Longitudinal study on the adaptive and challenging behaviors of deinstitutionalized adults with mental retardation

Roger J. Stancliffe, Mary F. Hayden, Sheryl A. Larson, K. Charlie Lakin

Research output: Contribution to journalArticlepeer-review

20 Scopus citations

Abstract

Adaptive and challenging behavior changes associated with movement from Minnesota's state institutions to community homes were examined. Most of the 148 participants who moved had severe or profound mental retardation, significant challenging behavior, and several decades of institutionalization. Adaptive and challenging behavior were assessed in the institution and thereafter annually in the community. Relative to institutional levels, adaptive behavior declined among residents who moved to community ICFs/MR but was unchanged for the HCBS Waiver group. Challenging behavior tended to worsen initially but, except for internalized behavior, no longer differed from institutional levels by the second community assessment. Change in challenging behavior was unrelated to community residence type. Previous papers involving these participants showed consistent lifestyle enhancements and reduced service costs relative to the institution.

Original languageEnglish (US)
Pages (from-to)302-320
Number of pages19
JournalAmerican Journal on Mental Retardation
Volume107
Issue number4
DOIs
StatePublished - Jul 22 2002

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