The impact of inservice generated staff knowledge changes on the behavior of 42 mentally retarded adults was assessed. Findings demonstrated an effective time-efficient means of collecting client behavior change data, as well as a 51 percent growth in measured staff knowledge, anD a decrease in each of nine targeted maladaptive behaviors.…

Results indicate equivalent levels of patient performance when contingent reinforcement in a residential token economy program was controlled by either patient peer groups or staff. Patients in a peer-managed program showed positive ward behavior, reductions in psychosocial problems, and increase in potential for adjusting to community life.…

Death rates among those referred to project services were lower within the first six months after enrollment, and the mortality rate difference was maintained throughout the first year. Death rate differences were related to specific long-term care services recommended and received, and to initial functional health status. (Author)

There is no accepted definition of "needs" of the elderly. Perceptions vary with age, professional role, relationships, and time. The wide range of methodologies presents problems. Research instruments are being refined. The use of index of incapacity measures offers the best data base for planning needed services. (Author/NRB)

Uses interviews with residents and ex-residents, ethnographic techniques, and document analysis to examine sexuality and sexual abuse in residential childcare settings, including how their culture and leadership contribute to abuse and the denial and invisibility of sexuality. Discusses issues around researching sexuality, children, and abusive…

An analysis of data on residential services for people with mental retardation between 1995-1999 found growth in recipients of Commonwealth/State Disability Agreement-funded residential services; a decline in the proportion of people housed in large residential settings; an increase in those served in group homes; and more rapid growth in…

This article reviews regulations governing Intermediate Care Facilities for the Mentally Retarded (ICF/MR), including 1971 ICF/MR Medicaid funding legislation, standards development by professional consensus, development of federal regulations, intergovernmental roles, and possible directions for the future. A need is seen for professionals to…

Mothers of normal children used more extreme categories when rating positive aspects of their children than did fathers. Mothers of maladjusted children and female child care workers who rated maladjusted children did not show this difference when compared to fathers or male child care workers. (Author/BB)

Reanalyzed data from a study on respite care's effects by focusing on the linear relationship between amount of respite use and probability of nursing home placement at the end of the treatment period. Results indicate a significant negative relationship between the amount of respite use and nursing home placement. (RJM)

Describes a curriculum for children between 7 and 13 years of age in residential care. The curriculum instructs the children in basic life skills and offers them a head start in developing self-sufficiency and fostering self-esteem. (HTH)

Fifty-seven direct care staff members from an intermediate care facility for adults with mental retardation rated the acceptability of interventions used for self-injurious behavior and completed a measure of knowledge about behavioral principles. Results indicated that staff age and educational attainment were related to knowledge scores, but…

Describes the evaluation of a training program in the Netherlands to enhance the professional competence of residential child-care workers in dealing with difficult situations involving adolescents. Pretest and posttest data from 35 adult subjects and 20 controls indicate a significant increase in knowledge and behavior after the program. (SLD)

Explores reasons for the abuse phenomenon throughout traditional residential care provided for boys and young men in the United Kingdom. Addresses specifically the severe discipline which often became abusive, the presence of sexual abuse, severe staff reaction to resistance, and the similarities of regimen across the spectrum of traditional care…

Purpose: Decisions concerning end-of-life care depend on information contained in advance directives that are documented in residents' charts in the nursing home. The availability of that information depends on the quality of the chart and on the location of the information in the chart. No research was found that compared directives by the manner…