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Developmental Disability Services

A+ Solutions currently provides Developmental Therapy Services to adults, and services to children and adolescents under the Idaho Children’s Redesign. These services are provided to children, adolescents, and adults who have been diagnosed with a developmental disability by a physician or licensed clinical psychologist. 

Adult Developmental Therapy (DT):

These services are home, community, and center-based, provided individually or in group settings. Paraprofessionals assist adults in skill development to increase independent functioning and socialization. Plans are developed according to individual skill development and behavioral needs of each participant. Services are driven by the choices and desires of participants and/or family members, as identified during planning meetings. Plans include research-based methods for working with individuals who have developmental disabilities. These services are provided in participant-selected natural settings and at the center, if appropriate and so desired by participants and/or their families. A+ Solutions DT staff are supervised by a Certified Adult Developmental Specialist. Supervision is provided weekly at a minimum and observations for feedback and training are provided to staff at least monthly. 

Children’s Redesign Services – Home and Community Based Services (HCBS):

These services include several components that enhance outcomes for children and their families. They include Habilitative Intervention, Family Training, Family Education, Habilitative Supports, and Respite. 

Habilitative Intervention (HI):

This service is provided by Bachelor’s level staff members who are certified by the State of Idaho as a Habilitative Intervention Specialists. These individuals have specialized training in child and adolescent development, learning theory, and applied behavior analysis. HI services are consistent, aggressive, and continuous and are provided to improve a child’s functional skills and minimize problem behaviors. Treatment plans and interventions are based upon well known and widely regarded principles of evidence-based treatment. HI staff provide interventions that include the development of replacement behavior, rather than merely eliminating or suppressing maladaptive behaviors that interfere with a child’s functioning at home and in natural settings. They also teach skills to improve independent functioning if identified as a participant need. HI staff members attend weekly supervisions and staffings to address specific participant needs and concerns. Additionally, supervisors of the program conduct monthly observations to give feedback and consult about participant behaviors and needs. 

Family Training:

This service is provided by staff members who are qualified to do HI services. The purpose is to provide one-on-one instruction to families to help them better meet the needs of participants receiving intervention services. Consistency in skill acquisition and behavioral modification is increased because staff members provide training in the implementation of intervention techniques, as outlined in the plan of service, to guardians and family members. 

Interdisciplinary Training:

A+ Solutions staff members obtain professional instruction from other service providers in a child’s life. This training is provided during provision of support or intervention services. The purpose is to assist our staff members in meeting the needs of a participant. Training may be for health and medication monitoring, positioning and transfer, intervention techniques, positive behavior support, and use of equipment. It is provided only when the participant is present. Examples of professionals from who staff obtains training are the participant’s speech therapist, occupational therapist, physical therapist, or other professionals as indicated on the child’s plan. 

Family Education:

The purpose of this service is to provide professional assistance to families to help them better meet the needs of the participant. An HI professional offers education to the parent or legal guardian that is specific to the individual needs of the family and child, as identified in the plan of service. Information is provided to families, as an orientation to developmental disabilities and to educate families on generalized strategies for behavioral modification and intervention techniques specific to the participant’s diagnoses. 

Habilitative Support:

This is a community-based service that is provided by a trained and certified paraprofessional. A+ Solutions staff members provide Assistance to a participant with a disability by facilitating the participant’s independence and integration into the community. Opportunities are provided for participants to explore their interests, practice skills learned in other therapeutic environments, and learn through interactions in typical community activities. Participants are integrated into the community to enable them to expand their skills related to activities of daily living and reinforce skills to achieve or maintain mobility, sensory-motor, communication, socialization, personal care, relationship building, and participation in leisure and community activities. Staff provides participants opportunities to be involved in age-appropriate activities, engaging with typical peers according to the ability of the participant. Staff members attend weekly supervisions, at a minimum, and are observed at least monthly by supervisors to receive feedback and training. 


Paraprofessional staff members provide supervision to participants on an intermittent or ongoing basis because of the need for relief of the primary unpaid caregiver. This service is available in response to a family emergency or crisis, on a regular basis to provide relief to caregiver, and may be provided in a participant’s home, DDA, or community. Providers of this service receive weekly supervision to obtain training and feedback regarding participant’s needs. They also receive monthly observations from supervisors to provide feedback and training, as necessary.