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I began working as a Qualified Mental Retardation Professional/Qualified Mental Health Professional (QMR/HP) in October of 1991. At Trinity Services, Inc (in Frankfort, IL), I carried a caseload of eight in-home individuals (that is, individuals living in the home of their parents/guardians) and thirty-two Illinois state facility residents, ranging in age from eighteen to seventy years old. In addition, I was a member of the Interdisciplinary Teams for those individuals living in Trinity-run Community Integrated Living Arrangements (CILA), Community Supported Living Arrangements (CSLA), and Intermediate Care Facilities/Mental Retardation (ICF/MR) that received services at the Frankfort location.

In all, I was wholly or partly responsible for approximately forty individuals plus CILA/CSLA/ICF/MR. These individuals covered the full range of ability (mild, moderate, severe, and profound). Perhaps one third of the individuals I served were additionally diagnosed with a chronic mental illness--generally, some type of schizophrenia. Furthermore, many of our individuals had a medical or behavioral need: many were non-verbal; some were deaf; others had cerebral palsy; several had autism; overall, our population was a blend of abilities and challenges too numerous to detail in so concise a paper. Treatment modalities at Trinity tended toward behaviorism. Usually, if a resident needed psychotherapy, we utilized the services of a consultant. To teach individuals new skills and maintain old ones, we generally designed each program for the specific individual along the lines of chaining. On rare occasions, we used the backwards-chaining model. To deal with challenging behaviors, we designed behavior treatment programs (BTP). Because of my educational background, I wrote my own BTP's; in addition, I wrote BTP's for other QMRP's and sat on the Behavioral Committee, a committee responsible for overseeing BTP's agency-wide. A number of the individuals Trinity worked for received behavior-modifying medications, but we always strove to teach them alternate coping skills that would allow these medications to be reduced or eliminated.

To ensure that the programs so carefully designed were actually working, I reviewed each individual's data each month. This consisted of reviewing behavioral and program data recorded during the course of the month, interviewing staff working directly with the individuals, and utilizing my own observations from my daily rounds. This information would be integrated into a monthly progress note. Furthermore, if, in the course of my rounds, I noted that a particular area was not working, active treatment was not occurring, data was not being collected, or so forth, I could call a special team meeting, alter the program, coach the responsible person, or utilize other methods of correction as the situation might warrant. Lastly, each individual received a complete IDT annual review. At this time, with the input from the individual being paramount in determining the team's direction, we developed the Individual Habilitation Plan.

I left Trinity Services in March of 1993. In May 1993, I began working as a Residential Services Supervisor at Bethesda Lutheran Homes and Services in Watertown, WI. Here, my duties on the IDT are somewhat lessened--I am no longer responsible for running the whole IDT show, so to speak, but I am far more directly involved in working with the residents, maintaining the integrity of data collection, ensuring that active treatment is taking place, and providing for the resident's well-being. In addition, I have far more supervisory responsibility and some administrative duties; things I did not have at Trinity. Generally speaking, however, my duties and methods are largely similar. My current caseload fluctuates around thirty-two behaviorally-challenged, severe and profoundly retarded residents with a variety of diagnoses, both adult and children.

I have had the pleasure of working on a variety of interdisciplinary teams (IDT) in my working life. As a certified nursing assistant, I worked with a team consisting of the resident, myself, nurses, doctors, family members, social service personnel (such as activity director and case aides), physical and occupational therapists, dieticians, and, for some residents, speech and language pathologists. My primary role on this team was to provide information; the team sought to provide either the best custodial care possible or the most complete recovery treatment for the residents. I worked with this team for three years.

Currently, I am a member of a team at Bethesda Lutheran Homes and Services. Like all Bethesda teams, ours is quite extensive, consisting of the resident, the resident's family and/or guardian, a variety of medical doctors, nurses, speech and language pathologists, dentists, social workers, myself (Residential Services Supervisor), residential aides, program service personnel (vocational and educational training), physical and occupational therapists, recreation therapists, psychologists, psychiatrists, psychology specialists, chaplaincy representatives and chaplains, pharmacists, and dieticians. Some residents who have special needs may have additional members on their teams. Here, I am responsible for the creation, implementation, and monitoring of goals and objectives specific to the department, assisting other disciplines to work on their specific areas, assessing the resident's skills and abilities, writing appropriate reports regarding the resident's progress, and providing input regarding the resident's future direction and needs. Our goal, after all, is to provide the resident with the ability to grow and move on to the least restrictive living environment possible. I have been a part of this team since May 1993.

Previously, from October 1991 until March 1993, I was the Qualified Mental Retardation/Health Professional responsible for directing a team composed as the Bethesda team. Like the Bethesda team, our goal was to provide the most growth possible in the least restrictive environment. On this team I performed duties like those of the Bethesda team. However, as QMR/HP, I was also responsible for the leadership and oversight of the entire team, making referrals as needed, advocating for the resident, ensuring that communication flowed between all team members (particularly the family members), assessing individuals from other agencies for acceptance into Trinity and assisting them to assimilate into our program, writing behavioral treatment programs, monitoring data from all sources, preparing written reviews of the teams' data regarding the resident's progress, writing the final Individual Habilitation Plan, and, when necessary, coaching team members not providing adequate data and treatment. While at Trinity, I was also a part of the Behavior Committee. This team consisted of QMRP's, administrators, the psychologist, the pharmacist, and nurses. This team was primarily responsible for approving--in conjunction with the Human Rights Committee--and reviewing behavior treatment programs. This was likely the most egalitarian team I have ever worked with; we all shared responsibility equally for most things. The only exception occurred when, in 1992, we were reviewed for accreditation by the Accreditation Council for Developmental Disabilities. At that time, because of my educational background, I was asked to review and expand the Trinity behavioral manual. I served quite happily on this committee for the duration of my employment at Trinity.

As a Qualified Mental Retardation/Health Professional, I have been responsible, in part or whole, for a caseload of approximately forty people. The individuals I work with cross the full spectrum of abilities--mild, moderate, severe, and profound retardation and, in some instances, chronically mentally ill individuals-- and ages, from child to adult. I have worked in this field since October of 1991, in two different agencies. While there are some differences in the two positions, both require similar oversight.

To provide proper monitoring, I do several things. First, I make rounds of the facility each day, assessing each resident's current state, looking for appropriate dress, proper hygiene, state of health and physical well-being (sadly, among my community-based caseloads, there were instances of individuals being physically or sexually abused or neglected--these individuals were eventually removed from their homes and placed in CILA's), and monitoring their programming as it occurs. Once a week, on a random day, I look through the data being kept in the classrooms/work shops/living arrangements (as appropriate) to both ensure that records are being kept and to get a thumbnail sketch of the resident's progress. Once a month, I gather and compile the data into a monthly progress report. This report contains a summation of the individual's data that month, notes on any problems encountered, and statements of intent regarding how those problems may be solved. This information comes from all disciplines involved on the interdisciplinary team (IDT). On a quarterly basis, this information is reviewed by the entire IDT, where input is solicited and recommendations made regarding the individual's needs. Yearly, the entire team meets to discuss the next year's direction--the Annual, as we call it. At this meeting, each discipline presents a written summary of the individual's progress over the last year, results of any assessments, and recommendations for future goals.

From this, I create the Individual Habilitation Plan (IHP), the overall summation of where we have been, where we are going, and how we want to get there. Different agencies have different methods of constructing these plans; the agency I currently work for includes each disciplines' entire report in the IHP, and the QMRP is responsible only for writing a short overview, a discharge plan, a statement of the goals, and reviewing the individuals strengths and needs. In fact, once this is done upon admission, the QMRP need only update these yearly, re-writing portions only when there are major changes. However, at the agency I previously worked for, repetition of any material from the prior annual review was severely frowned upon; everything had to be re-written every year. Furthermore, the IHP did not include reports from other disciplines; therefore, the QMRP had to write a summary of that information as well. It was quite a task! But it was worth the effort. It is no small task to balance an IHP; to be certain that the resident's goals meet his/her needs; to ascertain that assessments accurately reflect the resident's skills; to ensure that the goals are in accordance with both the assessments and the discharge plan and appropriately prioritized. Still, whenever an individual makes progress and moves on, everything is worth all the time and care.

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