I've worked at several large group homes for mentally ill/retarded adults. For people who are "low functioning" privacy isn't important. You give them their dignity by communicating with them often, and in a way they can relate to.
Group homes always seem to be a mixed bag. There are always people who shouldn't be there because they are so "high functioning". They should have more privacy. They should live in a smaller home where there's only 4 people, not a home where there's 40. They don't need eyes always on them. But they do. So they end up acting so institutionalized.
I might be in one of the bathrooms brushing the teeth of somebody who is low functioning and needs that care.
And then in walks a high functioning woman who drops her pants, sits on the toilet, and pees.
I say, "Wasn't there any other bathrooms that were empty?"
She looks at me like she could care less.
I say,'"You'll maybe have some privacy if you use a bathroom that's empty.
She finishes, gets up and walks off.
I say, "You didn't flush.
She looks at me like it would be a huge ordeal to have to DO something extra like that.
I say, "You should flush the toilet after you use it. It's important ... In case somebody comes by later and falls in.
Odd humour always works with her. She smiles at the idea, then goes to flush the toilet but not after acting like it was a huge ordeal that really took a chunk out of her day.
Group homes are odd places to work.