A longitudinal study indicated that a single group of adults living in a large state institution (O'Berry Center in Goldsboro, North Carolina) benefited from receiving active treatment, although no control group was permitted. After five years, 59 individuals with profound mental retardation improved their skills in six general areas of dressing, grooming, eating, toileting, communication, and social interaction. After five more years of active treatment, 51 persons who had remained in the program maintained their skills in dressing, grooming, eating, and communication. Significant improvement in the use of toilet and a loss in social interaction were observed. Although the participants were 10 years older at the end of this study, their adaptive behaviors, in comparison to the date of entry, either improved or were maintained. Therefore, aging was not associated with decline in skills.
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References
1.
American Psychiatric Association. (1994) The diagnostic and statistical manual of mental disorders. (4th ed.) Washington, DC: Author.
2.
BallerW. R. (1936) A study of the present status of a group of adults, who, when they were in elementary schools, were classified as mentally deficient. Genetic Psychology Monographs, XVIII, No. 3.
3.
BensonJ. B.BihunJ. T. (1995) Review of “The cloak of competence.” (Revised and updated)American Journal on Mental Retardation, 99, 571–574.
4.
BillingsleyF. F. (1984) Where are the generalized outcomes? (An examination of instructional objectives). Journal of the Association for Persons with Severe Handicaps, 9, 186–192.
5.
BurtD. B.LovelandK. A.ChenY-W.ChuangA.LewisK. R.CherryL. (1995) Aging in adults with down syndrome: report from a longitudinal study. American Journal on Mental Retardation, 100, 262–270.
6.
CollacottR. A. (1992) The effect of age and residential placement on adaptive behaviour of adults with Down's syndrome. British Journal of Psychiatry, 161, 675–679.
7.
DowningJ. (1988) Active versus passive programming: a critique of IEP objectives for students with the most severe disabilities. Journal of the Association for Persons with Severe Handicaps, 13, 197–201.
8.
EdgertonR. B. (1967) The cloak of competence: stigma in the lives of the mentally retarded.Los Angeles, CA: Univer. of California Press.
9.
EdgertonR. B. (1993) The cloak of competence. (Revised and updated) Berkeley, CA: Univer. of California Press.
10.
ErbR. G. (1995a) Continuing the search for a shoe that fits: rejoinder. Mental Retardation, 33, 403–405.
11.
ErbR. G. (1995b) Where, oh where, has common sense gone? (or if the shoe don't fit, why wear it?). Mental Retardation, 33, 197–199.
12.
FairbanksR. E. (1933) The subnormal child—seventeen years after. Mental Hygiene, XVII(2).
13.
FelceD.de KockU.MansellJ.JenkinsJ. (1994) Providing systematic individual teaching for severely disturbed and profoundly mentally handicapped adults in residential care. Behavior Research and Therapy, 22, 229–309.
14.
GardnerJ.ChapmanM. (1990) Program issues in developmental disabilities-a guide to effective habilitation and active treatment. (2nd ed.) Baltimore, MD: Brookes.
15.
JohnsonR. R. (1980) Elementary statistics. (3rd ed.) North Scituate, MA: Duxbury.
16.
KannerL. (1971) Follow-up study of 11 autistic children originally reported in 1943. Journal of Autism and Childhood Schizophrenia, 1, 119–145.
17.
KauffmanJ. M.CrouseJ. (1981) The trainable but noneducable: whose responsibility?National Educational Association Journal, 47, 622–623.
18.
LakinK. C.ProutyB.BraddockD.AndersonL. (1997) Trends and milestones: state institution populations smaller, older, more impaired. Mental Retardation, 35, 231–232.
19.
LovaasO. I.KoegelR. L.SimmonsJ. Q.LongJ. S. (1973) Some generalization and follow-up measures on autistic children in behavior therapy. Journal of Applied Behavior Analysis, 6, 131–166.
20.
ManfreoiniD.SmithW. (1988) The concept and implementation of active treatment. In JanickiM.KraussM. W.SeltzerM. M. (Eds.), Community residences for person with developmental disabilities: here to stay.Baltimore, MD: Brookes. Pp. 123–131.
21.
McEachinJ. J.SmithT.LovaasO. I. (1993) Long-term outcome for children with autism who received early intensive behavioral treatment. American Journal on Mental Retardation, 97, 359–372.
22.
MeyerL. H.PeckC. A.BrownL. (Eds.) (1991) Critical issues in the lives of people with severe disabilities.Baltimore, MD: Brookes.
23.
PrasherV. P.ChungM. C. (1996) Causes of age-related decline in adaptive behavior of adults with down syndrome: differential diagnoses of dementia. American Journal on Mental Retardation, 101, 175–183.
24.
PrasherV. P.ChungM. C.HaqueM. S. (1998) Longitudinal changes in adaptive behavior in adults with down syndrome: interim findings from a longitudinal study. American Journal on Mental Retardation, 103, 40–46.
25.
PrasherV. P.KrishnanV. H. R.ClarkD. J.CorbettJ. A. (1994) The assessment of dementia in people with down syndrome: changes in adaptive behaviour. The British Journal of Developmental Disabilities, 90, 120–130.
26.
RasmussenD. E.SobseyD. (1994) Age, adaptive behavior, and Alzheimer disease in down syndrome: cross-sectional and longitudinal analysis. American Journal on Mental Retardation, 99, 151–165.
27.
SilversteinA. B.HerbsD.MillerT. J.NasutaR.WilliamsD. L.WhiteJ. F. (1988) Effects of age on the adaptive behavior of institutionalized and noninstitutionalized individuals with down syndrome. American Journal of Mental Deficiency, 92, 455–460.
28.
SilversteinA. B.HerbsD.NasutaR.WhiteJ. F. (1986) Effects of age on the adaptive behavior of institutionalized and noninstitutionalized individuals with down syndrome. American Journal of Mental Deficiency, 90, 659–662.
29.
SlossonR. L. (1975/1984) Slosson Intelligence Test (SIT) for children and adults.East Aurora, NY: Slosson Educational Publ.
30.
SouleD.BellJ.SmithD. (1978) Behavior Maturity Checklist II (BMCL–II).Goldsboro, NC: O'Berry Center.
31.
StancliffeR. J.AberyB. H. (1997) A longitudinal study of deinstitutionalization and the exercise of choice. Mental Retardation, 35, 159–169.
32.
StancliffeR. J.HaydenM. F. (1998) Longitudinal study of institutional downsizing: effects on individuals who remain in the institution. American Journal on Mental Retardation, 102, 500–510.
33.
StancliffeR. J.HaydenM. F.LakinK. C. (1999a) Effectiveness of challenging behavior IHP objectives in residential settings: a longitudinal study. Mental Retardation, 37, 482–493.
34.
StancliffeR. J.HaydenM. F.LakinK. C. (1999b) Effectiveness and quality of individual planning in residential settings: an analysis of outcomes. Mental Retardation, 37, 104–116.
35.
StancliffeR. J.HaydenM. F.LakinK. C. (1999c) Interventions for challenging behavior in residential settings. American Journal on Mental Retardation, 104, 364–375.
36.
SturmeyP. (1992) Goals planning for adults with a mental handicap: outcome research, staff training and management. Mental Handicap Research, 5, 92–108.
37.
ZigmanW. B.SchupfN.LubinR. A.SilvermanW. P. (1987) Premature regression of adults with down syndrome. American Journal of Mental Deficiency, 92, 161–168.
