Statistics are analyzed from 1990 to 1996 concerning the fading of Medicaid's bias toward institutionalization of individuals with mental retardation rather than use of Home and Community-Based (HCB) waivers for alternative community services and support. A major shift toward increased use of HCB waivers is noted and documented state by state. (PB)

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 United Kingdom literature on effects of deinstitutionalization of adults with developmental disabilities from 1980 to 1994 was reviewed. Analysis generally associated smaller, community-based residential services with improvements in user engagement, adaptive behaviors and challenging behaviors, community acceptance and integration,…

This report describes the development of integrated community services for people with severe disabilities by Job Path, a New York City agency which currently provides services to approximately 250 people. A current emphasis of the agency is increased consideration of the individual's life outside of the work setting. Critical factors in the…

This manual presents suggested measures which are designed to examine the outcomes of support and service provision on the lives of people with disabilities in Illinois. Included are 30 measures for people and 16 measures for organizations. The measures were developed after initial input from people with disabilities participating in a Community…

This curriculum on supported employment for individuals with disabilities is intended for case managers in Montana and focuses on programs and processes relevant to the case manager's typical roles of long-range planning, coordination, and facilitation. Part 1 discusses the move toward inclusion, including its value, the concept of normalization,…

This feature issue presents articles on the social inclusion of people with developmental disabilities into the community and also some related news items. This issue provides profiles of organizations, workplaces, and schools that are successfully integrating people with developmental disabilities into community activities. The articles are:…