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[Headline] Ten Worst States for Personal Attendant Services
1. Tennessee
2. Mississippi
3. Louisiana
4. Missouri
5. Georgia
6. Illinois
7. Indiana
8. Florida
9. Ohio
10. Kentucky

[Subheading] Dishonorable Mention
1. Washington D.C.
2. Texas
3. Pennsylvania
4. New Jersey
5. Arkansas

Information used, for ranking the Ten Worst came from a variety of sources including personal stones and recommendations of advocacy organizations. Two sources we used were: The State of the States in Developmental Disabilities published by the American Association on Mental Retardation and State LTC Profiles Report published by the Institute for Health Services Research, University of Minnesota.

[Subheading] Tennessee
* 94.8% of long term care spending goes to nursing homes. (1992)
* Fiscal effort for community services for people with developmental disabilities 36% BELOW national average.
* Total MR/IUD spending 38th in the country.
* Spending for congregate facilities increased by 41% in Tennessee while spending for congregate facilities nationwide has declined 12%.
* 50th in per capita spending for home and community-based care for people over the age of 65.
* Number of people with developmental disabili-ties living in nursing homes increased 25% (1992-96) nationally a 13% decrease.
* 50th in spending on home and community-based care as a percentage of long term care expenditures.
* Commitment to home and community based services ranked 50th by the Institute for Health Services Research.
(For specifics on other worst states, contact ADAPT of Texas 512-442-0252 or adapt@adapt.org)

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