Quality assurance of the community placement of institutional residents

James Robert Brašić, Hitten Vithal Kisnad, Leonard I. Leven, James W. Nettleton, Jorge Luis Arzola, Yun Zhou

Research output: Contribution to journalReview articlepeer-review

4 Scopus citations


Background: Residence in the least restrictive appropriate environment facilitates the attainment of one's maximal potential for a satisfying and rewarding life. Since some persons with mental retardation and other developmental disabilities manifest repeated problems on institutional discharge, methods to identify likely difficulties on release from institutions are desirable. Objective: To introduce a questionnaire that may help to predict the successful placement of persons with mental retardation and other developmental disabilities. Method: To facilitate surveys of individuals residing in institutions in preparation for discharge, we developed the Discharge Planning Quality Rating Survey (DPQRS), a chart review instrument for trained raters to evaluate the relevant clinical information. The charts of all 189 residents of an urban intermediate care facility for people with mental retardation were reviewed by one of three physician raters who then completed the DPQRS. Results: Data obtained with the DPQRS are presented, including sex, age, ethnicity, IQ, developmental milestones, activities of daily living, medical and mental disorders, behavior problems, physical appearance, medications, Axis IV and V scores using the Diagnostic and Statistical Manual (DSM) for Mental Disorders, and others. The interrater reliabilities of the items are presented. Conclusions: The DPQRS is a valuable tool for surveys to predict the successful community placement of mentally retarded individuals. Further studies are needed to establish the external validity of the instrument.

Original languageEnglish
Pages (from-to)95-114
Number of pages20
JournalGerman Journal of Psychiatry
Issue number4
StatePublished - 2002
Externally publishedYes


  • Data collection
  • Deinstitutionalization
  • Developmental disabilities
  • Mental retardation
  • Psychiatric status rating scales
  • Reproducibility of results


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