Quality Mall Department: Cost Effectiveness
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Cost Effectiveness
  >>Located in Store(s): Systems Change Shop

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, Publications & Reports (printed and/or online) (13 Products)
Electronic Media (5 Products)
People Who Can Help (3 Products)


Books, Publications & Reports (printed and/or online)
Aging and Disability Information and Referral/Assistance Networks: Challenges and Opportunities
A report of a 2012 survey of state aging and disability information and referral/assistance organizations. It describes the services provided by these organizations and presents four major themes from the survey.
Costs and Outcomes of Community Services for People with Intellectual Disabilities
The main focus of this book 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 (Policy Research Brief)
This brief brought together available research on the costs and outcomes of community services for people with intellectual and developmental disabilities.
Developing Individual Budgets and Reimbursement Levels Using the Supports Intensity Scale
This report describes recent progress in moving state developmental disability systems using HCBS waivers toward greater efficiency and equity.
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).
Minnesota Medicaid HCBS "Waiver" Evaluation
This report provides findings from an evaluation of quality, access and costs of services provided in Minnesota's Medicaid Home and Community-Based Services ("waiver") program.
Putting Consumers First: Promising Practices for Medicaid Managed Long-Term Services and Supports
This report explains how managed care models are being used around the US to fund long-term services. It also offers advice for consumer advocates and state officials.
Residential Services for Persons with Developmental Disabilities: Status and Trends (RISP)
This annual report provides information about where people with developmental disabilities live, and how Medicaid dollars are used to pay for those supports. You download it as a large PDF file or make your own shorter reports online.
State Studies Find Home and Community-Based Services to Be Cost Effective
This document summarizes findings across 38 state studies about the effectiveness of home and community based services (HCBS).
Taking the Long View: Investing in Medicaid Home and Community-Based Services Is Cost-Effective
This issue brief summarizes research and 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 State of the States in Developmental Disabilities
This gives national and state-by-state reports on services and supports for people with intellectual/developmental disabilities. Includes revenue, spending, and programmatic trends in each state and the nation. Available in print and interactive website.
Electronic Media (Videos, CDs, T.V., Radio, Websites, etc.)
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 intellectual disabilities who moved from large residential facilities to community programs. It was published in an academic journal but you can download a summary here.
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.
Health Risk Screening Tool
This internet-based screening tool tracks health risks in people who are vulnerable. It can be used to monitor the health of individuals, or to track trends and monitor costs on a systems level.
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.
The State of the States in Developmental Disabilities
This gives national and state-by-state reports on services and supports for people with intellectual/developmental disabilities. Includes revenue, spending, and programmatic trends in each state and the nation. Available in print and interactive website.
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.
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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This web site is maintained by the Research and Training Center on Community Living with support from the National Association of State Directors of Developmental Disabilities Services, the Human Services Research Institute and the Administration on Intellectual and Developmental Disabilities. E-mail weste050@umn.edu.
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