title: Community integration and statewide systems change: qualitative evaluation research in community life and disability.
abstract: As the disability field moves to the next generation of community life, this article describes the findings of a qualitative state policy research study on deinstitutionalization and community integration. New Hampshire was selected as a leading national example in the United States based, in part, upon the closure of its only public institution showing community leadership in the field of mental retardation and developmental disabilities. Drawing on the disciplines of politicial science, sociology, psychology and rehabilitation (Majchrzak, 1980), the research design uses a multi-case, multi-site study approach (Yin, 1989), and on-site, semi-structured interviewing of key informants using a research field guide (Taylor & Bogdan, 1984/1998). The qualitative research reflects an indepth version of state formative evaluation research studies on community integration (e.g, Taylor, Racino, & Rothenberg, 1988), and the use of coded data and multiple analytic techniques (e.g., Glaser & Strauss, 1967) congruent with the emerging support and empowerment paradigm (Racino, 1992). The article highlights four sets of research findings (i.e., state characteristics and community integration practices, thematic case studies of change, comparative roles in the change process, and a theoretical framework for understanding change) which form the basis for further statewide study of change toward community life in the United States.
authors.affiliation: Community and Policy Studies, Rome, New York, USA.
authors.forename: Julie Ann
authors.initials: JA
authors.lastname: Racino
mesh_terms: D003156:Community Mental Health Services / Q000458:organization & administration*; D003159:Community-Institutional Relations; D003688:Deinstitutionalization; D006271:Health Facility Closure; D006302:Health Services Research / Q000458:organization & administration*; D006801:Humans; D007407:Interviews as Topic; D007857:Leadership; D007872:Legal Guardians; D009513:New Hampshire; D019982:Organizational Case Studies; D009936:Organizational Innovation; D019989:Persons with Intellectual Disabilities; D011635:Public Health Administration; D012922:Social Change