DSP Programs 2 — Questions and Answers
Question 1: What is the primary purpose of a Day Habilitation program for individuals with intellectual disabilities?
- To provide vocational training leading directly to employment
- To offer structured activities that develop and maintain daily living skills (Correct answer)
- To deliver medical rehabilitation services in a clinical setting
- To supervise individuals while their families are at work
Correct answer: To offer structured activities that develop and maintain daily living skills
Day Habilitation programs focus on structured activities that help individuals develop, maintain, or improve daily living, social, and adaptive skills.
Question 2: Which funding source most commonly pays for Medicaid Home and Community-Based Services (HCBS) waiver programs?
- Federal and state governments jointly (Correct answer)
- The individual's private insurance only
- Nonprofit organizations exclusively
- County government alone
Correct answer: Federal and state governments jointly
HCBS waiver programs are jointly funded by federal and state governments through Medicaid matching funds.
Question 3: A Supported Living program is best described as services that help individuals:
- Live in group homes with 24-hour staffing
- Live in their own homes or apartments with flexible support (Correct answer)
- Reside in nursing facilities with specialized care
- Stay temporarily in respite care settings
Correct answer: Live in their own homes or apartments with flexible support
Supported Living programs provide flexible, individualized support to help people live in their own homes or apartments rather than in congregate settings.
Question 4: What distinguishes an Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID) from a group home?
- ICF/IIDs are community-based and unregulated
- ICF/IIDs are licensed Medicaid facilities with active treatment requirements (Correct answer)
- ICF/IIDs only serve individuals with physical disabilities
- ICF/IIDs do not receive any government funding
Correct answer: ICF/IIDs are licensed Medicaid facilities with active treatment requirements
ICF/IIDs are federally regulated Medicaid facilities required to provide active treatment to improve residents' functional abilities.
Question 5: In a Supported Employment program, what role does a job coach typically play?
- Completing the job tasks on behalf of the individual when difficult
- Providing on-site training and fading support as the individual gains competence (Correct answer)
- Negotiating salary and benefits for the individual
- Selecting the job without input from the individual
Correct answer: Providing on-site training and fading support as the individual gains competence
A job coach provides on-site training and gradually reduces support as the individual becomes more independent in their role.
Question 6: Which concept ensures that individuals in HCBS programs receive services in the most integrated setting appropriate to their needs?
- Least Restrictive Environment principle
- Community Integration mandate under the ADA and Olmstead decision (Correct answer)
- Normalization theory
- Inclusion Index standards
Correct answer: Community Integration mandate under the ADA and Olmstead decision
The ADA and the Supreme Court's Olmstead decision require that states provide services in the most integrated community setting appropriate to the individual's needs.
Question 7: A Person-Centered Plan (PCP) in a DSP program context is primarily driven by:
- The DSP's professional assessment of what is best
- The funding agency's available service slots
- The individual's own goals, preferences, and strengths (Correct answer)
- The family's wishes without input from the individual
Correct answer: The individual's own goals, preferences, and strengths
Person-Centered Plans are designed around the individual's own goals, dreams, preferences, and strengths rather than system or family priorities.
DSP Programs 2
What is the primary purpose of a Day Habilitation program for individuals with intellectual disabilities?