Personal Care (Agency) or Attendant Care (Consumer Directed) assistance

Direct support with activities of daily living (e.g., bathing, toileting, personal hygiene skills, dressing, transferring, etc.), instrumental activities of daily living (e.g., assistance with housekeeping activities, preparation of meals, etc.), accessing the community, taking medication or other medical needs, and monitoring the individual’s health status and physical condition. These services may be agency-directed or consumer-directed.

Respite (Consumer or Agency Directed)

Services designed to provide temporary, substitute care for that which is normally provided by the family or other unpaid, primary caregiver of an individual. These short-term services may be provided because of the primary caregiver’s absence in an emergency or on-going need for relief. These services may be agency-directed or consumer-directed.

Companion Care (Consumer or Agency Directed)

Provide non-medical care, socialization or support to adults in an individual’s home or at various locations in the community. These services may be agency-directed or consumer-directed. These services are available in a traditional “agency-directed” model as well as a “consumer-directed” delivery model that offers the individual/family the option of hiring workers directly, rather than using agency staff.

Day support

Training, assistance and specialized supervision to enable the individual to acquire, retain or improve his/her self-help, social and adaptive skills. These services typically take place away from the home in which the individual resides and may be located in a “center” or in community locations.

Supported employment

Supports to enable individuals with disabilities to work in settings in which persons without disabilities are typically employed. It may be provided to one person in one job or to several people at a time when those individuals are working together as a team to complete a job.

Prevocational services

Training and assistance to prepare an individual for paid or unpaid employment. These services are not job task-oriented. These are for individuals who need to learn skills fundamental to employment such as accepting supervision, getting along with co-workers, using a time clock, etc.

Assistive technology

Specialized medical equipment, supplies, devices, controls and appliances, which enable the individual to better perform activities of daily living, to perceive, control or communicate with his/her environment, or which are necessary to his/her proper functioning.

Environmental modifications

Physical adaptations to an individual’s home or vehicle needed by the individual to ensure his/her health, welfare and safety or enable him/her to experience greater independence in the home and around the community.

Skilled nursing services

Nursing services ordered by a physician for individuals with serious medical conditions and complex health care needs. This service is available only for individuals for whom these services cannot be accessed through another means. These services may be provided in an individual’s home, community setting, or both.

Therapeutic consultation

Expert training and technical assistance in any of the following specialty areas to enable family members, caregivers, and other service providers to better support the individual. The specialty areas are: Psychology, Behavior, Speech and Language Pathology, Occupational Therapy, Physical Therapy, Therapeutic Recreation and Rehabilitation Engineering.

Crisis stabilization

Direct intervention (and may include one-to-one supervision) to a person with intellectual disability who is experiencing serious psychiatric or behavioral problems which jeopardize his/her current community living situation. The goal is to avoid emergency psychiatric hospitalization or institutional admission or other out-of-home placement, as well as to stabilize the individual and strengthen the current living situation so the individual can be maintained during and beyond the crisis period.

Personal emergency response systems (PERS)

An electronic device that enables the individual who is alone to access a centralized, staffed emergency center in the event of an emergency. Usually in form of a bracelet or necklace.

Money Follows the Person (MFP) Transition Service

Money Follows the Person (“MFP”) Demonstration project is designed to create a system of long-term services and supports that better enable individuals to transition from certain long-term care institutions into the community. This project supports Virginia’s Olmstead initiative and complements the efforts of the recently awarded Systems Transformation Grant that aims to improve the infrastructure for community-based long-term supports.

Please note that when requesting consumer-directed services, you are required to work with a service facilitation agency. ECNV is a service-facilitation agency serving Arlington, Fairfax and Loudoun Counties as well as Cities of Alexandria, Fairfax and Falls Church. ECNV is also a Transition Coordination agency providing transition services to those requesting MFP.