Residential care must be redefined, free from jargon and rhetoric. Over the past 20 years, the social welfare approach, which encompasses the medical model, has dominated legislative and practical thinking about residential care. This theoretical thinking reached its culmination in the concept of the therapeutic community. The therapeutic…

Discusses inclusion of people with developmental disabilities in managed care as part of general efforts by states to enroll all Medicaid recipients. Elements of managed care that are important to people with developmental disabilities are reviewed, including care coordination, maintenance of quality, and individual and family support. (Author/CR)