CDS Community Integration & Independent Living 1 — Questions and Answers
Question 1: Which federal law mandates that individuals with disabilities have the right to receive services in the most integrated setting appropriate to their needs?
- Americans with Disabilities Act (ADA)
- Olmstead v. L.C. Supreme Court Decision (Correct answer)
- Individuals with Disabilities Education Act (IDEA)
- Section 504 of the Rehabilitation Act
Correct answer: Olmstead v. L.C. Supreme Court Decision
The Olmstead v. L.C. (1999) Supreme Court decision established that unjustified institutionalization of people with disabilities constitutes discrimination, requiring states to provide community-based services.
Question 2: A Certified Disability Specialist is helping a client transition from a nursing facility to community living. Which of the following is the FIRST step in the transition planning process?
- Arranging transportation services
- Identifying the client's goals and preferences (Correct answer)
- Securing housing in the community
- Coordinating with Medicaid for funding
Correct answer: Identifying the client's goals and preferences
Person-centered planning begins with identifying the individual's goals, preferences, and strengths before arranging services or supports.
Question 3: Which Independent Living philosophy principle emphasizes that people with disabilities are the best experts on their own needs?
- Normalization
- Consumer control and self-determination (Correct answer)
- Social model of disability
- Medical model of rehabilitation
Correct answer: Consumer control and self-determination
Consumer control and self-determination is a foundational IL philosophy principle holding that individuals with disabilities are the experts on their own needs and should direct their own services.
Question 4: An Independent Living Center (ILC) is BEST described as which of the following?
- A residential facility providing 24-hour care
- A nonprofit, consumer-controlled organization providing IL services (Correct answer)
- A state agency administering vocational rehabilitation
- A medical facility offering outpatient rehabilitation
Correct answer: A nonprofit, consumer-controlled organization providing IL services
ILCs are nonprofit, consumer-controlled community organizations governed and staffed primarily by people with disabilities that provide IL core services.
Question 5: Which of the following is considered one of the five core services that Independent Living Centers are required to provide?
- Physical therapy and occupational therapy
- Peer counseling and peer support (Correct answer)
- Medical diagnosis and treatment
- Job placement and wage negotiation
Correct answer: Peer counseling and peer support
Peer counseling/peer support is one of the five federally mandated core services for ILCs, along with IL skills training, information and referral, individual and systems advocacy, and transition services.
Question 6: When completing a community integration assessment, which domain should a CDS specialist prioritize when evaluating a client's functional abilities?
- Medical history and diagnostic codes
- The client's daily living skills within their natural environment (Correct answer)
- Income level and insurance coverage
- Family caregiver availability and willingness
Correct answer: The client's daily living skills within their natural environment
Functional abilities must be assessed within the individual's natural environment to accurately gauge real-world independence and identify relevant supports needed.
Question 7: A CDS specialist is developing a support plan for a client with a significant physical disability who wants to live independently. Which type of service allows the client to hire, train, and direct their own personal care attendants?
- Skilled nursing facility placement
- Consumer-directed personal assistance services (CDPAS) (Correct answer)
- Adult day health program enrollment
- Supervised residential program
Correct answer: Consumer-directed personal assistance services (CDPAS)
Consumer-directed personal assistance services (CDPAS) empower individuals to self-direct their care by hiring, training, scheduling, and supervising their own personal assistants.
CDS Community Integration & Independent Living 1
Which federal law mandates that individuals with disabilities have the right to receive services in the most integrated setting appropriate to their needs?