Satisfaction and sense of well being among Medicaid ICF/MR and HCBS recipients in six states.
Self-reported satisfaction and sense of well-being were assessed in a sample of 1,885 adults with intellectual and developmental disabilities receiving Medicaid Home and Community Based Services (HCBS) and Intermediate Care Facility (ICF/MR) services in 6 states. Questions dealt with such topics as loneliness, feeling afraid at home and in one's neighborhood, feeling happy, feeling that staff are nice and polite, and liking one's home and work/day program. Loneliness was the most widespread problem, and there were also small percentages of people who reported negative views in other areas. Few differences were evident by HCBS and ICF/MR status. The findings document consistent benefits of residential support provided in very small settings-with choices of where and with whom to live-and to individuals living with family.
Faculty of Health Sciences, University of Sydney, Sydney, Australia. r.stancliffe@usyd.edu.au
Roger J
RJ
Stancliffe
K Charlie
KC
Lakin
Sarah
S
Taub
Giuseppina
G
Chiri
Soo-Yong
SY
Byun
D000328:Adult; D002755:Choice Behavior; D003156:Community Mental Health Services; D015897:Comorbidity; D003625:Data Collection; D004185:Disability Evaluation; D005239:Fear; D005260:Female; D006276:Health Facility Size; D006699:Home Care Services; D006801:Humans; D007380:Intermediate Care Facilities; D007398:Interpersonal Relations; D008132:Loneliness / Q000523:psychology; D008297:Male; D008484:Medicaid; D008875:Middle Aged; D017060:Patient Satisfaction; D019989:Persons with Intellectual Disabilities / Q000523:psychology* / Q000534:rehabilitation*; D011788:Quality of Life / Q000523:psychology*; D012111:Residence Characteristics; D014481:United States