Community & Work Disparities
A Program of the ADA Participatory Action Research Consortium (ADA-PARC)

Community Living Indicators

A basic goal of people with disabilities and an underlying concept of the Americans with Disabilities Act (ADA) is equality and the freedom to choose to live independently in the community. One demonstration of this was the 1999 Supreme Court ruling in the Olmstead case, which found that institutionalization of individuals who are able and want to receive care at home and in the community constitutes discrimination under the Americans for Disabilities Act.

In this section of the ADA-PARC, we provide indicators that can be useful in determining whether people with disabilities are living in the community. The community living section includes measures on:

Where People with Disabilities Live in the Community

  1. Percentage of People with Disabilities Living in an Institution
  2. Percentage of People with Disabilities Living at Home
  3. Percentage of People with Disabilities Living in Other Group Quarters

Programs and Spending for Community Living

  1. Ratio of Home and Community-Based Services (HCBS) Participants to Total Long-Term Support Services (LTSS)
  2. Ratio of HCBS Expenditures to Total LTSS
  3. Number of Persons on Medicaid 1915(c) HCBS Waiver Wait Lists
  4. Number of Money Follows the Person Transitions Since Inception