Psychiatric Disabilities/Mental Illness

Adult day services (ADS)--a non-residential service provided outside an individual's home for less than a full day--provides direct care to older adults and younger adults with physical disabilities. This report provides information about each state's approach to regulating this key community service. The report details different models, forms of regulation, and funding sources used by states to run ADS programs.

This survey was administered to 3,000 people with disabilities who answered questions about their experiences in the workplace−the challenges they faced, as well as their successes. The key findings show that Americans with disabilities are striving to work and overcoming barriers in the job search and the workplace.

This study explores the services, supports, and accommodations that people with disabilities use to find and keep competitive employment; how they obtain needed supports; and the extent to which they pay out of pocket for work-related supports. The authors conducted an exploratory study using in-depth interviews with 15 workers with disabilities who in 2013 earned at least 250% of the poverty level, or about US$28,000 a year for a single person.

This primer describes long-term services and supports (LTSS) delivery and financing in the U.S. and highlights covered services and supports, types of care providers and care settings, beneficiary subpopulations, costs and financing models, quality improvement efforts, and recent LTSS reform initiatives.

For Social Security beneficiaries and Supplemental Security Income recipients who are not capable of managing their own benefit payments, the Social Security Administration (SSA) pays benefits to a representative payee. The authors estimate that the demand for representative payees will increase from 2.94 million beneficiaries in 2013 to 3.27 million by 2025 and to 3.56 million by 2035.

This report seeks to provide empirical evidence on the relationship between the primary impairments of Social Security disability program beneficiaries and the employment and earnings experiences of those beneficiaries. The authors' findings can inform new initiatives designed to help beneficiaries return to work or successfully transition into the adult workforce.

This resource list includes key resources on the mental health needs of older adults, effective interventions, workforce issues, and more.

This report reflects on Medicaid’s accomplishments and challenges and considers the issues on the horizon that will influence the course of this major health coverage and financing program moving forward. The report follows Medicaid’s evolution, including major legislative changes and other inflection points in the program’s history and analyzes how Medicaid threads through our health care system today and the measure of its impact.

Person-centered planning encompasses the idea that the individual is at the heart of all decisions about services, supports, and care. This report analyzes how well states are implementing a 2014 rule that creates the right to person-centered care planning for Medicaid consumers of Long-Term Services and Supports. The report is a tool for health care providers, plan administrators, and advocates to help them understand the scope of the rules and be able to identify provision shortfalls.

This report details results of a survey administered to Adult Service providers to learn more about the locations, funding sources, and supports that these programs provide to seniors and people with disabilities. The report demonstrates how Adult Services include a wide array of services, including a combination of social and medical supports. ADvancing States is concerned that new CMS regulations may reduce the number of available providers in the Medicaid program.