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Cost Effectiveness
Information on expenditure on various types of services for people with developmental disabilities and the outcomes enjoyed by service users. Implications for systems change are often explored. Products focus on specific initiatives, as well as information at a state and national level.
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Managed by: Roger Stancliffe of Institute on Community Integration, University of Minnesota
Product Categories
Books and Printed Material (15 Products)
Electronic Media (10 Products)
Organizations, Programs, and Projects (2 Products)
Other (1 Products)
People Who Can Help (4 Products) 
Books and Printed Material
 | A Comparative Analysis of Quality and Costs in Village Communities, Residential Campuses and Dispersed Housing Schemes: Summary & Implications
A report on consumer outcomes, quality of care, staffing and service costs for residential services in the United Kingdom. Policy implications are also examined. | | Costs and Outcomes of Community Services for People with Intellectual Disabilities
This book presents information about costs and outcomes of services and supports for people with intellectual and developmental disabilities. The main focus is on community services in the USA, but there are also contributions from the UK and Australia. | | Costs and Outcomes of Community Services for Persons with Intellectual and Developmental Disabilities
This review examines available research on the costs and outcomes of community service provision to people with intellectual disabilities (or “mental retardation”) and developmental disabilities, with a particular emphasis on residential services. | | Disability at the Dawn of the 21st Century and the State of the States (2002)
This book provides a detailed state-by-state analysis of public financial support for persons with MR/DD, mental illness, and physical disabilities. | | Do Noninstitutional Long-Term Care Services Reduce Medicaid Spending?
This research article looks at the effects of Medicaid spending on home and community-based services. | | Having It Your Way: Understanding State Individual Budgeting Practices: NASDDS Individual Budgeting Study
This report summarizes the results of a study of state individual budget development practices conducted by the National Association of State Directors of Developmental Disabilities Services (NASDDDS). | | Independent Evaluation of the Monadnock Self-Determination Project
A report on the independent evaluation of the Monadnock Self-Determination Project in New Hampshire. The evaluation reports improved outcomes and reduced costs. The entire report is available on the internet. | | Minnesota Medicaid HCBS "Waiver" Evaluation
This report provides findings from a comprehensive evaluation of quality, access and costs of services provided in Minnesota's Medicaid Home and Community-Based Services ("waiver") program. | | Residential Services for Persons with Developmental Disabilities: Status and Trends (RISP)
This annual report provides national and state-by-state statistics on the number of people with intellectual and developmental disabilities (ID/DD) who receive residential services, and the cost of those services. The 2008 report is now available online. | | Taking the Long View: Investing in Medicaid Home and Community-Based Services Is Cost-Effective
This is an AARP document called Insight on the Issues. This issue has research that shows that over time, states that invest in home and community-based services (HCBS) experience slower Medicaid expenditure growth than states with low HCBS spending. | | The Case for Inclusion
An Analysis of Medicaid for Americans with Intellectual and Developmental Disabilities, by United Cerebral Palsy, details the outcomes of Medicaid spending in creating more inclusive communities in each state. | | The Case for Inclusion 2009
A report on how well states in the U.S. are providing community-based supports to Americans with disabilities being served by Medicaid. | | The State of the States in Developmental Disabilities
Nationwide and state-by-state report on services and supports for people with developmental disabilities. Examines revenue, spending, and programmatic trends in each state and the nation.
| | Vermont Developmental Services Annual Report Focus on Outcomes
The Vermont Focus on Outcomes Report describes the quality of current services available around the state. | | Wyoming DOORS Individualized Budgeted Amount
A description of Wyoming's method of assigning individualized budgeted amounts for people with developmental disabilities who participate in waiver programs. |
Electronic Media (Videos, CDs, T.V., Radio, Websites, etc.)
| A Comparative Analysis of Quality and Costs in Village Communities, Residential Campuses and Dispersed Housing Schemes: Summary & Implications
A report on consumer outcomes, quality of care, staffing and service costs for residential services in the United Kingdom. Policy implications are also examined. | | An Analysis of Expenditures and Outcomes of Different Residential Settings in Minnesota
This study looks at the costs of deinstitutionalization and well-being of people with mental retardation who have moved from large residential facilities into community programs. | | Costs and Outcomes of Community Services for Persons with Intellectual and Developmental Disabilities
This review examines available research on the costs and outcomes of community service provision to people with intellectual disabilities (or “mental retardation”) and developmental disabilities, with a particular emphasis on residential services. | | Fiscal Analysis of Assembly Bill 896. California's Developmental Services System Unification, Finance and Economic Issues
Independent economic analysis of California Assembly Bill 896 that proposes to close three large state-operated developmental centers (institutions) in California and transfer people from these centers to community settings.
| | Local Area Coordination Review: Term of Reference 3: Value-for-Money
This report looks at the issue of value for money for the Local Area Coordination program in the vast Australian state of Western Australia | | Outcomes and Costs of Community Living: Semi-Independent Living and Group Homes
This Australian study compares consumer outcomes and residential service costs for matched residents living semi-independently or in group homes. The entire report is available on the internet.
| | Residential Services for Persons with Developmental Disabilities: Status and Trends (RISP)
This annual report provides national and state-by-state statistics on the number of people with intellectual and developmental disabilities (ID/DD) who receive residential services, and the cost of those services. The 2008 report is now available online. | | The Case for Inclusion
An Analysis of Medicaid for Americans with Intellectual and Developmental Disabilities, by United Cerebral Palsy, details the outcomes of Medicaid spending in creating more inclusive communities in each state. | | The State of the States in Developmental Disabilities
Nationwide and state-by-state report on services and supports for people with developmental disabilities. Examines revenue, spending, and programmatic trends in each state and the nation.
| | Vermont Developmental Services Annual Report Focus on Outcomes
The Vermont Focus on Outcomes Report describes the quality of current services available around the state. |
Organizations, Programs, and Projects
Other
People Who Can Help
| James Conroy
We can assist with program evaluation of all kinds in the human services. We specialize in ways of measuring qualities of life, and demonstrating that they are valid and reliable. | | Ric Crowley
MACROW provides consultation in system change technical asistance and training based on the principles of self-determination at the local, conty and state levels.Quality assurance and individual outcomes are priority areas. | | Roger Stancliffe
Dr. Stancliffe is a specialist in reserach and evaluation of many aspects of community living. His interests include self-determination, (individualized) funding, supported living, Active Support, and costs. He has conducted many studies about cost-... | | Tom Nerney
Together with 17 other Center for Self-Determination Resource Guides we provide training and technical assistance on all aspects of self-determination including: developing highly personal individual budgets and plans; crafting Medicaid waivers that pr... |
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