Comparative mortality of people with mental retardation in institutions and the community

David Strauss, Theodore A. Kastner

Research output: Contribution to journalArticlepeer-review

67 Scopus citations


The role of institutions has come into question in recent decades, and the size of the institutionalized population has been drastically reduced. Risk-adjusted mortality rates in institutions and the community in California from 1980 through 1992 were compared, with the aim of improving our understanding of the capacity of the community health system to support deinstitutionalization. Risk-adjusted odds on mortality were estimated to be 72% higher in the community than in institutions. Some problems with health care delivery in the community were reviewed; these may help account for the difference. Consumers and guardians should weigh these considerations when making choices between institutional versus community-based care.

Original languageEnglish (US)
Pages (from-to)26-40
Number of pages15
JournalAmerican Journal on Mental Retardation
Issue number1
StatePublished - Jul 1996
Externally publishedYes

ASJC Scopus subject areas

  • Education
  • Rehabilitation
  • General Health Professions
  • Developmental and Educational Psychology


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