Mortality among people with developmental disabilities was reviewed us
ing recent data obtained from the California Department of Development
al Services. The time interval for this report was 1991-1995. We defin
ed two study cohorts: one beginning in January 1991 and a second in Ap
ril 1993. The latter period represented the years of implementation of
the Coffelt settlement, Our primary interest was in the Coffelt perio
d cohort. Statistically significant association with increased rates o
f mortality was found for community residence. A trend of declining mo
rtality was noted for the community facilities from 1991-1995, but not
for the developmental centers.