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As person-centered services and supports become more prevalent, people with disabilities are enjoying more choices and opportunities--making it challenging to ensure the quality of every service offered. This timely book helps meet that challenge. Diverse contributors, including researchers, care providers, policy-makers, self-advocates, and family members, combine their expertise to help readers- understand the changing expectations of people with disabilities and their families--and the resulting challenges to quality enhancement- clarify the roles of Medicaid and the Centers for Medicare & Medicaid Services- address health and safety issues, including investigation of abuse, neglect, and death- design databases that track outcomes and target areas for service improvement- translate information into reliable quality enhancement approaches- manage staffing challenges like recruitment, retention, and professional developmentBuilding on Bradley & Bersani's Quality Assurance for Individuals with Developmental Disabilities, this important resource clarifies the shift toward self-determination and individually tailored supports--and shows professionals in the human services filed how to enhance service quality in this rapidly changing world.