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The Connecting Point

Volume 3 Issue 3 June 2nd, 2005
In This ISSUE:

1) New Resource on Disability Disclosure for Youth with Disabilities
2) New Resource on Creating Mentoring Opportunities for Youth with
Disabilities: Issues and suggested strategies
3) The Connecting to Success E-Mentoring Project Training Manual
4) Youth Mentoring  
5)
FY 04 Medicaid Expenditures -Institutional (Nursing Homes) VS. Community based Expenditures State by State - Info Bulletin #88

____

1) New Resource on Disability Disclosure for Youth with Disabilities – The “411 on Disability Disclosure: A workbook for Youth with Disabilities” is designed for youth and adults working with them to learn about disability disclosure. This workbook helps young people make informed decisions about whether or not to disclose their disability and understand how that decision may impact their education, employment and social lives. Available online in Word or PDF formats. Free print copies can be ordered. (It is targeted at a “youth audience, but is full of helpful ideas for and job seeker with a disability.

For more information... www.ncwd-youth.info/resources_&_Publications/411.html

2) CREATING MENTORING OPPORTUNITIES FOR YOUTH WITH DISABILITIES: ISSUES AND SUGGESTED STRATEGIES
This issue brief from NCSET addresses the need for expansion of mentoring opportunities for youth with disabilities. Specifically, the brief outlines some of the benefits of mentoring for youth; defines the issue of the need for expanded mentoring opportunities for youth with disabilities; and presents strategies for including youth with disabilities in mentoring programs. http://www.ncset.org/publications/viewdesc.asp?id=704  

3) THE CONNECTING TO SUCCESS E-MENTORING PROJECT TRAINING MANUAL   "Connecting to Success: Mentoring Through Technology to Promote Student Achievement"  (2003) The Connecting to Success (CTS) E-Mentoring Program at the Institute on Community Integration has developed a training manual that guides community organizations, schools, businesses, and state agencies in forming partnerships that pair students with disabilities with mentors in the business world. This 151 page training manual is available for download or purchase; for more information go to http://ici.umn.edu/ementoring/   

4)   YOUTH MENTORING  -This NCSET Web Topic explores how mentoring provided to youth by caring adults can help youth and adults with professional development, growth, and support, and how it can benefit the overall community. Includes an introduction, frequently asked questions, related research, emerging practices, Web sites, and additional resources.
http://www.ncset.org/topics/mentoring/?topic=32  

5) FY 04 Medicaid Expenditures -Institutional (Nursing Homes) VS. Community based Expenditures State by State - Info Bulletin #88

The FY 2004 Medicaid Expenditures have been compiled by MEDSTAT. These expenditures show clearly whether your State is truly committed to end segregation and to promote integration of persons with disabilities or whether your State spends its Medicaid funds to perpetuate discrimination.

The chart below shows the Institutional Long Term Care expenditures for Persons who are in Nursing Homes and the comparison group of persons who receive MA Long term care services and expenditures in the community. The percentage breakdowns are also provided.

Institutional services include nursing homes services.  Community-based services include home health services, personal care services, and HCBS waiver services for older adults and people with physical disabilities.

The States are listed in order, with those spending the smallest % on Institutional LTC services and the largest % on community-based LTC at the top and those spending the largest % on Institutional LTC services and the smallest % on community based LTC at the bottom of the chart.

Most disturbing is that only five states spend approximately the same on both institutional nursing home care and community based services.

This information should be used by disability advocates when your States and Governors are discussing and proposing cut-backs. For most states, it is very clear that they could SAVE a lot of money AND INTEGRATE PERSONS with disabilities in the community.

 

Rank/State

Long Term Care
Institutional MA 

% of
Total

LTC Community-
based services 

% of Total

Total Expenditures

1. New Mexico

$179,818,250

44.8%

$221,299,204

55.2%

$401,117,454

2. Oregon

$238,642,419

5.0%

$291,763,912

55.0%

$530,406,331

3. Alaska

$107,091,559

49.1%

$110,851,849

50.9%

$217,943,408

4. Washington

$593,061,233

50.4%

$583,762,579

49.6%

$1,176,823,812

5. California

$3,033,946,724 

61.1%

$1,927,897,109

38.9%

$4,961,843,833

6. Idaho

$126,613,061

61.8%

$78,325,181

38.2%

$204,938,242

7. North Carolina

$1,096,619,059

62.0%

$671,887,077

38.0%

$1,768,506,136

8. Texas

$1,781,030,713

62.4%

$1,073,594,094

37.6%

$2,854,624,807

9. New York

$6,486,722,331

63.7%

$3,704,386,264

36.3%

$10,191,108,595

10. Minnesota

$904,205,889

64.1%

$507,781,212

35.9%

$1,410,987,101

11. Vermont

$104,364,396

68.0%

$49,024,326

32.0%

$153,388,722

12. Colorado

$423,944,387

70.7%

$175,708,439

29.3%

$599,652,826

13. Kansas

$344,645,407

71.4%

$137,864,905

28.6%

$482,510,312

14. Missouri

$789,726, 442

72.3%

$302,694,031

27.7%

$1,092,420,473

15. Wisconsin

$917,421,595

73.5%

$330,128,014

26.5%

$1,247,549,609

16. Nevada

$141,377, 842

73.7%

$50,466,036

26.3%

$191,843,878

17. Arizona

$23,172,901

74.9%

$7,773,140

25.1%

$30,946,041

18. West Virginia

$367,149,385

75.4%

$120,058,110

24.6%

$487,207,495

19. New Jersey

$1,479,889,851

76.2%

$462,486,604

23.8%

$1,942,376,455

20. Maine

$248,697,265

76.5%

$76,549,901

23.5%

$325,247,166

21. Montana

$164,145,366

77.9%

$46,520,911

22.1%

$210,666,277

22. Massachusetts

$1,617,497,416

78.1%

$454,574,351

21.9%

$2,072,071,767

23. Connecticut

$1,015,579,338

78.2%

$283,773,739

21.8%

$1,299,353,077

24. Iowa

$426,181,610

78.6%

$116,247,671

21.4%

$542,429,281

25. Arkansas

$540,193,697

79.2%

$141,654,858

20.8%

$681,848,555

26. Oklahoma

$462,935,035

79.3%

$121,037,188

20.7%

$583,972,223

27. Kentucky

$627,317,272

79.5%

$161,799,090

20.5%

$789,116,362

28. Illinois

$1,608,092,952

79.7%

$408,583,690

20.3%

$2,016,676,642

29. Maryland

$867,262,512

80.1%

$215,119,936

19.9%

$1,082,382,448

30. Nebraska

$359,714,726

81.4%

$82,181,609

18.6%

$441,896,335

31. Wyoming

$60,552,927

81.7%

$13.606,200

18.3%

$74,159,127

32. South Carolina

$461,865,198

81.8%

$102,983,428

18.2%

$564,848,626

33. Hawaii

$182,705,650

82.2%

$39,526,269

17.8%

$222,231,919

34. Ohio

$2,722,643,741

83.3%

$544,833,191

16.7%

$3,267,476,932

35. Virginia

$656,180,320

83.7%

$128,196,332

16.3%

$784,376,652

36. Georgia

$1,466,092,237

85.2%

$254,811,774

14.8%

$1,720,904,011

37. Michigan

$1,704,056,909

85.3%

$292,760,123

14.7%

$1,996,817,032

38. Washington D.C.

$188,211,034

86.3%

$29,947,825

13.7%

$218,158,859

39. Utah

$105,854,730

86.3%

$16,769, 632

13.7%

$122,624,362

40. Delaware

$158,840,995

87.4%

$22,901,079

12.6%

$181,742,074

41. New Hampshire

$276,085,727

88.0%

$37,539,757

12.0%

$313,625,484

42. Florida

$2,250,455,672

88.8%

$283,871,973

11.2%

$2,534,327,645

43. Alabama

$766,521,275

88.8%

$96,671,113

11.2%

$863,192,388

44. Louisiana

$593,234,878

89.4%

$70,041,288

10.6%

$663,276,166

45. Rhode Island

$292,744,235

89.9%

$32,997,712

10.1%

$325,741,947

46. South Dakota

$118,375,810

90.4%

$12,531,319

9.6%

$130,907,129

47. Indiana

$948,116,230

90.9%

$95,123,914

9.1%

$1,043,240,144

48. Pennsylvania

$4,069,955,523

93.2%

$298,144,790

6.8%

$4,368,100,313

49. Mississippi

$563,151,164

93.6%

$38,256,037

6.4%

$601,407,201

50 North Dakota 

$166,456,173

94.9%

$8,899,311

5.1%

$175,355,484

51. Tennessee

$1,006,485,725 

99.4%

$6,275,229

0.6%

$1,012,760,954

United States

$45.835 billion 

74.9%

 $15.341 billion 

 25.1%

$61.177 billion


ADVOCATES
On a state by state basis, we have A LOT OF WORK to do. Stop this extraordinarily lop-sided expenditure that perpetuates segregation and discrimination against persons with disabilities. Back issues of other Information Bulletins are available online at http://www.stevegoldada.com/ with a searchable Archive at this site divided into different subjects. To contact Steve Gold directly, write to stevegoldada@cs.com

 

_____________________________

Readers are invited to send information about new resources on secondary education, transition from school, services and supports for adults with disabilities to connectingpoint@projectcore.org . Approved information will then be posted.  Additional questions or comments can be sent to the Project Coordinator at coordinator@projectcore.org .
While The Connecting Point is not a discussion group, additional questions and discussions can be posted at bulletinboard@projectcore.org .
The CORE Project is funded by the Department of Education Rehabilitation
Services Administration.
The CORE Project (In Washington State)
Phone- 1-800-5-PARENT
Phone- 1-509-928-1522
Fax 1-509-928-1522
Web site www.projectcore.org

CORE Project
PMB 175
1324 N. Liberty Lake Rd
Liberty Lake, WA 99019
( A Project of Washington PAVE)

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