Describes issues related to resistance to community based care facilities. Information was gathered through interviews with representatives of residential treatment facilities and local and state officials. Critical variables significant in understanding community resistance and overcoming it include: (1) overconcentration; (2) client…

The site visit report describes the Residential Support Program of the Centennial Developmental Services, a community-centered board providing residential services and support to persons (currently 67) with disabilities in Weld County, Colorado. Residential settings include a group home, supported apartments, foster homes, natural family homes, or…

This report is based on a site visit to a private, for-profit agency that provides community support services to people with severe disabilities in six counties in Minnesota. The organization supports 25 families in its in-home program and 35 people in supportive and semi-independent living services. Services offered include minor physical…

A case study is presented of Westport Associates, a corporation in Westport, Massachusetts, which operates small group homes for formerly institutionalized men and women with severe disabilities. Westport Associates was founded to create the antithesis of an institution, to treat residents as individuals worthy of respect, and to offer residents…

The case study describes a family residential service for three people with profound and multiple disabilities in Burlington, Vermont. The disabled individuals live with a couple and their two children who are also provided support services in the form of weekend relief and helpers for the late afternoon and evening period. The house is owned by a…

This report examines policy-related trends and projections in the use of various Medicaid-funded care services for persons with mental retardation and related conditions, and identifies factors influencing these trends nationally and in the various states. The examination is based on three sets of research activities: analyses of databases on…