The quality of life of eleven individuals with a severe and profound mental handicap who moved from a hostel to two small group homes was evaluated. Multiple measures of progress were taken over a period of two years. The lifestyle of the individuals showed significant improvements. Overall they increased their level of adaptive behaviour, decreased their level of maladaptive behaviour, engaged in more purposeful activities, had a more varied lifestyle, and lived in more comfortable surroundings. The role of the small group homes in contributing to these improvements is discussed.
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