Individualized Support Options: Beyond One-Size-Fits-All

1. Individualized Support Options Beyond One Size Fits All Presented by: Alan White Director, Individualized Support Options

4. Individualized Support OptionsCurrent Support Models by the Numbers Shared Living 17 people living with provider families Individualized Home/ Community Support Services- • 32 people living in independent living arrangements Creative Living Options (CLO) homes • 29 people in 7 homes • Cooperative Living Apartment Program • 14 people living in 8 apartments in Brighton • Coaching services • 22 people with Autism Spectrum Disorder (ASD)

5. TILL Support Options Individualized Supports that don’t fit neatly into any one setting, but instead, are based on: • unique interests • compatibility • general functioning level • age • geographic considerations • physical ability • specialized needs The end result is always a place where one feels happy and at home.

6. Shared Living Provides personalized attention in a caring home setting as an alternative to a residential group home. Everyone is different and for some individuals, the best place to thrive and grow is in a trained, certified provider's home. Placement of one or two individuals with disabilities in an existing family unit. An assessment of needs determines whether such an arrangement is suitable or beneficial to the individual. Funding may be provided by public or private resources or through a cost share. Homes are located throughout Massachusetts and New Hampshire.

7. Individual Community/ Home Supports • Provide individualized supports to people with varying abilities who require assistance to live independently. • Provide skill training while living with family to prepare for living independently. • Support in skill areas such as money and time management, personal organization, medication administration, and meal preparation. • Supports can be provided in many different settings and provide opportunities to move to more independent living models as mastery in skills are demonstrated and needs change. • Services can be funded through public or private arrangements. • DDS funding is available for individuals with ASD.

8. Supported Living Option Quincy CLO Apartments: - 2- 3 bedroom apartments - Individuals demonstrate increased level of independence in completing routine activities of daily living skills - Support Staff are available during high activity times and are scheduled based on the schedules of the people living there and the number of contracted hours available - Can be funded with private and/or public funding

9. Creative Living Options (CLO) - Support individual in becoming an independent active participant of his/her home and community - Promote independence in home management skills - Created to meet the individual’s changing needs, preferences and interests - Encourage relationships, social activities and a full quality of life - Can be developed in urban or suburban locations - Funding may be available through public or private resources or through a cost share arrangement. - Public funding is provided through Individual Home/ Community Support services and is NOT Residential Services funding - Each CLO is created separately to provide a living situation designed to meet the support needs of the participating group - Family driven CLO program models require a minimum of 1-2 years to develop due to the variables needing to be considered to ensure the success of the program

10. Creative Living Options (CLO) Lexington CLO: - Supports 5 people with Intellectual Disabilities - Family driven development - Home is owned by a participating family - Individuals are funded with private funding and cost sharing with private and DDS support funding - Individuals are able to complete basic independent living skills with minimum oversight. Provides staffing supports with a 1:5 ratio during evening hours

11. Creative Living Options (CLO) • Watertown CLO: • - 5 individuals with ASD requiring a structured daily routine • Individuals have basic skills but require support to complete tasks successfully • Program provides staffing supports of a 2:5 ratio during peak activity times for success • Program is funded with both private and public funding for staffing supports

12. Creative Living Options (CLO) Weymouth CLO: - Supports 8 individuals with Intellectual Disabilities - Family driven development 27 years ago - Individuals have the skills to live independently in a group setting with supports- 2:8 ratio -Encourages relationships, social activities and a full quality of life. -Started as a privately funded home but is now funded through Individual Support funding by DDS,

13. Creative Living Options (CLO) Residential support professionals with companion staff and individual support staff combine to provide the individualized supports needed for success. Minimum Requirements for Participation: Must be able to be home alone for up to 6 hours. Independently access the community Must be able to self-medicate with minimal supports Must be able to manage basic health care and routine medical appointments In some cases a live-in companion resides in the CLO arrangement and provides the "invisible net of support" which is so valuable for growth.

14. Individual Community Supports- Cooperative Living: 4- 1 bedroom apartments 4- 3 bedroom apartments - 14 hours of shared hours of support by 16 tenants and live- in Building Manager - Tenants are expected to demonstrate skills in all routine living skills independently

15. Individual Community Supports New! Micro-Apartments in Chelsea Skill Assessments Support services Community meals Social opportunities Near public transportation Transitional housing

16. What’s NewTraining Program/ Future Respite Program

17. To learn more about TILL’s Individualized Support Options Contact: Alan White, Director of Individualized Support Options 781-302-4695 alan.white@tillinc.org