ABSTRACT

This paper describes the implementation of a dysphagia program in a residential mental retardation (MR) setting. Five program phases are presented describing the staff requirements, in-service and other procedures necessary to establish the program, the evaluation procedures, treatment approaches, and documentation 154patterns. Specific recommendations developed at Caswell to improve implementation of such a program with a residential, multi-handicapped population are discussed, and our initial results with evaluation procedures and therapeutic interventions in 56 residents are presented. In particular, a detailed analysis of 24 clients whose intervention was based on videofluoroscopic examination are also presented.