Mental and Behavioral Health, and Crisis Services for People with Intellectual and Developmental Disabilities in Medicaid Home- and Community-Based Services

被引:1
作者
Friedman, Carli [1 ]
Luxama, Carine M. [2 ]
机构
[1] Council Qual & Leadership CQL, 100 West Rd,Suite 300, Towson, MD 21204 USA
[2] Univ Massachusetts Boston, Coll Nursing & Hlth Serv, 100 Morrissey Blvd, Boston, MA 02125 USA
基金
英国科研创新办公室;
关键词
People with intellectual and developmental disabilities; Mental health; Behavioral health; Medicaid Home and Community Based Services (HCBS); Applied behavior analysis; Positive behavior supports; PERCEIVED DISCRIMINATION; INDIVIDUALS; WAIVERS; ADULTS; INTERVENTION; CHILDREN; DEPRESSION; DISORDERS; SYMPTOMS; SUPPORT;
D O I
10.1007/s10803-024-06441-z
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
People with intellectual and developmental disabilities (IDD) often have higher rates of comorbid mental health conditions compared to the general population. Yet, many people with IDD also have unmet needs for mental and behavioral health services. The aim of this study was to examine how states provided mental and behavior health, and crisis services to people with IDD in their Home- and Community-Based Services (HCBS) programs, the largest funding mechanism for Long-Term Services and Supports (LTSS) for people with IDD in the United States. We analyzed fiscal year (2021) Medicaid HCBS waivers for people with IDD from across the United States to examine if and how they provided mental and behavior health, and crisis services. States projected spending $968.9 million for mental and behavior health, and crisis services for 190,299 people with IDD. Applied behavior analysis services were provided at greater rates than positive behavior supports and other forms of behavior interventions. While most states provided mental and behavior health, and crisis services in their waivers, there were vast inconsistencies in how they did so, across states, waivers, and services. HCBS are a crucial safety net to ensure people with IDD, especially those who also have mental health disabilities, can live and thrive in their communities.
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页数:14
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