“…Some states have seen dramatic changes in the number of people living in large institutions, while others have seen only insignificant reductions (Davis, 1994a;Lakin, Hayden, & Abery, 1994). And while many have moved out of large publicly-funded institutions, some tens of thousands have really only moved to large privately-funded residential settings, such as nursing homes, or simply to smaller institutions (Brown & Gothelf, 1996;Davis, 1994a;Lakin, Braddock, & Smith, 1994;Lakin, Hayden, & Abery, 1994, p. 5). Many also remain on waiting lists for the kinds of supports they need and desire (Davis, 1997).…”