title: Implementation of systematic instruction to increase client engagement in a day habilitation program.
abstract: BACKGROUND
  Individuals with severe disability exiting school are likely to be enrolled in day activity and sheltered workshops at least as often as in supported employment. Such facilities are often staffed by paraprofessionals who may not have the skills to engage clients in meaningful activities. This article describes a 3-phase staff training project designed to increase client engagement in an adult habilitation centre.
  
  
  METHODS
  The first phase of the project was to develop curriculum guidelines. The second phase was conducting a series of training for paraprofessional staff. And the third was the implementation of the clinical experience. The first author conducted a graduate level methods class on site at the adult habilitation centre. Staff participants (paraprofessional staff, supervisors, and graduate students) learned the components of systematic instruction and developed and implemented activities for clients. Engagement was measured before and after the 5-week clinical experience.
  
  
  CONCLUSIONS
  The engagement of clients increased with the implementation of systematic instruction following staff training. The implications are discussed.
authors.affiliation: Northern Kentucky University, Nunn Drive, Highland Heights, KY 41099, USA. critess1@nku.edu
authors.forename: Steven A
authors.initials: SA
authors.lastname: Crites
authors.forename: Barbara H
authors.initials: BH
authors.lastname: Howard
mesh_terms: D000328:Adult; D000368:Aged; D003479:Curriculum; D003631:Day Care, Medical; D004495:Education of Persons with Intellectual Disabilities / Q000379:methods*; D005260:Female; D006282:Health Personnel / Q000193:education*; D006801:Humans; D007318:Inservice Training; D008607:Intellectual Disability / Q000534:rehabilitation*; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D011361:Professional Competence; D016730:Program Development; D013663:Teaching; D055815:Young Adult