Behavioural outcomes of deinstitutionalisation for people with intellectual disability: a review of US studies conducted between 1980 and 1999

Kim, Shannon; Larson, Sheryl A.; Lakin, K. Charlie

doi:10.1080/13668250020032750

Cited by 111 publications

(107 citation statements)

References 29 publications

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“…Studies that have evaluated the impact of deinstitutionalization have repeatedly reported that the move from institutional to community-based residential services may be accompanied by significant increases in adaptive behaviors [Larson and Lakin, 1989;Emerson and Hatton, 1994;Young et al, 1998;Kim et al, 2001]. However, two caveats need to be remembered when considering these findings.…”

Section: Comparison Of Service Modelsmentioning

confidence: 90%

Living with support in a home in the community: Predictors of behavioral development and household and community activity

Felce

Emerson

2001

Ment. Retard. Dev. Disabil. Res. Rev.

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The purpose of this article was to review studies of behavioral development and household and community activity among adults with mental retardation living in community residential services and to distill knowledge about the factors that influence outcome. Research points to behavioral development occurring across the full spectrum of disability but influenced by mental retardation syndrome and the acquisition of pivotal skills. However, engagement in household and community activities has been found to be strongly related to individual adaptive behavior. People with more severe mental retardation are vulnerable to leading lives characterized by underoccupation and lack of community involvement. Moving from institutional to community-based residential services may be accompanied by significant increases in adaptive behavior, but a plateau effect on subsequent development has also been reported. There is substantial evidence to suggest that key aspects of effective teaching technology may be absent in community-based residential environments. Community settings support greater engagement in household and community activities than institutions. Ordinary housing stock and normative architecture and standards of material enrichment are to be preferred. The use of normative housing constrains group living to relatively small scale, but there is little evidence that smaller size within this range is to be preferred to larger size. There is little evidence to suggest that higher staff-to-resident ratios lead to uniformly better outcomes, but staff orientation, working methods, and performance are important influences. Little is known about what precise characteristics of community location give rise to greater community integration. MRDD Research Reviews 7:75-83, 2001.

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Section: Comparison Of Service Modelsmentioning

confidence: 90%

Living with support in a home in the community: Predictors of behavioral development and household and community activity

Felce

Emerson

2001

Ment. Retard. Dev. Disabil. Res. Rev.

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“…In Queensland, deinstitutionalisation involved relocation from a congregate care setting operated by a government service to services based on individual need and provided by both government and nongovernment agencies. The Australian experience contrasted with the experiences in the UK or US where people with an intellectual disability moved from large institutions to smaller purpose-built, 20 to 24 place hospitals, community units, or cluster housing and then at a later date into houses in the community (see e.g., Holt et al, 2000;Kim, Larson, & Lakin, 2001;Lakin, Prouty, Polister, & Anderson, 2000).…”

Section: Deinstitutionalisationmentioning

confidence: 88%

Residential and Lifestyle Changes for Adults with an Intellectual Disability in Queensland 1960-2001

Young

2003

International Journal of Disability, Development and Education

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As we celebrate 50 years of the Schonell Special Education Research Centre it is timely to consider changes that have occurred in the provision of residential services for people with an intellectual disability. Before the 1970s adults and children were cared for in large institutions using a medical model of care. In the mid-1970s a new developmental model based on education and training was implemented in response to the principle of normalisation and issues of social justice. The most dramatic changes have occurred in the last ten years with the decision to close large institutions and relocate residents into ordinary homes in the community. This paper describes changes in lifestyle for adults with an intellectual disability as a result of the move from institutional to community residential service provision. The Challinor Centre in Ipswich, Queensland, Australia provides examples of lifestyle changes that have occurred under different models of service provision during this time. Community living is described with research evidence validating the advantages of this type of service provision for residents with an intellectual disability. Outcomes have been documented through the use of group results and a case study of one individual following deinstitutionalisation describes the benefits of this new model of residential accommodation.

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“…Kim i saradnici su u svom pregledu američkih istraživačkih studija između 1980. i 1998. godine, došli do zaključka da je u samo tri od 12 studija registrovano pobolјšanje u oblasti problema u ponašanju kod osoba sa IO nakon deinstitucionalizacije u odnosu na ispitanike koji su ostali u instituciji (Kim et al, 2001). U dve studije je ustanovlјeno pogoršanje problema u ponašanju, koja nisu bila statistički značajna, dok se u preostalim studijama nije pokazala značajna promena.…”

Section: Diskusijaunclassified

Factors of behavioural problems and types of housing of persons with intellectual disability

Tamaš¹,

Glumbić²

2015

Spec eduk i rehabilitacija

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Behavioural outcomes of deinstitutionalisation for people with intellectual disability: a review of US studies conducted between 1980 and 1999

Cited by 111 publications

References 29 publications

Living with support in a home in the community: Predictors of behavioral development and household and community activity

Living with support in a home in the community: Predictors of behavioral development and household and community activity

Residential and Lifestyle Changes for Adults with an Intellectual Disability in Queensland 1960-2001

Factors of behavioural problems and types of housing of persons with intellectual disability

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