The success of Positive Behavioral Interventions and Supports (PBIS) in typical schools has led to interest in PBIS for alternative programs, including residential programs. In this brief, we describe PBIS as implemented in a therapeutic treatment home for adolescents with mental health needs. The PBIS framework enabled the program to add Tier 1…

This study examines differences in domains of quality of life (satisfaction; choice and control; dignity, respect, and rights; inclusion; physical setting; family satisfaction) among people with intellectual disability and varying levels of support needs in a variety of residence types. The sample includes 2,639 people with intellectual disability…

A curriculum development model was formulated for training resident advisors (RAs) to work with developmentally disabled clients in small community homes. Overall findings suggested that the alternative living arrangement pilot training programs were highly effective in helping students acquire the knowledge and skills requisite to successful RA…

Evaluation of a training procedure to improve staff skills in the preventative and reactive management of severely challenging behaviors in a small residential treatment unit found reduced (though not statistically significant) behavioral incidents, use of major reactive strategies (restraint and emergency medication), and staff and resident…

A total of 79 boys with behavior disorders were assigned to Multidimensional Treatment Foster Care (MTFC) or Group Care. Data at 1 year post-discharge showed that boys in MTFC had significantly fewer arrests, engaged in fewer delinquent activities, spent fewer days incarcerated, and ran away from their placements less often. (Contains references.)…

The effectiveness of independent living programs for developmentally disabled persons in Los Angeles County was examined using a sample of 33 clients (ages 18-50) who exited such programs between June 1984 and June 1986. All but one were mentally retarded; seven also had either cerebral palsy or epilepsy. Survey forms for each client were…

Draws together the results of seven studies that investigated factors influencing the effects of service quality in community-based residential services for people with severe mental retardation. Results found that quality of staff and resident activity is dependent on an interaction between the structure, orientation, and procedures followed…

Many communities have turned to group homes and residential treatment centers to serve children and adolescents displaying behavioral and/or emotional problems, because most foster parents are not able to deal with such children, and the expense of psychiatric hospitalization is prohibitive. One alternative which has been used very sparingly is…

Effects of normalized living by eight severely to profoundly mentally retarded women residing in a structured community group home setting were studied over a two-year period. The group home environment emphasized normalized routines and procedures based on behavioral intervention methods. (Author)

Responds to a critique of "The Small ICF/MR Program: Dimensions of Quality and Cost" (Conroy), that questioned the research design of the study. It emphasizes the significantly higher quality of life ratings for community living arrangements in opportunities for choice-making, integration, individualization, and other measures. (CR)

Small community homes in England for severely and profoundly mentally retarded adults are described and compared to institutional settings and larger community units. The small homes were found to produce beneficial client functioning and high levels of staff/client interaction. The paper concludes that interaction effects are possibly more…

This study of 32 adults with mental retardation found substantial differences in the types of environmental support provided in group homes after transfer from large state institutions. Differences in community adjustment occurred for residents placed in group homes with significantly different functional features. Several factors interacted to…

This document is a transcript of hearings conducted in Hartford, Connecticut, before the United States Senate Subcommittee on the Handicapped on the effects of deinstitutionalization of the mentally retarded. The bulk of the testimony was given by Connecticut officials and leaders in the mental health field. They presented evidence and case…

Criticizes the research design in "The Small ICF/MR program: Dimensions of Quality and Cost" (Conroy), that found small Intermediate Care Facilities (ICF) for individuals with mental retardation are inferior to other community programs. Discusses the problem in selecting a control group on the basis of pretest matching. (CR)

The paper briefly discusses 12 critical issues that significantly affect program success in reducing severe self-injurious behavior (SIB) in group homes. The paper emphasizes the necessity of: (1) a process approach to the development and monitoring of treatment; (2) demythologizing the self-injurious client; (3) discussing and clarifying legal…