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Developmental Disabilities Services

The focus of the Developmental Disabilities Services Division is to assist individuals and their families in choosing and accessing quality and cost-efficient services and supports that best meet their needs and requests. The mission is accomplished by offering an extensive array of services and supports either provided by the Center or through a network of private and public agencies and organizations in the Austin-Travis County area.

This page contains information on: Eligibility; Definitions; Intake; In-Home Family Support Services; Attendant Network; Support Services; Dialogue Groups; Medicaid Waiver Program; Respite; Supported Employment; Service Coordination; and the Citizens' Planning Advisory Committee.

Click here to view the Developmental Disabilities Provider List and Provider Directory.

Who is eligible to receive Developmental Disabilities services? The Developmental Disabilities Services of the Austin Travis County MHMR Center are, basically, for people:

  • With a diagnosis of Mental Retardation; or
  • With a diagnosis of a Pervasive Developmental Disorder, including Autistic Disorder and Asperger’s Disorder; or
  • Provided referral or enrollment in certain Medicaid programs based on the presence of a related condition.

What is mental retardation? A diagnosis of mental retardation requires that all three of the following criteria be present:

  • Intellectual functioning lower than the majority of the general population (below an IQ of approximately 70);
  • Limitations in adaptive behavior, or the ability to function independently in activities of daily living, as compared to other individuals of the same age and cultural background; and
  • Onset prior to 18 years of age.

What is Autism or Pervasive Developmental Disorder? Pervasive Developmental Disorders, including Autism, Asperger’s Disorder, and Rett’s Disorder, usually begin prior to age 10 and are characterized by severe impairment in the developmental areas of:

  • Reciprocal social interaction skills
  • Communication skills, and
  • The presence of stereotyped behaviors, interests, and activities.

What is a Related Condition? A Related Condition is a severe and chronic disability that:

  • Is attributable to cerebral palsy, epilepsy, or any other condition, other than mental illness, that is closely related to mental retardation because the condition results in impairment in intellectual and adaptive behavior functioning similar to that of person with mental retardation;
  • Is manifested before the age of 22;
  • Is likely to continue indefinitely; and
  • Results in substantial functional limitation in three or more areas of major life activity to include self-care, understanding and using language, learning, mobility, self-direction, and capacity for independent living.

Intake
An intake appointment serves as the entry point to Developmental Disabilities Services, with the exception of Early Childhood Intervention (ECI) and certain support services.

Intake appointments are made through the Center’s Single Point of Entry (SPOE). Intake interviews are conducted at locations convenient to the individual and family. Psychologists provide a Determination of Mental Retardation (DMR) for persons seeking services in accordance with state law and rules of the Texas Department of Mental Health and Mental Retardation.

Results of this assessment may lead to referral to other community resources and/or access to the Center’s network of providers.

In-Home Family Support Services
In-Home and Family Support Program assists children and adults with disabilities and/or their families in purchasing services and items that are beyond the scope of usual needs (i.e. basic clothing, food, shelter, general medical care, and education). Services/items funded vary based on individual needs and alternative resources available.

Eligibility Criterion:
1. Children and adults with mental retardation, autism, pervasive developmental disorder, and developmental delay (birth to age 4).
2. The assistance meets disability-related needs that directly support the person to live in his/her natural home.

Attendant Network
The Attendant Network is a three year grant awarded to ATCMHMR by the Texas Council for Developmental Disabilities. The Attendant Network website is a free registry that will help connect personal attendants with people needing attendant services. The unique focus of the Center's grant is identifying and supporting resources for people with disabilities who want to become Personal Care Attendants. The grant has two major goals: to create a training curriculum to administer quality training for Personal Care Attendants; and bridge the gap in the shortage of quality attendants who are employed. Click to see other agencies participating in this project.

Support Services
Services are provided to assist individuals (who are not receiving Residential Services) in participating in age appropriate community activities and services.

Supported Home Living: Support services provided to an individual in the individual's home or community.

Specialized Therapies: Support services provided by licensed or certified professionals.

Family Support Services: Support services provided to the family of an individual to help preserve the family unit and prevent or limit out-of-home placement of that individual.

Dialogue Groups
Dialogue groups are made up of persons interested in particular aspects of Center services. The groups are intended to be self-governing with administrative assistance provided by Center staff. The purpose of these groups is to provide an avenue, in a venue different from the Citizen Planning Advisory Committees, for individuals to become part of and help direct the Center and to establish an ongoing dialogue among consumers, families and Center staff. Concerns, issues, and recommendations of the groups are provided to Center administration via the administrative support provided by Center staff.

The Developmental Disabilities Dialogue Group is currently on hold.
Please call (512) 483-5861 for more info or click here to send an email.

Medicaid Waiver Program
The Mental Retardation Local Authority Program (MRLA) is funded by Medicaid. This program offers services to individuals with mental retardation or a related condition so that they may live successfully in the community and with their families. Support is disability related. Only services that are adequately justified are authorized.

Each individual’s services are based on what they may need in order to achieve life goals they individually, with the help of a planning team, identify. Medicaid is payor of last resort; other community and generic resources must be used first before accessing waiver services. In MRLA, the Service Coordination function operates independently from the provider of services.

Eligibility requirements:

  • Be a resident of Travis County
  • Have a diagnosis of Mental Retardation or a related condition.
  • Be eligible for Medicaid (if currently receiving SSI, has Medicaid)
  • An individual in MRLA must continue to meet all eligibility requirements to receive services.

    Waiting list:
    There is currently an extensive waiting list of several years due to limited funding to meet the growing demand for services.

Respite
Respite support is available to families and caretakers of individuals determined to be eligible for Developmental Disabilities services. The amount of respite support provided is individualized and based on each individual/family situation.

Respite support is accessed through Service Coordination and must be justified prior to resources being authorized and expended. Individuals have the option of utilizing respite providers from the Center’s network of providers or finding a provider of their own.

Supported Employment
Supported Employment Services assist people who want to work in their community. These services are available in both the Center’s Adult Mental Health and Developmental Disabilities Networks.

Individual supports are built on consumer participation in person directed planning. Specific supports might include: employment planning; job development; job matching; job coaching (both in and outside of the workplace); assistance with job accommodations; ongoing support to maintain a job; development of natural supports; skill building for resume writing, interviewing, networking, effective communication, problem-solving and self-advocacy.

Service Coordination
Individualized coordination for consumers is provided through an assigned Service Coordinator. Service Coordinators assist individuals in gaining access to medical, social, educational and other appropriate services that will help them achieve quality of life and a level of community participation acceptable to each individual.

Service Coordinators support and assist individuals in achieving personal goals through screening and assessment, service planning and coordination, resource authorization, advocacy, monitoring and crisis intervention, as necessary. Services are comprehensive and individualized, and are provided at a frequency and intensity necessary to maintain successful community living.

Citizens' Planning Advisory Committee
The Citizens' Planning Advisory Committee serves as a resource to the Board of Trustees and to ATCMHMR staff. Citizens' Planning Advisory Committee members make recommendations to the Board on the local service delivery system in the following areas: planning; needs and priorities for the service area and the Center; budget; contract issues; and implementation of plans and contracts.

The primary functions of the Citizens' Planning Advisory Committees are the following:

  • Participate in local planning and the development of the Center’s Strategic Plan.
  • Identify needs and priorities for the service area and the Center.
  • Make recommendations regarding budget priorities.
  • Make recommendations regarding implementation of the Center’s Strategic Plan and contracts.
  • Review programs and contracts on an ongoing basis and make recommendations to the Board of Trustees regarding performance and quality improvement issues.

The Citizens' Planning Advisory Committee meets on the 2nd Thursday of each month from noon-2pm in Training Room 1 of 1700 South Lamar Blvd. For additional information please click the link to send an email or call (512) 445-7739.

 

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