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,…

This report presents findings of a Minnesota study group which reviewed the costs and structures under which developmental disabilities services are provided. The group conducted a series of town meetings throughout the state and concluded with a toll-free call-in day. Six themes emerged from the meetings: (1) "We have a lot to be proud of…