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Development and evaluation of the Active Treatment Client Rights Checklist
E J Gross1, K B Maguire, S M Shepard
1Beatrice State Developmental Center, NE 68310-3319.
Research in Developmental Disabilities
|January 1, 1994
Summary
Evaluating active treatment for individuals with intellectual disabilities is challenging. The Active Treatment Client Rights (ATCR) checklist enhances staff provision of services, with functional interactions being a key indicator.
Area of Science:
- Disability Studies
- Healthcare Quality Improvement
- Psychiatric Rehabilitation
Background:
- Active treatment is crucial for the habilitation of individuals with intellectual disabilities.
- Assessing the quality and provision of active treatment services has historically presented significant challenges.
Purpose of the Study:
- To develop and validate the Active Treatment Client Rights (ATCR) checklist.
- To create a tool for assessing, monitoring, and implementing observable active treatment services for clients.
Main Methods:
- The study involved item content explanation and initial reliability testing (Phase I).
- The ATCR was implemented over two years in an ICF/MR facility serving nearly 500 clients across 29 living units (Phase II).
Main Results:
- The Active Treatment Client Rights (ATCR) checklist demonstrated high reliability, validity, and utility.
- Increased frequency of functional interactions between clients and staff emerged as the most sensitive indicator of effective active treatment.
Conclusions:
- The ATCR checklist is an effective tool for enhancing staff delivery of active treatment.
- Focusing on functional interactions is key to improving active treatment outcomes for individuals with intellectual disabilities.