In June 2004, states reported a total of about 420,000 people receiving residential supports outside of homes of parents or other relatives. This was an increase of about 33.5% (about 105,500 persons) since June 1995. Of the residential service recipients in 2004, states reported that 294,559 persons were living in settings of 6 or fewer residents. This represents an increase of 82% (from 162,094 persons) since June 1995. During the 1995–2004 period, the number of people living in homes of 6 or fewer increased from 51.5% to 70.1% of all residential support recipients. A major part of this change was evident in the growth in the number of people living in their own homes (homes owned or rented by themselves) and in host family/companion arrangements (homes that a support provider owns or rents and lives in with the person(s) supported). These statistics are shown in Figure 1 for the United States and in Table 1 for each of the reporting states. Between 1995 and 2004, persons reported by states to be living in their own homes increased from an estimated 40,881 to 107,157 (162%). Those reported to be living in host family or individual companion arrangements increased from an estimated 23,030 to 39,838 (73%). The number of agency-operated homes of 6 or fewer persons also increased, but at a slower rate, from an estimated 98,183 to 147, 534 (50%). People living in homes with 7 or more residents decreased from 152,409 to 125,406 (18%) between 1995 and 2004.
About 13.5% of residential service recipients in settings of 6 or fewer residents on June 30, 2004, were reported to be living with host families; 36.4%, in their own homes; and 50.1%, in agency-operated homes. In 1995, 60.6% of persons in places with 6 or fewer residents were in agency-operated homes.
Twenty-six of the 50 states reporting provided residential services in settings of 6 or fewer residents for 75% of all persons with ID/DD receiving such services in 2004. Five states provided residential services in settings of 6 or fewer residents to less than 50% of all persons receiving such services.