The DDS Definitions Appendix defines the terms and acronyms relevant to the Developmental Disabilities Administration (DDA) service delivery system.
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Qualified Developmental Disabilities Professional (QDDP)
Refers to an individual who monitors, integrates, and coordinates, and is responsible for the development of an individual's ISP in an ICF/MR setting. The QDDP must have at least one year of experience working directly with individuals with intellectual disabilities or other developmental disabilities and is either a doctor of medicine or osteopathy or a registered nurse, or an individual who holds at least a bachelor's degree in a professional category specified in 42 C.F.R. § 483.430(b)(5). Professional program staff must be licensed, certified, or registered, as applicable, to provide professional services by the jurisdiction in which he or she practices. See also the definition for "Qualified Mental Retardation Professional" in DC Official Code § 7-1301.03(21).
Qualified Mental Retardation Professional (QMRP)
Refers to an individual who monitors, integrates, and coordinates, and is responsible for the development of an individual's ISP in an ICF/MR setting. The QMRP must have at least one year of experience working directly with individuals with intellectual disabilities or other developmental disabilities and is either a doctor of medicine or osteopathy or a registered nurse, or an individual who holds at least a bachelor's degree in a professional category specified in 42 C.F.R. § 483.430(b)(5). Professional program staff must be licensed, certified, or registered, as applicable, to provide professional services by the jurisdiction in which he or she practices. See also the definition for "Qualified Mental Retardation Professional" in DC Official Code § 7-1301.03(21).
Quality Management Division (QMD)
The Committee, established by DDA, composed of DDA and stakeholder representatives, designated to conduct reviews of all deaths of individuals served by DDA. The MRC evaluates the actions of service providers, DDA Service Coordination and other DDS units involved in the care of the individuals whose deaths are reviewed, to identify areas of concern and to recommend specific improvements based on those evaluations. These recommendations, both specific to the individual entities engaged in a particular individual’s care, as well as systemic in nature, are aimed to improve the level and quality of services provided to individuals through the DDA service system and ultimately to ensure a better quality of care system-wide.The DDA unit tasked with promoting quality services and supports to individuals served by DDA. The QMD is responsible for managing the MRC.
Quality Outcomes
Refer to the eight quality of life areas listed below. Within each of these eight areas, the goals and any supports or strategies identified in the ISP/FAP must be consistent with and promote the following outcomes for individuals.
Quality Trust for Individuals with Disabilities, Inc. (Quality Trust)
An independent, nonprofit advocacy organization created to advance the individual and collective interests of people with developmental disabilities in the District of Columbia. The activities of Quality Trust include monitoring the adequacy of services available, including ensuring health, safety and welfare issues are addressed, providing lay advocacy services and ensuring access to legal representation.
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Reasonable Accommodations
Modifications or provision of services and equipment necessary to enable an individual with a disability to enjoy equal opportunities.
Record
Another name for case file.
Re-evaluation of Eligibility
The determination by the Deputy Director of DDS that an applicant’s case should be reviewed as a result of clinical opinions, new information or any other rational basis.
Reportable Injury
That is of an unknown origin are investigated by the provider. The provider will submit an investigation report with IMIU oversight.
Representative
A person chosen by the individual in order to assist them in communicating their issues and representing their interests. This could be a self-advocate, family member, friend, significant other, guardian or attorney.
Representative Payee
A representative payee is a person or organization officially appointed by the Social Security Administration (SSA) or other agency to receive and administer cash payments on behalf of beneficiary of that program. A representative payee is appointed if the SSA determines that the beneficiary is not able to manage or direct the use of benefit payments on his or her behalf. (See SSI deaf, 20 CFR 416F.)
Resident
A person who maintains his or her principal place of abode in the District of Columbia, including a person with an intellectual disability who would be a resident of the District of Columbia if the person had not been placed in an out-of-state facility by the District. A person with an intellectual disability who is under 21 years of age shall be deemed to be a resident of the District of Columbia if the custodial parent of the person with an intellectual disability is a resident of the District of Columbia.
Residential Programs
A. consists of residential habilitation (group homes), supported living (supervised apartments/homes), host homes, respite, and in-home support services in natural homes.
Residential Supports
Routine provision of services or assistance at home and in the community in accordance with the Individual Support Plans (ISP), that are designed to foster rights and dignity, individual control, community membership, relationships, personal growth and accomplishments, and personal well being (health, safety, and economic security). Residential supports can be provided in the consumer's home or a home maintained by a residential provider. Examples of residential support include but are not limited to, overnight staff or staff that check in with the consumer at a specified time, or a 24-hour call line available to a consumer to assist with issues that may arise after business hours. Residential supports may be provided on a 24-hour basis or for less than twenty-four (24) hours.
Resource Reduction
The process of disposing of any excess resources (i.e., the market value of those resources above the prescribed limit), of an applicant or consumer, which exceeds the limit set by the Federal and State Governments, in order to be eligible to receive or maintain certain benefits. Resources are items of economic value including financial instruments, personal property and real estate.
Restraint
Any mechanical devices, physical, or chemical intervention used to restrain or impede an individual’s mobility or limit free access to the environment and/or control acute, episodic behavior.
Restrictive BSP
A BSP that makes use of restrictive controls (i.e., any device or procedure that restricts, limits or otherwise negatively impacts a person’s freedom of movement; control over his/ her own body, access to tangibles/ intangibles normally available to individuals in this society; or privacy).
Restrictive Control
Any device and/or procedure that:
- Restricts limits or directs a person's freedom of movement (e.g., mechanical restraint, manual restraint, one-to-one staffing, or time out procedures).
- Restricts access to personal property or removes something the person owns or has earned.
- Is prescribed medication to stabilize, alter and/or change behavior or mood; and/or May compromise the human or civil rights of an individual.
Restrictive Control Review Committee (RCRC)
A subcommittee to the HRAC, which advises the DDS Deputy Director for the Developmental Disabilities Administration and DDS Director via the HRAC of the status of allegations of unauthorized use of restrictive controls, reviews all uses of restrictive controls for DDS individuals as well as the procedures developed for use of restrictive controls, and ensures that people providing services adhere to the DDS Behavior Support and Restrictive Controls policy.
Restrictive Control Review Committee (RCRC)
A subcommittee of the Human Rights Advisory Committee responsible for reviewing plans for people that include restrictive controls to ensure people’s rights are protected and the behavior support plan contains the required technical elements.
Rights and Dignity
The individual's rights are respected; the individual is supported in the responsible exercise of those rights, and other supports are in place to assist, as necessary, in protecting the individual's human and civil rights; the individual's dignity is recognized and affirmed in the individual's home and community and in the manner in which supports are provided.