Subjects reported significantly lower levels of anxiety and fear and significantly higher levels of assertiveness at posttreatment. The potential clinical significance of the result was reinforced by evidence of significantly lower hospitalization rates among program participants one year after training. (Author)

The article traces the experiences of the Malaysian Association for the Blind in developing rehabilitation services for rural blind persons. It explains the rationale for a community-based approach to rehabilitation and concludes that center-based and community-based approaches to rehabilitation complement each other in bringing services to rural…

Reviews the history of services for people with mental disabilities in Pakistan, with emphasis on the development of outreach projects based on principles of community-based rehabilitation. Strategies are suggested that build on existing realities and strengths of families and communities. Promising examples from Bangladesh are cited. (Author/DB)

Establishing community-based rehabilitation projects for visually impaired populations in developing countries in the South Pacific presents challenges in communication, logistics, security, and other factors. Program development must consider differences in geography, population distribution, resources, cultural and religious values, and needs.…

Reports findings from a national survey of 385 day support providers regarding conversion of resources from segregated services to supported employment. Approximately 23% of all agencies and 37% of agencies with both facility-based programs and supported employment indicate that they had converted resources to community-based employment.…

Describes the prevalence and patterns of vision impairment in the Sultanate of Oman. Reviews the types of special education and rehabilitation services offered and future priorities. Concludes that, although at present, few visually impaired children are receiving services, a special education system is evolving into a community-based approach to…

This paper reviews research and evaluates information gathered on disabilities and service development in South Asia, especially India and Pakistan. The concept of "community-based rehabilitation" (CBR), which stresses the need for rehabilitation efforts rooted in the context of local cultural concepts, is discussed. The paper emphasizes…

This monograph describes community rehabilitation services available to persons with traumatic brain injury in Israel. Following a foreword by Leonard Diller which cites the incidence of traumatic brain injury and notes existing intervention models, an introductory chapter by Shlomo Katz and Victor Florian provides a historical survey of the…

This report discusses the outcomes of a study that examined the present state of 124 community-based rehabilitation programs (CRP) and future trends. Results indicated: (1) the typical CRP served an average of 219 consumers daily and had total revenues of $5.262 million; (2) more than 60 percent of the CRPs offered programs in the following areas:…

This report from a study group on long-term mental illness (LTMI) examines three components of the vocational rehabilitation process (the client, the counselor, and the programs) and the systems through which the three components interact. The first chapter discusses the history and evolution of the vocational rehabilitation (VR) and mental health…

This report provides basic facts about The Door, a multifaceted youth center in New York City, which serves 300-400 young people each day. The origins, early stages, guiding philosophy, activities, and organizational structure are described. Recommendations for initiating and operating multiservice youth projects based on the experience of The…

This history of the rehabilitative services offered by the New York State Division for Youth (DFY) is reviewed to show how the DFY has evolved from its inception as a Youth Services Commission in 1945 to a major state agency with a primary responsibility to provide youth services. The role and problems of the agency are discussed in terms of its…

This article presents perspectives on the expansion of provider organizations with case studies of two Oregon organizations: Independent Environments, which supports approximately 20 people with an annual budget of $1 million and Partnerships in Community Living, which supports approximately 115 people with a budget of $10 million. (Contains…

This paper describes video training packages that have been developed in Guyana as part of Hopeful Steps, a program which uses the Community Based Rehabilitation (CBR) model of service delivery for training rehabilitation workers and volunteers and now serves children with disabilities and their families in five rural regions of the country. (DB)

This report presents patterns and trends in the annual caseload of the Washington State Division of Developmental Disabilities for both Residential Habilitation Centers (RHC) and community programs from the period 1989 through 1994. Following an executive summary, individual chapters present extensive detail on: (1) the project's background and…