ERIC Number: EJ1211985
Record Type: Journal
Publication Date: 2019-Apr
Pages: 14
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-1934-9491
EISSN: N/A
Available Date: N/A
Fiscal Stewardship, Choice, and Control: The Context of Self-Directed Services for People with Intellectual and Developmental Disabilities (IDD) in the United States
Bogenschutz, Matthew D.; DeCarlo, Matthew; Hall-Lande, Jennifer; Hewitt, Amy
Intellectual and Developmental Disabilities, v57 n2 p158-171 Apr 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 satisfaction and positive outcomes for people who use self-directed programs as well as cost savings for state IDD service systems. This study explored the ways in which state IDD service administrators think about how self-direction may be used as a method of achieving cost savings while providing opportunities for people with IDD and their families to exercise choice and control. Informed by 54 high-level IDD service administrators in 34 states, and guided by a thematic analysis approach to data interpretation, the study found evidence that administrators typically see strong potential for self-direction to have cost-savings benefits, while also fostering choice. In the current political climate, the need for cautious fiscal stewardship may become a stronger driving force behind self-direction for people with IDD in the United States.
Descriptors: Intellectual Disability, Developmental Disabilities, Self Determination, Home Programs, Community Services, Cost Effectiveness
American Association on Intellectual and Developmental Disabilities. P.O. Box 1897, Lawrence, KS 66044-1897. Tel: 785-843-1235; Fax: 785-843-1274; e-mail: AJMR@allenpress.com; Web site: http://www.aaiddjournals.org/
Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) (DHHS/ACL)
Authoring Institution: N/A
Grant or Contract Numbers: 90RT50190101
Author Affiliations: N/A