<p> IM4Q: New Questions supporting ODP’s ISAC Recommendations</p><p>ISAC Recommendation #1: Assure Effective Communication</p><p>Do you feel that your staff/caregivers understand you when you communicate with them? – Not Applicable—person does not have support staff – Yes – Sometimes or some staff – No – Don’t know, no response, unclear response or person does not communicate using words</p><p>ISAC Recommendation #2: Promote Self-Direction, Choice, and Control</p><p>Did your supports coordinator ask you about directing your own services and supports? This may be referred to as person-directed services or self-directed services. – Yes – No – No response or unclear response or person does not communicate using words – Don’t know, no response, unclear response or person does not communicate using words</p><p>ISAC Recommendation #3: Increase Employment</p><p>Is community employment a goal in this person’s service plan (NCI)? – Yes – No</p><p>Did anyone talk to you about employment in your most recent planning meeting? – Yes – No – Don’t know, no response, unclear response</p><p>If someone did talk to you about employment, who was it? (Check all that apply) – Supports Coordinator – Roommates – Family – Provider</p><p>07 13 17 df 1 ISAC Recommendation #4: Support Families throughout the Lifespan</p><p>Have you learned about the Life Course Framework and Tools? – Yes – No – Don’t know or no answer</p><p>Is the information you get about your relative’s services and supports easy to understand? – Yes – No – Don’t know or no answer</p><p>Do you have opportunities to connect and network with other families with family members at similar life stages? – Yes – No – Don’t know or no answer</p><p>Are you aware of the PA Family Network? – Yes – No – Don’t know or no answer</p><p>If you are aware of the PA Family Network, have you participated in a workshop or training led by the Network of Family Advisors? – Not applicable-not aware of the PA Family Network – Yes – No – Don’t know or no answer</p><p>If your family member transitioned from school services to adult services in the past year, were you happy with the transition process? – Not applicable-did not transition from school services to adult services in the past year – Yes – No – Don’t know or no answer</p><p>Do you have enough information about other public services for which your family is eligible? For example, public services such as food stamps, SSI, or housing subsidies. – Yes – No – Don’t know or no answer Does the Supports Coordinator ask you about your vision for an everyday life for your family member? – Yes – No – Don’t know or no answer</p><p>ISAC Recommendation #5 Promote Health, Wellness, and Safety and ISAC Recommendation #6: Support People with Complex Needs</p><p>Did you have an opportunity to discuss your health concerns with your psychiatrist? – Not applicable-does not have a psychiatrist – Yes – No – Don’t know, no response, unclear response or person does not communicate using words</p><p>At the end of your doctor appointment, did you feel that you understood your doctor’s instructions? – Yes – No – Don’t know, no response, unclear response or person does not communicate using words</p><p>If you needed help with communication or translation at your doctor appointment, was it available to you? – Yes – No – Don’t know, no response, unclear response or person does not communicate using words</p><p>Have you ever tried to see a medical specialist but were not able to? – Yes, I was able to – No, I was not able to (explain: ______) – Don’t know, no response, unclear response or person does not communicate using words</p><p>07 13 17 df 3 How hard is it for you to get healthcare services in your community? – Very hard – Hard – In between – Pretty easy-not that hard – Very easy-not hard at all – Don’t know, no response, unclear response or person does not communicate using words</p><p>Have you ever not received medical services that you need because of your disability? – Yes – No – Don’t know, no response, unclear response or person does not communicate using words</p><p>Are you able to provide consent for medical treatment? That means that you can give your own approval to get care without anyone else helping you. – Yes – No – Don’t know, no response, unclear response or person does not communicate using words</p><p>If you are able to provide consent for medical treatment, does your doctor accept your consent or do they also require someone else’s, like a family member or guardian? – Not applicable-am not able to provide consent for medical treatment – My consent is accepted by the doctor – My consent is not accepted, consent from someone else is required – Don’t know, no response, unclear response or person does not communicate using words</p><p>Does your doctor speak directly to you during appointments? – Yes – No</p><p>About how many times/month do you exercise at home? ______ISAC Recommendation #8: Simplify the System</p><p>Does your supports coordinator ask you what your interests are? – Yes – No – Don’t know, no response, unclear response or person does not communicate using words</p><p>Does your supports coordinator ask you what you want your life to look like? – Yes – No – Don’t know, no response, unclear response or person does not communicate using words</p><p>Does your supports coordinator ask you about what you want in your future? – Yes – No – Don’t know, no response, unclear response or person does not communicate using words</p><p>Do services and supports change when your family member’s needs change? (NCI) – Yes – No – Don’t know or no answer</p><p>ISAC Recommendation #10: Expand Options for Community Living</p><p>Is your name on the lease, deed, or other legally enforceable rental agreement? – Not applicable – person is under age 18, lives with family, or owns a home – Yes – No – Don’t know, no response, unclear response or person does not communicate using words</p><p>Do you own your own home? – Not applicable – person is under age 18 – Yes – No – Don’t know, no response, unclear response or person does not communicate using words</p><p>07 13 17 df 5 Were you given a choice to live where people without disabilities live? – Not applicable – person lives with family or is under 18 years of age – Yes – No – Don’t know, no response, unclear response or person does not communicate using words</p><p>ISAC Recommendation #11: Increase Community Participation</p><p>When choosing your work or other day activity, were you given a choice to go where people without disabilities go? – Not applicable—no work or community activity or goes to school – Yes – No – Don’t know, no response, unclear response or person does not communicate using words</p>