Tuesday, May 24, 2016

Nursing Home Home Unlimited

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Marvin Dawkins outside his apartment near the nursing home where he lived for 14 years. Credit Mark Makela for The New York Times

To the Editor:

"Confined and the desire to go home for the disabled" (front page, May 14) also pays attention to the situation of people with disabilities unnecessarily institutional settings is limited. States can do better.

In Delaware, we have to do more, but we have by 92 percent over six years to obtain home and community services to the residents increased Medicaid. Previously, 64 percent received care in a center. Well, most receive care in the community.

However, the article focuses on an essential point: employment. Many of these people should not only live in the community, but also talent for the benefit of the employer. Personal fulfillment, which also can function only offer gives them the best chance to remain independent.

States can help. It starts with the employment policy requiring first organizations that people with disabilities are primarily used to work to provide support. Second, we need a forum for companies employing people with disabilities have their colleagues to show that it can be found here not about charity but talented employees.

And to ensure that the development of employment in the long term to improve, Delaware began Medicaid beneficiaries offers young people (14-25) with personalized services such as employment services Navigator Personal care attendants and technology support.

Jack A. Markell

Dover, Delaware.

The author is the governor of Delaware.

To the Editor:

You mention the need for nursing homes all residents to ask them if they want to talk to someone to leave the nursing home. Last year, we published a report on the effectiveness of this requirement in nursing homes in New York. It was found that the majority of nurses at home does not think it a good idea to ask the question, and many do not ask the question at all.

Many opt for the residents that the answer to their views of disabled residents based. Some of those who ask the question, does not refer to the inhabitants to advise the Agency.

We have the state asked to train the personnel of the residence, residents and family members about the need to ask the question and in the community to receive care those who want to help. We have urged better management of state nursing homes question take enforcement in a way that encourages residents to consider assisted in community.

In our interviews with people with intellectual disabilities who have left nursing homes, it was clear that they were to be happy in the Community.

CYNTHIA HELM

SUSAN DOOHA

NY

Rudder is a consultant for long - term care and founder and former CEO of Community Coalition long - term care. Woman Dooha is managing director of the Centre for the Independence of the Disabled.

To the Editor:

His focus on forced to live in nursing homes disability is commendable, but it is not the whole story. Even those who do not have sufficient resources to make it unnecessary to rely on Medicaid face unreasonable barriers.

My brother was physically disabled after an accident two years ago and lives in a nursing home. Despite the resources to an independent or assisted living, we could not find one of these facilities throughout Nassau County to accept.

A for-profit means can encounter my brother needs which is of a mile, where he grew up and in the Nähe of family and friends, it would not accept on the basis of vague and künstlichen reasons. I think he really does is to maximize profits of their cherry-picking inhabitants.

We are having a difficult choice: leave it where it is, watch TV all day, but close enough to family and friends, or in Suffolk County to 40 miles an independent life center move for ready they take him a better life for could build themselves.

KATHLEEN PRATT

Vergennes.

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