scholarly journals Policy Implications, Eligibility, and Demographic Characteristics of People With Intellectual Disability Who Access Self-Directed Funding in the United States

2021 ◽  
Vol 59 (2) ◽  
pp. 123-140
Author(s):  
Elizabeth Cherry ◽  
Roger J. Stancliffe ◽  
Eric Emerson ◽  
Renata Tichá
Keyword(s):  
United States ◽  
Intellectual Disability ◽  
Personal Characteristics ◽  
The United States ◽  
Policy Implications ◽  
Age Group ◽  
Policy And Practice ◽  
Living Situation ◽  
Disability Support ◽  
States Data

Abstract This study identifies factors (state of residence, personal characteristics, and living situation) associated with access to self-directed funding (SDF) for adults with intellectual disability in the United States. Data from 10,033 participants from 26 states in the 2012–2013 National Core Indicators Adult Consumer Survey were analyzed. We examined state, age group, residence type, disability diagnoses, mental health status, and type of disability support funding used. Availability of SDF for people with ID varied by state and aligned mostly with state-by-state policy data on SDF eligibility and availability. The results of a logistic regression analysis demonstrated that access to SDF was lower in older adults and higher for people who lived in their parents' or relatives' home, an independent home, and with certain personal characteristics. Potential influences from policy and practice, and approaches to increase access to SDF are discussed.

Age-Group Differences in Body Mass Index, Weight, and Height in Adults With Down Syndrome and Adults With Intellectual Disability From the United States

2021 ◽  
Vol 38 (1) ◽  
pp. 79-94
Author(s):  
Stamatis Agiovlasitis ◽  
Jooyeon Jin ◽  
Joonkoo Yun
Keyword(s):  
United States ◽  
Body Mass Index ◽  
Down Syndrome ◽  
Intellectual Disability ◽  
Body Mass ◽  
Age Groups ◽  
The United States ◽  
Age Group ◽  
Cross Sectional ◽  
Men And Women

The authors examined if body mass index (BMI), weight, and height across age groups differ between adults with Down syndrome (DS) and adults with intellectual disability but without DS. They conducted secondary analyses of cross-sectional data from 45,803 individuals from the United States from 2009 to 2014 of the National Core Indicators Adult Consumer Survey across five age groups: 18–29, 30–39, 40–49, 50–59, and 60+ years. For both men and women with DS, BMI and weight increased between the 18- to 29- and the 30- to 39-year age groups and decreased thereafter. For both men and women with intellectual disability, BMI and weight increased between the 18- to 29- and the 30- to 39-year age groups, stayed about the same until the 50- to 59-year age group, and decreased thereafter. Height demonstrated a small but significant decrease with older age in all groups. These cross-sectional comparisons indicate that BMI and weight may start decreasing at a younger age in adults with DS than in adults with intellectual disability.

scholarly journals Advancing Access to Higher Education for Students with Intellectual Disability in the United States

Disabilities ◽  
2021 ◽  
Vol 1 (4) ◽  
pp. 438-449
Author(s):  
Meg Grigal ◽  
Lyman L. Dukes ◽  
Zachary Walker
Keyword(s):  
Higher Education ◽  
United States ◽  
Intellectual Disability ◽  
Independent Living ◽  
Positive Impact ◽  
The United States ◽  
Current Status ◽  
Access To Higher Education ◽  
Policy And Practice ◽  
Demonstration Program

Due to changes in legislation and policy in the United States, higher education has become more available to people with intellectual disability (ID). Currently, over 6000 students with ID are enrolled in 310 colleges and universities. In the past decade, the federal government has invested over 100 million dollars in a model demonstration program aimed at institutions of higher education to create, expand, or enhance high-quality, inclusive higher education experiences to support positive outcomes for individuals with ID. This article will describe the impetus and impact of this funding as well as related changes in policy and practice. With the emergence of these opportunities, a field of research has emerged, offering new knowledge about what higher education can offer to students with ID as well as the positive impact these students have on their peers, professors, and campus communities. We have also begun to see documentation of more long-term impacts of higher education on students’ employment, independent living outcomes, and life satisfaction. By describing these policy, practice, and research developments, this article will provide readers with a better understanding of the background, current status, and future needs of the field of inclusive higher education for people with ID in the United States and potential takeaways for similar stakeholders in other countries.

Creating Intersectional Subjects: A Critical Discourse Analysis of Health Science Breastfeeding Research

2021 ◽  
pp. 233264922098109
Author(s):  
Shannon K. Carter ◽  
Ashley Stone ◽  
Lain Graham ◽  
Jonathan M. Cox
Keyword(s):  
United States ◽  
Discourse Analysis ◽  
Black Women ◽  
Critical Discourse Analysis ◽  
The United States ◽  
Health Science ◽  
Policy Implications ◽  
Critical Discourse ◽  
Race Disparities ◽  
Breastfeeding Policy

Reducing race disparities in breastfeeding has become a health objective in the United States, spurring research aimed to identify causes and consequences of disparate rates. This study uses critical discourse analysis to assess how Black women are constructed in 80 quantitative health science research articles on breastfeeding disparities in the United States. Our analysis is grounded in critical race and intersectionality scholarship, which argues that researchers often incorrectly treat race and its intersections as causal mechanisms. Our findings reveal two distinct representations. Most commonly, race, gender, and their intersection are portrayed as essential characteristics of individuals. Black women are portrayed as a fixed category, possessing characteristics that inhibit breastfeeding; policy implications focus on modifying Black women’s characteristics to increase breastfeeding. Less commonly, Black women are portrayed as a diverse group who occupy a social position in society resulting from similar social and material conditions, seeking to identify factors that facilitate or inhibit breastfeeding. Policy implications emphasize mitigating structural barriers that disproportionately impact some Black women. We contribute to existing knowledge by demonstrating how dominant health science approaches provide evidence for health promotion campaigns that are unlikely to reduce health disparities and may do more harm than good to Black women. We also demonstrate the existence of a problematic knowledge set about Black women’s reproductive and infant feeding practices that is both ahistorical and decontextualized.

scholarly journals Alternate care sites during the COVID-19 pandemic: Policy Implications for pandemic surge planning

2021 ◽  
pp. 1-8
Author(s):  
Sue Anne Bell ◽  
Lydia Krienke ◽  
Kathryn Quanstrom
Keyword(s):  
United States ◽  
Capacity Planning ◽  
The United States ◽  
Policy Implications ◽  
Multiple Response ◽  
Current Policy ◽  
Surge Capacity ◽  
Effective Care ◽  
The Us ◽  
Staffing Needs

Abstract Alternate care sites across the US were widely underutilized during the COVID-19 outbreak, while the volume and severity of COVID-19 cases overwhelmed health systems across the United States. The challenges presented by the pandemic have shown the need to design surge capacity principles with consideration for demand that strains multiple response capabilities. We reviewed current policy and previous literature from past ACS as well as highlight challenges from the COVID-19 pandemic, to make recommendations that can inform future surge capacity planning. Our recommendations include: 1) Preparedness actions need to be continuous and flexible; 2) Staffing needs must be met as they arise with solutions that are specific to the pandemic; 3) Health equity must be a focus of ACS establishment and planning; and 4) ACS should be designed to function without compromising safe and effective care. A critical opportunity exists to identify improvements for future use of ACS in pandemics.

scholarly journals Ethical and policy implications of vaccinomics in the United States: community members’ perspectives

2021 ◽  
pp. 1-12
Author(s):  
Jennifer E. Gerber ◽  
Janesse Brewer ◽  
Rupali J. Limaye ◽  
Andrea Sutherland ◽  
Gail Geller ◽  
...  
Keyword(s):  
United States ◽  
The United States ◽  
Policy Implications ◽  
Community Members
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