The VMRC Clinical Department provides a range of services to improve quality of life for individuals served and their loved ones. Please see below for a summary of these services.
VMRC implements a program called Behavioral Intervention Services (BIS) that provides caregiver training based on the principles of Applied Behavior Analysis (ABA). The program aims to teach caregivers skills to support their learner’s continued development and integration into their community. VMRC Board Certified Behavior Analysts (BCBAs) monitor and support individuals served who reside in Enhanced Behavioral Support Homes (EBSH) and Community Crisis Homes (CCH), per Title 17 regulations. VMRC BCBAs also support Service Coordinators by participating in Problem Solving Team (PST) meetings and coordinating review of any proposed procedures that could cause pain or trauma.
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VMRC has a variety of vendored dental services to meet the specialized needs of individuals served. VMRC provides a program to deliver mobile dental hygiene services in the individual’s family home or residential care facility. Another program is a dental desensitization program called AccessibleSmiles. The program is led by caregivers with guidance from a Board Certified Behavior Analyst (BCBA) and Registered Dental Hygienist. The Dental Coordinator can also provide support finding a sedation facility that is vendored with VMRC or accepts Medi-Cal and can meet the consumer’s specific needs. Individuals can contact their Service Coordinator if any VMRC dental programs may be a good fit for their needs.
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VMRC’s Family Wellness Program offers free mental health counseling to all members of the family involved in the care of a VMRC eligible child aged 0-21. This may include parents, legal guardians, caretakers, and/or siblings. Counseling is provided through 10 sessions with a California Licensed Therapist in accordance with the Board of Behavioral Services (BBS) of California. Any member of the family who is willing to consent to care may participate in individual, couples, or family therapy as needed to meet their expressed challenges. Goals and Objectives will be agreed upon in a therapeutic partnership between family member(s) and therapist. Short term goals to be met within 10 weeks in Family Wellness Counseling. Long term goals, if applicable, will be established with objectives to accomplish goals (finding long term therapist, resources, and other related programs to meet long term goals). Counseling techniques include but are not limited to: Active and Reflective listening, Seeking Exceptions/Strengths, Exploring Relationship Patterns, Exploring Emotions, and Psychoeducation. Services are offered virtually or in-person.
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Tuolumne County BH Provider List
VMRC is committed to providing consultations for sensory needs, durable medical equipment (DME), environmental modifications, vehicle modifications, and augmented communication devices for individuals served whose need is documented during the Planning Team process. Thorough assessment and acquisition processes for these products ensures that the equipment is appropriate and clinically indicated. VMRC contracts with qualified occupational and physical therapists to assess the individual’s need and make recommendations. VMRC works with several durable medical equipment vendors to obtain the equipment once all of the requirements for the expenditure approval are met. VMRC also works with several licensed contractors for home and vehicle modifications.
Durable Medical Equipment
The DME Clinic provides equipment to VMRC individuals with seating, positioning, and mobility needs. Equipment includes wheelchairs (manual and electric), walkers, gait trainers, and standers. The Clinic may also include recommendations for assistive devices (e.g., specialized utensils or self-care items). Clinical assessments determine the most appropriate equipment based on the individual’s medical needs.
Augmentative and Alternative Communication (AAC)
This clinic is designed for adults who do not have access to an education program to meet their Augmentative and Alternative Communication (AAC) needs. AAC includes all forms of communication other than oral speech that an individual uses to express their thoughts, needs, wants, and ideas to others. The AAC Clinic is a team endeavor, with a speech-language pathologist, individual served, service coordinator, and Family and Equipment Acquisitions Coordinator all providing input about potential equipment needs.
Vehicle Modification
Vehicle modification evaluations are completed for an individual who is not ambulatory. Consideration is given for: weight of the consumer, weight of the wheelchair, physical condition of primary care giver, the type and condition of vehicle, and consumer’s ability to stand, transfer or ambulate. Wheelchair options can be considered if the individual’s caregivers are having difficulty transferring the individual to the vehicle and /or transporting.
Sensory Integration
A sensory consultation may be appropriate when an individual’s sensitivity to sensory stimuli impacts their participation in daily routines and activities. Occupational Therapists provide consultation about tools and exercises that can improve the individual’s information processing of their environment and participate successfully in their daily activities.
Feeding
Feeding consultations are available when the individual’s sensory experiences result in being unable or refusing to eat a variety of foods. Typically referred individuals have extremely limited diets. Referrals are deferred to a medical evaluation if there are issues with chewing or swallowing.
Environmental Evaluations
VMRC aims to provide accommodation, accessibility, independence and safety in the home environment. To accomplish this, an assessment takes place in the home to identify solutions. Clinicians assess the feasibility to provide bathroom modifications, stair lifts, vertical porch lifts/ramps, and ceiling lifts.
VMRC Nurse Consultants provide our staff and individuals served with insight to clinical and health–related issues. Our Clinical Nurse Consultants (CNCs) act as liaisons between our individuals served, managed care plans, and nurse vendors who provide Restricted Health Condition Care Plans (RHCCPs) and Total Care Assessments. Per WIC 4655, CNCs also may give medical consent for individuals who are unable to make their own decisions, do not have family involvement, and/or are not conserved. CNCs support Service Coordinators who are reviewing medical records, updating CDERs, and communicating with various healthcare facilities to obtain updates on the individual’s health status.
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