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 32

12/01/1988

: Table 32

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Title:Community Living for Severely and Profoundly Retarded Persons
Authors:E.J. Silver, W.P. Silverman, and R.A. Lubin
Published:Perspectives and Progress in Mental Retardation Volume I - Social, Psychological, and Educational Aspects
Date:1984
Method: (Investigation I)Two investigations were conducted. The first investigation included 115 profoundly mentally retarded and physically disabled residents of a DD specialty hospital, 102 residents of 14 ICF/DD programs and 10 persons living in family care homes. Adaptive behavior was assessed using the Minnesota Developmental Programming System (MDPS)--Abbreviated Form, while the MDPS Alternate Form C was used with low-functioning persons. Information on resident health status and medical services received was obtained using the Health Status Indictor (HIS).
Summary of Findings:The hospital residents had greater frequencies of physical and developmental disabilities, were more likely to be nonambulatory, exhibit expressive/receptive language skills, and to be totally dependent on others for basic self care than residents of community programs.
Method: (Investigation II)The second investigation looked at whether community programs for profoundly disabled persons provided residential environments that were as normalized as those provided by ICF/DD programs and community residents (CR) serving less disabled persons. A comparison group consistent of 49 facilities randomly selected from 499 ICF/DD and CR programs functioning in New York was found. Environments within community programs were evaluated using an abbreviated version of the Program Analysis of Service Systems (PASS), the Characteristics of the Treatment Environment/Mental Retardation (CTE Scale) and Developmental Disabilities Community Home Survey Activity Subscale; and the Group Home Management Schedule (GHMS). Data were collected over a one year period.
Summary of Findings:No group differences were found on environmental ratings for 2 instruments - the PASS and the CTE activity scale. It appears that severely and profoundly disabled and less disabled persons were provided with similar opportunities to engage in social and recreational activities. The GHMS scores indicated that management activities in community programs for profoundly disabled persons were found to be more facility oriented than were activities in programs for less disabled persons.