The present study examined whether characteristics of the environment of nursing homes and community-based residential settings are associated with the adaptive behaviour, health and community integration of adults with intellectual disability living in those settings.
The specific characteristics of the environment were type of facility, size, level of residential involvement in policy-making, and the degree of variety and stimulation of the physical environment.
The study assessed 249 residents with intellectual disability over a 3-year period who lived in nursing homes at baseline.
At follow-up, 50 of the residents had moved to community-based facilities while 199 of the residents remained in nursing homes.
The results indicated that type, size and characteristics of the environment were related to the level of adaptive behaviour and community integration at follow-up.
Residents living in community-based settings had better health and greater levels of community integration than residents living in nursing homes.
Residents living in smaller facilities had greater adaptive behaviour at follow-up than residents living in larger facilities.
More variety and stimulation in the residential physical environment was associated with greater adaptive behaviour among residents at follow-up. (...)
Mots-clés Pascal : Arriération mentale, Intégration sociale, Environnement social, Qualité vie, Institution spécialisée, Etude longitudinale, Service santé, Santé mentale, Etats Unis, Amérique du Nord, Amérique, Homme, Déficience intellectuelle, Trouble développement
Mots-clés Pascal anglais : Mental retardation, Social integration, Social environment, Quality of life, Specialized institution, Follow up study, Health service, Mental health, United States, North America, America, Human, Intellectual deficiency, Developmental disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0505253
Code Inist : 002B18H05B. Création : 19/02/1999.