![Sample our Education journals, sign in here to start your access, latest two full volumes FREE to you for 14 days]({"type":"image" , "src" : "/sda/5932/TOC-Subject-Sample-2021-Education.jpg"})
Abstract
This discussion traces the evolution of the concept of community‐based care, through three progressive stages with associated role prescriptions, from a medically‐oriented and administered model, to a psychologically‐based rehabilitation paradigm, to the present emphasis on independent living. The current status of the “deinstitutionalizing” process in the United States and in Queensland is surveyed. Review of recent research discloses a number of unresolved issues, all with a strong attitudinal component; these involve questions of whether some people are too disabled to be maintained in the community without undue risk to themselves and to others; parental preference for particular types of care; and dimensions of provision which contribute to improved quality of life for disabled clients. The need for a careful match between individual characteristics and type of provision is highlighted.