Elizabeth Cherry and Roger J. Stancliffe, The University of Sydney, Centre for Disability Research and Policy, Faculty of Medicine and Health, AU.
Eric Emerson, The University of Sydney, Centre for Disability Research and Policy, Faculty of Medicine and Health, AU; and Lancaster University, Centre for Disability Research, Faculty of Health and Medicine, UK; and.
Intellect Dev Disabil. 2021 Apr 1;59(2):123-140. doi: 10.1352/1934-9556-59.2.123.
This study identifies factors (state of residence, personal characteristics, and living situation) associated with access to self-directed funding (SDF) for adults with intellectual disability in the United States. Data from 10,033 participants from 26 states in the 2012-2013 National Core Indicators Adult Consumer Survey were analyzed. We examined state, age group, residence type, disability diagnoses, mental health status, and type of disability support funding used. Availability of SDF for people with ID varied by state and aligned mostly with state-by-state policy data on SDF eligibility and availability. The results of a logistic regression analysis demonstrated that access to SDF was lower in older adults and higher for people who lived in their parents' or relatives' home, an independent home, and with certain personal characteristics. Potential influences from policy and practice, and approaches to increase access to SDF are discussed.
本研究确定了与美国智力残疾成年人获得自我指导资金（SDF）相关的因素（居住状态、个人特征和生活状况）。对来自 26 个州的 2012-2013 年国家核心指标成人消费者调查的 10033 名参与者的数据进行了分析。我们研究了州、年龄组、居住类型、残疾诊断、心理健康状况和使用的残疾支持资金类型。SDF 对 ID 人群的可用性因州而异，主要与 SDF 资格和可用性的州政策数据一致。逻辑回归分析的结果表明，SDF 的可及性在老年人中较低，而在与父母或亲属同住、独立居住和具有某些个人特征的人群中较高。讨论了政策和实践的潜在影响，以及增加 SDF 可及性的方法。
