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6. Disability and Secondary Conditions

Goal: Promote the health of people with disabilities, prevent secondary conditions, and eliminate disparities between people with and without disabilities in the U.S. population.
NO CHANGE IN OBJECTIVE
6-1. Include in the core of all relevant Healthy People 2010 surveillance instruments a standardized set of questions that identify "people with disabilities."
Target: 100 percent.
Baseline: No Healthy People 2010 surveillance instruments include a standard set of questions that identify people with disabilities in 1999.
Target setting method: Total coverage.
Data source : CDC, NCBDD.


NO CHANGE IN OBJECTIVE
6-2. Reduce the proportion of children and adolescents with disabilities who are reported to be sad, unhappy, or depressed.
Target: 17 percent.
Baseline: 31 percent of children and adolescents aged 4 to 11 years with disabilities were reported to be sad, unhappy, or depressed in 1997.
Target setting method: 45 percent improvement (parity with children and adolescents without disabilities in 1997).
Data source : National Health Interview Survey (NHIS), CDC, NCHS.


NO CHANGE IN OBJECTIVE
6-3. Reduce the proportion of adults with disabilities who report feelings such as sadness, unhappiness, or depression that prevent them from being active.
Target: 7 percent.
Baseline: 28 percent of adults aged 18 years and older with disabilities reported feelings that prevented them from being active in 1997 (age adjusted to the year 2000 standard population).
Target setting method: 75 percent improvement (parity with adults aged 18 years and older without disabilities in 1997).
Data source : National Health Interview Survey (NHIS), CDC, NCHS.


ORIGINAL OBJECTIVE
6-4. Increase the proportion of adults with disabilities who participate in social activities.
Target: 100 percent.
Baseline: 95.4 percent of adults aged 18 years and older with disabilities participated in social activities in 1997 (age adjusted to the year 2000 standard population).
Target setting method: Total participation (parity with adults aged 18 years and older without disabilities in 1997).
Data source : National Health Interview Survey (NHIS), CDC, NCHS.
OBJECTIVE WITH REVISIONS
6-4. Increase the proportion of adults with disabilities who participate in social activities.
Target: 10079 percent.
Baseline: 95.461 percent of adults aged 18 years and older with disabilities participated in social activities such as getting together with friends and family, telephoning friends and family, or going to worship or group events in 2001in 1997 (age adjusted to the year 2000 standard population).
Target setting method: Total participation30 percent improvement (parity with adults aged 18 years and older without disabilities in 19972001).
Data source : National Health Interview Survey (NHIS), CDC, NCHS.
REVISED OBJECTIVE
6-4. Increase the proportion of adults with disabilities who participate in social activities.
Target: 79 percent.
Baseline: 61 percent of adults aged 18 years and older with disabilities participated in social activities such as getting together with friends and family, telephoning friends and family, or going to worship or group events in 2001 (age adjusted to the year 2000 standard population).
Target setting method: 30 percent improvement (parity with adults aged 18 years and older without disabilities in 2001).
Data source : National Health Interview Survey (NHIS), CDC, NCHS.


ORIGINAL OBJECTIVE
6-5. Increase the proportion of adults with disabilities reporting sufficient emotional support.
Target: 79 percent.
Baseline: 71 percent of adults aged 18 years and older with disabilities reported sufficient emotional support in 1998 (data from 11 States and the District of Columbia; age adjusted to the year 2000 standard population).
Target setting method: 11 percent improvement (parity with adults aged 18 years and older without disabilities in 1998).
Data source : Behavioral Risk Factor Surveillance System (BRFSS), CDC, NCCDPHP.
OBJECTIVE WITH REVISIONS
6-5. Increase the proportion of adults with disabilities reporting sufficient emotional support.
Target: 7984 percent.
Baseline: 71 percent of adults aged 18 years and older with disabilities reported sufficient emotional support in 20011998 (data from 11 States and the District of Columbia; (age adjusted to the year 2000 standard population).
Target setting method: 118 percent improvement (parity with adults aged 18 years and older without disabilities in 19982001).
Data source : Behavioral Risk Factor Surveillance System (BRFSS), CDC, NCCDPHPNational Health Interview Survey (NHIS), CDC, NCHS.
REVISED OBJECTIVE
6-5. Increase the proportion of adults with disabilities reporting sufficient emotional support.
Target: 84 percent.
Baseline: 71 percent of adults aged 18 years and older with disabilities reported sufficient emotional support in 2001 (age adjusted to the year 2000 standard population).
Target setting method: 18 percent improvement (parity with adults aged 18 years and older without disabilities in 2001).
Data source : National Health Interview Survey (NHIS), CDC, NCHS.


NO CHANGE IN OBJECTIVE
(Data updated and footnoted)
6-6. Increase the proportion of adults with disabilities reporting satisfaction with life.
Target: 96 percent.
Baseline: 801 percent of adults aged 18 years and older with disabilities reported satisfaction with life in 20011 (data from 11 States and the District of Columbia; age adjusted to the year 2000 standard population).
Target setting method: 20 percent improvement2 (parity with adults without disabilities in 2001).
Data source : National Health Interview Survey (NHIS), CDC, NCHS.
1 (Baseline and baseline year revised from 87 and 1998 after November 2000 publication)
2 (Target setting method revised from 10 percent improvement because of baseline revision after November 2000 publication)


NO CHANGE IN OBJECTIVE
6-7. Reduce the number of people with disabilities in congregate care facilities, consistent with permanency planning principles.
Target and baseline:
Objective Reduction in People With Disabilities in Congregate Care Facilities 1997
Baseline 		2010
Target
Number of Persons
6-7a. Persons aged 22 years and older in 16 or more bed congregate facilities 93,362 46,681
6-7b. Persons aged 21 years and under in congregate care facilities 24,300 0
Target setting method: 50 percent improvement for 6-7a; total elimination for 6-7b.
Data source : Survey of State Developmental Disabilities Directors, University of Minnesota.


NO CHANGE IN OBJECTIVE
(Data updated and footnoted)
6-8. Eliminate disparities in employment rates between working-aged adults with and without disabilities.
Target: 801 percent.
Baseline: 432 percent of adults aged 18 through 64 years with disabilities were employed in 1997.2
Target setting method: 86 percent improvement3 (parity with adults without disabilities in 1997).
Data source : National Health Interview Survey (NHIS), CDC, NCHS.
1 (Target revised from 82 because of baseline revision after November 2000 publication)
2 (Baseline and baseline year revised from 52 and 1994–95 after November 2000 publication)
3 (Target setting method revised from 58 percent improvement because of baseline revision after November 2000)


NO CHANGE IN OBJECTIVE
6-9. Increase the proportion of children and youth with disabilities who spend at least 80 percent of their time in regular education programs.
Target: 60 percent.
Baseline: 45 percent of children and youth aged 6 to 21 years with disabilities spent at least 80 percent of their time in regular education programs in the 1995–96 school year.
Target setting method: 33 percent improvement. (Better than the best will be used when data are available.)
Data source : Data Analysis System (DANS), U.S. Department of Education, Office of Special Education.


ORIGINAL OBJECTIVE
6-10. (Developmental) Increase the proportion of health and wellness and treatment programs and facilities that provide full access for people with disabilities.
Potential data source: National Independent Living Centers Network.
OBJECTIVE WITH REVISIONS
6-10. (Developmental) Increase the proportion of people with disabilities who report having access to health and wellness and treatment programs and facilities that provide full access for people with disabilities.
Target: 63 percent.
Baseline: 48 percent of people aged 18 years and older with disabilities reported having access to a health and wellness program in 2002.
Target setting method: 31 percent improvement (parity between adults aged 18 years and older with and without disabilities).
Potential dData source : National Independent Living Centers NetworkHealth Interview Survey (NHIS), CDC, NCHS.
REVISED OBJECTIVE
6-10. Increase the proportion of people with disabilities who report having access to health and wellness programs.
Target: 63 percent.
Baseline: 48 percent of people aged 18 years and older with disabilities reported having access to a health and wellness program in 2002.
Target setting method: 31 percent improvement (parity between adults aged 18 years and older with and without disabilities).
Data source : National Health Interview Survey (NHIS), CDC, NCHS.


ORIGINAL OBJECTIVE
6-11. (Developmental) Reduce the proportion of people with disabilities who report not having the assistive devices and technology needed.
Potential data source: National Health Interview Survey (NHIS), CDC, NCHS.
OBJECTIVE WITH REVISIONS
6-11. (Developmental) Reduce the proportion of people with disabilities who report not having the assistive devices and technology needed.
Target: 7 percent.
Baseline: 10 percent of people aged 18 years and older with disabilities reported not having assistive devices in 2002.
Target setting method: Better than the best.
Potential dData source : National Health Interview Survey (NHIS), CDC, NCHS.
REVISED OBJECTIVE
6-11. Reduce the proportion of people with disabilities who report not having the assistive devices and technology needed.
Target: 7 percent.
Baseline: 10 percent of people aged 18 years and older with disabilities reported not having assistive devices in 2002.
Target setting method: Better than the best
Data source : National Health Interview Survey (NHIS), CDC, NCHS.


ORIGINAL OBJECTIVE
6-12. (Developmental) Reduce the proportion of people with disabilities reporting environmental barriers to participation in home, school, work, or community activities.
Potential data source: Behavioral Risk Factor Surveillance System (BRFSS), CDC, NCCDPHP.
OBJECTIVE WITH REVISIONS
6-12. (Developmental) Reduce the proportion of people with disabilities reporting environmental barriers to participation in home, school, work, or community activities.
Target and baseline:
Objective Reduction in People Aged 18 Years and Older With Disabilities Who Report Encountering Barriers to Participation in Activities 2002
Baseline 		2010
Target
Percent
6-12a. At home 10 9
6-12b. At school 6.1 5.7
6-12c. In workplace 7.7 7.0
6-12d. In community 11 7
Target setting method: Better than the best.
Potential dData source : Behavioral Risk Factor Surveillance System (BRFSS), CDC, NCCDPHPNational Health Interview Survey (NHIS), CDC, NCHS.
REVISED OBJECTIVE
6-12. Reduce the proportion of people with disabilities reporting environmental barriers to participation in home, school, work, or community activities.
Target and baseline:
Objective Reduction in People Aged 18 Years and Older With Disabilities Who Report Encountering Barriers to Participation in Activities 2002
Baseline 		2010
Target
Percent
6-12a. At home 10 9
6-12b. At school 6.1 5.7
6-12c. In workplace 7.7 7.0
6-12d. In community 11 7
Target setting method: Better than the best.
Data source : National Health Interview Survey (NHIS), CDC, NCHS.


ORIGINAL OBJECTIVE
6-13. Increase the number of Tribes, States, and the District of Columbia that have public health surveillance and health promotion programs for people with disabilities and caregivers.
Target and baseline:
Objective Increase in Public Health Surveillance and Health Promotion Programs for People With Disabilities and Caregivers 1999
Baseline 		2010
Target
Number
6-13a. States and the District of Columbia 14 51
6-13b. Tribes Developmental
Target setting method: Total coverage.
Data source s: Tribal, State, and District of Columbia reports; Office on Disability and Health, CDC.
OBJECTIVE WITH REVISIONS
6-13. Increase the number of Tribes, States, and the District of Columbia that have public health surveillance and health promotion programs for people with disabilities and caregivers.
Target and baseline:
Objective Increase in Public Health Surveillance and Health Promotion Programs for People With Disabilities and Caregivers 1999
Baseline 		2010
Target
Number
6-13a. States and the District of Columbia—Surveillance for people with disabilities 14 50 States and
DC 
6-13b. Tribes—Surveillance for people with disabilities Developmental 
6-13c. States and the District of Columbia—Health promotion programs for people with disabilities 14 50 States and
DC
6-13d. Tribes—Health promotion programs for people with disabilities Developmental 
6-13e. States and the District of Columbia—Surveillance for caregivers 0 50 States and
DC
6-13f. Tribes—Surveillance for caregivers Developmental 
6-13g. States and the District of Columbia—Health promotion programs for caregivers 0 50 States and
DC
6-13h. Tribes—Health promotion programs for people with disabilities Developmental 
Target setting method: Total coverage.
Data source s: Tribal, State, and District of Columbia reports; CDC, Office on Disability and Health.
REVISED OBJECTIVE
6-13. Increase the number of Tribes, States, and the District of Columbia that have public health surveillance and health promotion programs for people with disabilities and caregivers.
Target and baseline:
Objective Increase in Public Health Surveillance and Health Promotion Programs for People With Disabilities and Caregivers 1999
Baseline 		2010
Target
Number
6-13a. States and the District of Columbia—Surveillance for people with disabilities 14 50 States and
DC
6-13b. Tribes—Surveillance for people with disabilities Developmental
6-13c. States and the District of Columbia—Health promotion programs for people with disabilities 14 50 States and
DC
6-13d. Tribes—Health promotion programs for people with disabilities Developmental
6-13e. States and the District of Columbia—Surveillance for caregivers 0 50 States and
DC
6-13f. Tribes—Surveillance for caregivers Developmental
6-13g. States and the District of Columbia—Health promotion programs for caregivers 0 50 States and
DC
6-13h. Tribes—Health promotion programs for people with disabilities Developmental
Target setting method: Total coverage.
Data source s: Tribal, State, and District of Columbia reports; CDC, Office on Disability and Health.

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