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Department of Human Services 2013-2015 Budget Information

Developmental Disabilities Program

Girl and older woman
We provide services to cover a lifetime of support to Oregonians with developmental disabilities.  People with disabilities of all ages want the same opportunities every Oregonian wants: not just to survive, but to thrive.  They want to live in their own homes and make decisions about daily activities, so they can go to school, work, church, enjoy recreation and participate fully in their communities. We currently help over 21,000 children, adults and their families have the best quality of life possible at all stages of their lifespan.  Due to their economic situation, most individuals with developmental disabilities are eligible for a Medicaid waiver which allows them to remain in their family home or community instead of an institution. Our mission is to help them be fully engaged in life and, at the same time, address their critical health and safety needs.
The state of Oregon is recognized nationally as an innovative leader in developing community-based services for individuals with developmental disabilities.  Oregon is one of only three states that have no state or privately operated institutional level services specifically for people with developmental disabilities.  In fact, the majority of individuals with developmental disabilities in Oregon, approximately 67 percent, are served in their own home or their family’s home.

That is the result of two decades of work to aggressively “re-balance” the developmental disabilities system -- moving from an institutional model with expensive “one size fits all” approach -- to a self-directed, family involved, individually focused and less expensive approach to service.  Today, consumers and families report a high level of satisfaction through the increased control over services, the ability to more fully integrate in home communities and the benefits of home community life.

However, to maintain those high levels of satisfaction, to further advance the inclusion of people with developmental disabilities in their communities, and to serve the increasing number of people with developmental disabilities requesting services, the system has an urgent need to continue its evolution in a fiscally sustainable manner.

To that end, we have prepared a strategic budget designed to further improve the customer experience and advance efficiencies to maximize resources. Specifically, we seek to achieve the following outcomes and goals:
  • Provide an array of options that are properly distributed to assure access through equitable and culturally competent services.
  • Be responsive to emerging consumer demands for individualized, self-directed services and sufficient service choices.
  • Assure the health and safety of individuals served.
  • Promote maximum consumer independence and engagement in homes and communities.
  • Leverage use of available federal funding options.
  • Address improvements in business practices such as payment and information systems to achieve overall operational efficiencies.

This proposal represents a substantive level of strategic planning that will allow the DD system to improve the quality of service it offers to Oregonians with developmental disabilities and their families that support them.  The primary focus is on sustainable, quality service programming that accounts for the short- and long-term budget realities that shape our implementation planning. Out-of-home placements for people with disabilities can range from $24,000 to $156,000 a year. Focusing our efforts on helping people with disabilities remain at home or in their community provides not only financial benefits, but better quality throughout their lifespan. We are confident that this plan will maximize resources and strengthen the service system, enhancing its ability to produce results for those we serve.