Choice-making among medicaid HCBS and ICF/MR recipients in six states

K. Charlie Lakin, Robert Doljanac, Soo Yong Byun, Roger Stancliffe, Sarah Taub, Giuseppina Chiri

Research output: Contribution to journalArticlepeer-review

19 Scopus citations

Abstract

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 support-related choice was considerably higher on average for HCBS than for ICF/MR recipients, but after controlling for level of intellectual disability, medical care needs, mobility, behavioral and psychiatric conditions, and self-reporting, we found that choice was more strongly associated with living in a congregate setting than whether that setting was HCBS- or ICF/MR-financed. Marked differences in choice were also evident between states.

Original languageEnglish (US)
Pages (from-to)325-342+418
JournalAmerican Journal on Mental Retardation
Volume113
Issue number5
DOIs
StatePublished - Sep 1 2008

All Science Journal Classification (ASJC) codes

  • Education
  • Rehabilitation
  • Developmental and Educational Psychology
  • Health Professions(all)

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