During the past twenty years, an important body of research has examined the different impacts of deinstitutionalisation on the adaptation and quality of life of persons with intellectual disabilities. This empirical study was conducted with 136 persons with intellectual disabilities following the closure of the Hoôpital Saint-Julien (Que ébec, Canada). Various questionnaires relating to adaptive and maladaptive behaviors, mental health problems, medication and to the relocation were completed. The measures were taken following the exit from institutions and subsequently after 27 months. Improvements are observed on adaptive and maladaptive behaviors, and on mental health. The relation between medication's evolution and the one noted for the maladaptive behaviors and mental health is examined. The relocation variable should be considered in future studies.
Get full access to this article
View all access options for this article.
References
1.
AgerA.MyersF.KerrP.MylesS.GreenA.Moving home: Social integration for adults with intellectual disabilities resettling into community provisionJournal of Applied Research in Intellectual Disabilities14392–4002001
2.
Atelier que ébe écois des professionnels sur le retard mentalUQAM1993E échelle que ébe écoise de comportements adaptatifs: Manuel technique. Montre éal
3.
ConroyJ.Patterns of community placement II: The first 27 months of the Coffelt settlementCenter for Outcome AnalysisArdmore, PA1996
4.
EmersonE.HattonC.Deinstitutionalization in the UK and Ireland: Outcomes for service usersJournal of Intellectual and Developmental Disability2117–371996
5.
FraserD.LabbeéGoldingL.EmersonL.ThorntonE.A.L'approche positive de la personne:Une conception globale de l'intervention. Laval: E éditions Agence d'Arc et E éditions de la Collectivite éJournal of Intellectual Disabilities9145–1541993An evaluation of specialized community-based residential supports for people with challenging behaviour
6.
HillB.BalowE.BruininksR.A national study of prescribed drugs in institutions and community residential facilities for mentally retarded peoplePsychopharmacology Bulletin21279–2841985
7.
Plan de transformation des ressources en un mode ‘le inteágreáa ‘la communaute 1999 -2003AuthorBernierville1999
8.
IntagliataJ.RinckC.Psychoactive drug use in public and community residential facilities for mentally retarded personsPsychopharmacology Bulletin21279–2841985
9.
IonescuS.TasseM. J.MorinD.La psychopathologieLa de éficience intellectuelleBoucherville282–3022003Gae étan Morin E éditeur
10.
KimS.LarsonS. A.LakinK. C.Behavioural outcomes of deinstitutionalisation for people with intellectual disability: A review of US studies conducted betweenJournal of Intellectual & Developmental Disability2635–501980
11.
KroegelL. K.KroegelR. L.DunlapG.Positive behavioral support: Including people with difficult behavior in the communityBrookesBaltimore1996
12.
LalondeF.LamarcheC.De l'Hoôpital Louis-H. Lafontaine a `la rue LafontaineRevue francophone de la de éficience intellectuelle4103–1201993
13.
LarsonS. A.LakinK. C.Deinstitutionalization of persons with mental retardation: Behavioral outcomesJournal of the Association for Persons with Severe HandicapsJASH14324–3321989
14.
LecavalierL.TasseéM. J.Traduction et adaptation transculturelle du Reiss Screen for maladaptive behaviorRevue francophone de la de éficience intellectuelle1231–442001
15.
LermanP.Hall ApgarD.JordanT.Longitudinal changes in adaptive behaviors of movers and stayers: Findings from a controlled research designMental Retardation4325–422005
16.
LynchP. S.KellowJ. T.WilsonV. L.The impact of deinstitutionalization on the adaptive behavior of adults with mental retardation: A meta-analysis. Education and Training in Mental Retardation and Developmental Disabilities32255–2611997
17.
MansellJ.Deinstitutionalisation and community living: Progress, problems and prioritiesJournal of Intellectual and Developmental Disability3165–762006
18.
McgillivrayJ.MccabeM.The relationship between residence and the pharmacological management of challenging behavior in individuals with intellectual disabilityJournal of Developmental & Physical Disabilities17311–3252005
19.
NøttestadJ. A.LinakerO. M.Psychotropic drug use among people with intellectual disability before and after deinstitutionalizationJournal of Intellectual Disability Research47664–471 2003
20.
NøttestadJ. A.LinakerO. M.Psychiatric health needs and services before and after complete deinstitutionalization of people with intellectual disabilityJournal of Intellectual Disability Research43523–5301999
21.
ReissS.Reiss screen for maladaptive behavior test manualIDS Publishing CorporationWorthington, OH1988
22.
SpreatS. M.ConroyS. J.FullertonA. J.Statewide longitudinal survey of psychotropic medication use for persons with mental retardation: 1994 to 2000American Journal on Mental Retardation109322–3312004
23.
TasseéMauriceM. J.P.E étude de la stabilite éet de la concordance de l'e échelle que ébe écoise de comportements adaptatifsRevue Francophone de la De éficience Intellectuelle457–671993
24.
ThinnK.ClarkeD. J.CorbettJ. A.Psychotropic drugs and mental retardation: II. A comparison of psychoactive drug use before and after discharge from hospital to communityJournal of Mental Deficiency Research34397–4071990
25.
Atlas: Global resources for persons with intellectual disabilitiesWorld Health OrganizationSwitzerland2007
26.
YoungL.AshmanA.SigafoosJ.GrevellP.Closure of the Challinor Centre II: An extended report on 95 individuals after 12 months of community livingJournal of Intellectual and Developmental Disability2651–662001
27.
YoungL.AshmanA.Deinstitutionalization for older adults with severe mental retardation: Results from AustraliaAmerican Journal on Mental Retardation109397–4122004
28.
YoungL.Community and cluster centre residential services for adults with intellectual disability: Long-term results from an Australianmatched sampleJournal of Intellectual Disability Research50419–4312006
