title: Quality Group Home Care for Adults with Developmental Disabilities and/or Mental Health Disorders: Yearning for Understanding, Security and Freedom.
abstract: BACKGROUND
  The purpose of this study was to uncover and understand factors influencing quality of care received by adults with developmental disabilities and/or mental health disorders living in group homes.
  
  
  METHODS
  The present authors conducted a secondary analysis of data from nine focus group discussions with adults with developmental disabilities and/or mental health disorders, and their family and paid caregivers (N = 52). To focus the analysis, the present authors drew on the research literature to craft a model of quality of group home care using concepts of social inclusion and self-determination, and corresponding staff approaches that include active support and person-centred care.
  
  
  RESULTS
  Social inclusion and self-determination for adults in group homes are facilitated by staff approaches and manifest in residents being understood and experiencing security and freedom.
  
  
  CONCLUSIONS
  The present authors offer recommendations for group home resources, training, communication and outcome measures that promote residents' being understood and experiencing security and freedom.
authors.affiliation: University of Calgary, Calgary, AB, Canada.
authors.forename: Leah
authors.initials: L
authors.lastname: Shipton
authors.affiliation: University of Calgary, Calgary, AB, Canada.
authors.forename: Bonnie M
authors.initials: BM
authors.lastname: Lashewicz
mesh_terms: D000328:Adult; D017028:Caregivers; D005260:Female; D016352:Group Homes; D006801:Humans; D008607:Intellectual Disability / Q000451:nursing / Q000523:psychology / Q000534:rehabilitation; D008297:Male; D001523:Mental Disorders / Q000451:nursing / Q000523:psychology / Q000534:rehabilitation; D026684:Personal Autonomy; D011369:Professional-Patient Relations; D012929:Psychological Distance; D036301:Qualitative Research; D011787:Quality of Health Care
keywords: developmental disability; group home; mental health disorder; quality care; self-determination; social inclusion