Policy Research Brief: Residential Setting and Individual Outcomes: An Assessment of Existing National Core Indicators Research

Part of the Policy Research Brief series.
Derek K Nord PhD, Youngsoon Kang, Renata Ticha, Kristin Hamre, Mary Lee Fay, Charles R Moseley
Derek K Nord PhD


A brief providing states with information to help their new policy and service developments comply with regulatory criteria that the Centers for Medicaid and Medicare Services specified in March 2014 regarding the character and location of residential services for recipients of Home and Community-Based Services waivers and state plan services. States must evaluate existing services to ensure such programs afford individuals with disabilities the same access to the community as persons without disabilities. This Policy Research Brief investigates the relationship of residential setting and individual outcomes for people with intellectual and developmental disabilities who use public programs by analyzing the findings of all peer reviewed studies using the National Core Indictors, a state system-level performance and outcome research program. Findings show that, overall, people living in smaller settings, such as their own home, a family or foster home, or small agency home experienced better individual outcomes than those living in larger settings. This brief displays those findings using an array of online, interactive visual features. A PDF version of each section of the brief is available from a link at the end of the relevant Web page.


July 2014 
Volume 24, Number 2
Research and Training Center on Community Living (RTC-CL)
National Association of State Directors of Developmental Disabilities Services


  • Community life
    • Community supports and services
  • Specific life stage
    • Adults
  • Housing and residential services
    • Community group residential
    • Consumer/self-directed services
    • Family supports/in-home services
    • Medicaid services (residential)
  • Specific disability
    • Intellectual/developmental disability (IDD)