The place of private residential programs in the care of individuals with disabilities is discussed. Problems often associated with residential centers are considered and the Woods School, a private institution for handicapped children and adults, is described as an example of the positive benefits of private institutional care. (PHR)

This symposium overview examines the outcomes of standards established in Intermediate Care Facilities for the Mentally Retarded to receive Medicaid funding. The argument is made that, although regulations have provided cleaner environments and better documented procedures, they lack in provisions promoting personal, moral, and educational…

This parable is presented in the form of news items and excerpts from jury testimonies in three fictional malpractice suits against physicians and adult care workers in group homes. Key issues at stake are the roles of Interdisciplinary Treatment Teams and Intermediate Care Facility for the Mentally Retarded regulations. (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…

This article reviews regulations governing Intermediate Care Facilities for the Mentally Retarded (ICF/MR), including 1971 ICF/MR Medicaid funding legislation, standards development by professional consensus, development of federal regulations, intergovernmental roles, and possible directions for the future. A need is seen for professionals to…

The article briefly reviews the history of deinstitutionalization and supports the development and use of a comprehensive evaluation process to evaluate the human and environmental factors that affect the potential for successful placement of handicapped persons in community-based residential facilities. (JW)