DVR Intranet                                     [HOME][FEEDBACK][CONTACT US]

Revised 5/2001

Programs

Referral

The Carl D. Perkins Comprehensive Rehabilitation Center (CDPCRC) is a residential facility located in Thelma, Kentucky offering multiple programs for individuals with disabilities to assist them in achieving positive employment outcomes. The mission of the CDPCRC is "to provide services that achieve suitable employment and independence." See the CDPCRC Catalog or the Department’s website at http://kydvr.state.ky.us/programs_services/cdpcrc.htm for more information.

The Rehabilitation Act of 1973 as amended: Sections 20, 102(c), and 112(a)

Federal Regulation: CFR 361.36

State Legislation: KRS 13B.170, KRS 151B.185(2), KRS 151B.195(1)

State Administrative Regulation – 781 KAR1:050 and 781 KAR 1:010

For the purpose of this manual, use of the terms must or shall reflect requirements of Federal law or regulation or state law or administrative regulation and must be adhered to strictly.

 

Comprehensive Vocational Assessment

Assessment includes testing and activities that help individuals learn more about themselves and their strengths and weaknesses as related to employment. Information may assist individuals in making important decisions about future vocational plans.

Work Adjustment

Work Adjustment may be recommended based on identification of problems that can be barriers to succeed in employment. Services in this program include: Community Living, Craft Factory, General Educational Development (GED) classes, Work Activities, Developmental Reading & Math, Health Maintenance, Self Concepts/Socialization, Driver’s Permit Tutoring, and Computer Basics.

Occupational Skill Training

CDPCRC offers vocational training in the areas of Custodial Services, Building Maintenance, Food Service, Graphic Arts, Nurse Assistant, Small Engine Repair, Cosmetology, Nail Technology, Auto Lube/Detailing, and Child Care. Other available services during training include Job Survival Skills, Driver’s Education, and General Education Diploma classes.

Physical Restoration

Physical Restoration includes physical therapy, occupational therapy, speech therapy, and aids to daily living for individuals with physical disabilities to assist them in preparing for future training, employment, and/or homemaking.

Brain Injury Program

CDPCRC offers a post-acute program that prepares individuals for reentry into the community by supporting achievement of goals for self-care, psychological adjustment, behavior management, leisure skill development, improved cognitive abilities, and job skills.

Outpatient Medical Rehabilitation

Rehabilitative services are also available to consumers on an outpatient basis. The Outpatient Program is designed to assist persons requiring post-acute rehabilitative services to achieve self-sufficiency and community integration through medical assessment and treatment services such as physical therapy, occupational therapy, and speech therapy. The consumer also has access to a wide range of support services that include psychological counseling, academic remediation, therapeutic recreation, as well as services to meet individual needs through comprehensive assessment.

In addition to the above programs, CDPCRC also offers the following support services:

Submit the following information to the Admissions Office at the CDPCRC:

1. An application for CDPCRC Services (DVR-35) which should include:

1. The CDPCRC Referral Checklist (DVR-35A)

The referral checklist should accompany the DVR-35 at the time of referral. The checklist is a tool that allows referring counselors to provide consumer information, including services requested, in a fast and efficient manner.

2. The case record
3. Diagnostic information

Complete diagnostic information should be present in all cases. If the individual’s disability is stable and not likely to change, as in the case of individuals with congenital deafness with no secondary disabilities, diagnostic information purchased or obtained during application for rehabilitation services may be acceptable.

Case records for individuals with conditions or disabilities subject to rapid change or rapid progression from chronic to acute status should contain current, detailed assessment of the individual’s functioning level. For example, an individual with a diagnosis of schizophrenia or multiple sclerosis may need a current assessment of functioning level.

Individuals referred to CDPCRC with a diagnosis of traumatic brain injury may be admitted if post-acute and functioning is at a Rancho Los Amigos Cognitive Level VII (Automatic-Appropriate) and/or Level VIII (Purposeful-Appropriate). Level VI (Confused-appropriate) will also be considered but will be closely screened for behavior disturbances. Additional medical information; such as admission and discharge hospital summaries, therapy notes, and updated neuropsychologicals, are needed in order to schedule appropriate assessments and to determine post-rehab remediation.

4. Appropriate case documentation

Counselors may transfer a case in applicant, active or post-employment status to the CDPCRC by sending the case directly to the Admissions Counselor. The Field Counselor will process the transfer.

If a consumer is referred for a specific program, the referring counselor is responsible for writing the appropriate Individual Plan for Employment (IPE) or Amendment which should be submitted at the time of referral and include the following services:

1. Type of program (i.e. work adjustment, training, physical restoration, etc.)
2. Recommended minor medical services
3. Dorm room and cafeteria meals
4. Uniform and supplies if needed.

Consumer transportation. The individual and/or family should provide transportation to and from CDPCRC. Department vans are available for individuals who cannot arrange for transportation. Contact CDPCRC well in advance to schedule van transportation.

Medication. Individuals who reside at CDPCRC should bring a two-week supply of medication.

The referring counselor should secure recommended diagnostic exams that would effect evaluation or training (e.g., eye exams and glasses) before the individual enters the CDPCRC.

Consumers who require adaptive/assistive equipment should bring such equipment with them to the CDPCRC.

Individuals admitted to CDPCRC should meet one of the following conditions:

Department applicants for whom an assessment is needed to support a decision on eligibility/ineligibility or to develop an appropriate Individualized Plan for Employment.

OR

Department consumers who require the type of services provided by CDPCRC to benefit from an employment outcome.

OR

Other individuals served through private pay, Medicare, or fee-for-services arrangements. Consumers of another agency that has agreed to reimburse for the cost of services provided, and consumers served as part of a Memorandum of Agreement between the CDPCRC and another agency, are also eligible for admittance.

No applicants or consumers will be admitted to any CDPCRC program if there is evidence that a medical or behavioral condition represents a direct threat to the health or safety of self or others. The determination of whether such a condition exists will be made in writing by a CDPCRC professional skilled in the area in question based upon documentation submitted at referral and any other information the professional gathers to make the determination.

When the CDPCRC Admissions Counselor has requested an opinion from a CDPCRC professional, the decision of that professional will determine whether the consumer will be admitted to CDPCRC. No decision will stand for more than a single referral. If the consumer is referred at a later date, a new opinion will be obtained.

Persons should not be referred for services at the CDPCRC as a condition of probation or parole. Counselors should provide the CDPCRC appropriate documentation (correspondence, case notes, etc.) that describes the status of the person being referred subsequent to the individual’s release from custody.

It is best practice that a referred individual resides in a home or community living arrangement for at least four months prior to starting any CDPCRC program. During that time, an individual should demonstrate that he or she is not a risk to the health or safety of self or others.

When a decision is made to accept a consumer for admission, the consumer will be notified by letter regarding the admission date. A copy of the notification will be sent to the referral source.

When a decision is made not to admit a DVR consumer to CDPCRC the referring field counselor will be notified in writing of the decision and provided justification for that decision. The consumer will be notified of the decision and informed of the availability of the Client Assistance Program, appeal rights and mediation services (781 KAR1:010).

The individual may remain at the CDPCRC for services after the completion of the Comprehensive Vocational Assessment if:

1. CDPCRC services are appropriate for the individual;

AND

2. There is an open slot in the program recommended for the individual;

AND

3. There is bed space available if the individual is to be a resident;

AND

4. The referring counselor and CDPCRC Facility Rehabilitation Counselor concur on CDPCRC services to be included in the IPE. (In this instance, the CDPCRC Facility Rehabilitation Counselor would then write the IPE.)

Consumers who are dissatisfied with admissions decisions may pursue the appeals process or initiate mediation procedures.

Discharge Policy.

A consumer shall be involuntarily discharged from CDPCRC if: the individual fails to make progress in the program of services and efforts to resolve the problem have been unsuccessful; the individual is no longer qualified for the program and no other needed program is available; or, the individual's behavioral condition deteriorates to the point of direct threat to the safety of others. If necessary to prevent harm to a person or property, or to prevent serious disruption of a CDPCRC program, the individual shall be discharged from CDPCRC without prior notice. The applicant or eligible individual may appeal the discharge decision pursuant to 781 KAR 1:010.