According to reports provided by all states in the United States on June 30, 2003, persons with intellectual and/or developmental disabilities (ID/ DD) receiving residential supports outside the homes of family members under the auspices of the state mental retardation and/or developmental disabilities agencies for the first time exceeded 400,000 persons. The 402,281 persons receiving residential supports outside their family home represented a 93,297 person (30.2%) increase from 308,984 residential service recipients a decade earlier. As a point of comparison between 1982 and 1993, we found that residential service recipients increased by 65,849 (26.7%). Indexed for the size of the U.S. population, the number of residential service recipients per 100,000 of the general population increased from 105.2 in 1982 to 120.7 in 1993 to 142.9 in 2003. Increases in residential service recipients were evident in all states during the 1993 to 2003 period. Summaries...

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