This brief is based on the 2014-2015 National Survey of Community Rehabilitation Providers (CRPs) funded by the Administration on Intellectual and Developmental Disabilities. This brief presents findings on people with all disabilities and people with intellectual and developmental disabilities (IDD) who receive employment and non-work services…

Background: Recent changes to Medicaid policy may have unintended consequences in the education system. This study estimated the potential financial impact of the Deficit Reduction Act (DRA) on school districts by calculating Medicaid-reimbursed behavioral health care expenditures for school-aged children in general and children in special…

This study examined factors influencing involvement of siblings of individuals with developmental disabilities in future planning and their expectation of future caregiving. The sample consisted of 139 adult siblings recruited from an online sibling list and a sibling conference. Results indicated that few families made plans or involved siblings…

This paper describes the impetus for creating the Expanding Opportunities Interagency Inclusion Initiative and achievements to date in identifying and implementing effective and efficient inclusion strategies in the participating states. In March 2004, the Child Care Bureau (CCB) (renamed the Office of Child Care) and the Administration on…

Choice in everyday decisions and in support-related decisions was addressed among 2,398 adults with intellectual and developmental disabilities receiving Medicaid Home and Community Based Services (HCBS) and Intermediate Care Facility (ICF/MR) services and living in nonfamily settings in six states. Everyday choice in daily life and in…

Developmental co-ordination disorder (DCD) is a developmental disorder affecting motor co-ordination. The "Diagnostics Statistics Manual"--IV classification for DCD describes difficulties across a range of activities of daily living, impacting on everyday skills and academic performance in school. Recent evidence has shown that…

Two specific purpose, special education programs serving severely developmentally disabled children and youth in Australia are examined in light of three evaluation studies. The paper concludes that such specifically targeted funds can result in a systems impact beyond what could be predicted from the relatively modest fund allocation. (Author/DB)

A national survey of 48 state coordinators evaluated use of the Medicaid Home and Community-Based Waiver to fund supported-employment services for individuals with developmental disabilities. Very low utilization was found, primarily due to limits on eligibility. Low reimbursement rates to provider agencies and disinterest of providers in using…

This article summarizes mental retardation/developmental disabilities (MR/DD) spending since 1977, with emphasis on spending from 1995-2000. The change in state economic conditions, from strong growth in recent years to fiscal constraints in 2002, is addressed. Tables provide data trends in MR spending by type of placement and state and changes in…

The report presents findings from a study of family-based care for persons with developmental disabilities. The first of four parts introduces the problems of family-based care and presents perspectives of parents and of persons with developmental disabilities. Part 2, on responding to the needs of families, includes a review of historical and…

This article extracts principles from two Surgeon General reports, "Closing the Gap: A National Blueprint to Improve the Health of Persons with Mental Retardation" (2002) and "Call to Action to Improve the Health and Wellness of Persons with Disabilities" (2005), and combines them with the Objectives from "Chapter 6 of Healthy People 2010" to…

Public financial support for intellectual disability in the United States grew from 2.3 billion in 1955 to 82.6 billion in 2004, and the federal government emerged during this period as the principal provider of such support. Notwithstanding this unprecedented growth in financial support, many inequities persist today in the distribution of…

A survey was conducted of 101 day training and habilitation services in Minnesota serving adults with developmental disabilities. The survey gathered information on age of clients, level of functioning, additional disabilities, place of residence, length of placement, vocational activities, integration, supervision, length of time at the same job…

This report presents results of focus groups which addressed critical issues identified by a Tennessee study as creating the greatest barriers to the expansion of quality supported employment for persons with disabilities. After an initial introduction, a section explains the interagency Tennessee Initiative on Employment (TIE) in which 20…

The policy analysis examines application of permanency planning principles (services in family settings that provide continuity in relationships) to services for developmentally disabled children (through age 21) in Colorado. Section I provides an extensive description of permanency planning principles and a discussion of their theoretical and…