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Deinstitutionalization

Since the inception of HSRI, a major pillar of our work has been the evaluation of changes that have taken place in systems of services and supports for people with disabilities – most specifically the move from large institutions as the locus of care to the creation and expansion of supports in communities. This work has resulted in the generation of numerous overviews of deinstitutionalization including the pioneering study of the closure of Pennhurst Center for people with intellectual and developmental disabilities. More recently, HSRI has developed computer simulated models to show the importance of community investment to prevent institutionalization, including incarceration; conducted analyses in several states to highlight for policy makers the gap between their current investments in institutional care and the emerging national norm that favors community supports; and provided technical assistance to states working to further diminish the use of institutional and custodial facilities through the Money Follows the Person grant program.