Transition/Diversion from Institutions

The Maine Department of Health and Human Services and Department of Labor worked with a coalition from public and private sectors to recommend steps to support people with disabilities who work, or who wish to work. The full and abridged reports identify information on resources, opportunities, and short- and long-term activities to increase the number of workers with disabilities. Additionally, key findings for the MaineCare Workers with Disabilities Option are available in the Reader’s Guide.

Established in 1985, the goal of this Center is to develop, implement, and disseminate a coordinated group of applied research, demonstration and training projects directed at meeting the needs of persons with disabilities and their families in community based settings. Visit the website which provides an overview of their Projects, News & Events, Publications (Early Childhood, School Age and Life Span), Early Intervention Specialist Program Trainings and many other resources.

The purpose of this survey analysis is to provide states with an overview of the implementation of these DRA changes across the country, specifically in terms of Long-Term Care services and the steps the states have taken. Findings address eligibility, Children with Disabilities, Money Follows the Person, HCBS State Plan Amendments, Transition from Institutions, Managed Care, SPA for Personal Care Services, Cash & Counseling, Care Coordination, Disease Management and Long-Term Care Reform.

The Rehabilitation Services Administration (RSA) monitored 23 state vocational rehabilitation agencies in fiscal year 2007. These agencies, their stakeholders, and RSA identified promising practices that promote youth with disabilities transitioning from school to employment. Summaries of these practices are on the U.S. Department of Education’s website and include examples of leveraging resources, college and career preparation programs, and collaboration and partnerships among other practices.

This report from the Illinois RCSC Rebalancing Grant, quantifies the actual expenses faced by older residents living in the community and applies it to those living in a nursing home seeking reintegration to community living. Furthermore, it hopes to identify a floor of income required to sustain community residency. The analysis should be helpful in formulating system changes for programs including eligibility standards and policies.

Part of the Transitioning to Inclusive Communities (TIC) Project this “how-to” book is for “navigators,” people who want to assist those who wish to move from a nursing facility to the community. The guide gives basic information, plus supportive documents, tools, forms and other resource materials. Sections include: Navigator Roles and Responsibilities, Individualizing Transition/Diversion, the Transition Process, Building a Team, Tools for Success, Responsibilities, Rights and Resources.

This report describes the enduring changes brought about by the NFT Grantees who either established or improved nursing facility transition programs or helped establish infrastructure. This two-part paper first examines changes and remaining challenges, lessons learned and recommendations, and later provides state-specific summaries. Review grantee activities including new statutes, policies, funding and expense changes, plus outreach and technical materials developed to facilitate transition.

Partnerships to Independence (PTI) was created by the Birmingham Independent Living Center in Birmingham, Alabama through a grant from CMS. This transition guide addresses nursing home outreach, support needs and skills, follow-up, and barriers. The purpose of PTI was to develop a model program that could be replicated in other CILs in Alabama and the US. ILC staff identified a number of basic resources and strategies that can be used to promote nursing home transition.

HHS announced an $8.8 million investment to help states provide more affordable choices to individuals struggling to remain in their homes and communities as they age. A total of $5.7 million in federal funding was awarded to 12 states for grants for this nursing home diversion program that will improve state efforts to assist individuals avoid unnecessary nursing home placement, impoverishment and spend-down to Medicaid.

The goal of NFI is to remove barriers to full integration for Americans with disabilities. This report highlights the activities in several areas: increasing access through technology, expanding educational opportunities for youth with disabilities, integrating individuals with disabilities into the workforce, and promoting full access to community life. The report describes initiatives, regulations, grant programs and other efforts to improve integration for youth and adults with disabilities.