摘要 : In this two-part series of articles, it is predicted that institutions will be phased out because of fivetrends: development of nonresidential community services; new conceptualizations of and attitudestoward residential services:... 展开 In this two-part series of articles, it is predicted that institutions will be phased out because of fivetrends: development of nonresidential community services; new conceptualizations of and attitudestoward residential services: increased usage of individual rather than group residential placements;provision of small, specialized group residences; and a decline in the incidence and prevalence ofsevere and profound retardation due to reduction in the birthrate of high risk groups, improvementof health services for the population generally and for high risk groups specifically, increasedpractice of abortion, general environmental betterment, and early childhood education. In this(second) part, the impact of the developing new service model upon the institution is discussed. 收起