Research / Journal abstracts

File Downloads / Links

State Expenditures on Home and Community Based Services and Use of Formal and Informal Personal Assistance: A Multilevel Analysis

The study examines the association of state HCBS expenditures with use of formal and informal personal assistance by Americans aged 70 and older with functional limitations. After controlling for other factors, the authors find that persons residing in states with higher HCBS expenditures were more likely to use formal personal assistance, but not less likely to use informal assistance. Data were from state expenditures and the Assets and Health Dynamics among the Oldest Old Survey.

Short URL: http://www.advancingstates.org/node/51913

File Downloads / Links

Exploring Patterns of Service Utilization Among Persons With Disabilities in a Consumer-Directed Care Program

How do finance institutions and HCBS influence asset building among persons with disabilities? This article explores patterns of and barriers to utilization of banking services using a case study of an Iowa credit union that has enrolled persons with disabilities under a HCBS waiver. Although not widely used by program participants, the credit union model provides savings opportunities to purchase goods and services that facilitate independent living.

Short URL: http://www.advancingstates.org/node/51894

File Downloads / Links

Do Noninstitutional Long-Term Care Services Reduce Medicaid Spending?

The question posed in the title is answered by analyzing state spending data from 1995-2005. The report shows that, for two distinct populations receiving long-term care services, spending growth was greater for states offering limited noninstitutional services than for states with large, well-established noninstitutional programs. Expansion of HCBS appears to entail a short-term increase in spending, followed by a reduction in institutional spending and long-term cost savings.

Short URL: http://www.advancingstates.org/node/51892

File Downloads / Links

A Revolution in the Employment Process of Individuals with Disabilities: Customized Employment as the Catalyst for System Change

The experience of the Cobb and Douglas Counties Community Services Boards in Georgia in shifting from a segregated traditional service system to an innovative system focusing on economic development for persons with disabilities illustrates some common aspects of system change. The 7-year organizational evolution is analyzed here. The main points that emerged are: staff development; partnerships and funding; sustainability; management and HR practices; and expanding coverage to new populations.

Short URL: http://www.advancingstates.org/node/51868

File Downloads / Links

Surveying Persons with Disabilities: A Source Guide

Mathematica created these compendia of abstracts, summaries, and references in an effort to provide to the public current and easily accessible research on the methodological issues of surveying persons with disabilities. Sources include online journals and websites, conference materials, citations from articles and books, and working papers and dissertations. Version 1, released June 2006, lists 150 resources. Version 2, released October 2008, adds 75.

Short URL: http://www.advancingstates.org/node/51850

File Downloads / Links

A Self-Directed Care Model for Mental Health Recovery

Find out about the outcomes of people with serious mental illnesses that participate in Florida's Cash & Counseling program. Self-directed care was effective in lowering costs and time spent in psychiatric inpatient and criminal justice settings. Many program details are provided, such as financing, start up, structure, and evaluation.

Short URL: http://www.advancingstates.org/node/51770

File Downloads / Links

Measuring Worker Turnover in Long-Term Care: Lessons From the Better Jobs Better Care Demonstration

Policy makers and provider organizations continue to struggle to reduce turnover among direct-care workers in the long-term care field. Unfortunately, data elements used to measure turnover vary widely between programs and make it difficult to understand and counteract this problem. The authors discuss these challenges by drawing on their experience with the turnover tracking system of the Better Jobs Better Care Demonstration.

Short URL: http://www.advancingstates.org/node/51671

File Downloads / Links

Does Mental Illness Affect Consumer Direction of Community-Based Care? Lessons From the Arkansas Cash and Counseling Program - Research Abstract

The authors examined whether consumer direction is effective for elderly people with mental illness. The treatment group, those that participated in Cash and Counseling, fared better than elderly people that have a mental illness but did not participate in C&C. They also fared as well as elderly people without mental illness that were in the program. Variables studied included measures of consumer satisfaction as well as objective measures such as health, among others.

Short URL: http://www.advancingstates.org/node/51612

File Downloads / Links

Public/Private Partnerships and Employment of People with Disabilities: Preliminary Evidence from a Pilot Project

Find here preliminary findings of two demonstration projects aimed at improving employment outcomes of people with developmental disabilities by facilitating multi-sector partnerships. Two projects, one urban and one rural, specifically focused on coordination between supplemental staffing agencies and community rehabilitation programs. The authors conclude that services could be greatly improved via public/private partnerships and list ongoing programs that build on the model.

Short URL: http://www.advancingstates.org/node/51607

File Downloads / Links

Assistive Technology in Medicaid Home- and Community-Based Waiver Programs

The authors identified trends regarding the use of 1915(c) waivers to buy assistive technology (AT). They examined participation and expenditures as well as differences in provision between elderly people and individuals with developmental disabilities. Results showed that the use of waivers to fund AT is growing, but more slowly than the overall waiver program. Also, there are significant differences in provision between people with disabilities and older adults as well as between states.

Short URL: http://www.advancingstates.org/node/51605

Pages

Subscribe to RSS - Research / Journal abstracts