The Maintenance of Client Activity and Staff–Client Interaction in Small Community Houses for Severely and Profoundly Mentally Handicapped Adults: A Two-Year Follow-Up

Saxby, Helen; Felce, David John; Harman, Martin; Repp, Alan C.

doi:10.1017/s0141347300013641

Cited by 26 publications

(22 citation statements)

References 24 publications

(25 reference statements)

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“…The percentage of time residents were engaged in activity was generally greater in community houses (mean, 48%; range, 8%-74%) than in intermediate community settings (mean, 25%; range, 6%-54%) or institutions (mean, 14%; range, 2%-23%). The majority of individual studies were consistent with this differentiation in engagement, and there is some, albeit limited, evidence that improved levels of engagement in activity within community houses are maintained over time [Saxby et al, 1988;Rapley and Beyer, 1998]. The results of direct observational research are supported by evaluations that have used rating scales or inventory approaches to assess activity both between institutions and intermediate community settings and between institutions and community houses.…”

Section: Comparison Of Service Modelsmentioning

confidence: 78%

Living with support in a home in the community: Predictors of behavioral development and household and community activity

Felce

Emerson

2001

Ment. Retard. Dev. Disabil. Res. Rev.

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The purpose of this article was to review studies of behavioral development and household and community activity among adults with mental retardation living in community residential services and to distill knowledge about the factors that influence outcome. Research points to behavioral development occurring across the full spectrum of disability but influenced by mental retardation syndrome and the acquisition of pivotal skills. However, engagement in household and community activities has been found to be strongly related to individual adaptive behavior. People with more severe mental retardation are vulnerable to leading lives characterized by underoccupation and lack of community involvement. Moving from institutional to community-based residential services may be accompanied by significant increases in adaptive behavior, but a plateau effect on subsequent development has also been reported. There is substantial evidence to suggest that key aspects of effective teaching technology may be absent in community-based residential environments. Community settings support greater engagement in household and community activities than institutions. Ordinary housing stock and normative architecture and standards of material enrichment are to be preferred. The use of normative housing constrains group living to relatively small scale, but there is little evidence that smaller size within this range is to be preferred to larger size. There is little evidence to suggest that higher staff-to-resident ratios lead to uniformly better outcomes, but staff orientation, working methods, and performance are important influences. Little is known about what precise characteristics of community location give rise to greater community integration. MRDD Research Reviews 7:75-83, 2001.

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Section: Comparison Of Service Modelsmentioning

confidence: 78%

Living with support in a home in the community: Predictors of behavioral development and household and community activity

Felce

Emerson

2001

Ment. Retard. Dev. Disabil. Res. Rev.

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“…Psychologists have largely avoided the topographical level of care, and hence have avoided careful description of caring events. Felce and his colleagues (see, for example, Saxby, Felce, Harman 8c Repp, 1988) have indicated the value of detailed time-series observation of staff-client interaction, an approach transferable to the observation of caring interactions. To the extent that many evaluation instruments are essentially goalattainment measures, the process whereby goals are met may be lost.…”

Section: Goals and Objectives Of Carementioning

confidence: 99%

Towards a psychology of caring*

Hall

1990

British J Clinic Psychol

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An increasing awareness of the chronicity of many conditions, and reservations about the appropriateness of 'treatment' models of intervention, together encourage a positive and careful psychological examination of caring. A psychology of caring must be relevant to care by families in domestic settings as well as to more specialized and professionally staffed settings. The relationship between explicit and implicit philosophies of caring, the goals and objectives of caring, the care practices themselves, and the emotions and feeling associated with care, need to be carefully examined. As applied psychologists, there are many detailed aspects of care we could examine, including the nature of need, vigilance, risk taking, the elicitation of care, identifying the motivation of potential carers, and care evaluation. Much of the literature on caring is derived from organizational and sociological perspectives: there is room for, and a need for, a specifically psychological perspective as well.

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“…1986; Repp et al. 1987; Saxby et al. 1988; Coelho 1990; Felce & Repp 1992; Perry & Felce 1994; Hatton et al.…”

Section: Introductionmentioning

confidence: 99%

Predictors of Job Satisfaction among Staff in Residential Settings for Persons with Intellectual Disabilities: A Comparison between Three Residential Models

Chou

Kröger

Lee

2010

Research Intellect Disabil

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Background This cross‐sectional study aims to assess whether there are differences in staff job satisfaction, including organizational and individual characteristics, between three residential models for adults with intellectual disabilities (small residential home, group home and institution) and to investigate the organizational and individual variables associated with staff job satisfaction. Methods A standardized self‐administered questionnaire (Job Satisfaction Survey) was distributed together with demographic questions between April 2007 and June 2007. In total, 1301 staff members completed the questionnaire. Results We found that staff working at small homes had a significantly higher level of job satisfaction than staff from the other two models. Logistic regression revealed that the characteristics of the organizations at which they were employed rather than the staff’s individual characteristics were strongly associated with job satisfaction. Conclusion This study suggests that the residential model and the provider sector of the residential setting are the factors of concern when ensuring staff job satisfaction.

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The Maintenance of Client Activity and Staff–Client Interaction in Small Community Houses for Severely and Profoundly Mentally Handicapped Adults: A Two-Year Follow-Up

Cited by 26 publications

References 24 publications

Living with support in a home in the community: Predictors of behavioral development and household and community activity

Living with support in a home in the community: Predictors of behavioral development and household and community activity

Towards a psychology of caring*

Predictors of Job Satisfaction among Staff in Residential Settings for Persons with Intellectual Disabilities: A Comparison between Three Residential Models

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