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StaffingICFs/MR, operated by both private and public entities, provide employee training to ensure that staff performs their duties effectively. Staff training continues throughout the year, and includes topics such as: infection control; detection of abuse and neglect; client rights; and disaster preparedness. Direct care staffing is based on client age and level of disability. The composition of the MR/DD resident population impacts staffing levels since, overall, MR/DD residents require fewer clinical (medical/nursing) interventions and more counselor-type supervision, than, say, nursing facilities. The demand for and availability of direct care staff is different for ICFs/MR than in other settings that require more intense clinical resources. The lower average acuity and greater independence of their resident populations may make them more attractive to prospective employees. Compared to ICFs/MR community residences, HCB “group homes”
do not receive extensive federal and state monitoring and are not required
to provide the rigorous attention to individual training and support programs
available in the ICFs/MR setting.
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