More than 2,000 persons with developmental disabilities have been transferred from California state institutions into community care in recent years.
We investigated whether this has been accompanied by a change in mortality rates, using data on 1,878 clients moved since April 1993.
Mortality rates were compared to those expected for comparable persons in institutions.
Risk-adjusted mortality rates for movers exceeded institutional rates by 51%, p<. 05.
After removal of cancer deaths in both groups, this increased to 67%. The effect was largest shortly after the move and in the subjects who had moved most recently.
The deinstitutionalization process in California appears to have resulted in a substantial increase in mortality, indicating the need to ensure continuous, consistent, and competent medical care and supervision in the community.
Mots-clés Pascal : Arriération mentale, Désinstitutionnalisation, Mortalité, Traitement communautaire, Homme, Déficience intellectuelle, Trouble développement
Mots-clés Pascal anglais : Mental retardation, Desinstitutionalization, Mortality, Community treatment, Human, Intellectual deficiency, Developmental disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0279415
Code Inist : 002B18C12. Création : 27/11/1998.