Behavioral Interventions

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Volume 8 Issue 2 (April 1993), Pages fmi-fmi, 69-161

Direct observation of quality of care in residential settings (pages 97-110)


Direct‐observation procedures were used to objectively and efficiently assess several classes of service provided for individuals residing at two state facilities for the developmentally disabled. Time samples were taken of the condition of the clients' physical environment and of the clients themselves. The ongoing behavior of both clients and staff also was recorded. Each residence was observed at least three times during both regular work hours and evening/weekend hours. Results showed that both facilities scored high in the categories regarding the physical condition of the living areas, as well as the categories concerning the condition of the clients. Greater variability was seen in the data on client and staff behavior. More generally, the results indicate that time‐sampling procedures can be used efficiently to collect data on multiple aspects of service delivery for large numbers of individuals.

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