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2004 Texas Biennial Disability Report

En español

Texas Council for Developmental Disabilities
 Texas Office for Prevention of Developmental Disabilities

Texas Biennial Disability Report Year 2004

December 2004

Texas Council for Developmental Disabilities

6201 E. Oltorf Street, Suite 600
Austin, Texas 78741-7509
(512) 437-5432
(800) 262-0334
(512) 437-5434 FAX
http://www.txddc.state.tx.us

Jan R. Newsom, Chair
Rick Tisch, Vice-Chair
Roger A. Webb, Executive Director

And

Texas Office for Prevention of Developmental Disabilities

909 West 45th Street, Suite 2-369
Austin, Texas 78751
(512) 206-4544
(512) 206-5064 FAX

Theresa Mulloy, Chair
J.C. Montgomery, Vice-Chair
Carolyn A. Smith, Executive Director

Table of Contents

• Texas Council for Developmental Disabilities
• Texas Office for Prevention of Developmental Disabilities
• Biennial Report Background

Section I:  Introduction and Demographics

• Disability Trends in the United States
  • Rising Disability Rates Among Children
  • Rising Disability rates of the Working Age Population, 18-64
  • Rising Percentages of People Who Are Over Age 6
• Recent Federal Trends Related to Services
• Disability Trends in Texas

Section II:  The Findings and Recommendations

• People Receiving and/or Waiting for Community-Based Services
  • Texans Living in Institutions
  • Children Living in Institutions
  • People Waiting for Community-Based Services
  • The Texas Home Living Waive
• Fiscal and Programmatic Barriers to Consumer Friendly Services
  • Funding Cuts and Program Changes
  • Institutional Bias
  • Lack of Sufficient Formal Mechanism for Consumer Participation
  • TCDD Recommendation
• Progress Toward Individualized Service Delivery Based on Functional Needs
  • Agency of Choice
  • Self-Determination
  • Fiscal Intermediary (Consumer Directed Services)
  • Self-Directed Support Corporations (SDSC)/Microboards
  • Addressing the Shortage of Direct Care Workers
  • TCDD Recommendation
• Progress in Development of Local Cross-Disability Access Structures
  • Health and Human Service Agency Consolidation
  • Call Centers and Integrated Eligibility Determination
  • The Texas Real Choice Grant
  • TCDD Recommendation
• Projection of Future Long-Term Care Service Needs
  • Proactive Efforts to Manage Long-Term Care Needs
  • TCDD Recommendation
• Consumer Satisfaction and Consumer Preferences
  • TCDD Recommendations
  • Personal Stories

Section III:  Community Based Services and Supports for People with Disabilities

• Housing
  • TDHCA Housing Study
  • TCDD Housing Study Focus Groups
  • Affordability
  • Accessibility
  • TCDD Recommendation
• Transportation
  • The National View
  • The Texas View
  • Funding Concerns
  • TCDD Recommendation
• Employment
  • Employment Services for Texans
  • Ticket to Work
  • Medicaid Buy-In
  • Self-Employment and Micro-Enterprises
  • TCDD Recommendation
• Education
  • Training to Support Successful Inclusion
  • TCDD Recommendations

Section IV:  Prevention of Fetal Alcohol Spectrum Disorders (FASD), Head and Spinal Cord Injuries (HSCI)

• Why Prevention of FASD is Necessary
• FASD Prevention Activity for 2004
• Prevention Activity for Head and Spinal Cord Injury in 2004
• TOPDD Recommendations for Head and Spinal Cord Injury Prevention

• Appendix A:  Sources
• Appendix B:  Summary of Texas Medicaid Waiver Programs
• Government Code on Biennial Disability Reports