The Implementation of a State Monitoring and Surveillance Program: What Factors Influence the State and the Impact on Individuals With Autism and Other Developmental Disabilities
This study examines state variations in the establishment of a federal health care program, referred to as the Autism and Developmental Disability Monitoring Network (ADDM), for children with Autism and other developmental disabilities across the fifty states. Specifically, the study considers the potential impact of state political variables (i.e., political party identification); state structural administrative variables (i.e., Medicaid Home and Community Based Waiver, Section1915C and the number of pediatricians); Autism prevalence (i.e., percent of Autism cases among children); and state economic conditions (i.e., state spending on children with Autism, children in poverty, and state financial health) in influencing variations in the establishment of the ADDM program across the states. The primary research questions addressed by this research include: How many states applied for the ADDM program in the years 2000, 2004, 2008?; What are the factors that influence whether some states applied for the ADDM program and other states did not?; Are states aggressively seeking federal funds for programs that will provide access to a higher quality of care to meet the needs of children with Autism? MSI resources are used to conduct a statistical analysis on the variables using the qualitative analysis technique Stata to analyze the data.