Community placement for persons with significant cognitive challenges: An outcome analysis

Outcome indices were compared across groups of individuals who either remai ned in institutional settings or transferred from an institutional setting to various community living arrangements. All individuals included in the a nalysis, had been labeled as having profound mental retardation. The commun ity group exceeded or matched institution groups with respect to service ho urs, community integration, and adaptive behavior. Greater productivity, in terms of vocational activity, was noted in the two institution settings. P ersons in the community had slightly greater difficulty in obtaining medica l services. Nonmedical unmet needs were greater in the community programs.