This paper reviews recent literature on health issues for adults with developmental disabilities, reflecting on how it informs service provision, future research, and social and health policy. Results suggest future research should focus on interactions among biology, pathology, and behavioral and environmental determinants. More use of…

This study describes the development of the Active Treatment Client Rights checklist (ATCR), which was designed to facilitate the assessment, monitoring, and implementation of readily observable client active treatment services for adults with developmental disabilities. The ATCR was found to be highly reliable, valid, and useful in enhancing…

This study investigated the thyroid function of 181 patients (mean age 14 years) with Down's syndrome and found more thyroid dysfunctions than in the general population. Periodic thyroid hormone function tests are recommended for Down's syndrome individuals, especially as they get older. (Author/DB)

Six persons, ages 17-20, with moderate mental retardation were taught to identify 3 words by each of 2 different procedures--a fading procedure called the Task Demonstration Model and the Standard Prompting Hierarchy. The Task Demonstration Model produced fewer errors in acquisition, generalization, and maintenance. (Author/JDD)

The Psychopathology Instrument for Mentally Retarded Adults was used to diagnose 163 mentally retarded institutionalized adults according to the Diagnostic and Statistical Manual-III axis 1 categories. Nine factors were extracted which contained 49.3 percent of the data variance and categorized correctly 69.3 percent of the cases. Factors included…

The paper proposes teaching travel skills to developmentally disabled persons based upon the principles used to teach orientation and mobility to blind people. The approach emphasizes success orientation, sequencing, fading, individualized instruction, and in vivo instruction. Content includes environmental concepts, recovery techniques,…

This case study focused on an adult with severe disabilities and multiple problem behaviors fitting a pattern of behavioral escalation. Functional assessment indicated that use of rule statements by the teacher was related to occurrence and escalation of problem behaviors. Elimination of rule statements was an effective instructional intervention…

Key elements of a continuum of services for individuals with autism and other severe behavior disorders are described, focusing on development of a strong central organization; funding; staff recruitment, training, supervision, and evaluation; program evaluation; outreach parent training; home-based early intervention; vocational training;…

The Autism Program at Camarillo State Hospital and Developmental Center (California) has implemented "deinstitutionalization" within a large facility by providing effective and appropriate treatment based on individual needs. This paper describes the design of treatment services, quality assurance mechanisms, medical care (including…

An adult worker with moderate mental retardation demonstrated substandard productivity in cleaning bathroom, hall, and office sites in a community-based competitive work setting. Productivity increased at each site following (1) videotape-based self-monitoring, and (2) distributed verbal feedback and breaks which were systematically reduced over…

Two studies replicated and refined a program for evaluating and improving residential treatment services during group leisure periods in living units for persons with severe developmental disabilities. Results indicated that provision of leisure materials and interaction with clients decreased maladaptive client behavior. The monitoring system…

Social skills and levels of inappropriate assertiveness/impulsiveness were assessed using the Matson Evaluation of Social Skills with Youngsters, with 17 autistic children (ages 2-21) and 17 matched nonautistic children. Significant differences in both appropriate and inappropriate social behaviors were found. Results suggest the importance of…