Fiscal Stewardship, Choice, and Control: The Context of Self-Directed Services for People with I/DD

September 4, 2019

Self-directed services and supports for people with intellectual and developmental disabilities (IDD) have become increasingly common as a support option in many states. This member-only webinar will provide an overview of a recent study of the current status of self-direction for people with IDD from the perspectives of 54 high-level IDD service administrators in 34 states. Central themes coming from the study include a tension between the desire of administrators to increase choice and control for people with IDD and their families while maintaining careful controls for fiscal stewardship. In the current political environment, the need to justify spending of public funds is strong, and provides a potential challenge to the traditional roots of self-direction as a means of enhancing self-determination of people with IDD.

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