Institutional reform--prerequisites for providing a life of quality for mentally retarded residents. 1991

S Reiter
School of Education, University of Haifa, Israel.

The present paper is a socio-ecological description of institutional reforms implemented at Kfar Tikvah, Israel. Kfar Tikvah is a community for approximately 130 moderately mentally retarded individuals. For the purpose of institutional reforms the organizational structure of the kibbutz system was adopted, but without adherence to its underlying philosophy. As a first stage in institutional reform the application of the kibbutz structure proved successful. However, for reforms to achieve the goal of providing residents with quality of life, structural changes are not enough and a clear philosophical orientation is needed.

UI MeSH Term Description Entries
D007325 Institutional Practice Professional practice as an employee or contractee of a health care institution. Institutional Practices,Practice, Institutional,Practices, Institutional
D007557 Israel A country in the Middle East, bordering the Mediterranean Sea, between Egypt and Lebanon. The capital is Jerusalem.
D008297 Male Males
D008607 Intellectual Disability Subnormal intellectual functioning which originates during the developmental period. This has multiple potential etiologies, including genetic defects and perinatal insults. Intelligence quotient (IQ) scores are commonly used to determine whether an individual has an intellectual disability. IQ scores between 70 and 79 are in the borderline range. Scores below 67 are in the disabled range. (from Joynt, Clinical Neurology, 1992, Ch55, p28) Disability, Intellectual,Idiocy,Mental Retardation,Retardation, Mental,Deficiency, Mental,Intellectual Development Disorder,Mental Deficiency,Mental Retardation, Psychosocial,Deficiencies, Mental,Development Disorder, Intellectual,Development Disorders, Intellectual,Disabilities, Intellectual,Disorder, Intellectual Development,Disorders, Intellectual Development,Intellectual Development Disorders,Intellectual Disabilities,Mental Deficiencies,Mental Retardations, Psychosocial,Psychosocial Mental Retardation,Psychosocial Mental Retardations,Retardation, Psychosocial Mental,Retardations, Psychosocial Mental
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010358 Patient Participation Patient involvement in the decision-making process in matters pertaining to health. Patient Activation,Patient Empowerment,Patient Engagement,Patient Involvement,Patient Participation Rates,Activation, Patient,Empowerment, Patient,Engagement, Patient,Involvement, Patient,Participation Rate, Patient,Participation Rates, Patient,Participation, Patient,Patient Participation Rate
D011788 Quality of Life A generic concept reflecting concern with the modification and enhancement of life attributes, e.g., physical, political, moral, social environment as well as health and disease. HRQOL,Health-Related Quality Of Life,Life Quality,Health Related Quality Of Life
D004495 Education of Intellectually Disabled The teaching or training of those individuals with subnormal intellectual functioning. Education of Mentally Defective,Education of Mentally Retarded,Education, Mentally Retarded,Mentally Retarded Education,Disabled Education, Intellectually,Disabled Educations, Intellectually,Intellectually Disabled Education,Intellectually Disabled Educations,Mentally Defective Education
D005160 Facility Design and Construction Architecture, exterior and interior design, and construction of facilities other than hospitals, e.g., dental schools, medical schools, ambulatory care clinics, and specified units of health care facilities. The concept also includes architecture, design, and construction of specialized contained, controlled, or closed research environments including those of space labs and stations. Facility Construction,Facility Design,Construction, Facility,Constructions, Facility,Design, Facility,Designs, Facility,Facility Constructions,Facility Designs
D005260 Female Females

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