Health characteristics and behaviors of adults with mental retardation residing in three living arrangements

1995 ◽  
Vol 16 (6) ◽  
pp. 489-499 ◽  
Author(s):  
James H. Rimmer ◽  
David Braddock ◽  
Beth Marks
1989 ◽  
Vol 14 (4) ◽  
pp. 324-332 ◽  
Author(s):  
Sheryl A. Larson ◽  
K. Charlie Lakin

This article examines experimental/contrast group and longitudinal studies of the changes in adaptive behavior associated with moving from state institutions to small (15 or fewer people) community living arrangements for persons with mental retardation. It reviews 15 research reports, including 18 separate studies with 1358 subjects that met specific criterion for design and recency. It summarizes outcomes in the areas of overall adaptive behavior, seven specific domains of adaptive behavior, and overall problem behavior. All eight of the experimental/contrast group studies, and 5 of the 10 longitudinal studies reported statistically significant improvement in either overall adaptive behavior or in the basic self-help/domestic domain associated with movement to the community. All 18 studies reported at least some improvement for groups moving from institutions to community living arrangements.


2008 ◽  
Vol 46 (3) ◽  
pp. 200-214 ◽  
Author(s):  
K. Charlie Lakin ◽  
Robert Doljanac ◽  
Soo-Yong Byun ◽  
Roger J. Stancliffe ◽  
Sarah Taub ◽  
...  

Abstract This article examines expenditures for a random sample of 1,421 adult Home and Community Based Services (HCBS) and Intermediate Care Facility/Mental Retardation (ICF/MR) recipients in 4 states. The article documents variations in expenditures for individuals with different characteristics and service needs and, controlling for individual characteristics, by residential setting type, Medicaid program (ICF/MR or HCBS), and state. Annual average per-person Medicaid expenditures for HCBS recipients were less than those of ICF/MR residents ($61,770 and $128,275, respectively). HCBS recipients had less severe disability (intellectual, physical, health service needs) than ICF/MR residents. Controlling these differences, and for congregate settings, HCBS were less costly than ICFs/MR, but this distinction accounted for only 3.3% of variation in expenditures. Persons living with families receiving HCBS ($25,072) and in host families (including foster, companion, or shared living arrangements; $44,112) had the lowest Medicaid expenditures.


Author(s):  
Line Buhl ◽  
David Muirhead

There are four lysosomal diseases of which the neuronal ceroid lipofuscinosis is the rarest. The clinical presentation and their characteric abnormal ultrastructure subdivide them into four types. These are known as the Infantile form (Santavuori-Haltia), Late infantile form (Jansky-Bielschowsky), Juvenile form (Batten-Spielmeyer-Voght) and the Adult form (Kuph's).An 8 year old Omani girl presented wth myclonic jerks since the age of 4 years, with progressive encephalopathy, mental retardation, ataxia and loss of vision. An ophthalmoscopy was performed followed by rectal suction biopsies (fig. 1). A previous sibling had died of an undiagnosed neurological disorder with a similar clinical picture.


2002 ◽  
Vol 17 (S2) ◽  
pp. S48
Author(s):  
Robyn R. M. Gershon ◽  
Kristine A. Qureshi ◽  
Stephen S. Morse ◽  
Marissa A. Berrera ◽  
Catherine B. Dela Cruz

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