Choice-Making Among Medicaid HCBS and ICF/MR Recipients in Six States
- 1 September 2008
- journal article
- Published by American Association on Intellectual and Developmental Disabilities (AAIDD) in American Journal on Mental Retardation
- Vol. 113 (5) , 325-42
- https://doi.org/10.1352/2008.113.325-342
Abstract
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.Keywords
This publication has 9 references indexed in Scilit:
- Proxy respondents and quality of lifeEvaluation and Program Planning, 2000
- Quality and Costs of Community-Based Residential Supports, Village Communities, and Residential Campuses in the United KingdomAmerican Journal on Mental Retardation, 2000
- Personal Control and the Ecology of Community Living Settings: Beyond Living-Unit Size and TypeAmerican Journal on Mental Retardation, 2000
- Outcomes and costs of community living: A matched comparison of group homes and semi-independent livingJournal of Intellectual & Developmental Disability, 2000
- Autonomy in Residential Facilities and Community Functioning of Adults With Mental RetardationMental Retardation, 1999
- Self-Determination Across Living and Working Environments: A Matched-Samples Study of Adults With Mental RetardationMental Retardation, 1999
- Longitudinal Study of Deinstitutionalization and the Exercise of ChoiceMental Retardation, 1997
- Community Living-Unit Size, Staff Presence, and Residents' Choice-MakingMental Retardation, 1997
- An examination of lifestyle and adjustment in three community residential alternativesResearch in Developmental Disabilities, 1991