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Service Use and Unmet Needs Among Adults with Autism Awaiting Home- and Community-Based Medicaid Services
Journal article   Open access   Peer reviewed

Service Use and Unmet Needs Among Adults with Autism Awaiting Home- and Community-Based Medicaid Services

Whitney Schott, Stacy Nonnemacher and Lindsay Shea
Journal of autism and developmental disorders, v 51(4), pp 1188-1200
01 Apr 2021
PMID: 32671666
url
https://doi.org/10.1007/s10803-020-04593-2View
Published, Version of Record (VoR)Maybe Open Access (Publisher Bronze) Open

Abstract

Psychology Psychology, Developmental Social Sciences
Autistic adults in need of long-term services and supports spend months on waiting lists before receiving such services through Medicaid. Data from a state-wide survey of adults and their caregivers on a waiting list for autism waivers suggest that the majority have unmet needs for functional skills services (63.6%), employment or vocation services (62.1%), and mental and behavioral health services (52.8%). Almost a third require case management services (28.3%). Predictors of greater service need are African American race and the number of physical and behavioral health diagnoses. Predictors of greater service receipt were employment status, housing type, and school enrollment; there was lower service receipt for African American race, Hispanic ethnicity, over age 21 years, and college completion.

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41 citations in Scopus

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#3 Good Health and Well-Being

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Web of Science research areas
Psychology, Developmental
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