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James B. Gould – Journal of Disability Policy Studies, 2025
The 2014 U.S. Centers for Medicare and Medicaid Services "Settings Rule," which took effect in 2023, restricts Home and Community Based Services funding for adults with intellectual disabilities to small integrated settings and person-centered supports. The Settings Rule responds to the fact that community services, mandated by the…
Descriptors: Adults, Intellectual Disability, Home Programs, Community Services
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Maurice A. Feldman; Amanda Cappon; Kay Corbier; Vicky Caruana; Mechane Laronde; Kendra Thomson – Journal of Applied Research in Intellectual Disabilities, 2025
Background: This study evaluated the Step-by-Step Parenting Program (SBSPP) to prepare expectant parents with intellectual disabilities to care for their newborns. Method: Two expectant parents with intellectual disabilities were seen once or twice weekly in their homes for about 2 h over 16 and 20 weeks (21 and 27 sessions), respectively. The key…
Descriptors: Parent Education, Parents with Disabilities, Intellectual Disability, Neonates
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Söderström, Sylvia; Bakken, Hege; Østby, May; Ellingsen, Karl E. – Journal of Intellectual Disabilities, 2023
The implementation of technology in home-based services takes place in contextualised socio-material practices negotiated through interactions between a diversity of actors. Prerequisites for succeeding in this process are time and competence, and that use of the technology is experienced as meaningful, for both the support staff and the resident.…
Descriptors: Assistive Technology, Young Adults, Intellectual Disability, Caregivers
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Carli Friedman – Journal of Developmental and Physical Disabilities, 2023
Recognizing the crisis the COVID-19 pandemic represents to the Home- and Community-Based Services (HCBS) service system and the health, safety, and quality of life of people with intellectual and developmental disabilities (IDD), states temporarily amended their HCBS programs to strengthen service delivery. States are able to temporarily amend…
Descriptors: COVID-19, Pandemics, Intellectual Disability, Developmental Disabilities
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Carli Friedman – Journal of Autism and Developmental Disorders, 2024
This study's aim was to examine the impact of pandemic emergency Home- and Community-Based Services (HCBS) payments on the continuity and security of people with intellectual and developmental disabilities (IDD). Using a multilevel logistic regression, we analyzed secondary Personal Outcome Measures interviews from 738 people with IDD (March 2020…
Descriptors: Intellectual Disability, Developmental Disabilities, Pandemics, COVID-19
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Liu, Guodong; Velott, Diana L.; Kong, Lan; Dick, Andrew W.; Mandell, David S.; Stein, Bradley D.; Murray, Michael J.; Ba, Djibril M.; Cidav, Zuleyha; Leslie, Douglas L. – Journal of Autism and Developmental Disorders, 2022
Using the 2008-2013 Medicaid Analytic eXtract files, this retrospective cohort study was to evaluate the effect of Medicaid home and community-based services (HCBS) waiver programs on emergency department (ED) utilizations among youth with autism spectrum disorder (ASD). Our study showed that the annual ED utilization rates were 13.5% and 18.8%…
Descriptors: Autism, Pervasive Developmental Disorders, Community Services, Home Programs
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Vanderkerken, Lien; Heyvaert, Mieke; Onghena, Patrick; Maes, Bea – Journal of Intellectual Disabilities, 2021
Background: The realization of the family-centered approach (FCA) in home-based support (HBS) for families with children with an intellectual disability (ID) in Flanders was investigated, and parents' and family workers' perspectives were compared. The relation between parents' educational level, the family worker's education, and his/her…
Descriptors: Children, Intellectual Disability, Family Involvement, Parent Background