Please consider each of the following concerns:
6. We have had multiple clients to which family and DMAS support coordinator agreed on a goal of obtaining employment opportunities for the individual, EMPLOYMENT is even an option to select under “Life Skill Area,” however we also received a denial from one DBHDS stating a goal related to employment is “Not appropriate for this service.” Very conflicting!
7. TC Service Criteria – It is quite limiting (regarding how many families can receive support in our community) that only BCBAs can directly provide the service. We understand that the nature of Therapeutic Consultation Services is for caregiver training, however the client’s name (and not the Caregiver) is listed as the direct client, with goals related to “Life areas” of improvement for client, are interpreted by providers as being able to provide direct support WITH the client instead of only just the caregiver, so a lower-level certification (E.g. a certified RBT) could also be effective in this role with direct support from the BCBA regarding all interventions and recommendations, and allow more clients to access this service.