We provide services throughout the entire state of Tennessee.
Contact one of our offices in:
Accessing Tennessee Waiver Services
For information on how to apply for services for individuals with an intellectual or developmental disability, contact the closest Department of Intellectual and Developmental Disabilities Regional Office to you:
- East Tennessee, contact 423-787-6757 ext. 111
- Middle Tennessee 615-231-5382
- West Tennessee 901-745-7686
Also, information is available at the Department of Intellectual and Developmental Disabilities website.
Overview of Services
We provide a wide range of services designed to help individuals with intellectual or developmental disabilities live a full life in their own community. We are licensed by the Tennessee Department of Mental Health and approved by the Department of Intellectual and Developmental Disabilities (DIDD) under the Medicaid Waiver. Our services include:
Behavioral Respite/ Residential Habilitation
We operate two four-bed specialized Behavioral Respite homes in Bolivar, Tennessee. The respite homes provide supports for those who need to be temporarily relocated from their current living situation due to a demonstrated increase in the intensity of challenging behaviors. Respite homes offer stabilization, crisis intervention and/or respite for staff members, family members or caregivers.
We have a team of well-qualified behavior analysts and specialists who are credentialed to provide behavior support services. Services and supports include:
- plan development
- caregiver training
- on-going monitoring of the behavior support plan
- crisis response
Community-Based Day/ Community Integration Services
Our community-based day/community integration services are designed to provide the supported person with opportunities that enable him/her to participate in meaningful and productive activities that are integrated with other individuals who may or may not have disabilities. Support provided may facilitate:
- job exploration activities
- volunteer work
- educational activities
- other meaningful measurable community activities that promote developing relationships and maintaining ongoing relationships with friends and family members
We believe that supported persons should have a quality of life filled with memorable and fulfilling activities that promote health and well-being.
Community Living Supports
CHOICES – TennCare
Community Living Supports is a community-based residential alternative service for seniors and adults with disabilities that supports each person’s independence and full integration into the community. CLS services include hands-on assistance, supervision, transportation and other supports needed to help the individual transition from nursing home placement to community living (or to avoid nursing home placement).
Community Living Supports – Family Model
Community Living Supports – Family Model (CLS-FM) is a community-based residential alternative service for seniors and adults with disabilities that supports the person in an “adult foster care” arrangement. The person lives in the home of trained family caregivers (other than the individual’s own family). CLS-FM services include hands-on assistance, supervision, transportation and other supports needed to help the individual transition from nursing home placement to community living (or to avoid nursing home placement).
Employment and Community First CHOICES [ECF]
What is the Employment and Community First CHOICES [ECF] program?
The Employment and Community First CHOICES program, administered by TennCare through its contracted managed care organizations, focuses on providing services to people with intellectual and developmental disabilities (I/DD). Through the services a person with I/DD can explore work possibilities and be provided the supports needed to learn new skills for work, find a job, and keep a job. Employment may vary from part-time to full time or even self-employment. Other services can focus on skills needed to be successful in the community and to build meaningful relationships in their lives.
- Situational observation and assessment
- Job development plan or self-employment plan
- Job development or self-employment startup
- Job coaching for individualized, integrated employment
- Job coaching for individualized, integrated self-employment
- Coworker supports
- Supported employment – small group
- Career advancement
- Integrated employment path services
Community wrap-around services
- Independent living skills training
- Community integration support services
- Community transportation
Other long-term services and supports
- Personal assistance
- Assistive technology, adaptive equipment and supplies
- Community living supports (CLS) and CLS family model
- Supportive home care (SHC)
- Family caregiver stipend in lieu of SHC
- Specialized Consultation and Training
- Individual Education and Training
We provide supported employment programs designed to assist persons with severe or significant disabilities in obtaining and maintaining community and integrated competitive employment through specifically planned supports.
Supported Employment services consist of ongoing supports designed to assist individuals for whom it is unlikely that competitive employment at or above the minimum wage will occur without supports, and who, because of their disabilities, need supports to perform in a regular work setting.
Individuals who receive Supported Employment services must require long-term, direct, or indirect job-related support in the areas of:
- job supervision
- adapting equipment
- adapting behaviors
- transportation assistance
- peer support
- personal care assistance
The planned outcomes of these services are increased hours worked, increased wages and frequent opportunities to interact with non-disabled peers during the normal performance of the job and/or during breaks, lunch periods or travel to and from work.
Family Based Residential Supports
We provide family model services that ensure the supported person has residential services and supports that will enable him/her to acquire, retain and improve skills necessary to reside successfully in a family environment in the home of trained caregivers other than the family of origin. The caregivers are recruited, screened and trained prior to providing services.
The services include direct assistance as needed with:
- activities of daily living
- household chores essential to the health and safety of the supported person
- budget management
- attending appointments
- interpersonal and social skills building that enable the supported person to live in a home in the community
In Home Day Services
We provide In Home Day Services to meet specific needs related to extenuating behavioral or psychiatric destabilization, medical concerns/necessity, or other infrequent and exceptional circumstances. In Home Day Services are also an option for persons who have chosen retirement. Persons served are encouraged to engage in therapeutic activities in the home setting at a pace that is comfortable for them.
For some people to be able to live in a community setting, personal assistance is critical. We work closely with an individual’s circle of support to carefully define why, and for what, an individual may require personal assistance.
The personal assistance program concentrates on helping a person directly, as opposed to teaching or performing habilitation tasks (although skill acquisition may be a tangential benefit of this support). We ensure that personal assistance is integrated into an individual’s daily life at the most beneficial and practical levels.
Occasionally individuals need to be temporarily relocated from their current living situation or be provided additional services in their current home due to the absence of a supported person’s caregiver for a variety of different reasons including illness, injury or routine relief. We provide services in the supported person’s home, in another approved home or at one of the behavioral respite homes. Our caregivers accompany supported persons on short outings for exercise, recreation, shopping and other purposes while in the respite program.
Semi-Independent Living Services
Semi-Independent Living Services (SILS) are designed to include training and assistance in managing money, preparing meals, shopping, personal appearance and hygiene, interpersonal and social skills building, and other activities needed to maintain and improve the capacity of an individual with an intellectual disability to live in the community. The service also includes oversight and assistance in managing self-administered medication and/or medication administration as permitted under Tennessee’s Nurse Practice Act. The target population for this service is people who need intermittent or limited support to remain in their own home and do not require staff that lives on-site. However, access to emergency supports as needed from the provider on a 24/7 basis is an essential component of this residential service and is what differentiates it from Personal Assistance services.
We provide supported living/supportive living services to enhance successful, long-term care community living. Special attention is given to individuality and flexibility as the person chooses his or her housing and other options necessary for a normal life experience. Although support requirements will vary considerably among individuals, we are committed to designing and implementing particular services to accommodate the choices, abilities and needs of each person it serves. We ensure that supported persons receive timely and routine healthcare services when medically or psychiatrically necessary. Services include transportation.