How Big Should Group Homes Be? Latest Research Now Available

COA's recent summary of research on this crucial question is downloadable as a PowerPoint here:

ARC of Virginia - Presentations

Dr. Conroy has recently completed 3 presentations on Deinstitutionalization History, the Promise of Self Determination, and Best Practices in Person-Centered Planning for the ARC of Virginia. These presentations are available for perusal in the Reports and Publications section of our website.

Disability Rights International & COA Present at United Nations

Eric Rosenthal, founder of Disability Rights International, and Jim Conroy of COA spoke together at a special event at UNICEF headquarters in NY. Their emphasis was the need to get children out of, and keep children from going into, large scale institutions. More than 50 UNICEF staff were in attendance.

Welcome to The Center for Outcome Analysis

The Center for Outcome Analysis, Inc., (COA) is a non-profit firm founded in 1985 to perform evaluation, research, and demonstration projects in the human services and health care services. COA is founded on the principle that service agencies should be guided by the measurable individual quality of life outcomes of their services and supports. Many qualities of life are reliably measurable, and they should be measured. The ultimate unit of accountability for human services must become the quality of life of the people receiving supports.

Write to

Outcomes of Holistic Practices - When people with intellectual & developmental disabilities who are challenged with problems in comfort, happiness, and behavior get involved in therapies like massage, Reiki, reflexology, acupressure, aromatherapy, breathing exercises, and related practices, do their lives improve? See a new study design and how we'll attempt to measure this scientifically here.

COA is undertaking a long term outcome research effort on workshop closure. Some states have ended sheltered workshops and sub-minimum 14(c) wage programs. But the evidence about the outcomes for individuals is inadequate. Read the COA White Paper on the need for definitive evidence here.

We have a national websurvey of life after workshops online now, for people who once attended workshops, and now do not. Are their lives better, worse, or about the same? In what ways? The questions in the survey are shown in a PDF here.

Workshop Closures - Opinion Survey of Managers & Leaders 2016. Earlier this year we completed a Pilot Opinion Survey about the individual quality of life outcomes of workshop closure. It was NOT a nationally representative survey - nonetheless the trend of the results is clear and thought provoking. The Pilot report is 2016 Pilot Survey - Opinions about workshop closures.

The Evidence for Self-determination and Personal Budgeting (also called Individual Budgeting and Person-Centered Budgeting) - twenty years of scientific evidence - here.

Read a classic 1984 expose of conditions at an institution - Pennhurst - and the victory of Nicholas Romeo, whose case of systematic abuse went all the way to the Supreme Court.

Dr. Conroy's keynote speech to the Developmental Disabilities Nurses Association, on Health and Health Care During America's Deinstitutionalization and Disability Rights Movements can be seen here.

Interested in short, one page, demonstrated reliable and valid instruments to measure choice, integration, productive activity, work & income, person-centered practices, and qualities of life? See them here.

See the recent presentation on international disability policy and congregate care in Ukraine here

Dr. Conroy is Co-President of the Pennhurst Memorial & Preservation Alliance, devoted to respectful memory of the human rights struggle of people with disabilities. Our work is centered on the historic tragedies and triumphs that unfolded at the Pennhurst institution. See our website here.

Our comprehensive study of the relationship between the size of a group living situation, quality of life, and cost can be seen here.

History of the false "community mortality scare" of the past 18 years - the original proponents of this discredited concept refused to share their data and analyses with either the state or other researchers. See some of the 1997 correspondence about this dispute here. As we now know, the "mortality scare" studies were based entirely on a simple miscount of deaths in California institutions and community homes.

The classic Pennhurst Longitudinal Study can be viewed and downloaded here.

For information about our rapid, efficient IRB review process, write to 

426-B Darby Road
Havertown, PA 19083
Phone: 610.246.5961
Fax: Please email documents to
Click for Directions