communication and coordination among local and state systems were less consistently positive.
The DASH/Bangor Coalition survey respondents repeatedly describe DASH/Bangor Coalition as an important vehicle for interorganizational communication at the community-level and cite the value of joint training and development opportunities by and for members. As noted in the comment below, this increased communication and coordination through the DASH/ADRC contributed to increased capacity to meet the long term support needs of their communities. A coalition member writes:
• "Thanks to the ADRC and the extraordinarily fine presentations at our monthly meetings, the workshops and small committee work, the community outreach sessions, I have learned so much and have been able to share that with our clients."
DASH/Bangor Coalition survey respondents and ADRC/DASH leader interviewees report effective communications and coordination with regional Department of Health and Human Services units. Specifically, the regional DHHS Office of Integrated Access and Supports (regional Medicaid office) was described as a strong, positive, and highly-visible partner with DASH development in its ongoing efforts to improve access for consumers and caregivers.
State-level MaineCare staff (Maine's Medicaid agency) are cited as helpful and consistently viewed as vested in the work of the ADRC project. DASH/ADRC leaders also report that at the end of the 3-year project little progress has been made in making the connection between community-based and other state-level systems. While troublesome, this concern is due, at least in part, to external factors associated with the creation of the Maine Department of Health and Human Services (DHHS). The Maine DHHS was established during the grant period through the merger of separate state units
24Muskie School of Public Service