Service Coordination


Service coordination helps people access medical, social, educational, and other appropriate services and supports that will help them achieve an acceptable quality of life and community participation.  Service coordination is provided by LIDDA staff person who is typically referred to as a service coordinator.


Community support: Community supports are individualized activities that are consistent with the person-directed plan and provided in the person’s home and at community locations, such as libraries and stores. Supports may include

  • habilitation and support activities that foster improvement of, or facilitate, the person’s ability to perform daily living activities;
  • activities for the person’s family that help preserve the family unit and prevent or limit out-of-home placement of the person;
  • transportation for the person between home and his or her community employment site or day habilitation site; and
  • transportation to facilitate the person’s employment opportunities and participation in community activities.

Respite: Respite is either planned or emergency short-term relief provided to the person’s unpaid caregiver when the caregiver is temporarily unavailable. Respite is provided by trained staff in the person’s home or another location. If enrolled in other services, the person continues to receive those services as needed during the respite period.

Employment assistance: Employment assistance helps people locate paid, individualized, competitive employment in the community, and includes helping the person identify:

  • employment preferences, job skills, and work requirements and conditions; and
  • prospective employers who offer employment compatible with the person’s identified preferences, skills, and work requirements and conditions.

Supported employment: Supported employment is provided to a person who has paid, individualized, competitive employment in a setting that includes non-disabled workers to help him or her sustain that employment. It includes individualized support services consistent with the person-directed plan, as well as supervision and training.

Nursing: Nursing is provided to people who require treatment and monitoring of health care procedures that are:

  • prescribed by a physician or medical practitioner; or
  • required by standards of professional practice or state law to be performed by licensed nursing personnel.

Behavioral supports: Behavioral supports are specialized interventions by professionals to help people increase adaptive behaviors and to replace or modify maladaptive behaviors that prevents or interferes with their inclusion in home and family life or community life. Supports include:

  •  assessing and analyzing assessment findings so that an appropriate behavior support plan can be designed;
  • developing an individualized behavior support plan consistent with the outcomes identified in the person-directed plan;
  • training and consulting with family members or other providers and, as appropriate, to the person; and
  • monitoring and evaluating the success of the behavioral support plan and modifying it as necessary.

Specialized therapies: Specialized therapies are:

  • assessment and treatment by licensed or certified professionals for social work services, counseling services, occupational therapy, physical therapy, speech and language therapy, audiology services, dietary services, and behavioral health services other than those provided by a local mental health authority pursuant to its contract with the Texas Department of State Health Services (DSHS); and
  • training and consulting with family members or other providers.

Vocational training: Vocational training is a day training service provided to people in industrial enclaves, work crews, sheltered workshops, or affirmative industry settings to help them get a job.

Day habilitation: Day habilitation is assistance with acquiring, retaining, or improving self help, socialization, and adaptive skills necessary to live successfully in the community and to participate in home and community life. Individualized activities are consistent with achieving the outcomes identified in the person-directed plan and are designed to reinforce therapeutic outcomes targeted by other service components, school, or other providers. Day habilitation is normally provided in a group setting (not in the person’s residence) on a regular basis and includes personal assistance for those who cannot manage their personal-care needs during day habilitation, and assistance with medications and performing tasks delegated by a registered nurse in accordance with state law.