title: Understanding Effects of Flexible Spending Accounts on People with Disabilities: The Case of a Consumer-Directed Care Program.
abstract: This study set out to explore the saving behavior, barriers, and facilitators along with effects of participating in a consumer-directed care program among people with disabilities in the state of West Virginia (N = 29). Results suggest that respondents were able to save money through the program to enable them to purchase goods and services they needed to enhance their welfare and quality of life. Generally, items saved for fell into 3 broad categories: household equipment, individual functioning, and home modification. Facilitators and barriers to saving were also indicated and so were the benefits of program participation. Program and policy implications are presented.
authors.affiliation: a School of Social Work , Boston College , Chestnut Hill , Massachusetts , USA.
authors.forename: Margaret
authors.initials: M
authors.lastname: Lombe
authors.affiliation: b Department of Social Work , George Mason University , Fairfax , Virginia , USA.
authors.forename: Megumi
authors.initials: M
authors.lastname: Inoue
authors.affiliation: a School of Social Work , Boston College , Chestnut Hill , Massachusetts , USA.
authors.forename: Kevin
authors.initials: K
authors.lastname: Mahoney
authors.affiliation: a School of Social Work , Boston College , Chestnut Hill , Massachusetts , USA.
authors.forename: Yoosun
authors.initials: Y
authors.lastname: Chu
authors.affiliation: c School of Social Work , Simmons College , Boston , Massachusetts , USA.
authors.forename: Michelle
authors.initials: M
authors.lastname: Putnam
mesh_terms: D000328:Adult; D000368:Aged; D006233:Persons with Disabilities; D005260:Female; D006801:Humans; D008297:Male; D008484:Medicaid / Q000458:organization & administration* / Q000706:statistics & numerical data*; D008875:Middle Aged; D011788:Quality of Life; D012449:Safety; D012656:Self-Help Devices; D012959:Socioeconomic Factors; D014481:United States; D014903:West Virginia
keywords: Asset building; barriers; capabilities approach; consumer-directed care; disabilities; facilitators; functioning; quality of life; resource consultants; self-determination; self-directed planning