Service Delivery

Twenty predictions about the future of residential services in mental retardation.

Wolfensberger (2011) · Intellectual and developmental disabilities 2011
★ The Verdict

Residential services are moving toward integrated, cost-benefit-driven models—plan system changes now, not later.

✓ Read this if BCBAs who design or oversee residential services for adults with IDD.
✗ Skip if Clinicians who only work in clinics or family homes.

01Research in Context

01

What this study did

Wolfensberger (2011) wrote 20 predictions about where group homes and larger centers are headed. He looked at money, laws, and what people with intellectual disability say they want.

The paper is a think-piece, not new data. It paints a picture of smaller, mixed homes paid for by clear cost-benefit math.

02

What they found

The forecast says big wards will keep shrinking. Homes will look like ordinary neighborhoods. Funding will hinge on showing each dollar improves a person’s life.

Staff will need new skills in choice, tech, and community ties. Quality checks will move from rules to results.

03

How this fits with other research

Salmi et al. (2010) backs him up. From 1988 to 2008, small homes under seven residents jumped from 29% to 73%. The move was already happening.

Mansell et al. (2002) adds a warning. Those same small homes now hold people with tougher behavior and health needs. Wolf’s cost-benefit plan must pay for extra training.

Hatton et al. (2004) gives a tool that fits the vision. The Resident Choice Scale tracks self-determination, one of Wolf’s key outcomes.

04

Why it matters

If you run or consult on residential programs, treat this as your early weather report. Start shifting budgets toward community homes, train staff in choice and positive behavior supports, and pick metrics like the Resident Choice Scale so you can show funders the move is worth it.

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Map one current cost per resident and list three community-based outcomes you could track instead of just census numbers.

02At a glance

Intervention
not applicable
Design
theoretical
Population
intellectual disability
Finding
not reported

03Original abstract

Twenty predictions about the future of residential services to the mentally retarded are presented. These changes imply: (1) an entirely new model of residential services; (2) increasing continuity between residential and nonresidential services; and (3) increasing acceptance of cost-benefit rationales in the decision to offer residential or other services.

Intellectual and developmental disabilities, 2011 · doi:10.1352/1934-9556-49.6.411