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Disadvantaged Population: TBI Service


Waiver Coordination Service
Waiver Coordination Service is the fundamental of the HSS/TBI program. Through this service, the Waiver participant will identify those HSS/TBI services that match their current individual needs, and make decisions regarding who will provide those needed services and supports. Once these decisions have been made, an individualized service plan is developed and implemented for the individual. Taking an active role in this plan, GVIEN-Inc is dedicated to assuring adequate coordination, appropriate communication, and maximum cooperation between all sources of support and service.


Home Support Services
Home and Community Support Services (HSS) are individually designed support services essential for the Waiver participant’s health and welfare. These services include supervision, training and assistance with activities of daily living, such as personal hygiene, dressing, meal preparation, household tasks, transportation, shopping, as well as socialization, and are provided as part of an overall plan of support for the individual.

Independent Living Training
Independent Living Training (ILT) is an individually designed service, aimed at improving the ability of Waiver participant to live as independently as possible in the community. Through our ILT services, GVIEN-Inc provides assessment, training and monitoring of major life skill areas including, self-care, medication management, interpersonal skills, sensory/motor skills, community transportation skills, reduction/elimination of maladaptive behaviors, money management, and household maintenance.

Behavioral Support and Treatment Services
Behavioral Support and Treatment Services (BSTS) are specialized individual interventions designed to decrease the Waiver participant’s severe maladaptive behaviors which, if not modified, will interfere with the individual’s ability to remain integrated in the community. BSTS consists of a comprehensive assessment of maladaptive behavior(s), development of a structured behavioral intervention plan focusing on socially appropriate behaviors and the elimination of maladaptive behaviors, implementation of the plan, on-going training and supervision of the individual and other’s who may be instrumental to the plan, and the periodic reassessment of the plan.



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Community Support and Integration Services
Community Support and Integration Services (CSIS) is an individualized service designed to assist the Waiver participant to more effectively manage and overcome the difficulties and stresses confronted by an individual with brain injury living the community. It is available to the Waiver participant, their family, or to any other person who may have significant, on-going interaction with the individual (when it is for the direct benefit of the individual).

Disclaimer: This is a brief overview which cannot possibly set forth everything about the ADA and which, for purposes of brevity or as part of an effort to state legal concepts simply and in plain English, may describe the law in a manner which is not necessarily precise and/or accurate in every respect.

Signed into law on July 26 1990, the Americans with Disabilities Act is a wide-ranging legislation intended to make American Society more accessible to people with disabilities.

It is divided into five titles:

1. Employment (Title I) Business must provide reasonable accommodations to protect the rights of individuals with disabilities in all aspects of employment. Possible changes may include restructuring jobs, altering the layout of workstations, or modifying equipment. Employment aspects may include the application process, hiring, wages, benefits, and all other aspects of employment. Medical examinations are highly regulated.
2. Public Services (Title II) Public services, which include state and local government instrumentalities, the National Railroad Passenger Corporation, and other commuter authorities, cannot deny services to people with disabilities participation in programs or activities which are available to people without disabilities. In addition, public transportation systems, such as public transit buses, must be accessible to individuals with disabilities.
3. Public Accommodations (Title III) All new construction and modifications must be accessible to individuals with disabilities. For existing facilities, barriers to services must be removed if readily achievable. Public accommodations include facilities such as restaurants, hotels, grocery stores, retail stores, etc., as well as privately owned transportation systems.
4. Telecommunications (Title IV) Telecommunications companies offering telephone service to the general public must have telephone relay service to individuals who use telecommunication devices for the deaf (TTYs) or similar devices.
5. Miscellaneous (Title V) Includes a provision prohibiting either (a) coercing or threatening or (b) retaliating against the disabled or those attempting to aid people with disabilities in asserting their rights under the ADA.


The ADA's protection applies primarily, but not exclusively, to "disabled" individuals. An individual is "disabled" if he or she meets at least any one of the following tests:

1. He or she has a physical or mental impairment that substantially limits one or more of his/her major life activities;
2. He or she has a record of such an impairment
3. He or she is regarded as having such impairment.

Other individuals who are protected in certain circumstances include 1) those, such as parents, who have an association with an individual known to have a disability, and 2) those who are coerced or subjected to retaliation for assisting people with disabilities in asserting their rights under the ADA.

While the employment provisions of the ADA apply to employers of fifteen employees or more, its public accommodations provisions apply to all sizes of business, regardless of number of employees. State and local governments are covered regardless of size.
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