OUR SERVICES
• Supported Living – HCBS Waiver
• ICF-DD – Intermediate Care Facility for Developmentally Disabled
• Residential Habilitation – HCBS Waiver
• In-Home Supports – HCBS Waiver
• Companion Services
• Small Day Program (limited to fifteen participants)
Supported Living (SL)
Supported Living (SL) consists of a broad range of services for adults with developmental disabilities who, through the Individual Support Plan (ISP) process, choose to live in homes they own or lease in the community. These services can be provided daily or periodically. The number of persons in a home ranges from 1 to 3. SL services may include:
• Assistance with selecting and moving into a home
• Choosing personal attendants and housemates
• Acquiring household furnishings
• Managing common daily living activities and emergencies
• Becoming a participating member in community life
• Managing personal financial affairs, among other supports
These services help individuals exercise meaningful choice and control in their daily lives, including where and with whom to live. Supported Living (SL) is designed to foster personalized, nurturing relationships, full membership in the community, and working toward long-range personal goals.
Supported Living services are offered as long and as often as needed, with the flexibility to meet a person's changing needs over time, regardless of the level of disability. A supported living service agency works with individuals to establish and maintain a safe, stable, and independent life in their own homes. As skills are acquired, some individuals are able to perform tasks themselves, securing the maximum level of personal independence.
ICF/DD (Developmentally Disabled)
An Intermediate Care Facility for people with developmental disabilities (ICF/DD) is a residential home that provides 24-hour personal support by trained staff. These professionals deliver habilitation training, and developmental and supportive health services. Individuals using this service receive skilled nursing care, as well as psychological, social work, occupational, physical, and speech therapies.
The community-based home is shared by at least four, but no more than six, individuals. Each person is encouraged to develop skills and improve in self-care, daily living, adaptive function, community participation, self-advocacy, human rights, and safety.
SUPPORTED LIVING
Supported Living provides various services and arrangements that help people with disabilities live independently in communities. It can include living in a house or an apartment, with staff support to assist with managing finances, preparing meals, accessing health care, participating in social activities, and more. Supported Living is based on the principles of choice, dignity, respect, and empowerment for people with disabilities.
IN-HOME SUPPORT
In-home support services are provided to individuals in their homes or community, with the place of residence as the primary setting. These services are for people enrolled in the Waiver who have an assessed need for assistance with acquiring, retaining, or improving skills related to activities of daily living. These supports enable individuals to reside successfully at home in their community and participate in community activities. Services are based on what is important to and for the individual, as documented in their Individual Support Plan (ISP) and reflected in their Person-Centered Thinking and Discovery tools.
PROGRAMS
Adults are supported by professional staff and trained volunteers who assist with skill development, safety, health, and physical needs, including medication administration and special dietary requirements.
Community, social events, and recreational activities are organized to promote choice, community participation, and self-esteem development.
Individuals are referred for residential placement by the District of Columbia, Department on Disability Services (DDS) through the Residential Referral Unit.
Symbral provides Direct Support Professional and Supervisory staff to escort individuals as needed to various events on a one-on-one basis, such as medical appointments, and in groups for community activities, visits with family and friends, and participation in sporting, social, and civic events.