The paper highlights national trends in the public residential service system for people with mental retardation including annual change in the number of state institutional facilities, the average daily residents per facility, annual change in the average daily residents, including first admissions, readmissions, and per diem cost of care.…

The possible casues of abuse of mentally retarded persons in residential facilities are examined and a study of all reported abuse cases occurring in Alabama's residential facilities from January, 1984, to September, 1986 is reviewed. Fifty-seven confirmed cases of abuse were identified for further examination using facility records and system…

Changes in sizes and types of residential facilities for persons with mental retardation over the past two decades are discussed and interstate variability (as of June 1988) in residential services examined. Progress, though unevenly realized, is noted in numbers of small, community-based residential opportunities. Standards for federal policy are…

This paper contrasts the rhetoric of quality assurance with the realities of poor quality in today's Intermediate Care Facilities for the Mentally Retarded (ICF/MR). The ICF/MR operational model is described as paper oriented, failure based, and insensitive to the effects of its own practices. Recommendations include the establishment of local…

The paper reviews issues in the Wyatt versus Stickney court case concerning the constitutional right to treatment for institutionalized persons with mental retardation. Among topics considered are the role of the American Association of Mental Deficiency in the court proceedings, the original intent of the case as an employee action, and the…

Results of a nationwide study of public mental retardation/developmental disabilities spending in the states during Fiscal Years 1977 through 1986 were analyzed and identified trends such as continuing growth in spending for community services, contraction of total spending for institutional operations, and predominance of support for intermediate…

In response to comments on his nationwide study of public mental retardation/developmental disabilities spending in the states, the author considers classification of funds (income maintenance, large private facilities and prisons, nursing homes, and education/vocational rehabilitation), values, determinants, civil rights, and reform. (DB)

Behavior of direct care staff serving clients with mental retardation in 13 units of a large state-operated residential facility was observed. Results indicated that the activities of direct-care staff were influenced by the client's functioning level, the presence of professional staff, the location of the observation, and the resident- staff…

The five responses to a nationwide study of public mental retardation/developmental disabilities spending in the states focus on such aspects as needed data for policy choices, classification decisions in the original study, the need for policy research, the need to reform Medicaid, and values in the funding of social services. (DB)

Evaluation of effects of moving mentally disabled individuals from a British National Health Service hospital into community group homes found much overlap between the institutions' caring routines and practices with the community hostel setting, providing only slightly more opportunities for personal choice, privacy, personalization, integration,…

The study found that quality of life of 46 mentally retarded individuals was impacted by the funding source used to support their community-based residential programs. Clients in programs using Medicaid funds were less active and involved in life than were clients living in programs funded by non-Medicaid state sources. (Author/JDD)

Licensing and certification regulations for Intermediate Care Facilities for the Mentally Retarded (ICF/MR) can adversely affect individuals, distort the allocation of scarce resources, and encourage community residences to become small institutions. A case study of one home in northern California illustrates poor program evaluation and the need…

This Policy Research Brief summarizes longitudinal national statistics on the number and characteristics of persons with mental retardation and related conditions living in state institutions, their movement into and out of those institutions, the costs of state institutions, and the growing numbers of closures of these institutions. Findings are…

This U.S. General Accounting Office report discusses the Medicaid management controls needed to assure that mentally retarded residents of nursing homes receive the services they need to help them function independently. Medicaid's involvement with the retarded in institutions and nursing homes includes financing active treatment services, such as…

This analysis of survey activities of the Accreditation Council for Services for Mentally Retarded and Other Developmentally Disabled Persons (ACMRDD) is designed to provide program administrators and state agency officials with comprehensive descriptive information on 296 surveys conducted by the council from 1980 through 1984. Part I of this…