PDF Letter. Prior to , the prominent model for providing services to individuals with intellectual or developmental disabilities IDDs was a medical model with services typically provided in an institutional setting. In the s, a paradigm shift began that resulted in the development of other models of service delivery. In particular, Congress began to provide funds to states to begin developing services in community settings for the first time. Texas established community mental health and IDD centers in tandem with these changes in federal funding and expectations.
Termination Letter – Termination Letter for Misconduct
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