ERIC Number: ED202194
Record Type: RIE
Publication Date: 1980-Nov
Reference Count: 0
The Cost of Public and Community Residential Care for Mentally Retarded People in the United States. Project Report No. 9.
Wieck, Colleen A.; Bruininks, Robert H.
The direction and scope of deinstitutionalization in 75 public and 161 community residential programs for mentally retarded people in the Unites States were examined by analysis of current levels of expenditures, projected costs, efficacy of existing funding mechanisms, and identification of critical factors affecting cost variation. Results of a three page self report questionnaire completed by financial officers of each facility included the finding that the largest single expense reported by most facilities was personnel related. Estimates of total revenue, expenses, and capital investments are presented separately for public and community facilities as well as separately by census regions and size categories. Results further revealed that public residential facility per diems were were significantly different when tested for census region differences and varying levels of staff resident ratios. The intensity of staffing and services provided by community residential facilities significantly affected per diems, as did family ownership and the proportion of severely/profoundly mentally retarded residents. Public policy implications are presented in terms of constitutional guarantees and levels of funding; programing requirements and the application of cost functions; and reimbursement patterns, fiscal disincentives, and the future development of community alternatives. (Author/CL)
Descriptors: Community Programs, Cost Effectiveness, Costs, Deinstitutionalization (of Disabled), Mental Retardation, Residential Programs
Developmental Disabilities Project on Residential Services and Community Adjustment, University of Minnesota, 207 Pattee Hall, 150 Pillsbury Dr., S.E., Minneapolis, MN 55455 ($5.00).
Publication Type: Reports - Research
Education Level: N/A
Sponsor: Office of Human Development (DHEW), Washington, DC. Office of Developmental Disabilities.
Authoring Institution: Minnesota Univ., Minneapolis. Dept. of Psychoeducational Studies.
Note: Developmental Disabilities Project on Residential Services and Community Adjustment. Small print on some pages may reproduce poorly.