Self-Determination / Self-Directed Services
Self-direction has emerged as a game-changing strategy in organizing and delivering Medicaid-funded services, a means of affording people with disabilities enhanced opportunities to live fulfilling lives of their own choice in local communities.
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Developing and Implementing Self-Direction Programs and Policies: A Handbook
This handbook was developed to provide state staff, policymakers, service providers, program participants, and other stakeholders with a…
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The Case for Medicaid Self-Direction: A White Paper on Research, Practice, and Policy Opportunities
This report for the National Council on Disabilities traces the history of self-directed services, examines the concepts that under gird…
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Implementation of Consumer-Directed Services for Persons with Intellectual or Developmental Disabilities: A National Study
This Policy Research Brief (2009) summarizes the results of a national study on the status of consumer-directed services for persons with…
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INDIVIDUAL PROVIDERS — A Guide To Employing Individual Providers Under Participant Direction
This monograph outlines topics that states should consider as they expand opportunities for people with disabilities to direct individual…
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National Gateway to Self-Determination
Research to Practice in Self-Determination Series, Issue 4 focuses on the role of families to support self-determination.
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Guiding Principles For Partnerships with Unions and Emerging Worker Organizations When Individuals Direct Their Own Services and Supports
A consensus document from several advocacy organizations and the Service Employees International Union (SEIU) and related organizations…
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Support Brokerage Issues in Self-Directed Services
Shifting control to the individual requires significant modifications in the structure and functioning of traditional staff roles and…
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Balancing Safety and Freedom in Consumer-Directed Systems of Support
States have responsibility for assuring that the services furnished to people with disabilities under the Medicaid program protect their…
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Key Elements of a Negotiated Risk Contract
Risk is a recognized factor in self-directed service arrangements. This article provides guidelines for a negotiated risk contract that…
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National Resource Center for Participant-Directed Services
"The National Resource Center for Participant-Directed Services (NRCPDS) assists states, agencies, and organizations in offering…
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Managing Our Own Supports: A Primer on Participant-Driven Managed Supports
This publication explains how managed care principles can be used to further the emerging vision of full community participation and…