Changing client needs are reflected in the transition process as a residential institution serving mentally retarded older adults moves from a program designed for active client participation to one providing 24-hour nursing supervision and care. Issues such as certification requirements, physical plant adjustments, and staffing needs are…

Presents a brief overview of the development of Israel's heavy dependency on residential placement for child welfare. Recent trends reflect heavier reliance on community-based servcies for disadvantaged youth, but efforts to coordinate and improve such services are only beginning. (KH)

For some children who have been in residential treatment, life in a group home can provide a transitional experience to prepare them for return to their own home or for independent living. (Editor)

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.…

Results indicate equivalent levels of patient performance when contingent reinforcement in a residential token economy program was controlled by either patient peer groups or staff. Patients in a peer-managed program showed positive ward behavior, reductions in psychosocial problems, and increase in potential for adjusting to community life.…

Death rates among those referred to project services were lower within the first six months after enrollment, and the mortality rate difference was maintained throughout the first year. Death rate differences were related to specific long-term care services recommended and received, and to initial functional health status. (Author)

There is no accepted definition of "needs" of the elderly. Perceptions vary with age, professional role, relationships, and time. The wide range of methodologies presents problems. Research instruments are being refined. The use of index of incapacity measures offers the best data base for planning needed services. (Author/NRB)

Uses interviews with residents and ex-residents, ethnographic techniques, and document analysis to examine sexuality and sexual abuse in residential childcare settings, including how their culture and leadership contribute to abuse and the denial and invisibility of sexuality. Discusses issues around researching sexuality, children, and abusive…

An analysis of data on residential services for people with mental retardation between 1995-1999 found growth in recipients of Commonwealth/State Disability Agreement-funded residential services; a decline in the proportion of people housed in large residential settings; an increase in those served in group homes; and more rapid growth in…

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…

Mothers of normal children used more extreme categories when rating positive aspects of their children than did fathers. Mothers of maladjusted children and female child care workers who rated maladjusted children did not show this difference when compared to fathers or male child care workers. (Author/BB)

Reanalyzed data from a study on respite care's effects by focusing on the linear relationship between amount of respite use and probability of nursing home placement at the end of the treatment period. Results indicate a significant negative relationship between the amount of respite use and nursing home placement. (RJM)

Describes a curriculum for children between 7 and 13 years of age in residential care. The curriculum instructs the children in basic life skills and offers them a head start in developing self-sufficiency and fostering self-esteem. (HTH)

Fifty-seven direct care staff members from an intermediate care facility for adults with mental retardation rated the acceptability of interventions used for self-injurious behavior and completed a measure of knowledge about behavioral principles. Results indicated that staff age and educational attainment were related to knowledge scores, but…