The Top 10 US States for People with ID/DD

  1. Arizona
  2. Michigan
  3. Hawaii
  4. Georgia
  5. New York
  6. South Carolina
  7. Maine
  8. Massachusetts
  9. Ohio
  10. Missouri

Surprising Advances in Some States

This is Arizona’s third year at number 1. It also topped the rankings for Keeping Families Together and Promoting Independence. Over the last seven years, Georgia has moved up 26 places to reach the top 10; Maine moved from 24 to 7; Missouri rose from 41 to 10; and the biggest mover was Ohio, which nearly hit the bottom of the 2007 list at number 48 and made it all the way to 9 in 2014.

Employment Rare, Community Support More Common

Only 10 of the 51 governmental units in the U.S. (50 states, plus the District of Columbia) manage to find competitive employment for as many as one-third of their residents who have developmental disabilities. 38 states serve at least 80 percent of those with ID/DD in the community and spend at least 80 percent of ID/DD resources on community support.

15 States Provide Support for Family Carers

In many US states, it is not legal for a family member to receive government funds for care of a relative. Only 15 states provide significant family support to families providing care at home to their children. Those states are:  Alabama, Arizona, California, Delaware, Louisiana, Minnesota, Montana, New Hampshire, New Mexico, New York, Pennsylvania, South Carolina, South Dakota, Vermont and Wisconsin.

‘Home-Like Setting Standard’ May Not Stand

18 states provide services to at least 80 percent of persons with ID/DD in a family home, family foster care, their own home, or a home-like setting such as an apartment with fewer than three residents. This “Home-Like Setting Standard” in the U.S. is a goal but may or may not stand long-term. The difficulty is that these small group residences have not been stable settings in many cases. Residents frequently have to be moved when operators close facilities due to financial setbacks. Other common shuffles among small units occur to give new residents with physical disabilities the accessible rooms or to make sure roommates are compatible. A “Home-Like Setting” where residents are moved every year or so may be eventually be recognised as adhering only to the letter of the standard.


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