Background: There is strong evidence about the effectiveness of Active Support. Recent research has established predictors of good Active Support as staff training, practice leadership, and service setting size. This paper explores features of organisational leadership and structures predictive of Active Support. Methods: Multilevel modelling with…

The present study addresses critical gaps in the literature by examining residential transitions among 303 adults with intellectual disability (ID) over 10 years (Part 1) and 75 adults with Down syndrome over 20 years (Part 2). All adults lived at home at the start of the study, but many moved to a variety of settings. Several characteristics of…

Purpose of the study: Caregiver burden is a multidimensional construct, addressing tension and anxiety (stress burden), changes in dyadic relationships (relationship burden), and time infringements (objective burden) resulting from caregiving. The study aims were to assess (a) whether the dimensions of burden were the same for caregiving spouses…

Background: Individuals with intellectual disabilities are more likely to experience a breakdown in their community residential placement if they display "challenging" behaviour. However, some individuals with behaviour that poses a severe challenge live successfully in community services long-term, indicating that other factors are also…

Much controversy exists regarding the effectiveness of residential treatment. Recently, emerging research has demonstrated that community-based residential treatment has more positive long-term outcomes for youth. This article describes a community-based program that was implemented at a residential treatment agency serving youth. Targeted…

Background: Interpersonal staff behaviour is one of the instigating factors associated with challenging behaviour in clients with intellectual disabilities (ID). There are several studies focusing on the influence of intrapersonal staff characteristics--such as beliefs, attributions and emotional reactions--on staff behaviour. Little is known,…

The authors analyzed delinquent development from age 12 to 32 in 270 male offenders who underwent residential treatment for problematic behavior and delinquency in a Dutch juvenile justice institution. Stable personality and background characteristics were measured on admission. The development of offending was examined on the basis of conviction…

A study investigated the use of different interventions for 151 individuals with mental retardation in residential care: Individualized Habilitation Plan objectives concerning challenging behavior, one-to-one crisis intervention in the preceding 30 days, and behavior management professional services in the preceding 6 months. Externalized…

Interviews with 137 primary caregivers with developmentally disabled family members (ages 2-62) on waiting lists for out-of-home placement found that caregiver stress was a significant predictor of the urgency of placement need. Behavior problems of the disabled person were almost as important. Lack of support services was correlated with…

This study found that accuracy in predicting the out-of-home placement of children with severe disabilities increased little in a large cross-sectional sample (n=5,992) over a smaller semilongitudinal sample (n=141). Factors such as age, adaptive and maladaptive behavior, and ethnicity are discussed. (Author/JDD)