(2) Treatment services: Services under medical direction and supervision providing specialized medical, psychiatric, neurological, or surgical treatment, including dental therapy, physical therapy, occupational therapy, speech and hearing therapy, or other related therapies which provide for improvement in the effective physical, psychological or social functioning of the individual. (3) Educational services: Services, under the direction and supervision of teachers qualified in special education, which provide a curriculum of instruction for preschool children, for school age children unable to participate in public schools, and for the mentally retarded beyond school age. (4) Training services: Services which provide: (i) Training in self-help and motor skills; (ii) Training in activities of daily living; (iii) Vocational training; (iv) Opportunity for personality development; and (v) Experiences conducive to social development, and which are carried out under the supervision of personnel qualified to direct these services. (5) Custodial services: Services which provide personal care including, where needed, health services supervised by qualified medical or nursing personnel. (6) Day care services-day care center: A day care center is a facility housed in a separate private or public school or other setting for the care, training and/or education of educable, trainable, and totally dependent mentally retarded children for whom there are no available public school classes or other community provisions. A day care center may offer services for all of these children, or may elect to serve some particular section of these groups. (7) Sheltered workshop services: Services in a facility which provides or will provide comprehensive services involving a program of paid work which provides: (i) Work evaluation; (ii) Work adjustment training; (iii) Occupational training; and (iv) Transitional or extended employment and carried out under the supervision of personnel qualified to direct these activities. III. DELINEATION OF AREAS In developing the regional geographic service areas there were many variables which had to be considered. Even after giving careful study to all the factors affecting the division of this State into areas and size of each respective area, there appeared to be a significant degree of latitude available. Therefore, recognizing that the selection of the areas for this program is unavoidably arbitrary and that additional experience my produce changes as the program develops, we have chosen the four planning areas. (See map.) The basic factors considered in arriving at this area delineation are as follows: 1. The delineated areas must be of sufficient size to permit the development of a wide range of services consistent with the needs of the mentally retarded and give full consideration to all levels of retardation and age groupings. 2. Each area should contain at least one major metropolitan population center. 3. Time required to travel from home to service should not be a deterent to the full utilization of the available or planned services and should, to a significant degree, follow normal travel patterns within the State. 4. Areas planned must take into consideration the availability of trained personnel to staff the services. 5. The location of medical centers, educational facilities, and other service facilities for the mentally retarded must be considered in the designation of the areas. Area I. Metropolitan Providence This area, composed of three cities, is the smallest in geographic area and is the largest in population. This area is highly urbanized and has an abundance of medical care and educational facilities including five general hospitals, two voluntary psychiatric hospitals and the Rhode Island Medical Center, five institutions of higher learning, and five facilities for the mentally retarded. Area II. Northern area This area is composed of three cities and nine towns and is second largest of the four areas both in terms of population and geography. One-half of its land area is rural in nature and the remaining half is both urban and suburban. There are four general hospitals serving this area and the State's chronic disease hospital (Zambarano Memorial Hospital) is also located here, as well as one other facility for the mentally retarded. Area III. Southern area This area of the State is largest of the four areas in geography and third largest in population. The area, while primarily rural in nature, does possess two heavily populated communities; namely, Warwick and Westerly, in addition to the other 14 towns. This area contains three general hospitals, the University of Rhode Island and the Ladd School, which is the mental retardation institution for the State of Rhode Island. Area IV. Southeastern area The smallest of the four areas in population, this area is third largest in geography. The city of Newport is highly urbanized while Barrington, Warren, Bristol, Portsmouth, and Middletown may be characterized as suburban and Tiverton and Little Compton as rural. There is one general hospital in the area located within the city of Newport, and three colleges, two in Newport and one in Barrington. Each of the four areas has one or more active chapters of the Rhode Island Association for Retarded Children. In addition, all of the four areas contain major travel arteries between population centers in the areas. Within any given area the travel time between any two points does not exceed 45 minutes. Existing facilities for the mentally retarded (1) Rhode Island Department of Health-Mental retardation program. (2) Mental hygiene services (mental retardation program). (3) John E. Fogarty Center. (4) Meeting Street School-Children's rehabilitation center. (5) Community Workshops of Rhode Island and Goodwill Industries. Programed facilities (6) Providence-Day-care facility, residential facility, and diagnostic and evaluation clinic. (7) Cranston-Day-care facility and residential facility. (8) East Providence-Day-care facility. |