Positive Behaviour Support is an applied behaviour analytic system of support that is utilised in schools and in residential care settings for children and adults with disabilities who engage in challenging behaviour. Implementation fidelity depends on appropriate staff training and organisational behaviour management. A systematic literature…

Four comprehensive approaches to assessing living environments for retarded persons are described. The Residential Management Survey (by McLain, Silverstein, Hubell, and Brownlee) is an approach to evaluating whether a facility is either resident-oriented or institution-oriented. An ecological approach to group behavior (by Landesman-Dwyer) is…

The quality, number, and content of residential Individualized Habilitation Plans (IHP) objectives were evaluated for 155 adult institution and community residents. Over 90 percent of objectives were functional and age appropriate. Community residents had significantly more IHP objectives and also had objectives from a wider variety of content…

This report presents findings of an investigation into the operations of Project L.I.F.E., a supportive apartment program which serves 72 persons with developmental disabilities in New York City. The introduction describes Project L.I.F.E. and its history and philosophy. The report then details the findings of the investigation, which involved…

This symposium overview examines the outcomes of standards established in Intermediate Care Facilities for the Mentally Retarded to receive Medicaid funding. The argument is made that, although regulations have provided cleaner environments and better documented procedures, they lack in provisions promoting personal, moral, and educational…

This parable is presented in the form of news items and excerpts from jury testimonies in three fictional malpractice suits against physicians and adult care workers in group homes. Key issues at stake are the roles of Interdisciplinary Treatment Teams and Intermediate Care Facility for the Mentally Retarded regulations. (PB)

This site visit report describes activities, strengths, and challenges of the Area Agency for Developmental Services in Region VI of New Hampshire, with an emphasis on bringing people with developmental disabilities out of the state institution to community-based services. The agency provides case management services, family support services, and…

This study evaluated the effect of a training course for staff working in British learning disability residential services on their attributions and practice. Decreased usage of the attributional category "communication deficit" was found 8 weeks later. Also, practice appeared significantly changed from baseline to follow-ups 4 and 5…

This article discusses results of regulations for Intermediate Care Facilities for the Mentally Retarded, arguing that, by establishing minimum standards for funding, these policies promote mediocrity. Strategies for promoting compliance behaviors are offered, as are observations on regulatory reform and the process of regulatory impact. (PB)

This study assessed the psychometric properties of the Environmental Rating Scale, a measure specifically designed to assess residential treatment programs for individuals with autism. The measure's reliability was demonstrated by assessments of the internal consistency, stability, and interrater reliability. Preliminary analysis of validity…

This article uses preliminary data from 51 direct-care staff members and approximately 190 residents of a facility for nonambulatory individuals with profound mental retardation, to illustrate the roles of social, ecological, and regulatory contingencies of reinforcement and their potential counterhabilitative effects on residents. Results…

This article reviews regulations governing Intermediate Care Facilities for the Mentally Retarded (ICF/MR), including 1971 ICF/MR Medicaid funding legislation, standards development by professional consensus, development of federal regulations, intergovernmental roles, and possible directions for the future. A need is seen for professionals to…

The report describes a site visit to the Seven Counties Services Region in Kentucky to identify and document promising practices for serving people with severe disabilities in integrated community-based services. The regional agency serves Jefferson, Oldham, Henry, Trimble, Spencer, Bullitt and Shelby Counties. Regional service priorities have…