Presents finding from an investigation of two group therapy modalities involving 93 women with dependent children and limited education and income levels. An overview of intervention activities that participants found beneficial is presented. Programs were found to help participants develop a sense of community, reduce stress, improve…

The Child Health and Illness Profile--Adolescent Edition (CHIP-AE) was administered to 63 adolescents in group settings. Domains studied were satisfaction, resilience, risk, achievement, and disorders. Compared to a normed group, youth in group homes or institutions felt physically healthy and safe and were resilient. Of concern were low…

Examines the psychological well-being of elderly assisted-living residents and factors associated with well-being. Depression, life satisfaction, and demographic, health, and social support variables were measured through interviews. A sizeable minority of the residents reported high levels of depressive symptoms and low life satisfaction.…

This article discusses results of regulations for Intermediate Care Facilities for the Mentally Retarded, arguing that, by establishing minimum standards for funding, these policies promote mediocrity. Strategies for promoting compliance behaviors are offered, as are observations on regulatory reform and the process of regulatory impact. (PB)

This article presents the argument that overregulation of Medicaid-funded residential treatment environments has placed rules ahead of contingency-based behavior of clients. Blame is focused on coercive enforcement of inaccurate rules, precluding responsive staff action. Solutions are advanced to encourage natural contingencies of teaching and…

Behaviors of 66 youth, 8 to 18 years old, with emotional and behavioral disorders that put them at risk for placements outside their homes and/or communities were investigated. Behaviors most predictive of at-risk status were physical aggression, extreme noncompliance, peer interactions, and extreme verbal abuse. (Author/SW)

This paper reports on outcomes of a deinstitutionalization project for children with severe multiple intellectual and physical disabilities, in which 98 residents of a hospital were relocated to small group homes. Positive effects were found in self-care and in social interactions. No meaningful changes in physical health were observed. (Author/PB)

Thirty-two facilities for the elderly in Spain were compared with 55 such facilities in the United States through a Spanish translation of the Multiphasic Environmental Assessment Procedure of R. Moos and S. Lemke (1979). Implications of program findings for facility improvement and methodology for international evaluation are discussed. (SLD)

Analysis of the 1977 and 1985 National Nursing Home Surveys with respect to residents with mental retardation found little change in the size of the population; resident characteristics (such as other disabling conditions and functional limitations and primary source of payment); and level of services received. Challenges in implementing Public…

Presents an intervention, used in the Netherlands, that empowers clients in residential care homes. The intervention comprises a standardized survey-feedback procedure in which residents' opinions on life and care in their particular home are gauged, discussed, and reported. Explores instrument validity, reliability, and its use in the home. (RJM)

Describes a workshop in which family members and friends of persons with dementing disorders who live in nursing homes develop stories of these residents' lives. The workshop is product-oriented, is not meant as a support group, and works best in organizations emphasizing individualized care. Stories should help staff members better understand…

The effects of resident behavior and resident characteristics on the quantity and quality of care 452 residents with severe mental retardation received from 416 direct-care staff was examined. Results found certain resident characteristics, and behavior did influence specific aspects of the care they received, especially ambulance, communication,…

Describes Nokomis/Mishomis Place, an assisted living home for elders of the Sault Ste. Marie Tribe of Chippewa Indians. Discusses background on Native American elderly in the United States and Michigan, development of the home, services offered, culturally relevant environment and activities, funding, and problems related to facilities planning…

Examined the effects on veteran and novice participants of a life review program for nursing home residents with Alzheimers disease or severe cognitive dysfunction. Results confirm the impact of the Life Review Program on level of disorientation, social interaction, and life review. Evidence suggests that life improvements may be stored in memory…

Draws on information collected from 877 subjects in Hong Kong using structured questionnaires to highlight the importance of parental involvement in the child's prospects of returning home from residential care. Challenges decisions in discharge planning that do not take into account an overall view of the child's needs. (MOK)