• DSHS HIV/STD Program

    Post Office Box 149347, MC 1873
    Austin, Texas 78714

    Phone: (512) 533-3000

    E-mail the HIV/STD Program

    E-mail data requests to HIV/STD Program - This email can be used to request data and statistics on HIV, TB, and STDs in Texas. It cannot be used to get treatment or infection history for individuals, or to request information on programs and services. Please do not include any personal, identifying health information in your email such as HIV status, Date of Birth, Social Security Number, etc.

    For treatment/testing history, please contact your local Health Department.

    For information on HIV testing and services available to Persons Living with HIV and AIDS, please contact your local HIV services organization.

Rehabilitation Services

Service Standard

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HRSA Definition:

Rehabilitation services are provided by a licensed or authorized professional in accordance with an individualized plan of care intended to improve or maintain a client’s quality of life and optimal capacity for self-care.

 

Limitations:

Ryan White HIV/AIDS Program funds may not be used to support employment, vocational, or employment-readiness services. However, funds may be used to pay for occupational therapy as a component of allowable Rehabilitation Services.

 

Services:

Funds may be used for physical and occupational therapy, speech pathology services, and low-vision training to improve or maintain a client’s quality of life.

Physical therapy helps to maximize client’s capabilities. Typical programs may include:

  • Therapeutic exercise
  • Strength and mobility training
  • Gait and balance training
  • Muscle re-education
  • Innovative treatment modalities such as heat, cold, and electrical stimulation

By concentrating on daily living activities, skilled occupational therapists help clients adjust to everyday environments. Therapies may include:

  • Education and training in daily living skills, including eating, bathing, dressing, and grooming
  • Sensory-motor skills re-training
  • Strength and range of motion training
  • Cognitive integration techniques
  • Selection and use of adaptive equipment
  • Design, fabrication, and application of orthoses (splints)

Speech and language pathology therapies maintain the ability to communicate. Therapies may include:

  • Exercises to stimulate receptive, integrative, and expressive processes
  • Sensory-motor activities to stimulate chewing, swallowing, articulatory, and voice processes
  • Selection and training in the use of no-oral communications aids, including augmentative systems
  • Specialized swallowing therapy
  • Cognitive skills training
  • Compensatory swallowing techniques

Low vision training teaches the client how to use their remaining vision more effectively.  Services may include rehabilitation training for:

  • Reading
  • Writing
  • Shopping
  • Cooking
  • Lighting
  • Glare control

 

Service Standard and Performance Measure

The following Standards and Performance Measures are guides to improving healthcare outcomes for PLWH throughout the State of Texas within the Ryan White Part B and State Services Program.

Standards
Standard Performance Measure

Comprehensive Assessment: Provider will complete a comprehensive assessment within five (5) business days of the referral to include:

  • Presenting issue
  • Physical examination and evaluation performed by the therapist relevant to the type of therapy prescribed
  • Diagnosis
  • Prognosis

Percentage of clients with documented evidence in the client’s primary record of a completed comprehensive assessment within five (5) business days of referral.

Plan of Care: In collaboration with the client a plan of care will be developed within ten (10) business days of the completed comprehensive assessment.

The plan of care should be signed and dated by the client and located in the client’s primary record. A copy of the plan will be offered to the client and documented in the client’s record.

The plan of care should include:

  • Objective for rehabilitative services
  • Estimated number of sessions
  • Type of therapy
  • Estimated duration.

Documentation that plan of care is being followed will include date therapy received, therapy performed, and progress toward meeting objectives in the client’s primary record. 

Plan of care must be reviewed not less than every six (6) months to determine if progress is being met towards meeting objective with documentation in the client’s primary record.

Percentage of clients with documented evidence in the client’s primary record of a plan of care developed within ten (10) business days of the completed comprehensive assessment.

Percentage of clients with documented evidence in the client’s primary record of the plan of care reviewed not less than every six (6) months for progress met toward objective.

Referrals: If the needs of the client are beyond the scope of the services provided by the agency/provider, an appropriate referral to another level of care is made.

Documentation of referral and outcome of the referral is present in the client’s primary record.

Percentage of clients with documented evidence in the client’s primary record of referrals, as applicable, for services necessary.

Percentage of clients with documented evidence of the outcome of the referral made as indicated in the client’s primary record.

Discharge: The agency and client will collaborate on a discharge plan once objectives have been met.

Reasons for discharge may include:

  • Services are no longer needed
  • Services needed are outside the scope of rehabilitative services
  • Client is deceased
  • Client has moved out of the area.

Percentage of clients with documented evidence in the client’s primary record of a discharge plan, as appropriate.

 

References

HRSA/HAB Division of Metropolitan HIV/AIDS Programs Program Monitoring Standards – Part A April 2013. p. 45-46.

HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards – Program Part B April, 2013. p. 44-45.

HRSA Policy Notice 16-02.  Eligible Individuals & Allowable Uses of Funds.


Last updated January 23, 2018