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Bridging the Aging and Developmental Disabilities Service ... - rrtcadd

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(CMS). <strong>Aging</strong> <strong>and</strong> Disability Resource Centers bridge <strong>the</strong> aging <strong>and</strong> disabilities service networks<br />

by establishing local “one-stop shops” that streamline access to long-term services <strong>and</strong> supports<br />

for older persons <strong>and</strong> younger people with disabilities. Although <strong>the</strong> ADRC program has been<br />

operating for eight years, only a h<strong>and</strong>ful of states targeted people with developmental disabilities<br />

as <strong>the</strong> primary disability group <strong>the</strong>ir ADRCs serve. Most states chose to serve people with<br />

physical disabilities through <strong>the</strong>ir ADRCs. AoA is positioning ADRCs to play a key role in<br />

linking people to <strong>the</strong> exp<strong>and</strong>ed long-term supports <strong>and</strong> services that will be provided under <strong>the</strong><br />

Affordable Care Act. This report examines <strong>the</strong> facilitators <strong>and</strong> barriers to bridging <strong>the</strong> aging <strong>and</strong><br />

developmental disabilities service networks <strong>and</strong> provides recommendations for improving access<br />

to long-terms services <strong>and</strong> supports for people with developmental disabilities <strong>and</strong> <strong>the</strong>ir families.<br />

Recommendations<br />

This time of dramatic policy change provides an opening for agencies to improve efficiency <strong>and</strong><br />

coordination to better serve people with developmental disabilities <strong>and</strong> <strong>the</strong>ir families. The<br />

present project recommends four overarching goals: 1) raise <strong>the</strong> visibility of developmental<br />

disabilities concerns in policy reforms, 2) improve program implementation of health <strong>and</strong> longterm<br />

support initiatives to better address needs of persons with developmental disabilities, 3)<br />

develop a workforce with knowledge <strong>and</strong> skills to address disability <strong>and</strong> aging issues, <strong>and</strong> 4)<br />

better underst<strong>and</strong> <strong>the</strong> age-related needs <strong>and</strong> best practices in meeting those needs through<br />

research <strong>and</strong> evaluation.<br />

Goal A: Raise <strong>the</strong> visibility of developmental disabilities concerns in policy<br />

reforms.<br />

ADD <strong>and</strong> developmental disabilities stakeholders need to work with CMS to develop a joint<br />

underst<strong>and</strong>ing of values <strong>and</strong> unifying principles regarding such concepts as “person-centered<br />

planning” <strong>and</strong> “ transition planning”.<br />

ADD must have a direct role in providing feedback on national rebalancing <strong>and</strong> healthcare<br />

reforms that affect people with developmental disabilities.<br />

State DD Councils should recruit <strong>and</strong> support <strong>the</strong> participation of people with developmental<br />

disabilities on m<strong>and</strong>atory advisory committees for implementation <strong>and</strong> evaluation of state<br />

ACA initiatives.<br />

ADD should ensure that DD self advocacy organizations are included in national advocacy<br />

efforts to implement <strong>the</strong> ACA.<br />

ADD should partner with AoA <strong>and</strong> CMS to reconceptualize <strong>the</strong> ADRC concept as a process<br />

for linking people with long-term supports <strong>and</strong> services <strong>and</strong> m<strong>and</strong>ate that local ADRCs<br />

include people with developmental disabilities.<br />

<strong>Bridging</strong> <strong>the</strong> <strong>Aging</strong> <strong>and</strong> <strong>Developmental</strong> <strong>Disabilities</strong> <strong>Service</strong> Networks Page 6

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