Transition/Diversion from Institutions

Alabama Discharge Planner Training Manual used to train hospital discharge planners on community based resources available to individuals with dementia to avoid premature placement within the nursing home. The Workbook is written as a resource for all professionals involved in the ADSS Elderly and Disabled Medicaid Waiver Program

Paper developed by SAMHSA/RWJ grantee for the evidence-based practices project. Paper is directed at consumers and discusses active community treatment. Assertive community treatment is for people who experience the most severe and persistent symptoms of mental illness.

This guide is designed to provide states and programs involved in consumer-directed services with a practical handbook on ensuring and improving the quality of services. This guide is based on a philosophy that the views of the major program stakeholders – consumers, families, program staff, regulators, funders – are the necessary starting point for the design of a quality system.

This Massachusetts website offers information and links to state departments concerning health, disability, and older adult programs and services.

This report looks at attempts by different states to allow money to follow the person. Money Follows the Person refers to a system of flexible financing for long-term services that enables available funds to move with the individual to the most appropriate and preferred setting as the individual’s needs and preferences change.

Oregon's Independent Choices Program allows Medicaid-eligible individuals to pay cash directly to providers for personal care and related services. Under this five-year project, participants receive a monthly cash payment and are fully responsible for the mechanics of payroll and budgeting for needed services.

This report describes a Florida cash payment program, Consumer Directed Care, which is testing the effectiveness of increased participant control for people with disabilities, including children and older persons. Florida is part of a demonstration project to measure the impact of substituting a cash allowance for Medicaid services from provider agencies. This document provides information on the program implementation and impact.

This document provides information on VNS Choice, the New York long-term care program for older people with disabilities. Case managers work with healthcare and long-term care providers to coordinate participants’ Medicare and Medicaid services. The document discusses the intervention and implementation of this program. According to program staff, VNS CHOICE has reduced hospital and nursing home use among participants and has low disenrollment.

This document focuses on Sunrise Towers, a public housing complex for older people in Laconia, New Hampshire. This form of public housing is modeled after assisted living and provides meals and personal assistance to keep residents in the community. The document describes the program, the services the program offers, and funding sources.

Wisconsin uses a variety of initiatives to support Medicaid participants who want to leave nursing facilities, including ensuring services are available as soon as the person is ready to move and providing funding for transition. This document describes some of these initiatives.