In this article Claire Hardman reflects on her work on behaviour management in two Romanian orphanages. Quite apart from the intrinsic interest of the topic, the article serves as a reminder of the number of professionals in this country who regularly take time out to work abroad in unfamiliar and often challenging circumstances and who come back…

Purpose: The purpose of this article is to explore how medical care is delivered to older people in assisted living (AL) settings and to suggest ways for improving it. Design and Methods: We present a review of the limited research available on health care for older AL residents and on building testable models of better ways to organize primary…

Purpose: This article assesses the state of research on assisted living (AL) from 1989 to May 2004. Design and Methods: We undertook keyword searches for AL research and amplified these with searches of Web sites, conference proceedings, and follow-up inquiries. We annotated and coded the resultant items according to categories reflecting the…

The normal aging process is not in itself a risk factor for constipation, but age-related morbidities, immobility, neurologic impairment or specific drugs are risk factors for constipation. This study was undertaken to examine the prevalence and risk factors for constipation in a large sample of 2400 persons with intellectual disability (ID) aged…

Purpose: This study analyzed the effect of consumer-directed versus agency-directed home care on satisfaction with paid personal assistance services among Medicaid beneficiaries in Washington State. Design and Methods: The study analyzed a survey of 513 Medicaid beneficiaries receiving home- and community-based services. As part of a larger study,…

Purpose: We assess how perceived rewards and problems with caregiving work and supervision relate to intent to leave among direct care workers who are employed in provider organizations participating in the Better Jobs Better Care (BJBC) demonstration; we also examine how these relationships vary by provider type. Design and Methods: Direct care…

The development of adolescents with severe behavioural problems receiving residential treatment in Holland was empirically studied during 1 year. Treatment methods included a standard program comprising behavioural modification and three specific treatment programs: psychodynamic treatment, structured community living and adventurous learning. The…

Patterns of career development in the field of child and youth care are reexamined in relation to roles that involve working directly with children in specific settings as well as in relation to roles that involve working indirectly in support of children through working with other adults, be these parents, other caregivers or professionals. Other…

"For Our Own Safety" is devoted entirely to the subject of, and risks associated with, restraint and seclusion of children. This book is a collection of the diverse viewpoints presented at the international symposium, "Examining the Safety of High-Risk Interventions for Children and Young People" (Ithaca, New York, June 1-4, 2005). It presents…

Multiple pathology, a common phenomenon among elderly, fosters the practice of multiple drug therapy, which is particularly hazardous for this age grouping. The total drug exposure of two typical elderly persons, one institutionalized and one living at home, were analyzed. Potentially harmful drug interactions were discerned in both cases. (Author)

The development of Systems Unlimited is summarized; a normalization program that provides community residential living for moderately to severely handicapped individuals, who usually were institutionalized. (Author/BD)

Examined the feasibility of community-based care for mentally ill offenders and defendants by surveying criminal justice professionals (n=36), mental health and forensic professionals (n=38), and social service representatives (n=21). Findings indicated that mentally ill offenders and defendants were seen as manageable in the community but needing…

A field study of residents' satisfaction or dissatisfaction with open-ward accomodations in a skilled-nursing facility revealed that 88 percent of the respondents preferred the open ward to any other type of room accomodation. Findings suggest that for residents with multiple functional disabilities, the open ward is a supportive environment.…

Among professionals, the use of the time-out room for the control of disturbed children in residential centers evokes varied and sometimes opposing opinions. This study is based on a questionnaire submitted to 50 residential treatment centers. (Editor)