Personally, I do not favor one type of environment over another as long as the person has choice and they and their families understand the issues and the person is safe. It is for this reason that I fight so hard to help others to understand the real issues and research the data for facts – not fiction or magical thinking – so people can be aware.
One issue that is extremely disturbing is the groundless “fact” that people believe to be true – that living in the community costs less. When looking at the whole picture, living in dispersed housing for those with higher support needs costs much, much more than living in a supportive community such as a Residential Habilitation Center (RHC) or Intermediate Care Facility/Intellectual Disabilities (ICF/ID)
Today I am posting Pie Charts of Costs which were taken from Certified Copies of Cost Reports that various types of agencies submitted to our state (Washington). We hear that the services in the “Community ICF/IDs” are just the same as those in the RHCs but by looking at these simple graphs one can clearly see this is not the case.
Please take a look – more data will be forthcoming regarding costs, services and cost-shifting.
The RHC offers a comprehensive Package to those with high support needs who choose this supportive community setting.
We are told the “Community” ICF/ID offers the very same services as the RHC – the cost data does not support that statement.
Group Homes offer fewer services and are generally for those with less high support needs.
Supported Living Homes offer even fewer services and supports.