This viewpoint examines the complex ethical issues inherent in art therapy practice within a health-care setting for adults with dementia. The author explores and discusses the ways in which aspirational ethical principles outlined by the American Art Therapy Association can provide direction and guidance. The 6 aspirational ethical principles of…

Through the use of face-to-face interviews, this article explores residential carers' perceptions and understanding of a physiotherapy service provided to patients with a learning disability, with the aim of highlighting potential areas for improvement in the service. Carers involved in the study reported a good relationship with the…

Choice in everyday decisions and in support-related decisions was addressed among 2,398 adults with intellectual and developmental disabilities receiving Medicaid Home and Community Based Services (HCBS) and Intermediate Care Facility (ICF/MR) services and living in nonfamily settings in six states. Everyday choice in daily life and in…

Background: The disability policy in Taiwan has traditionally emphasized residential care in large institutions and, more recently, medium-sized group homes. This paper compares the relative costs, services provided and outcomes between the traditional institutions, medium-sized group homes and new small-scale community living units that were…

Observations were conducted of the in-home leisure activity of three adults with severe disabilities in three supported independent living (SIL) sites. Results indicated a lack of leisure engagement. Potentially preferred, typical leisure activities were then identified by consulting lists of common leisure activities, surveying adults in…

Background: This study examined parental involvement in relocation and post-placement care of offspring in residential facilities for adults with intellectual disability, as well as the characteristics of residents, parents, and residential institutions and the effect of those variables on parental perceptions of their offspring's life…

The document reports results of a needs assessment of the incidence and prevalence of developmental disabilities in New Mexico, in conjunction with estimates of the probable demand for residential services. An introductory section outlines the scope of the study and distinguishes among three types of demand for services: potential demand,…

A study of 16 individuals with severe and profound mental retardation and 16 direct-care staff from a residential facility investigated changes in interactive behaviors between clients and staff. Results found that, after staff training, there were slight positive increases in staff interactions with the residents. No consistent change was found…

The impact of inservice generated staff knowledge changes on the behavior of 42 mentally retarded adults was assessed. Findings demonstrated an effective time-efficient means of collecting client behavior change data, as well as a 51 percent growth in measured staff knowledge, anD a decrease in each of nine targeted maladaptive behaviors.…

This study assessed the Resident Lifestyle Inventory for congruent validity, test-retest reliability, and social validity using 19 severely disabled adults in community-based residential facilities. Results indicate the test is psychometrically acceptable and accurately used by residential programs. Support staff also consider it useful for…

The report investigates the medical background and circumstances surrounding the death of a severely retarded adult male who was a resident of a community developmental center in New York State. It illustrates the complex medical, legal, and ethical issues involved in medical decision making on behalf of persons unable to provide informed consent.…