title: Quality and costs of community-based residential supports for people with mental retardation and challenging behavior.
abstract: A longitudinal matched-groups design was used to examine the quality and costs of community-based residential supports to people with mental retardation and challenging behavior. Two forms of provision were investigated: noncongregate settings, where the minority of residents had challenging behavior, and congregate settings, where the majority of residents had challenging behavior. Data were collected for 25 people in each setting. We collected information through interviewing service personnel in each type of setting on the costs of service provision, the nature of support provided, and the quality of life of residents. We also conducted observations in each setting. Results suggest that noncongregate residential supports may be more cost effective than congregate residential supports.
authors.affiliation: Institute for Health Research, Lancaster University, United Kingdom. j.m.robertson@lancaster.ac.uk
authors.forename: Janet
authors.initials: J
authors.lastname: Robertson
authors.forename: Eric
authors.initials: E
authors.lastname: Emerson
authors.forename: Lisa
authors.initials: L
authors.lastname: Pinkney
authors.forename: Emma
authors.initials: E
authors.lastname: Caesar
authors.forename: David
authors.initials: D
authors.lastname: Felce
authors.forename: Andrea
authors.initials: A
authors.lastname: Meek
authors.forename: Deborah
authors.initials: D
authors.lastname: Carr
authors.forename: Kathy
authors.initials: K
authors.lastname: Lowe
authors.forename: Martin
authors.initials: M
authors.lastname: Knapp
authors.forename: Angela
authors.initials: A
authors.lastname: Hallam
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003156:Community Mental Health Services / Q000191:economics* / Q000592:standards*; D005260:Female; D006801:Humans; D008607:Intellectual Disability / Q000191:economics* / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011596:Psychomotor Disorders / Q000191:economics* / Q000628:therapy*; D011787:Quality of Health Care; D011788:Quality of Life; D012114:Residential Treatment / Q000191:economics* / Q000592:standards*; D012944:Social Support; D011795:Surveys and Questionnaires; D006113:United Kingdom