People with intellectual and developmental disabilities (IDD) are frequent users of health services. We examined how their service utilization of emergency department (ED), inpatient hospitalization, and primary care physicians changed as they transitioned from fee-for-service to Medicaid managed care (MMC). Our results showed that MMC reduced the…

Background: Secondary prevention involves the early detection of disease while it is asymptomatic to prevent its progression. For adults with intellectual and developmental disabilities, secondary prevention is critical as they may not have the ability to recognize the early signs and symptoms of disease or lack accessible information about these.…

This study addresses the transfer of training to quality care practices among leisure services professionals who serve older adults by applying the Social Structure and Personality approach, a social psychology framework that accounts for layers of influence in that process. Multiple demographic and policy changes contribute to a need for a…

To address the developmental deficits of children with autism, several disciplines have come to the forefront within intervention programs. These are speech-pathologists, psychologists/counselors, occupational-therapists/physical-therapists, special-education consultants, behavior analysts, and physicians/medical personnel. As the field of autism…

This article discusses implications of the movement toward managed health care models for long-term health care services for people with disabilities, especially people with developmental disabilities. It notes possible advantages of managed care but raises issues concerning consumer choice, management and financial capacity of managed care…

Examines the implications of a family-focused life cycle approach for delivering health and welfare services to developmentally disabled children and their families. (CM)

A survey of doctors (51 responses) working with people with developmental disabilities in New South Wales (Australia) found a high attrition rate and flagging morale for health care professionals, which were attributed to implementation of the "Guardianship Act" and transfer of services from the Department of Health to the Department of…

This article describes a comprehensive model of clinical peer review that was established at a large behavioral healthcare organization serving children, adolescents, and adults with developmental disabilities. The purpose of peer review is to provide routine evaluation of practice standards that will produce the highest quality of habilitative…

As agencies and programs serving individuals with developmental disabilities are called upon to serve a new population of individuals with human immunodeficiency virus (HIV) infection, they will be forced to confront complex legal questions. This paper discusses the legal frameworks in which individuals with HIV infection are considered eligible…

This plan was to establish goals and objectives for the development of a comprehensive service delivery system for Texans with developmental disabilities. Section 1 outlines: the mission and functions of the Council; the definition, incidence, and impact of developmental disability; the Developmental Disabilities Basic State Grant Program; and…

Results are reported of a pilot study to determine the effectiveness of a tracking program to maintain high risk infants in continuing health care, determine health and developmental outcomes, and survey the use of community resources in this population. Subjects were 766 infants from six participating hospitals in two Washington counties, one of…

The first of the two bibliographies in this document contains 38 entries on neonatal nursing, including books and journal articles (originally published from 1973 to 1986) dealing with such topics as high-risk pregnancy and delivery, home care of developmentally disabled newborns, and family dynamics. The second bibliography, titled "Neonatal…

Second in a series of three publications which address the prevention and treatment of developmental handicaps, the volume continues the effort to expand working relationships among university affiliated facilities (UAFs) and Title V Maternal and Child Health Programs. Five papers in Section I address developmental issues as of 1984:…

Analyses of the service needs of various disabled groups indicate that the techniques of community psychology are relevant for developmentally disabled persons. Objective needs assessment contributes to effective community psychological interventions by providing valuable input to decisions on systems analysis, program design, evaluation,…

Presented are 10 papers resulting from a workshop, involving representatives from 33 state developmental disabilities councils, designed to examine common problems and issues confronting developmentally disabled citizens in rural areas. Entries include the following titles and authors: "Who, What, and Where--Studying Prevalence of Developmental…