GREAT Center Program

Gratiot Integrated Health Network

Program Description

GREAT Program

(Skill Building Assistance and Out of Home Non-vocational)

Service Codes:  H2014, H2015

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 the Gratiot Rehabilitation Employment and Training (GREAT) Program is to provide skill-building assistance through activities identified in the individual plan of service and designed to increase self-sufficiency and/or to engage in meaningful activities such as school, work, and/or volunteering.  The services provide knowledge and specialized skill development and/or support.

Services/Scope of Services:  The GREAT Program services include:

  • Adaptive skill training including assistance with acquisition, retention, or improvement in self-help, socialization, and adaptive skills; and support services.  Activities included in this service are directed primarily at reaching habilitative goals (e.g., improving attention span and motor skills), not at teaching specific job skills.
  • Transportation may be provided from the residence of the persons served to the skill building assistance training site, between skill training sites if applicable, and back to the residence.

Populations served include adults with developmental disabilities.  Program activities are held onsite or in the community Monday through Thursday, 9:00 am to 3:00 pm.  Persons served are able to attend up to two days per week based on the medical necessity of the individual and determined through the person centered planning process.

Referrals for the program are made through the individual’s Supports Coordinator/Case Manager.  Services will not be denied based on an individual’s inability to pay for services.

Admission/Re-Admission Criteria:  The Access Coordinator, in conjunction with the program supervisor, is responsible for prioritizing the admission/readmission of eligible individuals based on the severity of needs.  Amount, scope, and duration of service provision is determined based upon evaluation of medical necessity and will be specified in the individual plan of service.  Medical necessity is determined based upon a thorough psychosocial assessment, standardized functional assessment tools (i.e. SIS, CAFAS, LOCUS, etc.), and the clinical judgment of trained professionals.  Based upon the aforementioned evaluation, individuals will be assigned a level of care benefit plan, specifying a minimum and maximum range of service units.  Exceptions to level of care benefit plans will be reviewed by the Utilization Management department.

It is the policy of Gratiot Integrated Health Network Service Program 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 The GREAT Program when one or more of the following occur:

  • Individual or guardian request
  • Completion of treatment goals
  • Individual becomes competitively employed
  • Lack of individual participation
  • Individual requires level or type of service not currently available

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 GIHN.