The Home and Community Based Services (HCBS) settings rule (CMS 2249-F/2296-F) strictly enforces meaningful community-based settings for those receiving Medicaid HCBS funding. Stakeholders have the opportunity to impact states' setting rule plans and hold states accountable to ensure rules are truly community based. Yet, the complex rule can be…

One of a series of documents on the evaluation of the National Home Start (NHS) program this third year interim report of case studies describes program efforts and successes with 16 Home Start families throughout the nation. A federally funded demonstration program, NHS is aimed at providing home-based services (such as health, education,…

This two-year project demonstrated a model for preventing the removal of children from their homes, with the aim of reducing both the number of children entering foster care and the number of families recycled through the child protective services system. The project was a joint effort by the Texas Department of Human Services (DHS) Region 11…

The findings of a 1978 project of the Massachusetts Developmental Disabilities Council on the need for respite care services and the various models for delivery of respite care are reported. Methodology included review of respite care regulations in 12 states, site visits and a survey of Massachusetts programs, and a survey of 339 families with…

This final report documents the findings of a study designed to evaluate the quality and efficiency of early education programs for handicapped children in Louisiana during 1985-86. More than 400 classes in 65 formal programs (residential, home-based, and center-based) serving approximately 5,000 handicapped children ages 3-5 were studied. The…