the revised cder
DESCRIPTION
The Revised CDER. Regional Center Train-The-Trainers 2007. Today’s Training Objectives. Train-the-trainer’s session to provide: Training resources Background on revision process Details about the new CDER Instructions for completing the new CDER. Presentation Order. - PowerPoint PPT PresentationTRANSCRIPT
The Revised CDER
Regional Center Train-The-Trainers2007
Today’s Training Objectives
Train-the-trainer’s session to provide:
Training resources
Background on revision process
Details about the new CDER
Instructions for completing the new CDER
Presentation Order
1. Revised Evaluation Element and New Personal Outcomes Element
2. Waiver Level of Care Eligibility
3. Revisions to the Diagnostic Element
Evaluation and Personal Outcomes Elements
Assessing Consumer Abilities and
Outcomes
Background and Development
Evaluation and Personal Outcomes Elements
Background and Development
Issues with Original CDERResulting in inaccurate and/or incomplete data
Outdated Focus on disabilities rather than abilities Not useful to IPP process Doesn’t assess health & safety, quality of
life or outcomes
Background and Development
Project Consultants
Dr. Jamie McCrearyDr. Harold Stanislaw
Department of PsychologyCalifornia State University, Stanislaus
Goals for revision
Requirements for the New CDER Focus on consumer abilities
Useful for program planning
Shorter and easier to use
Continuity with existing CDER data
Improve ability to provide reliable data
Background and Development
Revision Process
User Surveys Identified items to retain, delete, add and reword
Analysis of Data Requests Identified type of information most frequently
requested to ensure continued availability of data
Background and Development
Revision Process
Scientific Literature Review Identified published studies based on CDER data to
ensure continued availability of data needed for scientific research
Field Testing To confirm the validity and reliability of the new
CDER
Evaluation and Personal Outcomes Elements
Comparison of “Old CDER” to “New
CDER”
The Revised CDER Evaluation and Personal Outcomes Elements
New CDER: 46 Items
2 Major Sections Evaluation Element Personal Outcomes
Element
Consistent Number of Response Options Per Section
Original CDER: 66 Items
7 Domains
Responses Range From 3 to 9 Options Throughout
Rate consumer abilities vs. categorizing them Use of informed sources to obtain information Snapshot at a particular point in time Items applicable to all consumers regardless of
age or challenges Response options to address when a question
can’t be answered
Highlights
The Revised CDER Evaluation Element
Revised Evaluation Element
Content
The Evaluation Element:Provides information for identifying services and supports
2 Sections
Skills Demonstrated in Living (14 items) Challenging Behaviors (6 items)
The Revised CDER Evaluation Element
The Evaluation Element Information provided by a person directly
involved with consumer on a daily basis during a specified time period
Skills Demonstrated in Daily Living At least 1 week of the preceding 6 months
Challenging Behaviors At least 2 months of the preceding 12 months
The Revised CDER Evaluation Element
New Personal Outcomes Element
Content
The Personal Outcomes Element:Provides information about quality of life and well being
3 Sections Physical and Social Environment (13 items)
Health and Safety (3 items)
Consumer Survey (10 items)
The New CDER Personal Outcomes Element
The Personal Outcomes Element Information provided by knowledgeable person
involved with the consumer Physical & Social Environment = Sufficiently
knowledgeable to provide accurate, unbiased picture of consumer’s current situation
Health & Safety = Sufficiently knowledgeable to provide accurate, unbiased picture of consumer’s situation during the preceding 12 months
The New CDER Personal Outcomes Element
The Personal Outcomes Element
Consumer Quality of Life Survey = Only the consumer can respond to these items
Items designed to capture consumers own feelings
Consumers provide the information without someone else interpreting responses
The New CDER Personal Outcomes Element
Completing theNew CDER
Evaluation and Personal Outcomes Elements
Conducting Interviews Present items conversationally Do not read response items Change order of items as needed
Completing the New CDER
Completing the New CDER
Consumer Survey Interviews Build rapport and create neutral
environment Paraphrase and personalize items Use the keywords or phrases included in
the items Translation vs. Interpretation of responses
Completing the New CDER
Choosing Response Options Consistent number of options in each
section 4 or 5 point scales Select options that best describe typical
behavior Additional options when items cannot be
answered
Completing the New CDER
The Consumer Survey 3 point scale
Negative Response Ambivalent Response Positive Response
Additional options when any item cannot be answered
Special options when entire survey cannot be completed
Training Resources
Evaluation and Personal Outcomes Elements
Training Resources DVD
Tutorial for group or individualized training Review questions and quizzes Designed for both initial and periodic refresher
training
Training Manual (available at www.dds.ca.gov/cder) Review questions and quizzes Glossary FAQs
Waiver Level of Care Eligibility
Evaluation and Personal Outcomes Elements
Background and Development
Revised CDER Diagnostic Element
Background and Development
Issues Resulting in inaccurate and/or incomplete data
Outdated Terminology
Does Not Reflect Current Medical Knowledge and Practices
Background and Development
Goals for Revision
Revise in Phases
Prioritize Items For Revision
Ensure Applicability For Both RCs and DCs
Background and DevelopmentRevision Process
Participants: ARCA physicians and chief counselors
DC Physicians and Clinical Staff
DDS clinical staff
The Wellness Advisory Committee
Revised Diagnostic Element
Content
Cerebral Palsy
Item 17: Presence of Cerebral Palsy
Item 19: Severity of Motor Dysfunction
Item 20: Type of Motor Dysfunction
Item 22: Condition Impact
Autism
Item 23a: Presence of Autistic Disorder
Item 23b: Presence of Other PDD
Item 26: Condition Impact
Epilepsy/Seizure Disorder
Items 27a - 29a: Type of Seizure
Items 27c - 29c: Condition Impact
Psychiatric Disorders(Previously Mental Disorders)
Specifies the use of the DSM-IV rather than the DSM-III
Items 50c - 53c: Condition Impact
Chronic Major Medical Conditions
Items 54b – 59b: Condition Impact Multiple Conditions: Only Top 6 Transmit to
DDS
Other Developmental Disability
Adds Item 33: Other Disability (Y/N)
Resources
Diagnostic Element
Resources
Available at www.dds.ca.gov/cder
Revised Form
Revised Manual Sections
Under Development
DSM Crosswalk
The Revised CDER
Next Steps For Regional Centers
The Revised CDER
Questions?
Contact InformationCDER: WaiverSue Boucher Jim Knight(916) 654-2120 (916) [email protected] [email protected]