Background: Concern has been expressed repeatedly about the cost and quality of residential placements for adults with learning disabilities and additional needs. This study sought to identify characteristics of the highest cost placements in the South-East of England. Method: Lead learning disability commissioners in the South-East of England…

Background: People with severe challenging behaviour are vulnerable to exclusion from local services and removal to out-of-area placements if locally available supported accommodation is insufficient to meet their needs. There are concerns about the high costs and potentially poorer outcomes of out-of-area placements but relatively little is known…

The article relates the nursing home component of a nationwide study of public mental retardation/developmental disabilities spending to requirements of Public Law 100-203. Approximately 51,000 individuals with developmental disabilities resided in nursing homes in 1989 of which 40 percent may need to be relocated under P.L. 100-203. (Author/DB)

The paper reports on changes in the size and type of operation of residential facilities for persons with mental retardation in the United States over a recent decade (1977-1987). It also reports current (June, 1987) variability among states along these same dimensions. The decade saw a decrease of 9.6% in the number of mentally retarded persons…

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)