INTENSITYDURATION OF SERVICE Varies depending on diagnosis and plan of care

Intensityduration of service varies depending on

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INTENSITY/DURATION OF SERVICE Varies depending on diagnosis and plan of care. Could range from a couple of hours to days or weeks. TRAINING/CREDENTIALS REQUIRED TO PROVIDE Both respite and crisis respite care services can be provided by trained family members, friends, neighbors, community recreation programs, child/dependent care providers or centers, home health aides, family resource centers, community human service providers and respite/crisis care agencies. Page 71 of 215
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Basic training for respite providers should, at a minimum, cover: Overview of respite for persons with mental disorders First Aid, CPR, and defensive driving (if children will be transported) Overview of psychotropic medications and administration procedures Emergency medical procedures and emergency protocols Behavior management and strategies Non-violent physical crisis intervention (restraint-certification recommended) Planning and providing quality activities Working with families Occupational Safety and Health Administration (OSHA) standards and liability issues Burnout prevention Confidentiality and boundary issues EVIDENCE OF EFFECTIVENESS In a family support survey, 82% of families who use respite and crisis care services responding to the survey identified respite as a critical component of family support. Respite has been shown to improve family functioning and life satisfaction, enhance capacity to cope with stress, and improve attitudes toward the family member with a disability (Cohen and Warren, 1985). COST/COST SAVINGS Respite services are not costly. The original source of federal start-up funds for respite, "The Temporary Child Care for Children with Disabilities and Crisis Nurseries Act" (TCCA), with minimal funding, established hundreds of programs in 47 states and one U.S. territory since 1988. Preliminary data from an ongoing research project of the Oklahoma State University on the effects of respite care, found that the number of hospitalizations and medical care claims decreased as the number of respite care days increased. 78 A study of Vermont’s respite care program for families of children or adolescents with serious emotional disturbance found that participating families experience fewer out-of-home placements than nonusers and were more optimistic about their future ability to care for their children. 79 A University of Delaware Center for Disabilities Studies task force study released Nov., 2003 found that families receiving respite care are less likely to admit a family member to a residential placement at public expense. Respite care also reduces the risk of abuse or neglect of vulnerable children or adults with disabilities. Without respite care, families and caregivers suffer from extreme stress and may develop their own health issues.” See also information for similar benefit in evidence packet “Family Psychoeducation.” RESOURCES/FOR ADDITIONAL INFO 78 FY 1998 Oklahoma Maternal and Child Health Block Grant Annual Report 79 Bruns, Eric, November, 15, 1999 Page 72 of 215
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  • Fall '19
  • mental health, Children’s Mental Health, Children’s Mental Health Partnership

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