title: Voluntary transformation from an institutionally based to a community-based service system.
abstract: The transformation of a large, private, not-for-profit, church-affiliated provider of residential services from an institutionally based to community-based service system was described. Closure of a 200-person ICF/MR facility was discussed. Factors influencing the decision to close the institution as well as the guidelines used in effecting the transformation were described. Finally, data were presented indicating that consumer and staff satisfaction and judgments of program quality remained high during the period of transformation.
mesh_terms: D003258:Consumer Behavior; D006801:Humans; D007326:Institutionalization; D012112:Residential Facilities; D011795:Surveys and Questionnaires