title: Compliance and quality in residential life. Rhetoric and realities in today's ICF/MR: control out of control.
abstract: Contrasts between the rhetoric of quality assurance and the realities of poor quality in today's ICFs/MR were explored. Comparative studies have shown that ICFs/MR provide the poorest quality of life for persons with mental retardation. The ICF/MR operational model was described here as paper-oriented, failure-based, and insensitive to the effects of its own practices. Recommendations, including the establishment of local control, a less-direct relation between funding and rule compliance, and alternate forms of program evaluation and monitoring, were made.
authors.affiliation: Syracuse Developmental Services Office, Seguin Community Services, Fulton, NY 13069
authors.forename: C S
authors.initials: CS
authors.lastname: Holburn
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D003688:Deinstitutionalization / Q000331:legislation & jurisprudence; D006801:Humans; D008607:Intellectual Disability / Q000523:psychology / Q000534:rehabilitation*; D007380:Intermediate Care Facilities / Q000331:legislation & jurisprudence*; D011785:Quality Assurance, Health Care / Q000331:legislation & jurisprudence*