Text of a Congressional hearing examining the 10-year-old Long-Term-Care Ombudsman Program funded under the Older Americans Act is presented in this document. Opening remarks are given by Representatives Wyden, Snowe, Biaggi, and Robinson. Witnesses testifying include: (1) Michio Suzuki, Associate Commissioner, Office of State and Tribal Programs,…

It is time to develop a variety of alternatives to a system of incarceration that, for hundreds of years, has not worked. This article discusses the advantages of pretrial diversion programs which offer supportive services and job training rather than imprisonment. (Author/HMV)

A study of library services to hospitalized patients since 1971 in the greater Providence, Rhode Island, area. (LS)

Presented are 34 guidelines and related charts developed by a New York panel of experts on psychotherapy with disturbed institutionalized adolescents. The guidelines are organized into general principles, specific indications (acute disturbances subacute, and chronic disturbances), and the patient's rights. Charts include a list of commonly used…

Presented are testimony and statements given in a hearing (October, 1977) before the subcommitte on Elementary, Secondary, and Vocational Education of the House Committee on Education and Labor, concerning the delinquent and neglected children in State institutions. Statements are included from G. Ahart, Director, Human Resources Division, General…

Data on institutionalized mentally handicapped persons is contained in tables describing recent trends of patient movement and administrative data in public institutions (1963-69), patient movement ratios, and personnel and financial data. Figures are listed by individual state in each category. (KW)

The Personal Orientation Dimensions (POD) scale was administered to a sample of psychiatric in-patients to assess their level of actualizing as compared with clinically nominated actualizing and normal samples. Significant differences were found for twelve of the thirteen POD scales. (Author/JKS)

Describes behavior and background of adolescents in a therapeutic community and proposes that all experiences in the residential context need to form a single integrated psychotherapeutic process. Central consideration is of the significance of food and its treatment potential in this total process. (Author)

Compared mortality rates for residents who transferred rooms within long-term care facility for reasons other than health (N=207) and for residents who did not move (N=353). Found mortality rates higher for moderately competent residents who moved than for non-movers; mortality rates for movers of high or low competence did not differ from those…

Considers informed consent standard inadequate for insuring autonomy in long term care. Argues for complex standard of "negotiated consent." Illuminates philosophical argument by qualitative data from interviews with physicians, nurses, and social workers in nursing homes, which demonstrated continuum of interventions ranging from…

Used multiple regression models, developed in the analyses of one prospective study, to identify the probability of institutionalization in the short- and long-term for elderly persons (N=3,883) with various constellations of high risk characteristics. Illustrates the distinct advantages of using combinations of traits instead of individual…

Examined patterns of consistency and change on the basic personality and symptom scales of the Millon Clinical Multiaxial Inventory in alcoholics and drug abusers. Both alcohol and drug abuser samples showed significant changes on most personality and symptom scales between intake and one month into treatment. (Author/BL)

Maladaptive behavior of 474 persons from a residential facility for mentally retarded individuals was investigated. Multiple regression analysis revealed that maladaptive behaviors were related to sex, social age, chronological age, resident's time spent on outside activities, number of residents per direct-care staff member, presence of sensory…

Institutional residents with Downs syndrome (N=413) were matched on sex, length of hospitalization, and IQ with residents of other diagnostic categories. Comparisons were made on 62 items of the Client Development Evaluation Report. Significant effects of age were found on 38 items and of diagnosis, on 19 items, but significant Age X Diagnosis…

A social/sexual skills training program for institutionalized mentally retarded adults using a commercially available table game and a specially designed card deck featured response-specific feedback, self-monitoring, individualized reinforcers, and individualized performance criterion levels. There were increases in all skill areas.…