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wG,folrefae*sm. vuf&Sdvkyfaqmif&aom tcef;u¾rsm;wGif rsm;pGmaom rwlnDonfh u¾rsm;ESifh wm0ef0wW&m;rsm;&Sdonf?

yg0ifonfrsm;rSm =

vlwpfOD;pDwkdif;twGuf olwkd@vkdtyfcsufrsm;tm; cGJjcm;ay;_yD; olwkd@tm; xkdvkdtyfcsufrsm;&&Sd&ef 0efaqmifr+rsm;ESifh

axmufyHhay;r+rsm;jzifh qufpyfay;jcif;

vlwpfOD;tm;A[kdjyKaom0efaqmifr+tpDtpOfa&;qGJjcif;vkyfief;pOftm; OD;aqmifvrf;jyjcif;

usef;rma&;ESifh ab;uif;vHkjcHKa&;tm; apmifh-unfhppfaq;ay;jcif;

0efaqmifr+tpDtpOft& 0efaqmifr+rsm;tm; ydk@aqmifay;&ef aocsmapjcif;

ay;&jcif; odk@r[kwf ray;&jcif;taxmuftyHhrsm;. pepfwuspDpOfxm;&Sdjcif; toD;oD;Y nd‡E+dif;aqmif&Gufjcif;

&+yfaxG;aom vkdtyfcsufrsm;ESifh ywfoufqufEG,fjcif;rsm;tm; udkifwG,fjcif;

ta&;w}uD;vkdtyfcsufrsm;ESifh ab;a&mufumvtm; wkef@jyefjcif;

axmufyHhay;aeaomolrsm;twGuf bufvkdufajymqkday;jcif;

udk,fwkdifvrf;n$efr+

TjyefvnfrGrf;rHa&;qGJjcif;. tm;xkwfr+tpdwftydkif;t& DDRS tpDtpOfrsm;/ yxrqHk;t}udrftwGuf udk,fwdkifvrf;n$efr+

a&G;cs,fjcif;rsm;tm; pwifxnfhoGif;&efjzpfonf? udk,fwkdifvrf;n$efr+onf ta,mufwkdif;pDESifh rdom;pkrsm;tm; b,folESifh

olwkd@0efaqmifr+rsm;tm; b,fvdkay;onfqkdonfhtay:wGif ydkIxdef;csKyf&efay;jcif;jzpfonf? udk,fwkdifvrf;n$efr+onf vlwpfa,muf

&&Sdonfh 0efaqmifr+rsm;tm; olwkd@bwf*suftay:wGif vHk;0xdef;csKyf&ef cGifhjyK_yD; jyefvnfae&mcsxm;jcif;/ tvkyfcef@jcif;ESifh olwkd@tm;

t"duaomhcsufar;cGef;

tif'D;,m;em;wGif b,fvdkaxmufyHhjcif;rsdK;rsm;tm; tr+udpPpDrHcef@cGJjcif;wGif oifjrifawG@vkdoenf;?

5

axmufyHhay;aeonfh0efxrf;tm; tpm;xkd;jcif;wm0efrsm;ESifhtwl vkyf&Sifwpfa,mufu¾rsm;tm;vHk; twGufvnf; wm0ef&Sdonf?

DDRS taejzifh tem*wfwGif T0efaqmifr+trsdK;tpm;tm; ay;&efqufvufvkyfaqmifvkd_yD; TtpDtpOftrsdK;tpm;onf

yg0ifxm;aomtpdwftydkif;rsm; wkd;wufjcif;vkdtyfcsufrsm;wnfaqmuf&efrSm cGifhjyKcsufyHkpHjyefvnf rGrf;rHa&;qJGjcif;twGuf

tcsdefumvvkdtyfjcif;wpfckr[kwfay? xkd@a-umifh pDrHudef;tzGJ@Y ,ckwGif xyfxnfhEkdifaom jzpfEkdifonfh a&G;cs,fr+rsm;ESpfcktm;

owfrSwfxm;_yD; xkdt&monf udk,fwkdifvrf;n$efr+ tpdwftydkif;rsm;&Sdrnfjzpf_yD; ta,mufwkdif;pDESifh rdom;pkrsm;ydkI xdef;csKyfEkdif&efESifh

vkdufavsmnDaxG&Sdr+tm; ay;&efjzpfonf? xkda&G;cs,fjcif;rsm;tm; Participant-Directed Goods and Services ESifh

Agency with Choice [kac:onf?

Participant-Directed Goods and Services onf roefpGrf;olrsm;. roefrpGrf;jzpfjcif;ta-umifh vkdtyfr+wpfcktwGuf

0efaqmifr+rsm;ESifh toHk;taqmifrsm;&&ef yg0ifaomolrsm;tm; cGifhjyKvdrfhrnf? odk@aomf Tt&monf yHkrSeftm;jzifh Medicaid

(r,f'Dudwf) tm;jzifh ay;jcif;r[kwfay? ukefypPnf;Oyrmrsm;tm;jzifh oif0,f,lEkdifonfh txl;ypPnf;ud&d,m/ jzpf&yfwpfckodk@jzwfjcif;

odk@r[kwf xkwfukefrsm; ponfjzifhjzpfonf? 0efaqmifr+rsm;. Oyrmrsm;rSm tm;upm;toif;0ifjcif; odk@r[kwf tdrfoef@&Sif;jcif;wkd@

jzpfEkdifonf? xkd0efaqmifr+rSwpfqifh 0,f,laeaom ypPnf;rsm;ESifh 0efaqmifr+rsm;onf wpfOD;csif;pDwkd@. olwkd@trSDtcdkuif;pGm

&Sdjcif;tm; xdef;odrf;xm;jcif; odk@r[kwf wkd;vmapjcif;tm; ulnDay;_yD; yef;wkdifwpfckodk@csdwfqufjcif; odk@r[kwf olwkd@. Person-

Centered Individualized Support Plan (PCISP) wGif rSwfwrf;wif&efvkdtyfjcif; owfrSwfcsuftwGufjzpfonf?

Agency with Choice onf wpfOD;csif;pDwkdif;Y olwkd@0efaqmifr+rsm;wGif ydkIxdef;csKyfr+&Sdum olwkd@ 0efaqmifr+ay; olrsm;ESifhtwl

wGJzuftvkyf&Sifjzpfvmjcif;tm;jzifh jzpfap&ef yHkpHjyKxm;jcif;wpfckjzpfonf? wpfOD;csif;pDwkdif;ESifh rdom;pkrsm;onf olwkd@0efxrf;tm;a&G;

cs,f&ef/ olwkd@0efxrf;rsm;ae@pOfvkyfaqmifr+rsm;tm; n$ef-um;&efESifh olwdk@udk,fydkifwdusaomaxmufyHhr+vdktyfcsufrsm;wGif 0efxrf;

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jcif;/ aemufa-umif;&mZ0ifppfaq;jcif;_yD;qHk;r+tygt0if/ owfrSwfoifwef;ay;jcif;ESifh tvkyform; aiGay;acsjcif;u¾rsm;tm;vHk;

tm; wm0ef,lrnfjzpfonf? Tt&monf yg0ifolrS olwkd@&&Sdonfh apmifha&Smufr+tm; tvkyf&SifrS wpfOD;wnf;vkyfaqmifae_yD;

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rsm;udk jr‡ifhwif&ef enf;vrf; av;cktm;azmfxkwfcJhonf?

1? 0efaqmifr+trnfrsm;udk &Sif;jyjcif;

oufqkdifolrsm;rS cHpm;ae-u&aom vuf&Sd0efaqmifr+rsm;onf aumif;pGmvkyfaqmifaejcif; odk@r[kwf xkdt&mwGif

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t"dy`g,fzGifhqkdcsufrsm;tm; azmfxkwf&ef jyKvkyfcJh-uonf? Tt&monf wpfOD;csif;pDESifh rdom;pkrsm;taejzifh

rnfonfh0efaqmifr+rsm;u olwdk@vdktyfcsufrsm;udk taumif;qHk; udkufnDr+&Sdonfudk vG,folpGm owfrSwf&efjzpfonf?

Oyrmtm;jzifh Extended Service (wkd;csJ@xm;aom0efaqmifr+) onf Vocational Rehabilitation (toufarG;0rf;

t"duaomhcsufar;cGef;

Participant-Directed Goods and Services service ESifh Agency of Choice help

wkd@xnfhoGif;jcif;onf wpfOD;csif;pDtm; olwkd@vdktyfcsufrsm;odk@a&muf&efwGif ydkIa&G;cs,fjcif;ESifh xdef;csKyfjcif;rsm;&&ef

ulnDovm;?

6

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awG@aomtcg olwkd@.tvkyfae&mwGif tultnDvkdtyfolrsm;udk tvkyftudkifenf;jyrsm; qufvufvkyfaqmifay;onf?

T0efaqmifr+udk 0efaqmifr+wGifyg0ifaom ta-umif;t&mrsm; ydkrdkaumif;rGefpGmazmfjy&ef Supported Employment

[kac:onf?

2? tkyfpk odk@r[kwf &dk;&Sif;aom0efaqmifr+rsm;

pDrHudef;tzGJ@onf 0efaqmifr+urf;vSrf;jcif;rsm;tm; &dk;&Sif;ap&efenf;vrf;wpfcktaejzifh twlwuGpkpnf;Ekdifonfh tvm;wl0ef

aqmifr+rsm;&Sdr&Sd -unfh&+cJh-uonf? xkdokd@jyKvkyf&ef u|Ekfyfwkd@onf 0efaqmifr+rsm;a&G;cs,f&mwGif vlrsm;.tawG@t-uHKrsm;udk

xnfhoGif;pOf;pm;cJh-uonf? Oyrmtm;jzifh “Residential Habilitation and Support” vlaetdrfjyefvnfxlaxmif

a&;ESifhyHhydk;r+ESifh “Residential Habilitation and Support Daily” vlaetdrfjyefvnfxlaxmifa&;ESifh ae@pOfyHhydk;r+

tm;a&G;cs,f&efawmif;qkdaomtcg wpfOD;csif;pDonfb,ft&mudka&G;&ef b,fvkdodrnfenff;? T0efaqmifr+rsm;tm;

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cHv$mESifh aiGay;acsr+yHkpHonf ‚if;wkd@twGuf taumif;qHk;jzpfrnfudk cGJjcm;owfrSwf&ef olwkd@. tr+wGJ refae*smESifhtwl

vkyfaqmif&efcGifhjyKjcif;jzpfonf?

3? 0efaqmifr+rsm; ajymif;jcif; odk@r[kwf z,f&Sm;jcif;

oufqkdifolrsm;. wkef@jyefcsufrsm;tay:tajccHI pDrHudef;tzGJ@onf ydkrdkodomaom ajymif;vJr+rsm;vkdtyfonfh

0efaqmifr+rsm;udk azmfxkwfcJhonf? Oyrmtm;jzihf Family and Caregiver Training (rdom;pkESifhapmifha&Smuf

r+ay;jcif;oifwef; ) onf roHk;csr+r&Sdaoma-umifh r-umc%em;vnfr+vGJaom 0efaqmifr+jzpfonf? yxrqHk;taejzifh

pDrHudef;tzGJ@onf xkd0efaqmifr+udk Family/Caregiver Supports (rdom;pk§*&kpdkufr+ay;oltaxmuftyHhrsm;)

tjzpfemrnfjyefay;&ef t-uHjyKonf? T0efaqmifr+ay;onfh 0efaqmifr+onf oifwef;rsm;twGuf tcGifhtvrf;rsm;udk

wdk;jr‡ifhonfhtjyif pDrHudef;tzGJ@onf t&nfftcsif;wlolrsm;. yHhydk;r+ESifh t&nfftcsif;wlolrsm;oif-um;a&;udk xyfrHxnfhoGif;

jcif;jzifh rdom;pkrsm;udk tjcm;rdom;pkrsm;ESifh csdwfquf&ef tcGifhta&;ay;jcif;jzpfonf?

aemufxyfOyrmwpfckrSm Structured Family Caregiving (rdom;pkapmifha&Smufr+pepf) tm; pepfwusajymif;vJ

jcif;jzpfonf? Tajymif;vJr+wGifyg0ifonfrSm= 0efaqmifr+. pdwf"gwfESifh OD;wnfcsufwkd@udk a&mifjyef[yfap&ef Structured

Family Caregiving (rdom;pkapmifha&Smufr+pepf) rS Shared Living (a0r#Iaexkdifjcif;) odk@ajymif;vJjcif;?

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cdkifrmI udkufnDaomvkyfief;pOfwpfckvkdtyfjcif;ESifh wpfOD;csif;pD. tusdK;aus;Zl;twGufr[kwfv#if Shared Living

(a0r#Iaexkdifjcif;) ae&mcsxm;jcif;tm; vlESpfOD;xufrydkatmif uef@owfxm;jcif;jzpfonf?

4? 0efaqmifr+topfrsm;xyfwkd;jcif;

aemufqHk;wGif pDrHudef;tzGJ@onf wpfOD;csif;pDESifh rdom;pkrsm;. vkdtyfcsufrsm;udkjznfhqnf;&ef bufpHk/ jynfhpHkaomwpfOD;csif;

pDtwGuf taxmuftyHhrsm;udk jznfhqnf;ay;Ekdifrnfh 0efaqmifr+rsm;udk &SmazGcJh-uonf? pOf;pm;r+atmufwGif &Sdaeaom

yg0ifonfh 0efaqmifr+topfrsm;rSm=

Housing Support Services (tdrf,myHhydk;r+ 0efaqmifr+rsm;) ? T0efaqmifr+. &nfrSef;csufrSm

IDD &Sdaomolrsm;ta,mufwkdif;pDtwGuf aumif;rGef_yD; wwfEkdifaomtdrfrsm;udk&SmazG&efESifh olwdk@&&Sd_yD;ygu

xdef;odrf;xm;&efjzpfonf? Tt&mtm; jzpfajrmufap&ef DDRS onf tdrf&mu|rf;usifr+&Sdonfh at*sifpD

rsm;/ &yf&GmtzGJ@tpnf;rsm;ESifhyl;aygif;I IDD &Sdolrsm;twGuf axmufyHhr+pepfESifh tcGifhtvrf;rsm;udk wkd;csJ@

&efjzpfonf?

7

Healthy Living Services (usef;rmpGmaexkdifjcif;0efaqmifr+rsm;) ? T0efaqmifr+wGif

&kyfydkif;qkdif&mESifh pdwfydkif;qkdif&musef;rma&;/ aumif;rGefpGmaexkdifjcif;udk jr‡ifhwifay;onfh taxmuftyHhudk

&&Sd&ef vkdufavsmnDaxG&Sdaom tcGifhtvrf;rsm;ay;onfh uJGjym;aoma&G;cs,fp&mrsm;pGm yg0ifEkdifonf?

T0efaqmifr+twGif;wGif wpfpHkwpfOD;onf t[m&qkdif&mynma&;/ 0rf;enf;ylaqG;jcif;qkdif&mt-uHay;jcif;

(cspf&olwpfOD; qHk;yg;oGm;aomtcgtwGuf t-uHay;ESpfodrfhjcif;) ab;uif;_yD; usef;rmaomywfoufr+rsm;wGif

ynmay;jcif; odk@r[kwf tm;vHk;aomusef;rma&;ESifh om,m0ajyma&;udk jr‡ifhwifay;onfh tjcm;0efaqmifr+

rsm;udk &&SdEkdifonf?

Expressive Therapy Services (cHpm;r+udkxdxdrdrdjyaom ukxHk;0efaqmifr+rsm;) ?

T0efaqmifr+wGif pD;eif;jcif;ukxHk;qkdif&mukojcif;/ aw;*DwukxHk;/ tEkynmukxHk;/ tuESifh a&aeukxHk;uJhodk@

rsm;pGmaom rwlonfh zefwD;r+qkdif&mukxHk;0efaqmifr+rsm; tyg0ifonf?

Peer Support and Community Connection (tqifhtwef;wlaxmufcHr+ESifh

todkif;t0dkif;qufoG,fr+)? T0efaqmifr+onf wpfOD;csif;pDwkd@onf vlr+todkif;t0dkif;odk@oGm;I olwkd@twGuf

axmufyHHh&ef aiGa-u;ay;jcif;rcH&aomolrsm;ESifhtwl qufqHr+jyKvkyf&ef tcGifhta&;&Sm&ef ulnDay;vdrfhrnf?

T0efaqmifr+onf yg0ifolrsm;udk u|rf;usifr+topfrsm;wnfaqmuf&efESifh vl@todkif;t0dkif;b0wGif olwkd@

tjynfht0yg0ifr+udk ulnDvdrfhrnf? Oyrmtm;jzifh 0efaqmifr+. wpfpdwfwpfydkif;tm;jzifh tqifhtwef;wl

qufoG,folwpfa,mufonf wpfpHkwpfOD;rS olwkd@rdom;pkordkif;a-umif;tm; avhvmvkdolwpfOD;tm; rsdK;&dk;

pOfqufudk pdwf0ifpm;olrsm;twGuf tkyfpkwpfckudk&SmazG&ef ulnDonf? olwkd@rS xkdtkyfpkb,ftcsdefawG@rnf/

xkdae&mudk b,fvdka&mufEkdifrnfESifh xkdtzGJ@ESifhawG@qHk_yD; olwdk@tkyfpkESifh t}udrftenf;i,f tu|rf;w0if&Sd&ef

ulnDay;onf?

t&nftaoG;wkdif;wmr+rsm;

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0efaqmifr+rsm;ESifh taxmuftyHhrsm;tm;vHk;. t&nftaoG;tm; ydkIwkd;wufap&ef &nf&G,fxm;jcif;jzpfonf? avmavmq,f

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,ckvkkyfaqmifr+wkdif;wmjcif;topfwGifyg0ifonfrSm=

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wpfOD;wpfa,mufcsif;pDrsm; erlemaumufxm;r+&mcdkifE+ef;

olwkd@tr+wGJrefae*smrS olwkd@0efaqmifr+tpDtpOf. b,fvkdtpdwftydkif;wGif olwkd@&vkdoenf;tm; wkef@jyef cJhol

yg0ifolrsm; erlemaumufxm;r+&mcdkifE+ef;

olwdk@tdrfwGif odk@r[kwf ae@vnfydkif;tpDtpOfwGif a-umuf&G@Hjcif; odk@r[kwf a-umuf&GH@r+rcHpm;&aomol

yg0ifolrsm;cGifhjyKcsufyHkpH. &mckdifE+ef;

t"duaomhcsufar;cGef;

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oifxifovm;?

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ta&;t}uD;qHk;jzpfovJ? oifY pOf;pm;oifhonfh tjcm;aom0efaqmifr+rsm;twGuf t-uHjyKcsufrsm;&Sdygovm;?

Ttajymif;tvJrsm;wpfckckonf oif0efaqmifr+rsm;tm;&Sm&ef odk@r[kwf toHk;jyK&ef ydkIcufcJapovm;?

8

DDRS onf 0efaqmifr+rsm;t&nftaoG;udk wkdif;wmonfhenf;vrf;tm; ajymif;vJ&efvkyfaqmifae_yD; vlwpfOD;tm&Hkpdkufjcif;

t&nftaoG;wkdif;wmjcif;rsm;tm; xnfhoGif;&ef pDpOfaejcif; = ESpfckpvHk;onf cGifhjyKcsufyHkpHjyefvnfrGrf;rHjcif;. pDrHudef;tpdwftydkif;

rsm;jzpf_yD; ydkIus,fjyef@vmonf? u|Ekfyfwkd@onf oift-uHjyKEkdifrnfh t&nftaoG;wkdif;wmjcif;rsm;udk -um;vkdygonf? u|Ekfyfwkd@wGif

0efaqmifr+rsm;ESifh axmufyHhr+rsm;. t&nftaoG;wkdif;wmjcif;rsm;. tcsdK@aomemrlemrsm;udk ay;xm;ygonf?

olwkd@vlr+todkif;t0dkif;rsm;ESifh tquftoG,f&Sdonf[kcHpm;&aom wpfOD;csif;pDrsm;. ta&twGuf

vlr+a&;tcef;u¾rsm;wGif wefzdk;xm;av;pm;ol wpfOD;csif;pDrsm;. ta&twGuf

olwkd@aexkdif&mESifh tvkyfvkyfonfhae&mtm;a&G;cs,fol wpfOD;csif;pDrsm;. ta&twGuf

aiGay;&aom *&kpdkufay;oltjyif tjcm;aomolrsm;ESifh rdwfaqGjzpfaom wpfOD;csif;pDrsm;. ta&twGuf

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9

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https://iu.co1.qualtrics.com/jfe/form/SV_3yLAqmbr2NaO8QZ odk@0ifyg?

10

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