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U.S. Department of Health and Human Services: Living Well-Model Approaches for Enhancing the Quality, Effectiveness and Monitoring of Home and Community Based Services for Individuals with Developmental Disabilities

Deadline: July 24, 2017

The Living Well-Model Approaches for Enhancing the Quality, Effectiveness and Monitoring of Home and Community Based Services for Individuals with Developmental Disabilities aims to increase community integration and independence of individuals with developmental disabilities and to improve the quality of home and community-based services (HCBS) by developing and testing one or more model approaches of a coordinated and comprehensive system that includes two interrelated core components for enhancing and assuring the independence, integration, safety, health, and well-being of individuals living in the community:

  • Community monitoring: Development and implementation of a coordinated system utilizing multiple community and state level partners for monitoring the safety, health, and well-being of individuals with intellectual and developmental disabilities living in a variety of community settings and identifying and eliminating the risk factors for tracking, redressing, and preventing abuse, neglect, and exploitation in community settings.
  • Community capacity building: Application of evidence based practices and innovative strategies focusing on improving services that support people with developmental disabilities living in the community or those moving to the community from a more restrictive setting; access to and quality of community services through capacity building and scaling of evidence based and other promising practices; reducing and mitigating the incidence of and risk factors for abuse and neglect; and supporting empowerment, self-determination, self-advocacy, and an individual’s independence, autonomy, and right to live alongside their non-disabled neighbors.

It is expected that such comprehensive model approaches that coordinate between these two components will work towards:

  • Enhancing the health and safety of individuals by increasing their independence, social capital, self-determination, community integration, productivity, and participation
  • Strengthening the knowledge, skills, specialization, economic/career prospects and work force stability, retention, and advancement of direct support professionals
  • Incentivizing the effective adoption and use of evidence based and/or promising practices related to supported-decision making, person-centered thinking, competitive integrated employment, and similar strategies
  • Strengthening and elevating the leadership roles that self-advocacy organization, Centers for Independent Living, and other peer support networks, working together with families and others, must play in improving and assuring the quality of home and community based services
  • Enhancing the effectiveness and coordination of efforts by the state, the Developmental Disability Act (DD Act) network, and others to anticipate, avoid, investigate, reduce and remediate abuse, neglect and other rights violations in the HCBS service delivery system for people with developmental disabilities

Applicants can propose the testing of innovative strategies and create a coordinated monitoring system from the ground up, build on and strengthen systems or processes that already are in place, or a hybrid approach. Applicants must provide a strong rationale and evidence as to why the proposed approach is likely be effective, and must also describe the potential for replicability/adaptability of the proposed model by other states. The successful applicant will also demonstrate the national significance of the proposed model in improving the everyday lives, health, well-being, integration and self-determination of individuals with developmental disabilities of all ages, races, ethnicities, and backgrounds living in the community.

Amount: Approximately $1,350,000 is available to make up to three awards ranging from $300,000-$450,000 per budget period. The project period is for 60 months with five 12-month budget periods.

Eligibility: Domestic public or private non-profit entities including state and local governments, Indian tribal governments and organizations (American Indian/Alaskan Native/Native American), faith-based organizations, community-based organizations, hospitals, and institutions of higher education.

Link: https://www.grants.gov/web/grants/view-opportunity.html?oppId=292514

Note: An informational conference call will be held on June 14, 2017.

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