Home and community-based services in the United States

Author(s):  
Joshua Wiener
2013 ◽  
Vol 51 (1) ◽  
pp. 1-21 ◽  
Author(s):  
Mary C. Rizzolo ◽  
Carli Friedman ◽  
Amie Lulinski-Norris ◽  
David Braddock

Abstract In fiscal year (FY) 2009, the Medicaid program funded over 75% of all publicly funded long-term supports and services (LTSS) for individuals with intellectual and developmental disabilities (IDD) in the United States (Braddock et al., 2011). The majority of spending was attributed to the Home and Community Based Services (HCBS) Waiver program. In FY 2009, federal–state spending for the HCBS Waiver program reached over $25.1 billion and constituted almost half of total funding across the nation that year (Braddock et al., 2011). Considerable effort has been spent investigating Medicaid program expenditures, however, due in part to the unique and state-specific nature of HCBS programs, national-level analysis on the types of services offered to individuals with IDD has not been available. A full understanding of the supports available through the Medicaid program is critical as the United States considers strategies for economic recovery among competing state and federal budget priorities. This article presents the results of an analysis of 88 Medicaid HCBS Section 1915(c) waiver applications for individuals with intellectual and developmental disabilities in 41 states and the District of Columbia. It analyzes IDD data and trends close to the real time intent of states and empowers advocates in presenting timely solutions to real-time issues.


2021 ◽  
Vol 15 (1) ◽  
pp. 112-116
Author(s):  
Rafi Santo ◽  
David Phelps ◽  
Colin Angevine ◽  
Alexandra Lotero ◽  
Lucy Herz

2012 ◽  
Vol 59 (9) ◽  
pp. 1289-1306 ◽  
Author(s):  
Kenneth D. Allen ◽  
Phillip L. Hammack ◽  
Heather L. Himes

2017 ◽  
Vol 27 (6) ◽  
pp. 141-144
Author(s):  
HR Nolan ◽  
B Christie

Despite healthcare reform, a large population in the United States is without healthcare coverage. The Surgery for People in Need (SPIN) program offers free outpatient surgical procedures to working, uninsured adults. Taking nearly one year to construct, the program has been operational for three years and has performed 22 procedures. Free surgery programs can improve healthcare access by providing interventions to patients who otherwise have no outlet for surgical care.


1975 ◽  
Vol 21 (1) ◽  
pp. 57-64 ◽  
Author(s):  
Frank J. Menolascino

Throughout the United States and Canada, community-based programs for the retarded are being expanded, as are alternative correctional programs for the young offender. But for the men tally retarded offender no such new approaches have been de vised ; he is still relegated to, and unwanted by, both the tradition al correctional system and the institutions for the retarded.


Author(s):  
Rosalia Aparecida Moreira ◽  
Hugo Rodrigues Araujo

Em 1986, foi criado nos Estados Unidos a Rails-to-Trails Conservancy, entidade sem fins lucrativos com a missão de contribuir para conservação do patrimônio ferroviário, transformando os ramais abandonados em trilhas ferroviárias destinadas, exclusivamente, para caminhantes, ciclistas e cavaleiros. Com essa perspectiva, há 15 anos iniciou-se uma mobilização comunitária para transformar o antigo Ramal Ferroviário Corinto-Diamantina, localizado no Vale do Jequitinhonha/MG, na primeira trilha ferroviária do Brasil, denominada Trilha Verde da Maria Fumaça - TVMF. Além da conservação dos bens ferroviários, a TVMF busca a dinamização da economia local através do Turismo de Base Comunitária. Este artigo corresponde a um estudo de caso da TVMF, de caráter exploratório-descritivo. A pesquisa envolveu revisão bibliográfica e entrevista do gestor da ONG Caminhos da Serra, utilizando questionário semiestruturado. A análise qualitativa dos dados permitiu obter resultados que proporcionam o entendimento sobre a TVMF, contribuem para a abertura da discussão sobre trilhas ferroviárias no Brasil e fornecem informações para subsidiar aplicações práticas em outras ferrovias que se encontram abandonadas. Trilha Verde da Maria Fumaça: railroad heritage and tourism in the Vale do Jequitinhonha (Brazil). In 1986, the Rails-to-Trails Conservancy was created in the United States, a nonprofit organization with a mission to contribute to conservation of the railway heritage, turning extensions abandoned on rails trails, designed exclusively for walkers, cyclists and riders. With this perspective, 15 years ago a community began a mobilization to transform the old Railway Corinto-Diamantina, located in Vale do Jequitinhonha / MG, into the first rail trails in Brazil, called Trilha Verde da Maria Fumaça - TVMF. In addition to the conservation of rail assets, TVMF seeks to stimulate the local economy through the Community Based Tourism. This article is an exploratory and descriptive case study of TVMF. The research involved literature review and interview questions for the manager of the NGO Caminhos da Serra, by using semi-structured questionnaire. Through qualitative analysis of data it was possible to get results that provide an understanding of the TVMF, contribute to opening the discussion about rails trails in Brazil, and provide information to support practical applications in other railways that are abandoned. KEYWORDS: Railway Tourism; Sustainable Tourism; Rails Trails.


2015 ◽  
pp. 195-213
Author(s):  
Elizabeth Bishop

This chapter discusses the recent findings of the Drop Knowledge Project in New York City (DKPNYC). The DKPNYC is a cultural studies research project designed to excavate the discourses of urban youth activism and organizing in relation to critical literacy learning. In this chapter, the authors look at the work of the DKPNYC youth activists around issues related to immigrant rights and educational justice in out-of-school spaces. Amongst the interconnected issues surrounding this work, the youth participants in the DKPNYC all organize around issues related to the struggle of undocumented youth to access quality education in the United States. Data collected from the study is decidedly cross-cultural, with participants articulating visions of themselves and their future in relation to their cultural heritage and their inter-subjective ethical learning. Implications from the study provide insight to educators, researchers, and community-based organizations about educating immigrant youth and others on pressing issues around immigrant learning.


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