While issues such as deinstitutionalization were major issues in the 1970s and 1980s,according to the text the focus shifted in the 1990s to

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The text states that the focus shifted in the 1990s to "evaluating quality of life." While studying normalization and reducing marginalization are important aspects of improving the lives of individuals with disabilities, the text specifically mentions the shift to evaluating quality of life in the 1990s. Examining mainstreaming was already a major issue in the 1970s and 1980s, so it wouldn't make sense for this to be the focus that shifted in the 1990s. Reinstituting institutionalization goes against the trend towards deinstitutionalization, which was a major issue in the 1970s and 1980s.

While Issues Such as Deinstitutionalization Were Major Issues in the 1970s