%0 Journal Article
%T Implementation of Self
%A A. S. Hewitt
%A J. A. Hall-Lande
%A M. D. Bogenschutz
%A M. P. DeCarlo
%J Journal of Disability Policy Studies
%@ 1538-4802
%D 2019
%R 10.1177/1044207318790061
%X Self-direction is an approach to human service delivery within long-term services and supports that aims to provide greater control for individuals with disabilities and their closest supporters. The purpose of this study was to understand the implementation of self-directed supports for individuals with intellectual and developmental disabilities. Researchers interviewed state developmental disabilities administrators in 34 of 42 states that currently operate self-directed service options and used qualitative analysis to arrive at a thematic map of the strengths and challenges currently experienced by state administrators. Common strengths identified by state administrators were increased opportunities for participant self-determination and improved relationships with support staff. Common challenges included restructuring case management relationships, as well as rulemaking and enforcement. Administrators¡¯ suggestions for the future of self-direction focused on increasing program size and streamlining services using technology
%K self-direction
%K consumer direction
%K intellectual and developmental disability
%K HCBS waiver services
%K qualitative research
%U https://journals.sagepub.com/doi/full/10.1177/1044207318790061