Describes an educational program that contributed to a 90% reduction in the use of physical restraints in nursing homes over a two-year period. Program consists of a workshop, telephone and on-site consultations, regional meetings, and other support materials. Surveys suggest that the project can be easily adapted by care providers. (RJM)

Describes a research model designed to investigate the shift in the care delivery site from the acute care institution to the home and community. Transitional care may soon become familiar jargon in community health care. (JOW)

This study examined issues of communicative control for residential program staff and eight individuals with deaf-blindness and mental retardation. For six of the subjects, communication was initiated and dominated by others in the environment. Rate of communication with other residents and visitors was extremely low. Implications for…

British residential care staff (n=143) were given scenarios describing tasks they might carry out and asked what would happen if they did or did not do them. Although a majority reported consequences from managers or coworkers, a large minority did not. The tasks for which most reported consequences were administration. (Contains references.)…

This paper reviews the international scientific evidence on the effectiveness of secondary prevention interventions for young drug users. The review provides insight into the effectiveness of interventions that have been evaluated using moderately strong research designs. Most of the studies included are from the United States of America. Some…

Most literature on staff-family relationships has come from studies of long-term care settings, has focused mainly on the families' perspectives on factors affecting their relationships with staff, and has included scant findings from the staff's perspective. No studies that examined staff-family relationships in complex continuing care (CCC)…

Out-of-home treatment for youth with conduct problems is increasing rapidly in this country. Most programs for these youth deliver treatment in a group format and commonly employ some version of a token economy. Despite widespread evidence of effectiveness, a substantial minority of treated youth fail to respond. Participants for this study were 3…

Background: This study presents data on the characteristics of the Camberwell Cohort, 25 years after they were first assessed in the 1970s [Wing & Gould (1979) "Journal of Autism and Childhood Schizophrenia" vol. 9, pp. 11-29]. It also presents data on changes over time which adds to that presented in Beadle-Brown et al. ["Journal of Intellectual…

Obesity and its related health problems in people with intellectual disabilities were examined, focusing on differences related to their place of residence. The prevalence of obesity was higher in older women living in community group homes than in the same age group of women living in institutes or among the general population. Hyperglycemia,…

Residential care must be redefined, free from jargon and rhetoric. Over the past 20 years, the social welfare approach, which encompasses the medical model, has dominated legislative and practical thinking about residential care. This theoretical thinking reached its culmination in the concept of the therapeutic community. The therapeutic…

The document reports results of a survey involving 4,427 community residential facilities (CRFs) for mentally retarded individuals. The report is divided into four major sections: Part I includes a review of the status of CRFs prior to the 1977 survey; Part II describes the methods and procedures used in conducting the survey; Part III presents…

The book reviews trends and developments in residential services for mentally handicapped persons. The first section deals with basic changes in the number of institutionalized residents (including detailed statistics on numbers and costs per patient for each state), the origin and nature of institutionalized models (architectural and historical…

The recently developed State-Trait Anxiety Inventory for Children was used to explore the stress experienced by youngsters who were placed from home into a state residential setting for diagnostic evaluation or involvement in a rehabilitation program. (Author)

Increasing attention is being paid to group homes as an alternative form of residential care for adolescents. In the home described here, young people who had been recommended for hospitalization or long-term residential treatment were helped by nonprofessional counselors to deal with their problems successfully. (Author)

A national survey of Residential Care Home programs revealed that most facilities were family owned and operated. A provider survey revealed that homes regulated by departments of health were more institutional than were homes regulated by integrated, social service departments. Elderly residents had high satisfaction. (Author/ABB)