ERIC Number: EJ809045
Record Type: Journal
Publication Date: 2008-Sep
Pages: 18
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-0895-8017
EISSN: N/A
Choice-Making among Medicaid HCBS and ICF/MR Recipients in Six States
Lakin, K. Charlie; Doljanac, Robert; Byun, Soo-Yong; Stancliffe, Roger; Taub, Sarah; Chiri, Giuseppina
American Journal on Mental Retardation, v113 n5 p325-342 Sep 2008
Choice in everyday decisions and in support-related decisions was addressed among 2,398 adults with intellectual and developmental disabilities receiving Medicaid Home and Community Based Services (HCBS) and Intermediate Care Facility (ICF/MR) services and living in nonfamily settings in six states. Everyday choice in daily life and in support-related choice was considerably higher on average for HCBS than for ICF/MR recipients, but after controlling for level of intellectual disability, medical care needs, mobility, behavioral and psychiatric conditions, and self-reporting, we found that choice was more strongly associated with living in a congregate setting than whether that setting was HCBS- or ICF/MR-financed. Marked differences in choice were also evident between states.
Descriptors: Medical Services, Mental Retardation, Developmental Disabilities, Health Insurance, Adults, Decision Making, Physical Mobility, Mental Health, Financial Support, Residential Care
American Association on Intellectual and Developmental Disabilities. P.O. Box 1897, Lawrence, KS 66044-1897. Tel: 785-843-1235; Fax: 785-843-1274; e-mail: AJMR@allenpress.com; Web site: http://aaidd.allenpress.com
Publication Type: Journal Articles; Reports - Evaluative
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Grant or Contract Numbers: N/A