Medicaid versus state funding of community residences: impact on daily life of people with mental retardation.
The unintended effects on quality of life that flow from decisions regarding funding sources used to support community-based residential programs were documented. Results show that community residence program structures play an important role in determining quality of life after deinstitutionalization. Clients living under program structures flowing from the Medicaid ICF/MR funding source were less active and involved in life than were clients living in programs funded by non-Medicaid state sources. We hypothesized that the reason for this differential outcome was the result of Medicaid funding regulations and their interpretation, which create an institutional-like set of program structures leading to restrictive care patterns.
Department of Educational Foundations and Counseling Programs, Hunter College, City University of New York, NY 10021.
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J
O'Neill
M
M
Brown
W
W
Gordon
J
J
Orazem
C
C
Hoffman
R
R
Schonhorn
D000203:Activities of Daily Living; D003156:Community Mental Health Services / Q000191:economics; D005380:Financing, Government / Q000331:legislation & jurisprudence*; D006208:Halfway Houses / Q000191:economics*; D006801:Humans; D008607:Intellectual Disability / Q000534:rehabilitation*; D008484:Medicaid / Q000331:legislation & jurisprudence*; D009519:New York City; D014481:United States