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Community living and group homes refer to the Western-based philosophy and movement that holds that people with disabilities should have opportunities to reside in community-based homes. This movement seeks to promote community-integrated living, primarily for people with intellectual disabilities and mental illness, by moving them from large institutions into smaller (fewer than 15 residents), community-based home settings. These settings respond to the desire of people with disabilities to participate in community life. There is increasing research evidence that community living can enable them to exert control over their lives and improve their quality of life. Providing opportunities for community living may also be less expensive than institutional care.

Group homes typically bring together individuals who do not previously know one another into a collective, homelike residence. The residence may be an apartment or a freestanding home and is located within a residential neighborhood. Many models of group homes exist. Sometimes there are live-in care providers; others times there are shift workers, who may or may not be continuously present in the home. Likewise, sometimes the residents have primary responsibility for household matters such as cleaning, cooking, and grocery shopping; other times staff carry such responsibility. As a result of these and other factors, some group homes retain an institutional atmosphere, while others create a more resident-driven, homelike atmosphere. In general, group homes provide less restrictive environments for residents thereby increasing their satisfaction with their living arrangement. They accord residents with disabilities greater opportunities to exercise choice over day-to-day matters and increase their skills and adaptive behaviors. Group homes enable their residents to enjoy greater engagement in and/or responsibility for domestic and personal activities. They have a more active, normalized, and less regulated lifestyle in the community.

HISTORY

Historically, people with disabilities have been cared for by their families and have not had a long life expectancy. Starting in the seventeenth century in England and its colonies, people with disabilities began to be placed in separate facilities with other "social undesirables." By the mid-nineteenth century, state-run large residential care facilities were built or former tuberculosis hospitals and other facilities were adapted to house people with disabilities. Although intended to provide services, opportunities, and resources for living and protection from an unsup-portive society, these facilities often were characterized by limited life choices for residents. They frequently experienced a low level of quality of life, abuse, and neglect. Staff showed a general lack of interest in returning residents to their communities.

By the mid-1950s, critiques of institutional care, the availability of new psychotropic medications, advocacy groups, and the international disability right movement were taking root. As a result, there was growing support for changes in the residential care of people with disabilities. Interest increased in reducing reliance on residential institutions and promoting community-based supports. In the early 1960s in the United States, President John F. Kennedy gave the first major presidential address devoted to society's treatment of people with emotional and cognitive disabilities. In ensuing legislation, his administration called for and obtained stronger community supports including community mental health centers, university centers for excellence in research and treatment for people with cognitive disabilities, state planning councils for innovative disability policies and programs, and state protection and advocacy agencies for people with disabilities. These new organizations began in the 1960s and have helped provide support for the development of group homes and community living.

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