As a part of the grant activities of the Real Choice Systems Change grant from the Centers for Medicare & Medicaid (CMS), the need for a survey of consumers on the Consumer Directed Physically Disabled Waiver (also called the Consumer Directed or CD Waiver) was identified. This report provides the results of the in-home survey that was conducted by the Muskie School. The CD Waiver serves people age eighteen and older with severe physical disabilities that meet nursing facility level of care, are their own guardian and have the ability and desire to self-direct the personal care services they receive in their home. The waiver is an alternative option to institutional care and consumers choosing community-based care are informed of the risks and limits to the care available in the community benefit. Unlike nursing facilities, twenty-four hour a day care is not available within the program limits. The results of the survey identified some areas of focus and opportunities for increased training. The Maine Department of Health and Human Services now requires the service provider to include as part of the skills training process with the consumer: (a) the need to formulate an emergency
Cutler Institute for Health and Social Policy
Results of the Maine Experience Survey: Adults with Physical Disabilites Consumer Directed Waiver
Cutler Institute awarded $600,000 to help youth raised in foster system
USM's Cutler Institute for Health and Social Policy has been awarded a $600,000 grant to help young people raised in Maine's foster system to prepare for college and the workforce.
The money comes from the Annie E. Casey Foundation as part of a $5.4 million national effort aimed at youth who are homeless or in either the foster care or juvenile justice systems.
"Many of these young people have suffered abuse or trauma and were raised in poverty and neglect," said Marty Zanghi, the Cutler Center's youth development director.
The money -- including an expected $400,000 more in matching funds -- will pay for contracted work with agencies in the target areas, starting with the greater Portland area and Penobscot, Kennebec and Somerset counties.
Nationally and in Maine, only about 3 percent of people who grow up in the foster care system achieve a college degree, he said.
"It's dramatically lower than the rate for the general population," Zanghi said. "It's a horrible outcome."
It doesn't have to be that way, though.
"There are young people that overcome these circumstances," he said. "I know people who have master's degrees and Ph.Ds."
The Casey Foundation's national effort is being called the "Learn and Earn to Achieve Potential" (LEAP) initiative.
The initiative is working on partnerships in Maine and nine other areas: Alaska, Arizona, California, Massachusetts, Michigan, Minnesota, Nebraska and New York. In each case, people will adapt two evidence-based models to meet the needs of these youth, including support to address the trauma they may have experienced in their lives.
In Maine, the work will include a pair of successful programs, Jobs for Maine Graduates (JMG) and Jobs for the Future. Results will be carefully tracked, Zanghi said.
After the first year, the program is expected to grow.
"Eventually, the additional help will be available to all children, 14 and over, in the foster care system in the state of Maine," Zanghi said.
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