Statistics reported by states for state Fiscal Year (FY) 2006 indicate that for the first time less than 30% of persons receiving out-of-family residential supports for persons with intellectual and developmental disabilities (ID/DD) lived in homes with more than 6 residents. During the year the number of persons living in institutional settings for 16 or more persons with ID/DD decreased to 15% of all residents, greatly less than the 59% reported by states 2 decades earlier in 1986. Figure 1 shows changes in the decade between June 1996 and June 2006 in the number of people receiving out-of-family residential supports for persons with ID/DD in settings of different sizes. During the decade the total number of residential support recipients increased by slightly more than 100,000 or 31%. Between 1996 and 2006, the number of people receiving residential supports in places of 3...

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