
The Evolution of Independent
Living Programs
Nosek MA, Zhu Y, Howland CA. The evolution of independent
living programs. Rehabilitation Counseling Bulletin 1992; 35: 174-89.
ABSTRACT
Over the past decade, a number of independent living programs in the United
States have mushroomed. Since 1977, the total has risen from 52 to more
than 400. One of the first programs, the Berkeley Center for Independent
Living, became the prototype for the effective delivery of independent
living services. Pioneered in the early 1970s by persons with severe disabilities,
this program was designed to help others with disabilities to live independently
and to promote a more accessible society. With the assistance of federal
funding, independent living programs modeled after the Berkeley Center
have been established throughout the United States. Despite such phenomenal
growth and development in this field, questions remain about the characteristics
of independent living programs, the characteristics that distinguish them
from traditional service providers, and the ways in which they are likely
to evolve in the future. To demonstrate exactly how independent living
programs have evolved to reflect their many differences from traditional
models of rehabilitation service delivery, Independent Living Research
Utilization (ILRU) has conducted several surveys of the characteristics
of independent living programs in the United States. Established in 1977
as an information resource, ILRU was the first to conduct research leading
to the standardization of definitions related to independent living. It
also conducted the first national survey of independent living programs
in 1977, followed by others in 1984, 1986 and 1988. After becoming a research
and training center for independent living in 1985, ILRU considerably expanded
the survey in 1986, which was improved and repeated in 1988 to provide
a basis for comparison. The purpose of this article is to clarify many
of the lingering questions about the features of a typical independent
living program by presenting the results of the 1988 survey. In addition,
a comparison of results with those from the 1986 survey was seen as potentially
illuminating future directions for theevolution of independent living (IL)
programs. To provide a backdrop against which independent living programs
have evolved since 1977, the philosophy, services, and traditional funding
sources of independent living programs are discussed.
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