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Abstract

As persons with severe developmental disabilities are transferred from institutional environments to community-based programs for habilitation and residential care, a wide variety of service delivery needs and public policy issues must be confronted. In those jurisdictions where the courts have intervened and mandated alternatives to institutional living, the process of change and ensuing alternatives can be profoundly affected by appropriate legal intervention. The task of balancing professional, community, legal, ethical, and political needs in bringing alternatives into existence represents a formidable challenge to all involved.

This article describes five community-based projects developed and maintained by the Georgetown University Child Development Center University Affiliated Facility providing services to children and adults with severe developmental disabilities and those at risk for handicapping conditions. Special emphasis is placed on training and public policy issues, the consultative process, and interdisciplinary service delivery models as they relate to the development of community-based programs.

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Promoting Community-Based Services: Implications for Program Design,Implementation,and Public Policy

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