What are institutions?

Institutions are long-stay residential facilities that segregate and confine people with disabilities. They are characterized by a regimented culture. Institutions process people in groups and discourage individuality, impose mass treatment, and rely on a status imbalance between staff and residents. Institutions limit personal possessions, and have fixed timetables for activities like eating and walking—irrespective of residents’ preferences or needs

The segregation of people with disabilities is a human rights violation. The United Nations Convention on the Rights of Persons with Disabilities is an international, legally binding instrument that sets minimum standards for civil, political, social, economic, and cultural rights for people with disabilities. It acknowledges the right to “live in the community with choice equal to others,” and requires states to develop “a range of in-home, residential, and other community support services, including personal assistance to support living and inclusion in the community, and to prevent isolation or segregation from the community.”

DMAS apparently want us back in institutions by taking away the only service with provider choice and the lowest cost at that.  EVV destroys consumer directed attendant care.