In-Home and Residential Long-Term Supports and Services for Persons with Intellectual or Developmental Disabilities: Status and Trends Through 2015

Sheryl A Larson, Heidi Eschenbacher, Lynda Lahti Anderson, Brittany Taylor, Sandra L Pettingell, Amy S Hewitt, Mary Sowers, Mary Lou Bourne


A report describing the status of, and trends in, long-term supports and services for people with intellectual or developmental disabilities in the U.S. on June 30, 2015. It is based on an annual nationwide survey of directors of state intellectual and developmental disability agencies and large state residential facilities conducted by the National Residential Information Systems Project (RISP) at the Research and Training Center on Community Living. The report presents data on individualized and congregate settings, utilization and expenditures for Medicaid's Home and Community-Based Waiver (HCBS) and Medicaid's Intermediate Care Facilities for Individuals with Intellectual Disabilities program, national longitudinal trends in the utilization of and expenditures for long-term services and supports, and services and supports provided in state-operated facilities serving 16 or more people with intellectual and developmental disabilities.

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Heidi Eschenbacher for a free print copy at at or 612-625-0427
Residential Information Systems Project (RISP)
Research and Training Center on Community Living (RTC-CL)


  • Community life
    • Community supports and services
  • Specific life stage
    • Children
    • Adults
  • Housing and residential services
    • Community group residential
    • Housing access
    • Institutions and deinstitutionalization
    • Medicaid services (residential)
  • Specific disability
    • Intellectual/developmental disability (IDD)