Washington

This article is entitled: \"Mentally Ill Adjusting to Community Settings\". The article describes the personal experiences of people with mental illness who leave institutions to live in the community.

This issue brief provides a snapshot of associations and public authorities. The intent of this document is to identify and describe existing approaches to addressing long-term care workforce issues, not to endorse or evaluate the different models. Website links are provided for those interested in obtaining more information about the efforts described in this document.

These slides were presented at the 2nd Annual Training Institute for State Mental Health Olmstead Coordinators (9/30/2002 - 10/2/2002). They provide a brief overview of the FY01 and FY02 Systems Change Grants, including charts depicting which states are focusing their efforts in areas such as housing, mental health, nursing facility transition, etc.

The Compendium contains basic information about each of the Systems Change Grantees. Each section is alphabetical by state. Information for each state includes: the name of the grantee organization, the title of the grant, the type of grant, the amount awarded and fiscal year awarded, the primary contacts for each grant, the target populations to be served under the grant, the primary goals and activities of each grant project, and a brief description of the grant activities.

The Formative Evaluation of the Real Choice Systems Change Grants evaluates how the Systems Change grantees are progressing towards meeting their goals. The Formative Evaluation identifies problems faced by the grantees and ways that they deal with the problems. This document provides summary information about each of the FY2002 Grantees.

Reports from the CMS Centers for Medicare and Medicaid Services (formally known as HCFA) Medicaid HCBS Study of the impact of Medicaid home and community based services programs on quality of life, quality of care, utilization and cost. The research project will study the financing and delivery of services to older and younger people with disabilities and the Medicaid financing and delivery of services for individuals with mental retardation and developmental disabilities (MR/DD) in six states.

This report details a CMS-funded study conducted in Alabama, Indiana, Michigan, Washington, Wisconsin, Maryland, Michigan and Kentucky to assess the major features if the home and community-based services systems for older people and younger adults with physical disabilities in each State. The role that Medicaid plays in home and community-based services is a major focus of the study.

State legislatures continue to face the challenges presented by the Supreme Court's 1999 ruling in L.C. & E.W. v. Olmstead. These briefings report on the measures undertaken in each of the 50 states and the District of Columbia in dealing with this critical issue. Provided here are the complete 2001, 2002, and 2003 reports as well as individual state excerpts from the 2003 report.

In these reports, the National Conference of State Legislatures (NCSL) traces the budget issues that states confronted in 2002 & 2003 and examines how they addressed those issues. The report also describes long-term care legislation enacted in 2002 & 2003 and long-term care planning work that is under way in many states.

The accompanying two tables and two graphs present data on Medicaid 1915(c) Home and Community-Based Services (HCBS) waiver expenditures from Federal Fiscal Years 1995 through 2001. This is the second annual memo we have produced on Medicaid spending for individual HCBS waivers. As we did last year, we have classified each waiver by target population to present information on the distribution of HCBS waiver expenditures across long term care populations.