Mitchell D, Braddock D
Public Health Services, University of Illinois, Chicago 60608.
Ment Retard. 1990 Aug;28(4):201-10.
Historical developments leading to the enactment of nursing home reform legislation (P.L. 100-203) were discussed. The results of the nursing home component of a nationwide University of Illinois at Chicago study of public mental retardation/developmental disabilities spending were also presented. Approximately 51,000 individuals with mental retardation and related conditions resided in nursing homes in 1989. The cost of their care was approximately $900 million annually. Within the first 12 months of the enactment of P.L. 100-203, 46 states had requested an extension to the original mandated services deadline imposed under that legislation. Under P.L. 100-203 guidelines, state agencies estimated that nearly 40% of all nursing home residents with mental retardation might need to be relocated to alternative settings. Implementation issues were also discussed.
讨论了促成疗养院改革立法（第100 - 203号公法）颁布的历史发展情况。还介绍了伊利诺伊大学芝加哥分校在全国范围内对公共智力迟钝/发育障碍支出进行研究的疗养院部分的结果。1989年，约有5.1万名智力迟钝及相关病症患者居住在疗养院。他们每年的护理费用约为9亿美元。在第100 - 203号公法颁布后的头12个月内，46个州已请求延长该立法规定的原强制服务期限。根据第100 - 203号公法的指导方针，州机构估计，所有智力迟钝的疗养院居民中近40%可能需要被转移到其他场所。还讨论了实施问题。
