Implementation of Self-Directed Supports for People With Intellectual and Developmental Disabilities in the United States

被引：9

作者：

DeCarlo, M. P. ^{[1
]}

Bogenschutz, M. D. ^{[2
]}

Hall-Lande, J. A. ^{[3
]}

Hewitt, A. S. ^{[3
]}

机构：

[1] Radford Univ, Radford, VA 24142 USA

[2] Virginia Commonwealth Univ, Richmond, VA USA

[3] Univ Minnesota, Minneapolis, MN USA

来源：

JOURNAL OF DISABILITY POLICY STUDIES | 2019年 / 30卷 / 01期

关键词：

self-direction; consumer direction; intellectual and developmental disability; HCBS waiver services; qualitative research; EXPERIENCES; SERVICES; PROGRAM; ADULTS; PERCEPTIONS; CAREGIVERS; RELATIVES;

D O I：

10.1177/1044207318790061

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

Self-direction is an approach to human service delivery within long-term services and supports that aims to provide greater control for individuals with disabilities and their closest supporters. The purpose of this study was to understand the implementation of self-directed supports for individuals with intellectual and developmental disabilities. Researchers interviewed state developmental disabilities administrators in 34 of 42 states that currently operate self-directed service options and used qualitative analysis to arrive at a thematic map of the strengths and challenges currently experienced by state administrators. Common strengths identified by state administrators were increased opportunities for participant self-determination and improved relationships with support staff. Common challenges included restructuring case management relationships, as well as rulemaking and enforcement. Administrators' suggestions for the future of self-direction focused on increasing program size and streamlining services using technology.

引用

页码：11 / 21

页数：11

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