2.E.1.a-c.

The organization assists person served to enhance their quality of life as they desire:

1. By providing opportunities to maintain and/or increase:
   1. Social contacts
   2. Personal relationships
   3. Community networks
   4. New supports
2. By facilitating exposure to new community experiences
3. By achieving desired or greater participation in community activities

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2.E.2.

Individualized service plans identify community inclusion activities, as desired by the person served.

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2.E.3.a-b.

The organization supports persons served to achieve participation in community activities by developing skills and behaviors that:

1. Relate to the desired outcomes
2. Empower the persons served

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2.E.4.a-b.

The organization:

1. Considers the individual preferences of those served when selecting direct care staff
2. Addresses the input of persons served on an ongoing basis

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2.E.5.a-b.

When appropriate to services and the population served, the program ensures that:

1. Personnel are knowledgeable about early signs indicating possible dementia and aging-related decline
2. When early signs of possible dementia or aging-related decline are identified:
   1. Recommendation for further evaluation is made to the case manager responsible for the person’s healthcare
   2. When diagnosis is confirmed:
      1. If the scope of the program can support the person to remain and age in place, the person-centered planning process responds to the new needs
      2. If the scope of the program cannot support these new needs:
         1. Appropriate transition planning is initiated
         2. Transfer of information occurs to support successful transition

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