N.M. Admin. Code § 8.371.5.11 - THE INTERDISCIPLINARY TEAM
A. The interdisciplinary team (IDT) is
responsible for the development of the individual service plan (ISP) and for
identifying the agencies and individuals responsible for providing the services
and supports identified in the ISP.
B. The IDT shall consist of the following
core members:
(1) individual: the individual
shall be actively encouraged to participate in all IDT meetings and the ISP
development process; this participation shall include, but not be limited to,
expressing a personal vision statement for the future, indicating desired
outcomes that help to realize that vision, identifying action plans that will
achieve those outcomes, and personally chairing the IDT meeting, if desired and
when able to do so;
(2) case
manager: the duties of the case manager in relation to the individual with
developmental disabilities and the IDT shall include:
(a) coordinating the development,
modification and implementation of the ISP in consultation with the IDT and the
individual;
(b) monitoring the
integration and coordination of the individual's services;
(c) serving as the IDT chairperson, or
assisting the individual in chairing the IDT meeting if he or she is capable of
doing so and wishes to do so;
(d)
scheduling IDT meetings annually, or more often as needed, to review or modify
the ISP, and encouraging optimum participation by all IDT members;
(e) monitoring supports and services being
delivered as specified in the ISP as determined by the IDT;
(f) reviewing progress on chosen outcomes,
and action plans and through consultation with the IDT, amending the ISP, if
needed;
(g) through timely
consultation with the IDT, modifying unsuccessful service programs and
developing service programs for previously unaddressed but significant
individual needs that may arise prior to the next scheduled ISP
meeting;
(h) advocating on behalf
of the individual by making recommendations and requests on behalf of the
individual;
(i) ensuring objective,
quantifiable data has been systematically recorded, analyzed and used to
determine effectiveness of service provided in order to justify needed changes
in services;
(j) coordinating and
monitoring any follow-up needed as a result of reviews;
(k) serving as liaison between the IDT and
the public school system, the special education division, or any other
community service teams relevant to the individual served; and
(l) assisting the community service providers
in community placement or other services as needed and as specified by the
IDT;
(3) the case
manager ensures that the IDT identified services and supports for the
individual without regard to their current availability; at the conclusion of
the IDT meeting the case manager shall document unavailable services on the
appropriate page of the ISP form, which is provided for this purpose, and
submits this list to the DDSD, regional office;
(4) guardian: the guardian shall convey to
the IDT information about the individual, historical or otherwise, which shall
be useful in the development of the ISP;
(5) helper: the helper is someone who knows
the individual's capabilities, interests, likes, and dislikes and who can
assist the individual in communicating these with the IDT; in turn, the helper
may assist the individual in understanding the ISP development process and the
individual service plan that is developed;
(6) "key" community service provider staff:
"key" community service providers are providers of residential, employment day
program and behavioral services specifically designed for persons with
developmental disabilities; "key" provider staff participating in the IDT shall
include, at a minimum:
(a) direct service
staff: the participation of direct service staff in the development of the
individual service plan is crucial, as they are the persons who work directly
with the individual within their respective domains; at least one provider
staff member from each of the "key" service areas (residential,
day/work-related and behavioral), who is directly involved in the provision of
services to the individual in those areas, must be in attendance at all IDT
meetings;
(b) service coordinator:
the service coordinators of the community provider agencies shall assure that
appropriate staff develop strategies specific to their responsibilities in the
ISP; the service coordinators shall assure the action plans and strategies are
implemented consistent with the provisions of the ISP, and shall report to the
case manager on ISP implementation and the individual's progress on action
plans within their agencies; for persons funded solely by state general funds,
the service coordinator shall assume all the duties of the independent case
manager described within these regulations; if there are two or more "key"
community service provider agencies with two or more service coordinator staff,
the IDT shall designate which service coordinator shall assume the duties of
the case manager; the criteria to guide the IDTs selection are set forth as
follows:
(i) the designated service
coordinator shall have the skills necessary to carry out the duties and
responsibilities of the case manager as defined in these regulations;
(ii) the designated service coordinator shall
have the time and interest to fulfill the functions of the case manager as
defined in these regulations;
(iii)
the designated service coordinator shall be familiar with and understand
community service delivery and supports;
(iv) the designated service coordinator shall
know the individual or be willing to become familiar and develop a relationship
with the individual being served;
(7) ancillary service providers: ancillary
service providers shall participate in the IDT meeting and the ISP development
process through written assessments, evaluations or reports to the IDT, or in
person; the case manager, in consultation with the individual and the IDT,
shall determine the need for personal participation at IDT meetings on the part
of any ancillary service provider;
(8) designated healthcare coordinator: the
team member designated to coordinate medical supports and services which the
individual requires to manage any chronic health conditions and to access
preventative healthcare services;
(9) others: unless the individual objects,
other participants may include family members not already mentioned, if invited
by the individual or the ISP development process on the individual's behalf;
representatives of general services, who may participate in the IDT with the
individual's or guardians' consent; representatives of the public school
system, if the individual is of school age and attends public school; and, any
others that the individual wishes to have attend the IDT meeting.
Notes
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