Text, a table, and a graph show average per resident daily expenditures in large state-operated mental retardation/developmental disabilities (MR/DD) facilities in Fiscal Year 93 by state, and average annual per resident expenditures in large state-operated MR/DD facilities since 1950 both in absolute dollar amounts and in 1964 dollars. (DB)

The total population of individuals with mental retardation/developmental disabilities in state institutions has steadily decreased since 1967 along with the number of operating state institutions. Projections indicate that decreases will continue. A graph summarizes total state institution closures between 1960 and 1995, and a table lists…

This article discusses the continuing trend of downsizing and closure of large state institutions for persons with mental retardation. Between 1987 and 2001, nine states closed all of their large state residential facilities, reducing the total national population of such facilities by 2,414 residents. A chart illustrates state reductions. (CR)

This article presents tables showing statistics on selected indicators of change between June 30, 1990, and June 30, 2000, in the areas of residential services (large public residential facilities populations, all residential service recipients, and persons in settings of 6 or fewer), Medicaid long-term care program participation, and service…

An examination of expenditures, staffing, and outcomes for 116 adults with severe mental retardation who moved from state institutions in Minnesota to community living settings and a comparison group of 71 persons who remained institutionalized, found community residences were less costly, had more favorable staffing, and better outcomes.…

This article summarizes trends indicating a shift from institutional services to services in small community settings, an operational transformation from state government being the provider of services to being the purchaser, a shift from state financing of community services to federal-state cost-sharing, and an increase in people receiving…

This sourcebook profiles approximately 80 programs that support the redefinition, assessment, and/or enhancement of quality in community services for individuals with developmental disabilities. Direct service programs, however, are not included. The programs and activities described are subsumed under the following broad categories: (1) statewide…

This report examines policy-related trends and projections in the use of various Medicaid-funded care services for persons with mental retardation and related conditions, and identifies factors influencing these trends nationally and in the various states. The examination is based on three sets of research activities: analyses of databases on…