The relationship of staff: Client ratios, interactions, and residential placement

Felce, David John; Repp, Alan C.; Thomas, Mair; Ager, Alastair; Blunden, Roger

doi:10.1016/0891-4222(91)90015-k

Cited by 59 publications

(47 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…They discussed the possibility that setting size may be a proxy for service model when size differences are large but that, consistent with the findings above, outcome may be insensitive to small variations within models. In support of this line of argument, setting size may exert an indirect effect on outcome by being closely associated with other variables which affect outcome more directly, such as the homelikeness of the building [Thompson et al, 1990] or the pattern of staff-to-resident groupings within the setting [Felce et al, 1991;Holland and Meddis, 1993].…”

Section: (A) Residence Size (Number Of Residents Per Setting)mentioning

confidence: 94%

“…Felce et al [1991] observed resident engagement in activity and the attention residents received from staff in institutions, intermediate community settings, and community houses, recording simultaneously the numbers of staff and residents in the room occupied by the person being observed. The extent of attention residents received and the residents' engagement in activity were then analyzed for different staff-to-resident group sizes.…”

Section: (C) Staff-to-resident Ratio and Staff-to-resident Groupingsmentioning

confidence: 99%

See 1 more Smart Citation

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.

Self Cite

View full text Add to dashboard Cite

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.

show abstract

Section: (A) Residence Size (Number Of Residents Per Setting)mentioning

confidence: 94%

Section: (C) Staff-to-resident Ratio and Staff-to-resident Groupingsmentioning

confidence: 99%

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.

Self Cite

View full text Add to dashboard Cite

show abstract

“…Whereas in the larger spaces of Dc1 pairs of staff often worked with larger groups of service users. This possibility would correspond to the findings of several studies of residential services which have found that adding staff but keeping the client group size the same has no effect or only little effect on the amount of engagement/interaction (Felce, Repp, Thomas & Ager 1991;Mansell, Felce, Jenkins & De Kock 1982).…”

Section: Discussionmentioning

confidence: 99%

“…Mansell, Felce, Jenkins & De Kock (1982) found that in community based units, as the number of staff increased in the observational field, the amount of interaction with residents seen as a proportion of staff time, decreased. Felce, Repp, Thomas & Ager (1991) compared rates of interaction in four large institutional settings, three large community based units and two groups of small homes in the community. In all settings, increasing staff numbers while keeping client group numbers stable, did not increase the quantity of interaction seen.…”

Section: Introductionmentioning

confidence: 99%

Quality of Staff Service User Interaction in Two Day Centres for Adults with Learning Disabilities

Skea¹

2007

MHLDRP

View full text Add to dashboard Cite

This study involves quality of interaction between Day Centre staff and Service-Users with Learning Disabilities in two Day Centres (Dc1 n=50, Dc2 n=247). The Quality of Interactions Schedule (QUIS) was applied within an eight month prospective design, involving 32 visits which constructed a 'typical day' composed of 20-30 minute observational sessions within each Day Centre.The largest proportions of interactions were of a positive nature (87%) across both Day Centres. More positive care interactions were seen in Dc1 and significantly higher rates of positive interactions in Dc1. The greatest use of Verbal and Non-verbal interaction was observed in Dc1. Service users initiated more of the interactions in Dc2. Lengthier verbal interactions were seen in Dc1 and conversely greater amounts of short verbal interactions were seen in Dc2. Within both centres time-tables that were inspected indicated similar proportions spent in: Work, Leisure, Education, Community and Social skills sessions. In comparison to previous studies a relatively low proportion of activities were community based and social skills orientated.Results are framed within comparable observational studies in Day Centres; differences in measurement characteristics employed (Cummins, 2000(Cummins, , 2002 and service evaluation of quality of life in Day centres for adults with Learning Disabilities. Reliability and validity of results were also examined.

show abstract

“…La investigación previa sugiere que la forma en que el personal presta apoyo a las personas que tiene a su cuidado es un determinante clave de los resultados. Esta conclusión se ha alcanzado en estudios comparativos entre hogares y otros entornos (Felce, 1996(Felce, , 1998Felce, De Kock y Repp, 1986;Felce et al, 1991;Mansell, 1994Mansell, , 1995Mansell et al, 1984), en estudios experimentales dentro de los hogares (Bradshaw et al, 2004;Jones et al, 2001;Jones et al, 1999;Mansell et al, 2002) y en estudios de regresión Hatton et al, 1996;Mansell et al, 2003). En general, parece que cuando la privación material y social que se encuentra en las instituciones se aborda sustituyendo éstas por servicios comunitarios de pequeño tamaño, las variables que se relacionan más directamente con algunos beneficios importantes para las personas usuarias son la necesidad de apoyo del residente (es decir, su conducta adaptativa) y las prácticas del personal en cuanto a los cuidados (en particular, la medida en que prestan asistencia facilitadora o 'apoyo activo' (Brown, Toogood y Brown, 1987; Felce, Jones y Lowe, 2000; Jones et al, 1996, Mansell et al, 2005Mansell et al, 1987b).…”

Section: Comparación De La Atención Institucional Frente a La Comunitunclassified

Desinstitucionalización y vida en la comunidad: Declaración del Grupo de Investigación sobre Política y Práctica Comparativas, de la Asociación Internacional para el Estudio Científico de las Discapacidades Intelectuales (IASSID)

Mansell¹

2011

View full text Add to dashboard Cite

Adierazpen honen xedea da, ahalik eta modurik laburrenean, ezgaitasun intelektualak dituzten pertsonen zaintzarako egoitza komunitarioek eskainitako askotariko aukerak eta ohiko egoitzen artean dauden aldeak ezagutaraztea. Betiere, kostuaren eta eraginkortasunaren harremanari kontu hartuz, gaiaren inguruko azterlanen berrikustea burutu du artikulu hau idatzitako aditu talde batek. Egileek azaldutako analisiaren arabera, emaitza hobeak eskuratu dituzte azterketa burututako egoitza komunitarioek, behintzat, kostuaren eta eraginkortasunaren aldeari kontu hartzean. Hitz-gakoak:ezgaitasun intelektuala, desinstituzionalizazioa, esku-hartze komunitarioa, etxebizitza, ebaluazioa.La finalidad de esta declaración es exponer de forma concisa las conclusiones a las que ha llegado un grupo de expertos y expertas tras revisar las numerosas investigaciones que han comparado las distintas modalidades de alojamiento comunitario para personas con discapacidad intelectual con los centros residenciales habituales, en cuanto a su coste y eficacia. Se afirma que existen pruebas científicas suficientes de que las alternativas comunitarias evaluadas presentan mejor ratio coste-eficacia.Palabras clave: discapacidad intelectual, desinstitucionalización, intervención comunitaria, vivienda, evaluación.

show abstract

The relationship of staff: Client ratios, interactions, and residential placement

Cited by 59 publications

References 8 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

Quality of Staff Service User Interaction in Two Day Centres for Adults with Learning Disabilities

Desinstitucionalización y vida en la comunidad: Declaración del Grupo de Investigación sobre Política y Práctica Comparativas, de la Asociación Internacional para el Estudio Científico de las Discapacidades Intelectuales (IASSID)

Contact Info

Product

Resources

About