Also in 1969, The President's Committee released Changing Patterns in Residential Services for the Mentally Retarded. edited by Wolf Wolfensberger and Robert Krugel.

The papers focused on the dehumanizing nature of institutions, the need for institutional reform and how The Normalization Principle could inform that reform, and an examination of regional service systems.

Changing Patterns for the Mentally Retarded

Throughout the 1960s, there was an increasing, though still very limited focus on support to families. By and large, this took the form of diagnostic services, guidance and information.

Out of home respite also emerged. In Connecticut, for instance, a new system of admissions to residential services was developed.

This allowed parents to maintain guardianship while their sons and daughters (children and adults) were admitted to state facilities for a short period of time. Short term admissions were available from 24 hours to 6 months. Families could take vacations.

Individuals could be evaluated on a short term basis for semi-independent living. Families could weather a time of high stress.