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15-07-2020 | Original Paper

Service Use and Unmet Needs Among Adults with Autism Awaiting Home- and Community-Based Medicaid Services

Auteurs: Whitney Schott, Stacy Nonnemacher, Lindsay Shea

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 4/2021

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Abstract

Autistic adults in need of long-term services and supports spend months on waiting lists before receiving such services through Medicaid. Data from a state-wide survey of adults and their caregivers on a waiting list for autism waivers suggest that the majority have unmet needs for functional skills services (63.6%), employment or vocation services (62.1%), and mental and behavioral health services (52.8%). Almost a third require case management services (28.3%). Predictors of greater service need are African American race and the number of physical and behavioral health diagnoses. Predictors of greater service receipt were employment status, housing type, and school enrollment; there was lower service receipt for African American race, Hispanic ethnicity, over age 21 years, and college completion.
Voetnoten
1
We conducted t-tests of indicator variables and chi-squared tests of categorical variables to examine whether there were significant differences in responses by paper versus online survey responses (p < 0.05). In the adult survey, there were no significant differences in the variables of interest by whether the individual returned a paper or online survey, except that more males returned the survey online than females. For the caregiver survey, there were some significant differences, as caregivers with higher incomes, caregivers of adult children that were white, and caregivers of adult children living independently were more likely to return online surveys.
 
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Metagegevens
Titel
Service Use and Unmet Needs Among Adults with Autism Awaiting Home- and Community-Based Medicaid Services
Auteurs
Whitney Schott
Stacy Nonnemacher
Lindsay Shea
Publicatiedatum
15-07-2020
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 4/2021
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-020-04593-2

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