LIFE CARE Planning Services
Caragonne and Associates, LLC. develops long-term plans that identify
the services required by individuals with disabilities.
These services will identify all necessary medical or therapeutic
required by the individual. Resources that would offset the
effects of the disability will also be identified. Plans identify
as the purpose, use, timing and costs of these resources
-- providing a document that can be used to implement these resources.
Planning methods are interdisciplinary and treating specialists,
and family members participate as key informants to the planning
process. All persons germane to the consumer’s safety,
rehabilitation and independence assist in plan development.
Plan are developed using
data-based planning processes and cross-disciplinary collaboration
with treating providers to ensure appropriate foundation
for recommendations developed.
care planning starts by careful review of records that describe the
individual, their needs and service history. When only out-dated
materials are available , then more current materials are requested and
obtained. The second step in the process involves completing a home visit
in order to observe and interview the disabled person and their family
members, audit all equipment available, interview care providers, document
unmet needs for services, and identify
barriers to architectural access. Assistive technology that could further
independence and safety is also evaluated for its availability and potential
use. When appropriate testing to obtain baseline in function in cognition,
speech, hearing, or activities of daily living these evaluations are
Interviews are completed with treating providers on-site at schools,
work sites, hospitals, and office settings. This step is taken to secure
their involvement in plan development, assure that their perspectives
are portrayed in the completed plan, and their perspectives on services
to benefit the consumer are represented. After service recommendations
are obtained from providers, the consumer, and their family members,
a plan narrative is developed that portrays all functional obstacles
encountered and services needed to offset these obstacles.
Services provided since injury are depicted as are any functional gains
achieved through rehabilitation. Other gains possible with receipt of
additional services are also outlined. Recent test results are included
as well as provider impressions and recommendations. Future risks to
health are assessed. Medical complications attendant to the disability
are defined as are costs for remedying these complications. Resources
needed but unavailable are identified and recommendations advanced for
all services required. Service objectives are described as is a level
of case management sufficient to ensure service continuity, accessibility,
and resources required to mitigate the disabling effects of catastrophic
injury are next portrayed in detailed Cost Charts. Comprehensive
cost charts identify and catalog the purpose and use of each service,
when each resource starts or stops, the fiscal resources required to
purchase each service or item, time frames for resource use across the
individual’s life-span, and representative local providers from
whom specific services can be secured. Financial resources required are
summarized by one time only purchases and annual costs per year.
plans developed at Caragonne and Associates are used in litigation
contexts by both prosecution and defense firms, by Trusts seeking to
set reserves for their disabled beneficiaries, by agencies involved in
long-term planning, and by family members.