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Working With Mentally Handicapped Persons in Their Residences,

NEAL A. MCNABB, MD
Am J Dis Child. 1982;136(6):564. doi:10.1001/archpedi.1982.03970420088031.
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ABSTRACT

In this volume, the authors attempt to provide the reader with ideas and skills needed to manage a residence for the mentally handicapped. They list the following objectives: (1) "to identify the learning needed for the mentally handicapped person," (2) "to outline the working of an effective residence," and (3) "to develop the competency of the workers."

The authors give many descriptive outlines of the pragmatic workings of such a residence, including admission and retention criteria, admission procedures, observation guidelines, activity guidelines, and discharge guidelines. They also suggest various management and discipline approaches and very effectively identify the rights of individual residents.

However, the authors do not provide an adequate matrix of clinical data nor do they give a clinical basis for their decisions. Their approach is behavioral and therefore precludes specific diagnoses of the residents' problems.

Many of the methods advocated for dealing with problems require verbal skills beyond

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