DDRS Waiver Manual

Interventions that are supported by research in behavior analysis and that have been found to be
effective in the treatment of individuals with intellectual/developmental disabilities, which may
include but are not limited to:
o Precision teaching: A type of programmed instruction that focuses heavily on frequency as its
main datum. It is a precise and systematic method of evaluating instructional tactics. The
program emphasizes learner fluency and data analysis is regularly reviewed to determine
fluency and learning.
o Direct instruction: A general term for the explicit teaching of a skill-set. The learner is usually
provided with some element of frontal instruction of a concept or skill lesson followed by
specific instruction on identified skills. Learner progress is regularly assessed and data
analyzed.
o Pivotal response training: This training identifies certain behaviors that are “pivotal” (that is,
critical for learning other behaviors). The therapist focuses on these behaviors in order to
change other behaviors that depend on them.
o Errorless teaching or other prompting procedures that have been found to support successful
intervention. These procedures focus on the prevention of errors or incorrect responses while
also monitoring when to fade the prompts to allow the learner to demonstrate ongoing and
successful completion of the desired activity.
o Additional methods that occur and are empirically-based.
Specific and ongoing objective measurement of progress, with success closely monitored via detailed
data collection.
Service Standards
The following service standards apply to Intensive Behavioral Intervention services:
An appropriate range of hours per week is generally between 20-30 hours of direct service. It is
recommended that IBI services be delivered a minimum of 20 hours per week. When fewer than 20
hours per week will be delivered, justification must be submitted explaining why the IST feels a
number fewer than the recommended minimum is acceptable.
A detailed IBI support plan is required.
At least quarterly, the IST must meet to review the IBI, consider the need for change, develop a new
plan, or set new goals.
IBI services must be reflected in the ISP.
Services must address needs identified in the person-centered planning process and be outlined in
the ISP.
Services must be detailed in the IBI support plan.
Services are usually direct and one-to-one, with the exception of time spent in training the caregivers
and the family, performing ongoing data collection and analysis, and revising goals and plans.
The IBI Case Supervisor will provide a narrative and graphical report to pertinent parties at least
monthly. Pertinent parties include the individual, IBI Director, guardian, DDRS/BDDS service
coordinator, waiver Case Manager, all service providers, and other entities.
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