Service Delivery

Group homes in North Carolina for children and adults with autism.

Wall (1990) · Journal of autism and developmental disorders 1990
★ The Verdict

TEACCH group homes are painted as a cheap, autism-ready option, but the claim rests on description, not data.

✓ Read this if BCBAs who place autistic teens or adults into residential care or consult on housing policy.
✗ Skip if Clinicians looking for behavior-analytic intervention trials or cost data with stats.

01Research in Context

01

What this study did

The paper gives a walk-through of TEACCH group homes across North Carolina. It shows how rooms, daily schedules, and staff training line up with autism needs.

No trials or numbers are reported. The author simply maps out why these homes exist and claims they save money while keeping quality.

02

What they found

The review calls the homes "viable and cost-effective" for autistic children and adults. It lists features like clear visual cues, small staff ratios, and weekend respite.

No data tables or stats are given. The piece reads more like a program brochure than a research test.

03

How this fits with other research

Benderix et al. (2006) extends this picture by following one family two years after placement. Parents first felt grief, then relief, but guilt never fully left.

McClannahan et al. (1990) sounds a warning from the same year: most NC group homes are built for general ID, not autism, so gaps in sensory supports and communication are common. Together the two 1990 papers do not contradict; Wall (1990) shows what CAN work while McClannahan et al. (1990) shows what USUALLY fails without autism-specific design.

Lerner et al. (2012) later tested mixing autistic and non-autistic adults in staffed houses and found no drop in adaptive skills, hinting that diagnostic grouping may matter less than good staff training.

04

Why it matters

If you write IEP transition plans or approve residential funding, ask for TEACCH-style features: structured spaces, visual schedules, and autism-trained staff. The model is old, but later studies keep showing the same needs. Use the list as a checklist during site visits or when designing new homes.

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→ Action — try this Monday

Take the paper’s feature list (visual cues, low noise, consistent routines) and score any group home you visit this week—note what is missing.

02At a glance

Intervention
not applicable
Design
narrative review
Population
autism spectrum disorder
Finding
not reported

03Original abstract

Autistic people not living with their families live in 11 group homes throughout North Carolina. These homes, funded by both state and federal sources, are affiliated with TEACCH, the state agency for the identification and treatment of autism. This article looks at several aspects of group homes including cost effectiveness, staff selection and training, level of structure and programming, composition of the client group, adherence to a central philosophy, and the role of administration. Evidence suggests that group homes are a viable and cost-effective residential option for autistic people. While more group homes are needed, development of other residential options is encouraged.

Journal of autism and developmental disorders, 1990 · doi:10.1007/BF02206547