Choice in everyday decisions and in support-related decisions was addressed among 2,398 adults with intellectual and developmental disabilities receiving Medicaid Home and Community Based Services (HCBS) and Intermediate Care Facility (ICF/MR) services and living in nonfamily settings in six states. Everyday choice in daily life and in…

This article draws on existing theory and research findings in the field of quality of life (QoL) and those with learning/intellectual disability and extrapolates current thinking in terms of measurable domains of QoL. The condition of autism spectrum disorders (ASD) is becoming increasingly prevalent in the sector of supported living and adult…

Purpose: Institutionalized veterans in Taiwan are a high-risk group for completing suicide due to their institutionalization and social minority status. The purpose of this study was to understand the suicide experiences, especially the triggers of suicide in this group. Design and Methods Data: about suicide experiences were collected from 19…

Using three waves of data from the National Survey of Child and Adolescent Well-Being, this study examines differences in cognitive, academic, and affective well-being of youth first placed in nonkinship foster care (N=259) and youth first placed in group care (N=89). To compare nonrandomized groups, propensity score matching was used. Results…

In this meta-analysis of 75 studies on more than 3,888 children in 19 different countries, the intellectual development of children living in children's homes (orphanages) was compared with that of children living with their (foster) families. Children growing up in children's homes showed lower IQ's than did children growing up in a family…

Traumatized youngsters are frequently admitted to psychiatric hospitals and residential treatment facilities (RFTs; Lawson, 1998). Institutionalization can be a traumatic event that involves an assault on personal autonomy and self-direction (Mohr, Mahon, & Noone, 1998). According to Visalli, McNasser, Johnstone, and Lazzaro, (1997) external…

This paper discusses how the internal worlds of adolescents who are looked after in residential care homes impact upon workers and generate complex dynamics within teams. This is especially so regarding internal parental objects and couplings, which inevitably include those of abandoning, abusive and ambivalent parental figures. Versions of these…

It is widely accepted that young people residing in residential care transition to independence and adult responsibilities earlier than peers living within their family of origin. There has been a lack of literature examining the way young people in care construct this transition. In response, in-depth qualitative interviews, guided by grounded…

Background: The disability policy in Taiwan has traditionally emphasized residential care in large institutions and, more recently, medium-sized group homes. This paper compares the relative costs, services provided and outcomes between the traditional institutions, medium-sized group homes and new small-scale community living units that were…

There have long been concerns about the use of physical restraint in residential care. This article presents the findings of a qualitative study that explores the experiences of children, young people and residential workers of physical restraint. The research identifies the dilemmas and ambiguities for both staff and young people, and…

This article explores the core themes and issues of private residential service delivery for children and youth in Ontario, with a specific focus on staffed group care within this sector. Such exploration highlights the juxtaposition of the public rights of children with the private world of service provision. Based on twenty interviews with…

The present study focused on the objective components of quality of life (QOL) of people with profound multiple disabilities (PMD). More specific, we aimed at evaluating different dimensions of QOL of people with PMD and investigating the association between their QOL and several personal (age, gender, intellectual capabilities, motor limitations,…

This study examined need, predisposing, market, and regional factors that predicted the likelihood of individuals with developmental disabilities living in state developmental centers (DCs) compared with living at home, in community care, or in intermediate care (ICFs) and other facilities. Secondary data analysis using logistic regression models…

Purpose: The purpose of this article is to discuss the benefits and limitations of, and considerations in, developing a typology of assisted living (AL). Design and Methods: We conducted a review and comparison of nine AL typologies drawn from the literature. Results: Typologies addressed matters related to the structure, process, population, and…

In this paper the origin of the Camphill Movement will be outlined. Particular attention will be paid to the influence of the Moravian Brethren educational model in the development of the Camphill Schools. A key influence which helped to shape Camphill philosophy and practice was the writing of Jan Amos Comenius (1592-1670), a bishop in the…