The primary purpose of this paper is to report on the results of a study of the comparative costs of different types of community-based residential arrangements in three states and the factors that influence differences in these costs. In addition, we compare the costs of community-based arrangements in these states with the costs of care in large institutions.
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References
1.
Ashbough, J., & Allard, M.A. (1983). Comparative analysis of the costs of residential and day services within institutional and community settings. Boston: Human Services Research Institute.
2.
Baker, B., Seltzer, G., & Seltzer, M. (1977). As close as possible. Boston : Little, Brown.
3.
Braddock, D. (1981). Deinstitutionalization of the retarded: Trends in public policy. Hospital and Community Psychiatry, 32(9), 607-615.
4.
Braddock, D., Fujiura, G., Hemp, R., Mitchell, D., & Bachelder, L. (1990). Current and future trends in state-operated mental retardation institutions in the United States. American Journal on Mental Retardation, 95(3).
5.
Campbell, E.M., & Smith, G.A. (1989). Predictors of service cost for people with developmental disabilities. Paper presented at the Pacific Rim Conference on Quality of Life for Persons With Disabilities.
6.
Conroy, J.M., & Bradley, V.J. (1985). The Pennhurst longitudinal study-a report of five years of research and analysis. Temple University: Philadelphia.
7.
Heal, L., & Daniels, B. (1978). A cost effectiveness analysis of residential alternatives . Mental Retardation, 3, 35-49.
8.
Intagliata, J., Willer, B., & Cooley, F. (1979). Cost comparison of institutional and community based alternatives for mentally retarded persons. Mental Retardation , 17, 154-156.
9.
Jones, P., & Jones, K. (1976). The measurement of community placement success and its associated cost (long-term care services and cost implications for the developmentally disabled, HEW Contract 05-74-278, Interim report #2). Florence Heller Graduate School, Brandeis University.
10.
Jones, P.A., Conroy, J.W., Feinstein, C.S., & Lemanowicz, J.A. (1984). A matched comparison study of cost-effectiveness: Institutionalized and deinstitutionalized people. Journal of the Association for the Severely Handicapped, 9(4), 304-313.
11.
Lakin, K., Jaskaluski, T., Hill, B., Bruininks, R., Menke, J., White, C., & Wright, E. (1989). Medicaid services for persons with mental retardation and related conditions. Minneapolis: University of Minnesota, Institute on Community Integration.
12.
Landesman-Dwyer, S. (1981). Living in the community. American Journal of Mental Deficiency, 86, 223-224.
13.
Mayeda, T., & Wei, F. (1975). The cost of long term developmental disabilities care. Pomona, CA: University of California, Los Angeles Neuropsychiatric Institute.
14.
Minnesota Department of Public Welfare (1979 ). Residential care study. St. Paul: Author.
15.
Murphey, J., & Datel, W. (1976). A cost-benefit analysis of community versus institutional living. Hospital and Community Psychiatry, 27(3), 165-170.
16.
Touche Ross & Co. (1980). Cost study of the community based mental retardation regions and the Beatrice State Developmental Center. Report to the Nebraska Department of Public Institutions andDepartment of Public Welfare. Kansas City: Author.
17.
Walsh, J. (1982). The development of residential services in the 80s and beyond: The private sector perspective. Training Quarterly on Developmental Disabilities. Philadelphia: Temple University Woodhaven Center and Developmental Disabilities Center.
18.
White, C.C., Prouty, R.W., Lakin, K.C., & Blake, E.M. (1992). Persons with mental retardation and related conditions in state-operated residential facilities: Year ending June 30, 1990 with longitudinal trends from 1950 to 1990. Minneapolis: University of Minnesota, Center on Residential Services and Community Living /Institute on Community Integration.
19.
Wieck, C.A., & Bruininks, R.H. (1980). The cost of public and community residential care for mentally retarded people in the United States . Minneapolis: University of Minnesota, Department of Psychoeducation Studies.
20.
Willer, B., & Intagliata, J. (1984). Promises and realities for mentally retarded citizens: Life in the community. Baltimore: University Park Press.