title: Longitudinal study of institutional downsizing: effects on individuals who remain in the institution.
abstract: In a 4-year study we examined the longitudinal effects of deinstitutionalization programs on those who remain in institutions being downsized. Individual outcomes investigated were community access, social activities, community inclusion, family relationships, and choice. Effects of residential relocation on individual outcomes such as adaptive behavior were evaluated and total daily per-person expenditure on institutional services for participants was determined. Downsizing was associated with decreased community integration but no change in most other outcomes. Availability of therapy services fell over time, and individuals experienced many residential and day program moves within the institution. Per person expenditure on services increased substantially. Finally, no significant changes in adaptive behavior were associated with intrainstitutional moves.
authors.affiliation: University of Minnesota, USA.
authors.forename: R J
authors.initials: RJ
authors.lastname: Stancliffe
authors.forename: M F
authors.initials: MF
authors.lastname: Hayden
mesh_terms: D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D000368:Aged; D003156:Community Mental Health Services / Q000191:economics / Q000706:statistics & numerical data; D003688:Deinstitutionalization / Q000331:legislation & jurisprudence; D005195:Family Relations; D005260:Female; D017048:Health Care Costs; D006282:Health Personnel / Q000706:statistics & numerical data; D006801:Humans; D007326:Institutionalization / Q000191:economics / Q000706:statistics & numerical data*; D008607:Intellectual Disability / Q000191:economics / Q000523:psychology / Q000534:rehabilitation*; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D008910:Minnesota; D017063:Outcome Assessment, Health Care; D010344:Patient Advocacy; D010360:Patient Transfer; D010561:Personnel Staffing and Scheduling / Q000706:statistics & numerical data; D012114:Residential Treatment / Q000191:economics / Q000706:statistics & numerical data; D012919:Social Behavior