ayudar a la persona a participar en actividades comunitarias. Este documento fue elaborado para que lo utilice el coordinador de apoyos en las conversaciones que tenga con la persona y su familia. Los resultados de los conversaciones que se estén realizando y los siguientes pasos a seguir se deben documentar en las notas de servicios. DESEO DE REGRESAR A ACTIVIDADES Y ENTORNOS COMUNITARIOS PREGUNTAS PARA TENER EN CUENTA: • ¿Puede hacer las cosas que le gustaba hacer antes de que entrara en vigor la orden de permanecer en el hogar? • ¿Las actividades preferidas están actualmente cerradas o tienen acceso limitado? (Algunos ejemplos podrían ser ir de compras, ir al cine, jugar bolos, hacer trabajo voluntario). • ¿Qué le gusta hacer/cuáles son sus actividades preferidas? • ¿Qué opina sobre salir a la comunidad para participar en actividades que disfrutaba antes de la orden de permanecer en el hogar? • ¿Cómo le gustaría pasar su día? • ¿Hay alguna preocupación/ansiedad sobre las actividades comunitarias y el transporte hacia/desde las actividades comunitarias? • ¿Ha notado nuevas fortalezas/resiliencias que hayan surgido durante este tiempo para usted y su familia? (Por ejemplo, ¿pasó usted tiempo haciendo algo nuevo o encontró un nuevo pasatiempo que antes no hacía, como cocinar?). ORIENTACIÓN: Si la persona demuestra un deseo de regresar a las actividades y/o los ámbitos comunitarios, entonces: • El coordinador de apoyos debe facilitar una conversación con la persona, su familia/sus cuidadores y el equipo para evaluar si la persona necesita apoyo para reintegrarse nuevamente en la comunidad. Esto debe estar individualizado y depender en gran medida de las necesidades únicas de la persona y los desafíos potenciales. • Planifique el apoyo a la persona para el regreso a esas actividades, si están disponibles y según las pautas de la Oficina de Programas para el Desarrollo (ODP) (por ejemplo, el medio de transporte debe limitar la cantidad de pasajeros). • Si se trata de una actividad que no se puede realizar mientras se cumplen las precauciones actuales, identifique y ofrezca actividades alternativas que la persona podría disfrutar a cambio. • El equipo debe analizar la manera en que la persona típicamente se involucra con otros, tanto con personas que conoce como con personas que no conoce, para identificar riesgos y estrategias de mitigación. Si la persona no está segura o expresa cierta ansiedad en relación con el regreso a las actividades y/o a los ámbitos comunitarios, entonces: • El coordinador de apoyos debe facilitar una conversación con la persona, su familia/sus cuidadores y el equipo para evaluar si la persona necesita apoyo para reintegrarse nuevamente en la comunidad. Esto debe estar individualizado y depender en gran medida de las necesidades únicas de la persona y los desafíos potenciales. • Considere continuar brindando apoyo a la persona de forma remota e involucrar a los proveedores para que la ayuden a identificar soluciones para reducir la ansiedad. • Considere maneras de exponer de manera sistemática a una persona a la comunidad con la esperanza de aliviar las preocupaciones o la ansiedad de la persona. Si la persona parece no estar dispuesta a regresar a las actividades y/o los entornos comunitarios o expresa una ansiedad considerable por regresar a dichas actividades o entornos, entonces: • Continúe brindando apoyo a la persona en su entorno actual y vuelva a tener conversaciones más adelante para intentar aumentar sus niveles de confort. • El coordinador de apoyos debe facilitar una conversación con la persona, su familia/sus cuidadores y el equipo para evaluar si la persona necesita apoyo para reintegrarse nuevamente en la comunidad. Esto debe estar individualizado y depender en gran medida de las necesidades únicas de la persona y los desafíos potenciales. RECURSOS: • https://aidinpa.org/back-into-the-community-who-to-listen-to-and-what-to-trust/ • https://paautism.org/resource/vision-boards-community-supports/ • https://asdnext.org/resource/activities-community-social-recreation/ • https://paautism.org/resource/social-distancing-social-story/ • https://paautism.org/resource/wearing-mask-social-story/ • https://aidinpa.org/safety-while-completing-errands/ ESTADO DE SALUD FÍSICA PREGUNTAS PARA TENER EN CUENTA: • ¿Cómo se siente físicamente? • ¿Ha habido algún cambio en su estado de salud desde el inicio de las restricciones como resultado de la pandemia de COVID-19? • ¿Tiene algún signo o síntoma de COVID-19? • ¿A usted o a alguien de su hogar se le realizó la prueba de detección de COVID-19? De ser así, ¿cuáles fueron los resultados de la prueba? • Antes de la pandemia de COVID-19, ¿tenía usted alguna afección médica que requería apoyo? • ¿Tiene algún riesgo de salud identificado? (diabetes, enfermedad pulmonar, presión arterial alta, más de 65 años, otros riesgos identificados a través de la herramienta de detección de riesgos de salud para personas que reciben servicios residenciales). • ¿Está tomando todos los medicamentos recetados, si corresponde? • ¿Está siguiendo una dieta especial? ¿Ha habido algún cambio por precauciones alimenticias especiales? • ¿Algún miembro de su hogar está enfermo o tiene un diagnóstico de COVID-19 positivo? Nota: Además de los síntomas típicos de la COVID-19 identificados por los Centros para la Prevención y el Control de Enfermedades (CDC), los proveedores de la ODP han notado que en las personas con discapacidad intelectual/autismo la infección por COVID-19 se ha presentado como debilidad o un cambio en el comportamiento básico sin síntomas respiratorios o antes de que surjan estos síntomas. Los proveedores deben tener esto en cuenta durante la prestación de servicios y los exámenes previos a la prestación de servicios, y observar atentamente a las personas para detectar signos de debilidad o cambios en el comportamiento que puedan ser indicativos de enfermedad. ORIENTACIÓN: Si la persona se ha recuperado totalmente de la COVID-19 o no tiene signos/síntomas de COVID-19, puede informar sobre la posible aparición de síntomas de COVID-19 o tiene un familiar/cuidador confiable que lo haga, y no tiene otro problema de salud física, entonces: • Considere el modo de brindar apoyo a la persona que vuelve a realizar más actividades comunitarias, si están disponibles, mientras continúa monitoreando y vigilando el estado de salud actual. Si la persona tiene algún signo/síntoma de COVID-19 que no sea fiebre (tos, falta de aliento/dificultad para respirar) o no puede informar sobre la posible aparición de síntomas de COVID-19 y/o no tiene un familiar/cuidador confiable que lo haga, o tiene algún otro problema de salud física, entonces: • Implemente estrategias para garantizar la atención y el seguimiento de los problemas de salud por parte de expertos médicos apropiados, y la posibilidad de realizar pruebas de detección de COVID-19; • Los servicios deben proporcionarse de manera remota, si corresponde. • Considere la manera en que las opciones de telesalud pueden brindar apoyo a la persona. Si la persona tiene COVID-19 o síntomas activos confirmados de COVID-19, está esperando los resultados de la prueba de detección de COVID19, tiene signos/síntomas actuales consistentes con COVID-19 o tiene alguna afección de salud de alto riesgo, entonces: • La persona debe buscar atención médica y deben suspenderse las reuniones de equipo sobre la transición hasta que se resuelvan los problemas de salud. • Considere la manera en que las opciones de telesalud pueden brindar apoyo a la persona. RECURSOS: •https://www.health.pa.gov/topics/ disease /coronavirus/Pages/Coronavirus.aspx • https://paautism.org/health • https://paautism.org/resource/telehealth-covid19/ • https://aidinpa.org/telehealth/ MEDIDAS DE CONTROL DE INFECCIONES PREGUNTAS PARA TENER EN CUENTA: • ¿Se lava usted las manos con frecuencia? • ¿Necesita apoyo para lavarse las manos? • ¿Puede practicar el distanciamiento social cuando está interactuando con otras personas? ¿Comprende por qué es importante esto? (Por ejemplo, si viera a su amigo hoy, ¿qué haría? ¿Le daría un abrazo, no se acercaría y lo saludaría levantando la mano?) • ¿Hay dificultades para mantener el distanciamiento social? De ser así, ¿cuáles son? • ¿Tiene una mascarilla y puede usarla para salir a hacer actividades? • ¿Cuánto tiempo puede usar una mascarilla? • Si vive en su casa con su familia, ¿todos en su familia tienen mascarillas? • ¿Puede toser o estornudar en el pliegue del codo, y lo hace? • ¿Aceptará participar en pruebas de detección para precaución (controles de temperatura, etc.) cuando participe en actividades comunitarias? • ¿Tiene alergias o sensibilidad a productos de limpieza o desinfectante/jabón de manos? • ¿Su comunicación se verá afectada por el uso de mascarillas, ya sea de manera receptiva (leer los labios) o expresiva? • ¿Está usted trabajando? • ¿Puede cumplir con todas las medidas nuevas de seguridad en el trabajo? ORIENTACIÓN: Los equipos deben planificar en función de la capacidad que tiene la persona para practicar el distanciamiento social, usar mascarillas, lavarse las manos en forma regular y tomar precauciones de seguridad relacionadas con la desinfección. Si la persona puede practicar una buena higiene/un buen lavado de manos, practicar el distanciamiento social, usar una mascarilla durante el tiempo necesario para una actividad dada, toser o estornudar en el pliegue del codo, de manera independiente o con apoyos, entonces: • Brinde apoyo a la persona para regresar a las actividades comunitarias, si están disponibles. Si la persona no es consistente al practicar una buena higiene/un buen lavado de manos, practicar el distanciamiento social, usar una mascarilla durante el tiempo necesario para una actividad dada, toser o estornudar en el pliegue del codo, entonces: • Brinde apoyo a la persona para mejorar sus habilidades relacionadas con el cumplimiento de precauciones de seguridad adecuadas para evitar contraer o propagar la COVID-19. Si la persona no puede o no quiere practicar (con o sin apoyos) una buena higiene/un buen lavado de manos, practicar el distanciamiento social, usar una mascarilla durante el tiempo necesario para una actividad dada, toser o estornudar en el pliegue del codo, entonces: • Si hay un motivo médico que impide que una persona pueda usar una mascarilla, continúe proporcionando a la persona los apoyos que está recibiendo actualmente hasta que se levante la orden de usar mascarilla. •Continúe brindando apoyo a la persona en su entorno actual y vuelva a tener conversaciones más adelante para aumentar la capacidad y/o voluntad de la persona para practicar las precauciones de seguridad necesarias para evitar contraer o propagar la COVID-19. RECURSOS: • https://www.google.com/search?q=face+mask+with+clear+window&sxsrf=ALeKk03tvkkCI6rNxlZZ4ALwsmitUTLnvA:1588692738156&s ource=lnms&tbm=isch&sa=X&ved=2ahUKEwjFp8LShZ3pAhXngnIEHa1iBG8Q_AUoAnoECAwQBA&biw=1458&bih=720 • https://www.governor.pa.gov/wp-content/uploads/2020/04/20200415-SOH-worker-safety-order.pdf • https://paautism.org/resource/coronavirus-resources/ • https://paautism.org/resource/coronavirus-social-story/ • https://paautism.org/resource/hand-washing-social-story/ • https://paautism.org/resource/testing-covid-social-story/ • https://paautism.org/resource/wearing-gloves-social-story/ • https://paautism.org/resource/wearing-mask-social-story/ • https://aidinpa.org/handwashing-for-self-advocates/ NECESIDADES DE SALUD MENTAL Y SALUD CONDUCTUAL PREGUNTAS PARA TENER EN CUENTA: • ¿Ha adquirido usted alguna habilidad nueva (como habilidades para superar dificultades) para hacer frente a la crisis de la COVID-19? • ¿Ha notado algún síntoma nuevo o que ha empeorado que piensa que podría estar relacionado con su salud mental? • ¿Tiene alguna preocupación por su seguridad (autolesión o agresión)? • ¿Ha surgido algún problema en su hogar que no supo cómo manejar? ¿Se siente preparado para un problema que pudiera surgir? • ¿Recibía usted tratamiento de salud mental y/o apoyo conductual (asesoramiento/terapia) antes de las restricciones impuestas por la pandemia de COVID-19? De ser así, ¿aún lo recibe? ¿El plan sigue siendo eficaz/sigue dando resultados? • ¿Ha experimentado alguna de las siguientes situaciones mientras estaba en su hogar? o Estrés o Aislamiento o Muerte de un familiar, cuidador, amigo o Alguien de su hogar tiene/tuvo COVID-19 (la persona tuvo que irse del hogar para ponerse en cuarentena, cambio de personal, cambio de rutina) o Otros eventos traumáticos que puede haber experimentado • Si experimentó alguna de las situaciones anteriores, ¿es necesario que reciba apoyo conductual o de salud mental (asesoramiento/terapia/asesoramiento por duelo) u otro tipo de apoyos? ORIENTACIÓN : Si la persona se siente segura y tiene los apoyos y las habilidades que necesita para enfrentar cualquier preocupación mental o conductual actual, entonces: • Brinde apoyo a la persona para regresar a las actividades comunitarias, si están disponibles. Si la persona se siente insegura y no tiene el apoyo o las habilidades que necesita para enfrentar cualquier preocupación mental o conductual actual, entonces: • Asegúrese de que se implementen los apoyos apropiados o se disponga de acceso a servicios, y que puedan ayudar a la persona con sus necesidades de salud mental o conductual. Si la persona está teniendo una crisis de salud mental debido a su reciente experiencia, entonces: • Asegúrese de que se implementen los apoyos apropiados o se disponga de acceso a servicios, y que puedan ayudar a la persona con sus necesidades de salud mental o conductual. RECURSOS: • https://www.dhs.pa.gov/Services/Mental-Health-In-PA/Pages/default.aspx • Anuncio de la ODP 20-035: Prevención y respuesta a crisis conductuales . • https://paautism.org/resource/mindful-about-meltdowns/ • https://paautism.org/resource/coping-covid/ • https://paautism.org/resource/be-well-mental-health/ • https://paautism.org/resource/get-safe-and-be-sound/ • https://paautism.org/resource/how-to-create-a-coping-zone/ • https://paautism.org/resource/mental-health-stressors-coping/ • https://paautism.org/resource/coping-covid/ • https://aidinpa.org/anxiety-what-you-need-to-know/ • https://aidinpa.org/dealing-with-negative-thoughts-and-maintaining-a-sense-of-control/ • https://paautism.org/resource/mental-health-crisis-intervention/ • https://paautism.org/resource/trauma-and-coping/ CAMBIOS EN LA RUTINA PREGUNTAS PARA TENER EN CUENTA: • ¿Cómo pasa usted sus días desde que se implementó la orden de permanecer en el hogar? • ¿Cómo es su sueño cada noche? • ¿Ha tenido algún cambio en sus patrones/horarios de sueño? • ¿Está haciendo alguna actividad física o ejercicio todos los días? • ¿Ha tenido algún cambio en su actividad física? • ¿Ha mantenido contacto con personas que son importantes para usted? (Familiares, amigos, personal con el que tiene una relación estrecha). • ¿De qué manera mantiene el contacto? ¿Por teléfono? ¿Videollamada? ¿Otra forma? • ¿Ha creado rutinas nuevas en su día que le gustaría mantener? ORIENTACIÓN: Si la rutina diaria actual de la persona se alinea con los requisitos de sus actividades (como el empleo) cuando realice la transición, entonces: • Brinde apoyo a la persona para mantener su rutina actual. • Considere alguna actividad nueva en la que la persona quiera continuar participando y cómo puede incorporarse en su rutina. Si la persona necesitará adaptar su rutina diaria actual para alinearla con los requisitos de sus actividades (como el empleo) cuando realice la transición, entonces: • Ayude a la persona a identificar qué cambios le gustaría priorizar en su rutina diaria y cómo su equipo puede brindarle apoyo. Si la rutina diaria actual de la persona no se alinea con los requisitos de sus actividades (como el empleo) cuando realice la transición, entonces: • Ayude a la persona a buscar servicios adicionales para resolver los impactos negativos en su rutina diaria. Identifique las maneras en que el equipo puede apoyar a la persona cuando comience la transición a la rutina que tenía antes de que se implementara la orden de permanecer en el hogar. • Pídale al equipo que ayude a la persona a desarrollar un horario para crear una rutina que ayude a establecer estructura para su día. RECURSOS: • https://aidinpa.org/routines-and-schedules-during-an-emergency/ • https://paautism.org/resource/visual-schedules/ • https://paautism.org/resource/adjusting-new-situations-environment-anxiety/ • https://aidinpa.org/staying-connected-while-socially-distancing/ • https://aidinpa.org/being-flexible-and-starting-new-routines/ CONDICIONES DE APOYOS Y SERVICIOS PREGUNTAS PARA TENER EN CUENTA: • ¿Qué servicios está recibiendo usted actualmente todas las semanas? • ¿De qué manera ha estado recibiendo apoyos durante la orden de permanecer en el hogar? • ¿Qué tan satisfecho estuvo con esos apoyos? • ¿De qué manera quiere recibir apoyos en el futuro? • ¿Tiene la tecnología de apoyo necesaria para recibir servicios de forma remota? (Smartphone, tableta, etc.). • ¿Ha tenido el mismo personal durante la orden de permanecer en el hogar? • ¿Hay alguien del personal que le gustaría que continuara brindándole apoyo? • ¿Tiene acceso a la tecnología necesaria para tener éxito con el apoyo remoto? • ¿Tiene lo que necesita para poder comunicar sus deseos y necesidades? (p. ej., un intérprete) • ¿Tiene un trabajo al que regresará? • ¿Necesitará apoyo para poder regresar al trabajo? • ¿Cuenta usted actualmente con apoyo familiar que deberá ser reemplazado porque regresarán a su trabajo? • Si dirige usted mismo sus servicios, ¿hay personal de servicio de apoyo (SSP) disponible cuando se restituya la regla de 40/60? ORIENTACIÓN: Si la persona no quiere ningún cambio en los apoyos y servicios actuales después de que se levante la orden de permanecer en el hogar, entonces: • Continúe brindando los apoyos y servicios actuales según lo permitido en el Apéndice K, siempre que pueda garantizarse la salud y seguridad de la persona (por ejemplo, continúe brindando servicios remotos). • Evalúe si la persona tiene lo que necesita para recibir apoyo remoto y/o telesalud (tecnología de apoyo) y de no ser así, ayúdela para que pueda obtener lo que necesita. • Evalúe si la persona ha perdido alguna habilidad desde que se estableció la orden de permanecer en el hogar o ha adquirido nuevas habilidades o competencias. Si la persona necesita algunos cambios en los apoyos y servicios actuales después de que se levante la orden de permanecer en el hogar, entonces: • El equipo debe analizar las opciones disponibles para brindar el apoyo necesario a la persona (por ejemplo, la persona vuelve a su trabajo y necesita apoyo en el trabajo) y adaptarlo según corresponda. • Evalúe si la persona ha perdido alguna habilidad desde que se estableció la orden de permanecer en el hogar o ha adquirido nuevas habilidades o competencias. Si la persona necesita cambios significativos en los apoyos y servicios después de que se levante la orden de permanecer en el hogar, entonces: • El equipo debe analizar las opciones disponibles para brindar el apoyo necesario a la persona (por ejemplo, el proveedor de la persona ha dejado de brindar servicios que eran beneficiosos para la persona) y adaptarlo según corresponda. • Evalúe si la persona ha perdido alguna habilidad desde que se estableció la orden de permanecer en el hogar o ha adquirido nuevas habilidades o competencias. RECURSOS: • https://aidinpa.org/caring-for-someone-with-covid-19-at-home/ • https://aidinpa.org/staying-connected-while-socially-distancing/

< Back IDD/ODP Individual Support Plan (ISP) What is an individual support plan (ISP)? The Individual Support Plan ( ISP ) provides details about what is most important to an individual with IDD so that everyone involved in supporting that individual can focus on those areas . Developed through a Person - Centered Planning Process ( PCP ) , the ISP collects information concerning personal preferences , dreams and wishes , medical history / current medical concerns , and communication preferences . The team that develops the plan may include , but is not limited to : the individual , family / guardian , providers , advocates , friends , Supports Coordinator, and surrogate ( a person appointed to act for an individual ) . The ISP is extremely important because it allows the individual to make choices about their life . ISPs must be based on assessed need and must be unpaid , natural supports as well as funded supports . The ISP must be reviewed annually but may be changed at any time throughout the year . The ISP is made up of six sections : Individual Preferences , Medical , Health and Safety , Financial Functional Information , Service , and Supports The ISP is a standardized format and is entered into the State Home and Community Database ( HCSIS ) . Supports Coordinators monitor the ISP to make sure services are provided .

< Back Student Assistance Program special needs education support

< Back IDD/ODP Medical Assistance and Denial! DENIAL and Medical Assistance What can I do if my claim i s denied? If your claim was denied and you believe you qualify for SSD benefits, don't worry. You can file an appeal. You have 60 days to appeal a denial to reach the next level of determination. If you fail to appeal a denial, you may reapply for Social Security disability or Supplemental Security Income. Note: Please keep in mind that 'appealing' and 'reapplying', are not the same thing. Reapplying will mean that you have to start the process over again. What's the process for filing an appeal? If your initial application was denied, and you believe you qualify, you have 60 days to file an appeal to reach the next level of determination. First , you can hire a lawyer and have him or her schedule a hearing. Second , you can move on to an Appeals Council. The average processing time for the Appeals Council is 18 to 24 months. Finally ,·you can appeal to the Federal Court if all else fails. You can file a civil suit in a Federal District Court and appeal ultimately to the United States Supreme Court Do I need a lawyer to represent me in my SSD claim? You do not have to hire a lawyer to pursue a Social Security Disability or Supplemental Security Income claim. However, because of the various deadlines and other technical requirements for the application and appeals process, a lawyer can be very helpful. When or why might I need to hire an attorney? If your claim was denied or your benefits were terminated, you may want to hire an attorney. Note: Hiring an attorney is not required to file an appeal, but doing so could mean the difference between winning your appeal or not. Will my child still be able to get Medical Assistance if he or she does not qualify for SSI? Even if your son or daughter does not qualify for SSI because your family income is too high, your child may still be eligible to receive Medicaid. Contact the Social Security office.