Cost Effectiveness of the Group Home

Templeman, Dave; Gage, Mary Ann; Fredericks, H. D. Bud

doi:10.1177/154079698200600402

Research and Practice for Persons with Severe Disabilities

1981

DOI: 10.1177/154079698200600402

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Cost Effectiveness of the Group Home

Dave Templeman¹,

Mary Ann Gage²,

H. D. Bud Fredericks³

Abstract: Article Descriptors deinstitutionalization; group home; interim placement; cost comparison; cost effectiveness; community placementThis paper discusses the placement of moderate, severely, and profoundly handicapped children from large institutions into a group home (five children) in a community setting. The child train ing and community placement model is described briefly. Emphasis is on the cost comparison of children in an institution, a group home, and a single-family residence over a five-year period.

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“…Numerous studies have assessed the costs of Pis (Baumeister, 1970;Blum, 1977;Conley, 1973;Don & Amir, 1969;Krantz, Bruininks, & Clumpner, 1978;Primrose, 1972;Scheerenberger, 1978Scheerenberger, & 1979, of CRFs (Baker, Seltzer, & Seltzer, 1974;Heal & Daniels, 1978;Indiana Department of Mental Health, 1975;O'Connor, 1976;O'Connor & Morris, 1978;Peat, Marwick, Mitchell, & Co., 1976;Templeman, Gage, & Fredericks, 1982), or have attempted to com pare the costs of Pis and CRFs (Intagliata et al, 1979;Jones & Jones, 1976;Mayeda & Wai, 1975;Minnesota Developmental Disabilities Planning, 1982;Murphy & Datel, 1976;National Association of State Mental Retardation Program Directors, Inc., 1980;Nihira, 1979;Wieck & Bruininks, 1980 4. The Pis and CRFs thus far have served very dif ferent kinds of people, leading again to an applesoranges problem.…”

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confidence: 97%

A Matched Comparison Study of Cost-Effectiveness: Institutionalized and Deinstitutionalized People

Jones¹,

Conroy

Feinstein

et al. 1984

Journal of the Association for Persons with Severe Handicaps

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Article Descriptorsdeinstitutionalization; cost-effectiveness; community residen tial services; matched comparison; Pennhurst.Seventy people with mental retardation who had moved from a large state institution to small community living arrangements were matched with 70 people who remained at the same institution. They were matched by sex, level of retardation, years institutionalized, selfcare skills, age, and IQ. Developmental growth, opera tionally defined as adaptive behavior change using a research version of the AAMD Adaptive Behavior Scale, was measured for all people; only those people who had been deinstitutionalized demonstrated signifi cant growth. They also received more services. Subse quently, telephone surveys and other procedures were used to identify the inclusive public costs associated with the two groups. Upon comparison, the deinstitu tionalized group required less public money than the institutionalized group, although the financial burden shifted substantially from federal sources to state (and local) funding sources when people moved from the in stitution to community-based facilities. Correlates of costs in the community were explored in a preliminary way.

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mentioning

confidence: 97%

A Matched Comparison Study of Cost-Effectiveness: Institutionalized and Deinstitutionalized People

Jones¹,

Conroy

Feinstein

et al. 1984

Journal of the Association for Persons with Severe Handicaps

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“…That translates to $9347.65 to $77,745 per resident per year. Templeman, Gage, and Fredericks (1982) compared costs in institutions, group homes and foster care for young people with moderate and severe handicaps who were moved from the institution to the group home and subsequently to foster care. They focused on the savings to taxpayers over time by such movements and deduced that savings of $7684.41 per year would be achieved.…”

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confidence: 99%

Comparative costs for institutional services and services for selected populations in the community

Schalock

Fredericks

1990

Behavioral Interventions

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Deinstitutionalization of large institutions for individuals with mental retardation has been an ongoing process for almost 20 years. Because the process continues and because there are still many concerns about deinstitutionalization, especially for populations with more challenging behaviors, the question of relative costs of institutional services and community services is raised periodically by legislators, bureaucrats, and advocates. This study compares the costs within one institution, Fairview, in Oregon, with the costs of providing community-based services in five small group homes and an apartment complex serving populations with more challenging behaviors. In general, institutional costs are slightly higher than the community-based programs. However, after equalizing salary rates between the two environments, community-based residences that serve individuals with challenging behaviors are more expensive than the institution.Deinstitutionalization of large institutions for individuals with mental retardation has been an ongoing process for almost 20 years. Because the process continues, and because there are still many concerns about deinstitutionalization, especially for populations with more challenging behaviors, the question of relative costs of institutional services and community services is raised periodically by legislators, bureaucrats, and advocates.This study compares the costs within one institution in Oregon-Fairview Hospital and Training Center (Fairview)-with the costs of providing community-based services for populations with challenging behaviors. The costs of five residential facilities in various communities in Oregon are examined to compare costs with Fairview and to provide information about costs of residential services to certain groups of persons with challenging behaviors. We analyse these cost data using an analytical framework designed to show not only where cost differences occur, but why.Our framework is fairly simple, yet provides for powerful differentiation in why costs differ across sites and between institutions and community-based group homes. The central premise of our framework is that need determines

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Cost Effectiveness of the Group Home

Cited by 2 publications

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A Matched Comparison Study of Cost-Effectiveness: Institutionalized and Deinstitutionalized People

A Matched Comparison Study of Cost-Effectiveness: Institutionalized and Deinstitutionalized People

Comparative costs for institutional services and services for selected populations in the community

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