Preface
Introduction
1. Philosophic Orientation
Normalization
Criterion of Ultimate Functioning
Competence-Deviance Hypothesis
Least Restrictive Environment
Dignity of Risk
Ecological Orientation
Summary
2. Range of Residential Options
Community Living Alternatives
Evaluative Review of Sheltered Villages
Evaluative Review of Small Group Homes
Summary
3. Evaluation of Community-Living Options
Needs Assessment
Formative Evaluation
Cost Effectiveness
Summary
4. Financing a Residential Home
Funding Sources
Private Funding
Profit Funding
Local Agency Funding
Purchase of Service (State Funding)
Medicaid: Title XIX (Federal Funding)
Other Financial Considerations
Summary
5. Transitioning Residents from Previous Living Environments
Gradual Introduction to the Home
Preserving Some of the Old
Personalizing the New Home
Transferring Relevant Information
Establishing Personal Relationships
Understanding Special Needs
Trial Period for New Residents
Summary
6. Voluntary Community Resources
Coordinator: Volunteer Resource Personnel
Facility Needs: Potential Volunteer Assistance
Residential Advisory Board
Other Resource Personnel
Suggestions for Working with Volunteer Assistance
Organizational Plan for Establishing a Volunteer Program
Volunteer Program Forms
Summary
7. Instructional Strategies for Conducting Training Programs
Antecedent Change
Prompt Hierarchies
Least Prompting
Most Prompting
Time Delay
Modifying the Task Presentation
Chaining
Adding and Fading of a Color Cue
Consequent Changes
Resident Reinforcement Survey
Summary
8. Domestic Living Skills
Current and Subsequent Domestic Living Inventories
Environmental Analysis for Household Cleaning Tasks
Safety Needs for Group Home Residents
Domestic Domain
State of the Art Resources
9. Leisure Time Activities
Overview/Suggestions for Leisure Time Programming
Leisure Time Activity Content Areas
Arts/Crafts
Games/Table
Physical Fitness
Hobbies
Sports/Games
Social
Sample Instructional Formats for Selected Leisure Activities
Partial Participation in an Activity
Residents with Restricted Leisure Time Activities
Suggested Activities
Community Involved Program
A Final Thought
10. General Community Functioning
Interview Resident, Peers, and Primary Care Providers
Locate Specific Environments
Analyze Characteristics of Activities
Develop Date Sheets
Use Data Sheets in Specific Environments
Develop Task Analyses
Develop Training Strategies
Summary
11. Characteristics of Model Training Efforts Within Residential Settings
An Established Philosophy Statement
Domain Referenced Curriculum
Community-Based Activities
Interaction With Nonhandicapped Peers
Involvement of Citizen-Advocates and Neighbors
Systematic Instruction Strategies with Data Based Decision Procedures
Hierarchy of Documented Procedures for the Decrease of Aberrant Behavior
Regular Inservice Sessions to Update Staff on Current State-of-the-Art Knowledge
Daily Schedule for Each Resident
Use of Generic Medical Facilities and Community Services
Self-Evaluation Checklist
References
Index