Deinstitutionalization and mortality: findings of a controlled research design in New Jersey.
In previous studies of the mortality of deinstitutionalized persons with disabilities in California and Pennsylvania, investigators failed to employ a prospective controlled research design. We identified a sample of 150 "movers" scheduled for placement from an institution and a matched sample of 150 institutional "stayers." The matching and other risk variables were measured in 1994. Visits to all residences occurred between 1997 and mid-2000 at specified intervals after movers left the institution. Logistic regression analyses identified the 1994 preclosure risk variables of age, low self-care, medical conditions, and epilepsy/seizure disorders as the best ones for explaining all deaths. Adding mover/stayer status and community/institutional placement to the analyses did not enhance the model. Nursing home placements emerged as a postclosure risk variable.
Lerman
Paul
P
Developmental Disabilities Planning Institute, Center for Architecture & Building Science Research, New Jersey Institute of Technology, Center for Architecture and Building Science Research, 323 Martin Luther King Blvd., Newark, NJ 07102, USA.
Apgar
Dawn Hall
DH
Jordan
Tameeka
T
D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D003688:Deinstitutionalization; D005260:Female; D006271:Health Facility Closure; D006302:Health Services Research; D006801:Humans; D008297:Male; D008875:Middle Aged; D009026:Mortality; D009515:New Jersey / Q000453:epidemiology; D019989:Persons with Intellectual Disabilities / Q000706:statistics & numerical data*; D011446:Prospective Studies; D012107:Research Design; D018570:Risk Assessment; D012648:Self Care