Report from the Working Group on Improving Public Policies and Programs Affecting Persons with Mental Retardation and Other Developmental Disabilities. Report from the Working Group on Improving Public Policies and Programs Affecting Persons with Mental Retardation and Other Developmental Disabilities : Table 22

12/01/1988

: Table 22

Re:Developmental change associated with ICF-MR certification of institutions
Title:Increase in Adaptive Behavior Level After Residence in an Intermediate Care Facility for Mentally Retarded Persons (ICF-MR).
Authors:Sandra Johnson Witt
Published:Mental Retardation
Date:April, 1981.
Method:Fifty-seven male and 38 female mentally retarded residents of a Florida State ICF-MR were studied longitudinally from before certification to 10 months after certification. Changes in their behavior were also compared to a matched control group consisting of 31 residents randomly selected from a non-ICF-MR state institution unit. Subjects ranging in age from 14-46 years with a mean length of institutionalization of 18.3 years were included in the study. The Vineland Social Maturity Scale was used annually as the measure of behavioral maturity and an intellectual evaluation using the Stanford-Binet Intelligence Scale was conducted.
Summary of Findings:There was a trend indicating an increase in the VSMS scores for the 95 subjects, both prior and subsequent to certification of the residential units as ICF-MR units. However, the rate of change accelerated significantly under certification. The match control group continued the rate of developmental progress established over the three previous years during the 10-month experimental period. The group with adaptive level scores under 3 years of age showed maximum gains in the areas of self help after the ICF-MR program was initiated. Similar gains were seen in the areas of socialization (peer interaction) and occupation. For those in the experimental groups with adaptation scores above 3.0 years, significant gains were in the areas of communication and socialization. In general this suggests that the kinds of changes produced in institutions by the ICF-MR program may be ones that lead to increased developmental progress of residents over expected levels of progress prior to certification, but the one published account of this nature is probably insufficient for such a general conclusion in that it involves only 2 residential units.