The Community Alternatives Program for Persons with Mental Retardation/ Developmental Disabilities (CAP-MR/DD)
What Is CAP? Click on CAP or the image to view the North Carolina Department of Health and Human Services' definition.
CAP is designed to serve individuals who would otherwise require care in an intermediate care facility for people with the mental retardation/developmental disabilities (ICF/MR). CAP allows these individuals the opportunity to be served in the community instead of residing in an institutional or group home setting.
Family First Support Center CAP Services:
Crisis services provide one additional staff support person for supervision for the CAP-MR/DD waiver recipient, as needed during an acute crisis situation so that the recipient can continue to participate in his/her daily routine and/or residential setting without interruption. It is appropriate to provide such support during periods of time in which the person is presenting episodes of unmanageable and/or inappropriate behaviors that require specialized staff intervention. An individual may display extreme, maladaptive behaviors that are not anticipated, are temporary in nature, and are beyond the daily behaviors that are addressed through other supports. Crises of this nature may be due to medication changes, reaction to family stress, or other trauma. By providing this service, an imminent institutional admission may be avoided while protecting the person from harming themselves(s) or others. Back
The intent of this service is to meet the habilitation and support needs of individuals living in their own home or their family’s home. Home and community supports services provide instruction and assistance to enable the individual to acquire and maintain skills that will allow him/her to function with greater independence in the community. Home and community supports provides habilitation, training and instruction coupled with elements of support, supervision and engaging participation to reflect the natural flow of training, practice of skills, and other activities as they occur during the course of the person’s day. Interactions with the person are designed to achieve outcomes identified in the Plan of Care. Support and supervision of the person’s activities to sustain skills gained through habilitation and training is also an acceptable goal of home and Community Supports. This service may be provided in an individual’s private residence and/or in the community. Back
Personal Care Services
Personal Care services include support, supervision and engaging participation with eating, bathing, dressing, personal hygiene and other activities of daily living. Support and engaging consumer participation is non-habilitative and describes the flexibility of activities that may encourage the person to maintain skills gained during active treatment and/or habilitation while also providing supervision for independent activities of the consumer.
This service may include assistance with preparation of meals, but does not include the cost of the meals themselves. When specified in the Plan of Care, this service may also include such housekeeping chores as bed making, dusting and vacuuming, which are incidental to the care furnished, or which are essential to the health and welfare of the individual, rather than the individual’s family. Personal Care also includes assistance with monitoring health status and physical condition, assistance with transferring, ambulation and use of special mobility devices. Back
Respite Services
Respite care is a service that provides periodic relief for the family or primary caregiver. In order to be considered the primary care giver, a person must be principally responsible for the care and supervision of the individual, and must maintain their primary residence at the same address as the covered individual. This service may be provided in the individual’s home or in an out-of-home setting. Respite should not be provided to an individual when the individual is home for the purpose of a family visit.
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Supported Employment
Supported employment services consist of paid employment for persons for whom competitive employment at or above the minimum wage is unlikely, and who, because of their disabilities, need intensive ongoing support to perform in a work setting. This does not prohibit an individual in any way from being paid at or above minimum wage. Supported employment is conducted in a variety of settings; particularly work sites in which persons without disabilities are employed. Supported employment includes activities needed to sustain paid work by individuals receiving waiver services, including supervision and training. Back
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