In fiscal year (FY) 2009, the Medicaid program funded over 75% of all publicly funded long-term supports and services (LTSS) for individuals with intellectual and developmental disabilities (IDD) in the United States (Braddock et al., 2011). The majority of spending was attributed to the Home and Community Based Services (HCBS) Waiver program. In…

Results of an analysis of 50 years of federal government spending for mental retardation and developmental disabilities are summarized. Spending for services and income maintenance since fiscal year 1981 has plateaued. Federal support for research and training has declined since the early 1970s. (Author/CL)

This is the latest edition of the "State of the States in Developmental Disabilities" study--a thorough and the only one of its kind investigation on public spending, revenues, and programmatic trends of intellectual and developmental programs and services within the United States since 1977. Directed by leading researcher, Dr. David…

The evolution of federal government mental retardation financial assistance programs from the formation of the U.S. Public Health Service in 1798 through the appointment of the President's Panel on Mental Retardation in 1961 is reviewed. (Author/CL)

Data gathered from 296 agency accreditation surveys, conducted by the Accreditation Council on Services for People with Developmental Disabilities, were analyzed, focusing on ownership, services provided, size of residential units, critical standards, characteristics of individuals served, and accreditation outcome. Redundancies between private…

Summarizes information presented in the American Association on Mental Retardation's 1998 publication, "State of the States in Developmental Disabilities" (Braddock, Hemp, Parish, and Westrich), which reports data on the implementation of managed care for persons with developmental disabilities. A table summarizes information about…

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 article relates the nursing home component of a nationwide study of public mental retardation/developmental disabilities spending to requirements of Public Law 100-203. Approximately 51,000 individuals with developmental disabilities resided in nursing homes in 1989 of which 40 percent may need to be relocated under P.L. 100-203. (Author/DB)

The monograph summarizes Fiscal Years 1977-86 spending in the states for services to individuals with mental retardation (MR) and related developmental disabilities (DD). Part One consists of three chapters summarizing budgeting characteristics of the states and organizational characteristics of the MR/DD programs. Part Two presents a series of…

Results of a nationwide study of public mental retardation/developmental disabilities spending in the states during Fiscal Years 1977 through 1986 were analyzed and identified trends such as continuing growth in spending for community services, contraction of total spending for institutional operations, and predominance of support for intermediate…

In response to comments on his nationwide study of public mental retardation/developmental disabilities spending in the states, the author considers classification of funds (income maintenance, large private facilities and prisons, nursing homes, and education/vocational rehabilitation), values, determinants, civil rights, and reform. (DB)

Analysis of data on family support services and spending for individuals with developmental disabilities presents information on cash subsidy payments, respite care, and other family support. A graph shows U.S. spending for family support, 1986-1998. Additional tables break down subsidy spending for family support services by state in 1998 and…

Part of a study of the state-federal fiscal structure in developmental disabilities, the report presents detailed state-by-state expenditure data for FY 1977-84. The first section graphically presents expenditure data aggregated across the 50 states and the District of Columbia for the 8-year period. Six subsections in this first part present (1)…

A national survey of a sample of 1,600 residential facilities for individuals with developmental disabilities indicated that direct care staff turnover was significantly higher in privately operated community facilities than in public institutions. The most consistent correlate of turnover was wages. Intraorganizational and extraorganizational…

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…