Respite Care
Service Standard
Respite Care Service Standard print version
Subcategories | Service Units |
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Day Care – Infected Child (under 13) | Per hour |
Day Care – Infected Adult | Per hour |
Respite Care Sporadic relief of the caregiver of any aged, infected client. | Per hour |
Health Resources and Services Administration (HRSA) Description:
Respite Care is the provision of periodic respite care in community or home-based settings that includes non-medical assistance designed to provide care for a HRSA Ryan White HIV/AIDS Program (RWHAP)-eligible client to relieve the primary caregiver responsible for the day-to-day care of an adult or minor living with HIV.
Program Guidance:
Recreational and social activities are allowable program activities as part of a respite care service provided in a licensed or certified provider setting including drop-in centers within HIV Outpatient/Ambulatory Health Services or satellite facilities.
Limitations:
Funds may not be used for off-premise social/recreational activities or to pay for a client’s gym membership.
Funds may not be used for informal respite care. Direct cash payments to clients are not permitted.
Services:
Services funded under this category are designed to relieve primary caregiver(s) responsible for providing day-to-day care. A caregiver is defined as someone who cares for a person living with HIV.
Universal Standards:
Service providers for Respite Care must follow HRSA/DSHS Universal Standards 1-46 and 185-188.
Service Standards and Measures:
The following standards and measures are guides to improving health outcomes for people living HIV throughout the State of Texas within the Ryan White Part B and State Services Program.
Standard | Measure |
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Initial Brief Assessment: Agency staff will initiate an intake within 5 business days of the referral, which should include:
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Plan of Care: In collaboration with the client and client’s family, a plan of care will be developed within 10 business days of the initial brief assessment. The plan of care should be signed and dated by the client and/or the client’s legal guardian. A copy of the plan must be offered to the client and this must be documented in the client’s record. The plan of care should include:
Documentation that the plan of care is being followed should be present in the record and include, at a minimum, a sign-in sheet documenting attendance in a facility or documentation of a professional support provider’s attendance in the home. The plan of care should be reviewed at least every 6 months to see if progress is being met toward the objective of the respite care, with documentation present in the client’s primary record. |
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Referrals: If the needs of the client are beyond the scope of the services provided by the agency, a referral to another level of care should be made. Documentation of the referral and the outcome of the referral should be present in the client’s primary record. |
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Discharge: The agency and client will collaborate on a discharge plan once objectives have been met. The reason for discharge should be included in the plan, and may include:
Note: Staff should not inactivate clients in Take Charge Texas (TCT) at the time of discharge, unless the case is being closed due to a deceased client. |
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References
Division of Metropolitan HIV/AIDS Programs, HIV/AIDS Bureau (HAB). Ryan White HIV/AIDS Program (RWHAP) National Monitoring Standards for RWHAP Part A Recipients. Health Resources and Services Administration, June 2022.
Division of State HIV/AIDS Programs, HIV/AIDS Bureau (HAB). Ryan White HIV/AIDS Program (RWHAP) National Monitoring Standards for RWHAP Part B Recipients. Health Resources and Services Administration, June 2022.
Ryan White HIV/AIDS Program. Policy Notice 16-02: Eligible Individuals & Allowable Uses of Funds. Health Resources & Services Administration, October 2018.