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Texas state supported living centers (formerly state schools) are a collection of residential facilities run by the state for people with intellectual disabilities in Texas, United States. The schools, operated by the Texas Health and Human Services Commission operate under the Federal Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) program.
The 13 state facilities provide round-the-clock care for more than 4,500 Texans with mild, moderate, severe or profound developmental delays and people with developmental delays who are also medically fragile or who have behavioral issues. [1] The average age of residents is 46, and 72 percent of residents have profound or severe developmental delays (i.e., IQ is below 40).
On May 20, 2009, the state reached an agreement with the U.S. Department of Justice on a comprehensive action plan to improve care and coordination of services for persons who reside at state supported living centers. The agreement outlines the state's plan to address issues identified by the Department of Justice in 2006 and 2008.
Scott Schalchlin was named assistant commissioner for the State Supported Living Centers (SSLC) in December 2013.
Abilene State Supported Living Center, located in Abilene, is home to approximately 240 people with developmental disabilities. Among amenities are a nature area and a large park and playground area.
The site that was to become Abilene State School was originally a State Epileptic Colony. The project was launched in 1897 when Governor Joseph D. Sayers appointed a commission to select the site. The institution was to be patterned after the Craig Colony in New York, and was originally intended to house five hundred people.
Citizens of Abilene were eager to have the state select a nearby site, for the boost it would provide to the local economy. Since the water supply was poor, residents banded together to purchase land to build Lytle Lake. Citizens also donated $3,200 for the city to purchase 640 acres (2.6 km2) of land to be given to the state for the institution. The Texas legislature unanimously approved the site in February 1899.
Construction, coordinated by Dr. John Preston, cost $200,000. The project consisted of an administration building, [2] a power plant, one hospital each for men and women, four cottages, and a residence for the superintendent. The State Epileptic Colony was officially opened on March 26, 1904, with a population of 104 patients. Some were admitted free, and others paid $5 a week for room, board, medication, and care. By August 1904, the population was 201.Dr. T.B.Bass served as superintendent from 1909 to 1943. During his tenure, droughts caused water shortages and hurt crop production. World War I siphoned off staff, and wartime inflation caused fiscal hardship. The institution faced outbreaks of flu, small pox, and measles.
In 1925, the State Epileptic Colony began admitting residents with mental illness as well as those with epilepsy. The name was changed to Abilene State Hospital.
The campus had expanded to sixty-three buildings by 1943, including officers' quarters, physicians' cottages, two hospitals, twenty-eight "wards", and a number of barns. The population of patients grew to 1,324.
Dr. Bass retired in 1943, and the institution went through a series of superintendents while the facility continued to expand. In 1949, the hospital began accepting African-American patients. Medical treatment was considered state-of-the-art, and the facility was self-sufficient. Mrs. May Corley, the hospital's first sociologist, said, "Everybody who lived and worked here had a job to do."
In 1957, the name of the facility was changed to Abilene State School, due to a shift in purpose to caring for people with developmental disabilities. This also allowed for the admission of children. M.J. Kelly, director for the State Board of Hospitals and Special Schools, said, "Instead of making these institutions places to retain patients, we intend to make them centers for curing patients and putting them on the road to recovery. We want all those children who can learn to receive the best of instruction." On October 31, 1963, President John F. Kennedy signed a bill providing federal aid for research, training, and rehabilitation for people with mental retardation throughout the country, which allowed increases in staff-to-patient ratios.
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Austin State Supported Living Center, located in Austin, is home to approximately 182 people with developmental and intellectual disabilities. [3] The campus includes a canteen, infirmary, theater, nature trail, indoor pool, athletic field, an interfaith chapel with stained glass windows, [4] and a guest house for visiting family members.
It was launched in 1915, when the Texas legislature passed House Bill 57, creating the State Colony for the Feebleminded, as the first facility specifically to house citizens with mental disabilities. It was renamed Austin State School in 1925. The initial census was 65 residents, mostly female. At its peak Austin State School had a census of 2,000 and included a working dairy farm.
In 1965, the Texas Mental Health and Mentally Challenged Act authorized county mentally challenged centers, with the aim of helping people with mild mental disabilities to live with their families. This caused a shift in the population of residents in State Schools to those with more profound mental challenges and multiple disabilities. By 1974, Austin State School's population had been reduced to 1,400.
In recent years, the Austin State Supported Living Center has come under scrutiny for a variety of serious health and safety violations. In 2009, a Department of Justice settlement agreement was reached in response to allegations of abuse, exploitation, and neglect.
The Austin SSLC has also had 6 immediate jeopardy findings from October 2010 to May 2013, including the death of a resident after staff failed to respond to health concerns. Residents did not bathe or have clean clothes for a week after a gas main broke. A resident was allowed to self injure until the removal of his eye was necessary by surgery. [5]
Brenham State Supported Living Center houses approximately 400 residents in 11 residential buildings on 200 acres (0.8 km2) in unincorporated Washington County, south of Brenham and between Austin and Houston. The state school serves a southeast Texas area including Brazos, Burleson, Grimes, Leon, Liberty, Madison, Montgomery, Robertson, Walker, and Washington counties. It is the largest employer in Brenham.
Brenham state school opened in January 1974, and was the first of the Texas State Schools to be certified as an ICF-MR (Intermediate Care Facility - Mentally/Intellectually Challenged).
Brenham State school features a nature area, primarily for use of residents and family members but also available on a limited basis to outside organizations and citizens. Facilities include a log cabin, picnic area, and restrooms. The campus also has a park with a picnic area and pavilion.
Corpus Christi State Supported Living Center, located in western Corpus Christi, is on 104 acres (0.4 km2) that was originally the city's Cliff Maus Airport.
It has 15 residential buildings serving approximately 370 residents ranging in age from 18 to 77 years. Specialized treatment units serve individuals with severe behavioral and/or emotional problems and more than 800 professionals and paraprofessionals are employed.
Corpus Christi State School opened in April 1970 as an independent school district for children with developmental disabilities. The original campus was 201 acres (0.8 km2) in size.
Denton State Supported Living Center, located in southeastern Denton 4 miles (6 km) south of Downtown Denton and 30 miles (50 km) north of Downtown Dallas, houses approximately 490 residents, many of whom are medically fragile and require constant medical care. Most have severe to profound intellectual and developmental disabilities and over half navigate the campus with wheelchairs or power chairs. The Denton State School employs about 1,500 staff and has a budget in excess of $44 million annually.
The campus has a central kitchen, 30-bed infirmary, canteen, cemetery, dental clinic, beauty shop, swimming pool, sheltered workshops, and central laundry. It also features one guest house and one guest apartment for visiting family members.
The Denton Chamber of Commerce learned in the late 1950s that the state was planning to build a mental retardation facility in the Dallas–Fort Worth metroplex. Citizens donated money for the purchase of 200 acres (0.8 km2) of land, and the land was donated to the state with the stipulation that it be used to provide services for people with mental intellectual challenges.
The Denton State School was established in 1960 by the legislature, and opened in July of that year. By the end of the year it was housing 1,700 residents.
Opened in 1974, the El Paso State Supported Living Center answered the community need for a long-term care facility for people with mental challenges in West Texas. The center is home to 150 people who live in eight cottages and three 16-bed units.
Located in the City of El Paso and serving El Paso County, the center employs approximately 300 people.
Opened in June 1969, the Lubbock State Supported Living Center, located in Lubbock, serves 54 counties in the Texas Panhandle. The campus is home to approximately 310 individuals, of whom 66 percent are male and 34 percent female. The average age is 45.
The school employs approximately 790 people.
Opened in 1962, the Lufkin State Supported Living Center is located in the heart of East Texas. The facility serves 28 counties and is home to approximately 330 people who have Intellectual Disabilities and varying degrees of disability.
The average age is 46.
Lufkin State Supported Living Center is the fourth-largest employer in Angelina County, with a workforce of approximately 1,100.
Opened in 1946, the Mexia State Supported Living Center in unincorporated Limestone County is located west of Mexia and serves 12 counties. It was the first school for persons with intellectual developmental disabilities opened outside the immediate Austin area.
The 215-acre (0.9 km2) campus serves approximately 260 people. The average age is 37.
The facility includes five residential units, a gym and aquatics center, a sheltered workshop, centralized dietary services, maintenance and transportation services, laundry, canteen, sewing room, all-faith chapel, guest house and camping facilities at nearby Lake Mexia.
There are two specialized treatment units that serve individuals with severe behavioral and/or emotional mental issues.
The center employs approximately 1,400 people.
The Mexia State Supported Living Center Sunshine Group released a record titled "Dedicated to the Glory of God and to the Work and Study of Mental Retardation" in the 1970s with the cooperation of music therapist Mrs. Tom Eubanks and Superintendent Malcolm Lauderdale. A second album, "Sunshine in my Heart" was recorded and dedicated to earning money for the construction of a chapel which was eventually built. The music therapists were Miss Ada Conner and Mrs. W. B. Hammond.
Mexia State supported living center was originally the World War 2 Prisoner of War camp and some of the original Homes for that time period still remain on the campus but are used as storage units.
Opened in 1968, the Richmond State Supported Living Center is a community of more than 500 adults situated on 241 acres (1.0 km2) on the banks of the Brazos River in unincorporated Fort Bend County, adjacent to and not within the city limits of Richmond.
The campus serves a 13-county area, which includes Harris County. Approximately 1,200 employees staff the facility.
A program at Richmond, the Therapeutic Riding Center, offers individuals equine and pet-assisted activities.
Opened in 1962, the Rio Grande State Supported Living Center in Harlingen answered the community need for a long-term care facility in the Rio Grande Valley. The center serves Cameron, Hidalgo and Wallacy counties and is home to approximately 75 people.
Opened in 1969 as the San Angelo Center, and renamed San Angelo State School in 1983, the facility in San Angelo originally operated as a tuberculosis hospital. The campus encompasses 1,031 acres (4 km2), and includes 79 buildings.
The facility serves more than 300 individuals from 38 counties and is the ninth-largest employer for the city of San Angelo, with 710 employees. There are specialized treatment units that serve individuals with severe behavioral and/or mental problems/issues.
San Angelo State School Regional Recreation Park is located across U.S. 87 from the main campus, and features wilderness cabins, a petting zoo, and a low-ropes course along the banks of the Concho River. This area provides daytime and overnight camping to state school residents, as well as recreation sites for area nonprofit, civic, and religious organizations throughout the Concho Valley.
Opened in 1978, the San Antonio State Supported Living Center shares a 40-acre (160,000 m2) campus with the San Antonio State Hospital and the Texas Center for Infectious Disease. San Antonio State School serves 10 counties surrounding Bexar County.
The school has a staff of approximately 600, and is home to 300 people with intellectual disabilities.
The average age is 45 years and the population is 59 percent male and 41 percent female.
The State of Texas closed the Fort Worth State School in Fort Worth and the Travis State School in 1999. [6]
Since the Travis State School's closure, several buildings have been reopened. Two charters schools, KIPP and Austin Discovery School, currently utilize buildings for their respective campuses.
Denton is a city in the U.S. state of Texas and the seat of Denton County. With a population of 139,869 as of 2020, it is the 20th-most populous city in Texas, the 177th-most populous city in the United States, and the 12th-most populous city in the Dallas–Fort Worth metroplex.
Mexia is a city in Limestone County, Texas, United States. The population was 6,893 at the 2020 census.
Brenham is a city in east-central Texas, United States, and the county seat of Washington County, with a population of 17,369 according to the 2020 U.S. census.
Round Rock is a city in the U.S. state of Texas, in Williamson County, which is a part of the Greater Austin metropolitan area. Its population is 119,468 according to the 2020 census.
Willowbrook State School was a state-supported institution for children with intellectual disabilities in the Willowbrook neighborhood of Staten Island in New York City, which operated from 1947 until 1987.
The Walter E. Fernald State School, later the Walter E. Fernald Developmental Center, was the Western hemisphere's oldest publicly funded institution serving people with developmental disabilities. Originally a Victorian sanatorium, it became a "poster child" for the American eugenics movement during the 1920s. It later was the scene of medical experiments in the 20th century. Investigations into this research led to new regulations regarding human research in children.
The Belchertown State School for the Feeble-Minded was established in 1922 in Belchertown, Massachusetts. It became known for inhumane conditions and poor treatment of its patients, and became the target of a series of lawsuits prior to its eventual closing in 1992. The building complex was listed on the National Register of Historic Places in 1994.
Austin State Hospital (ASH), formerly known until 1925 as the Texas State Lunatic Asylum, is a 299-bed psychiatric hospital located in Austin, Texas. It is the oldest psychiatric facility in the state of Texas, and the oldest continuously operating west of the Mississippi River. It is operated by the Texas Health and Human Services Commission.
Developmental disability is a diverse group of chronic conditions, comprising mental or physical impairments that arise before adulthood. Developmental disabilities cause individuals living with them many difficulties in certain areas of life, especially in "language, mobility, learning, self-help, and independent living". Developmental disabilities can be detected early on and persist throughout an individual's lifespan. Developmental disability that affects all areas of a child's development is sometimes referred to as global developmental delay.
Agnews Developmental Center was a psychiatric and medical care facility, located in Santa Clara, California.
A group home, congregate living facility, care home, adult family home, etc., is a structured and supervised residence model that provides assisted living and medical care for those with complex health needs. Traditionally, the model has been used for children or young people who cannot live with their families or afford their own homes, people with chronic disabilities who may be adults or seniors, or people with dementia and related aged illnesses. Typically, there are no more than six residents, and there is at least one trained caregiver there 24 hours a day. In some early "model programs", a house manager, night manager, weekend activity coordinator, and four part-time skill teachers were reported. Originally, the term group home referred to homes of 8 to 16 individuals, which was a state-mandated size during deinstitutionalization. Residential nursing facilities, also included in this article, may be as large as 100 individuals in 2015, which is no longer the case in fields such as intellectual and developmental disabilities. Depending on the severity of the condition requiring one to need to live in a group home, some clients are able to attend day programs and most clients are able to live normal lifestyles.
The Rosewood Center was an institution for people with developmental disabilities located on Rosewood Lane in Owings Mills, Maryland.
The Vermont Center for the Deaf and Hard of Hearing, a non-profit organization, was the primary educational and support services resource for Deaf and Hard of Hearing residents in Vermont and surrounding areas. The Vermont Center, headquartered at Brattleboro’s Austin’s School For The Deaf, was launched by the Austine School in 1998 and operated until 2014. The Austine School was one of four independent schools and twelve outreach programs through which the Vermont Center assisted thousands of Deaf Vermonters.
The Mansfield Training School and Hospital was a state school for people with developmental disabilities located in Mansfield, Connecticut, United States. It was active from 1860 to 1993. Its former campus, located at the junction of Connecticut Route 32 and United States Route 44 in Mansfield is a 350-acre (140 ha) historic district that was listed on the National Register of Historic Places in 1987.
The Barber National Institute is a nonprofit, multi-faceted organization that provides services to more than 5,400 children, adults, and families who are faced with autism, intellectual disabilities, and behavioral health challenges. The Institute's central facility was founded in 1952 and is located in Erie, Pennsylvania. The Barber National Institute now employs more than 3,000 staff members throughout the state.
Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID), formerly known as Intermediate Care Facilities for Mental Retardation (ICF/MR), is an American Medicaid-funded institutional long-term support and service (LTSS) for people with intellectual disabilities or related conditions. Section 1905(d) of the Social Security Act enacted benefits and made funding available for "institutions" for individuals with intellectual or related conditions. According to federal law 42 CFR § 440.150 the purpose of ICD/IIDs is to "furnish health or rehabilitative services to persons with Intellectual Disability or persons with related conditions."
Letchworth Village was a residential institution located in Rockland County, New York, in the hamlet of Thiells built for the physically and mentally disabled of all ages, from the newborn to the elderly. Opened in 1911, Letchworth Village at its peak consisted of over 130 buildings spread out over many acres of land. It was named for William Pryor Letchworth, who espoused reform in the treatment and care of the insane, epileptics, and poor children.
As of 2017, approximately 1.4 million Americans live in a nursing home, two-thirds of whom rely on Medicaid to pay for their care. Residential nursing facilities receive Medicaid federal funding and approvals through a state health department. These facilities may be overseen by various types of state agency.
William D. Partlow Developmental Center, also known as the Partlow State School and Hospital, was a state school for people with mental disabilities, primarily intellectual and developmental disabilities in Tuscaloosa, Alabama, USA. It was operated by the Alabama Department of Mental Health. It was the last such full-sized facility operated by the State of Alabama and closed in 2011.
State schools are a type of institution for people with intellectual and developmental disabilities in the United States. These institutions are run by individual states. These state schools were and are famous for abuse and neglect. In many states, the residents were involuntary sterilized during the eugenics era. Many states have closed state schools as part of the deinstitutionalisation movement.