DSP Programs 3 — Questions and Answers
Question 1: What does 'active treatment' mean in the context of ICF/IID programs?
- Providing medical treatment for acute illness only
- Delivering consistent, aggressive programming to help residents reach their maximum potential (Correct answer)
- Keeping residents occupied with recreational activities
- Administering medications on a scheduled basis
Correct answer: Delivering consistent, aggressive programming to help residents reach their maximum potential
Active treatment requires consistent implementation of individualized programs designed to help residents achieve their maximum functional potential.
Question 2: Which type of residential program serves the LARGEST number of individuals in a single location?
- Supported Living apartment
- Host home or shared living arrangement
- Intermediate Care Facility (ICF/IID) (Correct answer)
- Crisis respite home
Correct answer: Intermediate Care Facility (ICF/IID)
ICF/IIDs can serve larger numbers of residents (sometimes 4–16 or more), whereas supported living and host homes typically serve 1–4 individuals.
Question 3: Respite care programs primarily benefit which group?
- DSPs seeking additional training hours
- Family caregivers who need temporary relief from caregiving duties (Correct answer)
- Individuals who need long-term residential placement
- State agencies that need to reduce institutional populations
Correct answer: Family caregivers who need temporary relief from caregiving duties
Respite care gives family caregivers a temporary break, helping prevent burnout and allowing families to continue providing care long-term.
Question 4: What is the main goal of an Employment First policy in DSP programs?
- To ensure DSPs are hired before other staff
- To prioritize competitive integrated employment as the first option for individuals with disabilities (Correct answer)
- To require all program participants to find jobs within 30 days
- To replace day habilitation programs entirely
Correct answer: To prioritize competitive integrated employment as the first option for individuals with disabilities
Employment First policies establish competitive integrated employment as the preferred outcome over sheltered work or day programs for people with disabilities.
Question 5: In a Self-Directed Services program, who controls how the individual's support budget is spent?
- The DSP agency
- The state Medicaid office alone
- The individual and/or their representative (Correct answer)
- The case manager without individual input
Correct answer: The individual and/or their representative
Self-Directed Services give the individual (and/or their chosen representative) authority to manage their own support budget and hire their own workers.
Question 6: Which document outlines the specific services, frequency, and goals authorized for an individual in a Medicaid waiver program?
- The ISP or Individual Support Plan (Correct answer)
- The program intake form
- The state Medicaid manual
- The DSP performance review
Correct answer: The ISP or Individual Support Plan
The Individual Support Plan (ISP) documents all authorized services, goals, and support strategies tailored to the individual.
Question 7: A transition program for young adults with disabilities is most focused on preparing individuals for:
- Return to secondary school
- Independent or supported adult living, employment, and community participation (Correct answer)
- Inpatient behavioral health treatment
- Guardianship proceedings
Correct answer: Independent or supported adult living, employment, and community participation
Transition programs help young adults move from school-based services to adult life, including employment, independent living, and community involvement.
What does 'active treatment' mean in the context of ICF/IID programs?