title: A conceptual model for determining the least restrictive treatment-training modality.
abstract: Much attention has been paid in recent years to the concept of the least restrictive treatment or training for developmentally disabled individuals. However, few well-defined procedures exist for determining the restrictiveness of modalities commonly used with these individuals. The authors identified ten frequently used modalities and six criteria for determining their relative restrictiveness. A total of 97 mental health professionals rated each modality according to the criteria, and a generalized rank order of the ten was obtained. Criteria were then established for applying the more restrictive modalities to individual residents' cases. The authors propose a four-part review process to ensure that the individual needs and rights of residents are respected.
mesh_terms: D003688:Deinstitutionalization / Q000331:legislation & jurisprudence*; D006801:Humans; D008607:Intellectual Disability / Q000534:rehabilitation*; D010344:Patient Advocacy / Q000331:legislation & jurisprudence*; D010347:Patient Care Planning; D012050:Rehabilitation, Vocational / Q000379:methods*; D012114:Residential Treatment / Q000379:methods; D014481:United States