Background: To gain more insight into the antecedent factors of restraint in institutionalised people with intellectual disability (ID), the role played by several demographic and psychological client variables was investigated. Methods: The data of 475 people (age range 12-95 years) who were residents in a Dutch institution for people with ID…

The present study examined whether a sample of 214 (52.8% male, M age = 15.76, SD = 1.29) institutionalized adolescents could be classified into subgroups based on psychopathic traits. Confirmatory Factor Analyses revealed a relationship between the subscales of the Youth Psychopathic traits Inventory (YPI) and the three latent constructs of the…

Background: Community care is the support of people with intellectual disability in everyday life aimed at enhancing their integration into society. This article investigates influences of organizational characteristics on the implementation of community care in the Netherlands. In addition, we explored whether the attributes of community care as…

Background: Previous studies, both in hospitals and in institutions for clients with an intellectual disability (ID), have shown that medication errors at the administration stage are frequent, especially when medication has to be administered through an enteral feeding tube. In hospitals a specially designed intervention programme has proven to…

In high care settings for persons with intellectual disability (ID) aggressive incidents often occur. Still little is known about factors that are associated with an increased risk for aggressive behavior in clients who are admitted to an inpatient treatment facility. In four inpatient facilities, 108 adults with mild and borderline ID and…

This article presents a selective inventory of treatment methods of aggressive behavior. Special attention is paid to types of intervention that, according to research, are frequently used in Dutch residential youth care. These methods are based on (1) principles of (cognitive) behavior management and control, (2) the social competence model, and…

The development of adolescents with severe behavioural problems receiving residential treatment in Holland was empirically studied during 1 year. Treatment methods included a standard program comprising behavioural modification and three specific treatment programs: psychodynamic treatment, structured community living and adventurous learning. The…

This article focuses on the ways in which patterns of marriage and fertility shape older people's involvement in community groups and their support networks. The data are from Australia, Finland, Germany, Israel, Japan, the Netherlands, Spain, the United Kingdom, and the United States. Findings show that childless older adults, regardless of…

Based on case studies of a Dutch adult-education organization and an Irish residential center for mentally handicapped people, this article discusses some implementation dilemmas that occur when organizations face challenging innovations. Conflicting pressures for centralization and local autonomy in implementation activities and for unified and…

This Dutch study compares the behavior of staff (N=136) toward demented patients in residential homes with five expert recommendations for dealing with dementia. Results show that staff carried out the recommendations of encouraging activity, establishing effective communication, and not changing the patients' routine, but the staff tested and…

Presents an intervention, used in the Netherlands, that empowers clients in residential care homes. The intervention comprises a standardized survey-feedback procedure in which residents' opinions on life and care in their particular home are gauged, discussed, and reported. Explores instrument validity, reliability, and its use in the home. (RJM)

Resulting from a study conducted by the Advisory Housing Committee of the Dutch Society for Rehabilitation, the report describes housing conditions and possibilities for the physically handicapped in the Netherlands. Four categories of sheltered living conditions are described and analyzed: residential centers, supervised residential centers,…

Describes the evaluation of a training program in the Netherlands to enhance the professional competence of residential child-care workers in dealing with difficult situations involving adolescents. Pretest and posttest data from 35 adult subjects and 20 controls indicate a significant increase in knowledge and behavior after the program. (SLD)

Examined for 2 years behavior development in 200 Dutch juveniles with serious behavioral difficulties admitted for residential treatment. Found juveniles finishing treatment as planned developed comparably to Dutch adolescents in general population; those leaving prematurely had further developmental difficulties. Noted treatment features…

Since 1981, five Kursushuis ("course house") programs for delinquent youth have been established in the Netherlands. Although similar in many ways to Achievement Place (AP) programs, Kursushuis programs differ from AP programs in that they place fewer children in a course house and use a social competence model that allows task-specific…