TY - JOUR
T1 - Choice-making among medicaid HCBS and ICF/MR recipients in six states
AU - Lakin, K. Charlie
AU - Doljanac, Robert
AU - Byun, Soo Yong
AU - Stancliffe, Roger
AU - Taub, Sarah
AU - Chiri, Giuseppina
PY - 2008/9
Y1 - 2008/9
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=53049104698&partnerID=8YFLogxK
U2 - 10.1352/2008.113.325-342
DO - 10.1352/2008.113.325-342
M3 - Article
C2 - 18702554
AN - SCOPUS:53049104698
SN - 0895-8017
VL - 113
SP - 325-342+418
JO - American Journal on Mental Retardation
JF - American Journal on Mental Retardation
IS - 5
ER -