In-Home Skill Building provides habilitation and skill building to enable the individual to acquire and maintain skills, which support more independence. In-Home Skill Building augments the family and natural supports of the individual and consists of an array of services that are required to maintain and assist the individual to live in community settings.
In-Home Skill Building consists of:
- Training in interpersonal skills and development and maintenance of personal relationships.
- Skill building to support the individual in increasing community living skills, such as shopping, recreation, personal banking, grocery shopping and other community activities.
- Training with therapeutic exercises, supervision of self-administration of medication and other services essential to healthcare at home, including transferring, ambulation and use of special mobility devices.
- Transportation to support implementation of in-home skill building.
In-Home Skill Building is provided when a primary caregiver is home or when that primary caregiver is regularly scheduled to be absent. In-Home Skill Building is individualized, specific, and consistent with the individual’s assessed disability specific needs and is not provided in excess of those needs. In-Home Skill Building is furnished in a manner not primarily intended for the convenience of the individual, primary caregiver or the provider/employer of record. It is anticipated that the presence of In-Home Skill Building will result in a gradual reduction in hours as the individual is trained to take on additional tasks and masters skills (fading plan). A formal fading plan is not required.
These services are provided in the individual’s private home and not in the home of the direct service employee. In-Home Skill Building Services must start and/or end at the home of the individual. This service is distinctive from personal care by the presence of training. The mixture of In-Home Skill Building and Personal Care Services must be specified in the Individual Support Plan.