Abstract
Argues that community residences for small groups of people, and the provision of day activity programs designed to increase functional levels, is the only viable, humane alternative to institutionalization of severely multiply handicapped persons with visual problems. Living in a highly structured, home environment where individual needs are addressed by caring and qualified staff can and should be provided to those without self-preservation skills. Opportunities to participate in suitable prevocational activites are also necessary. The cost of such programs is the same as for insitutional care, and funding can be secured.
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