This analysis of survey activities of the Accreditation Council for Services for Mentally Retarde... more This analysis of survey activities of the Accreditation Council for Services for Mentally Retarded and Other Developmentally Disabled Persons (ACMRDD) is designed to provide program administrators and state agency officials with comprehensive descriptive information on 296 surveys conducted by the council from 1980 through 1984. Part I of this report summarizes the ACMRDD survey process, the method of the study, and the agency classification system used by the-project. Part II presents study results in five sections: (1) analysis by type of agency (large or small, public or private, residential or nonresidential); (2) agency and client characteristics in the most recently surveyed agencies; (3) analysis of this data by type of agency; (4) the impact of previous surveys on the agencies' success with accreditation; and (5) identification of critical accreditation standards. 1The third part of the report presents a summary, suggests additional research, and offers recommendations to the ACMRDD and to agencies seekiag accreditation. Among recommendations for the use of the survey are improving and consolidating formats for data collection and modifying the survey application form to facilitate completion by the applicant agency and to consistently solicit relevant data. It is also recommended that those agencies comtemplating the survey should conduct a simulation of the actual survey experience. Twenty tables and 13 charts supplement the text, and eight appendices, makingrip nearly half the document, include survey and data collection formats, statistical summary of agency and client characteristics, enumeration and ranking of critical standards, and enumeration of standards with which all agencies were assumed to be in compliance. (C3) PUBLIC POLICY MONOGRAPH SERIES NUMBER 20 ACMRDD ACCREDITATION: ANALYSIS OF NATIONWIDE SURVEY RESULTS,
1. NCSL Legisbrief. 2001 Feb;9(10):1-2. Medicaid's home-and community-based waiver. Hemp R, ... more 1. NCSL Legisbrief. 2001 Feb;9(10):1-2. Medicaid's home-and community-based waiver. Hemp R, King M. State of the States in Developmental Disabilities Project, University of Illinois at Chicago, USA. PMID: 11642309 [PubMed - indexed for MEDLINE]. MeSH Terms: ...
1. Ment Retard. 2004 Aug;42(4):317-20. Most employment services growth in developmental disabilit... more 1. Ment Retard. 2004 Aug;42(4):317-20. Most employment services growth in developmental disabilities during 1988-2002 was in segregated settings. Braddock D, Rizzolo MC, Hemp R. PMID: 15230656 [PubMed - indexed for MEDLINE] MeSH Terms: ...
In this article we summarize mental retardation/developmental disabilities (MR/DD) spending since... more In this article we summarize mental retardation/developmental disabilities (MR/DD) spending since 1977, with emphasis on spending during the period 1995-2000. The change in state economic conditions, from strong growth in recent years to fiscal constraint in 2002, is also addressed. Spending data presented here are from the seventh State of the States in Developmental Disabilities (Braddock, 2002). Selected state-by-state information is also available at the study's website: http://www.cu.edu/ColemanInstitute/stateofthestates.
Table 2 State Utilization of the Home and Community-Based Services (HCBS) Waiver Program: FY 1998... more Table 2 State Utilization of the Home and Community-Based Services (HCBS) Waiver Program: FY 1998 HCBS/SSI as % of total Total HCBS community community Waiver Rank/State spending spending participants 1 Utah 2 Vermont 3 Alabama 4 New Hampshire 5 South Dakota 6 Nebraska 7 Colorado 8 Wyoming 9 Arizona 10 Rhode Island 11 New Mexico 12 Kansas 13 Oregon 14 Delaware 15 Oklahoma 17 Florida 18 Kentucky 19 Wisconsin 20 North Dakota 20 Missouri 21 Alaska 22 Maryland 23 Tennessee 24 Hawaii 25 West Virginia 26 Georgia ...
Public spending for MR/DD services grew rapidly during FYs 2000-2002. This rapid growth was follo... more Public spending for MR/DD services grew rapidly during FYs 2000-2002. This rapid growth was followed by reductions in spending for MR/DD services as the nation's economy declined during 2002-2004. However, convergent factors stimulating future expansion of funding and services for persons with MR/DD include rapidly expanding cohorts of aging caregivers in the states, increasing longevity of persons with MR/DD, and extensive litigation in the states promoting access to services.
ABSTRACT The federal-state Medicaid program provides significant and im-portant services for pers... more ABSTRACT The federal-state Medicaid program provides significant and im-portant services for persons with developmental disabilities in the United States. The research presented here is an empirical analysis of current con-gressional proposals to reduce Medicaid ...
Journal of Behavioral Health Services & Research, 1990
Cost studies in the long-term care field are reviewed, with emphasis on those relating to people ... more Cost studies in the long-term care field are reviewed, with emphasis on those relating to people with developmental disabilities. Studies frequently stressed the cost-effectiveness of community programs but often had significant methodological problems. Among the predominant findings in the literature were: 1) the generally lower average costs per client in community programs versus institutional programs; 2) unexplained wide costranges in similar community programs; and 3) significant cost shifts among federal, state, and local governments associated with deinstitutionalization initiatives. The implications of these findings for public officials and the advocacy community are discussed.
Current trends in mental retardation services in the Commonwealth of Massachusetts were investiga... more Current trends in mental retardation services in the Commonwealth of Massachusetts were investigated using the New England region, the state of Michigan, and the United States as comparative frames of reference. Our goal was to analyze recent structural, financial, and programmatic trends in Massachusetts and the New England region to close state institutions and implement community and family support services. Massachusetts in particular illustrates the policy choices and challenges facing many American states engaged in restructuring their service delivery systems. New England is an extremely dynamic and innovative region that is providing significant national leadership in the provision of alternatives to institutional care.
This analysis of survey activities of the Accreditation Council for Services for Mentally Retarde... more This analysis of survey activities of the Accreditation Council for Services for Mentally Retarded and Other Developmentally Disabled Persons (ACMRDD) is designed to provide program administrators and state agency officials with comprehensive descriptive information on 296 surveys conducted by the council from 1980 through 1984. Part I of this report summarizes the ACMRDD survey process, the method of the study, and the agency classification system used by the-project. Part II presents study results in five sections: (1) analysis by type of agency (large or small, public or private, residential or nonresidential); (2) agency and client characteristics in the most recently surveyed agencies; (3) analysis of this data by type of agency; (4) the impact of previous surveys on the agencies' success with accreditation; and (5) identification of critical accreditation standards. 1The third part of the report presents a summary, suggests additional research, and offers recommendations to the ACMRDD and to agencies seekiag accreditation. Among recommendations for the use of the survey are improving and consolidating formats for data collection and modifying the survey application form to facilitate completion by the applicant agency and to consistently solicit relevant data. It is also recommended that those agencies comtemplating the survey should conduct a simulation of the actual survey experience. Twenty tables and 13 charts supplement the text, and eight appendices, makingrip nearly half the document, include survey and data collection formats, statistical summary of agency and client characteristics, enumeration and ranking of critical standards, and enumeration of standards with which all agencies were assumed to be in compliance. (C3) PUBLIC POLICY MONOGRAPH SERIES NUMBER 20 ACMRDD ACCREDITATION: ANALYSIS OF NATIONWIDE SURVEY RESULTS,
1. NCSL Legisbrief. 2001 Feb;9(10):1-2. Medicaid's home-and community-based waiver. Hemp R, ... more 1. NCSL Legisbrief. 2001 Feb;9(10):1-2. Medicaid's home-and community-based waiver. Hemp R, King M. State of the States in Developmental Disabilities Project, University of Illinois at Chicago, USA. PMID: 11642309 [PubMed - indexed for MEDLINE]. MeSH Terms: ...
1. Ment Retard. 2004 Aug;42(4):317-20. Most employment services growth in developmental disabilit... more 1. Ment Retard. 2004 Aug;42(4):317-20. Most employment services growth in developmental disabilities during 1988-2002 was in segregated settings. Braddock D, Rizzolo MC, Hemp R. PMID: 15230656 [PubMed - indexed for MEDLINE] MeSH Terms: ...
In this article we summarize mental retardation/developmental disabilities (MR/DD) spending since... more In this article we summarize mental retardation/developmental disabilities (MR/DD) spending since 1977, with emphasis on spending during the period 1995-2000. The change in state economic conditions, from strong growth in recent years to fiscal constraint in 2002, is also addressed. Spending data presented here are from the seventh State of the States in Developmental Disabilities (Braddock, 2002). Selected state-by-state information is also available at the study's website: http://www.cu.edu/ColemanInstitute/stateofthestates.
Table 2 State Utilization of the Home and Community-Based Services (HCBS) Waiver Program: FY 1998... more Table 2 State Utilization of the Home and Community-Based Services (HCBS) Waiver Program: FY 1998 HCBS/SSI as % of total Total HCBS community community Waiver Rank/State spending spending participants 1 Utah 2 Vermont 3 Alabama 4 New Hampshire 5 South Dakota 6 Nebraska 7 Colorado 8 Wyoming 9 Arizona 10 Rhode Island 11 New Mexico 12 Kansas 13 Oregon 14 Delaware 15 Oklahoma 17 Florida 18 Kentucky 19 Wisconsin 20 North Dakota 20 Missouri 21 Alaska 22 Maryland 23 Tennessee 24 Hawaii 25 West Virginia 26 Georgia ...
Public spending for MR/DD services grew rapidly during FYs 2000-2002. This rapid growth was follo... more Public spending for MR/DD services grew rapidly during FYs 2000-2002. This rapid growth was followed by reductions in spending for MR/DD services as the nation's economy declined during 2002-2004. However, convergent factors stimulating future expansion of funding and services for persons with MR/DD include rapidly expanding cohorts of aging caregivers in the states, increasing longevity of persons with MR/DD, and extensive litigation in the states promoting access to services.
ABSTRACT The federal-state Medicaid program provides significant and im-portant services for pers... more ABSTRACT The federal-state Medicaid program provides significant and im-portant services for persons with developmental disabilities in the United States. The research presented here is an empirical analysis of current con-gressional proposals to reduce Medicaid ...
Journal of Behavioral Health Services & Research, 1990
Cost studies in the long-term care field are reviewed, with emphasis on those relating to people ... more Cost studies in the long-term care field are reviewed, with emphasis on those relating to people with developmental disabilities. Studies frequently stressed the cost-effectiveness of community programs but often had significant methodological problems. Among the predominant findings in the literature were: 1) the generally lower average costs per client in community programs versus institutional programs; 2) unexplained wide costranges in similar community programs; and 3) significant cost shifts among federal, state, and local governments associated with deinstitutionalization initiatives. The implications of these findings for public officials and the advocacy community are discussed.
Current trends in mental retardation services in the Commonwealth of Massachusetts were investiga... more Current trends in mental retardation services in the Commonwealth of Massachusetts were investigated using the New England region, the state of Michigan, and the United States as comparative frames of reference. Our goal was to analyze recent structural, financial, and programmatic trends in Massachusetts and the New England region to close state institutions and implement community and family support services. Massachusetts in particular illustrates the policy choices and challenges facing many American states engaged in restructuring their service delivery systems. New England is an extremely dynamic and innovative region that is providing significant national leadership in the provision of alternatives to institutional care.
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