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Downeast Horizons has been serving adults with developmental disabilities from Bar Harbor to Bangor for 35 years. Downeast Horizons employs 120 individuals who provide supportive care to approximately 100 individuals throughout Hancock and Penobscot counties.
Downeast Horizons provides community supports (formerly known as day program), residential supports which include housing, shared living, one-on-one hourly personal supports, and employment supports for adults with developmental disabilities.
The supports an individual is provided will vary based on the individual’s needs and as documented in the Person Center Plan (PCP). Our overall goal is to increase and maintain one’s independence. Our trained, professional staff work closely with the parent/guardian and the individual to develop the best possible treatment plan.
Downeast Horizons provides the following adult services:
The services Downeast Horizons provides are funded through MaineCare. The sections that regulate our services are found in the MaineCare Benefits Manual Chapter II Section 21 and Section 29.
Section 21, Home and Community Waiver. Individuals qualify for Home Supports, Community Supports/Day Program, Employment and Work Supports, and Home Accessibility Adaptations.
For more information, see the MaineCare Benefits Manual Ch. II Sect. 21.
Section 29, Community Supports Waiver. Individuals qualify for Community Supports/Day Program, Employment and Work Supports. These individuals are not eligible for Residential Services Home Supports.
For more information, see the MaineCare Benefits Manual Ch. II Sect. 29.
Qualifications for MaineCare Services under Section 21 or 29:
- Is age eighteen (18) or older.
- Has Mental Retardation or Autistic Disorder
- Meets the medical eligibility criteria for admission to an Intermediate Care Facility for Persons with Mental Retardation (ICF/MR) as set forth under the MaineCare Benefits Manual, Chapter II, Section 50;
- Does not receive services under any other federally approved MaineCare home and community-based waiver program; and meets all MaineCare eligibility requirements as set forth in the MaineCare Eligibility Manual.
Services Downeast Horizons’ Direct Service Professionals Provide:
Direct Supports are a range of activities that contribute to the health and well-being of the person and his or her ability to live in or be part of the community. Direct support activities may include personal assistance or activities that support personal development, or activities that support personal well-being.
Direct support activities include the following:
Personal assistance is assistance provided to a person in performing tasks the person would normally perform if the person did not have his or her disability. Personal assistance may include guiding, directing or overseeing the performance of self-care and self-management of activities.
Support with self-care includes assistance with eating, bathing, dressing, mobility, personal hygiene, and other activities of daily living; assistance with light housework, laundry, meal preparation, transportation, grocery shopping, and assistance with health and nutrition maintenance, including assessing well-being and identifying need for medical assistance; complying with nutritional requirements as specified in the Personal Plan; administration of non-prescription medication that are ordinarily self-administered; and administration of prescription medication, when provided by a person legally authorized to assist with the administration of medication.
Self-management includes assistance with managing safe and responsible behavior; exercising judgment with respect to the person’s health and well-being; communication, including conveying information, interpreting information, and advocating in the person’s interests; managing money including paying bills, making choices on how to spend money, keeping receipts, and expending funds with the permission of a person’s representative payee. Self-management also includes teaching coping skills, giving emotional support and guidance to other resources the person may need to access.
Activities that support personal development include teaching or modeling for the person self-care and self-management skills, physical fitness, behavior management; sensory, motor and psychological needs; interpersonal skills to cultivate supportive personal, family, work and community relationships; resources and opportunities for participation in activities to promote social and community engagement; participation in spiritual activities of the person’s choice; motivating the pursuit of personal development and opportunities; teaching or modeling informed choice by gathering information and practicing decision making; and learning to exercise.
Activities that support personal well-being include directly or indirectly intervening to promote the health and well-being of the person. This may include identifying risks such as risk of abuse, participating in a person’s risk assessment, identifying and reporting to an immediate supervisor changes in health status and behavior; anticipating or preventing unsafe or destructive behavior; and safely intervening against undesirable behavior according to an intervention plan.
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