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Community Living Supports

Community Living Supports / Personal Emergency Response System

Program Philosophy: Gratiot Integrated Health Network provides services to build resilience, and to support the recovery or well-being of individuals and the integration of individuals served into the community.  Through service provision, symptoms or needs will be reduced and individuals will experience an improvement in level of functioning in their environment.  The program strives to continually improve service provision in order that individuals served experience an enhanced quality of life.

Program Goals:  The goal of Community Living Supports (CLS) / Personal Emergency Response System (PERS) is to increase or maintain self-sufficiency, facilitating the persons served to achieve their goals of community inclusion and participation, independence and productivity.  The main purpose is to monitor individuals, providing safety and security to them while promoting independence.

Services/Scope of Services:  CLS/PERS services include assisting, reminding, observing, guiding and/or training in the following activities:

  • Meal preparation
  • Laundry
  • Routine, seasonal, and heavy household care and maintenance
  • Activities of daily living (e.g., bathing, eating, dressing, personal hygiene)
  • Shopping for food and other necessities of daily living

CLS/PERS also includes staff assistance, support and/or training with activities such as:

  • money management
  • non-medical care (not requiring nurse or physician intervention)
  • socialization and relationship building
  • transportation from the residence of the persons served to community activities, among community activities, and from the community activities back to the residence
  • participation in regular community activities and recreational opportunities
  • attendance at medical appointments
  • acquiring or procuring goods, other than those listed under shopping, and non-medical services
  • reminding, observing and/or monitoring of medication administration
  • preserving the health and safety of the person served in order that he/she may reside or be supported in the most integrated, independent community setting

An audio and/or video monitoring system may be placed in the residence to provide a safety net to support consumers living independently.

Population served includes individuals with co-occurring disorders, developmental disabilities, adults with serious mental illness, and children with severe emotional disturbance.  Priority in provision of services is given to individuals with the most severe need and to those in urgent or emergent situations.  Services are provided in the location that best meets the need of the service being provided (i.e., at the agency, individual’s home, community) based on the choices of the person served.

Services are provided according to the choices and needs of the person served and may be at anytime seven days a week/24 hours a day.  The frequency of services provided is determined by the persons served choices and needs.

Services will not be denied based on an individual’s inability to pay for services.  Fees are determined on a sliding fees scale.

Admission/Re-Admission Criteria:  Individuals are referred for CLS/PERS through the person centered planning process.  Services are established based on the needs and choices of the person served.  Individuals must require supports to remain independent in their own home and/or support with daily living skills (e.g. medication administration, self-care).

It is the policy of Gratiot Integrated Health Network to provide services to all eligible consumers in a manner that is sensitive to the cultural and socio-economic needs of the individual in a nondiscriminatory and/or non-threatening manner.  Services are provided to eligible individuals without regard to race, religion, color, national origin, age, sex, marital status, sexual preference, handicap, juvenile justice status or any other protected status as required by law.  The agency endeavors to accommodate individuals with special needs, or refers to providers equipped to meet their needs.

When individuals are found to be ineligible for services, they are given the reason(s) and are directed to alternative or more appropriate services.  In addition, when applicable, the family/support system and/or the referral source are informed as to the reason for ineligibility.

Transition/Discharge Criteria:  An individual may be transitioned or discharged from CLS/PERS when one or more of the following occur:

  • Individual or guardian request
  • Completion of treatment goals
  • Lack of individual participation
  • Individual requires a higher or lower level of service

When an individual is discharged or removed from the program for aggressive and/or assaultive behavior, follow-up will occur within 72 hours to insure linkage to appropriate care.

Regardless of discharge status, any individual may reapply for services by contacting Gratiot Integrated Health Network at 989-463-4971.



Gratiot County Community Mental Health


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