This study examined differences in two residential care giving models (houseparent vs. child care worker) in providing continuity of care for youth in residential placement, and the effect that a care giving model had on selected program outcomes. Data for this research were collected in a residential facility that used both models. Youth with…

The great majority of children living in foster or residential care have been abused and neglected. Mental health problems are common and the nature of these problems may be rooted in early attachment relationships. The carers of 82 children in care in Scotland and 125 children from local schools completed questionnaires on mental health problems…

Purpose: When cognitively impaired nursing home residents exhibit agitated and aggressive behaviors during bathing, nursing home caregivers are in a unique position to improve residents' experience. This report addresses whether certified nursing assistants (CNAs) who received training in a person-centered approach with showering and with the…

The report discusses public policy issues affecting services to the disabled. Aspects covered include umbrella versus categorical service organization, independent living, independent living services, deinstitutionalization and the unions, utilizing Medicaid for 24 hour residential services, national health insurance, financing home services and…

Individual written and verbal performance feedback was examined to determine its influence on the safety with which physically disabled clients were transferred. Two client-transfer techniques were task analyzed and six direct service providers' on-the-job performance was measured weekly. Feedback was consistently followed by improvements in safe…

Offers recommendations to help advocates of the team approach in group care facilities for children and adolescents overcome some of the problems they may have with implementing team models according to their own designs. (NH)

Reviews recent research showing that child and parent, or caregiver and care receiver in nonfamilial, group settings, need each other reciprocally and need to find mutual fit. Focuses on stress laid on importance of dependence support, attachment behavior, and mutuality of caregiver and care receiver. Discusses effect of day care and significance…

Two groups of Welsh Ss were video recorded on two occasions: both before and after one group was transferred from standard institutions to residential-style group homes. (Author/DLS)

Presents finding from an investigation of two group therapy modalities involving 93 women with dependent children and limited education and income levels. An overview of intervention activities that participants found beneficial is presented. Programs were found to help participants develop a sense of community, reduce stress, improve…

The Child Health and Illness Profile--Adolescent Edition (CHIP-AE) was administered to 63 adolescents in group settings. Domains studied were satisfaction, resilience, risk, achievement, and disorders. Compared to a normed group, youth in group homes or institutions felt physically healthy and safe and were resilient. Of concern were low…

Examines the psychological well-being of elderly assisted-living residents and factors associated with well-being. Depression, life satisfaction, and demographic, health, and social support variables were measured through interviews. A sizeable minority of the residents reported high levels of depressive symptoms and low life satisfaction.…

This article discusses results of regulations for Intermediate Care Facilities for the Mentally Retarded, arguing that, by establishing minimum standards for funding, these policies promote mediocrity. Strategies for promoting compliance behaviors are offered, as are observations on regulatory reform and the process of regulatory impact. (PB)

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…

Behaviors of 66 youth, 8 to 18 years old, with emotional and behavioral disorders that put them at risk for placements outside their homes and/or communities were investigated. Behaviors most predictive of at-risk status were physical aggression, extreme noncompliance, peer interactions, and extreme verbal abuse. (Author/SW)

This paper reports on outcomes of a deinstitutionalization project for children with severe multiple intellectual and physical disabilities, in which 98 residents of a hospital were relocated to small group homes. Positive effects were found in self-care and in social interactions. No meaningful changes in physical health were observed. (Author/PB)