In this article I reflect on my experiences as a previously incarcerated individual being involved in theatre performance for the first time. I reflect on how my involvement in arts and education programmes in prison made me aware of the larger structures of Whiteness that were embedded in the educational and arts contexts that I found myself in…

The document cites research to support the viewpoint that community integration is preferable to institutions for the severely and profoundly mentally retarded. Refuted are such arguments against deinstitutionalization as that retarded people should be segregated, that institutions are a more efficient and less expensive way to provide services,…

Research on psychotropic drug use by the mentally retarded and associated behavioral toxicity is reviewed, and suggestions for future research are offered, with implications for community based service delivery. (SEW)

This paper reflects on comments made by Samuel Gridley Howe in the 19th century and their continuing relevance to the state of institutionalization of individuals with mental retardation. The paper also cites Burton Blatt in his argument in favor of deinstitutionalization with all possible haste despite the inevitable challenges this will pose to…

The senator from Massachusetts introduces this special issue by reviewing his family's interest in persons with mental retardation, the potential of the Americans with Disabilities Act, the Intermediate Care Facilities for the Mentally Retarded (ICF/MR) program, and the importance of improving care for residents of ICFs. (DB)

This rebuttal by the original authors to a critique (EC 609 029) of their article describing the TAPER psychotropic drug review process supports the process as an individualized approach to psychotropic drug treatment and as an interdisciplinary approach appropriate for use in community-based services for individuals with developmental…

Reviews 10 studies in which psychiatric patients considered seriously ill were randomly assigned to either inpatient care or some alternative mode of outpatient care. Finds that in no case were the outcomes of hospitalization more positive than alternative treatment. (Author/GC)

This response to a study by D. Strauss and T. Kastner, which compared mortality rates for individuals with mental retardation in either community or institutional settings, notes that all previous research on this subject had found institutional mortality rates higher than those in the community. Methodological concerns are raised about the study.…

This commentary on Erb's (1995) article on institutionalization of individuals with severe impairments identifies several points of disagreement, including the appropriateness of placement of such individuals in large institutions, the financial cost of community supportive living, and whether individual needs can best be served in institutions or…

This commentary on Erb's (1995) article on institutionalization argues that living in one's home community is better than being forced to leave it to obtain needed services. The commentary also criticizes the assertion that supported living programs funded through Medicaid waiver are not cost-effective compared to traditional institutional or…

Robert Erb responds to commentaries to his paper on institutional placement for individuals with severe disabilities and the costs of community and institutional placements. Risk-and-benefit issues, in addition to cost-and-benefit ones, are addressed. (SW)

This response to a description of a psychotropic drug review process, TAPER, suggests that the data supporting the reported low rate and dosage level of psychotropic drug use resulting from the process were misleading and inaccurate. Implications of such a drug review process for facilities serving people with developmental disabilities are drawn.…

This article reviews policy developments in deinstitutionalization and community inclusion in North America, specifically the United States. It begins with a critique of the continuum concept and the associated principle of the least restrictive environment. Past and current controversies surrounding deinstitutionalization are then examined.…

The article briefly reviews the history of deinstitutionalization and supports the development and use of a comprehensive evaluation process to evaluate the human and environmental factors that affect the potential for successful placement of handicapped persons in community-based residential facilities. (JW)

This comment on EC 231 901 notes that institution-based and community-based residential programs for mentally retarded persons have not been proven to be programmatically equivalent; promoting large institutions as safer than smaller facilities ignores the deplorable history of abuse within institutional services; and institutions cannot assure…