Data were collected on (i) the frequency at which various professionals were recorded as having contacted severely mentally handicapped children and adults living in residential care, and (ii) the frequency of recorded morbidity episodes of the clients. Clients living in Wessex locally-based hospital units, which were served mainly by local professionals who also served the general population, were compared with similar clients in traditional health service residential facilities. The results show that, in one year, clients in the locally-based units were recorded as being contacted by professionals at least as frequently, if not more so, than those in traditional forms of care; they were recorded as experiencing fewer episodes of illness and injury but higher numbers of convulsions. There are limitations in the measure as a means of evaluating the delivery of specialist services. However, the results do not indicate support for the prediction that the level of such services provided to local, dispersed, residential units can not be as high as that which is available to living units grouped on a central hospital campus.
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