The aim of this study was to examine the effectiveness of a new, integrated service delivery (ISD) network of health and social services for frail elderly living in a semi-urban community. A quasi-experimental study was conducted from 1997 to 2000, with measures taken before implementation (T0) and every 12 months after implementation for a 3-year…

At least three circumstances have converged to focus attention on the outcomes associated with residential treatment. First, the reduction in lengths of stay in the psychiatric hospital has resulted in residential treatment becoming the most expensive service on a per episode basis. Second, the increasing emphasis on the identification and use of…

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…

A modern and healthy society can be created only by bringing up the individuals of the society in a healthy way and according to the needs of the modern era. Thus, it is important to grow healthy children and young people. The first duty, which belongs to the family, is to make the children and the young people, who are the hope of the society and…

Results of an illustrative study emphasize the importance of the images that the elderly and the general public have of a rural community's services for senior citizens. These images help to identify ways in which programs and services can be tailored to the requirements of the elderly. Public support for political action that bears directly upon…

The effectiveness of various procedures in maintaining attendance at activities of residents at a geriatric facility was examined. A special, intermittently programmed or delayed consequence for attendance was added to regularly scheduled activities. Attendance at activities with and without the consequence was compared. Later, antecedent events…

Preservice training workshops involving instructions, role-playing, and feedback have been effectively utilized to train Teaching Parents for community-based homes for the treatment of youth in trouble. The present study extended this workshop model to the inservice training and followup of institutional cottage workers as they served retarded…

Data on referral and discharge from a short-term habilitative facility are used to illustrate the "survival analysis" of the rate at which institutionlized mentally retarded persons are released to the community and regression analysis of factors which help predict time to release. (Author)

A study of 64 British people with learning disabilities examined the differences in the levels of engagement in purposeful activity between the people living in staffed homes (n=34) and those living in the hospital (n=30). Results found that differences in the level of disability between the two groups predicted the observed differences. (CR)

Three case studies investigated the effect of the characteristics of autism upon researchers' abilities to elicit children's (ages 7-14) opinions about short-term residential care. Autism affected all three children's abilities to participate in the consultation process, they were calmer with known adults, and visually mediated methods…

This article uses preliminary data from 51 direct-care staff members and approximately 190 residents of a facility for nonambulatory individuals with profound mental retardation, to illustrate the roles of social, ecological, and regulatory contingencies of reinforcement and their potential counterhabilitative effects on residents. Results…

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…

Children with serious emotional disturbance receiving community-based services were compared to children with other disabilities and children with no disabilities. For the sample of 228 children, factors considered include: gender, race, guardianship, psychotropic medication, criminal record, previous involvement with the service system, and…