Programs and Services

Community Development Services

In our Community Development Services model, focus on the development and maintenance of skills through community engagement with peers of no more than four to a group.  Services may include: 

  1. Participating in community events to increase socially appropriate behaviors and to build confidence in community-based environments.

  2. Participating in community services opportunities to engage individuals in learning areas of interest to them and providing exposure to employment opportunities.

  3. Transportation to and from activities and travel training as needed to ensure individuals are as independent as possible.

  4. Self-advocacy skill building to empower individuals to be able to communicate confidently and skillfully on behalf of themselves regarding their needs and desires.

  5. Services can be provided for up to 40 hours a week. 

 

Community Living/Group Home

In our Community Development Services model, focus on the development and maintenance of skills through community engagement with peers of no more than four to a group.  Services may include: 

  1. Participating in community events to increase socially appropriate behaviors and to build confidence in community-based environments.

  2. Participating in community services opportunities to engage individuals in learning areas of interest to them and providing exposure to employment opportunities.

  3. Transportation to and from activities and travel training as needed to ensure individuals are as independent as possible.

  4. Self-advocacy skill building to empower individuals to be able to communicate confidently and skillfully on behalf of themselves regarding their needs and desires.

  5. Services can be provided for up to 40 hours a week. 

 

Employment Services

Employment Services provides each individual with flexible support models to assist with identifying careers of their choice, obtaining gainful employment, and maintaining it as independently as possible.  These supports include:

  • Milestone #1: Includes a visit to the individual’s home for an interview with the individual and his/her support team at home to determine the choices, interests, strengths, and conditions of success for each individual.  A survey of the community closest to the individual’s home to determine if employment is available based on the individual’s preference, job experience, skills, abilities and education.  Milestone #2 includes a minimum of three observations of individuals within their communities to identify skills and learning styles.  Milestone #3 includes the development of a resume and job development plan.  This support can take 30-90 days for completion but is also limited to one service every two years.

  • Job Development:  Utilization of resources obtained through networking and research to place individuals in jobs that are ideal for them. Resource can include job training, leads, and interviewing techniques.  Ideal placement will include continued employment where both the employer needs are met, and the individual’s employment needs are met. This service is limited to 8 hours per day and a maximum of 90 hours total.

  • Ongoing Job Supports:  Job-coaching and individual specific supports and training as needed to ensure continued and successful placement after a job has been obtained. Services will be provided based on the needs as identified in the Person-Centered Plan that will include a “fading plan”, when appropriate, that includes the anticipated number of support hours needed.  Services are limited to up to 10 hours a day.

  • Follow-Along Supports:  Continued monitoring and follow up with employer and individual once placement has occurred to ensure the needs of the employer and individual are being met.

  • Self-Employment Development Supports:  Providing entrepreneurial support to individuals who are empowered to begin business of their own with resources to assist with development, implementation and management of their own businesses.  Services are provided in accordance with the Person Centered Plan.   

  • Co-Worker Employment Supports:  Placement of mentor, peer, or natural support to assist with successful and individualized orientation and training while on the job. Services are provided in accordance with the Person Centered Plan.  This services is limited to the first three months of employment. 

Nurse Case Management and Delegation Services

Our Registered Nurse will provide nurse case management services and delegate nursing tasks Direct Support Professionals (DSP), as appropriate and in accordance with applicable regulations. Additionally, our Registered Nurse will ensure each individuals health conditions meet delegation criteria.  Services include:

  1.  Performance of an nursing assessment of each program participant identifying health, medical appointment, and nursing needs;

  2. Review of the Health Risk Screening Tool (HRST) at Level 3 or above, on an annual basis and when any significant changes in the health of the participant occur;

  3. Completion of the Medication Administration Screening Tool, on an annual basis and when any significant changes in the health occurs, to determine the level of support needed for medication administration;

  4. Review the program participant’s health services and supports every 45 days or when significant changes in health occur according to the Maryland Board of Nursing regulations;

  5. Recommend and communicate with the entire person-centered planning team for health care services that are available in the community;

  6. Develop of nursing care plans and protocols, that include:

    1. Administration of medications,

    2. Performance of medical and nursing treatments,

    3. ADL performance, and

    4. Identification and intervention in an emergency;

  7. Training, supervision, evaluation and remediation on all health services provided by the paid staff as identified in the Nursing Care Plans; 

  8. Monitor services delivered under delegation for compliance with the Nursing Care Plan; and,   

  9. Monitoring health data obtained by qualified support counselor and as directed in the Nursing Care Plan. 

 

Delegation of Nursing Tasks services includes:

  • Assessment of the needs and abilities of the program participant, DSP’s performance of delegated nursing tasks, and the environment of service or care delivery;

  • Delegation of nursing tasks to unlicensed qualified support counselors that may be Certified Medication Technicians (CMT), Certified Nursing Assistant (CNA), or other Unlicensed Assistive Personnel (UAP) in accordance with applicable Maryland Board of Nursing regulations; 

  • Training, supervision, and remediation of unlicensed direct care staff who provide health services under the delegation of the RN  as required by applicable Maryland Board of Nursing regulations; and,

  • On-call service to DSP’s who are performing delegated nursing tasks, while delegation is occurring, for up to 24 hours per day, 365 days per year as required by applicable Maryland Board of Nursing regulations.

Personal Support Services

Our Personal Support Services module assists people with disabilities with assistance performing tasks as independently as possible.  Supports are provided in the homes of people with disabilities, in a family members home or in the community.  Services include support, supervision and training in:  Personal care such as bathing, assistance with hygiene, and grooming; Meal preparation, meal planning, food shopping; Dressing and changing of clothes; Light housework; Laundry; Participating in community based extracurricular activities such as bowling, going to the movies and shopping; Accessing community services such as the library, gym and medical services. 

 

Testimonials

 

"I love the staff at Virtuous. They are always there to support me and encourage me to be all I can be and try new ways of doing things."

Kahryn P.

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“It feels really good to be in my own place. It's really easy for me to get to work from here and my roommate is super nice."

John W.

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"Visited my cousin today. She has learned how to wash her dish and cup after she eats and knows how to play Connect! She's come a long way. She used to be very violent but seems to be growing out of it."

Stacey R.

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I like working in the garden because I'd rather grown my own food than to spend all that money in the market.  My family has always had a garden and I miss doing it.

Lisa W.

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Respite Services

Under our Respite Services model, we provide families and people with disabilities with short-term relief services provided when a regular caregiver is absent or needs a break.  Services are provided in the homes of people with disabilities or a community setting to meet planned events/activities or emergency situations, affording caregivers a time free from their role as care provider.  Services provided are specific to what is indicated in the individual plan and services normally performed by the absent family member to support independence. 

 

Transportation Services

Transportation services will include training and transporting individuals served to enable them to opportunity to access community activities in their communities.  Services provided are specific to what is indicated in the individual plan and can include:

  • Orientation services in obtaining services or supports for safe movement from one place to another

  • Assisting Mobility and volunteer transportation services such as transportation coordination and accessing resources

  • Travel training

  • Mileage reimbursement for transportation provided by another individual using their own car; and

  • Purchasing prepaid transportation vouchers and cards.