title: Constructing the new service paradigm: responding to today's challenges.
authors.affiliation: National Association of State Directors of Developmental Disabilities Services, Inc., USA. nthaler@nasddds.org
authors.forename: Nancy
authors.initials: N
authors.lastname: Thaler
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002658:Developmental Disabilities; D005190:Family; D016352:Group Homes; D006301:Health Services Needs and Demand; D006801:Humans; D008607:Intellectual Disability; D008484:Medicaid; D009657:North Carolina; D009936:Organizational Innovation; D012944:Social Support; D012946:Social Welfare / Q000639:trends*; D014481:United States