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North Carolina Division of Aging and Adult Services

In-Home Aide Service Descriptions and Service Agencies

Level 1 - Home Management   / Respite

Home Management In-Home Aide Services at this level are intended to provide support to individuals/families requiring assistance with basic home management tasks, such as housekeeping, cooking, shopping, and bill paying. Individuals to be served include those who are self-directing, medically stable, and have at least one (1) instrumental activity of daily living (IADL) impairment. Personal care tasks may not be performed at this level.

Respite Care is a component of IN-Home Aide Services which provides needed relief to primary caregivers of individuals who cannot be left alone because of mental or physical problems.

Level 2 - Home Management / Personal Care / Respite

Home Management/Personal Care In-Home Aide Services at this level are intended to provide support to individuals/families requiring assistance with basic activities of daily living and home management tasks. Both home management and assistance with personal care tasks can be provided to the client when his capacities are diminished or when the client is striving to maintain or improve his own functioning. Clients to be served include those who are medically stable and partially dependent in activities of daily living (ADL) functioning (1 or 2 ADL’s) due to physical and/or mental impairment; or who have maintenance needs and/or rehabilitative potential. In addition to their personal care needs, clients/families may also require assistance with IADL activities to improve IADL functioning or to learn independent living skills; or they may have increased IADL needs (2-4) requiring additional support to maintain/achieve overall functioning.

Respite Care is a component of In-Home Aide Services which provides needed relief to primary caregivers of individuals who cannot be left alone because of mental or physical problems.

Level 3 - Home Management / Personal Care / Respite

Home Management In-Home Aide Services at this level are intended to provide intensive education and support to clients/families in carrying out home management tasks and improving family functioning skills. Provisions of the service primarily focuses on individualized work with a client/family in teaching and demonstrating skills and tasks and reinforcing improved client/family accomplishments. It also involves direct care and support in crises situation. Clients/families to be served generally have moderate to severe limitations in cognitive and/or psycho-social functioning, but have potential for partial/total independence in IADL and/or home management functioning. Some clients may have severe IADL impairments (more than 4).

Personal Care In-Home Aide Services at this level are intended to provide substantial ADL support to clients who require assistance with health/personal care tasks. Provision of these tasks involves extensive “hands on” care and potential assistance with a wide range of health related conditions. Individuals to be served include those who are medically stable with significant ADL impairments (3 or more) resulting from a chronic condition; or who are medically instable due to recent illness, complications of a chronic condition, or a deteriorating condition with variable ADL and IADL needs.

Respite Care is a component of IN-Home Aide Services which provides needed relief to primary caregivers of individuals who cannot be left alone because of mental or physical problems.

Level 4 - Home Management / Respite

Home Management In-Home Aide Services at this level are intended to provide a wide range of educational and supportive services to clients/families who are in crisis or who require long term assistance with complex home management tasks and family functioning skills. Provision of the service involves quick and creative response to client/family crisis situations identified by the case manager; it also focuses on appropriate learning sessions with small groups of individuals from different families who have similar needs. Clients to be served include those who have serious limitations in cognitive and/or psycho-social functioning, who live in disruptive family situations, but who have the potential for major or complete independence in IADL functioning and who have little or no ADL impairment.

Respite Care is a component of In-Home Aide Services which provides needed relief to primary caregivers of individuals who cannot be left alone because of mental or physical problems.

Last updated December 8, 2011