IHSS: Getting Protective Supervision for Your Autistic Child

Written by:
Julie Walters, M.A. Special Education
Updated:
12/3/23 1:20 pm
Written by:
Julie Walters, M.A. Special Education
Updated:
12/3/23 1:20 pm

IHSS Autism Support: Navigating Protective Supervision for Your Child

Are you a parent of a child with autism looking for support to ensure their safety and well-being at home? In-Home Supportive Services (IHSS) Protective Supervision might be the answer you’ve been searching for. This blog post will guide you through the eligibility criteria, application process, and strategies to maximize IHSS hours tailored to the unique needs of your autistic child.

Key Takeaways

  • IHSS provides financial and care support for families of children with autism.
  • Eligibility criteria must be met, including assessments to identify risks.
  • Financial benefits are available to IHSS recipients with autism, and understanding the process is key.

Understanding IHSS and Autism

The In-Home Supportive Services (IHSS) program is an invaluable resource for families of children with disabilities like autism, Down syndrome, epilepsy, or cerebral palsy. IHSS Protective Supervision offers financial support to help these families avoid situations where they might be denied protective supervision. With services ranging from personal care to paramedical services and protective supervision, the IHSS program caters to both severely impaired and non-severely impaired recipients alike.

The California Department of Social Services oversees the IHSS program and allocates monthly hours to eligible families for services like personal care, paramedical services, and protective supervision. There are four distinct IHSS programs, each concentrating on particular aspects of care to meet the diverse needs of recipients. For families with autistic children, IHSS Protective Supervision plays a pivotal role in ensuring their child’s safety and well-being.

Eligibility Criteria for Autistic Individuals

A concerned parent observing their child with autism engaging in potentially dangerous behavior

Determining eligibility for IHSS protective supervision for children with autism involves a thorough assessment of their needs and behaviors. The process of assessing non self directing behavior and identifying risky patterns that may threaten your child’s safety will be addressed in this part.

Assessing Non Self Directing Behavior

To determine if a child with autism needs protective supervision, their mental functioning must be assessed individually, ensuring that the supervision provided is tailored to their specific needs. The SOC 821 form plays a vital role in confirming eligibility for protective supervision. It requires specific examples of the applicant’s risky behaviors and issues with memory, orientation, and judgment.

During a home visit, the social worker should ask questions related to the applicant’s safety and well-being, including any potentially dangerous behaviors. Parents should pay close attention to their child’s Individualized Education Program (IEP) to identify behavior goals, safety concerns, and instances where the child needs more support than a neurotypical child of the same age. Other evaluations and reports may also be useful in assessing non self directing behavior.

Recognizing Potentially Dangerous Behaviors

Identifying potentially risky behaviors in autistic children is key to ascertain their need for special protective care. Examples of potentially dangerous activity or behaviors include:

  • Aggression
  • Self-injurious behavior
  • Severe tantrums
  • Violent outbursts
  • Meltdowns due to impulse control issues or accessing ritualistic behaviors

Managing and addressing non self directing behaviors is essential for the safety and well-being of the child.

Parents, family members and caregivers should be mindful of signs such as:

  • Aggressive behavior
  • Self-injurious behavior
  • Tantrums and outbursts
  • Attempts to escape or elope
  • Violent behavior towards others

Seeking professional help and support is crucial in managing mental illness and its potentially dangerous activities, especially in the event of a serious medical condition or emergency.

Applying for IHSS with an Autism Diagnosis

A supportive IHSS social worker discussing services with a family of a child with autism

Applying for IHSS services for your autistic child might seem overwhelming. However, with a clear understanding of the application process and the necessary documentation, you can increase the chances of approval.

This part will cover the steps to compile medical documentation and collaborate with regional centers for a successful IHSS application.

Gathering Medical Documentation

Compiling pertinent medical records and reports is necessary to support your IHSS application. To begin, you’ll need:

  • An ‘Assessment of Need for Protective Supervision for In-Home’
  • Any doctor or medical reports related to your child’s condition
  • Copies of any paramedical forms from your IHSS worker

Remember to provide any relevant regional center documents, like an Individual Program Plan (IPP) or Individualized Family Service Plan (IFSP), when applying for IHSS protective supervision. Highlight any behavior and safety concerns in these documents to strengthen your application.

Working with Regional Centers

Regional centers have a significant role in the IHSS application process for children with autism, as they diagnose, assess eligibility, and plan, access, coordinate, and monitor the required services and supports. To apply for protective supervision, you’ll need to submit an IPP, Client Development Evaluation Report (CDER), and IEP.

Communication is key when collaborating with regional centers. Documenting every contact with IHSS is important. Note the following for each call, email, or in-person contact:

  • Date
  • Time
  • Person you spoke with
  • Brief summary of the discussion

If you notice your child’s dangerous behavior isn’t being reported, call a meeting and have it added to your child’s school or regional center reports.

The Role of Protective Supervision in Autism Care

Protective supervision in IHSS focuses on maintaining safety by providing continuous oversight. For children with autism, it can provide 24/7 supervision and monitoring of potentially dangerous behaviors, ensuring their safety at home. IHSS protective supervision can also help reduce stress and anxiety levels for both the child and their caregivers, enabling them to live a better quality of life.

To be eligible for IHSS protective supervision, a child must meet certain protective supervision eligibility criteria. They must be non-self-directing, confused, mentally impaired, or mentally ill, and unable to assess danger and risk of harm due to their mental condition. The protective supervision hours granted per month varies depending on the recipient’s impairment level. Severely impaired recipients can receive up to 283 hours while non-severely impaired recipients are capped at 195 hours.

Tailoring IHSS Services to Autistic Needs

IHSS services, including non medical personal services, can be customized to meet the unique needs of children with autism. The Personal Care Services Program (PCSP) is one of the four IHSS programs that focuses on personal care tasks like:

  • bathing
  • dressing
  • toileting
  • feeding

By understanding autism and the individual needs of each child, IHSS providers can deliver effective support.

IHSS can also offer related services, such as:

  • meal preparation
  • meal clean-up
  • planning of menus
  • restaurant meal allowance

to accommodate the needs of a child with autism. There are also financial aid and benefits available to parents of children with autism that can help support their needs, ensuring that your child receives the best care possible.

Appealing IHSS Decisions for Autism Cases

If your child is denied protective supervision, don’t lose hope. You can seek legal help at any point in the process, from assessment to appeal to court review. To submit an appeal for a deny protective supervision decision, you need to do so within 90 days of the Notice of Action. In some cases, it may be possible to grant protective supervision after a successful appeal.

Request a hearing within 10 days from the Notice of Action, if you are receiving protective supervision hours and the notice ends your eligibility. It is important to take action before the Notice of Action takes effect. This is called “aid paid pending”. It ensures that you will continue to receive protective supervision and the same amount of IHSS hours until a decision is made on the appeal.

Maximizing IHSS Hours for Children with Autism

Making sure your autistic child receives the full number of IHSS protective supervision hours they’re entitled to is important for their well-being. To achieve this, you can follow these steps:

  1. Gather documentation to support the need for additional hours.
  2. Assess your child’s needs and document them.
  3. Communicate your child’s needs to the IHSS program.
  4. Keep track of all hours worked and any additional care provided.
  5. Advocate for more hours based on your child’s condition and care requirements.

By following these steps, you can ensure that your child receives the appropriate amount of IHSS hours they need.

Severe mental impairment, poor judgment, confusion, memory problems, and wandering or safety concerns could potentially increase the number of IHSS hours for an autistic child. By staying proactive and engaged in the process, you can ensure that your child receives the support they need.

Collaborating with IHSS Social Workers and Advocates

Close collaboration with IHSS social workers and advocates is key to guarantee the best care for your autistic child. These professionals play a vital role in providing advocacy services, protective supervision, and support to access resources. To collaborate effectively with IHSS social workers, make sure the in-home assessment takes place in a typical setting, be open about your child’s needs, attend meetings and appointments, and advocate for your child’s needs.

IHSS advocates can help with tasks like:

  • Housecleaning
  • Meal prep
  • Laundry
  • Grocery shopping
  • Personal care

for families with autistic children. Their goal is to make sure these families can stay at home safely. Establishing and maintaining open and respectful communication with IHSS advocates ensures that your child receives the best possible care.

Creating a Safe Home Environment

Keeping a safe and supportive environment for children with autism receiving IHSS services is of paramount importance. Parents of children with autism are usually very aware of the potetential hazards of non self-directing behavior, including:

  • Wandering
  • Fixation on certain items
  • Difficulty communicating
  • Sensory sensitivities
  • Household dangers

Creating a safe home environment for autistic children includes:

  • Organizing and keeping things in their appropriate places
  • Creating a predictable atmosphere
  • Learning safety tips and products designed for autistic children
  • Child-proofing your home
  • Being aware of wandering triggers
  • Working on communication and behavior strategies
  • Setting clear expectations

Taking these precautions will ensure that your child can remain safely in your home while receiving the care they need.

Financial Considerations for IHSS Recipients with Autism

Parents of children with autism receiving IHSS services should be familiar with the various financial benefits and assistance at their disposal. Supplemental Security Income (SSI) is a special type of social security benefit for children with autism, and IHSS can provide financial support through disability benefits and advocacy services.

Take note that receiving IHSS payments doesn’t impact other types of financial assistance or benefits for families with autistic children. IHSS payments are considered exempt income under SSI rules and won’t affect a child’s SSI benefits. By staying informed and proactive, you can ensure your family takes advantage of all the financial benefits and assistance available to support your child’s needs.

Summary

Navigating the world of IHSS protective supervision for your autistic child can seem overwhelming, but with the right guidance and support, you can secure the best possible care for your child. By understanding the eligibility criteria, application process, and strategies for maximizing IHSS hours, you can create a safe and supportive environment that allows your child to thrive. Remember, you are your child’s best advocate.

Frequently Asked Questions

What is the maximum hours for IHSS?

IHSS allows up to 195 hours per month of protective supervision for autism, depending on the severity of the impairment and the person's IHSS program.

Can I get paid to stay home with my autistic child in California?

You may be eligible to receive benefits like In-Home Supportive Services (IHSS) in California which can help pay for the expenses related to your child's autism, so yes, you can get paid to stay home with your autistic child.

What are the duties of an autism caregiver?

Autism caregivers provide assistance with toileting, dressing, feeding, therapy, transportation to appointments and other household responsibilities such as cleaning, cooking, finances, and errands.

What is protective supervision in IHSS?

Protective Supervision is an IHSS service to protect people who have a mental illness or impairment that impairs their judgement, memory, and orientation from potential injury by providing 24-hour observation?

Written by:
Julie Walters, M.A. Special Education
Updated:
12/3/23 1:20 pm