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What is a developmental disability?
A developmental disability is a significant mental or physical impairment that occurs before the age of 22 that is likely to be a life long condition, requiring individually planned supports and services.
Who qualifies for services?
Eligibility for service varies depending on the age of the individual and the applicable State Department standards. An individual’s limitations are determined by using the Ohio Eligibility Determination Instrument, OEDI, for adults and the Children’s Ohio Eligibility Determination Instrument, or COEDI, for those under the age of 21.
To be eligible for County Board services, substantial limitations must be found in at least three of the following areas: Self Care, Receptive Expressive Language, Mobility, and Capacity for Independent Living, Self-Direction, Learning, and Economic Self-Sufficiency.
How many individuals are served by the Butler County Board of MRDD?
The Butler County Board of Mental Retardation and Developmental Disabilities provides services and supports to more than 2,000 individuals with mental retardation and/or developmental disabilities and their families who reside in Butler County.
What is the difference between Mental Retardation and Mental Health?
Mental Retardation refers to sub-average intellectual functioning and refers to impairment in social adaptation. National incidence: 3 percent of the general population. Ohio incidence: 1.4 – 1.9 percent of the general population of Ohio is estimated to have a severe functional limitation due to mental retardation or other developmental disabilities. Mental retardation is present at birth or usually occurs during the period of development, before the age of 22. In mental retardation, some degree of intellectual impairment can be expected to be permanent. A person with mental retardation can be expected to behave rationally at his/her functioning level. People with mental retardation can also experience different types of mental illness with symptoms such as hallucinations, or severe depression, secondary to the condition of mental retardation.
Mental illness has nothing to do with intelligence. Mental illness is just that; an illness. It can be controlled with appropriate treatment and/or medication. Many people recover completely from mental illness. A person with mental illness may be very competent socially, but may have a character disorder or other aberration. National incidence: 16-20 percent of the population. Ohio incidence: while approximately 17.5 percent of the adult population in Ohio could benefit from receiving mental health services, only about 1.3 percent are considered to be severely disabled as the result of mental illness. Mental illness may occur at any age, is often temporary, and in many instances the condition is reversible. A person with mental illness may fluctuate between normal and irrational behavior. The term mental illness covers a wide variety of symptoms that may indicate that someone is in emotional trouble, including: belligerence, excessive moodiness, suspicion and mistrust, or poor emotional control.
What Is Abuse?
Abuse is classified in three ways: physical, sexual and deprivation of real or personal property.
- Physical abuse is one person causing physical harm to another.
- Sexual abuse is unwanted touching, non-consensual sexual acts.
- Verbal abuse is using words or gestures to threaten, coerce, intimidate, harass or humiliate another individual
- Mental abuse is harassing, humiliating and invoking fear to another individual.
- Violation of Rights is any incident where basic rights are ignored.
- Exploitation is using another individual's money or belongings for personal benefit, profit or gain.
What Is Neglect?
Neglect is failing to provide treatment, care, goods, supervision, or services necessary to maintain health and safety.
Note: If the victim of abuse or neglect is a child (under age 22), call Butler County Children Services at 513-868-0888 or 513-422-8059. Then call the Butler County Board of MRDD Incident and Review Office at 513-867-5930.
What Is An MUI?
A Major Unusual Incident (MUI) is any of the following:
- Death
- Attempted Suicide
- Abuse
- Neglect
- Any act involving an individual with mental retardation or a pattern of activities that requires the involvement of Law Enforcement, resulting in an arrest, incarceration or charges of the individual.
- Relocation of an individual or inability to provide services for a 24 hour period.
- A life threatening reaction resulting from medication or failure to take medication or to follow prescribed dietary and medical treatment plans, or a pattern of medication errors.
- An injury or illness that results in unanticipated acute hospitalization or treatment in a similar facility.
- Any violation of rights pursuant to Ohio Revised Code Section 5123.62 effecting health and safety.
What Is A Waiver?
The Home and Community Based Waiver Programs are based on the framework of Support Living. The benefit of Waiver Programs for the state and local governments is that it draws down additional federal dollars for use in serving individuals.
The waiver program is a program that provides funding for residential services to people who choose to live in the community and receive services rather than live in an institutional setting such as an intermediate care facility for the mentally retarded and developmentally disabled.
The waiver program is funded from Federal, State and Local monies. This program is important for states because with waivers the federal government will pay for approximately 60% of the cost of the service, rather than the state or local county governments being responsible for 100% of the cost of services.
The Ohio Department of Job and Family Services in conjunction with the Ohio Department of Mental Retardation and Developmental Disabilities request a certain number of "waiver slots" for the entire State of Ohio. Waivers are then allocated to County Boards by the Ohio Department of Mental Retardation and Developmental Disabilities, based on the population of the county and that counties' ability to provide the "matching" 40% of the cost of services. Hence, there are only a certain number of waivers in the state that may be used for individuals who have a developmental disability.
People on a waiver can get the same kind of service as Supported Living (ie: 24 hour staffing per day, a few hours per week, help to handle their money, grocery shopping, doctors appointments, medications, cooking, transportation, equipment, home renovations, etc.) The county board is authorized to determine what level of support a person needs through their Medicaid waiver; however, individuals and their families are an active participant in developing their plans and services.
A person may live with their family or live in their own home. They could begin receiving services in their family home and move to a community home at a later time, and their waiver funding will follow them. With a waiver the person can move out of a county and funding will follow them, but they cannot move out of state if they want to keep funding through the waiver. People use their own benefits (social security and/or wages) to pay for their room and board or living expenses. The waiver pays the cost of the staffing and services only.
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