Reports

The Real Choice System Change project at the University of Connecticut’s Center for Disabilities administered a Community Inclusion Assessment to determine the level and quality of inclusion in Connecticut communities. The papers in this series are based on a (non-random) sample of 250 individuals with disabilities who completed an in-depth survey. Real Choice Briefing Paper #2 explores employment issues.

The Real Choice System Change project at the University of Connecticut’s Center for Disabilities administered a Community Inclusion Assessment to determine the level and quality of inclusion in Connecticut communities. The papers in this series are based on a (non-random) sample of 250 individuals with disabilities who completed an in-depth survey. Real Choice Briefing Paper #1 explores the accessibility of public and private places.

Review this two-part report on establishing an Association for Direct Care and Direct Support Workers in Maine. The materials feature a timeline of activities, challenges and outcomes for the Maine PASA program. The companion piece, Our Stories provides snapshots of the work that PAS face everyday. These informative reports illustrate the developments and productivity of the program through examples and pictures.

The Muskie School of Public Service has complied over 15 tools and surveys. Included in the report are Participant Experience Surveys, Performance Indicators, Experience Surveys, Core Indicators, Consumer Surveys, Behavioral Risk Factors, Outcome Measures, and a variety of Quality Measures. Review the sample questions and tools shown in this Compendium of Quality Indicators.

There is significant concern over high turnover rates among direct care workers providing in-home care. This paper describes “research in progress” of a 3-year field study examining relationships between interventions and measures of job satisfaction and turnover. Economic and non-economic interventions were introduced to a population of nearly 700. Preliminary findings suggest that job satisfaction increases not only from workers’ participation in, but simply their awareness of interventions.

As part of the Real Choice grant activities, Maine identified the need for a survey of consumers on the Consumer Directed Physically Disabled Waiver. This report provides the results of the in-home survey that was conducted by the Muskie School. The survey results identified some areas of focus and opportunities for increased training. Based on survey results, changes were made to the emergency back up plans, training with adaptive equipment and CNA registries.

Maine's Real Choice Systems Change Initiative has done work in four major areas: Data integration, Quality, Access and Person-Centered Services. This paper reports on the accomplishments at the conclusion of Quality Choices I. Report sections include: Background, Goals and Objectives, Project Selection, Pre-Design Planning, System Design, Challenges, Lessons Learned, Next Steps and Sustainability. The appendices offer examples of Critical Event Intake & Triage Forms plus a BEAS Event Form.

This report provides summary information on the performance of Maine’s home and community based care system. The data can be used to identify areas where the system is working and people are satisfied and also points to areas where further analysis would be helpful. The quality indicators are for the following programs: Older Adults and Adults with Disabilities, Adults with Physical Disabilities - Who Self Direct and Adults with Mental Retardation/Autism.

This guide was prepared by Maine’s Work Group for Community-Based Living in response to the 1999 Olmstead Supreme Court decision. The work group submits this Roadmap as an interdepartmental approach for improving home and community services for people with disabilities. Section topics include: advocacy, integrated services, using data, service coordination, direct-care workers, improving quality, housing, transportation, and employment.

The National Council on Disability released a new report with recommendations on improving employment opportunities for people with disabilities receiving Social Security benefits. The major reasons cited for the extreme underutilization of these work incentives by beneficiaries were lack of knowledge on work incentives and the complex and hard-to-grasp nature of the incentives for even those who were aware of them. The report further discussed ideas for policy and procedural modifications.