Michigan

This report focuses on adults with severe mental illness served by the public mental health system. It aims to identify and describe the range of self-directed care programs for this group being pursued by states and bring together existing evidence relating to the impact of these programs on individuals and on state resources. In doing so, it attempts to contribute to the ongoing debate about effective strategies for improving the quality and outcomes of the public mental health system.

The NCHSD is a technical assistance partnership providing flexible, state-tailored technical assistance to states developing comprehensive health and employment service systems for people with disabilities who want to work. Serving people with disabilities, providers, state agencies, research institutes, advocates and businesses, NCHSD is a project of Health & Disability Advocates (HDA). Visit the Resource Exchange and Library for the latest information, events and reports.

This report was authored by PHI for the Health Field Collaborative (HFC) in Michigan to bring attention to its approach to improving retention of entry-level workers in health care and direct-care workers in the long-term care industry. The study explains how HFC created the Opportunity Partnership & Empowerment Network (OPEN) to address a critical local need. It outlines components of the program, reviews outcomes for the pilot phase, and identifies factors for sustaining it in the future.

This report describes the activities of 12 Grantees that received Independence Plus (IP) grants in FY 2003 and are using them to increase self-directed services options for persons of all ages with disabilities or chronic illnesses. Grantees encountered a range of issues while implementing. This report provides information for states and stakeholders planning, implementing, or expanding self-direction programs, whether through solely state-funded programs or the Medicaid program.

This report provides a state-by-state analysis of how Medicaid agencies are exercising their responsibilities for mental health services. The report is based on telephone interviews and explores how state Medicaid agencies are addressing the organization, funding, policy, management and data issues that arise from increased responsibility for mental health services. Review the findings which indicated how States have taken varying approaches to providing services.

As part of the January 2008 Monthly ADRC TAE call, Dorie Seavey and Hollis Turnham presented the idea of worker registries. Supporting materials offer an overview of the concept and state examples. Also included is a two-page hand out that lists worker registry websites and offers and example of the database potential functionalities.

A study was conducted on consumer-directed personal assistance services (PAS) cooperatives, with an emphasis on workplace PAS. This report presents case studies of seven cooperatives, describes advantages of consumer-run cooperatives, identifies funding issues and sources, and presents considerations for those contemplating starting. It contains a review of the literature which reveals only a few examples of successful consumer-directed PAS cooperatives in the US, however, they show promise.

The national percentage of Medicaid spending on home and community-based services (HCBS) has more than doubled from 1992 to 2004. This report presents a summary of the main trends to emerge for the three Medicaid HCBS programs and the results of a survey of policies such as eligibility criteria and waiting lists.

This report provides information about family caregivers of older Americans and the state-level programs serving them. The profiles provide information on state demographics and programs related to caregiving. They offer a snapshot of each state's caregiver support programs, services offered, funding sources, eligibility criteria, and options for consumer direction. Also, information about locating grandparent support programs is included along with highlights of recent state legislation.

See a variety of resources on assistance to people with disabilities in Michigan. Included are the Freedom to Work brochure, a Persons with Disabilities and Prescription Drug Coverage fact sheet, the Work Incentives Planning and Assistance brochure, Outreach Materials contact information, an on-line resources sheet, and a copy of the Michigan Freedom to Work for Individuals with Disabilities Law. A link to the Michigan Freedom to Work Website is provided.