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Intermediate Care Facilities For Individuals With Intellectual Disabilities
Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID), formerly known as Intermediate Care Facilities for Mental Retardation (ICF/MR), is an American Medicaid-funded institutional long-term support and service (LTSS) for people with intellectual disabilities or related conditions. Section 1905(d) of the Social Security Act enacted benefits and made funding available for "institutions" (which consisted of 4 or more beds) for individuals with intellectual or related conditions. According to federal law 42 CFR § 440.150 the purpose of ICD/IIDs is to "furnish health or rehabilitative services to persons with Intellectual Disability or persons with related conditions." The number of individuals living in ICD/IID facilities peaked in 1993 at 147,729 people. In 1981, Congress enacted legislation allowing Medicaid funding for LTSS through programs such as the Home-and Community-Based Services (HCBS) waiver program that provides supports for people to live i ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Medicaid
Medicaid in the United States is a federal and state program that helps with healthcare costs for some people with limited income and resources. Medicaid also offers benefits not normally covered by Medicare, including nursing home care and personal care services. The main difference between the two programs is that Medicaid covers healthcare costs for people with low incomes while Medicare provides health coverage for the elderly. There are also dual health plans for people who have both Medicaid and Medicare. The Health Insurance Association of America describes Medicaid as "a government insurance program for persons of all ages whose income and resources are insufficient to pay for health care." Medicaid is the largest source of funding for medical and health-related services for people with low income in the United States, providing free health insurance to 74 million low-income and disabled people (23% of Americans) as of 2017, as well as paying for half of all U.S. births i ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Intellectual Disability
Intellectual disability (ID), also known as general learning disability in the United Kingdom and formerly mental retardation,Rosa's Law, Pub. L. 111-256124 Stat. 2643(2010). is a generalized neurodevelopmental disorder characterized by significantly impaired intellectual and adaptive functioning. It is defined by an IQ under 70, in addition to deficits in two or more adaptive behaviors that affect everyday, general living. Intellectual functions are defined under DSM-V as reasoning, problem‑solving, planning, abstract thinking, judgment, academic learning, and learning from instruction and experience, and practical understanding confirmed by both clinical assessment and standardized tests. Adaptive behavior is defined in terms of conceptual, social, and practical skills involving tasks performed by people in their everyday lives. Intellectual disability is subdivided into syndromic intellectual disability, in which intellectual deficits associated with other medical and be ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Social Security Act
The Social Security Act of 1935 is a law enacted by the 74th United States Congress and signed into law by US President Franklin D. Roosevelt. The law created the Social Security program as well as insurance against unemployment. The law was part of Roosevelt's New Deal domestic program. By the 1930s, the United States was the only modern industrial country without any national system of social security. In the midst of the Great Depression, the physician Francis Townsend galvanized support behind a proposal to issue direct payments to the elderly. Responding to that movement, Roosevelt organized a committee led by Secretary of Labor Frances Perkins to develop a major social welfare program proposal. Roosevelt presented the plan in early 1935 and signed the Social Security Act into law on August 14, 1935. The act was upheld by the Supreme Court in two major cases decided in 1937. The law established the Social Security program. The old-age program is funded by payroll taxes, an ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Medicaid Home And Community-Based Services Waivers
Home and Community-Based Services waivers (HCBS waivers) or Section 1915(c) waivers, 42 U.S.C. Ch. 7, § 1396n §§ 1915(c), are a type of Medicaid waiver. HCBS waivers expand the types of settings in which people can receive comprehensive long-term care under Medicaid. Prior to the creation of HCBS waivers, comprehensive long-term care was available through Medicaid only in institutional settings. Under an HCBS waiver, states can use Medicaid funds to provide a broad array of non-medical services (excluding room and board) not otherwise covered by Medicaid, if those services allow recipients to receive care in community and residential settings as an alternative to institutionalization. History Section 1915(c) was an amendment to the Social Security Act created as a part of the Omnibus Budget Reconciliation Act of 1981. Adoption of HCBS waivers by states was initially slow, but Congress has enacted a series of reforms since 1981 to make the use of HCBS waivers less prohibitive. ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Deinstitutionalization
Deinstitutionalisation (or deinstitutionalization) is the process of replacing long-stay psychiatric hospitals with less isolated community mental health services for those diagnosed with a mental disorder or developmental disability. In the late 20th century, it led to the closure of many psychiatric hospitals, as patients were increasingly cared for at home, in halfway houses and clinics, in regular hospitals, or not at all. Deinstitutionalisation works in two ways. The first focuses on reducing the population size of mental institutions by releasing patients, shortening stays, and reducing both admissions and readmission rates. The second focuses on reforming psychiatric care to reduce (or avoid encouraging) feelings of dependency, hopelessness and other behaviors that make it hard for patients to adjust to a life outside of care. The modern deinstitutionalisation movement was made possible by the discovery of psychiatric drugs in the mid-20th century, which could manage psych ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Broadview Developmental Center
The Broadview Developmental Center was a psychiatric hospital built in 1939 near Broadview Heights, Ohio, United States. Constructed under the Works Progress Administration as part of President Franklin Roosevelt's New Deal, it functioned as a Veterans Administration Hospital until 1966 when it was sold to the state of Ohio. The Broadview Developmental Center was then converted into a psychiatric hospital, and remained open until 1993 when the prevailing opinion on mental health shifted from institutional care to community-based care, and the hospital lost its funding. The building was demolished in 2006, except for its newest portion, which was kept as the city of Broadview Heights' city hall and recreation centr Broadview Veterans Administration Hospital The hospital originally opened in 1939, under the control of the United States Veterans Administration. While it performed traditional functions by caring for the numerous veterans of World War II, it also served as housin ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Rosa's Law
Rosa's Law is a United States law which replaced several instances of "mental retardation" in law with "intellectual disability". The bill was introduced as S.2781 in the United States Senate on November 17, 2009, by Barbara Mikulski ( D- MD). It passed the Senate unanimously on August 5, 2010, then the House of Representatives on September 22, and was signed into law by President Barack Obama on October 5. The law is named for Rosa Marcellino, a girl with Down syndrome who was nine years old when it became law, and who, according to President Barack Obama, "worked with her parents and her siblings to have the words 'mentally retarded' officially removed from the health and education code in her home state of Maryland." Rosa's Law is part of a long line of changes that has been ongoing since the early 1900s. Words such as ''idiot'' and '' moron'' were common in court documents and diagnosis throughout the early 1900s. In the 1960s, changes in the law led to the use of such terms ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Ambulatory
The ambulatory ( la, ambulatorium, ‘walking place’) is the covered passage around a cloister or the processional way around the east end of a cathedral or large church and behind the high altar. The first ambulatory was in France in the 11th century but by the 13th century ambulatories had been introduced in England and many English cathedrals were extended to provide an ambulatory. The same feature is often found in Indian architecture and Buddhist architecture generally, especially in older periods. Ritual circumambulation or parikrama around a stupa or cult image is important in Buddhism and Hinduism. Often the whole building was circumambulated, often many times. The Buddhist chaitya hall always allowed a path for this, and the Durga temple, Aihole (7th or 8th century) is a famous Hindu example. The term is also used to describe a garden feature in the grounds of a country house. A typical example is the one shown, which stands in the grounds of Horton Court in Gloucest ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Mental Illness
A mental disorder, also referred to as a mental illness or psychiatric disorder, is a behavioral or mental pattern that causes significant distress or impairment of personal functioning. Such features may be persistent, relapsing and remitting, or occur as single episodes. Many disorders have been described, with signs and symptoms that vary widely between specific disorders. Such disorders may be diagnosed by a mental health professional, usually a clinical psychologist or psychiatrist. The causes of mental disorders are often unclear. Theories may incorporate findings from a range of fields. Mental disorders are usually defined by a combination of how a person behaves, feels, perceives, or thinks. This may be associated with particular regions or functions of the brain, often in a social context. A mental disorder is one aspect of mental health. Cultural and religious beliefs, as well as social norms, should be taken into account when making a diagnosis. Services are ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Centers For Medicare & Medicaid Services
The Centers for Medicare & Medicaid Services (CMS), is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards. In addition to these programs, CMS has other responsibilities, including the administrative simplification standards from the Health Insurance Portability and Accountability Act of 1996 (HIPAA), quality standards in long-term care facilities (more commonly referred to as nursing homes) through its survey and certification process, clinical laboratory quality standards under the Clinical Laboratory Improvement Amendments, and oversight of HealthCare.gov. CMS was previously known as the Health Care Financing Administration (HCFA) until 2001. CMS actively inspects and reports on every nursing home in the United States. This includes maintaini ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Qualified Intellectual Disability Professional
A Qualified Intellectual Disability Professional, often referred to as a QIDP for short is a professional staff working with people in community homes who have intellectual and developmental disabilities and was previously known as a Qualified Mental Retardation Professional or QMRP. The change in terminology was implemented after the Centers for Medicaid and Medicare Services (CMS) modified the ''State Operations Manual Appendix J - Guidance to Surveyors: Intermediate Care Facilities for Individuals with Intellectual Disabilities'' The changes were implemented after President Obama signed Rosa's Law. The National Association of QIDPs updated its name to meet the new change in terminology The organization provides training and meeting opportunities for those working in the QIDP capacity. Some U.S. states such as Illinois have specific and required training for QIDPs to remain certified. Other states have licensure and outline specific requirements for the QIDP such as California. ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Intellectual Disability Organizations
An intellectual is a person who engages in critical thinking, research, and reflection about the reality of society, and who proposes solutions for the normative problems of society. Coming from the world of culture, either as a creator or as a mediator, the intellectual participates in politics, either to defend a concrete proposition or to denounce an injustice, usually by either rejecting or producing or extending an ideology, and by defending a system of values. Etymological background "Man of letters" The term "man of letters" derives from the French term ''belletrist'' or ''homme de lettres'' but is not synonymous with "an academic". A "man of letters" was a literate man, able to read and write, as opposed to an illiterate man in a time when literacy was rare and thus highly valued in the upper strata of society. In the 17th and 18th centuries, the term ''Belletrist(s)'' came to be applied to the ''literati'': the French participants in—sometimes referred to as ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
