In-Home Supportive Services

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IN-Home Supportive Services (IHSS)

IN-Home Supportive Services (IHSS)


In-Home Supportive Services (IHSS) caseload development has been a “hot topic” for south locality Consortium of Human Services (SACHS) directors and is the boasted discussion piece at the May 2004 meeting. In stride 2003, SACHS staff offered a descriptive report entitled “Factors assisting to IHSS Caseload Growth: Perspectives from SACHS Counties At the February 2004 meeting controllers inquired SACHS employees to study and report on the following matters at the May gathering:

Program characteristics

Assessment process

Quality control issues

Cost drivers

Cost control strategies

In supplement, employees were asked to perform a literature review and review SACHS counties to identify number of hours assessed, caseload and provider data as well as applicable demographic information. Finally, directors asked employees to recognise a speaker who would address IHSS issues at the May 2004 SACHS meeting. This report will present outcome, widespread themes and recommendations. (Department of wellbeing and Human Services Substance Abuse and Mental wellbeing Services management, 2007)

Discussion and Analysis

Over the past ten years the IHSS program has experienced many changes such as implementation of Public Authority/registry; increased labor amalgamation involvement; divide between individual care services and homemaker services; and diverse lawsuits. Additionally, caseload development has bigger dramatically. According to a recent California State Association of Counties (CSAC) article, “as caseload growths in realigned programs and realignment dollars fail to keep pace, counties have less money to fund the mandated entitlement programs.” Counties are increasingly concerned that IHSS program costs are consuming dollars meant for other realignment programs. (Department of Health and Human Services Substance Abuse and Mental Health Services Administration, 2007)

Eliminating the IHSS Residual Program sways young kids with the most severe disabilities who are risk of institutionalization and spouses who need personal care and are at risk of institutionalization. It also impact on the issues of racism, sexism, classism, homophobia. Virtually all would qualify for health financed long-term care. County charges could soar if recipients are compelled into institutions as charges associated with institutionalization are approximated to be three to five times higher than charges affiliated with IHSS . If the Residual Program is eliminated, some recipients may be able to shift to the individual Care Services Program (PCSP), although they may be unable to find providers due to the general lack, possible fall in wages, and loss of registry.

Racial discrimination involves the expression of beliefs and attitudes rooted in racism. Discrimination includes major civil rights violations and illegal activities such as hate crimes, racial harassment, racial profiling, and job discrimination. Racial discrimination also includes everyday racism—day-to-day differential treatment such as a clerk or security employee following a member of a minority group around a department store with suspicion, a teacher calling on students of color less frequently, or the single racial/ethnic minority person in a group being marginalized or left out of a conversation. (Center for matter Abuse remedy, 2007)

Discrimination can be intentional or unintentional, conscious or unconscious. The result of the behavior is racial discrimination, regardless of motivation, intentionality, or ...
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