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Office of Program Policy Analysis and Government Accountability

Developmental Disabilities Program, Florida Department of Children and Families, Report No. 00-17, November 2000
 
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  • Although the performance of the Developmental Disabilities Program has improved in several areas, it is not meeting many of its legislative performance standards and its operations could be improved to better meet client needs and to reduce costs to the state.  While the injury rate for residents at state institutions has declined over the past two years, it has continued to exceed legislative performance standards at three of the four state institutions.  Many persons living in state institutions could be more appropriately served in community settings.  While the quality of life of clients living in the community is improving, the program has not met its legislative performance standard.  The program needs to better assess its clients to determine if they are capable and willing to become employed and live independently and the services they would need to do so.  If one-half of the clients who work in sheltered workshops could be employed in the community, the department would save $14.4 million annually.
  • Many clients who currently live in state institutions and private intermediate care facilities could be appropriately served in less costly settings, saving about $35 million per year.  Closing one or more of the state institutions could save another $4 million annually, although some investment in community-based services would be needed to expand services for these clients.
  • The current community service system does not ensure that clients receive services they need to achieve goals at the least cost to the state.  While the department plans to develop a new client-centered service delivery system, it will need to overcome several challenges.  The department will need to collect data on what services are needed by clients.  It will need to recruit new providers or expand the service capacity of existing providers to meet these needs.  The department will need to develop an effective system to monitor the performance of waiver support coordinators and other contracted service providers to ensure high quality and economical services to clients.  The department will need to more effectively track individual client expenditures for program services to ensure that clients do not overspend their budgets.

Which Government Program Summaries contain related information?

Developmental Disabilities

What other OPPAGA-related materials are available?

  • Report No. 03-48 Progress Report: Developmental Disabilities Program Takes Action on Some Recommendations; Still Needs to Address Service Issues to Better Meet Its Client Needs, published in September 2003.
  • Report No. 02-18 Progress Report: Developmental Disabilities Program Takes Steps to Improve Medicaid Waiver Systems and Controls, published in March 2002.
  • Report No. 02-09 Program Review: Legislative Options to Control Rising Developmental Disabilities Costs, published in February 2002.
  • Report No. 99-31 Performance Review: The Home- and Community-Based Services Waiver Systems, Controls Should Be Improved, published in February 2000.

Copies of this report in print or alternate accessible format may be obtained by telephone (850/488-0021), by FAX (850/487-9213), in person, or by mail (OPPAGA Report Production, Claude Pepper Building, Room 312, 111 W. Madison St., Tallahassee, FL 32399-1475).
e-mail address: oppaga@oppaga.fl.gov


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