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Special living arrangements: a model for decision-making
Hospital & Community Psychiatry
|August 1, 1977
Summary
Chronically disabled individuals require tailored support systems. Guidelines ensure systems meet unmet needs without overproviding, prioritizing non-residential options first for optimal client care.
Area of Science:
- Rehabilitation Medicine
- Gerontology
- Health Services Research
Background:
- Chronically disabled patients often require extensive support for daily living.
- Existing support systems may not always align with individual patient needs, leading to over or under-provision of care.
- Assessing and providing appropriate support is crucial for patient autonomy and quality of life.
Purpose of the Study:
- To propose guidelines for selecting appropriate special support systems for chronically disabled individuals.
- To ensure that support systems adequately address unmet patient needs.
- To prevent the overprovision of services by support systems.
Main Methods:
- Development of a two-guideline framework for support system selection.
- Emphasis on client-centered assessment of needs.
- Prioritization of non-residential support options before considering special living arrangements.
Main Results:
- The proposed guidelines ensure support systems are adequate for unmet needs.
- The guidelines prevent support systems from meeting needs the client can manage independently.
- A preference for non-special living arrangements is recommended to avoid overservice.
Conclusions:
- Effective support systems for the chronically disabled must balance adequacy with autonomy.
- Careful consideration of client needs and existing capabilities is essential.
- Non-residential support and tailored special living arrangements are key to optimal patient care.