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…

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…

Despite physically relocating "into" the community, many people with intellectual and developmental disabilities (IDD) fail to be meaningfully included "in" the community. The Home and Community Based Services (HCBS) Settings Rule was introduced to expand community integration, person-centered services, and choice. The aim of…

Children with developmental delays are more likely to experience difficulties in social-emotional skills and challenging behavior, which can lead to poor long-term outcomes if left untreated. The purpose of this literature review was to synthesize the literature related to home-based interventions to address social-emotional skills and challenging…

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…

Medicaid Home and Community-Based Services (HCBS) 1915(c) waivers are one of the largest providers of long-term services and supports for people with intellectual and developmental disabilities (IDD). HCBS waivers also play a prominent role in providing day habilitation services for people with IDD. The purpose of this study was to examine how…

Speech language and hearing (SLH) services can improve people with intellectual and developmental disabilities' (IDD) health, autonomy, and community participation. The aim of this study was to explore how SLH services are offered to people with IDD across the nation, particularly in fiscal year 2015 Medicaid Home and Community Based Services…

Parents' perspectives on a home-based, parent-implemented social-pragmatic communication intervention for young children aged 37 to 60 months with limited expressive language are presented in this report. The researchers analyzed the perspectives of seven parent participants in the Institute of Education Sciences-funded Parent-Implemented…

Background: The "Stay Well and Healthy!" Health Risk Appraisal (SWH-HRA) tool was developed and piloted in an in-home preventive healthcare program for persons ageing with intellectual and developmental disabilities (Aronow & Hahn 2005; Hahn & Aronow 2005). This paper presents the results of reliability and validity assessment of the SWH-HRA tool…

This study examined factors associated with the use of personal care services (PCS) and the amount of authorized hours in California in 2004-2005. Of those Medicaid-eligible individuals with developmental disabilities living at home, 31% received PCS. When we controlled for client need, gender, and age, individuals who were Asian/Pacific…

Self-reported satisfaction and sense of well-being were assessed in a sample of 1,885 adults with intellectual and developmental disabilities receiving Medicaid Home and Community Based Services (HCBS) and Intermediate Care Facility (ICF/MR) services in 6 states. Questions dealt with such topics as loneliness, feeling afraid at home and in one's…

It is very important for individuals with all kinds of developmental disabilities to learn skills in order to be independent at home. The purposes of the study were twofold; (1) to examine the effectiveness of caregiver-delivered home-based instruction using simultaneous prompting to children with moderate developmental disabilities on teaching…

The short- and long-term effectiveness of a staff-monitored, home-based aerobics program was assessed in a group of 15 individuals with developmental disabilities and compared to fitness levels of 12 non-participating controls. Results showed significant improvement on some aspects of fitness, but difficulties with measurement and maintenance were…

This study of 78 mothers of mentally retarded children and adults found that respite care acts as a differential service that can enhance coping resources and is of most benefit to high self-esteem mothers of young developmentally disabled children, especially as a home-based model. (Author/JDD)

Comparing developmental education for parents, parent education in child management, and a control situation, this study assessed treatment effectiveness in motivating parents to participate in home programs for developmentally delayed infants. Results indicated the superiority of the developmental program in terms of parent participation and…