The Mental Health Program of the University of Illinois at Chicago has demonstrated significant consumer demand for outpatient community mental health services for people with mental retardation. Public policy planners should consider that outpatient programs may reach many more people than programs within state institutions, especially for those…

Among 10 principles arising from a symposium on health services for mentally retarded persons in the community are the need for: multiple options for health care delivery; a stable primary care "medical home"; a health care network; presence of resource centers for specialty care; and establishment of a health care clearinghouse. (DB)

Dental services for mentally retarded persons in the community provided by Tufts Dental Facilities in Massachusetts are described. Principles of developing a community program including establishing a data base, interacting with the generic system, and developing a strategy for service delivery are explained. (DB)

This brief article presents data on trends in costs and numbers of recipients of Medicaid served by the Intermediate Care Facility/Mental Retardation program and the Medicaid Home and Community Based Services program. A table presents the data by state and a graph shows the increasing numbers of recipients and costs. (DB)

Comparison of the hospitalization experiences of 36 people with mental retardation under a managed care program model with those not enrolled (n=50) found that patients in the care coordination group had shorter hospital stays, fewer readmissions, and were less severely ill upon admission. Costs of care coordination were partially offset by…

Patterns of staff communication with people living in three community-based residential facilities supporting persons with disabilities were examined by observing 16 staff persons for 2 hours each as they communicated with residents. Frequencies of communication were found to differ across activities and residents (communicative partners) but not…

Makes recommendations for providing better services to people with developmental disabilities, including clarifying the support that people with developmental disabilities need and providing that support; making a fundamental shift toward community based programs; eliminating rigid and complex rules; creating the future; and making a commitment to…

Results of a questionnaire of administrators of community living arrangements programs for the developmentally disabled in Pennsylvania (N=116) found that some programs promoted relationships with neighbors, but others wished to keep the role of neighbors to a minimum. (Author/DB)

Changes in sizes and types of residential facilities for persons with mental retardation over the past two decades are discussed and interstate variability (as of June 1988) in residential services examined. Progress, though unevenly realized, is noted in numbers of small, community-based residential opportunities. Standards for federal policy are…

This symposium overview briefly summarizes following articles which identify problems in the quality of care provided by Intermediate Care Facilities for the Mentally Retarded (ICF/MR), provide reactions, and identify positive trends. An emphasis on regulations and compliance is thought to be a major obstacle to quality services. (DB)

This paper contrasts the rhetoric of quality assurance with the realities of poor quality in today's Intermediate Care Facilities for the Mentally Retarded (ICF/MR). The ICF/MR operational model is described as paper oriented, failure based, and insensitive to the effects of its own practices. Recommendations include the establishment of local…

Comparison of goals (number and content) in individual program plans for developmentally-disabled persons in New York (N=170), Pennsylvania (N=298), and Tennessee (N=1,275) indicated that goals varied as a function of intellectual level in all three states and as a function of program setting (institutional, community, or residential) in New York.…

This paper discusses a model crisis intervention program for community-based individuals with developmental disabilities and mental illness, featuring cross-system access between existing services and emphasis on staff training. Outcomes of the Rochester, New York, program reveal that 69% of 267 individuals referred to the program required only 1…

This national study of direct-care staff members working in 101 small community homes for people with mental retardation found an annual staff turnover rate of 57 percent and staff plans to remain in the care-provider position for an average of 5.4 years. Variables associated with both staff turnover rate and intended length of stay are…

This paper describes a continuing psychotropic drug review process at a community-based agency serving individuals with mental retardation. The goals of establishing data-based interdisciplinary team review, utilizing concurrent alternative treatments, and prescribing psychotropic medication at the lowest effective dosage only to those individuals…