Health services for mentally retarded people in community residences: problems and questions.

Garrard, Sterling D.

doi:10.2105/ajph.72.11.1226

Cited by 36 publications

(15 citation statements)

References 5 publications

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“…'2-23 For example, difficulties noted in a survey of physicians in Maine included the poor quality of medical records, problems communicating with multiple caregivers, the maladaptive behavior of patients in the office, and potential liability issues. '7 A New Jersey study of the causes of 14 Table 3 suggests and some preliminary modeling confirmed, however, the variable contributed rather little when the others were taken into account.…”

Section: Introductionmentioning

confidence: 99%

Predictors of mortality in children with severe mental retardation: the effect of placement.

Strauss

Eyman²,

Grossman³

1996

Am J Public Health

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OBJECTIVES: This study was undertaken to assess the predictors of mortality in severely disabled children with mental retardation, and to compare risk-adjusted mortality rates for those living in institutions with rates for those living in the community. METHODS: Statistical analysis was performed on a set of 24,469 person-years, derived from a population of all children with severe mental retardation and a fragile medical condition who are registered with the California Department of Developmental Services. Variables included age, several measures of mobility, the presence or absence of tube feeding, the level of retardation, and certain adaptive skills. RESULTS: Reduced mobility and the use of tube feeding were associated with a large increase in mortality risk. Own home residence and community care facilities have an estimated 25% higher risk-adjusted odds on mortality than institutions and health facilities. CONCLUSIONS: The differential mortality in the placements points to a possible effect of quality of care. One consequence of the current trend toward deinstitutionalization may be an increased mortality rate in children with severe developmental disability.

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Section: Introductionmentioning

confidence: 99%

Predictors of mortality in children with severe mental retardation: the effect of placement.

Strauss

Eyman²,

Grossman³

1996

Am J Public Health

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“…It is important to study the attitudes and beliefs about developmental disabilities that service providers hold, as their clinical judgment and the quality of service provided is often guided by their attitudes and expectations toward certain disability groups (Garrard, 1982;Horwitz, Kerker, Owens, & Zigler, 2000;Wolraich, Siperstein, & Reed, 1992).…”

Section: Future Researchmentioning

confidence: 99%

Predictors of Psychology Graduate Student Interest in the Field of Developmental Disabilities

Viecili¹,

MacMullin²,

Weiss³

et al. 2010

Journal of Mental Health Research in Intellectual Disabilities

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This study examined predictors of interest in the future provision of clinical services to people with developmental disabilities by Canadian graduate students in psychology. Utilizing a crosssectional survey, 458 psychology students from clinical, clinical neuropsychology, and counseling psychology programs from across Canada provided information on their interest in working with the population, their formal training experiences within the university, and their experiences outside the university. Formal training in school and informal experiences in the community were significant predictors of students' intention to work with clients with a developmental disability. The implications of these findings for training programs are discussed.

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“…Problems included the limited availability of funding for in-home medical and support services, which may not be covered by private insurance companies or under the regular Medicaid program (Burwell, 1988;Walker, 1988). In addition, the Medicaid fee structure, inefficient payment mechanisms, and delays in Medicaid reimbursements were suggested to be potential disincentives for some physicians to provide care (Bradley et aI., 1986;Garrard, 1982;Master, 1987;Schor et aI., 1981;Woodsmall, 1987;Ziring, 1987).…”

Section: Barriers To the Provision Of Community Medical Care And Servmentioning

confidence: 99%

“…Specifically, some physicians lack formal training related to persons with mental retardation (Buehler, Menolascino, & Stark, 1986;Dworkin, Shonkoff, Leviton, & Levine, 1979;Thomas, 1986). Some medical service providers may be hesitant to provide health care because of a lack of experience with persons with mental retardation (Buehler et aI., 1986;Garrard, 1982;Minihan, 1986). Inadequate dissemination of information between developmental disabilities and health care professionals and between these professionals and direct care providers (Shoultz & Racino, 1988) was also cited as a problem.…”

Section: Barriers To the Provision Of Community Medical Care And Servmentioning

confidence: 99%

Medical Conditions, Level of Care Needs, and Health-Related Outcomes of Persons with Mental Retardation: A Review

Hayden

DePaepe

1991

Journal of the Association for Persons with Severe Handicaps

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A literature review wasconducted to analyze existing data on health needs ofpeople with mental retardation and possible barriers to integration in the community. Information was obtained on medical conditions, level ofcare needed, and health-related outcomes. The type and range of medicalcare, resources, and support servicesneededto maintain individuals with medicalproblems were identified, as were barriers to and recommendations for the provision of community-based medical care. Although there are barriers to the provision of services to people with mental retardation and allied medicalconditions, there are people who currently live in the community who have the same type of medical conditions and whorequire the same levelofcareneeded as those who live in institutions. Medical services are typically, but not always, available to persons with mental retardation whoreside in the community. Availability and access to services are addressed. Recommendations for future research and policy implications are presented.

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Health services for mentally retarded people in community residences: problems and questions.

Cited by 36 publications

References 5 publications

Predictors of mortality in children with severe mental retardation: the effect of placement.

Predictors of mortality in children with severe mental retardation: the effect of placement.

Predictors of Psychology Graduate Student Interest in the Field of Developmental Disabilities

Medical Conditions, Level of Care Needs, and Health-Related Outcomes of Persons with Mental Retardation: A Review

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