Implementation of Self-Directed Supports for Individuals with Intellectual and Developmental Disabilities: A Political Economy Analysis

Author

Matthew P. DeCarlo, VCU School of Social WorkFollow

DOI

https://doi.org/10.25772/NDPC-TG85

Defense Date

2016

Document Type

Dissertation

Degree Name

Doctor of Philosophy

Department

Social Work

First Advisor

Sarah Kye Price

Second Advisor

Matt Bogenschutz

Third Advisor

David Fauri

Fourth Advisor

Parthenia Dinora

Abstract

Self-directed supports, as a method of service delivery, have grown from small pilot programs in a handful of states to at least one program in every state. For individuals with intellectual and developmental disabilities (IDD), self-direction presents unique opportunities to engage in self-determined behavior and shape the services upon which they rely. Although the evidence base for self-direction is relatively robust, there is a significant lack of information on how implementation of self-direction is faring on the national level. The purpose of this study is to understand how the political and economic factors within and across states have impacted the implementation of a self-directed service delivery system.

Rights

© The Author

Is Part Of

VCU University Archives

Is Part Of

VCU Theses and Dissertations

Date of Submission

5-9-2016