Policy Reports

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  • Near-Term Stability of Rates Paid for California Developmental Services: An Analysis
    Near-Term Stability of Rates Paid for California Developmental Services: An Analysis
    Laurel Mildred ● This confidential analysis was commissioned by an investor in 2015 as part of due diligence in a provider acquisition. It is published with permission of the client. DD Rate Analysis Download File  
  • Thinking Ahead Matters: Supporting and Improving Healthcare Decision-making and End-of-Life Planning for People with Intellectual and Developmental Disabilities
    Thinking Ahead Matters: Supporting and Improving Healthcare Decision-making and End-of-Life Planning for People with Intellectual and Developmental Disabilities
    Laurel Mildred ● This 2014 study was conducted for the Coalition for Compassionate Care of California; it outlines the process of conservatorship and medical decision-making for people with I/DD in California and considers strategies to strengthen self-determination in healthcare decisions. Conservatorship Report Download File  
  • Issues Impacting the Accuracy of California’s Access Analysis for the CBAS Program
    Issues Impacting the Accuracy of California’s Access Analysis for the CBAS Program
    Laurel Mildred ● This 2014 technical report for the California Association for Adult Day Services analyzed the State of California’s access methodology for the Community-Based Adult Services (CBAS) program. It found flaws in the state’s method and concludes that 26% of program participants lost services between 2010 and 2013. Technical Brief on Access to CBAS […]
  • 2012 California Long-Term Services and Supports Summit Report
    2012 California Long-Term Services and Supports Summit Report
    The SCAN Foundation ● Laurel Mildred was lead writer on this project, a report documenting the 2012 Long-Term Services and Supports Summit in Sacramento. The SCAN Foundation’s 2012 California Long-Term Services and Supports Summit Report
  • Flexible Accounting for Long-Term Care Services: State Budgeting Practices that Increase Access to Home- and Community-Based Services
    Flexible Accounting for Long-Term Care Services: State Budgeting Practices that Increase Access to Home- and Community-Based Services
    Leslie Hendrickson and Laurel Mildred ● This 2012 study conducted with support of The SCAN Foundation describes flexible accounting practices used in twelve states that incentivize the use of community-based programs instead of institutional care, and invest the savings to further expand home- and community-based services. It examines how these strategies are being used in states with managed care […]
  • Behavioral Health: The Gap in the Dual Eligible Demonstration
    Behavioral Health: The Gap in the Dual Eligible Demonstration
    Laurel Mildred ● This policy brief was written for the California Association of Area Agencies on Aging as background for a presentation on July 25, 2012. It considers California’s approach of “coordinating” rather than “integrating” behavioral health services in its Dual Eligible demonstration. Click Here To Download Behavioral Health Dual Eligible Report
  • The Changing Landscape of California’s Service Delivery System for Older Adults and Persons with Disabilities
    The Changing Landscape of California’s Service Delivery System for Older Adults and Persons with Disabilities
    Laurel Mildred ● This policy brief was written for the California Association of Area Agencies on Aging as background for a presentation on March 21, 2012 about California’s shift to managed care in its long-term living programs and services. Changing Landscape of California Service Delivery Report Download File
  • Recommended Next Steps to Advance California’s Implementation of the Supreme Court’s Olmstead Decision: A Blueprint for Advocates
    Recommended Next Steps to Advance California’s Implementation of the Supreme Court’s Olmstead Decision: A Blueprint for Advocates
    Laurel Mildred ● This policy report was written in 2011 on behalf of Californians for Olmstead, a project of the California Foundation for Independent Living Centers. It considers the immense changes that are occurring in long-term living programs and services and suggests key strategies for advocates to promote Olmstead implementation in a rapidly evolving landscape. A Blueprint for Advocates […]
  • Family Care Partnership: A Re-Focused Model of Service Delivery
    Family Care Partnership: A Re-Focused Model of Service Delivery
    Laurel Mildred ● This toolkit was written in 2010 for the Partners in Care Foundation and documented the Family Care Partnership, a promising practice of creating community-based collaborations to meet the needs of seniors and people with disabilities. Family Care Partnership Report Download File
  • Achieving Balance: Including Native Americans in California County Mental Health Services
    Achieving Balance: Including Native Americans in California County Mental Health Services
    Laurel Mildred ● This report written in 2009 for the Inter-Tribal Council of California summarized results and recommendations of the Native American Inclusion Technical Assistance Survey, commissioned by the California Department of Mental Health. Including Native Americans in Mental Health Services Report Download File
  • The California Consumer Employment Summit: Welcoming Diversity and Recovery in the Workplace
    The California Consumer Employment Summit: Welcoming Diversity and Recovery in the Workplace
    Laurel Mildred, Editor ● This report was written in 2008 for the California Mental Health Directors Association and the California Network of Mental Health Clients to document a conference promoting employment of people with mental health disabilities. Consumer Employment Summit Report Download File
  • The California Mental Health Services Act Stakeholder Process: Issues and Approaches
    The California Mental Health Services Act Stakeholder Process: Issues and Approaches
    Laurel Mildred ● This report was written in 2008 for the California Mental Health Planning Council Human Resources Committee. It examines strategies for successful processes in order for stakeholders to participate in policy decisions. MHSA Stakeholder Process Report Download File
  • Options for a Student Mental Health Initiative
    Options for a Student Mental Health Initiative
    Laurel Mildred ● This 2007 brief presented research and options for the California Mental Health Services Oversight and Accountability Commission to develop and fund an initiative for mental health services for students in both K-12 and higher education settings. Student Mental Health Options Brief Download File  
  • Eliminating Stigma and Discrimination Against Persons with Mental Health Disabilities
    Eliminating Stigma and Discrimination Against Persons with Mental Health Disabilities
    Laurel Mildred ● Written in 2007 for the California Mental Health Services Oversight and Accountability Commission, this report provided the research and rationale for activities to address stigma and discrimination under the Mental Health Services Act. Eliminating Stigma and Discrimination Report Download File
  • Sacramento Community System of Protection for Senior and Dependent Adults: Strategic Plan 2005
    Sacramento Community System of Protection for Senior and Dependent Adults: Strategic Plan 2005
    Laurel Mildred, Editor ● This report for the Sacramento County Division of Senior and Adult Services documented Sacramento County’s strategic plan for establishing a system of protection for seniors and disabled adults in order to serve those who are most at risk for abuse and neglect. Sacramento Protective Services Strategic Plan Download File
  • An Overview of California’s Draft Olmstead Plan: Transitioning Persons with Disabilities From Institutions to Community Settings Under U.S. Supreme Court Requirements
    An Overview of California’s Draft Olmstead Plan: Transitioning Persons with Disabilities From Institutions to Community Settings Under U.S. Supreme Court Requirements
    Laurel Mildred ● This 2003 policy brief written for the California Senate Office of Research analyzed California’s Olmstead Plan and found it may not fully meet the Supreme Court requirements for implementing the landmark 1999 Olmstead decision. California Draft Olmstead Plan Overview Download File
  • Seclusion and Restraints: A Failure Not a Treatment
    Seclusion and Restraints: A Failure Not a Treatment
    Laurel Mildred ● Written in 2002 for the California Senate Office of Research, this report was the basis of a special Senate hearing and led to successful legislation that reformed practices in all California state mental hospitals, developmental centers, skilled nursing facilities and group homes (SB 130, Chesbro – Chapter 750, Statutes of 2003). Seclusion and Restraints Report Download […]