The Autism Program at Camarillo State Hospital and Developmental Center (California) has implemented "deinstitutionalization" within a large facility by providing effective and appropriate treatment based on individual needs. This paper describes the design of treatment services, quality assurance mechanisms, medical care (including…

Institutions for people with disabilities can be "deinstitutionalized" by changing the way they are organized and regulated. The process of developing community learning environments in residential programs involves design of daily living routines, assessment of residential living skills, identification of teaching objectives, development of…

This paper reports on evaluation of a sex education program (the Bawnmore Personal Development Programme) and staff training for Irish individuals with mental handicap. Results indicate the need for attitude change among staff and administration toward sex education and a need for structural change in staffing arrangements to facilitate such…

Two studies replicated and refined a program for evaluating and improving residential treatment services during group leisure periods in living units for persons with severe developmental disabilities. Results indicated that provision of leisure materials and interaction with clients decreased maladaptive client behavior. The monitoring system…

Key elements of a continuum of services for individuals with autism and other severe behavior disorders are described, focusing on development of a strong central organization; funding; staff recruitment, training, supervision, and evaluation; program evaluation; outreach parent training; home-based early intervention; vocational training;…