Literaturnachweis - Detailanzeige
| Autor/inn/en | Bogenschutz, Matthew D.; DeCarlo, Matthew; Hall-Lande, Jennifer; Hewitt, Amy |
|---|---|
| Titel | Fiscal Stewardship, Choice, and Control: The Context of Self-Directed Services for People with Intellectual and Developmental Disabilities (IDD) in the United States |
| Quelle | In: Intellectual and Developmental Disabilities, 57 (2019) 2, S.158-171 (14 Seiten)Infoseite zur Zeitschrift
PDF als Volltext |
| Sprache | englisch |
| Dokumenttyp | gedruckt; online; Zeitschriftenaufsatz |
| ISSN | 1934-9491 |
| Schlagwörter | Intellectual Disability; Developmental Disabilities; Self Determination; Home Programs; Community Services; Cost Effectiveness |
| Abstract | Self-directed home and community based services (HCBS) waiver services and supports for people with intellectual and developmental disabilities (IDD) have become a viable and widely used method of service provision in the United States. Grounded in theories of self-determination, previous literature on self-direction has suggested high satisfaction and positive outcomes for people who use self-directed programs as well as cost savings for state IDD service systems. This study explored the ways in which state IDD service administrators think about how self-direction may be used as a method of achieving cost savings while providing opportunities for people with IDD and their families to exercise choice and control. Informed by 54 high-level IDD service administrators in 34 states, and guided by a thematic analysis approach to data interpretation, the study found evidence that administrators typically see strong potential for self-direction to have cost-savings benefits, while also fostering choice. In the current political climate, the need for cautious fiscal stewardship may become a stronger driving force behind self-direction for people with IDD in the United States. (As Provided). |
| Anmerkungen | 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://www.aaiddjournals.org/ |
| Erfasst von | ERIC (Education Resources Information Center), Washington, DC |
| Update | 2020/1/01 |
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