Community-Based Services Provision Flowchart Page 2

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Community-based Services shall be provided by public entities when…
1.)
Community-based services are appropriate, based on a reasonable,
3.)
The affected persons do not oppose community-based treatment after
objective assessment by a public entity’s treating professional who is
public entities have taken the following affirmative steps to provide
knowledgeable about the range of supports and services available in the
informed decision-making:
community, including:
Provide information about the benefits of integrated settings;
Identification of the individual’s needs; and
Facilitate visits or other experiences in integrated settings;
Supports and services necessary for them to succeed in an
Offer opportunities to meet with other individuals with disabilities who
integrated setting; and/or
are
living working and receiving services in integrated settings; and
Public entities also must make reasonable efforts to identify and
2.)
People with disabilities present their own independent evidence of the
address any concerns or objections raised by the individual or another
appropriateness of an integrated setting, including:
relevant decision-maker; and
For example, individuals with similar needs are living, working
and receiving services in integrated settings with appropriate supports;
4.)
Community-based services can be reasonably accommodated, taking
Evidence may come from the individual’s treatment provider,
into account the resources available to the public entity and the needs of
from a community-based organization that provides services to people
others who are receiving disability services from the public entity.
with disabilities outside of an institutional setting, or from any other
source; and
Integrated settings are those that…
Examples of Integrated and Segregated Settings
Integrated Settings
Segregated Settings
Provide individuals with disabilities opportunities to live,
Evidenced-based practices that provide
Congregate settings
work, and receive services in the greater community, like
scattered-site housing with supportive
characterized by regimentation in
individuals without disabilities;
services
daily activities, lack of privacy or
autonomy, policies limiting
Are located in mainstream society;
A person receives ongoing employment
visitors, or limits on individuals’
support services necessary to maintain
ability to engage freely in
Offer access to community activities and opportunities at
his/her ticket-taker job at the local movie
community activities and to
times, frequencies and with persons of an individual’s
theatre.
manage their own activities of
choosing;
daily living
Congregate settings populated
Afford individuals choice in their daily life activities; and
exclusively or primarily with
individuals with disabilities
Provide individuals with disabilities the opportunity to
interact with non-disabled persons to the fullest extent possible.
Settings that provide for daytime
activities primarily with other
individuals with disabilities
Prepared by A. Kavitz, 10/15/14
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