Intensive Individual Support Services (IISS)

• Intensive individual support services: Are intensive, one-on-one interventions with the participant provided by a direct care worker or Technician.
• May be received by the participant on a long-term basis.
• Are authorized in the participant’s Autism Waiver plan of care if the participant’s behavior without this intervention would require a more restrictive residential or treatment setting.
• May be provided in the participant’s home or another setting except a residential or youth camp facility.
• May be provided by more than one direct care worker necessitating ongoing coordination between the direct care workers.
• Are goal-oriented and task-oriented, with interventions developed on an individualized basis based on the participant’s individualized treatment plan.
• Use the home and community environment as a learning experience and opportunity to illustrate and model alternative ways for the participant to behave.
• Assist the participant in achieving successful home and community living through structured support, reinforcement, modeling, and behavior management, as evidenced in written progress notes.
• IISS provide transportation when necessary.
• Have individualized goals for transportation for the participant on the participant’s plan and document the start and stop times transportation is provided for each day that a participant is transported.

IISS Are intended to:

• Prevent or defuse crises
• Promote developmental and social skills growth
• Provide the participant with behavior management skills
• Give the participant a sense of security and safety
• Assist the participant with maintaining self-sufficiency and impulse control
• Improve the participant’s positive self-expression and interpersonal communication
• Improve the participant’s ability to function and cooperate in the home and community
• Reverse negative behaviors and attitudes and
• Foster stabilization

IISS also Include:

• One-on-one support, assistance, oversight, and intervention
• Time-structuring activities
• Immediate behavioral reinforcements
• Time-out strategies; and
• Crisis intervention techniques