Discusses concerns of 1975 Child Care Institute, delineating major directions in the future development of community-based services for children. (JH)

Described is a program, ENCOR, which aims at total community integration of all retarded citizens in a five county region. (GW)

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 commentary on Erb's (1995) article on institutionalization of individuals with severe impairments identifies several points of disagreement, including the appropriateness of placement of such individuals in large institutions, the financial cost of community supportive living, and whether individual needs can best be served in institutions or…

This commentary on Erb's (1995) article on institutionalization argues that living in one's home community is better than being forced to leave it to obtain needed services. The commentary also criticizes the assertion that supported living programs funded through Medicaid waiver are not cost-effective compared to traditional institutional or…

Robert Erb responds to commentaries to his paper on institutional placement for individuals with severe disabilities and the costs of community and institutional placements. Risk-and-benefit issues, in addition to cost-and-benefit ones, are addressed. (SW)

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…

A study of 86 adults with mental retardation living in village communities, 133 in residential campuses, and 281 in dispersed housing schemes found dispersed housing had higher costs and had greater quality of care than did residential campuses. Quality of life benefits were associated with dispersed housing and village communities. (Contains…

Fifteen papers from special study institutes and workshops focus on understanding planning, providing residential and community services, and traininq for the deaf-blind. Included are the following titles and authors: "Definition of the Problem" (L. Smith); "Normalcy of the Abnormal--Body and Sense Thinking Development of the Organically Impaired"…

The failure of incarcerative approaches in the alleviation of drug abuse combined with the advent of more liberal public opinion toward drugs has resulted in the development of various rehabilitation treatment methods. The complexity and heterogeneity of the problem, however, indicate the desirability of a multidimensional approach which…

Programs of diversion and deinstitutionalization are not nearly as revolutionary as experts in the area of juvenile justice would have us believe. They offer control rather than treatment, and have actually increased the length of time that the youth can expect to be detained. (Author)

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…

Describes the development and evaluation of a community-based program that provided an alternative to residential care by providing "wraparound" services to children with moderate to severe emotional difficulties. Program goals were preventing admission to residential care, maintaining children in the area, and assisting in early…

This response to previous symposium papers (EC 604 155-161) concerning regulations and quality assurance in Intermediate Care Facilities for the Mentally Retarded (ICF/MR) sees regulations as the bureaucratization of values, identifies paradoxes implicit in regulatory controls, and urges reform of the current developmental disability service…

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…