Sumter County Disabilities and Special Needs Board
"Celebrating Abilities"

P.O. Box 2847     Sumter, SC  29151-2847       803-778-1669

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Eligibility for Services

Mental Retardation     Related Disabilities     Autism
Traumatic Brain Injury, Spinal Cord Injury and Similar Disorders

 

South Carolina law, section 44-20-20, recognizes that people with mental retardation, related disabilities and head and spinal cord injuries, are people who benefit from the same experiences as non-disabled people.  Family education, employment and community inclusion are vital to the happiness and success of all people.

It should be noted herein, that the single point of entry into the South Carolina Disabilities and Special Needs (SCDDSN) service delivery system is through Service Coordination.  Service Coordinators initiate a process referred to as "intake," and begin to gather information from consumers, family members, current and former service providers, etc., that may support SCDDSN eligibility.  Once the intake packet is completed, it is sent to the Consumer Assessment Team at the SCDDSN for eligibility determination.  The entire process of intake and eligibility should be completed within three months, unless there are extenuating circumstances.  It is important to remember that if eligibility for services is determined, waiting lists for most services exist.  However, consumers may receive service coordination, if this is needed and desired.

Next, the following section will review the definition of mental retardation and other related disabilities and discuss the process by which individuals are deemed eligible for services.

Mental Retardation

The definition of mental retardation that is widely accepted as the best definition by professional today is as follows:

"Mental Retardation refers to significantly sub-average general intellectual functioning, resulting in or associated with concurrent impairments in adaptive behavior and manifested during the developmental period."

To explain the definition further, significantly sub-average general intellectual functioning refers to a valid intelligence quotient of approximately 70 or below, as determined by IQ tests for children and adults, and clinical judgment for infants.

Concurrent impairments in adaptive behavior/functioning, refers to how well one copes with common life demands for his/her age and cultural group.  Impairments must be present in at least two of the following areas:  communication, self care, home living, social/interpersonal skills, use of community resources or self-direction.

Lastly, the onset of these conditions must have occurred before 18 years of age or the developmental period.

Information needed to determine eligibility:  Current and previous psychological information, adaptive measures, social information, medical reports, and school records.

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 Related Disabilities

A related disability is a severe, chronic condition found to be closely related to mental retardation or to require treatment similar to that required for persons with mental retardation.

All four of the following conditions must be met:

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The disability is attributable to cerebral palsy, epilepsy or any condition other than mental illness, found to be closely related to mental retardation because this condition results in impairment of general intellectual functioning or adaptive behavior and requires similar treatment or services.
 

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The disability is likely to continue indefinitely.
 

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The disability results in substantial functional limitations in three or more of the following areas of major life activity:  self care, understanding and use of language, learning, mobility, self-direction, and capacity for independent living.
 

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The onset of the disability is before 22 years of age.

Diagnosed learning disabilities such as Attention Deficit Disorder (ADD) and Attention Deficit Hyperactivity disorder (ADHD), in the absence of other qualifying criteria, do not constitute eligibility as "related disabilities" for South Carolina Department of Disabilities and Special Needs eligibility.  Your service coordinator can provide information on agencies that may offer services for these disabilities.

Information needed to determine eligibility:  Current and previous psychological information, adaptive measures, social information, medical reports, and school records.

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Autism

Autism is defined as abnormal or impaired development in social interaction and communication, as well as markedly restricted, repetitive and stereotyped patterns of behavior, interests and activities manifested prior to three years of age.  Problems that are experienced must fit a specific pattern of disturbance as outlined in the Diagnostic and Statistical Manual of Mental Disorders.

Information needed to determine eligibility:  Social information relevant to developmental history and eligibility determination is needed.  Any other information such as medical and psychological records that are available would be helpful.

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Traumatic Brain Injury, Spinal Cord Injury and Similar Disorders

State law defines a traumatic brain injury as an injury to the skull or brain caused by an external physical force.  The injury may produce a diminished or altered state of consciousness resulting in impairment in cognitive abilities or physical functioning, as well as behavioral and or emotional functioning.

A spinal cord injury is an acute traumatic lesion of neural elements in the spinal canal, resulting in any degree of deficit in sensory, motor and life functions.  The deficit may be temporary or permanent.

All four of the following requirements must be met at the same time of applying for eligibility:

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The disability is attributed to a physical impairment, including traumatic brain injury, spinal cord injury or both, or a similar disability, regardless of the age of onset, but is not associated with a progressive degenerative illness, dementia or a neurological disorder related to aging.
 

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The disability is likely to continue indefinitely without intervention.
 

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The disability results in substantial functional limitation in at least two areas of the following life activities:  self-care, receptive and expressive communication, learning, mobility, self-direction, capacity for independent living, or economic self-sufficiency.
 

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The disability reflects the need for a combination and sequence of special interdisciplinary or generic care or treatment or other services which are lifelong or of extended duration and are individually planned or coordinated.

Information needed to determine eligibility:  medical records documenting a traumatic brain injury and/or spinal cord injury or any other condition; medical records pertaining to any other conditions; social information necessary to determine eligibility; completion of a functional limitations inventory by a HASCI Service Coordinator.

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