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Biomedical subjects

R S Harper

Publications and source records attributed to R S Harper.

10 recordsLinked to original sources
PubMed1990

Retrospective study of dental treatment for elderly hospital inpatients in Wolverhampton.

Records of 430 elderly hospital in-patients in Wolverhampton who required dental treatment between 1981 and 1987 were examined. The majority of them had ill-fitting dentures (39.1 per cent) followed by 'lost' dentures (20.4 per cent). Construction of new and replacement dentures and denture relines and repairs formed the majority of the treatment requirement. Other types of treatment included extractions, fillings and prophylactic care. Treatment for oral pathology was undertaken by the oral surgeons. Treatment was provided by the community dental service; this was carried out by a community clinical dental officer on a sessional basis working under the supervision of the consultant oral surgeon.

Aged↗
PubMed1982

Skill acquisition and client movement indices. Implementing cost-effective analysis in rehabilitation programs.

This article outlines the development and implementation of a cost-effective approach to client and program evaluation. The indices presented summarize a client's acquisition of behavioral skills (Skill Acquisition Index) and progression along a continuum of becoming less dependent and more productive (Client Movement Index). Data are presented summarizing how the two non-monetary outcome measures have been used in formative program evaluation. The paper also discusses some of the problems involved in implementing cost-effective analyses in rehabilitation programs and suggests specific strategies to overcome the problems.

Activities of Daily Living↗
PubMed1981

Community integration of mentally retarded adults: community placement and program success.

The extent of community and program success of 166 mentally retarded clients placed into a community-based program was evaluated over a 9-year period. Twenty predictor variables measuring institutional factors, client characteristics, training variables, and community characteristics were related to community or program success. Successful community placement was associated with sensorimotor and work skills, appropriate social-emotional behavior, gender, and family acceptance of community placement and involvement with the interdisciplinary team process. Program success was associated with language and psychomotor skills, education received prior to community placement, community and institution size, and family involvement. Sixteen percent of the clients were reinstitutionalized into either the state mental retardation facility or a mental health facility. Factors associated with successful placement and program progression were discussed as was a model for future deinstitutionalization research.

Adult↗
PubMed1981

Independent living placement: five years later.

The placement success and quality of life of 69 mentally retarded persons placed into independent housing 5 years previously was evaluated. Eighty percent (n = 55) were still in their original independent housing placement. On the basis of multiple regression analysis, the most significant predictor variables were the behavioral skill areas of personal maintenance, communication, community integration, clothing care and use, and food preparation. Unsuccessful placements were related to bizarre behavior, nutritional problems, and inadequate home maintenance. Quality of life variables analyzed included employment, finances, community utilization, leisure-time usage, and friendship patterns. Analysis of the quality of life variables presented a mixed picture: Part of the data reflected low income and possible loneliness; on the other hand, community utilization occurred frequently and involved normal activities. Clients reported that they were proud of their apartments and felt good about "doing their own thing." In light of the results, an extended assistance-training model was presented.

Activities of Daily Living↗
PubMed1978

Placement from community-based mental retardation programs: how well do clients do?

Mentally retarded clients (N = 131) placed during a 2-year period from either an independent living or competitive employment training program were evaluated as to placement success. Thirteen percent returned to the training program. Successful independent living placement was related to intelligence and demonstrated skills in symbolic operations, personal maintenance, clothing care and use, socially appropriate behavior, and functional academics. Successful employment was related to sensorimotor, visual-auditory processing, language, and symbolic-operations skills. Major reasons for returning from a job to the competitive employment training program included inappropriate behavior or need for more training; returning from community living placement was related to money management, apartment cleanliness, social behavior, and meal preparation.

Activities of Daily Living↗