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A Cross-Sectional Cohort Study of a Large, Statewide Medicaid Home and Community-Based Services Autism Waiver Program / Karen Goldrich ESKOW in Journal of Autism and Developmental Disorders, 45-3 (March 2015)
[article]
Titre : A Cross-Sectional Cohort Study of a Large, Statewide Medicaid Home and Community-Based Services Autism Waiver Program Type de document : Texte imprimé et/ou numérique Auteurs : Karen Goldrich ESKOW, Auteur ; Gregory S. CHASSON, Auteur ; Jean Ann SUMMERS, Auteur Article en page(s) : p.626-635 Langues : Anglais (eng) Mots-clés : Autism services Medicaid Home and community-based services waiver Family quality of life Index. décimale : PER Périodiques Résumé : State-specific 1915(c) Medicaid Home and Community-Based Services waiver programs have become central in the provision of services specifically tailored to children with autism spectrum disorders (ASD). Using propensity score matching, 130 families receiving waiver services for a child with ASD were matched with and compared to 130 families waiting on the registry (i.e., control group). Results indicate that participants in the waiver group reported more improvement in independent living skills and family quality of life over the last year compared to those on the registry. More frequent intensive individual support services and therapeutic integration were statistically predictive of improvement in a variety of domains. The results suggest that the waiver program may be promising for improving child and family functioning. En ligne : http://dx.doi.org/10.1007/s10803-014-2217-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=258
in Journal of Autism and Developmental Disorders > 45-3 (March 2015) . - p.626-635[article] A Cross-Sectional Cohort Study of a Large, Statewide Medicaid Home and Community-Based Services Autism Waiver Program [Texte imprimé et/ou numérique] / Karen Goldrich ESKOW, Auteur ; Gregory S. CHASSON, Auteur ; Jean Ann SUMMERS, Auteur . - p.626-635.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 45-3 (March 2015) . - p.626-635
Mots-clés : Autism services Medicaid Home and community-based services waiver Family quality of life Index. décimale : PER Périodiques Résumé : State-specific 1915(c) Medicaid Home and Community-Based Services waiver programs have become central in the provision of services specifically tailored to children with autism spectrum disorders (ASD). Using propensity score matching, 130 families receiving waiver services for a child with ASD were matched with and compared to 130 families waiting on the registry (i.e., control group). Results indicate that participants in the waiver group reported more improvement in independent living skills and family quality of life over the last year compared to those on the registry. More frequent intensive individual support services and therapeutic integration were statistically predictive of improvement in a variety of domains. The results suggest that the waiver program may be promising for improving child and family functioning. En ligne : http://dx.doi.org/10.1007/s10803-014-2217-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=258 The Association of the Medicaid 1915(c) Home and Community-Based Services Waivers with Emergency Department Utilization among Youth with Autism Spectrum Disorder / Guodong LIU in Journal of Autism and Developmental Disorders, 52-4 (April 2022)
[article]
Titre : The Association of the Medicaid 1915(c) Home and Community-Based Services Waivers with Emergency Department Utilization among Youth with Autism Spectrum Disorder Type de document : Texte imprimé et/ou numérique Auteurs : Guodong LIU, Auteur ; Diana L. VELOTT, Auteur ; Lan KONG, Auteur ; Andrew W. DICK, Auteur ; David S. MANDELL, Auteur ; Bradley D. STEIN, Auteur ; Michael J. MURRAY, Auteur ; Djibril M. BA, Auteur ; Zuleyha CIDAV, Auteur ; Douglas L. LESLIE, Auteur Article en page(s) : p.1587-1597 Langues : Anglais (eng) Mots-clés : Adolescent Autism Spectrum Disorder/economics/epidemiology/therapy Community Health Services/economics Emergency Service, Hospital/economics/statistics & numerical data Home Care Services/economics Humans Intellectual Disability/economics/epidemiology/therapy Medicaid/economics/statistics & numerical data Patient Acceptance of Health Care/statistics & numerical data Retrospective Studies United States/epidemiology Autism spectrum disorder Emergency departments Home and community-based services waiver Medicaid Index. décimale : PER Périodiques Résumé : Using the 2008-2013 Medicaid Analytic eXtract files, this retrospective cohort study was to evaluate the effect of Medicaid home and community-based services (HCBS) waiver programs on emergency department (ED) utilizations among youth with autism spectrum disorder (ASD). Our study showed that the annual ED utilization rates were 13.5% and 18.8% for individuals on autism specific and intellectual and developmental disabilities (IDD) waivers respectively, vs. 28.5% for those without a waiver. Multivariable logistic regression showed that, compared to no waiver, autism specific waivers (adjusted odds ratio: 0.62; 95% Confidence Interval: [0.58-0.66]) and IDD waivers (0.65; [0.64-0.66]) were strongly associated with reduced ED. These findings suggest that HCBS waivers are effective in reducing the incidence of ED visits among youth with ASD. En ligne : http://dx.doi.org/10.1007/s10803-021-05060-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475
in Journal of Autism and Developmental Disorders > 52-4 (April 2022) . - p.1587-1597[article] The Association of the Medicaid 1915(c) Home and Community-Based Services Waivers with Emergency Department Utilization among Youth with Autism Spectrum Disorder [Texte imprimé et/ou numérique] / Guodong LIU, Auteur ; Diana L. VELOTT, Auteur ; Lan KONG, Auteur ; Andrew W. DICK, Auteur ; David S. MANDELL, Auteur ; Bradley D. STEIN, Auteur ; Michael J. MURRAY, Auteur ; Djibril M. BA, Auteur ; Zuleyha CIDAV, Auteur ; Douglas L. LESLIE, Auteur . - p.1587-1597.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 52-4 (April 2022) . - p.1587-1597
Mots-clés : Adolescent Autism Spectrum Disorder/economics/epidemiology/therapy Community Health Services/economics Emergency Service, Hospital/economics/statistics & numerical data Home Care Services/economics Humans Intellectual Disability/economics/epidemiology/therapy Medicaid/economics/statistics & numerical data Patient Acceptance of Health Care/statistics & numerical data Retrospective Studies United States/epidemiology Autism spectrum disorder Emergency departments Home and community-based services waiver Medicaid Index. décimale : PER Périodiques Résumé : Using the 2008-2013 Medicaid Analytic eXtract files, this retrospective cohort study was to evaluate the effect of Medicaid home and community-based services (HCBS) waiver programs on emergency department (ED) utilizations among youth with autism spectrum disorder (ASD). Our study showed that the annual ED utilization rates were 13.5% and 18.8% for individuals on autism specific and intellectual and developmental disabilities (IDD) waivers respectively, vs. 28.5% for those without a waiver. Multivariable logistic regression showed that, compared to no waiver, autism specific waivers (adjusted odds ratio: 0.62; 95% Confidence Interval: [0.58-0.66]) and IDD waivers (0.65; [0.64-0.66]) were strongly associated with reduced ED. These findings suggest that HCBS waivers are effective in reducing the incidence of ED visits among youth with ASD. En ligne : http://dx.doi.org/10.1007/s10803-021-05060-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475 The Role of Choice and Control in the Impact of Autism Waiver Services on Family Quality of Life and Child Progress / K. G. ESKOW in Journal of Autism and Developmental Disorders, 49-5 (May 2019)
[article]
Titre : The Role of Choice and Control in the Impact of Autism Waiver Services on Family Quality of Life and Child Progress Type de document : Texte imprimé et/ou numérique Auteurs : K. G. ESKOW, Auteur ; Gregory S. CHASSON, Auteur ; J. A. SUMMERS, Auteur Article en page(s) : p.2035-2048 Langues : Anglais (eng) Mots-clés : Autism services Family quality of life Home and Community-Based Services Waiver Medicaid Index. décimale : PER Périodiques Résumé : Home and Community-Based Services (HCBS) Waivers provide support and services to families with a child/youth with autism spectrum disorder (ASD). Research indicates HCBS Waivers are positively related to family quality of life (FQoL) and Child Progress. This study replicated and expanded prior research using propensity score matching of 460 families. Results support prior findings that HCBS waivers have a positive impact on FQoL and aspects of child progress. This study also found that having choices in the selection of services and service providers, as well as control over day-to-day provision of services, strengthened both the child and family impacts of the Waiver services. In addition, the study provides preliminary evidence for psychometric properties of a quick and inexpensive parent-report of ASD severity. En ligne : http://dx.doi.org/10.1007/s10803-019-03886-5 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=393
in Journal of Autism and Developmental Disorders > 49-5 (May 2019) . - p.2035-2048[article] The Role of Choice and Control in the Impact of Autism Waiver Services on Family Quality of Life and Child Progress [Texte imprimé et/ou numérique] / K. G. ESKOW, Auteur ; Gregory S. CHASSON, Auteur ; J. A. SUMMERS, Auteur . - p.2035-2048.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 49-5 (May 2019) . - p.2035-2048
Mots-clés : Autism services Family quality of life Home and Community-Based Services Waiver Medicaid Index. décimale : PER Périodiques Résumé : Home and Community-Based Services (HCBS) Waivers provide support and services to families with a child/youth with autism spectrum disorder (ASD). Research indicates HCBS Waivers are positively related to family quality of life (FQoL) and Child Progress. This study replicated and expanded prior research using propensity score matching of 460 families. Results support prior findings that HCBS waivers have a positive impact on FQoL and aspects of child progress. This study also found that having choices in the selection of services and service providers, as well as control over day-to-day provision of services, strengthened both the child and family impacts of the Waiver services. In addition, the study provides preliminary evidence for psychometric properties of a quick and inexpensive parent-report of ASD severity. En ligne : http://dx.doi.org/10.1007/s10803-019-03886-5 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=393