Reports

This Discussion paper summarizes the background and recommendations for potential changes to make the Minimum Data Set and related policies and practices more useful to states for identifying and supporting nursing home residents who wish to return to their homes and communities. Section Q of the MDS has, for some years, been discussed at state and national conferences, training sessions, on conference calls, during technical assistance visits, and in talks among state Medicaid staff.

This targeted Tools Update/Addendum is intended to compile information about states' efforts to transition individuals with Mental Retardation or Developmental Disabilities (MR/DD) from Medicaid funded facilities into the community and to provide support services to these individuals using techniques compatible with the Money Follows the Person (MFP) Demonstration program that has been created by the Deficit Reduction Act.

In response to the CFSR, states must prepare a Program Improvement Plan (PIP) that addresses deficiencies and builds upon strengths. The reviews examine several aspects of child welfare agency performance including outcomes for children as well as systemic factors supporting agency services. This brief summarizes specific effort in Rhode Island to address deficiencies in the Quality Assurance (QA) Systemic factor documented in PIPs completed in response to CFSR reviews between 2001 and 2003.

This report summarizes performance of CIS during its first year of operation. The program is an acute hospital diversion program that provides community-based services for youth (age 0 to 21) at risk for hospitalization or out-of home placement. During the first 12-months of program operations, nine community-based mental health agencies were certified to provide CIS services. The evaluation examines service utilization patterns and major findings while updates are provided in the issue briefs.

Findings from written survey of Employment Experiences and Focus Groups. The questionnaire sought to obtain information from individuals with disabilities about things that have helped them to get a job, barriers to employment, importance of medical benefits when making employment decisions, and how comfortable people feel disclosing their disability to an employer.

This report focuses on individuals with Alzheimer's and other dementias. The project instituted a comprehensive system to support enduring changes in the delivery of community-based assistance for Medicaid eligible persons with dementia. The projects two goals: facilitate hospital-to-home transitions for individuals wishing to stay in the community; and field test a nursing home-to-community transition program for eligible individuals. The workbook used in discharge planner training is included.

This handbook documents the components of a successful information and assistance system. It is intended for use as a guide for service providers to develop or enhance their own I & A processes or to replicate the system utilized at Eldersource. Review their protocol for confidentiality, emergency calls, communications, reporting, plus sample job descriptions and resource list.

Housing Within Reach is a project of the Tennessee Department of Mental Health and Developmental Disabilities. The project included a consumer driven longitudinal evaluation study across the state to document consumer perspectives on consumer housing preferences, and the availability, access and barriers to appropriate housing. The study included face-to-face interviews conducted with each study participant at baseline, and at six- and twelve-months.

The purpose of this report is to provide recommended actions steps for the state of Nevada to establish structural, programmatic and funding mechanisms to facilitate a balance in resources for people with disabilities moving from institutions to community living. The primary principle of Money Follows the Person is simple and straightforward - people with disabilities should be able to decide where and how their services and supports should be provided.

This report describes grant activities (accomplishments and progress) in three major LTC systems areas: Access to LTC Services and Supports, Services, Supports, and Housing, Administrative and Monitoring Infrastructure. The report also provides illustrative examples of the challenges Grantees have faced as they implement grant activities, and consumers’ roles in the implementation and evaluation of these activities.