Deinstitutionalization of Mentally Retarded and Other Developmentally Disabled Persons: Lessons from the Experience of Five States. Volume 3. The Developmental Disabilities Service System in California

摘要

The purpose of this project was to compare and evaluate the programs for the community care of the developmentally disabled in five states--California, Connecticut, Minnesota, Georgia, and Pennsylvania. The data were evaluated on the basis of eight key elements in the development of a community based care system for the developmentally disabled: (1) system organization; (2) service coordination; (3) monitoring and evaluation; (4) needs assessment; (5) resource inventory; (6) planning and priority setting; (7) coordinated funding; and (8) resource development. Important findings were: (1) There appeared to be a tendency to form 'MR' ghettos in the community; (2) Most states did not make adequate provision for the start up costs of community residential facilities; (3) There were few state efforts to monitor or evaluate the effect of deinstitutionalization.