In a prospective study, the attachment style, home-leaving age, length of time in residential care, and behavioral problems among Israeli residential care children (N=68), were studied. Data analyses showed that children removed from their homes at a later age suffered from higher levels of anxiety, depression and social problems compared to…

A research and intervention project to enhance cultural competence (CC) within nursing home staff is described, with particular emphasis on the qualitative findings generated during baseline assessments of 10 participating facilities. These findings, developed from an analysis of transcripts of 56 focus groups, suggest the importance of five CC…

Purpose: The U.S. Department of Veterans Affairs has adopted two functional assessment systems that guide care planning: one for nursing home residents (the Resident Assessment Instrument [RAI]) and a compatible one for home care clients (RAI-HC). The purpose of this article is to describe the RAI-HC (often referred to as the Minimum Data Set-Home…

Background: This study aimed to examine whether the social information-processing model (SIP model) applies to aggressive behaviour by children with mild intellectual disabilities (MID). The response-decision element of SIP was expected to be unnecessary to explain aggressive behaviour in these children, and SIP was expected to mediate the…

Background: Official guidance on out-of-area placements creates incentives that could lead to people being placed against their own best interests, with negative consequences for them and for the "receiving" authorities. Method: Information was collected for 30 people through interviews with them, their families, home managers and care managers.…

The objective of the study was to study differences in aging phenomena among adults with intellectual disability (ID), who live in community residence versus their peers in residential care centers and to determine the contribution of health status, age, gender, etiology and level of ID to the decline in ADL function with age. Our study was based…

The Rutter Scales were used to assess the level of behavior disorders reported by houseparents and teachers, in a group of 182 children undergoing long-term residential care in 62 children's homes run by local authorities and voluntary bodies. (Author)

Examines seven variables basic to the idea of community in relation to the organization of institutions: status, role definition, mobility, unifying theme, sanction, system, communication, and decision-making. Argues that the unifying theme is the major independent variable which influences the developmemt of an effective institution. (KH)

It is predicted that institutions for the retarded will be phased out and that the need for most types of group residences will decline due to the development of residential alternatives to institutions and nonresidential community services. (KW)

This multimodality approach is geared primarily to the goal of abstinence. For addicts who cannot achieve this goal, methadone maintenance is suggested as the next step. The modalities described range from low-dose maintenance for clinic outpatients to intensive rehabilitation in a methadone maintenance residential center facility. (Author)

Based on evidence from previous research, discusses the kinds of services and service delivery systems required if deinstitutionalization programs for the chronically mentally ill are to succeed. Recommends that more resources be allocated to this population and that changes be made in the use of existing resources. (Author/MJL)

Interviews with 61 adolescents in juvenile detention centers revealed a very high rate of emotional disorders, especially suicide thoughts and attempts. However, recent health care changes result in adolescents' longer stays in detention centers rather than in the residential treatment that they need. (SK)

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…

A philosophy of interdisciplinary management of the severely and profoundly regarded is described in the monograph which also includes reporting and evaluation processes. Ten clinical reports of an actual case are provided to demonstrate the adequacy of the multidisciplinary method. These reports assess the medical condition, psychological…