Presidential address 1996--are we there yet?
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Biomedical subjects
Publications and source records attributed to W E Kiernan.
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National survey data reported by state MR/DD agencies for integrated and segregated employment and facility-based nonwork services provided during FYs 1988 and 1990 were examined. The percentage and total number of individuals in integrated employment grew significantly across the 2 years. However, there were no significant changes in the percentage or number served in facility-based settings. State MR/DD agencies continue to fund a dual service system, with the vast percentage of total resources allocated to segregated programs. Policy and funding incentives need to be developed to stimulate conversion of segregated services to integrated employment.
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The current status of state mental retardation/developmental disability agency information systems related to day and employment programs for persons with disabilities was described, and data regarding the number and characteristics of persons served in different day-employment programs and the funding sources for these persons were summarized. Suggestions were made regarding data utilization and information systems design.
Data from two (1984-1985 and 1985-1986) national surveys of facilities providing vocational services to adults with developmental disabilities were used to analyze employment placement patterns and client-referenced outcomes. Most of these adults were working in sheltered environments; however, 17 to 19% of those served were placed into nonsheltered settings during the respective survey periods. Effects of individual and environmental characteristics on a variety of individual and facility-level employment outcomes were examined. Research and policy implications were discussed.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
An assessment was made of 100 case records written by junior medical staff working in a psychiatric teaching hospital. Thirty-nine items were rated, and considerable gaps were found in the records. The Mental State was more poorly recorded than the History; the Formulation and Summary were more satisfactory. Possible reasons for the findings are discussed, including methodological difficulties, administrative considerations, and attitudes of junior staff. The implications for the training and assessment of junior psychiatrists are explored.