This symposium overview examines the outcomes of standards established in Intermediate Care Facilities for the Mentally Retarded to receive Medicaid funding. The argument is made that, although regulations have provided cleaner environments and better documented procedures, they lack in provisions promoting personal, moral, and educational…

This parable is presented in the form of news items and excerpts from jury testimonies in three fictional malpractice suits against physicians and adult care workers in group homes. Key issues at stake are the roles of Interdisciplinary Treatment Teams and Intermediate Care Facility for the Mentally Retarded regulations. (PB)

Analyzed relationship between cognitive impairment and use and cost of health care, examining data from 1981-1982 Long-Term Care National Channeling Demonstration Project. Results indicated a substantial cost difference between money spent on home, institutional or nursing home care for cognitively intact and cognitively impaired persons.…

Provides a selective review of relevant research on developmental psychopathology and its relevance for group care programming; a summary overview of major themes in residential care outcome research; and suggestions for future research on group care with implications for direct practice, service organization, and policy. (TJQ)

A description of the rationale for responding to welfare reform is followed by an overview of orphanages and child and youth care workers. A therapeutic parent model of reform is presented, and welfare reform proposals are evaluated in the model's context. (SLD)

An outreach and linkage program for the homeless mentally ill documented successful outcomes in terms of housing but not in terms of functioning for the 163 participants. Recruitment source, client functioning cluster type, and hours of service received were predictors of the four-month residential setting. (SLD)

An evaluation was conducted to determine the potential usefulness of the Child Behavior Checklist (CBCL) with 97 children aged 7-17 years living in residential mental health facilities. Comparison with other measures of behavioral functioning suggests the utility of the CBCL for evaluating children in residential placement settings. (SLD)

Provides a personal account of a British tutor's experiences with children at a state-run orphanage in Rumania, focusing on emotional reactions of the tutor and the children. Describes a cooperative project to provide the children with materials for play and learning activities, and discusses changes in orphanage practices after the project. (AC)

The Greenwood in Vermont provides residential care for elders, day care for preschoolers, and after-school care for school-aged children. It is economically profitable and contributes to positive interactions between children and adults. (SK)

This study examined the involvement of families with children and adult family members (n=163) with mental retardation in residential treatment and programs. Multiple regression found three variables that accounted for most of the variance in involvement: (1) distance from the residential facility; (2) expectation that the family member would…

Introduces theme issue on assessing outcomes in children's services, based on presentations given at a conference in September 1997. Articles in Part 1 deal with assessing outcomes for services to all children in need. Articles in Part 2 focus on initiatives in Britain and elsewhere related to the Looking After Children project, dealing with…

Used the "Assessment and Action Record" from the "Looking After Children" materials to identify needs and desired outcomes for youth leaving out-of-home care in 1995 in an English local authority. Found that desired outcomes included providing information and knowledge, providing the means to acquire financial-related skills…

This commentary discusses the structure of residential care in the United States, the aging of caregivers and the growing demand for services, the increased longevity of persons with developmental disabilities, the long waiting lists for services, and state initiatives to address waiting lists. Policy considerations and recommendations are…

Background: This study examined parental involvement in relocation and post-placement care of offspring in residential facilities for adults with intellectual disability, as well as the characteristics of residents, parents, and residential institutions and the effect of those variables on parental perceptions of their offspring's life…

This case study presents a case study of the effectiveness of Mode deactivation therapy (MDT) (Apsche, Bass, Jennings, Murphy, Hunter, and Siv, 2005) with an adolescent male, with reactive conduct disorder, PTSD and 8 lethal suicide attempts. The youngster was hospitalized four times for suicide attempts, three previous placements in residential…