Overnight Supervision for Frank, Bob and John
About Frank
Age: 39
Diagnosis: Mild Intellectual Disability, Anger Management
Medical: None
History: 7 years at 66th
About Bob
Age: 52
Diagnosis: Moderate Intellectual Disability, Dyslexia
Medical: Nothing significant
History: 13 years at 66th
About John
Age: 55
Diagnosis: Mild Intellectual Disability
Medical: Seizure Disorder
History: 13 years at 66th
Situation
- Men have lived together for a long time at the 66th St. home
- 1 staff 4:30 – 10:30 pm, sleep staff 10:30 pm – 6:00 am, then awake 6:00 – 8:00 am
- Overnight staff costs = 7.5 hr/night X $7.25/hr X 365 nights = $19,846.87 + 25% T&B = $24,808.59/yr
- When tracked for 3 months, there were no instances of overnight staff called to duty
- Provider has another four person home, Broadway 2 blocks away with an awake staff and a sleep staff on duty during the overnight
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Each gentleman has six-plus hours of alone time
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Able to make simple snacks
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Independent in most ADL’s
- Independently get up and ready for work
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Frank smokes and gets up during the night occasionally to have a cigarette
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Need assistance with money management, meal planning and medication administration
- John and Bob have medications they need before going to work
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Bob and Frank want more independence and have talked of wanting own apartment
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John likes his home and living with Bob and Frank, no expressed preference for greater independence
- Provider under pressure to reduce costs
The Plan for Overnight Supervision
- Use technology to remove overnight staff at 66th
- The awake staff at Broadway acts as response staff and receives the overnight alerts
- If/when an alert comes, the awake staff awakens the sleep staff at Broadway to monitor that house
- At the end of the Broadway staff shift (7:00 am), staff goes to 66th to pass meds and assure all get off to work
Cost
- Sengistix monthly SENS – $299.95/month = $3,599.40/year
- Note: if Active Monitoring was needed 7.5 hours/night, add $10,129/year
The Outcome of Overnight Supervision
- First week – Broadway staff was called to go to 66th seven times (three in one night) all for Frank “out of bed”
- Second week – six alerts, adjusted timing of monitor to give Frank more time (15 minutes) to come back in
- Third week – no alerts
- In the past three months:
- Two alerts for front door opening
- One alert for patio door
- One pendant
- All three gentlemen report liking the fact they are home alone at night
- All three – but especially Bob and John have shown increased initiative in doing more for themselves generally and increased assertiveness
- The men are all getting their own breakfasts