Goal Planning for Adults With a Mental Handicap: Outcome Research, Staff Training and Management

Abstract

This paper critically reviews the literature related to outcome research, staff training and management goal planning, primarily for adults with a mental handicap. The outcome literature indicates highly varying outcomes associated with goal planning to increase skills acquisition. No experimental studies were identified which attempted to evaluate goal planning procedures to increase the diversity of opportunities and change people's lifestyle. The quality of this outcome literature was rather disappointing. There were few studies which included control groups, placebo conditions, comparison intervention procedures, social validation or follow‐up data. Staff training in goal planning has received considerable attention. However, many studies have focussed only on staff keeping documentation rather than on staff teaching skills. Staff training methods which include an in vivo training component and a planned maintenance procedure show considerable promise. Areas for the future development of goal planning are discussed.

A Comparison of Joint Reviews and Life Plans in a Hospital Population of Older People With Learning Difficulties

“…This is a relatively small percentage compared to the level of goal achievement reported in other individual planning systems which has ranged from 46% (Fleming, 1988) to 67% . However, the present study may be representative of the routine implementation of such systems; such data have not previously been published (Sturmey, 1992). In any case Sturmey (1992) notes that 'not all goals are of equal significance'.…”

“…The terms 'goal planning' and 'individual programme planning' are often used synonymously (e.g. Sturmey, 1992); however, it is useful to distinguish between them. Individual programme planning refers to a coherent process for working with individual clients (e.g.…”

Enfoques y fundamentos para un modelo de rehabilitación ambulatoria en personas con lesión cerebral adquirida.

“…La planificación de metas ha sido utilizada ya por muchos años en diversos ambientes de rehabilitación, con diversos grados de sofisticación y resultados positivos en poblaciones como: parálisis cerebral (33), adultos con LCA (34,35,36) pacientes psiquiátricos (37), personas con lesión medular (38) y problemas de aprendizaje (39).…”

Enfoques y fundamentos para un modelo de rehabilitación ambulatoria en personas con lesión cerebral adquirida.

“…La planificación de metas ha sido utilizada ya por muchos años en diversos ambientes de rehabilitación, con diversos grados de sofisticación y resultados positivos en poblaciones como: parálisis cerebral (33), adultos con LCA (34,35,36) pacientes psiquiátricos (37), personas con lesión medular (38) y problemas de aprendizaje (39).…”