SWC - Short-Term Treatment

SWC's short-term treatment program is intended to help an individual with an intellectual disability and a co-occurring mental health or behavior disorder acquire a level of skills for personal independence. These individuals have treatment needs that cannot be adequately met in the community.

Intensive Treatment Program

The SWC Intensive Treatment Program (ITP) accomplishes its work by completing an acute comprehensive assessment, treatment, and recommendations for a return to successful community living. The SWC ITP focuses on decreasing behaviors that interfere with other active treatment needs while increasing those skills necessary to achieve functioning with as much self-determination and independence as possible.

ITP services are not intended for emergency detentions, respite, or long-term support.

The SWC ITP has 17 beds.

Why an ITP?

  • Comprehensive interdisciplinary team approach.
  • Highly trained specialists supporting persons with intellectual disabilities.
  • Timely evaluations and interventions.
  • Established trust with persons served and their family and caregivers.
  • Individually tailored therapeutic interventions.
  • Evaluations of challenging behaviors and recommendations for outcome-based approaches.
  • Psychiatric assessment and medication reviews.
  • Comprehensive medical evaluation, relating physical discomfort to challenging behaviors.
  • Specific instruction and hands-on teaching/training for a person’s support team.
  • Thorough and comprehensive written reports.
  • Collaboration with individual’s community support team and other experts.

Eligibility

Individuals eligible for ITP services are children and adults with intellectual disabilities (deferring to professional standards of practice) who meet all of the following criteria.

  • Diagnostic eligibility criteria for residential services should be consistent with the requirements of the Developmental Disabilities Medicaid Waiver and/or enrollment in Family Care
  • Pre-admission assessment must identify active treatment needs that:
    • Cannot be adequately met elsewhere due to significant and complex behaviors, which are due to social, psychological, psychiatric, and medical factors
    • Could be met through the ITP
  • Individual’s need for active treatment can be best met by decreasing the frequency of their behaviors that are interfering with other interactive treatment needs, and simultaneously increasing those skills necessary to achieve functioning with as much self-determination and independence as possible, and preventing the loss or regression of functioning
  • Consistent with the intermediate care facility standards, individuals must need a program of active treatment that includes aggressive, consistent implementation of a program of specialized and generic training, treatment, and health services
  • The individual’s needs must include acquiring the skills essential for privacy and independence including, but is not limited to: toilet training, personal hygiene, dental hygiene, self feeding, bathing, dressing, grooming, communication of basic needs, self medication, use of medical devices, and money management
  • The ITP must be able to adequately meet the individual’s needs for medical services and  supports
  • Because all ITP admissions are short term, a community discharge plan is required prior to admission

Referrals for admission to the ITP are made by county case manager or Managed Care Organization (MCO).

Admission

Referrals for admission to the ITP are made by county case manager or Managed Care Organization (MCO).

Pre-Admission Assessment

  • ITP team member meets the individual in a community setting
  • The interdisciplinary team identifies current concerns and determines primary focus of
  • potential treatment plan
  • The admissions committee reviews the assessment
  • The admissions coordinator notifies the referring party of decision
  • The date of admission/discharge are set

Day of Admission

  • The person tours the facility and is introduced to the interdisciplinary team
  • The admission staffing includes a review of the care plan, a summary of treatment goals, and a projected discharge date; and
  • The individual has a complete medical history and physical exam

Discharge

  • The interdisciplinary team’s findings and recommendations are reviewed with parent/guardians and community caregivers at the discharge staffing
  • The social worker/program coordinator/case manager is available for follow-up or questions/concerns
  • Training is offered to parents/guardians and community support staff

Emergency Readmission Agreements

If SWC, the client's county, the client's guardian, and the client's provider agree to emergency readmission in the event of a crisis, a memorandum of understanding is developed to outline the agreed upon course of action. The standard guidelines require that significant behavioral, medication, and program changes be reported to the SWC Community Relations Team for consultation and documentation. The procedures identify contact people and transport information.

If the need arises for an emergency readmission, the SWC ITP interdisciplinary team immediately implements the person's Individualized Treatment Plan and the Integrated Behavior Intervention Plan. During the next 48 hours, the opportunity exists to address the individual's unmet needs and to develop community treatment plan "add-ons." The focus is on rapid return to the home community, usually within 48 to 72 hours.

 

For more information on SWC's ITP, contact:

Robert Eisenbart
Nurse Specialist
262-878-6624

 

Last Revised: May 1, 2017