We examined the frequency and stability of family contact with long-term institutional residents during a major deinstitutionalization project. Movers relocated to community accommodation between Assessments 1 (baseline) and 2. Stayers remained institutionalized. We investigated family contact longitudinally over four annual assessments. There was…

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 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…

Describes the successful outcomes of a behavioral support and crisis-response demonstration project in Minnesota that was designed to prevent the institutionalization of individuals with developmental disabilities who displayed behavior problems. Results indicate the outreach support kept individuals out of institutions and did so cost…

This article reviews the current and changing status of residential supports for persons with intellectual and developmental disabilities (ID/DD). It examines four major trends in those supports: (1) Decreasing use of larger institutions and increasing use of community housing; (2) Decreasing size among community settings; (3) Increasing numbers…

This paper reviews 27 studies of parental attitudes on the deinstitutionalization of a family member with disabilities. Studies of existing institutional placements found high levels of satisfaction and opposition to deinstitutionalization, whereas studies of community placements found high levels of satisfaction with community placements and…

This study provides longitudinal analysis of day program and work activities of 61 individuals leaving Minnesota state institutions and a comparison group of 71 people remaining institutionalized. Only 13% of movers experienced integrated employment. As a group, the people who remained institutionalized actually earned more money. (Author/CR)

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…

Adaptive and challenging behavior changes associated with movement from Minnesota's state institutions to community homes were examined in 148 participants with mental retardation. Adaptive behavior declined among residents who moved to community programs but was unchanged for persons who moved to Home and Community Based Services Waiver-Funded…

This article reports that in 2001, for the first time since its creation 20 years earlier, Medicaid Home and Community-Based Services (HCBS) Waiver programs for persons with intellectual and developmental disabilities had Federal and state expenditures that exceeded those for Medicaid Intermediate Care Facilities for Persons with Mental…

Two studies examined turnover among newly hired residential direct support workers in community homes serving people with developmental disabilities. In Study 1, 110 community homes for people with mental retardation in Minnesota were surveyed for facility and residential characteristics, direct support worker wages and benefits, recruitment and…

National and state data are presented on places of residence of recipients of Medicaid Home and Community Based (Waiver) Services, a program supporting long-term care for persons with developmental disabilities. The following types of residences are covered: agency home, foster home, own home, and family home. (SW)

Data are presented which show changes in the size of residential programs serving people with mental retardation/developmental disabilities. Trends from 1982 through 1992 are summarized and statistics are given for each state showing the average number of residents per setting and the percent of residents in settings with less than 16 or less than…

A review of 33 studies of residential service outcomes found that almost all of the studies found statistically significant increases in overall adaptive behavior scores associated with deinstitutionalization of individuals with mental retardation. Three studies reported statistically significant improvements in challenging behavior associated…

The report summarizes 27 research studies which examined the attitudes and perspectives of parents of currently or formerly institutionalized people with mental retardation concerning movement from institutional to community placements. Several trends were evident. Parents whose offspring were living in institutions at the time of the survey were…