Transition/Diversion from Institutions

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Aging in Place: Do Older Americans Act Title III Services Reach Those Most Likely to Enter Nursing Homes - Issue Brief

First in a series, this brief presents findings from AoA’s National Survey of Older Americans Act Program Participants. Findings indicated that Title III participants were at a higher risk of entering a nursing home compared to others in their age group. The authors conclude that AoA, however, is effectively reaching those most at risk of institutionalization, and that Title III services play an important role in helping elderly adults remain living independently in the community.

Short URL: http://www.advancingstates.org/node/52638

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Organizational Transformation Series

Find case studies and articles related to organizational change from traditional facility and group-based services to individualized supports. Reports present learned lessons and challenges based on site visits to organizations which offer supports for community living, employment and are engaged in change initiatives. New reports from 2011 include "Organizational Change: Approaches & Strategies" and "Stepping out of the Organizational Comfort Zone."

Short URL: http://www.advancingstates.org/node/52635

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Advancing Home and Community-Based Services: Transforming Policies, Programs, and Service Delivery in Long-Term Care – Public Policy & Aging Report

The Benjamin Rose Institute on Aging sponsored PPAR’s Winter/Spring 2010 issue. It includes seven articles written by national experts describing recent and notable changes in LTC policy, with its increasing emphasis on HCBS services. An introductory essay provides a 30-year review of the evolutionary process of LTC. Consumer-directed initiatives, caregiver and workforce issues, maturation of the service delivery system, and a review of recent state-level initiatives are discussed.

Short URL: http://www.advancingstates.org/node/52633

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A Decade of “Little Progress” Implementing Olmstead: Evaluating Federal Agency Impact After 10 Years

The authors of this report conclude that in the 10 years since the Olmstead decision, there has been little national (though some individual state) progress moving people with disabilities out of nursing facilities and public institutions and into communities with supports. The report includes an overview of Olmstead, institutional data, and recommendations for improvement.

Short URL: http://www.advancingstates.org/node/52620

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CMS State Medicaid Directors Letter - Extension of the MFP Rebalancing Demonstration Program

The Affordable Care Act (ACA) includes the extension of the MFP Demonstration Program for an additional 5 years. This letter provides background about the MFP Demonstration Program, explains improvements made by the ACA, details how the ACA will impact current MFP grantees, and provides preliminary information for non-participating States that may be interested in pursuing new funding.

Short URL: http://www.advancingstates.org/node/52592

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States Struggle To Move People Out Of Nursing Homes

Find an article produced for the general public discussing the progress of Money Follows the Person. The author cites study findings suggesting reasons for states’ slow movement in nursing home transition: problems finding affordable housing, resistance from nursing homes, stringent federal rules limiting eligibility and types of community settings individuals can move into. Included are links to a related video and interactive map showing each state’s goals and transitions made to date.

Short URL: http://www.advancingstates.org/node/52552

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Career Exploration Fair for Youth with Disabilities – Nevada

As part of their Disability Employment Education Project, Nevada created a career exploration fair for youth with disabilities age 14-22. It gives students the opportunity to visit with representatives from a wide range of industries, learning first-hand about the necessary skills and educational requirements related to careers of interest. An invitation for schools, as well as an evaluation form for attendees is attached, which could be useful to other states.

Short URL: http://www.advancingstates.org/node/52530

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From Entitlement to Eligibility - Utah

What are states doing to address the needs of individuals with learning disabilities in school and beyond? Utah gave the attached presentations at the Learning Disabilities Association National Conference to address the diverse services available across the lifetime of an individual with learning disabilities. They include various Utah resources and could be useful to other MIG states interested in this demographic.

Short URL: http://www.advancingstates.org/node/52497

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Finding, Getting and Keeping a Job – Utah

What are states doing to help teachers whose job is to prepare youth with disabilities for a fulfilling work life? The attached presentation was given to students in the Brigham Young University Special Education Department. It addresses myths and truths about employment and people with disabilities. It also provides policy information, job seeker guides, tips for teens, eSkills and resources. This approach could be helpful to other states with MIG grants.

Short URL: http://www.advancingstates.org/node/52491

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Get Ready for that Paycheck! – Utah

What can parents do to help young adults improve employability skills and prepare for the world of work? Utah wants to get parents involved early. They created the attached PowerPoint presentation that outlines essential skills and a list of how parents can help with each. These skills are broken down into work, academic, people and thinking skills. This is an approach that could be useful to other MIG grantees.

Short URL: http://www.advancingstates.org/node/52489

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