ADVANCE COACHING & TRAINING, Inc.

ILST

Independent Living Skills Training & Development

*Excerpted from NYS DOH TBI Waiver Provider Manual

Independent Living Skills Training and Development Services (ILST)

ILST services may include assessment, training, and supervision of, or assistance to, an individual with issues related to self-care, medication management, task completion, communication skills, interpersonal skills, socialization, sensory/motor skills, mobility, community transportation skills, reduction/elimination of maladaptive behaviors, problem solving skills, money management, pre-vocational skills and skills to maintain a household.

ILST services are individually designed to improve the ability of the participant to live as independently as possible in the community. ILST may be provided in the participant’s home or in the community. This service is provided on an individual basis.

ILST must be provided in the environment and situation that will result in the most positive outcome for the participant. It is expected that this service will be provided in the real world, such as in the participant’s kitchen as opposed to an agency’s kitchen. This requirement addresses the difficulty many participants experience with transferring or generalizing knowledge and skills from one situation to another. However, it is recognized that there is need for some practice of skills before using them in the environment.

ILST services may also assist a participant with “real world” paid or unpaid (volunteer) of Vocational and Educational Services for Individuals with Disabilities (VESID) have been fully explored and it is determined that the participant is not eligible for VESID services or VESID does not provide the needed service.

ILST providers are responsible for training the participant’s informal supports and waiver and non-waiver service providers to provide the type and level of supports that allow the participant to become as independent as possible in ADLs and IADLs. ILST is a time limited service used to assess a participant’s needs, develop a plan and train others to assist the participant. ILST is not intended to be a long-term support. The reasons to provide or continue ILST must be documented in the Service Plan.

It is the responsibility of the ILST provider to conduct a comprehensive functional assessment of the waiver participant, identifying the participant’s strengths and weaknesses in performing Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) related to his/her established goals. The assessment is the basis for developing an ILST plan that describes the milestones and interim steps necessary to attain these goals. The assessment must also include a determination of the participant’s manner of learning new skills and responses to various interventions. This comprehensive and functional assessment must be conducted at least annually from the date of the last assessment.
Provider Qualifications

ILST may be provided by any not-for-profit or proprietary health and human services agency. Self employed individuals meeting the qualifications may also provide this service.

An ILST must be a:

(A)
(1) Registered Occupational Therapist;
(2) Registered Physical Therapist;
(3) Speech-Language Pathologist;
(4) Registered Professional Nurse;
(5) Certified Special Education Teacher;
(6) Certified Rehabilitation Counselor;
(7) Master of Social Work; or
(8) Master of Psychology.

These individuals must have, at a minimum, one (1) year of experience completing functionally based assessments, developing a comprehensive treatment plan and teaching individuals with disabilities to be more functionally independent;

OR

(B) An individual with a Bachelor’s degree and two (2) years of similar experience;

OR

(C) An individual with a High School Diploma and three (3) years of similar experience.

 

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