GRO Manual

The GRO Manual (Growing Resources in Oregon) was developed in 2010 to address the need for training and information that reflects the changing profile of individuals entering into the development disabilities service system.  The contents of this manual were developed from research on best practices for supporting people with complex needs. The information in this manual is reviewed and updated annually.  New articles and training tools are added periodically. Click here to read more about what is in the GRO Manual.

Each section of the GRO Manual is bundled into a single large PDF file. To browse the contents more easily we recommend using the Bookmarks feature of the latest version of Adobe Reader.

• GRO Manual – Click here to download the full GRO Manual (.zip) (Please note this folder is quite large and may take a couple of minutes to load)
• Click here to review and download individual sections (note: separate page with each section downloadable)

Additions and Updates to the GRO Manual

• GRO Decision Tree: A quality assurance tool which outlines a process for examining support documents already in place such as the Personal Focus Worksheet, Individual Support Plan, functional assessment and/or behavior support plan, as well as other supports provided by the organization serving an individual who engages in behaviors that put him or her at risk of losing a placement or services. In addition to providing a structure for examining these supports, this tool is a platform for brainstorming sessions, as it assists users to contribute to the process of adding, enhancing, or developing new supports by prompting them to:
  • ask questions in order to understand the comprehensive support needs of a person who engages in challenging behavior;
  • identify areas for further inquiry;
  • identify deficits or conflicts of existing supports;
  • bring information forward for discussion; and develop a “to-do” list of next steps toward resolving each issue
• Comic Strip Conversations: Examples of Social Stories
• Proactive Comic Strip
• Crisis Situation Comic Strip
• On the Spot Comic Strip #1
• On the Spot Comic Strip #2
• How a Teacher Can Help You Comic Strip
• Navigating the Mental Health System:
• Oregon Mental Health Service Delivery
• Treatment Services for Individuals with Co-Occurring Mental Health – Types of Individuals
• Treatment Services for Individuals with Co-Occurring Mental Health – What to do?
• Mental Health Treatment with the Oregon Health Plan
• Differences Between the OR MH and ID/DD Service Delivery Systems

Final Reports From The GRO Project

• GRO Final Report (.pdf)
• GRO Rec­om­men­da­tions (.pdf)
• GRO Strate­gies for Improv­ing Access to Men­tal Health Ser­vices (.pdf)

Capac­ity Build­ing Sum­mit Resources

• Build­ing Oregon’s Capac­ity to Serve Indi­vid­u­als with Com­plex Sup­port Needs – Recommendations for Action Whitepaper (.pdf)
• NASDDDS Tech­ni­cal Report: Sur­vey on State Strate­gies for Sup­port­ing Indi­vid­u­als with Co-existing Con­di­tions (.pdf)
• “Pick­ing Up the Pieces of Our Own Mis­takes:” Sup­port­ing Peo­ple with Co-Occurring Con­di­tions (.pdf)
• Never Give Up (.pdf)