Ukukhubazeka kwengqondo noma ukukhula, okubuye kubizwe nge-IDD, kuhlanganisa izimo eziningi ezinzima, ezingalapheki ezibangelwa ukukhubazeka kwengqondo kanye/noma ngokomzimba. I-IDD ingaqala nganoma yisiphi isikhathi, kuze kufike eminyakeni engu-22 futhi ihlala kukho konke ukuphila komuntu. Abantu abane-IDD bangase babe nezinkinga ngemisebenzi emikhulu yempilo efana nale:
- Ukuzisiza
- Ukuphila Ngokuzimela
- Ukuziqondisa
Kunezinsizakalo eziningi ze-IDD nezisekelo ezihlinzekwa yiKhomishini Yezempilo Nezinkonzo Zabantu yaseTexas (HHSC). Ngayinye yalezi zinsizakalo inemithetho yayo. Izinhlelo eziningi zidinga ukuthi:
- Unemali engenayo nempahla elinganiselwe.
- Ukhombisa isidingo samasevisi.
- Ube yisakhamuzi sase-US noma umfokazi osemthethweni ofanelekayo ohlala e-Texas.
- Ezinye izinsiza – njengalezo zezingane – zinemikhawulo yobudala. Ezinye ezabantu bayo yonke iminyaka.
E-Texas, iziphathimandla zendawo zokukhubazeka kwengqondo nentuthuko (ama-LIDDA) zisebenza njengendawo yokungena ezinhlelweni zokukhubazeka kwengqondo nokuthuthukiswa komphakathi (IDD) ezixhaswe ngumphakathi, noma ngabe uhlelo luhlinzekwa yinhlangano yomphakathi noma yangasese.
I-LIDDA yakho izonquma ukuthi ungawathola yini amasevisi. Ukuze uthole amasevisi, okukodwa kokulandelayo kufanele kusebenze :
- Kufanele ube nokukhubazeka kwengqondo noma isimo esihlobene.
- Kufanele ube nenkinga ye-autism spectrum njengoba kuchazwe kuhlelo lwamanje lweManuwali Yokuhlola Nezibalo.
- Kufanele ube nesimo esihlobene futhi ufaneleke, futhi ubhalise, uhlelo lwe-HHSC olusiza abantu abane-IDD.
- Kufanele ube yisakhamuzi sasekhaya lasebekhulile esinokuxilongwa kwe-IDD noma isimo esihlobene nayo.
- Kufanele ufaneleke ukuthola izinsizakalo Zokungenela Ezinganeni Ezincane.
Izinsizakalo ze-IDD nezisekelo kulethwa ngokusebenzisa:
- Iziphathimandla Zokukhubazeka Kokuthuthuka Kobuhlakani Zasendaweni (LIDDAS)
- Izinsiza Zemali Ejwayelekile (GR).
- Izinsiza Zokunakekela Ezimaphakathi Zabantu Abanokukhubazeka Komqondo noma Izimo Ezihlobene (ICF/IID)
- I-ICF/IID esekwe emphakathini
- Izikhungo Zokuhlala Ezisekelwe Zikahulumeni (SSLC)
- I-Medicaid Community First Choice (CFC)
- Izinhlelo ze-ICF/IID Waiver
- Izinkonzo Zasekhaya kanye Nezomphakathi (HCS)
- Indawo yokuhlala yase-Texas Home (TxHmL)
- Usizo Lokuphila Komphakathi Nezinsizakalo Zokusekela (CLASS)
- I-Deaf Blind with Multiple Disabilities (DBMD)