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The mid 1970s saw the beginning of a movement to close state institutions.

In 1971, there were 365 institutions in the United States. By 2004, there were 186.

Also by the mid 1970s there were a wide variety of community residential approaches and ways of funding them.

In 1975, the President's Committee developed a profile of community residence for children and adults (People Live in Houses).

It included the following array of arrangements, operators and funding sources:

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People Live in Houses