Four studies found serious problems with components of the federal Medicaid program's survey process for evaluating intermediate care facilities for the mentally retarded--surveys did not discriminate between certified and noncertified units, direct-care staff behavior was very reactive to the survey's presence, and service providers had divergent…

The article reports on ways in which the Preparation through Responsive Educational Programs (PREP) project developed and conducted process and outcome assessment in a behavioral program for junior high students with behavior and learning problems. (Author/DLS)