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…

Institutions for people with disabilities can be "deinstitutionalized" by changing the way they are organized and regulated. The process of developing community learning environments in residential programs involves design of daily living routines, assessment of residential living skills, identification of teaching objectives, development of…

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…

A special education record-keeping system using bar code symbols and optical scanners is described. Bar code symbols were created for each Individualized Educational Plan objective, and symbols are scanned when students emit targeted behaviors. A weekly printed report of student performance is produced. Advantages, disadvantages, and costs are…

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;…

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 survey of nine institutional and community settings serving persons with severe handicaps found (1) in groups managed by one or two staff, staff interactions, and client adaptive functioning improved with decreased group size; and (2) improvement in staff performance and client behavior from addition of staff to a client group was marginal or…