Aim: To document the views of family members of people with an intellectual disability regarding implementation of a personalized model of social support in Ireland. Method: Forty family members participated in six focus groups. Data were thematically analysed. Results: Family members' preference for particular types of living arrangements were…

Providing and coordinating cost-effective, comprehensive care for older adults who want to remain in the community but need long-term assistance are serious challenges for families and professionals. Addressing these issues will require a redesign of the care delivery system. This article describes two successful models for working with older…

Statistics are analyzed from 1990 to 1996 concerning the fading of Medicaid's bias toward institutionalization of individuals with mental retardation rather than use of Home and Community-Based (HCB) waivers for alternative community services and support. A major shift toward increased use of HCB waivers is noted and documented state by state. (PB)

This paper reflects on comments made by Samuel Gridley Howe in the 19th century and their continuing relevance to the state of institutionalization of individuals with mental retardation. The paper also cites Burton Blatt in his argument in favor of deinstitutionalization with all possible haste despite the inevitable challenges this will pose to…

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 paper describes the Pathfinders program in New York (New York), which works to facilitate the full integration of adults with developmental disabilities into workplaces and neighborhoods. The paper is organized around the question of whether students graduating from special education can find paid and volunteer work in community settings,…

Developed as part of a study which attempted to integrate students with severe disabilities into regular recreational and leisure activities, this report focuses on integrating summer camps in the Greater Waltham (Massachusetts) area. It documents how a segregated camp for children and teens with disabilities can be closed down and the campers…

This report describes the development of integrated community services for people with severe disabilities by Job Path, a New York City agency which currently provides services to approximately 250 people. A current emphasis of the agency is increased consideration of the individual's life outside of the work setting. Critical factors in the…

This manual presents suggested measures which are designed to examine the outcomes of support and service provision on the lives of people with disabilities in Illinois. Included are 30 measures for people and 16 measures for organizations. The measures were developed after initial input from people with disabilities participating in a Community…

These two newsletter issues focus on training strategies for developing more inclusive programs for children with disabilities and for developing collaborative programs. An interview with Dr. Barbara Wolfe addresses successful inservice teacher training strategies. Additional information in the first issue includes guidelines for empowering…

This text offers case studies, models, and specific techniques to assist children, teenagers, and adults with disabilities to participate more fully in local school and neighborhood social and leisure activities. Three basic themes are stressed: first, that of using a community leisure facilitator to support people with disabilities in community…

This report describes the development of a community-based service for the implementation of augmentative and alternative communication strategies with regard to children with severe disabilities in South Africa. The intervention process was developed by the Centre for Augmentative and Alternative Communication of the University of Pretoria. The…

This booklet addresses issues concerning community-based rehabilitation (CBR) services for people with mental handicaps, especially in Africa. The first section explains CBR services, with subsections on overcoming exclusion, a definition, normalization and community participation, family participation, CBR and mental handicap projects in Africa,…

Developed as part of a project to integrate youth with disabilities into regular recreational and leisure activities, this report attempted to identify several programs and specific types of leisure activities that children, adolescents, and young adults with and without disabilities can enjoy together regardless of skill level. Case studies are…

This qualitative research study aimed to examine the nature of systems change and to identify practices and strategies that states, specifically New Hampshire, use to promote community integration and deinstitutionalization of people with developmental disabilities. The study describes the New Hampshire system, including state practices,…