It is critical to drop the adherence to the ideology that “community” living is best and less costly than living in an ICF/DD for many of our high needs citizens with developmental disabilities. This dogmatic approach is hurting everyone of us – disabled or not. A continuum of care model takes variety into consideration in addition to cost effectiveness, safety and quality. A continuum of care model is what needs to be looked at – a model which benefits everyone – disabled or not.
Please see this link for information Come Clean. This roughly outlines some of these issues. Resources and accurate data taken from DDD and DSHS management sources.