This paper documents the experiences of a group of parents who came together to form a human service cooperative in their local community to address the needs of their adult children with intellectual and developmental disabilities. Each parent felt that their child's needs were not (or could not be) met by existing providers. Parent leaders who…

Conducted survey of 107 federally-funded independent living centers to obtain information about services provided to people with mental retardation, mental illness, traumatic head injury, and cognitive disabilities associated with aging. Found that most centers provided services to at least one of four groups; a substantial number of centers did…

There is increasing awareness that domestic violence (DV) and child maltreatment often overlap and that there are significant negative consequences to women and children who are victims in the same families. The present study contains data from a participatory evaluation of a multisite national demonstration project on family violence (the…

Proposes a framework for the evaluation of health and human services programs in community settings. Applies this framework to the discussions in this special issue to see how well the chapters advance community-based program evaluation. Concludes that the chapters are valuable for those interested in improving the evaluation of community-based…

Argues for maintaining a discovery capacity (both qualitative and quantitative) in evaluations of community-based health and human service programs. Discovery capacity is defined as a mechanism to detect new insights and developments in programs. Cites reasons this capacity is especially important in community-based programs. (SLD)

Flexible service dollars can help in tailoring services to meet the unique needs of rural children with serious emotional disturbance and their families. This paper discusses terminology, programmatic components, and uses of flexible service dollars in North Idaho and upstate New York, to highlight such family needs as economic supports,…

This paper contrasts the rhetoric of quality assurance with the realities of poor quality in today's Intermediate Care Facilities for the Mentally Retarded (ICF/MR). The ICF/MR operational model is described as paper oriented, failure based, and insensitive to the effects of its own practices. Recommendations include the establishment of local…

This article features Crisis Skylight, a learning and activity centre, which opened in Spitalfields, East London, in 2002. Crisis Skylight was developed by Crisis, a national charity for single homeless people. It gives homeless people a chance to learn alongside other, non-homeless, members of their communities. Skylight's remit was…

Discusses establishment of a community program designed to provide intervention services, support and education for the dying, their families, and the community. Included is a brief history, the nature of the program, problems related to community acceptance, and the current status and future of the program. (Author/JAC)

A survey of 133 Illinois direct service providers across various agencies indicated that providers are committed to serving youth with emotional/behavioral disorders locally, but perceived a lack of effort to eliminate ineffective programs and identified procedural barriers to providing comprehensive community-based services. A wide variety of…

This article examines factors influencing the provision of high-quality services to individuals who are deaf-blind. Various definitions of this population and the unique challenges in serving them are addressed, as are transitional services, gaps in services, the importance of interagency collaboration, and components of a successful service…

Current trends in mental retardation services in Massachusetts were investigated using the New England region, the state of Michigan, and the United States as comparative frames of reference. Massachusetts' movement toward reducing reliance on state institutions, reallocating funding, and developing community services and family support is…

The institution-based model for providing services to individuals with disabilities has limitations in both developing and developed countries. The community-based rehabilitation model was positively evaluated by the World Health Organization as an alternative approach, but the evaluation is questioned on methodological and philosophical grounds.…

The Coimbra Early Intervention Project was undertaken in Portugal to develop the first coordinated, multidisciplinary, interagency program involving health care, education, and social service, using existing resources in the community. The program now operates regionwide and supports more than 100 families and children with disabilities or at…

Differences in service utilization and community adjustment between community mental health clients with and without substance abuse disorders were studied for 144 outpatients, 37 percent of whom had dual diagnoses (substance abuse and another disorder). The association of dual diagnosis with poor service use and adjustment is discussed. (SLD)