The case study describes various treatments implemented over a three-year period to reduce and eliminate multiple and severe self-injurious behaviors in a 45-year-old retarded and psychotic institutionalized man. Nonaversive intervention and community involvement was associated with positive behavior change and eventual community placement. (DB)

The Self-Report Depression Questionnaire (SRDQ), a measure of depressive symptomatology in persons with mental retardation, was administered to 89 mentally retarded adults living in community-based settings. The SRDQ demonstrated high internal consistency reliability, as well as moderate stability over an 11-week period. Content validity and…

This report describes the activities and outcomes of a pioneering Telehealth project in which clinical psychologists use state of the art satellite technology to consult with paraprofessionals who live and provide treatment settings to persons with the dual diagnosis of developmental disabilities and mental illnesses. The goal is to provide early…

The case study describes a family residential service for three people with profound and multiple disabilities in Burlington, Vermont. The disabled individuals live with a couple and their two children who are also provided support services in the form of weekend relief and helpers for the late afternoon and evening period. The house is owned by a…

The relationship between cost-efficiency and personal characteristics of 111 supported employees were examined. When sheltered workshops were used as alternative placements, supported employees with high IQS benefited more from employment within the community than did supported employees with lower IQS. From society's perspective, African-American…

This evaluation project was designed to assess 37 persons (ages 21-72) who had moved from intermediate care facilities or skilled nursing facilities into innovative one-person or two-person community integrated living arrangements as a result of the Supported Placements in Integrated Community Environments project. The 37 persons had severe or…

This executive summary presents highlights of a study which sought to determine whether participants in the Supported Placements in Integrated Community Environments project were better off after moving to community homes from intermediate care facilities and skilled nursing facilities, and to determine the variables that contribute to quality…

This report on Community Vision, Inc. is part of a series documenting innovative supports for community living for adults with severe disabilities. Community Vision was created as an alternative to facility-based services in Oregon that would intentionally focus on providing inclusive community living for those with the most severe disabilities…

The paper addresses issues in providing community services for people with both mental retardation and emotional or behavioral disorders. First, it explores the meaning often found at the root of the often elusive definition of dual diagnosis concluding that this has become a catch-all category for people who present existing service systems with…

This paper presents an example of "optimistic research," a qualitative approach which focuses on positive interventions helpful to practitioners, in this case an examination of programs successfully integrating people with severe disabilities. The study evaluated 40 programs through site visits which focus on observation, interviews, and…

This report on "Options for Individuals" is part of a series documenting innovative supports for community living for adults with severe disabilities. Options for Individuals, which began in 1984 in Kentucky, uses Medicaid waiver funding to support 29 people with severe and often multiple disabilities during the day. While the program is…

This compilation brings together various conference papers and a working group report on the topic of residential services for people with deaf-blindness and other profound disabilities. The title paper by Lyle T. Romer describes three measures for evaluating residential programs: capacity, progress, and lifestyle. Valued outcomes of a residential…

This collection of papers examines instructional environments for students with severe disabilities. It points out that two principles should guide the selection of all instructional environments for all types of learners at all stages of instruction: the environment should be the least restrictive environment possible and it should be the most…