This practical staff development guide aims to help senior managers, practitioners and others, including placing authorities, to evaluate the quality of provision made for children and young people in residential special schools and secure care accommodation services. It highlights effective ways in which services can fully support some of…

Residential care must be redefined, free from jargon and rhetoric. Over the past 20 years, the social welfare approach, which encompasses the medical model, has dominated legislative and practical thinking about residential care. This theoretical thinking reached its culmination in the concept of the therapeutic community. The therapeutic…

Physical aggression among institutionalized mentally retarded persons arouses great social concern. To examine the effectiveness of four-point mechanical restraints and a positive adaptive symbol program in the reduction of high frequency, high intensity aggression, three institutionalized severely mentally retarded adolescents (2 females, 1 male)…

A widespread bias exists among legal, medical, and social service professionals that the appropriate placement for elderly individuals with cognitive impairment (dementia) is a nursing home. Two major reasons for institutionalization are to remove the patient from a potentially harmful situation and to relieve the family of the burden of care.…