CRISIS LINE 800-643-1102

Border Region MHMR offers an array of services specifically designed to meet the needs of individuals diagnosed with Mental Retardation, Pervasive Developmental Disorder and/or Related Conditions

Mental Retardation is a disorder characterized by significantly subaverage intellectual functioning, an IQ of approximately 70 or below with onset before age 18 years and concurrent deficits or impairments in adaptive functioning.

Pervasive Developmental Disorder is characterized by severe and pervasive impairment in several areas of development: reciprocal social interaction skills, communication skills, or the presence of stereotyped behavior, interest and activities

Related Condition is a severe or chronic disability that is attributed to cerebral palsy, epilepsy or any other condition, other than mental illness, found to be closely related to mental retardation because the condition results in impairment of general intellectual functioning or adaptive behavior similar to that of persons with mental retardation, and requires treatment or services similar to those required for persons with mental retardation
 

	Admission and Required Documentation
	Programs and Services
	Intermediate Care Facilities for Mental Retardation
	Home and Community Based Program

ADMISSION AND REQUIRED DOCUMENTATION

An appointment for an intake needs to be made by calling the MRA Intake Worker at (956) 794-3148 and the following documentation is required at time of the appointment.


Proof of diagnosis: Diagnosis provided by a credential professional according to the American Association of Mental Retardation.

Proof or residence: Individual requesting services must reside in designated Mental Retardation Authority (MRA) local service area. Border Region local service areas are: Webb County, Starr County, Zapata County and Jim Hogg County.

Proof of Income:  Copy of consumer’s Income or Parent’s income if minor.

Proof of Insurance: Medicaid/Medicare or Private Insurance if available.

When Mental Retardation services are requested, a license psychologist employed or contracted by BRMHMR must endorse the determination made by a private license physician or psychologist, school district of private or public agency or conduct the necessary assessments to make a determination of mental retardation.

Once the determination has been made, a Service Coordination is assigned. The service coordinator is responsible for completing an assessment to identify individual needs and objectives. The Service Coordinator will recommend services provided by BRMHMR or will refer consumer to community resources.

For more information or assistance please contact
MR Intake Worker at: (956) 794-3148
Email: aliciac@borderregion.org    

PROGRAMS AND SERVICES

Services and Supports Provided

Determination of Eligibility for Mental Retardation Services and Supports.
This service is an assessment or endorsement of an assessment conducted in accordance with state law and DADS rules to determine if an individual has mental retardation or is a member of the DADS mental retardation priority population

Service Coordination: Service that provides assistance for an individual in accessing medical, social, educational, and other appropriate services and supports that will help the individual achieve a quality of life and community participation acceptable to the individual

Community Support: Individualized activities that are consistent with the individual’s person directed plan and provided in the individual’s home and at community locations.
Habilitation and support activities individually designed that foster improvement of, or facilitate, an individual’s ability to perform functional living skills and other living activities

Respite: Planned or emergency relief that is provided to the individual’s unpaid caregiver on a short term basis when the caregiver is temporarily unavailable. Provided by trained staff and can occur in the individual’s home or another location.

Employment Assistance: Provides assistance to an individual in locating paid, individualized, competitive employment in the community

Supported Employment: Provides assistance to an individual who has paid individualized, competitive employment in the community to maintain that employment

Vocational Training: Day training service provided to individual’s in an industrial enclave, work crew, sheltered workshop, or affirmative industry setting to enable them to obtain employment

Nursing: Provided to an individual who requires treatment and monitoring of health care procedures prescribed by physician and required by standards of professional practice or state law to be performed by licensed nursing personnel

Behavioral Support: Behavior Supports by professionals with required credentials are specialized interventions to assist an individual to increase adaptive behaviors and to replace or modify maladaptive behavior that prevent or interfere with the individual’s inclusion in home, family or community life

Day Habilitation: Assistance provided in a group setting on a regularly scheduled basis to acquire, retain, or improve self help, socialization, and adaptive skills necessary to live successfully in the community and to participate in home and community life

In-Home Family Support (IHFS): Program that disburses assistance to eligible individuals and families to pay services or items that meet a needs that exists solely because of the individual’s mental disability or co-occurring physical disability and which allows the individual to maintain or improve his or her ability to live in the community

For more information please contact
, Service Coordination Supervisor
(956) 794-3148
@borderregion.org
 

| Top |    

INTERMIDIATE CARE FACILITIES FOR MENTAL RETARDATION (ICF-MR)

BRMHMR Group Homes are comprised of Casa Alegre, 13 bed facility; Casa Soledad, Casa Bonita, Casa Linda and Casa Unida, 6 bed facilities. These Group Homes are designed to increase independence and normalization of each individual’s behavior; in the least-restrictive living environment possible.  The group homes provide services to qualified individuals in need for continuous active treatment and habilitation services

Border Region MHMR accepts males and females individuals between ages of 18 and 65 years of age without regards to race, color, or national origin, with an IQ in the range of severe and profound. In addition BRMHMR determines for its facility additional specific admission criteria

At time of admission, the Interdisciplinary Team composed of the Consumer, Legal Authorized Representative, Qualified Mental Retardation Professional, Nurse, House Supervisor and any other person recommended by the individual will complete admission forms and agreements

Each individual must have a physical examination and other evaluations may be required to gain the appropriate information to meet local, county, and state requirements for admission

Group homes undertake the responsibility to provide the residents with a cheerful, stimulating, and comfortable place to live without unnecessary confinement or restrictions.

For more information please contact
Jorge Sepulveda, QMRP at (965) 794-3150

| Top |    

HOME AND COMMUNITY-BASED PROGRAM

Home and Community-based Services (HCS) Program is a Medicaid waiver program that provides community-based services and supports to eligible individuals as an alternative to ICF-MR program. Enrollment is limited to the number of individuals in specified target groups and to the geographic areas approved by Health Care Financial Administration (HCFA)

HCS programs service components, describe are selected for inclusion in an individual’s Individual Plan of Care (IPC) to assure the individual’s health and welfare in the community, supplement rather than replace that individual’s natural supports and other community services for which the individual may be eligible, and prevent the individual’s admission to institutional services.

The following HCS services are available for eligible individuals

Case Management: responsible for the overall coordinating and monitoring of the Individual’s Individual Plan of Care (IPC); and the provision of services for individuals enrolled in HCS program

Counseling and Therapies including:
 

	Physical therapy
	Occupational therapy
	Speech and language pathology
	Audiology
	Social work
	Psychology
	Dietary services

Nursing care provided by licensed nurses consist of the performance of health care and monitoring an individual’s health condition.

Residential Assistance provision of assistance and supports necessary for consumer to complete personal care, health maintenance, and independent living skills, excluding room and board, provided in one of the following four ways:
 

Respite includes room and board when provided is a setting other than the individual’s home

Day Habilitation: assist individuals in acquiring, retaining, and/or improving self help, socialization skills, and adaptive skill necessary to reside successfully in home and community-based settings.

Supported Employment activities needed to sustain paid work by individuals with developmental disabilities including supervision and training

Adaptive Aids are provided up to a maximum of $10,000 per Individual Plan of Care Year

Minor Home Modifications are provided up to a life-time maximum of $7,500 after which up to $300 per IPC year is provided for maintenance of additional modifications

Eligibility Criteria: Enrollment of any individual in the HCS program in the local area must be approved by the department and authorized by TDHS/DADS.

For more information please contact:
Oneida Gonzalez, HCS Interim Supervisor
(956) 794-3144
oneidag@borderregion.org

| Top |