Positive behaviour support and supported employment for adults with severe disability.
BACKGROUND
Functional assessments and supported employment procedures have the potential to enhance quality of life factors for adults who have historically been isolated.


METHODS
Functional assessments and supported employment procedures were used to assist four adults with severe disability who exhibited challenging behaviour, to achieve community access and employment. Hypothesis-driven interventions were used to decrease problem behaviours and increase access to job-related activities in the community.


RESULTS
All participants met criterion on task analysed job performance. When participants were involved in community settings and job training, an immediate and complete absence of problem behaviour occurred within those settings.


CONCLUSIONS
Findings emphasise the importance of positive behavioural supports and community access in the lives of adults who have historically been isolated.
West
Elizabeth A
EA
University of Washington, Seattle, WA 98195-3600, USA. eawest@uw.edu
Patton
Holly Ann
HA
D000328:Adult; D006233:Persons with Disabilities / Q000534:rehabilitation*; D016832:Employment, Supported / Q000458:organization & administration* / Q000523:psychology; D005260:Female; D006801:Humans; D008607:Intellectual Disability / Q000145:classification / Q000523:psychology / Q000534:rehabilitation*; D008297:Male; D017063:Outcome Assessment, Health Care; D010865:Pilot Projects; D011569:Psychiatric Status Rating Scales; D011788:Quality of Life; D012050:Rehabilitation, Vocational / Q000379:methods; D012720:Severity of Illness Index; D012919:Social Behavior; D012944:Social Support; D013647:Task Performance and Analysis