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Happy Holidays from the Center for PAS!

A pdf version of this newsletter can be found at http://pascenter.org/newsletter/CenterforPASBulletinDec04.pdf


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Center for Personal Assistance Services Bulletin

December 2004--Volume 2, Issue 1

IN THIS ISSUE:
1) State by State contact information
2) State Medicaid program difficulties
3) State by State Medicaid HCBS and Waiver data
4) Searchable database of Workforce Development Projects in Personal Assistance Services
5) Employment resources for people with disabilities listed by state
6) Center researchers make presentations
7) Center staff develop and redesign California Nursing Home website
8) News from the Family Caregiver Alliance
9) New video includes Center researcher
10) New reports released on aging in United States
11) SELECTED CONFERENCES DURING January, February, and March 2004

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The Center for Personal Assistance Services provides research, training, dissemination and technical assistance on issues of personal assistance services (PAS) in the United States. Personal assistance services (PAS) refer to help provided to people with disabilities to assist them with tasks essential for daily living. These tasks include bathing, dressing, getting around, toileting, eating, shopping, remembering things, and other activities. PAS, along with assistive technology such as wheelchairs, text readers, and hearing aides, help people with disabilities to participate in activities at home, at work, and in the community.

The purpose of this newsletter is to provide the latest news on issues relating to formal and informal PAS, home & community-based services, the PAS workforce, and workplace PAS within and outside of the Center.

Further detail about the Center staff and advisors can be found at http://www.pascenter.org/about/

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1) State by State contact information

Do you need to find services and supports for a particular state? The 'State Information' section of the Center for Personal Assistance Services website now lists the postal address, phone number (and TTY where available) and website address for the Medicaid Agency, Protection and Advocacy Agency, State Unit on Aging and Mental Health Services in each state.

For more information, go to: http://www.pascenter.org/state_based_stats/agencies_home.php?state=us

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2) State Medicaid program difficulties

Many states are having budget difficulties and a recent report by the National Association of State Budget Officers (NASBO) found that Medicaid now constitutes 21.4% of state expenditures. Therefore states are proposing, or have already made, changes to their state Medicaid waiver programs. There are two useful websites to keep up with these developments in Medicaid waiver programs.

* The National Health Law Project website has a Medicaid section and a 'Waiver Watch' section. The Medicaid section contains general information on Medicaid, links to other sources and alerts about legal developments in the program. The 'Waiver Watch' section has information on state-by-state waiver activity, alerts for new developments, information on federal policy and political activity and links to other sources of information.

For more information, go to: http://www.healthlaw.org

* The Kaiser Commission on Medicaid and the Uninsured has regular updates about Medicaid activity, including where states have made changes to Medicaid long-term care programs.

For more information, go to: http://www.kff.org/medicaid/waivers.cfm

For more information on the NASBO (Oct 2004) 2003 State Expenditure Report, go to: http://www.nasbo.org

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3) State by State Medicaid HCBS and Waiver data

Medicaid home and community based service program data, collected and reported by Center researchers, is now available by state and also by entire US. The information provides the latest (2001) participant and expenditure data for Medicaid 1915(c) HCBS waivers and Medicaid home and community based services which include Medicaid home health, Medicaid optional state plan personal care benefit and waivers.

For more information on Medicaid waivers, go to: http://www.pascenter.org/state_based_stats/medicaid_waiver.php?state=us

For more information on Medicaid HCBS, go to: http://www.pascenter.org/state_based_stats/medicaid_hcbs.php?state=us

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4) Searchable database of Workforce Development Projects in Personal Assistance Services

The Center for Personal Assistance Services has recently posted a searchable database of workforce development projects on the Center's website. The online report is a compilation of recently and currently funded research and demonstration projects to expand and improve the Personal Assistance Services workforce in the U.S.A. Data are drawn from an ongoing study that surveys Federal, State, and foundation initiatives and funding sources. Projects were selected for inclusion if they had either an explicit focus on PAS workforce issues, or indicated a promising workforce component.

For more information, go to http://www.pascenter.org/state_based_stats/workforce_projects_inventory_home.php?state=us

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5) Employment resources for people with disabilities listed by state

The Center for Personal Assistance Services' website now offers state-by-state lists of employment resources for people with disabilities and those that hire them. Included are
* Benefits planning assistance and outreach centers (BPAOs)
* Business leadership network (BLN)
* Centers for Independent Living (CILs)
* Disability and Business Technical Assistance Centers (DBTACs)
* Vocational Rehabilitation offices (VR)

The Center has coordinated with the Job Accommodation Network (JAN) for the list of VR agencies by state and with the Research and Training Center for Independent Living Management at Western New York Independent Living Project, Inc. to provide the list of CILs.

For more information, go to http://www.pascenter.org/state_based_stats/resources_home.php?state=us

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6) Center researchers make presentations

Charlene Harrington and Susan Stoddard presented at the Center for Workers with Disabilities Conference sponsored by the American Public Human Services Association in Washington, DC. Harrington discussed the Center and personal assistance services, while Stoddard presented findings from discussions of PAS with employers, employees who use PAS, and employment system personnel.

For more information, go to http://www.pascenter.org/conferences/paspresenting.php?row=191&startcount=-10

Center researchers gave 11 talks at American Public Health Association (APHA) meetings and 9 talks at the Gerontological Society of America (GSA) meetings in November.

For more information on the APHA talks, go to http://www.pascenter.org/conferences/paspresenting.php?row=135&startcount=-10

For more information on the GSA talks, go to http://www.pascenter.org/conferences/paspresenting.php?row=156&startcount=-10

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7) Center staff develop and redesign California Nursing Home website

In response to public concerns about nursing home quality of care and costs, the California HealthCare Foundation launched the California Nursing Home Search website in October 2002 to meet the need for free comprehensive information that can be used by consumers, providers and other stakeholders to find objective data about the state's nursing homes. Originally developed by the University of California, San Francisco (UCSF); the University of California, Los Angeles (UCLA), Borun Center for Gerontological Research; RAND; and the University of Wisconsin, Madison, the website was revised in December 2004 by Center for Personal Assistance Services Director Charlene Harrington and Janis O'Meara from UCSF and the California HealthCare Foundation to make the website easier for consumers to use. New information about specific home health agencies and hospice programs were added to the website to inform individuals about their options for care at home and in the community. Information is available on 1,400 nursing homes, 834 home health agencies, and 172 hospice programs in the state and the information is updated on a quarterly basis.

For more information, go to http://www.pascenter.org/news/news_home.php?id=26

To go to the California Nursing Home Search website, go to http://www.calnhs.org

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8) News from the Family Caregiver Alliance

For more information on the Family Caregiver Alliance, go to http://www.caregiver.org

Florida report on the state's older population

The Florida Department of Elder Affairs has made available "Assessing the Needs of Elder Floridians, 2004." In addition to the needs assessment, the report includes detailed county demographic data. The report notes that almost a quarter (23%) of the state's residents are family caregivers and that for caregivers living in poverty areas, financial assistance is the most highly desired service.

For the report, go to http://elderaffairs.state.fl.us/doea/english/Stats/DOCS/AssessNeedsP1.pdf

Family Caregiver Alliance's National Center on Caregiving releases landmark 50-state study: "The State of the States in Family Caregiver Support: A 50-State Study"

The report--the culmination of a two-year project--is the first to examine publicly funded caregiver support programs in all 50 states and the District of Columbia since the passage of the National Family Caregiver Support Program (NFCSP) in 2000. It highlights key findings, offers state-by-state profiles, pinpoints challenges, and identifies issues for the future. Utilizing data from the study, the NCC has also launched the online searchable resource, Caregiving Across the States. Caregiving Across the States allows users to search for information about caregiver support programs and services in each of the 50 states, including links to relevant state agencies and programs.

To download the State of the States in Family Caregiver Support: A 50 State Study: http://www.caregiver.org/caregiver/jsp/content_node.jsp?nodeid=1220
For more information on Caregiving Across the States, go to: http://www.caregiver.org/caregiver/jsp/content_node.jsp?nodeid=1274

Family Caregiver Alliance's National Center on Caregiving releases consumer direction policy brief: "Consumer-Directed Home Care: Effects on Family Caregivers"

This is the latest in a series of policy briefs published by FCA's National Center on Caregiving. Authored by Pamela Doty, the brief describes available opportunities for consumer direction of care in public programs and private insurance plans, including opportunities for family caregivers to take on roles as representative decision-makers and paid caregivers. The brief also addresses the role of family caregivers in consumer direction.

To download the report, go to: http://www.caregiver.org/caregiver/jsp/content_node.jsp?nodeid=1193

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9) New video includes Center researcher

A new 20-minute video on healthcare access and quality medical care for people with disabilities has been developed World Institute on Disability and Kaiser Permanente. The video features Alice Wong, a Research Assistant at the Center for Personal Assistance Services and UCSF, and aims to teach medical providers about disability access and communication.

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10) New reports released on aging in United States

Two new reports were released recently concerning aging in the United States. The first report, entitled The State of Aging and Health in the United States, from the Centers for Disease Control assesses the health status and health behaviors of U.S. adults aged 65 and older, and makes recommendations to improve the mental and physical health of all Americans in their later years.

For more information, go to http://www.cdc.gov/aging/publications.htm#sah

The second report from the Federal Interagency Forum on Aging-Related Statistics, is entitled Older Americans 2004: Key Indicators of Well-Being . This report covers 37 key indicators selected by the Forum to portray aspects of the lives of older Americans and their families. It is divided into five subject areas: population, economics, health status, health risks and behaviors, and health care.

For more information, go to http://www.agingstats.gov/chartbook2004/default.htm

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11) SELECTED CONFERENCES DURING January, February, and March 2005

For more detail about these conferences, go to:
http://pascenter.org/conferences/index.php

February

February 02 - February 03, 2005
National Health Policy Conference 2005
Hosted By: Academyhealth and Health Affairs
Location: Renaissance Hotel, Washington, DC
http://www.academyhealth.org/nhpc/index.htm

February 11 - January 01, 2001
Caring Communities For The 21st Century: Imagining The Possible. "Age of Longevity".
Hosted By: United Nations Human Settlements Programme (UN-Habitat), Programme on Ageing, UN ICT Task Force, Department of Economic and Social Affairs, Department of Public Information, NGOs, and the private sector
Location: United Nations Headquarters , NY
http://www.un.org/events/agingcf.htm

February 28 - March 01, 2005
Pacific Rim 2005
Hosted By: Center on Disability Studies
Location: Sheraton, Waikiki, HI
http://pacrim.hawaii.edu/
March

March 10 - March 13, 2005
2005 ASA-NCOA Joint Conference "The Changing Face of Aging"
Hosted By: The American Society on Aging (ASA) and The National Council on the Aging (NCOA)
Location: Philidelphia
http://www.agingconference.org/jc05/info.cfm

March 14 - March 19, 2005
CSUN's 20th Annual International Conference "Technology and Persons with Disabilities"
Hosted By: California State University Northridge
Location: Los Angleles, CA
http://www.csun.edu/cod/conf/

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This document was developed by the Center for Personal Assistance Services, funded by the National Institute on Disability and Rehabilitation Research (NIDDR) of the US Department of Education, grant #H133BO31102. The opinions contained in this publication are those of the grantee/contractor and do not necessarily reflect those of the US Department of Education. Please credit the source and support of federal funds.

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Center for Personal Assistance Services
Department of Social & Behavioral Sciences
University of California San Francisco
3333 California Street, Suite 455
San Francisco, CA 94118
Telephone: 866-PAS-9577 (866-727-9577)
415-502-7190
TDD/TTY: 415-502-5216
Email
Website: http://www.pascenter.org

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