Home Care Services

 

Personal Care Services

 

What it is:

Hands-on support with Activities of Daily Living (ADLs) and some Instrumental Activities of Daily Living (IADLs) to help individuals live safely and independently at home.

 

Examples of what it looks like:

 

• Assistance with bathing, grooming, dressing

• Help with toileting and incontinence care

• Feeding (including meal prep and support with eating)

• Mobility assistance (e.g., walking, transferring from bed to chair)

• Medication reminders (not administration unless delegated by a nurse)

• Light housekeeping related to personal care (e.g., cleaning up after bathing)

• Monitoring health and safety in the home environment

 

Attendant Care Services

 

What it is:

A more flexible and comprehensive support service, often provided under a Consumer Directed Option (CDO) where the individual (or their guardian) selects and manages the caregiver.

Examples of what it looks like:

• Help with ADLs (same as personal care services)

• Support with IADLs such as:

  • Grocery shopping

  • Cooking

  • Cleaning the home

  • Laundry

  • Transportation to appointments or community outings

• Companionship and social engagement

• Assistance managing daily schedules or appointments

• Help with communication devices or technology

 

Community-Based Services

 

What it is:

Services that support the individual’s participation in the community, build life skills, and reduce isolation. These services are tailored to help individuals thrive outside of institutional settings.

 

Examples of what it looks like:

 

• Community Living Supports (CLS):

  • Going to the library, church, or a community event with support

  • Practicing social skills in public settings

  • Learning to use public transportation

  • Attending recreational activities (sports, art classes, etc.)

  • Managing money during shopping outings

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Group Home Services

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What it is:

Group home services provide 24/7 supervised residential care for individuals with intellectual or developmental disabilities (IDD) in a shared living environment. The goal is to support individuals in living as independently as possible in a community-based setting rather than in institutions.

 

Who it’s for:

People who need more support than can be provided at home, but don’t require the level of care found in a nursing facility or hospital.

 

What It Looks Like in Practice:

Living Environment

• Typically houses 2 to 8 individuals

• Each resident may have their own bedroom, or they may share with one other person

• Shared kitchen, living room, bathrooms, and common areas

• Located in regular residential neighborhoods

Staff Support

• 24-hour supervision and care by Direct Support Professionals (DSPs)

• Assistance with:

  • Personal care (bathing, grooming, toileting)

  • Medication management (administered or monitored)

  • Meal preparation and feeding

  • Housekeeping and laundry

  • Safety monitoring

• Support with daily routines, behavior plans, and life skills development

 

Health and Behavioral Supports

• Coordination with:

  • Nurses and medical professionals

  • Behavioral therapists

  • Case managers

• Emergency care plans and health monitoring in place

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Community Integration

Transportation to and from:

• • Jobs or supported employment programs

  • Day training or adult day services

  • Social and recreational activities

• Encouragement to build relationships and community connections

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Person-Centered Planning

Each resident has an Individualized Service Plan (ISP) developed with input from the person, their family, guardians, and service team

• Goals may include:

  • Increasing independence

  • Enhancing communication

  • Improving life skills (cooking, budgeting, hygiene)

  • Engaging in hobbies or social activities