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The Impact of Home and Community Based Settings (HCBS) Final Settings Rule Outcomes on Health and Safety
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Friedman, Carli – Intellectual and Developmental Disabilities, 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…
Descriptors: Intellectual Disability, Developmental Disabilities, Community Services, Home Programs
Fiscal Stewardship, Choice, and Control: The Context of Self-Directed Services for People with Intellectual and Developmental Disabilities (IDD) in the United States
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Bogenschutz, Matthew D.; DeCarlo, Matthew; Hall-Lande, Jennifer; Hewitt, Amy – Intellectual and Developmental Disabilities, 2019
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…
Descriptors: Intellectual Disability, Developmental Disabilities, Self Determination, Home Programs
Parent Perspectives on Augmentative and Alternative Communication Integration for Children with Fragile X Syndrome: It Starts in the Home
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Schladant, Michelle; Dowling, Monica – Intellectual and Developmental Disabilities, 2020
Many children with fragile X syndrome (FXS) have complex communication needs and may benefit from augmentative and alternative communication (AAC). This qualitative study explored how four mother--child dyads used AAC in the home. Data were collected using participant observations, open-ended interviews, and record reviews, and analyzed using…
Descriptors: Parent Attitudes, Genetic Disorders, Intellectual Disability, Children
Satisfaction and Sense of Well Being among Medicaid ICF/MR and HCBS Recipients in Six States
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Stancliffe, Roger J.; Lakin, K. Charlie; Taub, Sarah; Chiri, Giuseppina; Byun, Soo-yong – Intellectual and Developmental Disabilities, 2009
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…
Descriptors: Mental Retardation, Well Being, Day Programs, Developmental Disabilities