Tennessee Family Solutions Inc.
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615-255-8870
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831 Seven Oaks Blvd
Smyrna, TN 37167
Organization Details

Programs

Description
This clinic provides mental health care services to adults with intellectual and developmental disabilities.
Beneficiaries
Adults
Elderly and/or Disabled
People/Families with People of Developmental Disabilities
Long-term Success
Medication management for those with behavioral/mental health needs in order that adults with intellectual disabilities and mental illness can live meaningful lives in the community.
Program Success Monitored By
The objective is reduce and if possible, eliminate the use of psychotropic medications for individuals with ID/DD.
Program Areas Served
Mental Health
Description
The TFS Specialty Clinic is a recent start-up providing primary medical care to adults with intellectual and developmental disabilities. Its genesis is a desire to provide an alternative primary healthcare source for this special population and reduce the amount of healthcare that is sought in hospital emergency rooms.
Category
Health Care  - Community Clinics 
Beneficiaries
At-Risk Populations
Elderly and/or Disabled
People/Families with People of Developmental Disabilities
Long-term Success
The plan is to offer primary healthcare to adults with intellectual developmental disabilities. The clinic's doctors are credentialed and the clinic contracted with about one dozen insurance carriers. Long-term success is defined as primary care and behavioral healthcare five days a week. A major objective is to reduce the need for primary care for this special population to be sought in hospital emergency rooms.
Program Areas Served
The TFS Specialty Clinic is located in Smyrna, TN and provides Primary Care to adults with intellectual and/or developmental disabilities in surrounding communties.
Description
In accordance with state policy, each person TFS serves has an Individual Support Plan (ISP) that addresses needs, preferences, and most aspects of daily living. Through the support planning process, the Circle of Support Team finds out what a "personally fulfilling" lifestyle is for that individual. The components of that lifestyle are identified, and then become the cornerstones of the programs and services the individual receives. TFS staff then develop an individualized daily schedule for each person that includes personal care, family-style meals, work or functional activities, health care and therapy, recreation, opportunities for leisure, and more. TFS staff members provide ever-present supervision, teaching skills and appropriate behaviors as natural opportunities arise throughout the day.
Program Areas Served
None
Description
Having places to go, performing meaningful work, and participating in enjoyable activities are important parts of a fulfilling lifestyle for most people. TFS provides an array of day services to give the people we serve opportunities to fully participate in daily living outside the home setting. TFS day programs encourage community involvement and utilization of existing community resources. One can see the people TFS serves out in the community every day at parks, coffee shops, shopping centers, concerts and other performing arts events, sporting events, and public places of all sorts.
Program Areas Served
None
Description
A complete array of health support services are delivered at locations in the community according to each person's needs. Those individuals living in TFS Medical Residential or ICF/ID homes require a good deal of nursing support on a daily basis. Those served in other homes have varied medical needs and nursing staff assist with healthcare oversight and interventions for clients. TFS has a Medical Director who provides oversight of healthcare for those TFS serves and oversees the operation of a medical clinic TFS operates at its Smyrna Office location. TFS in the past has also operated a psychiatric clinic for a number of individuals with a dual diagnosis who reside in TFS homes. It is our plan to reestablish this as soon as we are able.
Program Areas Served
None
Description
TFS teaching staff members provide services 24 hours a day, seven days a week in Teaching Family Homes. At least one teacher is on duty for every two to three individuals during waking hours. Clinicians that include Teaching-Family Model consultants and health-care specialists provide specialized services and support for the teaching staff. The people served in TFS' living arrangements come and go - with ever-present supervision - according to their individualized daily schedules.Teaching Family Homes: Most of the people served by TFS receive those services in duplex or separate home settings scattered throughout typical neighborhoods in the communities of Rutherford and Davidson Counties, Tennessee. These homes are staffed with Teaching Family Couples or single Family Teachers who actually live right next door to the two to three people they serve, and the whole group functions as a family unit. The couple supervises a small team of assistant teachers (who live off-site) to cover the times the couple is considered off duty. Medical Residential Homes: In completing its Mission to serve those who would othewise require an institutional level of care, TFS opened its first 24 hour a day, 7 day a week nursing facility in 2007. These two person living arrangements are located side by side in order to maximize the efficiencies of expensive nursing services. Each individual in these homes must require multiple nursing interventions a day in order to achieve placement in these homes.
Program Areas Served
None

CEO/Executive Director/Board Comments

TFS is experiencing a reduction in funding from the State of Tennessee. Some of this is a natural result of the waning influence of the federal lawsuits. We are responding by expanding our efforts at fundraising and efforts to promote community awareness of our Mission. We are also seeing a shift in the population we will likely be serving in the future. In the past we focused on individuals in transition from public developmental centers. More of the referrals for services we are seeing now consist of younger individuals with severe autism spectrum disorders or older individuals who require an environment capable of handling their continuing medical needs. Because we operate a behavior oriented model of care and have added 24 hour nursing facilities we believe we are well positioned to meet the needs of these populations. I anticipate in the future we will likely be working more with school systems to meet the needs of young individuals with intellectual disabilities and autism spectrum disorders.
An unknown and likely challenging transition for private providers is the planned transition of services this year to the Managed Care Organizations contracted to TennCare and have the operations overseen by the State Department of Intellectual Developmental Disabilities.