ERIC Number: ED457612
Record Type: RIE
Publication Date: 2000-Aug-4
Reference Count: N/A
Eight Models for Explaining States' Total Spending for People with Developmental Disabilities in the United States.
Campbell, Edward M.; Fortune, Jon; Heinlein, Ken B.
This report investigated the financial expenditures of states for services for individuals with developmental disabilities and examined the factors that influenced the level of expenditure. Eight multiple-regression models are presented which explain 70 to 88 percent of the variation in states' total expenditures. In addition to the obvious relationships between spending for services for individuals with developmental disabilities and a state's total population and income, several additional factors were demonstrated to be important. Domestic migration was shown to have a significant negative relationship with spending; that is, states that are losing population have higher expenditures. History of litigation was also demonstrated to increase a state's spending. Providing supported living programs to a large number of people appears to have resulted in a substantial decrease in total spending. Increasing the numbers of people in any combination of ICF/MR and HCB waiver Medicaid services tended to increase spending. An alternative method of assessing fiscal effort is proposed and the concept of "alternative" services/supports of funding sources is questioned. Finally, a method for concurrently summarizing and displaying the effectiveness of delivering services and supports, and the cost-efficiency of providing those services/supports, is demonstrated. (Contains 25 references.) (CR)
Descriptors: Adults, Community Programs, Cost Effectiveness, Court Litigation, Developmental Disabilities, Federal Programs, Financial Support, Mental Retardation, Models, Policy Formation, Predictor Variables, State Aid, State Programs, Supported Employment
Wyoming Division of Developmental Disabilities, Herschler Bldg., First Floor West, 122 West 25th Street, Cheyenne, WY 82002. Tel: 307-777-7115; Fax: 307-777-6047; e-mail: email@example.com; Web site: http://ddd.state.wy.us.
Publication Type: Reports - Research; Speeches/Meeting Papers
Education Level: N/A
Authoring Institution: Wyoming State Dept. of Health, Cheyenne. Developmental Disabilities Div.
Note: Paper presented at the Annual World Congress of the International Association for the Scientific Study of Intellectual Disabilities (11th, Seattle, WA, August 1-6, 2000).