Services Offered in Veteran Directed Home Services

All services are based upon the Veteran’s available budget and needs identified in the assessment

Personal Assistance Services

The Participant determines how many hours of personal assistance they want to use to meet the personal care needs identified in their CARE assessment.  Services may be provided in the home or in the community.  The following are included in PAS:

  • Direct personal care services defined as assistance with activities of daily living (ambulation, bathing, body care, dressing, eating, personal hygiene, positioning, self-medication, toileting, and transfer
  • Delegated health-related tasks  (Providers of direct personal care services may be asked to do nurse delegation under the supervision of a nurse)
  • Homemaking or assistance with instrumental activities of daily living (essential shopping, housework, meal preparation) 
  • Personal assistance with transportation
  • Other tasks or assistance with activities that support independent functioning, and are necessary due to the functional disability

Treatment and Health Maintenance 

The Participant may choose from a variety of services that are typically performed or provided by people with specialized skill, certification or licenses. Some examples of these services are:

  • Specialized health care, extended therapeutic treatment
  • Dental, vision, audiology;
  • Culturally appropriate health services (culturally and linguistically sensitive health care in the areas of primary care, prevention & wellness, e.g. acupuncture, naturopathic medicine)
  • Physical therapy
  • Therapeutic massage complementary to physical therapy or provided as a less intrusive alternative.

Participant Directed Goods, Services and Supports

Participants may choose services, goods, equipment, and other supports that allow them to function more independently, increase safety and welfare, or allow the person to perceive, control or communicate with their environment. Some examples of services are:

  • Environmental supports (e.g., snow removal, heavy cleaning)
  • Assistive technology, supplies and equipment
  • Adaptive clothing
  • Special diets, home delivered meals
  • Trained service animals including purchase, upkeep and veterinarian services;
  • Repairs and maintenance of equipment
  • Equipment and services that reduce the need for on-site supervision in an emergency
  • Transportation not provided by a personal assistant

Environmental and Vehicle Modifications

Participants may choose to spend budget dollars on a modification to their residence or vehicle to accommodate their disabilities and promote functional independence, health, safety and welfare.  Providers of modifications must have credentials and licenses appropriate to the modification or adaptation needed.  Some examples of services are:

  • Installation of ramps and grab-bars
  • Widening of doorways
  • Minor household repairs
  • Modification of bathroom facilities
  • Specialized equipment
  • Installation of specialized electric and plumbing systems which are necessary to accommodate necessary medical equipment
  • Specialized accessibility and fire safety adaptations
  • Vehicle modifications include adaptive vehicle controls related to steering, braking, shifting, signaling and acceleration, lift devices, seat adaptations, hand rails, and door widening

Training and Education Supports

A Participant may choose to spend VDHS budget dollars on training, education on a health issue or personal skill development that improves their ability to accomplish everyday activities and maintains, slows decline, or improves functioning and adaptive skills.  It can also include training to paid or unpaid caregivers related to the needs of the client. Some examples are:

  • Participant enrollment in a course addressing self management of diabetes
  • Coordination for the provision of needed services such as alcohol treatment or mental health services

Family Caregiver Support Services

A Participant may choose to set aside some of their budget to address the needs of their unpaid family caregiver based on needs identified in the TCARE assessment.  Services might include:

  • Respite care
  • Support groups
  • Education on strategies that will assist the caregiver to continue providing care
  • Training for the care receiver