THE QSI AND YOU

What you need to know about APD’s
Questionnaire for Situational Information

(APD logo)
Agency for Persons with Disabilities
State of Florida

- - -

APD’s Assessment Tool

The Questionnaire for Situational Information (QSI)
is an assessment tool used by the Agency for
Persons with Disabilities (APD) that gathers key
information about your life and your need for
services and supports. The QSI is divided into
four main life areas:

• The Life Changes and Community
Inclusion section asks questions about
your work and living plans for the next
year, and how you are adjusting to any
major changes in your life.

• The Functional Status section asks
about things you do every day, such as
eating, bathing, brushing your teeth,
and getting dressed in the morning. It
also asks questions about your vision, hearing,
communication, and how you move around.

• The Behavioral Status section asks questions
about behavioral issues that might require
assistance or intervention.

• The Physical Status section asks about your health
and physical concerns, including your medical condition
and medications

Your answers to the questionnaire will help you set
goals and plan for things that are important to you.
They also will help APD identify the supports you
need now and in the future.

How the Process Works

The assessment is done by APD employees who
are qualified, trained, and certified to complete the
questionnaire. It is always done in a face-to-face
interview with you and your family or guardian
and anyone else you would like to include. Your
support coordinator does not have to be present
for the assessment. In addition, interviews
with your caregivers, health care personnel,
and support coordinator will help make sure
nothing is overlooked. All the information
gathered about you will be kept private and
will be shared with your providers only with
your consent.

The QSI is reviewed every year before
your support plan is developed and can
be updated any time there is a major
change in your life, such as a change
of caregiver, major change in your
health, or if you move to a new home.
The QSI is given to all individuals who
are on the Medicaid waiver and may
be given to individuals on the waiting
list for waiver services.

The QSI is one of several methods that APD uses to
determine the type of support you may need and to
help you decide what is important to you. The services
identified in your plan may be provided through the
Medicaid waiver, Medicaid State Plan, or other
agencies, as well as family and community sources.

Do You Have Questions for Us?

If you have questions about the QSI, please visit
APD’s Web site, contact your local APD area office,
or call the agency’s headquarters in Tallahassee at
the numbers below.

(map)

1-866-APD-CARES (1-866-273-2273)
(850) 488-4257
apdcares.org

MAY 2010