continued "Many of my clients require what is called 'protective supervision,' which is basically people to monitor them. They have a mental condition that would cause them to engage in self-injurious behavior. They might accidentally set the house on fire, or leave the water on or cross the street without looking -- something like that. These are people who aren't capable of understanding danger. They're a really small percentage of my clients, yet a sizable population. So if someone needed supervision like that, the regional center would not be obligated to pay for that service because it is provided by another agency -- in this case, IHSS.
"In employment, someone's in a situation where they don't have adequate supports in place. Maybe they've got a job, maybe it's even a supported-employment job where someone is keeping an eye on their work, but maybe they don't have a behavioral plan in place. This is the kind of service the regional center can provide. Some have behavioral issues that stem from their developmental disability and make it more difficult to function in society. When that's the problem, a qualified person can do a behavioral assessment and then identify the antecedents to the behavior problems. What can people around them do to prevent the problem? What kind of incentives might be given to prevent the problem, and so on. You implement the behavioral plan, which may involve fairly simple things or it may involve more extensive things. For example, some people require a one-on-one aide who will help redirect them. I'm not talking about a licensed psychologist; I'm talking about someone with the training to know how to help someone in a certain situation. Some people with autism have a hard time with focusing and keeping their eye on their work. They may start to forget that and begin an inappropriate behavior. So [the aide] will say a few words to them to keep them focused when they see the antecedents happening, the certain patterns of behavior that suggest that they're about to lose their focus.
"For many people the job coach will be able to provide enough support to do that, but in other cases, you'll need more extensive support. In many cases there is a problem because they have not thoroughly addressed all of the options. Maybe there was a behavior plan done ten years ago that everyone's forgotten about but there hasn't been anything done recently -- or maybe there is no behavior plan. They tend to not address these things adequately unless you push them into addressing them."