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12103-Monitoring Outcomes for Persons Served, Annual and Quarterly IPP Review

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Link to TCADD Policy 10901

Link to TCADD Policy 12101

SCOPE:

Service coordinators use the person-centered planning process in assisting individuals and/or their families to identify desired personal outcomes.

This procedure applies to all service coordinators and management of Tri-Counties Regional Center.

PROCEDURE:

  1. Individuals should have a person-centered review annually in person and in their birth month. Individuals who are living outside of the family home, including those living in residential facilities, independent living/supported living arrangements and Family Home Agency (FHA) settings, must also have in person quarterly monitoring reviews.
  2. Individual Program Plans (IPP) for all individuals are developed, once every three (3) years and amended as necessary
  3. This person-centered annual review includes:
    1. 60 days prior to the person’s birth date, the service coordinator reviews the Jeffnet report on the intranet, in order to schedule the annual review..
    2. The service coordinator reviews all reports, which include CDER/3770/SIR lists, consents, vendor reports which may include Individual Service Plans (ISP) and quarterly reports, past Title-19 (T19) entries, Purchase of Services (POS), Individual Education Plan’s (IEP) and Tri-annual IEP’s, checking that they are current. The service coordinator will also review the person’s e-chart in Sandis to read over any legal documents such as custody agreements and conservatorship letters, and to also locate any unsigned IPP amendments.
      1. If the child is under the age of 5, the service coordinator will also need to check the child’s eligibility status in Sandis.
    3. At the annual review, the service coordinator should go over with the individual and planning team the desired outcomes previously identified and discuss progress. The service coordinator will then document the progress of outcomes.
    4. The service coordinator explores areas where the desired outcomes have not been met or where no progress was determined to have been made and take the following steps:
      1. Re-evaluate with the individual. Ask if the desired outcome needs to be changed.
      2. Determine if further assessment is needed.
      3. Determine if existing resources are sufficient.
    5. The service coordinator assists with adapting or amending the person-centered developed IPP to reflect new desired outcomes or modifications of existing desired outcomes and strategies to achieve them.
  4. Managers assist service coordinators in review of IPP’s and annual review documentation, providing supervision and support during planning team meetings.
  5. The service coordinator may obtain a consultation from TCRC clinicians, and/or TCRC specialty positions, regarding assessing if reasonable progress or outcomes are being achieved.

Revision Date: 08/01/2024