OPEN MINDS, The Behavioral Health & Social Service Industry Analyst Industry News Between 2000 and 2002, total spending in the United States for mental retardation/developmentally disabled (MR/DD) services grew from $29.15 billion to $34.64 billion, which amounts to a 13% increase when adjusted for inflation. During the same period, inflation- adjusted spending for community services, including individual and family support, increased 17%, while inflation-adjusted spending for public and private institutions serving 16 or more individuals declined 0.2%. This represents the largest growth (in constant dollars . . .