A nationwide study of costs of U.S. institutional care between fiscal years 1977 and 1984 identified major trends: a plateau in adjusted total nationwide spending for institutional operations, a decline in adjusted nationwide spending for institutions from state revenue sources, and emergence of the federal government as an equal partner in…

Part of a study of the state-federal fiscal structure in developmental disabilities, the report presents detailed state-by-state expenditure data for FY 1977-84. The first section graphically presents expenditure data aggregated across the 50 states and the District of Columbia for the 8-year period. Six subsections in this first part present (1)…

The report summarizes results from a mental retardation/developmental disabilities (MR/DD) expenditure analysis study. Three parts comprised the study: (1) the state government expenditure analysis which covered fiscal years (FY) 1977 through 1984, and dealt primarily with state general fund expenditures of the principal MR/DD state agency, the…

Results of an analysis of state-federal expenditures for community services between Fiscal Years 1977 and 1984 are summarized. Important trends identified include rapid real economic growth in total nationwide community spending, in federal Intermediate Care Facility for the Mentally Retarded reimbursements, and in funds derived from state-source…

This volume reports on the fifth nationwide survey of trends in mental retardation (MR) and developmental disabilities (DD). It begins with four chapters summarizing trends in the nation as a whole. The first chapter is "Mental Retardation and Developmental Disabilities: Historical and Contemporary Perspectives" (David Braddock). This…