Politics, public policy, and the development of community mental retardation services in the United States.
Data emanating from the community services component of the Third National Study of Public Spending for Mental Retardation and Developmental Disabilities was analyzed. An empirical model of community services spending in the states was tested in a hierarchical regression analysis using cumulative community services fiscal effort in the states across 1977-1988 as the dependent variable. Strength of consumer advocacy organizations in the states coupled with states' historical orientations toward the adoption of policies promoting racial equality were highly significant predictors of state-by-state variance in community spending patterns. The implications of this and other findings emerging from the national study were discussed.
Braddock
D
D
University of Illinois, Chicago 60608.
Fujiura
G
G
D003156:Community Mental Health Services / Q000191:economics / Q000639:trends*; D004495:Education of Persons with Intellectual Disabilities / Q000191:economics / Q000639:trends*; D005380:Financing, Government / Q000191:economics / Q000639:trends; D005102:Health Expenditures / Q000639:trends; D006291:Health Policy / Q000191:economics / Q000639:trends*; D006801:Humans; D008607:Intellectual Disability / Q000191:economics / Q000534:rehabilitation*; D011057:Politics; D013221:State Health Plans / Q000191:economics / Q000639:trends; D014481:United States