This study follows the concerns and stresses of four Australian people with mental retardation for five months as they moved out into a community-based supported accommodation. The transition was seen as a positive event which lowered stress, however, other issues gradually re-emerged and their perceived stress level soon rose again. (Author/CR)

A study of 162 community-based organizations that assist older adults or people with intellectual disabilities in Brisbane, Australia, investigated the types of programs offered to older adults with intellectual disabilities. Results indicate that there were no programs offered that provided special services for older adults with intellectual…

The costs, nature, and benefits of residential supports were examined for 20 adults with severe disabilities living in newly built residential campuses and 20 adults living in small community-based dispersed housing schemes. Participants living in dispersed housing schemes enjoyed significantly greater quality of care and quality of life.…

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,…

Consumer outcomes and recurrent service costs were compared for 31 individuals with disabilities in group homes and 56 individuals living semi-independently in Australia. Participants living semi-independently had significantly less social dissatisfaction, used community facilities more frequently and independently, participated more in domestic…

Draws together the results of seven studies that investigated factors influencing the effects of service quality in community-based residential services for people with severe mental retardation. Results found that quality of staff and resident activity is dependent on an interaction between the structure, orientation, and procedures followed…

This article reviews policy developments in deinstitutionalization and community inclusion in North America, specifically the United States. It begins with a critique of the continuum concept and the associated principle of the least restrictive environment. Past and current controversies surrounding deinstitutionalization are then examined.…

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…

A comparison of 14 Australian adolescents with mild intellectual disabilities and 13 typical adolescents found no significant differences between the groups on community usage and lifestyle patterns. The discussion promotes the inclusion of community factors when investigating community integration of adolescents with a disability. (Contains…

As part of an institutional closure program, 95 Australian individuals with mental retardation were relocated to community-based group homes. Assessments indicated improvements in adaptive functioning but not significant change in maladaptive behavior. There were also improvements in life circumstances and increased opportunities for choice-making…

This article uses recent developments in United Kingdom services as a case study to identify challenges facing the provision of residential supports to people with intellectual disabilities. It discusses responding to existing levels of unmet needs and increasing demand, reducing inequalities in access and service quality, and obtaining and…

This introductory article discusses major Australian deinstitutionalization initiatives and presents data on trends in institutional living in Australia, the United States, and the United Kingdom. All three countries continue to witness a fall in the institutional population of people with intellectual disability and an increase in community…

This article summarizes trends indicating a shift from institutional services to services in small community settings, an operational transformation from state government being the provider of services to being the purchaser, a shift from state financing of community services to federal-state cost-sharing, and an increase in people receiving…

Interviews were conducted with staff and family members of 54 Australian individuals with mental retardation and with nine of the individuals, who had been moved from a psychiatric hospital to community residential homes. Overall, all informants regarded the move as positive and reported improvements in daily living skills, social skills, and…