This article outlines problems associated with large mental hospitals, describes how knowledge gained from these problems can be used to create alternative treatment programs, and introduces the papers in this special issue on community-based treatment programs for individuals with developmental disabilities. (JDD)

Raises concerns about the failure of mental health service providers to address the psycho-developmental needs of people with mental retardation, especially incarcerated individuals with severe behavior disturbances and both mental illness and mental retardation. A "flight from developmental theory" is seen in most service providers to this…