This study examined issues of communicative control for residential program staff and eight individuals with deaf-blindness and mental retardation. For six of the subjects, communication was initiated and dominated by others in the environment. Rate of communication with other residents and visitors was extremely low. Implications for…

Board games called Games of Rapport are being developed at the University of Alberta. The first, "Angels and Devils," is designed for play by nursing home residents. Results of a study involving "Angels and Devils" show that board games are useful in communicating rehabilitative objectives and sources of conflict. (Author/BEF)

This article presents the argument that overregulation of Medicaid-funded residential treatment environments has placed rules ahead of contingency-based behavior of clients. Blame is focused on coercive enforcement of inaccurate rules, precluding responsive staff action. Solutions are advanced to encourage natural contingencies of teaching and…

Analysis of the 1977 and 1985 National Nursing Home Surveys with respect to residents with mental retardation found little change in the size of the population; resident characteristics (such as other disabling conditions and functional limitations and primary source of payment); and level of services received. Challenges in implementing Public…

A Special Behavior Unit provided short-term residential treatment to persons with mental retardation who displayed severe maladaptive behavior. Program evaluation data indicated decreases in frequency of targeted behaviors during clients' residence. Post-discharge follow-up data indicated that 40 percent showed at least adequate adjustment and…

Residential specialists (N=759) in public and private facilities for mentally retarded adults were surveyed to identify the skills that they consider essential for mentally retarded adults to function in different residential settings (unsupervised apartment, supervised apartment, and group home). Significant differences were found among settings…

This paper explores historical and recent trends in the delivery of residential adolescent substance abuse treatment, looking specifically at the impact of managed care on the service delivery system. Three historical eras are conceptualized by the authors: (1) an era prior to managed care in which services were provided on a fee for service basis…

This study evaluated two methods of presenting a videotaped lesson on the care of residents with low vision to 87 staff at long-term care facilities. Both versions of the videotape, one which presented information in a narrative format and one which used text overlay to highlight ideas, were equally effective. (Author/JDD)

Knowledge and perceived utility of behavioral methods were surveyed in a sample of 107 direct-care staff members in an institution for persons with mental retardation or psychiatric disabilities. Results indicated that behavioral methods were generally considered useful, but the overall knowledge level concerning such methods was low. (Author/KM)

This article sets out a rationale and provides a model for family work by group care practitioners. In doing so it points out that practitioners will need to avoid parent blaming attitudes and become family-centered rather than simply child-focused. Thus the critical issues to be addressed are how to ensure that a group care program is from an…

Asserts that, among the many disadvantages suffered by children cared for by public agencies, low educational achievement has the most serious consequences for their future life chances. Reports that research findings on young people previously in care confirm that education is crucially important for the quality of their adult life. (CFR)