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Client characteristics and residential placement patterns.

S A Borthwick-Duffy, R K Eyman, J F White

    American Journal of Mental Deficiency
    |July 1, 1987
    PubMed
    Summary
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    Client characteristics significantly influence residential placement decisions for individuals with intellectual disabilities. Factors like behavior, age, and medical needs are crucial for determining appropriate community living options.

    Area of Science:

    • Intellectual Disability Services
    • Healthcare Policy and Management

    Background:

    • Deinstitutionalization and community placement are key trends in services for individuals with intellectual disabilities.
    • There has been a notable shift in the control of placement decisions within these services.

    Purpose of the Study:

    • To examine placement patterns into various residential alternatives for individuals with intellectual disabilities in California.
    • To evaluate how client characteristics predict placement into four distinct residential types.

    Main Methods:

    • Discriminant analysis was employed to analyze placement data.
    • The study included a large sample of 66,367 clients receiving services for intellectual disabilities.

    Main Results:

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  • Client characteristics were found to be significant predictors of residential placement.
  • Key discriminating factors included maladaptive behavior, age, ethnicity, medical issues, and functional abilities (ambulation, toileting, speech).
  • Conclusions:

    • Client-specific factors play a critical role in guiding residential placement decisions for individuals with intellectual disabilities.
    • Understanding these characteristics is essential for effective and individualized community placement strategies.