Examines the historical and sociocultural context of Japanese residential child care. Presents three case studies of institutional child abuse to explore its socio-cultural causes. Concludes that lack of leadership in public homes, the wrong leadership authorized unprofessionally in private homes, and the lack of universal systems of public…

"Disruptive" vocal behaviour is common in nursing homes, but presents significant management challenges. Non-pharmacological approaches have been found to be effective and preferable interventions in such situations. A case study is presented of an 85-year-old woman who displayed frequent screaming and calling out during personal care…

The deaths of five resident clients at the Terence Cardinal Cooke Health Care Center (New York), a residential program for profoundly impaired and medically fragile individuals with developmental disabilities, in March and April of 1989 were investigated. Methods of study included examination of medical records from the Cooke Center and other…