Department for Community Based Services

Standards of Practice Online Manual

12.12 Respite Care

Cabinet for Health and Family Services

Department for Community Based Services
Division of Protection and Permanency
Standards of Practice Online Manual
Chapter:
Chapter 12-Resource Family Recruitment, Certification and Reimbursement
Effective:
10/31/2016
Section:
12.12 Respite Care
Version:
4

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Legal Authority/Introduction

LEGAL AUTHORITY:

Procedure

The R&C Worker: 

  1. Makes available and encourages the use of respite care for every child in foster care, except for a child in an emergency shelter foster or adoptive home; 1  
  2. Follows the procedures below if a foster or adoptive home parent selects a respite care provider who provides respite in the foster or adoptive home, but is not an approved foster or adoptive home parent:
    1. Completes SOP 12.3 Foster and Adoptive Home Approval Process, Procedure #2 and #3 regarding age and U.S. legal status;
    2. Completes SOP 12.4 Background Checks for Foster and Adoptive Parents;
    3. Completes the two (2) hour cabinet approved training for respite providers; and
    4. Obtains a confidentiality form.
  3. Follows the procedures below if a foster or adoptive home parent selects a respite care provider who provides respite outside the foster or adoptive home, but is not an approved foster or adoptive home parent:
    1. Completes SOP 12.3 Foster and Adoptive Home Applicant Process, Procedures #2 and #3 regarding age and U.S. legal status;
    2. Completes SOP 12.4 Background Checks for Foster and Adoptive Parents;
    3. Completes SOP 12.13 Home Environment Prerequisites regarding home environment;
    4. Completes the two (2) hour cabinet approved training for respite providers; and
    5. Obtains a completed confidentiality form.
  4. In addition to the above procedures in #2 and #3, verifies that the respite provider meets the following qualifications if caring for a medically complex or specialized medically complex child and is not an approved foster or adoptive home parent:
    1. Is currently certified in infant, child and adult CPR and first aid;
    2. Completes the two (2) hour cabinet approved training for respite providers; and
    3. Has received individual documented training from a health care professional or a foster or adoptive home parent trained by a health care professional in how to care for the specific medically or specialized medically complex child.
  5. Ensures that a respite provider for a child designated as care plus who is not an approved foster or adoptive home parent meets the above procedures in #2 and #3, and:
      1. Completes the two (2) hour cabinet approved training for respite providers; and
      2. Receives individual documented training from the foster or adoptive parent in how to care for the child designated as care plus. 
  6. Does not have to complete an evaluation, home visit, or records check when respite care is purchased from a licensed agency authorized to provide respite care services;
  7. Approves the number of days of respite as outlined in SOP 12.28 Respite Expenses; 3
  8. Contacts the local home health agency for a medically complex or specialized medically complex child to determine eligibility criteria and procedures for some Medicaid waiver services;
  9. Assists the foster or adoptive home in determining the most appropriate use of when to access respite time; 
  10. Maintains a complete listing of approved respite care providers in the region.

The SSW:

  1. Includes the provision of respite care in all case plans as outlined on the Case Planning Objectives-OOHC Tip Sheet.

Practice Guidance

  • A foster or adoptive home parent selects another foster or adoptive home parent to provide respite care whenever feasible.  The same requirements apply for a medically complex and care plus children as outlined in procedures #4 and #5, with the exception of the two (2) hour training requirement.
  • Child specific training is required for both approved and non approved foster or adoptive homes.
  • The R&C worker may request extended respite care for a foster or adoptive home, for up to fourteen (14) days, with written approval of the SRA, when there is a family need or other emergency (illness, death in the family, etc.).
  • A respite provider does not exceed the number of children in the home as required in SOP 12.11 Number of Children in Foster and Adoptive Home unless an exception is granted as described in SOP 12.11.1 Placement Exception Request.
 

Footnotes

  1. The purpose of respite is to provide relief to foster or adoptive home parents who are meeting the extraordinary demands of children in out of home care.
  2. Under no circumstance does the cost of respite care exceed the per diem rate for the child.

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