RIGHTS UNDER THE LANTERMAN ACT

Chapter Three
The Regional Center is the Starting Point

·       How to Apply for Regional Center Services

·       Regional Center Service Coordination

·       Transferring Between Regional Centers

Man in a wheelchair playing a violin

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Written by: PROTECTION AND ADVOCACY, INC.
Publication #5063.01 – English
Copyright © 1983 by PAI - REVISED EDITION 2006


Protection and Advocacy, Inc. (PAI), is a nonprofit agency that works with people with disabilities. PAI provides a variety of advocacy services, including information and referral, technical assistance, and direct representation. For information or assistance with an immediate problem, call:

PAI

Toll Free: (800) 776-5746
www.pai-ca.org

Central Office
100 Howe Ave., Suite 185-N
Sacramento
, CA 95825

Legal Unit - (916) 488-9950 Administrative - (916) 488-9955
TTY – (800) 719-5798

Oakland Area Office
1330 Broadway, Suite 500
Oakland, CA 94612
Tel. - (510) 267-1200
TTY – (800) 649-0154

Los Angeles Area Office
3580 Wilshire Blvd., Suite 902
Los Angeles, CA 90010

Tel. - (213) 427-8747
TTY - (800) 781-5456

San Diego Area Office
1111 Sixth Ave., Suite 200
San Diego CA 92101

Tel. - (619) 239-7861
TTY – (800) 576-9269

PAI receives funding from a variety of state and federal programs, providing advocacy services to people with disabilities under seven federal statutes and two state contracts. Any opinions, findings, recommendations or conclusions expressed in this publication are those of the authors and do not necessarily reflect the views of the organizations which fund PAI.

OCRA

Toll Free: (800) 390-7032

The Office of Clients’ Rights Advocacy (OCRA) is a statewide office run by Protection & Advocacy, Inc., through a contract with the California Department of Developmental Services. OCRA employs a Clients’ Rights Advocate (CRA) at each regional center. The CRA is a person trained to help protect the rights of people with developmental disabilities. Appendix Z lists the Clients’ Rights Advocate for each regional center along with their contact information.


TABLE OF CONTENTS

1. What are the responsibilities of the regional center? 3-1

2. How does the regional center find people with developmental disabilities? 3-2

3. How does the regional center reflect the diversity of the community? 3-2

4. Does the regional center have to provide services that are sensitive to my culture? 3-3

5. What if I don’t speak English? 3-3

6. What if I cannot go to the regional center because of my disability? 3-4

7. How do I apply for regional center services? 3-4

8. When I first apply for services, when will I get an appointment at the regional center? 3-5

9. How long does the assessment process take? 3-5

10. What is an assessment? 3-6

11. Whom will I see at the regional center? 3-6

12. How will the regional center decide if I am eligible for services? 3-6

13. How will I know what the regional center has decided? 3-6

14. What if the regional center says I am not eligible for an assessment or services? 3-7

15. What if I am found not eligible for services now? Am I barred from services forever? 3-7

16. What happens after I am made eligible for regional center services? 3-7

17. What is a service coordinator? 3-8

18. Do I have the right to change my service coordinator? 3-8

19. If I move to a place served by a different regional center can I still get services? 3-8

20. How do my old and new regional centers work together when I move? 3-9

21. What if there is a dispute between the former and the new regional center about the transfer? 3-10

Appendix E: Checklist for Applying for Regional Center Services

Appendix H: Inter-Regional Center Transfer Guidelines

Appendix S: Fair Hearing Flow Chart

Appendix T: Request for Regional Center Communications in My Primary Language

 

 


CHAPTER THREE

The Regional Center is
the Starting Point

·       How to Apply for Regional Center Services

·       Regional Center Service Coordination

·       Transferring Between Regional Centers

1.             What are the responsibilities of the regional center?

Regional centers provide services to people of all ages who have developmental disabilities. The regional center serves adults, children, infants, toddlers, and anyone at risk of giving birth to a child with a developmental disability.[1] Regional centers must:

·       Search out and identify people who may need regional center services.[2]

·       Provide intake and assessment services to decide eligibility for regional center services.[3]

·       Provide preventive services to potential parents who may be at high risk of parenting a child with developmental disabilities.[4]

·       Provide service coordination for all consumers.[5]

·       Develop an Individual Program Plan (IPP) that reflects each person’s individual needs and choices.[6]

·       Ensure that the services and supports identified in the IPP are provided.[7]

·       Develop new service and support resources and monitor the quality of the services and supports provided.[8]

2.             How does the regional center find people with developmental disabilities?

Regional centers are required to do "case finding." This means that regional centers must actively look throughout the community to find people who are eligible for services. In doing this, the regional center works in cooperation with public health services, the Department of Social Services, school districts, and other state, local and private agencies in the area.

Often the parents of a child with developmental delays or disabilities are referred to the regional center by a pediatrician or other medical professional. It is not necessary to have a doctor or psychologist make a referral. Anyone who may have a developmental disability can be assessed by the regional center, even though a medical professional has not done any testing.

3.             How does the regional center reflect the diversity of the community?

One way the Lanterman Act tries to make sure that all parts of the community are served is to make sure the regional center's Board of Directors represents the developmental disabilities community as a whole. At least 25 percent of the members of the board must be people with developmental disabilities. At least 50 percent must be a combination of people with developmental disabilities, their parents and legal guardians.[9] The Board of Directors should reflect the social, cultural and ethnic makeup of the community it serves. This is to make sure that everyone who needs regional center services, no matter what their race, ethnicity, religion or income, gets the services and supports they need.

4.             Does the regional center have to provide services that are sensitive to my culture?

Yes. If you want your regional center to consider your cultural background as you work together, it is important that you speak with your service coordinator and make your preferences and values clear. You can tell your service coordinator about your preferences when she or he is gathering information about you to plan your IPP. Regional centers must keep in mind your and your family’s lifestyle and cultural background when planning for your IPP.[10] Regional centers must use the information you share with them about your culture to help your planning team create a culturally sensitive IPP.

If you have a child who is a regional center consumer, the regional center must make sure your child is receiving services that meet the cultural preferences, values and lifestyles of the family.[11]

5.             What if I don’t speak English?

If you do not speak English, have difficulty understanding English, or feel more comfortable speaking in a different language, you should tell the regional center at the time you first set up the intake meeting. The regional center must provide an interpreter for the meeting. Good communication is essential. You can speak through an interpreter if necessary at every meeting, beginning with the intake meeting. You may also want to bring along a friend or family member who speaks English to help you. But, the regional center cannot require you to bring a friend in the place of a professional interpreter. If you need to appeal a decision by the regional center and you need an interpreter, one must be provided to you and paid for by the regional center.[12] If you want to have your IPP or other documents translated, or if you need an interpreter for meetings or phone conversations, there are laws that give you the right to those services.[13]

It is a good idea to give the regional center notice of the need for interpreter services as soon as possible. See Appendix T for how to request these services. If the regional center will not translate documents or provide an interpreter for you, call PAI or OCRA for more information about your rights.

6.             What if I cannot go to the regional center because of my disability?

If you cannot go to the regional center’s offices because of your disability, the regional center must visit you at your home. Your right to this kind of accommodation is guaranteed by federal law, including Section 504 of the Rehabilitation Act and its regulations.[14] This right applies to any public agency from which you are seeking benefits or services, including In-Home Supportive Services (IHSS), Social Security, and other agencies. If necessary, an agency can arrange to do much of its work over the telephone, including hearings and appeals.

7.             How do I apply for regional center services?

You begin by contacting the local regional center by mail, telephone or personal visit. The next step is to set an appointment for "intake and assessment." You should bring to the initial intake meeting any records you have from doctors, hospitals, health clinics, schools, and anyone else who knows you or your child well or has knowledge of your or your child’s developmental history. You should bring the names, addresses and telephone numbers of doctors, psychologists and other health care professionals you have seen. These are helpful to speed up the process. The regional center will ask you to fill out a number of forms and sign releases to allow the regional center to get any records that document any developmental disability. In Appendix E you will find a check list to use for gathering the information you will need for the intake interview. Remember that a receptionist or intake clerk cannot deny you the right to apply for regional center eligibility.

8.             When I first apply for services, when will I get an appointment at the regional center?

Within 15 working days after the request, the regional center must complete an "initial intake."[15] The regional center should give you information and advice about its services and the services of other agencies. The regional center should also give you information about the Area Board, PAI and OCRA, including addresses and phone numbers.[16] During the initial intake, the regional center also decides whether to do a formal eligibility assessment and may ask for more information. Sometimes there is no need for a formal assessment because the documentation of your disability is clear.

9.             How long does the assessment process take?

The regional center must complete any assessment/evaluation to determine your eligibility for services within 120 days following initial intake.[17] The assessment must be done within 60 days if:

·       A delay would expose you to any unnecessary risk to your health and safety, or to significant further delay in mental or physical development; or

·       There would be an imminent risk of placement in a more restrictive environment (such as a child being moved from the family home to another place or someone being placed in a developmental center or other health facility).[18]

If you are found eligible for regional center services, your first Individual program Plan must be completed within 60 days of the completion of the assessment.[19]

10.         What is an assessment?

An assessment is a way to get information to decide whether you are eligible for services from the regional center or eligible to receive a particular service. Sometimes the regional center needs more information to decide eligibility or what services you need and want. The ID team gets information from records and reports from doctors, psychologists, schools, testing, and/or interviews. It can arrange to have formal psychological or medical tests done. This is all part of an assessment.

11.         Whom will I see at the regional center?

An intake worker does the initial interview and meeting. Other members of the regional center staff may also see you. The staff of the regional center is made up of people with specialized jobs such as social work, psychology or medicine. They work together as a team in the intake and assessment process. The team, called an interdisciplinary or ID team, includes at least a doctor, a psychologist and a service coordinator.[20]

12.         How will the regional center decide if I am eligible for services?

The standards for determining whether you are eligible for regional center services are discussed in detail in Chapter 2.

13.         How will I know what the regional center has decided?

The regional center must send written notice to you and your representative, if any, by certified mail no more than 5 days after it decides you are not eligible.[21] A notice must also be sent by the regional center if it decides not to do an assessment.

14.         What if the regional center says I am not eligible for an assessment or services?

If the regional center decides you are not eligible at any time in the intake or assessment process, and you believe the decision is wrong, you have the right to appeal. You must appeal within 30 days because there are time limits for appeals.[22] If the regional center makes any decision that you believe is wrong, including whether or not to do an assessment, you can appeal.[23] Chapter 2 discusses the standards for regional center eligibility and Chapter 12 on Disputes and Appeals will take you through the appeal step by step. In Appendix S you will find a time line showing when you should receive notice of a decision, the time limits for you to appeal, and how to give adequate notice for your appeal.

15.         What if I am found not eligible for services now? Am I barred from services forever?

If the regional center finds you ineligible for regional center services, and you later discover facts or get new information (such as new test results), you can reapply. The regional center might not do a complete new evaluation, but should consider the new information you give them.

16.         What happens after I am made eligible for regional center services?

Once you have been found eligible for regional center services, an Individual Program Plan must be developed with you within 60 days of the completion of the assessment.[24] Your IPP must be developed jointly between you, your family (where appropriate) and the regional center. This is the way you get services, so it is very important. The IPP is like a contract between you and the regional center and it describes the services and supports the regional center will assist you to obtain. Chapter 4 discusses the person-centered IPP process and how it works.

17.         What is a service coordinator?

Your service coordinator is your contact with the regional center and is a very important person. Sometimes a service coordinator is called a “case manager” or a client program coordinator (CPC). This person is very important to you. Your service coordinator helps develop your person-centered IPP and works to make sure that you get the services you are entitled to from other agencies.[25] Your service coordinator will generally be the person you have the most contact with at your regional center.

The Lanterman Act also says that you, a family member, or your conservator, if you have one, can do some or all of the jobs of a service coordinator. You must get the agreement of the regional center’s director before this can be done. If this is done, the regional center must provide you or the other person serving as your service coordinator with training and ongoing assistance.