Adults with dual diagnoses of intellectual and psychiatric disability receiving Medicaid Home and Community-Based Services (HCBS) and ICF/MR recipients in six states

K. Charlie Lakin, Robert Doljanic, Sarah Taub, Giuseppina Chiri, Soo-yong Byun

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

This paper addresses the topic of intellectual disability and psychiatric disorder among persons receiving Medicaid Home and Community-Based Services (HCBS) and Intermediate Care Facility (ICF/MR) services. In June 2005 HCBS and ICF/MR programs financed long-term supports for nearly 545,400 persons with intellectual disabilities and other developmental disabilities at a fiscal year 2005 cost of $29.3 billion. This paper describes and compares characteristics and experiences of persons with and without diagnosed psychiatric conditions in addition to intellectual disability in a large, six state, 2720 person sample of HCBS and ICF/MR recipients. Nearly one-third (31.4%) of the sample had psychiatric disorders. Controlling for levels of intellectual disability, they were consistently more likely to be placed in ICF/MR programs and agency-operated congregate care settings, and were less likely to live with family members. They were much more likely to receive medications for mood, anxiety and/or behavior disorders than were persons with intellectual disability only (87% and 32%, respectively). Policy implications include the need to incorporate behavioral health services and supports into state Medicaid waivers for individuals with intellectual disabilities.

Original languageEnglish (US)
Pages (from-to)78-90
Number of pages13
JournalMental Health Aspects of Developmental Disabilities
Volume10
Issue number3
StatePublished - Jul 1 2007

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Dual (Psychiatry) Diagnosis
Social Welfare
Medicaid
Intellectual Disability
Psychiatry
Disabled Persons
Intermediate Care Facilities
Developmental Disabilities
Anxiety Disorders
Mood Disorders
Mental Disorders
Health Services
Costs and Cost Analysis

All Science Journal Classification (ASJC) codes

  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

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title = "Adults with dual diagnoses of intellectual and psychiatric disability receiving Medicaid Home and Community-Based Services (HCBS) and ICF/MR recipients in six states",
abstract = "This paper addresses the topic of intellectual disability and psychiatric disorder among persons receiving Medicaid Home and Community-Based Services (HCBS) and Intermediate Care Facility (ICF/MR) services. In June 2005 HCBS and ICF/MR programs financed long-term supports for nearly 545,400 persons with intellectual disabilities and other developmental disabilities at a fiscal year 2005 cost of $29.3 billion. This paper describes and compares characteristics and experiences of persons with and without diagnosed psychiatric conditions in addition to intellectual disability in a large, six state, 2720 person sample of HCBS and ICF/MR recipients. Nearly one-third (31.4{\%}) of the sample had psychiatric disorders. Controlling for levels of intellectual disability, they were consistently more likely to be placed in ICF/MR programs and agency-operated congregate care settings, and were less likely to live with family members. They were much more likely to receive medications for mood, anxiety and/or behavior disorders than were persons with intellectual disability only (87{\%} and 32{\%}, respectively). Policy implications include the need to incorporate behavioral health services and supports into state Medicaid waivers for individuals with intellectual disabilities.",
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Adults with dual diagnoses of intellectual and psychiatric disability receiving Medicaid Home and Community-Based Services (HCBS) and ICF/MR recipients in six states. / Lakin, K. Charlie; Doljanic, Robert; Taub, Sarah; Chiri, Giuseppina; Byun, Soo-yong.

In: Mental Health Aspects of Developmental Disabilities, Vol. 10, No. 3, 01.07.2007, p. 78-90.

Research output: Contribution to journalArticle

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