Individuals (n=55) with mild to moderate mental retardation rated the acceptability of differential reinforcement and time-out. Community-based subjects and institutionalized subjects differed in their ratings depending on the severity of the problem. (DB)

Assessed impact of comprehensive social service program on educational and psychological functioning of 152 adjudicated adolescents. Pretesting provided evidence of significant academic underachievement in all areas, as well as significant disturbances in psychosocial functioning. Posttesting documented improvements in all areas of academic…

Examined nursing homes that have both special care units and traditional units to determine factors that cause homes to place cognitively impaired residents on specialized units. Wandering, other problem behaviors, and Medicaid status were not significant predictors of placement. Logistic regression results indicated that functional status was…

Analysis of a national study of state-operated institutional care for mentally retarded persons is presented. Among findings are dramatic escalation in resident cost, primarily a result of declining institutional census with stable staffing levels. Econometric projections for the year 2000 are offered. (Author/DB)

The progress of 55 clients (ages 18-71) during their first year in a program for persons who are both mentally retarded and psychiatrically impaired was described. The clients increased their level of independence and decreased their frequency of problem behaviors. Unmet needs of this population for residential alternatives and community supports…

Records covering a five-year period of adults with mental retardation in a residential program were reviewed to determine differences in antipsychotic dosages over time. Findings suggest that individuals with mental retardation who do not have psychoses are a suitable group for dosage reduction and that use of alternative medications facilitates…

Examines the economic policies that led to the institutionalization of large numbers of children under inhuman conditions during the Ceausescu regime in Romania. Also examines the efforts of the present Romanian government, national and international organizations, and private groups to place such children with adoptive families both in Romania…

Behavior of direct care staff serving clients with mental retardation in 13 units of a large state-operated residential facility was observed. Results indicated that the activities of direct-care staff were influenced by the client's functioning level, the presence of professional staff, the location of the observation, and the resident- staff…

Examined presence of racial bias in Minnesota Multiphasic Personality Inventory's (MMPI) use with 22 Black and 22 White inpatient psychiatric patients. Found no statistically or clinically significant differences between 2 races on MMPI. Suggests that differences in previous studies may be attributable to variables other than race. (Author/PVV)

Developed database on ethnic elderly persons; examined extent of communication problems they face in hospitals, nursing homes, and homes for aged in Metro Toronto; and reported on institutional response. Nursing home supervisors (n=77) reported that communication was essential to health care needs of ethnic elderly individuals. Most health care…

Administration of the Dexamethasone Suppression Test (DST) for three groups of institutionalized patients with severe/profound mental retardation found that the 12 depressed patients more frequently (though not significantly) had positive DSTs and significantly higher cortisol levels compared with nondepressed patients with and without other…

This study of the forms and functions of expressive communication produced by 84 children and adults with severe mental retardation found significant differences among participants associated with differences in their communication levels (contact gesture, distal gesture, or symbolic), age (child or adult), and residential status (community home…

Traces the development and history of reform of the Massachusetts State Department of Human Services, which departed abruptly from a tradition of institutionalizing young offenders. The Massachusetts approach demonstrates the elements of successful intervention with young offenders through intensive services, community-based programs, small case…

Reliability analysis of the Motivation Assessment Scale was conducted on subscales completed by staff members working with 47 institutionalized adults with severe to profound mental retardation and self-injurious behavior problems. Internal consistency was found to be superior to interrater reliability. The instrument's internal consistency…

This article discusses the use of personal narrative in social science research and in helping individuals with learning difficulties renegotiate their sense of identity. One woman's story of her life is used to illustrate the corrosive effects of institutionalization in identity formation. (Contains references.) (DB)