Program background

The Christopher & Dana Reeve Foundation Paralysis Resource Center’s (PRC) Nursing Home Transition (NHT) Grant Program is partnering with Centers for Independent Living (CILs)* across the country to award four grants up to $40,000 each to transition people living with paralysis in nursing homes back into their homes or a community-based setting of their choice.

The PRC, in partnership with the Administration for Community Living (ACL), has focused on Nursing Home Transition as part of its mission to help seniors and individuals with disabilities live in their homes and fully participate in their communities. The goal of the program is to increase the number of individuals living with paralysis transitioning from a nursing home into a home or community-based setting in order to increase their quality of life through improved access, independence, opportunities to engage in community activities, and inclusion in all aspects of society.

These grants are intended to improve the quality of life for individuals living with paralysis by becoming part of the solution nationwide to decrease the unnecessary segregation and isolation of individuals with functional paralysis. For this grant purpose, the term paralysis includes anyone who sustains difficulty and/or inability to move their arms and/or legs due to a neurological condition such as spinal cord injury, traumatic brain injury, spina bifida, cerebral palsy, multiple sclerosis, ALS, and many other chronic conditions that coexist with developmental, congenital, and acquired disabilities.

Individuals living with paralysis may require significant supports for activities of daily living, which increases the risk of placement in nursing homes that provide specialized services. This usually results in individuals becoming isolated from their community, and experiencing the loss of individual decision making as well as the ability to direct one’s own life. If people can’t live in homes that meet their individual needs, they lack a vital element of independent living. The continuation of unnecessary institutionalization was “a serious and pervasive problem” across the nation in the preamble to the ADA. The 1999 United States Supreme Court decision Olmstead v. LC was based on the ADA and held that people with disabilities have a right to receive state-funded supports and services in the most integrated setting.

*The NHT grant is open to Centers for Independent Living as described in the 2014 reauthorization of the Rehabilitation Act. The term "center for independent living" means a consumer-controlled, community-based, cross-disability, nonresidential private nonprofit agency for individuals with significant disabilities (regardless of age or income) that (A) is designed and operated within a local community by individuals with disabilities; and (B) provides an array of independent living services, including, at a minimum, independent living core services as defined in section 705(17) as: information and referral, independent living skills training, peer counseling, individual systems and advocacy, and transition/diversion facilitation.

Program Timeline - 2017

  • Application Opens: April 20, 2017
  • Submission Deadline: May 15, 2017 (11:59 pm local time)
  • Decisions Announced: May 31, 2017
  • Checks Mailed: June 15, 2017

Program overview

The NHT Grant expands on the shared mission of the ACL and the PRC to improve the quality of life for individuals with paralysis and other conditions that result in permanent mobility challenges. The grant funding will focus on the successful transition of individuals living with paralysis out of nursing homes to home-or community-based settings.

Some of the barriers to transition that have been identified across the nation include but are not limited to the following:

  • Limited availability of integrated, accessible and affordable housing;
  • Significant delay in receiving in-home care services needed after the transition out of a nursing home;
  • Limited availability of durable medical equipment;
  • Lack of startup funding to prepare the home in the community and address items that cannot be obtained from community resources, programs or donations;
  • Difficulty in sustaining transition services;
  • Or any identifiable barrier that prevents the individual from transitioning.

Please be advised that the Nursing Home Transition grant does not have the same eligibility restrictions for Centers for Independent Living (CILs) that have received prior Reeve Foundation Quality of Life grant funding (i.e. applicants to the Nursing Home Transition Grant program that have received a prior Quality of Life grant are not required to skip three cycles before applying for the Nursing Home Transition grant).

Four Nursing Home Transition Grants of up to $40,000 each will be awarded in 2017.

When complete, the proposed project will have a demonstrable direct impact on individuals living with paralysis that successfully transition from an institution into the community. The Nursing Home Transition Grant Program will decrease the number of unnecessary institutionalizations of individuals with paralysis across the nation, increase the number of individuals who have transitioned to a home or community-based setting, and provide the opportunity to address formal barriers.

Application and instructions

Click here to access the online application.

Please reach out to should you have any questions related to the grant application or eligibility requirements.

Watch the video on how to apply

Transcript of webinar (PDF).

This project was supported, in part by grant number 90PR3002, from the U.S. Administration for Community Living, Department of Health and Human Services, Washington, D.C. 20201. Grantees undertaking projects under government sponsorship are encouraged to express freely their findings and conclusions. Points of view or opinions do not, therefore, necessarily represent official Administration for Community Living policy.