Community Based Day Programs

A community you can be a part of...

Community Integrated Services (CIS) community-based day programs are rooted in our belief that full community involvement for people with intellectual and developmental disabilities benefits everyone. CIS offers a wide range of community-based support options, from a few hours of help in a person’s own home, to an intensive program with around-the-clock clinical and nursing services. Regardless of the level of need, the individuals we work with are encouraged and supported to become active and valued members of their community. To aid in that effort, we are constantly expanding our available opportunities to fit the specific goals and aspirations of each individual, while working towards independence, health, wellness, and an enriching life by assistance with:

  • Developing community and independent living skills.
  • Participation in recreation and leisure opportunities.
  • Encouragement and support in building healthy relationships and natural support systems.
  • Validating contributions to the welfare of others in the home and community.
  • Teaching self-advocacy and conflict resolution skills.
  • Pursuing unpaid or paid vocational work.

We utilize various local resources, events, and activities to provide a high level of community involvement and integration. Our CIS day program building is used in tandem with other businesses to provide individuals with a space to participate in life enrichment classes, social groups, and to access computers.

We work with individuals and their teams to ensure that services are flexible and can be tailored to varying lifestyles, schedules, and preferences.

Direct Support Professionals (DSPs) provide our individuals the highest level of support, encouragement, and assistance possible while working one-to-one. We are also equipped to provide two-to-one support for individuals with more complex needs.


Community Participation Services and Participant Directed Managed Services

Certified annually by the New Hampshire Bureau of Developmental Services, Community Participation Services provide community-based and employment services for adults with developmental disabilities and acquired brain injuries. These services support individuals in being active members of their community. They are encouraged and guided in making safe and healthy life choices, and establishing meaningful relationships with peers, family and friends. From competitive employment to the artistic endeavors, life-skill development, cooking classes, Job coaching, volunteering, and more, our DSPs work closely with our individuals and their teams to facilitate their growth and success.

We accomplish this by:

  • We create individualized plans that envision a future of independence with an evolving network of natural supports, and we work towards these goals every day.
  • We ensure that all activities are community-based and inclusive.
  • Our team creates individualized schedules of daily activities tailored to each individual based on their abilities and interests.
  • Programming is offered on a 1:1 staff-to-person ratio depending on needs and funding.

Supported Independent Living Skills / Community Support Services

This program offers opportunities for individuals who live independently in the community but need minimal/occasional supports to maintain their independence.

Regardless of the level of need, the individuals we serve are encouraged and supported to become active and valued members of their community. To aid in that effort, CIS staff in all program models provide ongoing training and support for:

  • Developing community and independent living skills
  • Participation in recreation and leisure opportunities.
  • Encouragement and support in building healthy relationships and natural support systems.
  • Validating contributions to the welfare of others in the home and community
  • Teaching self-advocacy and conflict resolution skills.
  • Pursuing unpaid or paid vocational work.

Safety is always at the forefront for both the individual and the community.


Shift-Staffed Program Model

CIS offers a residential or ‘shift-staffed’ 24/7 model of support providing professional, trained staff and individualized supports within community-based homes. These certified residences can be designed to meet a wide range of person-centered needs from teaching independent living skills to providing medically intensive levels of care and support.

Through person-centered plans, individuals are encouraged to express and exert the fullest range of choice possible in their daily lives, and in doing so, are able to develop a genuine sense of self-determination. This autonomy is not to be confused with isolation. To promote an expanding circle of natural supports, CIS encourages and facilitates individuals to become involved in their community allowing them to live with dignity, safety, and hope.


Enhanced Family Care Supports

CIS offers residential care to individuals who need supported living arrangements. With an emphasis on autonomy and self-determination, person-centered care is flexible and intended to work with and around the changing demands and schedules of the individual, and their personal circumstances. As such, supported individuals are invited to participate in the interview, selection, and evaluation of their potential home care providers. These home care providers offer the individuals they support a safe home chosen to meet their specific needs and preferences. With monthly home visits from assigned management members, CIS is able to ensure consistent and appropriate support for both the individual and provider while encouraging and facilitating the highest level of independence possible.


Emergency and Crisis Supports

On occasion, persons can find themselves displaced from their home, or temporarily in need of additional supports to ensure their safety and the safety of those around them. Without judging the circumstances leading to this critical predicament, Community Integrated Services offers short-term care and support for persons in crisis with nowhere else to turn. During this period of emergency respite, CIS offers the capacity to perform intensive functional, behavioral, psychological and nursing assessments to assist those teams requiring suitable after-care alternatives. CIS provides respite and crisis services within existing home-environments, these opportunities are limited based upon availability and the consent of the person (and guardian/case manager) already living and receiving supports in the home.


Nursing Supports

Our nursing staff are active members of the Developmental Disabilities Nurses Association (DDNA) and work as a team under our Director of Nursing. Our nurses provide the following valuable services within our company:

  • Provide general nursing consultation to staff and consumers 24 hours a day, 365 days a year.
  • Educate the direct support staff in the safe administration of medications via the state approved 1201 Regulation Medication Administration classes.
  • Ensure the quality of medical supports, healthcare coordination and adherence to best practices.
  • Providing consumer education in self-administration of medications, for those individuals desiring a greater level of independence.
  • Oversee and procure medical supplies, referrals, and information needed by individuals and staff.
  • Educate individuals and staff on medical and health related issues.
  • Participate in the person-centered planning (PCP) process, if requested.
  • Follow the 404 delegation rules.

Quality Assurance

Community Integrated Services is dedicated to a high level of quality in our services and relationships.

Our Director of Compliance monitors internal adherence with state regulations and company policies. This allows for thorough oversight of all aspects of our supports and services.

The quality of our relationships with State Agencies, Area Agencies, and other Vendor Agencies is directly related to the success of our services and the progress of the individuals involved. CIS believes that successful services start at the ground level with paperwork tracking, proper documentation, and close attention to detail.

“Quality means doing it right when no one is looking.” - Henry Ford