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August 17, 2006
 Missouri MRDD: Home & Community Based Services Organizational
Review
This report summarizes key findings from a broad review of Missouri
Mental Retardation and Developmental Disability (MRDD) home and community-based services. The review was conducted
by three teams, which between them spent 3-4 days in May 2006 in each of
Missouri's 11 MRDD Regional Center areas - in each area interviewing
consumers, families, provider staff and Missouri Department of
Mental Health staff.
The various interviews and
reviews highlighted a number of issues of concern that were
consistently reported around the state. The report categorizes these
issues as falling under the broad headings of "Leadership and
Culture", "Services and Access," and "Staffing and Resources" and
presents them all as opportunities for improvement.
The key finding is that the most frequently and emphatically voiced concern was the general observation of a complete
'pendulum swing'
away from person centered and habilitation towards mere compliance
with health and safety directives.
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