240918 Long-Term Support and Services: Health & Wellness Promotion for People with Disabilities through Prevention

Tuesday, November 1, 2011: 8:48 AM

Sarah A. Ruiz, PhD , Aging and Long Term Care, IMPAQ International, Washington, DC
Judith L. Poey, MS , Long Term Care, IMPAQ International, Washington, DC
Oswaldo Urdapilleta, PhD , IMPAQ International, Columbia, MD
The Americans with Disabilities Act provides an impetus for states to pursue community integration for all individuals. There is a growing interest in determining whether health promotion and preventive services provide a balance between home and community based services (HCBS) and institutional alternatives for persons with disabilities, as states continue to reform their long-term supports and services (LTSS) systems. The purpose of this study is to evaluate the balance of services provided to the disability community within LTSS systems in ten states through the National Balancing Indicator Project (NBIP). One integral facet of LTSS systems being examined is health promotion and preventive services. The NBIP is assisting the Centers for Medicare & Medicaid Services (CMS) in developing measures to examine states' efforts in promoting preventive services in the disability community and examining states' success in serving this population. The project considered two measures of prevention: 1) the existence of state supported health promotion and prevention programs for individuals with disabilities and 2) the number of people who reported receiving such services. Nine of ten States support health promotion and prevention programs for persons with disabilities. The Behavioral Risk Factor Surveillance Survey (BRFSS) was used to assess the universal availability and utilization of community, clinical, and preventative services. Respondent reports ranged from 65.4% (Nevada) to 84.5% (Massachusetts) having received preventative services in the previous year. This presentation will include the implications of state efforts to fund preventive services for the disability community.

Learning Areas:
Assessment of individual and community needs for health education
Diversity and culture
Public health or related organizational policy, standards, or other guidelines
Public health or related research
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
1. Discuss gaps in state LTSS systems in targeting prevention programs to the disability community and reported preventative health care visits by this population. 2. Assess the differences found in the NBIC developed LTSS indicators examining prevention for people with disabilities. 3. Develop recommendations for reducing gaps in state LTSS targeted prevention programs and reported health care visits by individuals with disabilities.

Keywords: Health Promotion, Disability Policy

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to be a presenter because I have been a member of the project team and helped write the report for this project. During my career I have explored the influence of neighborhood on family health outcomes using the Los Angeles Family & Neighborhood study (L.A. Fans); investigated how migration and family structure influence educational enrollment among children in Mexico and the U.S. using the Mexican Family Life Survey (MxFLS); served as a research assistant under direction of Professor Merril Silverstein, conducting research on grandparents as resources using the National Study of Families & Households (NSFH). I have a PhD in Gerontology and a BS in Family & Community Services, Family Research.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.