|
|
|
viii | |
| Acknowledgments |
|
x | |
|
PART I: THE STATE OF THE STATES IN DEVELOPMENTAL DISABILITIES: 2008 |
|
|
|
|
|
1 | (1) |
|
|
|
1 | (5) |
|
|
|
1 | (3) |
|
|
|
4 | (1) |
|
|
|
4 | (1) |
|
|
|
5 | (1) |
|
Financially-Focused Analyses |
|
|
5 | (1) |
|
Participant-Focused Analyses |
|
|
5 | (1) |
|
National Trends in Spending |
|
|
6 | (11) |
|
Context of Spending: State General Funds |
|
|
6 | (2) |
|
Trends in Spending by State |
|
|
8 | (1) |
|
Comparative Analysis of Institutional and Community Services |
|
|
9 | (8) |
|
Community Services and Supports |
|
|
17 | (32) |
|
Out-of-Home Residential Placements |
|
|
17 | (3) |
|
|
|
20 | (2) |
|
Sources of Revenue for Community Services and Supports |
|
|
22 | (6) |
|
|
|
23 | (1) |
|
|
|
24 | (3) |
|
|
|
27 | (1) |
|
Significance of Medicaid in Community Living |
|
|
28 | (7) |
|
Recent Federal Medicaid Initiatives |
|
|
29 | (1) |
|
The Deficit Reduction Act of 2005 |
|
|
29 | (1) |
|
|
|
30 | (1) |
|
Medicaid Commission Recommendations |
|
|
31 | (1) |
|
|
|
32 | (1) |
|
Smart Home Technology in I/DD |
|
|
33 | (1) |
|
Coleman Institute for Cognitive Disabilities |
|
|
33 | (2) |
|
National Academy of Sciences' Technology Recommendations |
|
|
35 | (1) |
|
Individual and Family Support |
|
|
35 | (14) |
|
Supported Living and Personal Assistance |
|
|
36 | (1) |
|
|
|
36 | (2) |
|
|
|
38 | (1) |
|
|
|
39 | (1) |
|
Supported Employment Declines |
|
|
40 | (2) |
|
Improving Work Opportunities: Medicaid Buy-In |
|
|
42 | (2) |
|
|
|
44 | (2) |
|
|
|
46 | (2) |
|
The HCBS Waiver's Role in Family Support |
|
|
48 | (1) |
|
Family Support Legislative Initiatives |
|
|
48 | (1) |
|
Public and Private Institutions |
|
|
49 | (7) |
|
State-Operated Institutions |
|
|
49 | (5) |
|
Closures of State-Operated Institutions |
|
|
50 | (4) |
|
Public Spending Per Person |
|
|
54 | (1) |
|
Privately-Operated Institutions |
|
|
54 | (2) |
|
|
|
54 | (1) |
|
|
|
55 | (1) |
|
Nursing Facility Census by State |
|
|
56 | (1) |
|
Fiscal Effort in the States |
|
|
56 | (3) |
|
Demand for Services and Supports |
|
|
59 | (11) |
|
|
|
60 | (2) |
|
|
|
62 | (1) |
|
Waiting Lists in the States |
|
|
63 | (1) |
|
|
|
64 | (5) |
|
|
|
64 | (2) |
|
Olmstead/Community Integration Cases |
|
|
66 | (2) |
|
Access to Medicaid Benefits Cases |
|
|
68 | (1) |
|
Direct Support Professionals Wage Issues |
|
|
69 | (1) |
|
|
|
70 | (3) |
|
Continuing Growth of Community Services |
|
|
70 | (2) |
|
|
|
70 | (1) |
|
|
|
70 | (1) |
|
|
|
71 | (1) |
|
Medicaid and the HCBS Waiver |
|
|
71 | (1) |
|
Contraction of Public/Private Institutions |
|
|
72 | (1) |
|
Fiscal Effort in the States |
|
|
72 | (1) |
|
|
|
73 | (233) |
|
I/DD Spending Growth Slows as Inflation Increases |
|
|
73 | (1) |
|
Budget Deficits Projected in Many States |
|
|
74 | (1) |
|
State Tax and Expenditure Limitations |
|
|
75 | (2) |
|
The United Nations Disability Rights Convention |
|
|
77 | (25) |
|
|
|
81 | (15) |
|
State Agency Data Collaborators |
|
|
96 | (6) |
|
|
|
|
|
|
102 | (4) |
|
|
|
106 | (4) |
|
|
|
110 | (4) |
|
|
|
114 | (4) |
|
|
|
118 | (4) |
|
|
|
122 | (4) |
|
|
|
126 | (4) |
|
|
|
130 | (4) |
|
|
|
134 | (4) |
|
|
|
138 | (4) |
|
|
|
142 | (4) |
|
|
|
146 | (4) |
|
|
|
150 | (4) |
|
|
|
154 | (4) |
|
|
|
158 | (4) |
|
|
|
162 | (4) |
|
|
|
166 | (4) |
|
|
|
170 | (4) |
|
|
|
174 | (4) |
|
|
|
178 | (4) |
|
|
|
182 | (4) |
|
|
|
186 | (4) |
|
|
|
190 | (4) |
|
|
|
194 | (4) |
|
|
|
198 | (4) |
|
|
|
202 | (4) |
|
|
|
206 | (4) |
|
|
|
210 | (4) |
|
|
|
214 | (4) |
|
|
|
218 | (4) |
|
|
|
222 | (4) |
|
|
|
226 | (4) |
|
|
|
230 | (4) |
|
|
|
234 | (4) |
|
|
|
238 | (4) |
|
|
|
242 | (4) |
|
|
|
246 | (4) |
|
|
|
250 | (4) |
|
|
|
254 | (4) |
|
|
|
258 | (4) |
|
|
|
262 | (4) |
|
|
|
266 | (4) |
|
|
|
270 | (4) |
|
|
|
274 | (4) |
|
|
|
278 | (4) |
|
|
|
282 | (4) |
|
|
|
286 | (4) |
|
|
|
290 | (4) |
|
|
|
294 | (4) |
|
|
|
298 | (4) |
|
|
|
302 | (4) |
|
|
|
306 | |
