Psychiatric Disabilities/Mental Illness

This paper describes the roles of mobility managers and explores the benefits of focusing on the individual and their unique transportation challenges. The report highlights emerging innovations from five case studies and presents the results of a national survey and inventory of mobility managers. It also discusses the future role of mobility managers in long-term services and supports.

This report highlights Medicaid waiver policies that could result in many people losing coverage, even as states incur greater costs. This report offers a detailed assessment of emerging waiver trends, providing insights into its critical implications. The report also describes how examining the research literature and evaluations of programs that impose similar policies can provide guidance on predicting the coverage and cost impacts of emerging waivers on Medicaid beneficiaries and states.

This strategic planning manual helps states develop a strategic process to increase Competitive Integrated Employment (CIE) for people with disabilities. This manual is designed as a guide for state leadership teams and facilitators working to create a statewide cross-systems Employment First strategic plan. It is intended to help states strategically align their policy and programs to further CIE as the first priority for all individuals with disabilities.

This research brief from the Office of the Assistant Secretary for Planning and Evaluation summarizes recent research on older adults' LTSS risks and financial resources. The brief primarily uses data from the Health and Retirement Study.

This brief focuses on the needs of individuals with intellectual and developmental disabilities who are also experiencing mental illness. The Arc explored the unique challenges faced by these individuals through focus groups and national panels. This brief summarizes the findings from these activities and includes recommendations for the development of new training, systems change activities, research, and greater public awareness around I/DD and mental health issues.

This issue brief highlights Medicaid HCBS enrollment and spending data from the Kaiser Family Foundation's 17th annual state survey. The report found that nearly all Medicaid HCBS enrollment (86%) and spending (93%) went to services provided at state option. This optional nature of most HCBS covered populations and services puts individuals at risk of losing services if the current structure of Medicaid financing were to change.

This report highlights the potentially transformational power of autonomous vehicles (AVs). AVs have the opportunity to significantly benefit individuals with disabilities, but only if automakers work to ensure accessible design. The report states that key partners must work together on universal design now so that AVs can be developed to meet every potential driver's needs from the beginning, including wheelchair users.

This toolkit summarizes LTSS reform strategies adopted by state innovators. It identifies concrete policy strategies, operational steps, and federal and state authorities that states have used to advance LTSS reforms. It also includes specific case studies and advice for other states looking to implement similar reforms. In addition, CHCS has published a brief for state legislators looking for a summary of options for developing LTSS policies.

This report explores innovations that have the potential to improve quality of life for Americans who live with physical or cognitive burdens due to aging or disability. The report identifies six opportunities for emerging technologies to help Americans live longer, healthier, and more independent lives. These six areas are: Key activities of daily living, Cognition, Communication and social connectivity, Personal mobility, Transportation, and Access to healthcare.

This paper focuses on how state-funded home and community-based services programs can support low-income older adults. It highlights promising practices that support maximum independence for low-income older adults and/or people with physical disabilities and their family caregivers. The paper explores programs across nine states, including Washington state’s emerging innovation: the Medicaid Transformation demonstration.