| Description |
1 online resource (xvi, 239 pages) : illustrations |
|
text file |
| Contents |
Self-direction : What It Is and How It Works -- The History and Policy Antecedents of Self-direction. Early Activism -- Philosophical Shift -- Programmatic Precursors -- Reform through the Courts -- Demonstrations -- Recent Developments -- Conclusion -- The Federal Role : Less Visible, Just as Important. Timeline of Federal Government Actions Promoting Self-direction -- Roles and Individuals -- Research -- Regulation -- Development for Particular Populations -- Quality Control -- People as Well as Organizations -- The Status of Self-directionacross the Country. State Participation in Self-direction -- Growth in the Numbers of Individuals Who Are Self-directing -- Participation of People with Intellectual and Developmental Disabilities in Self-direction -- State Implementation of Self-direction -- Conclusion -- Setting Individualized Budgets to Support Self-direction. Framework for Categorizing Individualized Funding Methodologies -- Conversational Method -- Assessment-Based Methods -- Complementing Considerations -- Conclusion -- The Impact of Self-direction : Results for Participants. Early Models of Self-direction -- Cash and Counseling: Twenty Years of Research -- Evaluation of Robert Wood Johnson Pilot Demonstrations for Self-Determination for People with Developmental Disabilities -- Evaluation of Participant Outcomes -- Individual State Studies -- Impact on Workers -- Conclusion -- The Impact of Self-direction : Financial Results. Cost : An Important Outcome -- How This Chapter Is Organized -- Cash and Counseling Cost Studies -- Cost Studies of Self-direction for People with Intellectual and Developmental Disabilities -- State Studies in Tennessee and Colorado -- Conclusion -- Factors That Can Influence the Growth of Self-direction. Demographic Trends That Will Impact Self-direction -- Impending Worker Shortages -- Facilitating Self-direction through Public Policy -- Initiatives by National Membership Groups and Professional Associations -- Trends That May Constrain the Growth of Self-direction -- Conclusion -- The Expansion of Self-direction to Other Participants. Self-direction for Veterans -- Self-directionin Mental Health -- International Examples of Self-direction in Human Services. Germany -- The Netherlands -- England -- Australia -- Conclusions and Lessons Learned -- Reflections and Recommendations. What We Know -- Reflections from Practitioners, Administrators, and Advocates -- Recommendations for the Future of Self-direction -- System Recommendations -- Conclusion. |
| Summary |
"In the past, when people with disabilities and older adults needed help with activities of daily living and navigating their communities, they rarely had any choice about who helped them, when that support was delivered, or what the worker would or would not do. The self-direction movement changed all that by offering people the option to select their own workers and even create an individualized budget to help them live more independently. Written by experts who played a key part in the growth, evaluation, and dissemination of this revolutionary approach, Self-Direction describes the development of this movement through the authors' personal accounts. Also included are stories from actual participants in the movement who benefitted from this approach and from policymakers who saw how self-direction could help address states' problems. The book's conclusion discusses recommendations that can improve the way self-direction is delivered and how to spread its message so that all people with disabilities can have this choice."--Provided by publisher. |
| Local Note |
eBooks on EBSCOhost EBSCO eBook Subscription Academic Collection - North America |
| Subject |
Human services.
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Human services. |
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Autonomy (Psychology)
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Autonomy (Psychology) |
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social services. |
| Added Author |
Fenton, Marc H., author.
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Mahoney, Kevin J., author.
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| Other Form: |
Print version: Bradley, Valerie J. Self-direction. Albany : State University of New York Press, [2021] 9781438483436 (DLC) 2021007122 (OCoLC)1226480842 |
| ISBN |
9781438483443 (electronic book) |
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1438483449 (electronic book) |
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9781438483436 |
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1438483430 |
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9781438483429 |
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1438483422 |
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