The Role of the Provider – Managing Crisis

Young woman talking on the phone

The Role of the Provider – Managing Crisis:

  • Call the business hours line or the after-hours line, these numbers may be the same or may be different, ensure you and your staff know these numbers.
  • Provide detailed information to the on-call crisis staff so that they can determine the appropriate response.
  • Providers are encouraged to contact their I/DD crisis team before sending an individual to a Crisis Stabilization Unit (CSU) or psychiatric hospital.

When utilized, crisis services can not only help to address the immediate crisis situation, but also assist providers in developing their knowledge base and resources to provide better quality services to not only the individual in crisis, but all the individuals they support.  

Identifying potential issues and addressing them early, gives more opportunity for implementation and increases the amount of interventions available. 

SCCC SU-4: Hydration

Learning Objectives:
At the end of the course, you will be able to:
·       Recognize the importance of water in the body
·       Briefly describe what dehydration is
·       Recognize the signs of dehydration
·       Describe the impact that dehydration can have
·       Describe ways to prevent dehydration
·       Recognize the extra risks of dehydration from medications and hospitalization
 
Course Significance:
Water is very important for the human body to function. Dehydration happens when a person does not consume enough fluids to replace the water the body uses. It affects a significant number of seniors. This course will help you understand how to recognize dehydration, how to prevent it and how to help someone affected by it.
 
Course Instructors: Kristine Kumpfer, CJ Ruiz, Eliza Mulloy, Madison Roberts

Lesson Example

Handwashing is one of the most important ways to prevent the spread of disease. It is important to use soap and water and wash your hands for at least 30 seconds or the time it takes to sing the ABC’s.

Hands should be washed:

  • Before, during, and after preparing food
  • Before eating food
  • Before and after caring for someone who is sick
  • Before and after treating a cut or wound
  • After using the bathroom, changing diapers, or helping someone in the restroom
  • After blowing your nose, coughing, or sneezing
  • After touching an animal, animal food or treats, animal cages, or animal waste
  • After touching garbage
  • If your hands are visibly dirty or greasy

What You Need To Know About Handwashing

Simon- DAIL Employee

Simon tells you, “I never knew how important handwashing was until I watched this video. It’s gross to see how many germs stay on our skin.”

Watch this video for more information about how and why hands should be washed. The entire video must be watched before being able to move on.

[ld_video]

Think Spot: Handwashing

Black and white drawing of a lightbulb with a pencil outlining the shape.

Copy/paste the think spot text in here

Resources

Handouts

Click the icons below to download a copy of each KYGFIS User Guide to your desktop for future reference. User Guides will also be referenced periodically in the course.

Help Manual and Guides are also under the “Help” tab in the live (not the Sandbox) system.

Sandbox

Throughout this course, you will have the opportunity to practice in the KYGFIS Sandbox. This will allow you to enter, edit, and view the functions of the system.

IMPORTANT!

Each time you practice, double check the URL to ensure you are in fact in the Sandbox and not accessing the live KYGFIS system.

Click the button below to open and bookmark the Sandbox.

Topic 2: Public Perception

Public Perception

Carla with her arms crossed over her body and smiling

Carla: “Council members are expected to act in ways to maintain and build public trust. This means not allowing the perception of unethical behavior in Council business and affairs. Unethical behavior is an action considered to be unacceptable. These actions may be outlined in the Council Code of Conduct.  Perceptions of unethical behavior by Council members can have long-term, permanent negative impacts.

Suppose a Council member is innocent of wrongdoing, but the public believes there was wrongdoing. In this case, the public may not see that Council member or the Council in the same way again. This is because there is a tendency for the public to believe the first thing they learn about a person. As well as the first thing, they may only remember the worst things they heard about them. Corrected or positive information surfacing later does not change impressions already made. A Council member being “cleared” of wrongdoing may not matter. Public trust is difficult to make once it has broken.”

Scenario:

Casey is a Council member working closely with Community Dispute Resolution Centers (CDRC). The Council provides funding for disability awareness training for CDRC’s mediators, conflict coaches, and staff. The Council also helps with public outreach to the DD community. They promote awareness of CDRC’s free or low-cost services. 

For two years, Casey had no official role in CDRC. However, in the past year, she’s assumed a position on CDRC’s Board of Directors. When the grant for CDRC comes up within the Council, there appears to be a conflict of interest. Casey now seems to have a reason to favor CDRC over other grants.  

Casey is aware of how the situation might look. When the funding is being discussed, Casey keeps silent. Another Council member, Ken, tells her, this is not enough. He tells Casey not be in the room for discussions about CDRC Ken recommends she states this to the board and say, ” I should not be in the room for discussions or votes about CDRC funding”.

Ken is making sure the Council upholds integrity. He is being mindful of public perception.  

Carla: “You have reached the end of the course and it is now time to take the final exam. Select “Mark Complete” below to continue to the final quiz.”

Topic 4: Examples of Conflict of Interest

Examples of Conflict of Interest

In the previous topics, we defined conflict of interest. So what might that look like? Below are examples of what a conflict of interest looks like. 

Example 1: Dual Role

Jorge Adams is a Council member in his second term. Jorge is also on the Board of Directors Advisory Committee of a disability organization. The disability organization applies for a grant through the Council. We call this a Dual Role. 

Is Jorge’s dual role a conflict of interest? 

Though Jorge may not receive direct financial benefit from the grant, there may appear to be a conflict of interest. 

Recommendation:  

Jorge should disclose the conflict. This disclosure is noted in the meeting minutes. Jorge will recuse himself from discussions and voting on the topic of grant funding.

Example 2: Council Member Spouse/ Family Member

Josh Sherman, a Council member, has a spouse whose employer receives a Council-funded project. 

Is this a conflict of interest? 

This would constitute a conflict of interest for Josh. When a close family member receives funds from a Council-funded project, that is a conflict of interest. Close family members may be: 

spouse,  

significant other,  

immediate family member 

or other relationships identified in State or Territory guidelines 

Recommendation:  

Josh publicly discloses the conflict. This should be noted in the meeting minutes. Josh will recuse himself from discussions and voting on the topic. In addition, follow your State or Territory Conflict-of-Interest or Ethics laws and Council Conflict-of-Interest policies.

Example 3: Council Member Employer

Ramona Kelley develops a request for proposal outlining the activities of a Council project. The Council will fund the project, and Ramona’s employer will compete for the funding. 

Is this a conflict of interest? 

Ramona’s involvement may constitute a perception of a conflict of interest. There appears to be an unfair advantage to other entities competing for Council funds. 

Recommendation:  

Ramona publicly discloses the conflict. This should be noted in the meeting minutes. Ramona will recuse herself from discussions and voting on the topic. 

See the DD Act (Section 125 (b)(3)(B). 

See the DD Act (Section 125 (b)(3)(B).

Example 4: Council Member Participation

DD Council member Donnie Wood, a self-advocate, wants to participate in a Leadership Training Program. This program is a Council-funded projects.  

Is this a conflict of interest? 

Donnie’s participation in the training program could be perceived as a conflict of interest. This is because Council members’ duties include the following state-plan activities: 

approving,  

funding, and  

monitoring.  

In addition, Donnie is a public official serving on a public body using public money. As such, he should avoid approving and funding projects to help himself. 

Recommendation:

Donnie should not participate in Council-funded projects. Donnie can participate after his term ends.

Carla pointing to the right

Carla: “There may be times when a Council member serves in another role outside of the DD Council. We call this a “dual role.” Dual roles can often present challenges for conflicts of interest. Let’s review what it means to be in a dual role and advice for Council members serving in those roles. Select ‘Mark Complete’ to continue.”

Topic 1: What is a Conflict of Interest?

What is a Conflict of Interest?

A conflict of interest is when a Council member appears to benefit from their role on the Council. The DD Act guides Councils to help members and staff avoid a conflict of interest.

What Does the DD Act Say?

“No member of such Council will cast a vote on any matter that would provide direct financial benefit to the member or otherwise give the appearance of a conflict of interest.”

– Section 124 (c) (5) (d)

Carla: “There are many circumstances in which a conflict of interest may occur. Let’s examine the different types of conflict of interest and what it means for an ‘appearance’ of conflict of interest. Select ‘Mark Complete’ to continue.”

GField 19- Scenario

Dazia, a Guardianship employee.

A worker receives an email from residential agency that they are wanting to take Billy on a vacation to the beach. The worker includes the case manager on the email response and requests a meeting to discuss the specifics of the trip, risks/benefits of vacation, costs, concerns from the IDT (AWOL/Medical risks), whether Billy wants to go, etc.

During the meeting, the residential staff brings up that Billy has had some verbal aggression lately after Billy expresses his strong desire to take the trip. The residential staff state that he is easily irritated and will yell at staff and peers for small things, and they fear he will get to the hotel or the beach and begin these behaviors.

Billy expressed that he is easily irritated because he has been locked down due to COVID for so long, and he just wants a chance to enjoy himself. Billy stated that he feels this will help with his irritability and help him to relax. The rest of the IDT, case manager, behavior specialist, residential coordinator, and guardian all agree that Billy is not typically easily irritated and agree this could help him as he has never had an issue with AWOL and currently has no medical concerns preventing him from taking the trip. The residential agency agreed to take responsibility for Billy as well as sign the Out of State Travel form agreeing to notify Guardianship when leaving the Commonwealth and, upon return, to carry a copy of the current Guardianship Appointment orders to include a copy of his insurance and CHFS Guardianship contact numbers.

The worker reviews the out-of-state travel form to ensure all information is entered and signed, and once approved, the worker will sign and send it on to the GFSOS for final approval. GFSOS will review and address any concerns/questions and send them back to the worker. The worker will then enter a note and attach all documentation in KYGFIS.

GField 2 – Opening a Case

GField 2 – Opening a Case

Illustration of a woman with blonde hair in a bun wearing a read jack and black glasses

When CHFS has been appointed limited guardian, guardian, limited conservator, or conservator for an adult, the Division of Guardianship shall meet specific guidelines and adhere to designated time frames. Following these guidelines and time frames will help to ensure the protection of the individual’s basic human rights and resources. Time frames vary depending on the task, which include inserting documentation into KYGFIS, being assigned as the Guardianship State Social Worker (GSSW), meeting with the individual, and gathering information about the individual.

Pharmacies

Pharmacies

Illustration of Jeffery, the new hire.

Pharmacies will help provide prescription needs for an individual under guardianship. 

  • Walmart
  • Walgreen’s
  • CVS
  • Kroger
  • Meijer
  • Local privately owned pharmacies
  • Mail Order Pharmacies
  • Hospital Pharmacies

Note: if the individual you are working with does not have available resources, major retail pharmacies likely will not bill DAIL. Check with smaller, local pharmacies.