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An individual might leave an institution, move to a large group residence to receive training, then move to a smaller group home, then a semi-independent setting, and perhaps eventually to independent living. People were assessed in terms of their readiness for the next step along the continuum.

Court ordered processes such as the Pennhurst closure and developments supported by the HCBW enabled more and more people to start out in smaller and smaller settings with the support they required.

For people leaving Pennhurst, for instance, the more challenging their behaviors or other support needs, the less likely they were to live with other people with disabilities. Individuals received the support they needed in their own homes in the community.

Photo courtesy Ann Marsden