Policy Research Brief: Declining Use of Residential Settings of Seven or More People with IDD

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Part of the Policy Research Brief series.

Editor(s): Jackson L DuFauchard, Sheryl A Larson, Jon Neidorf, Brian C Begin
Managing Editor(s): Julie Bershadsky
Designer(s): Connie J Burkhart

English

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Description

The number of people with intellectual and developmental disabilities (IDD) living in institutions has been declining for decades. However, many people with IDD still live in settings with 7 or more people. The use of large group facilities varies widely across states, and many of these facilities are not licensed or regulated. People living in small settings live better lives than those living in institutions, so this brief recommends downsizing or closing large institutions and limiting the use of nursing homes and psychiatric facilities to house people with IDD. All provider-operated HCBS residential settings should comply fully with the 2014 Medicaid HCBS Rule settings provisions. Finally, states still housing people with IDD in settings of seven or more people should consult with states that have closed most or all such facilities to identify ways to reduce the use of large facilities.

Suggested Citation

DuFauchard, J., Larson, S., Neidorf, J., & Begin, B. (Eds.). (2024). Policy Research Brief: Declining Use of Residential Settings of Seven or More People with IDD (Vol. 31, Issue 3). University of Minnesota, Research and Training Center on Community Living, Institute on Community Integration. https://ici-s.umn.edu/files/GtjKhjGcpT/policy-research-brief-v31-n3-2025-01-13

Details

Date: December 2024
Type: Brief
Edition: Volume 31, Number 3
Publisher: Institute on Community Integration, University of Minnesota

Topics

Housing and residential services
- Community group residential
Specific disability
- Intellectual/developmental disability (IDD)